Rasmussen University NUR 2513 Final Exam (pdf) | 2026/2027 |
Maternal-Child Q&A | Nursing
1. A nurse is caring for a client at 8 weeks gestation who states, "I'm not sure
I want to continue with this pregnancy." What is the nurse's best therapeutic
response?
A) "You should discuss this with the baby's father."
B) "Tell me more about how you are feeling."
C) "Don't worry; most women feel this way at first."
D) "You need to make a decision soon before it's too late."
Correct Answer: "Tell me more about how you are feeling."
Rationale: This open-ended statement allows the client to express her
feelings without judgment, demonstrating therapeutic communication and
providing an opportunity to assess for risk factors such as depression or lack
of support. The nurse should never dismiss feelings or rush the decision-
making process.
2. A nurse is calculating a client's GTPAL. The client is currently pregnant, has
had 2 term births, 1 preterm birth, and 1 abortion. What is the client's
GTPAL?
A) G3 T2 P1 A1 L3
B) G4 T2 P1 A1 L3
C) G4 T2 P1 A1 L4
D) G5 T2 P1 A1 L3
Correct Answer: G4 T2 P1 A1 L3
Rationale: Gravida (G) is the total number of pregnancies, including the
current one: 1 current + 2 term + 1 preterm + 1 abortion = 4. Term (T) = 2,
,Preterm (P) = 1, Abortions (A) = 1, Living (L) = 2 term + 1 preterm = 3.
Therefore, GTPAL is G4 T2 P1 A1 L3.
3. A nurse is using Naegele's rule to calculate a client's estimated date of
delivery (EDD). The client's last menstrual period (LMP) was May 10. What is
the EDD?
A) February 10
B) February 17
C) March 10
D) March 17
Correct Answer: February 17
Rationale: Naegele's rule calculates the EDD by subtracting 3 months from
the LMP and adding 7 days. For LMP May 10: subtract 3 months = February
10; add 7 days = February 17.
4. A nurse is providing education about the phases of the menstrual cycle.
During which phase does the endometrium proliferate and thicken under the
influence of estrogen?
A) Menses phase
B) Proliferative phase
C) Secretory/luteal phase
D) Ischemic phase
Correct Answer: Proliferative phase
Rationale: The proliferative phase is the first half of the menstrual cycle
(days 5-14) when the ovary begins to produce estrogen, causing the
endometrium to proliferate and thicken. The secretory phase follows
,ovulation, and the ischemic phase involves degeneration of the
endometrium.
5. A nurse is assessing a client's understanding of the secretory (luteal)
phase of the menstrual cycle. Which statement by the client indicates
understanding?
A) "Estrogen causes the endometrium to thicken during this phase."
B) "Progesterone from the corpus luteum prepares the endometrium for
implantation."
C) "The endometrium sloughs off during this phase."
D) "Ovulation occurs during this phase."
Correct Answer: "Progesterone from the corpus luteum prepares the
endometrium for implantation."
Rationale: During the secretory/luteal phase, progesterone from the corpus
luteum causes the endometrial glands to become twisted and dilated with
glycogen and mucin, preparing the endometrium for implantation. The
proliferative phase is estrogen-dominated, and the ischemic phase involves
sloughing.
6. A nurse is teaching a client about the importance of folic acid
supplementation. The nurse should recommend that women of childbearing
age take folic acid:
A) Only during the first trimester
B) Before conception and during early pregnancy
C) Only during the third trimester
D) After the baby is born
Correct Answer: Before conception and during early pregnancy
, Rationale: Folic acid is most important in the periconceptional period (before
conception and during early pregnancy) to prevent neural tube defects. It
should be taken by all women of childbearing age.
7. A nurse is caring for a client who is 12 weeks pregnant. The nurse
understands that the placenta is fully formed and functioning by which
week?
A) 8 weeks
B) 10 weeks
C) 12 weeks
D) 16 weeks
Correct Answer: 12 weeks
Rationale: The placenta is fully formed and functioning as an endocrine
organ by approximately 12 weeks of gestation. It begins to produce
hormones such as human chorionic gonadotropin (hCG), estrogen, and
progesterone.
8. A nurse is assessing a client who is 28 weeks pregnant. Which finding is a
normal physiological change of pregnancy?
