NUR231 Exam 1 V1 | NUR 231
Childbearing & Child Caring Family Exam
Q&A | Galen College of Nursing
1. Where is the most common site for fertilization to occur within the female reproductive
tract?
A. The ampulla of the fallopian tube
B. The fundus of the uterus
C. The cervical canal
D. The fimbriae of the ovaries
Answer: A
Rationale: Fertilization typically occurs in the ampulla, which is the distal third of the
fallopian tube. This location provides the ideal environment for the sperm to meet the egg
after ovulation. Once fertilized, the zygote travels toward the uterus for implantation over
several days.
2. A nurse is calculating a client’s estimated date of birth (EDB) using Naegele’s rule. The
client’s last menstrual period (LMP) began on February 10th. What is the EDB?
A. October 17th
B. November 3rd
C. November 17th
,D. December 10th
Answer: C
Rationale: To apply Naegele’s rule, the nurse subtracts three months from the first day of
the last menstrual period and adds seven days. February 10th minus three months is
November 10th, and adding seven days results in November 17th. This method assumes a
standard 28-day menstrual cycle and is a primary tool for dating pregnancies.
3. Which of the following is considered a ‘positive’ sign of pregnancy?
A. Amenorrhea and morning sickness
B. A positive home pregnancy test
C. Fetal heart tones heard via Doppler
D. Hegar’s sign and Goodell’s sign
Answer: C
Rationale: Positive signs of pregnancy are those that can only be attributed to the
presence of a fetus, such as fetal heart sounds, visualization of the fetus by ultrasound, or
palpable fetal movement by an examiner. Presumptive signs are subjective feelings like
nausea or fatigue reported by the mother. Probable signs are objective physical changes
noted by the provider, like a positive urine test or cervical softening, but they are not 100%
definitive.
, 4. A woman is pregnant for the fourth time. She has one living child born at 38 weeks, one
miscarriage at 10 weeks, and one child born at 32 weeks who died shortly after birth. What is
her GTPAL?
A. G4, T1, P2, A0, L1
B. G4, T2, P0, A1, L1
C. G3, T1, P1, A1, L2
D. G4, T1, P1, A1, L1
Answer: D
Rationale: The client is G4 because she has been pregnant four times including the current
one. T is 1 because one child was born at 38 weeks (term is 37+ weeks). P is 1 because one
child was born at 32 weeks (preterm is 20-36 weeks). A is 1 due to the miscarriage at 10
weeks, and L is 1 for the one living child.
5. What is the primary function of Wharton’s jelly within the umbilical cord?
A. To prevent compression of the umbilical blood vessels
B. To provide nutrients to the developing fetus
C. To filter waste products from fetal circulation
D. To stimulate fetal lung development
Answer: A
Childbearing & Child Caring Family Exam
Q&A | Galen College of Nursing
1. Where is the most common site for fertilization to occur within the female reproductive
tract?
A. The ampulla of the fallopian tube
B. The fundus of the uterus
C. The cervical canal
D. The fimbriae of the ovaries
Answer: A
Rationale: Fertilization typically occurs in the ampulla, which is the distal third of the
fallopian tube. This location provides the ideal environment for the sperm to meet the egg
after ovulation. Once fertilized, the zygote travels toward the uterus for implantation over
several days.
2. A nurse is calculating a client’s estimated date of birth (EDB) using Naegele’s rule. The
client’s last menstrual period (LMP) began on February 10th. What is the EDB?
A. October 17th
B. November 3rd
C. November 17th
,D. December 10th
Answer: C
Rationale: To apply Naegele’s rule, the nurse subtracts three months from the first day of
the last menstrual period and adds seven days. February 10th minus three months is
November 10th, and adding seven days results in November 17th. This method assumes a
standard 28-day menstrual cycle and is a primary tool for dating pregnancies.
3. Which of the following is considered a ‘positive’ sign of pregnancy?
A. Amenorrhea and morning sickness
B. A positive home pregnancy test
C. Fetal heart tones heard via Doppler
D. Hegar’s sign and Goodell’s sign
Answer: C
Rationale: Positive signs of pregnancy are those that can only be attributed to the
presence of a fetus, such as fetal heart sounds, visualization of the fetus by ultrasound, or
palpable fetal movement by an examiner. Presumptive signs are subjective feelings like
nausea or fatigue reported by the mother. Probable signs are objective physical changes
noted by the provider, like a positive urine test or cervical softening, but they are not 100%
definitive.
, 4. A woman is pregnant for the fourth time. She has one living child born at 38 weeks, one
miscarriage at 10 weeks, and one child born at 32 weeks who died shortly after birth. What is
her GTPAL?
A. G4, T1, P2, A0, L1
B. G4, T2, P0, A1, L1
C. G3, T1, P1, A1, L2
D. G4, T1, P1, A1, L1
Answer: D
Rationale: The client is G4 because she has been pregnant four times including the current
one. T is 1 because one child was born at 38 weeks (term is 37+ weeks). P is 1 because one
child was born at 32 weeks (preterm is 20-36 weeks). A is 1 due to the miscarriage at 10
weeks, and L is 1 for the one living child.
5. What is the primary function of Wharton’s jelly within the umbilical cord?
A. To prevent compression of the umbilical blood vessels
B. To provide nutrients to the developing fetus
C. To filter waste products from fetal circulation
D. To stimulate fetal lung development
Answer: A
