NUR 231 Exam 2 - Childbearing & Child Caring Family 2026 Galen
College
1. A nurse is calculating the estimated date of delivery (EDD) using Naegele’s
rule for a client whose last menstrual period began on May 4th. Which date is
correct?
A. February 11th
B. January 27th
C. February 4th
D. January 11th
Answer: A
Rationale: Naegele’s rule is calculated by subtracting 3 months from the first day of the
last menstrual period and adding 7 days and 1 year. May minus 3 months is February; 4
plus 7 days is 11.
2. Which of the following is considered a positive sign of pregnancy?
A. Amenorrhea
B. Positive serum pregnancy test
C. Fetal heart tones heard via Doppler
D. Quickening
Answer: C
Rationale: Positive signs are objective and can only be attributed to a fetus: fetal heart
tones, visualization by ultrasound, or fetal movement felt by an examiner. Tests and
amenorrhea are probable/presumptive.
,3. A client at 32 weeks gestation is diagnosed with preeclampsia. Which
assessment finding is most concerning?
A. +1 pedal edema
B. Blood pressure 142/90 mmHg
C. Epigastric pain
D. Trace protein in urine
Answer: C
Rationale: Epigastric pain is a sign of liver involvement (HELLP syndrome or impending
seizure) and is a red flag for worsening preeclampsia.
4. Which medication is the antidote for Magnesium Sulfate toxicity?
A. Calcium Gluconate
B. Naloxone
C. Terbutaline
D. Hydralazine
Answer: A
Rationale: Calcium gluconate is the specific antagonist for magnesium sulfate and should
be kept at the bedside during administration.
5. During a non-stress test (NST), the nurse notes two fetal heart rate
accelerations of 15 bpm lasting 15 seconds over a 20-minute period. How should
this be documented?
A. Non-reactive
B. Equivocal
C. Reactive
D. Negative
Answer: C
Rationale: A reactive NST is defined by at least two accelerations of 15 bpm above baseline
lasting 15 seconds within a 20-minute window.
, 6. Which placental condition is characterized by painless, bright red vaginal
bleeding in the third trimester?
A. Abruptio placentae
B. Placenta previa
C. Vasa previa
D. Placenta accreta
Answer: B
Rationale: Placenta previa typically presents with painless bright red bleeding, whereas
abruption involves painful, dark red bleeding and uterine rigidity.
7. A client in active labor is 6 cm dilated. The nurse notes late decelerations on
the monitor. What is the priority nursing action?
A. Administer oxygen via non-rebreather mask
B. Increase the Oxytocin infusion rate
C. Perform a vaginal exam
D. Document the finding as normal
Answer: A
Rationale: Late decelerations indicate uteroplacental insufficiency. Priority actions include
turning the client to their side, stopping Oxytocin, and administering oxygen.
8. Which hormone is primarily responsible for maintaining the uterine lining
during the early stages of pregnancy?
A. Estrogen
B. Progesterone
C. Luteinizing hormone
D. Human chorionic gonadotropin
Answer: B
Rationale: Progesterone is the ‘hormone of pregnancy’ that maintains the endometrium
and prevents uterine contractions.
College
1. A nurse is calculating the estimated date of delivery (EDD) using Naegele’s
rule for a client whose last menstrual period began on May 4th. Which date is
correct?
A. February 11th
B. January 27th
C. February 4th
D. January 11th
Answer: A
Rationale: Naegele’s rule is calculated by subtracting 3 months from the first day of the
last menstrual period and adding 7 days and 1 year. May minus 3 months is February; 4
plus 7 days is 11.
2. Which of the following is considered a positive sign of pregnancy?
A. Amenorrhea
B. Positive serum pregnancy test
C. Fetal heart tones heard via Doppler
D. Quickening
Answer: C
Rationale: Positive signs are objective and can only be attributed to a fetus: fetal heart
tones, visualization by ultrasound, or fetal movement felt by an examiner. Tests and
amenorrhea are probable/presumptive.
,3. A client at 32 weeks gestation is diagnosed with preeclampsia. Which
assessment finding is most concerning?
A. +1 pedal edema
B. Blood pressure 142/90 mmHg
C. Epigastric pain
D. Trace protein in urine
Answer: C
Rationale: Epigastric pain is a sign of liver involvement (HELLP syndrome or impending
seizure) and is a red flag for worsening preeclampsia.
4. Which medication is the antidote for Magnesium Sulfate toxicity?
A. Calcium Gluconate
B. Naloxone
C. Terbutaline
D. Hydralazine
Answer: A
Rationale: Calcium gluconate is the specific antagonist for magnesium sulfate and should
be kept at the bedside during administration.
5. During a non-stress test (NST), the nurse notes two fetal heart rate
accelerations of 15 bpm lasting 15 seconds over a 20-minute period. How should
this be documented?
A. Non-reactive
B. Equivocal
C. Reactive
D. Negative
Answer: C
Rationale: A reactive NST is defined by at least two accelerations of 15 bpm above baseline
lasting 15 seconds within a 20-minute window.
, 6. Which placental condition is characterized by painless, bright red vaginal
bleeding in the third trimester?
A. Abruptio placentae
B. Placenta previa
C. Vasa previa
D. Placenta accreta
Answer: B
Rationale: Placenta previa typically presents with painless bright red bleeding, whereas
abruption involves painful, dark red bleeding and uterine rigidity.
7. A client in active labor is 6 cm dilated. The nurse notes late decelerations on
the monitor. What is the priority nursing action?
A. Administer oxygen via non-rebreather mask
B. Increase the Oxytocin infusion rate
C. Perform a vaginal exam
D. Document the finding as normal
Answer: A
Rationale: Late decelerations indicate uteroplacental insufficiency. Priority actions include
turning the client to their side, stopping Oxytocin, and administering oxygen.
8. Which hormone is primarily responsible for maintaining the uterine lining
during the early stages of pregnancy?
A. Estrogen
B. Progesterone
C. Luteinizing hormone
D. Human chorionic gonadotropin
Answer: B
Rationale: Progesterone is the ‘hormone of pregnancy’ that maintains the endometrium
and prevents uterine contractions.
