NRSG 112 Exam 1 V3 | NRSG 112
Maternal-Child Nursing | Actual Q&A with
Rationale (NRSG112 Exam 1) | Ivy Tech
1. A nurse is calculating a client’s estimated date of delivery (EDD) using Naegele’s rule. The
client’s last menstrual period (LMP) began on October 10th. Which date should the nurse
document as the EDD?
A. July 3rd
B. July 17th
C. July 7th
D. January 17th
Correct Answer: B
To calculate the estimated date of delivery using Naegele’s rule, the nurse subtracts 3
months from the first day of the last menstrual period and adds 7 days. In this case,
subtracting 3 months from October 10th results in July 10th, and adding 7 days results in
July 17th. This method assumes a standard 28-day cycle and is the most common clinical
method for determining gestation length.
,2. A client is at 10 weeks of gestation and provides the following history: one birth at 39
weeks, one birth at 34 weeks, and one miscarriage at 12 weeks. Both children are living.
Using the GTPAL system, how should the nurse document the obstetric history?
A. G4, T1, P1, A1, L2
B. G4, T2, P1, A1, L2
C. G3, T1, P1, A1, L2
D. G3, T2, P0, A1, L2
E. G4, T1, P1, A0, L2
Correct Answer: A
The client is currently pregnant, which makes Gravida (G) 4. The birth at 39 weeks is
Term (T) 1, the birth at 34 weeks is Preterm (P) 1, and the miscarriage at 12 weeks is
Abortion (A) 1. Since both children are living, Living (L) is 2. Therefore, the correct GTPAL
sequence is G4, T1, P1, A1, L2.
3. A nurse is assessing a client in the second trimester of pregnancy. Which of the following
findings should be reported to the provider as a potential complication?
A. Leukorrhea
B. Facial edema
C. Periodic numbness in fingers
D. Supine hypotension
, Correct Answer: B
Facial edema or edema of the hands and fingers can be a warning sign of gestational
hypertension or preeclampsia and requires immediate follow-up. Leukorrhea is a common
physiological change due to increased estrogen levels during pregnancy. Numbness in
fingers (carpal tunnel syndrome) and supine hypotension are common discomforts of
pregnancy that are typically not life-threatening.
4. Which fetal heart rate pattern is the nurse identifying when observing a gradual decrease
and return to baseline that mirrors the contraction?
A. Late deceleration
B. Early deceleration
C. Variable deceleration
D. Accelerations
Correct Answer: B
Early decelerations are caused by fetal head compression during a contraction and are
considered a benign finding. They are characterized by a gradual decrease in FHR that
begins, peaks, and ends with the contraction. No specific nursing intervention is required
for early decelerations other than continued monitoring.
5. A client is 32 weeks pregnant and reports a sudden gush of bright red vaginal bleeding
without pain. Which condition should the nurse suspect?
A. Abruptio placentae
Maternal-Child Nursing | Actual Q&A with
Rationale (NRSG112 Exam 1) | Ivy Tech
1. A nurse is calculating a client’s estimated date of delivery (EDD) using Naegele’s rule. The
client’s last menstrual period (LMP) began on October 10th. Which date should the nurse
document as the EDD?
A. July 3rd
B. July 17th
C. July 7th
D. January 17th
Correct Answer: B
To calculate the estimated date of delivery using Naegele’s rule, the nurse subtracts 3
months from the first day of the last menstrual period and adds 7 days. In this case,
subtracting 3 months from October 10th results in July 10th, and adding 7 days results in
July 17th. This method assumes a standard 28-day cycle and is the most common clinical
method for determining gestation length.
,2. A client is at 10 weeks of gestation and provides the following history: one birth at 39
weeks, one birth at 34 weeks, and one miscarriage at 12 weeks. Both children are living.
Using the GTPAL system, how should the nurse document the obstetric history?
A. G4, T1, P1, A1, L2
B. G4, T2, P1, A1, L2
C. G3, T1, P1, A1, L2
D. G3, T2, P0, A1, L2
E. G4, T1, P1, A0, L2
Correct Answer: A
The client is currently pregnant, which makes Gravida (G) 4. The birth at 39 weeks is
Term (T) 1, the birth at 34 weeks is Preterm (P) 1, and the miscarriage at 12 weeks is
Abortion (A) 1. Since both children are living, Living (L) is 2. Therefore, the correct GTPAL
sequence is G4, T1, P1, A1, L2.
3. A nurse is assessing a client in the second trimester of pregnancy. Which of the following
findings should be reported to the provider as a potential complication?
A. Leukorrhea
B. Facial edema
C. Periodic numbness in fingers
D. Supine hypotension
, Correct Answer: B
Facial edema or edema of the hands and fingers can be a warning sign of gestational
hypertension or preeclampsia and requires immediate follow-up. Leukorrhea is a common
physiological change due to increased estrogen levels during pregnancy. Numbness in
fingers (carpal tunnel syndrome) and supine hypotension are common discomforts of
pregnancy that are typically not life-threatening.
4. Which fetal heart rate pattern is the nurse identifying when observing a gradual decrease
and return to baseline that mirrors the contraction?
A. Late deceleration
B. Early deceleration
C. Variable deceleration
D. Accelerations
Correct Answer: B
Early decelerations are caused by fetal head compression during a contraction and are
considered a benign finding. They are characterized by a gradual decrease in FHR that
begins, peaks, and ends with the contraction. No specific nursing intervention is required
for early decelerations other than continued monitoring.
5. A client is 32 weeks pregnant and reports a sudden gush of bright red vaginal bleeding
without pain. Which condition should the nurse suspect?
A. Abruptio placentae
