NUR231 Exam 1 V2 | NUR 231
Childbearing & Child Caring Family Exam
Q&A | Galen College of Nursing
1. A woman’s last menstrual period began on June 10. Using Naegele’s rule, what is her
estimated date of delivery (EDD)?
A. March 10
B. March 3
C. March 17
D. April 17
Answer: C
Rationale: Naegele’s rule calculates the EDD by subtracting 3 months and adding 7 days to
the first day of the last menstrual period. In this case, subtracting 3 months from June
results in March, and adding 7 days to June 10 results in March 17. This method assumes a
standard 28-day menstrual cycle and is a primary tool used during the initial prenatal
assessment.
2. Which of the following is considered a ‘positive’ sign of pregnancy?
A. Fetal heart tones heard via Doppler
B. Positive serum pregnancy test
C. Amenorrhea
,D. Chadwick’s sign
Answer: A
Rationale: Positive signs of pregnancy are those that can only be attributed to the
presence of a fetus, such as fetal heart tones, fetal movement felt by a provider, or
visualization on ultrasound. Presumptive signs like amenorrhea are subjective and can be
caused by other conditions. Probable signs like a pregnancy test or Chadwick’s sign are
objective findings by a provider but are not 100% diagnostic of a live fetus.
3. A nurse is teaching a pregnant client about folic acid intake. What is the primary purpose of
taking folic acid during pregnancy?
A. To prevent neural tube defects
B. To increase red blood cell production
C. To prevent gestational diabetes
D. To improve fetal bone density
Answer: A
Rationale: Folic acid is essential for DNA synthesis and the proper closure of the neural
tube in early embryonic development. Adequate intake before and during early pregnancy
significantly reduces the risk of defects such as spina bifida and anencephaly. The
recommended daily intake for most pregnant women is 400 to 800 mcg depending on
specific risk factors and healthcare guidelines.
, 4. A client is at 28 weeks gestation and complains of feeling dizzy and faint when lying on her
back. What is the nurse’s best response?
A. Instruct her to increase her fluid intake to raise her blood pressure.
B. Tell her this is a sign of preeclampsia and she needs immediate care.
C. Suggest she take a deep breath and rise slowly from bed.
D. Advise her to lie on her left side to improve circulation.
Answer: D
Rationale: This condition is known as supine hypotensive syndrome, caused by the heavy
uterus compressing the inferior vena cava when the mother lies flat. Turning to the side,
particularly the left side, relieves this pressure and restores cardiac output and placental
perfusion. This is a common physiological change in the second and third trimesters that
requires simple postural teaching.
5. Which GTPAL designation correctly describes a woman who is currently pregnant, had one
term birth, one miscarriage at 10 weeks, and has one living child?
A. G2 T1 P0 A1 L1
B. G3 T1 P1 A0 L1
C. G3 T1 P0 A1 L1
D. G2 T1 P1 A1 L2
Answer: C
Childbearing & Child Caring Family Exam
Q&A | Galen College of Nursing
1. A woman’s last menstrual period began on June 10. Using Naegele’s rule, what is her
estimated date of delivery (EDD)?
A. March 10
B. March 3
C. March 17
D. April 17
Answer: C
Rationale: Naegele’s rule calculates the EDD by subtracting 3 months and adding 7 days to
the first day of the last menstrual period. In this case, subtracting 3 months from June
results in March, and adding 7 days to June 10 results in March 17. This method assumes a
standard 28-day menstrual cycle and is a primary tool used during the initial prenatal
assessment.
2. Which of the following is considered a ‘positive’ sign of pregnancy?
A. Fetal heart tones heard via Doppler
B. Positive serum pregnancy test
C. Amenorrhea
,D. Chadwick’s sign
Answer: A
Rationale: Positive signs of pregnancy are those that can only be attributed to the
presence of a fetus, such as fetal heart tones, fetal movement felt by a provider, or
visualization on ultrasound. Presumptive signs like amenorrhea are subjective and can be
caused by other conditions. Probable signs like a pregnancy test or Chadwick’s sign are
objective findings by a provider but are not 100% diagnostic of a live fetus.
3. A nurse is teaching a pregnant client about folic acid intake. What is the primary purpose of
taking folic acid during pregnancy?
A. To prevent neural tube defects
B. To increase red blood cell production
C. To prevent gestational diabetes
D. To improve fetal bone density
Answer: A
Rationale: Folic acid is essential for DNA synthesis and the proper closure of the neural
tube in early embryonic development. Adequate intake before and during early pregnancy
significantly reduces the risk of defects such as spina bifida and anencephaly. The
recommended daily intake for most pregnant women is 400 to 800 mcg depending on
specific risk factors and healthcare guidelines.
, 4. A client is at 28 weeks gestation and complains of feeling dizzy and faint when lying on her
back. What is the nurse’s best response?
A. Instruct her to increase her fluid intake to raise her blood pressure.
B. Tell her this is a sign of preeclampsia and she needs immediate care.
C. Suggest she take a deep breath and rise slowly from bed.
D. Advise her to lie on her left side to improve circulation.
Answer: D
Rationale: This condition is known as supine hypotensive syndrome, caused by the heavy
uterus compressing the inferior vena cava when the mother lies flat. Turning to the side,
particularly the left side, relieves this pressure and restores cardiac output and placental
perfusion. This is a common physiological change in the second and third trimesters that
requires simple postural teaching.
5. Which GTPAL designation correctly describes a woman who is currently pregnant, had one
term birth, one miscarriage at 10 weeks, and has one living child?
A. G2 T1 P0 A1 L1
B. G3 T1 P1 A0 L1
C. G3 T1 P0 A1 L1
D. G2 T1 P1 A1 L2
Answer: C