A) Increased blood pressure
B) Decreased heart rate
C) Increased cardiac output
D) Decreased respiratory rate
Correct Answer: Increased cardiac output
Maternal-Child Q&A | Nursing
1. A nurse is caring for a client at 8 weeks gestation who states, "I'm not sure
I want to continue with this pregnancy." What is the nurse's best therapeutic
response?
A) "You should discuss this with the baby's father."
B) "Tell me more about how you are feeling."
C) "Don't worry; most women feel this way at first."
D) "You need to make a decision soon before it's too late."
Correct Answer: "Tell me more about how you are feeling."
Rationale: This open-ended statement allows the client to express her
feelings without judgment, demonstrating therapeutic communication and
providing an opportunity to assess for risk factors such as depression or lack
of support. The nurse should never dismiss feelings or rush the decision-
making process.
2. A nurse is calculating a client's GTPAL. The client is currently pregnant, has
had 2 term births, 1 preterm birth, and 1 abortion. What is the client's
GTPAL?
A) G3 T2 P1 A1 L3
B) G4 T2 P1 A1 L3
C) G4 T2 P1 A1 L4
D) G5 T2 P1 A1 L3
Correct Answer: G4 T2 P1 A1 L3
Rationale: Gravida (G) is the total number of pregnancies, including the
current one: 1 current + 2 term + 1 preterm + 1 abortion = 4. Term (T) = 2,
,Preterm (P) = 1, Abortions (A) = 1, Living (L) = 2 term + 1 preterm = 3.
Therefore, GTPAL is G4 T2 P1 A1 L3.
3. A nurse is using Naegele's rule to calculate a client's estimated date of
delivery (EDD). The client's last menstrual period (LMP) was May 10. What is
the EDD?
A) February 10
B) February 17
C) March 10
D) March 17
Correct Answer: February 17
Rationale: Naegele's rule calculates the EDD by subtracting 3 months from
the LMP and adding 7 days. For LMP May 10: subtract 3 months = February
10; add 7 days = February 17.
4. A nurse is providing education about the phases of the menstrual cycle.
During which phase does the endometrium proliferate and thicken under the
influence of estrogen?
A) Menses phase
B) Proliferative phase
C) Secretory/luteal phase
D) Ischemic phase
Correct Answer: Proliferative phase
Rationale: The proliferative phase is the first half of the menstrual cycle
(days 5-14) when the ovary begins to produce estrogen, causing the
endometrium to proliferate and thicken. The secretory phase follows
,ovulation, and the ischemic phase involves degeneration of the
endometrium.
5. A nurse is assessing a client's understanding of the secretory (luteal)
phase of the menstrual cycle. Which statement by the client indicates
understanding?
A) "Estrogen causes the endometrium to thicken during this phase."
B) "Progesterone from the corpus luteum prepares the endometrium for
implantation."
C) "The endometrium sloughs off during this phase."
D) "Ovulation occurs during this phase."
Correct Answer: "Progesterone from the corpus luteum prepares the
endometrium for implantation."
Rationale: During the secretory/luteal phase, progesterone from the corpus
luteum causes the endometrial glands to become twisted and dilated with
glycogen and mucin, preparing the endometrium for implantation. The
proliferative phase is estrogen-dominated, and the ischemic phase involves
sloughing.
6. A nurse is teaching a client about the importance of folic acid
supplementation. The nurse should recommend that women of childbearing
age take folic acid:
A) Only during the first trimester
B) Before conception and during early pregnancy
C) Only during the third trimester
D) After the baby is born
Correct Answer: Before conception and during early pregnancy
, Rationale: Folic acid is most important in the periconceptional period (before
conception and during early pregnancy) to prevent neural tube defects. It
should be taken by all women of childbearing age.
7. A nurse is caring for a client who is 12 weeks pregnant. The nurse
understands that the placenta is fully formed and functioning by which
week?
A) 8 weeks
B) 10 weeks
C) 12 weeks
D) 16 weeks
Correct Answer: 12 weeks
Rationale: The placenta is fully formed and functioning as an endocrine
organ by approximately 12 weeks of gestation. It begins to produce
hormones such as human chorionic gonadotropin (hCG), estrogen, and
progesterone.
8. A nurse is assessing a client who is 28 weeks pregnant. Which finding is a
normal physiological change of pregnancy?
A) Increased blood pressure
B) Decreased heart rate
C) Increased cardiac output
D) Decreased respiratory rate
Correct Answer: Increased cardiac output
