NRSG 112 Exam 1 V2 NRSG 112 Exam 1
V2 NRSG 112 Exam 1 V2 NRSG 112 Exam
1 V2 NRSG 112 Exam 1 V2
1. A nurse is reviewing the obstetric history of a client who is currently 12 weeks pregnant.
The client has a 7-year-old born at 39 weeks, a 4-year-old born at 34 weeks, and an 18-
month-old born at 35 weeks. Which GTPAL documentation is accurate?
A. G3 T1 P2 A0 L3
B. G3 T2 P1 A0 L3
C. G4 T2 P1 A0 L3
D. G4 T1 P2 A0 L3
E. G4 T1 P1 A1 L3
Correct Answer: D
The Gravida (G) count is 4 because it includes the current pregnancy and the three
previous deliveries. Term (T) is 1 for the child born at 39 weeks, while Preterm (P) is 2 for
the children born at 34 and 35 weeks. Abortion (A) is 0 as there were no losses, and Living
(L) is 3 for the children currently alive.
2. Which of the following findings is considered a positive sign of pregnancy?
A. Fetal heart tones heard via Doppler
B. Positive serum pregnancy test
,C. Hegar’s sign
D. Amenorrhea
Correct Answer: A
Positive signs of pregnancy are those that can only be attributed to the presence of a fetus.
Fetal heart tones, visualization of the fetus by ultrasound, and palpation of fetal movement
by an examiner are the only definitive signs. Presumptive and probable signs can be caused
by other conditions like hormone imbalances or tumors.
3. A client’s last menstrual period (LMP) began on February 10, 2023. Using Naegele’s rule,
what is the estimated date of delivery (EDD)?
A. November 10, 2023
B. November 3, 2023
C. November 17, 2023
D. May 17, 2023
Correct Answer: C
Naegele’s rule is calculated by taking the first day of the LMP, subtracting 3 months, and
adding 7 days and 1 year. For February 10, subtracting 3 months goes back to November,
and adding 7 days results in November 17. This provides a standardized method for
estimating the 40-week gestation period.
, 4. During a prenatal visit at 20 weeks gestation, where should the nurse expect to palpate the
fundus?
A. Symphysis pubis
B. Xiphoid process
C. Halfway between the symphysis pubis and umbilicus
D. At the level of the umbilicus
Correct Answer: D
At approximately 20 weeks of gestation, the fundal height should be at the level of the
umbilicus. This measurement in centimeters typically matches the weeks of gestation
within 2 centimeters. Between 12 and 14 weeks, the fundus is usually just above the
symphysis pubis.
5. A pregnant client complains of feeling dizzy and faint when lying on her back. Which action
should the nurse recommend?
A. Turning onto her left side
B. Lying in a prone position
C. Increasing fluid intake immediately
D. Deep breathing exercises
Correct Answer: A
V2 NRSG 112 Exam 1 V2 NRSG 112 Exam
1 V2 NRSG 112 Exam 1 V2
1. A nurse is reviewing the obstetric history of a client who is currently 12 weeks pregnant.
The client has a 7-year-old born at 39 weeks, a 4-year-old born at 34 weeks, and an 18-
month-old born at 35 weeks. Which GTPAL documentation is accurate?
A. G3 T1 P2 A0 L3
B. G3 T2 P1 A0 L3
C. G4 T2 P1 A0 L3
D. G4 T1 P2 A0 L3
E. G4 T1 P1 A1 L3
Correct Answer: D
The Gravida (G) count is 4 because it includes the current pregnancy and the three
previous deliveries. Term (T) is 1 for the child born at 39 weeks, while Preterm (P) is 2 for
the children born at 34 and 35 weeks. Abortion (A) is 0 as there were no losses, and Living
(L) is 3 for the children currently alive.
2. Which of the following findings is considered a positive sign of pregnancy?
A. Fetal heart tones heard via Doppler
B. Positive serum pregnancy test
,C. Hegar’s sign
D. Amenorrhea
Correct Answer: A
Positive signs of pregnancy are those that can only be attributed to the presence of a fetus.
Fetal heart tones, visualization of the fetus by ultrasound, and palpation of fetal movement
by an examiner are the only definitive signs. Presumptive and probable signs can be caused
by other conditions like hormone imbalances or tumors.
3. A client’s last menstrual period (LMP) began on February 10, 2023. Using Naegele’s rule,
what is the estimated date of delivery (EDD)?
A. November 10, 2023
B. November 3, 2023
C. November 17, 2023
D. May 17, 2023
Correct Answer: C
Naegele’s rule is calculated by taking the first day of the LMP, subtracting 3 months, and
adding 7 days and 1 year. For February 10, subtracting 3 months goes back to November,
and adding 7 days results in November 17. This provides a standardized method for
estimating the 40-week gestation period.
, 4. During a prenatal visit at 20 weeks gestation, where should the nurse expect to palpate the
fundus?
A. Symphysis pubis
B. Xiphoid process
C. Halfway between the symphysis pubis and umbilicus
D. At the level of the umbilicus
Correct Answer: D
At approximately 20 weeks of gestation, the fundal height should be at the level of the
umbilicus. This measurement in centimeters typically matches the weeks of gestation
within 2 centimeters. Between 12 and 14 weeks, the fundus is usually just above the
symphysis pubis.
5. A pregnant client complains of feeling dizzy and faint when lying on her back. Which action
should the nurse recommend?
A. Turning onto her left side
B. Lying in a prone position
C. Increasing fluid intake immediately
D. Deep breathing exercises
Correct Answer: A
