NUR 254 EXAM 1 – MATERNAL & PEDIATRICS
GALEN COLLEGE OF NURSING | 2026/2027
Complete Practice Test Bank: 150 Questions with Verified Answers & Detailed Rationales
A+ Graded | Pass Guaranteed
EXAM OVERVIEW
| Feature | Details |
|||
| Course | NUR 254 – Maternal and Pediatric Nursing |
| Institution | Galen College of Nursing |
| Exam | Exam 1 – Antepartum Nursing & Fetal Development |
| Format | Multiple Choice (A–D), 50 questions per exam |
| Content Focus | Antepartum assessment, signs of pregnancy, GTPAL, Naegele's rule,
prenatal nutrition, pregnancy complications, fetal development, and maternal
physiological adaptations |
| Source Materials | Verified 2026/2027 study guides, actual exam question sets, and unit
quizzes for NUR 254 |
TABLE OF CONTENTS
| Section | Topic | Questions |
,||||
| 1 | Signs and Symptoms of Pregnancy | 1–25 |
| 2 | GTPAL and Gravidity/Para | 26–45 |
| 3 | Naegele's Rule and Estimated Date of Delivery (EDD) | 46–65 |
| 4 | Prenatal Nutrition and Dietary Teaching | 66–85 |
| 5 | Maternal Physiological Adaptations to Pregnancy | 86–105 |
| 6 | Pregnancy Complications (Preeclampsia, Diabetes, Placental Issues) | 106–130 |
| 7 | Fetal Development and Antepartum Assessment | 131–150 |
SECTION 1: SIGNS AND SYMPTOMS OF PREGNANCY
Questions 1–25
Question 1
A client at 8 weeks gestation reports breast tenderness, nausea, and fatigue. The nurse
correctly classifies these findings as which type of pregnancy sign?
A) Positive signs
B) Probable signs
C) Presumptive signs
D) Definitive signs
,Answer: C
Rationale: Presumptive signs are subjective symptoms reported by the client that could be
caused by other conditions. Breast tenderness, nausea, vomiting, amenorrhea, urinary
frequency, fatigue, and quickening are all presumptive signs. They are the least reliable
indicators of pregnancy.
Question 2
Which of the following is considered a probable sign of pregnancy?
A) Fetal heart rate detected by Doppler
B) Breast tenderness
C) Goodell sign (cervical softening)
D) Quickening
Answer: C
Rationale: Probable signs are objective findings observed by the practitioner that strongly
suggest pregnancy but could still have other causes. Goodell sign (softening of the cervix),
Chadwick sign (bluish discoloration of the cervix), Hegar sign (softening of the lower
uterine segment), ballottement, and an enlarging uterus are all probable signs.
Question 3
, A nurse is assessing a client at 20 weeks gestation. The client reports feeling fetal
movement for the first time. This finding is documented as:
A) Quickening, a presumptive sign
B) Ballottement, a probable sign
C) A positive sign of pregnancy
D) Chadwick sign
Answer: A
Rationale: Quickening is the first fetal movement felt by the mother, typically noticed
between 16 and 20 weeks gestation. It is classified as a presumptive (subjective) sign of
pregnancy.
Question 4
Which of the following is a positive sign of pregnancy?
A) Positive pregnancy test
B) Goodell sign
C) Fetal heart rate visualized on ultrasound
D) Enlarging uterus
Answer: C
GALEN COLLEGE OF NURSING | 2026/2027
Complete Practice Test Bank: 150 Questions with Verified Answers & Detailed Rationales
A+ Graded | Pass Guaranteed
EXAM OVERVIEW
| Feature | Details |
|||
| Course | NUR 254 – Maternal and Pediatric Nursing |
| Institution | Galen College of Nursing |
| Exam | Exam 1 – Antepartum Nursing & Fetal Development |
| Format | Multiple Choice (A–D), 50 questions per exam |
| Content Focus | Antepartum assessment, signs of pregnancy, GTPAL, Naegele's rule,
prenatal nutrition, pregnancy complications, fetal development, and maternal
physiological adaptations |
| Source Materials | Verified 2026/2027 study guides, actual exam question sets, and unit
quizzes for NUR 254 |
TABLE OF CONTENTS
| Section | Topic | Questions |
,||||
| 1 | Signs and Symptoms of Pregnancy | 1–25 |
| 2 | GTPAL and Gravidity/Para | 26–45 |
| 3 | Naegele's Rule and Estimated Date of Delivery (EDD) | 46–65 |
| 4 | Prenatal Nutrition and Dietary Teaching | 66–85 |
| 5 | Maternal Physiological Adaptations to Pregnancy | 86–105 |
| 6 | Pregnancy Complications (Preeclampsia, Diabetes, Placental Issues) | 106–130 |
| 7 | Fetal Development and Antepartum Assessment | 131–150 |
SECTION 1: SIGNS AND SYMPTOMS OF PREGNANCY
Questions 1–25
Question 1
A client at 8 weeks gestation reports breast tenderness, nausea, and fatigue. The nurse
correctly classifies these findings as which type of pregnancy sign?
A) Positive signs
B) Probable signs
C) Presumptive signs
D) Definitive signs
,Answer: C
Rationale: Presumptive signs are subjective symptoms reported by the client that could be
caused by other conditions. Breast tenderness, nausea, vomiting, amenorrhea, urinary
frequency, fatigue, and quickening are all presumptive signs. They are the least reliable
indicators of pregnancy.
Question 2
Which of the following is considered a probable sign of pregnancy?
A) Fetal heart rate detected by Doppler
B) Breast tenderness
C) Goodell sign (cervical softening)
D) Quickening
Answer: C
Rationale: Probable signs are objective findings observed by the practitioner that strongly
suggest pregnancy but could still have other causes. Goodell sign (softening of the cervix),
Chadwick sign (bluish discoloration of the cervix), Hegar sign (softening of the lower
uterine segment), ballottement, and an enlarging uterus are all probable signs.
Question 3
, A nurse is assessing a client at 20 weeks gestation. The client reports feeling fetal
movement for the first time. This finding is documented as:
A) Quickening, a presumptive sign
B) Ballottement, a probable sign
C) A positive sign of pregnancy
D) Chadwick sign
Answer: A
Rationale: Quickening is the first fetal movement felt by the mother, typically noticed
between 16 and 20 weeks gestation. It is classified as a presumptive (subjective) sign of
pregnancy.
Question 4
Which of the following is a positive sign of pregnancy?
A) Positive pregnancy test
B) Goodell sign
C) Fetal heart rate visualized on ultrasound
D) Enlarging uterus
Answer: C
