NUR231 Exam 1 V3 | NUR 231
Childbearing & Child Caring Family Exam
Q&A | Galen College of Nursing
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 10th. What is the correct EDD?
A. March 17th
B. January 17th
C. February 10th
D. February 17th
Answer: D
Rationale: To use Naegele’s rule, the nurse subtracts three months from the first day of the
last menstrual period and adds seven days. Starting from May 10th, subtracting three
months leads to February, and adding seven days to the 10th results in February 17th. This
method assumes a standard 28-day menstrual cycle and is a primary tool for prenatal
assessment.
2. A client at 10 weeks of gestation expresses mixed feelings about being pregnant, despite
the pregnancy being planned. How should the nurse interpret this?
A. A sign of possible postpartum depression
B. Ineffective maternal-fetal bonding
,C. A need for an immediate psychiatric referral
D. Normal maternal ambivalence in the first trimester
Answer: D
Rationale: Ambivalence is a common emotional adaptation during the first trimester of
pregnancy, even when the pregnancy was desired. It often stems from the sudden
realization of life changes and the responsibilities of parenthood. The nurse should
reassure the client that these conflicting feelings are normal and usually resolve as the
pregnancy progresses.
3. During a prenatal visit, a nurse notes a bluish-purple discoloration of the cervix and vaginal
mucosa. What is the correct term for this finding?
A. Goodell’s sign
B. Hegar’s sign
C. Chadwick’s sign
D. Ballottement
Answer: C
Rationale: Chadwick’s sign is the characteristically bluish-purple color change of the
vaginal mucosa and cervix caused by increased vascularity. This is considered a
presumptive sign of pregnancy and typically appears around the sixth week of gestation.
Identifying these physiological changes is a key component of the initial prenatal nursing
assessment.
, 4. A pregnant woman is scheduled for an alpha-fetoprotein (AFP) screening. The nurse
explains that this test is primarily used to detect which of the following?
A. Neural tube defects
B. Gestational diabetes
C. Fetal lung maturity
D. Rh incompatibility
Answer: A
Rationale: Maternal serum alpha-fetoprotein (MSAFP) is a screening tool used to identify
the risk of neural tube defects like spina bifida or anencephaly. High levels of AFP in the
maternal blood are associated with these defects, while low levels can sometimes indicate
chromosomal abnormalities like Down syndrome. The nurse should emphasize that this is
a screening test and not a definitive diagnosis.
5. Which intervention is most appropriate for a pregnant client experiencing supine
hypotensive syndrome?
A. Placing the client in a Trendelenburg position
B. Turning the client onto her left side
C. Increasing intravenous fluid rates
D. Encouraging deep breathing exercises
Answer: B
Childbearing & Child Caring Family Exam
Q&A | Galen College of Nursing
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 10th. What is the correct EDD?
A. March 17th
B. January 17th
C. February 10th
D. February 17th
Answer: D
Rationale: To use Naegele’s rule, the nurse subtracts three months from the first day of the
last menstrual period and adds seven days. Starting from May 10th, subtracting three
months leads to February, and adding seven days to the 10th results in February 17th. This
method assumes a standard 28-day menstrual cycle and is a primary tool for prenatal
assessment.
2. A client at 10 weeks of gestation expresses mixed feelings about being pregnant, despite
the pregnancy being planned. How should the nurse interpret this?
A. A sign of possible postpartum depression
B. Ineffective maternal-fetal bonding
,C. A need for an immediate psychiatric referral
D. Normal maternal ambivalence in the first trimester
Answer: D
Rationale: Ambivalence is a common emotional adaptation during the first trimester of
pregnancy, even when the pregnancy was desired. It often stems from the sudden
realization of life changes and the responsibilities of parenthood. The nurse should
reassure the client that these conflicting feelings are normal and usually resolve as the
pregnancy progresses.
3. During a prenatal visit, a nurse notes a bluish-purple discoloration of the cervix and vaginal
mucosa. What is the correct term for this finding?
A. Goodell’s sign
B. Hegar’s sign
C. Chadwick’s sign
D. Ballottement
Answer: C
Rationale: Chadwick’s sign is the characteristically bluish-purple color change of the
vaginal mucosa and cervix caused by increased vascularity. This is considered a
presumptive sign of pregnancy and typically appears around the sixth week of gestation.
Identifying these physiological changes is a key component of the initial prenatal nursing
assessment.
, 4. A pregnant woman is scheduled for an alpha-fetoprotein (AFP) screening. The nurse
explains that this test is primarily used to detect which of the following?
A. Neural tube defects
B. Gestational diabetes
C. Fetal lung maturity
D. Rh incompatibility
Answer: A
Rationale: Maternal serum alpha-fetoprotein (MSAFP) is a screening tool used to identify
the risk of neural tube defects like spina bifida or anencephaly. High levels of AFP in the
maternal blood are associated with these defects, while low levels can sometimes indicate
chromosomal abnormalities like Down syndrome. The nurse should emphasize that this is
a screening test and not a definitive diagnosis.
5. Which intervention is most appropriate for a pregnant client experiencing supine
hypotensive syndrome?
A. Placing the client in a Trendelenburg position
B. Turning the client onto her left side
C. Increasing intravenous fluid rates
D. Encouraging deep breathing exercises
Answer: B
