NSG 432 Exam 1 V3 | NSG 432 Maternal-
Newborn Nursing / OB/GYN | Actual Q&A
with Rationale (NSG432 Exam 1) | Grand
Canyon University
1. A nurse is reviewing the obstetric history of a client who is currently pregnant. The client
has a 5-year-old born at 39 weeks gestation, 3-year-old twins born at 34 weeks gestation, and
had a spontaneous abortion at 10 weeks gestation. How should the nurse document the
client’s GTPAL?
A. G4, T2, P1, A1, L3
B. G5, T1, P2, A1, L3
C. G4, T1, P1, A1, L3
D. G4, T1, P2, A1, L2
Correct Answer: C
Gravidity is 4 because the client is currently pregnant and has had three previous
pregnancies. Term refers to the one birth at 39 weeks, while Preterm refers to the twin
birth at 34 weeks, which counts as one pregnancy event. Living children are 3 because the
twin birth resulted in two children and the term birth resulted in one.
,2. A client at 32 weeks gestation is diagnosed with severe preeclampsia. Which of the
following clinical findings should the nurse expect to assess? (Select All That Apply)
A. Epigastric pain
B. Hyporeflexia
C. Visual disturbances
D. Severe headache
E. Increased urine output
F. Proteinuria of 3+ or greater
Correct Answer: A, C, D, F
Severe preeclampsia is characterized by systemic involvement including central nervous
system changes like headaches and blurred vision. Epigastric pain is a significant warning
sign that indicates hepatic involvement and potential liver capsule hematoma. The nurse
should also monitor for significant proteinuria and hyperreflexia rather than hyporeflexia.
3. A nurse is performing a physical assessment on a client who is at 16 weeks gestation.
Where should the nurse expect to palpate the fundus?
A. Halfway between the symphysis pubis and the umbilicus
B. Just above the symphysis pubis
C. At the level of the umbilicus
D. At the level of the xiphoid process
, Correct Answer: A
By 12 weeks gestation, the fundus should be palpable just above the symphysis pubis. At
20 weeks, the fundus reaches the level of the umbilicus, making the halfway point
appropriate for 16 weeks. This measurement helps the provider verify that fetal growth is
progressing at the expected rate.
4. A nurse is caring for a client in the first stage of labor who is in the active phase. Which of
the following cervical dilations corresponds with this phase?
A. 0 to 3 cm
B. 8 to 10 cm
C. 4 to 7 cm
D. 10 to 12 cm
Correct Answer: C
The first stage of labor consists of the latent, active, and transition phases. The active
phase is characterized by cervical dilation of 4 to 7 cm and more regular, intense
contractions. The latent phase occurs from 0 to 3 cm, while the transition phase occurs
from 8 to 10 cm.
5. A nurse is teaching a pregnant client about Nagele’s rule. The client’s last menstrual period
(LMP) began on March 10th. What is the estimated date of delivery (EDD)?
A. December 10th
B. January 17th
Newborn Nursing / OB/GYN | Actual Q&A
with Rationale (NSG432 Exam 1) | Grand
Canyon University
1. A nurse is reviewing the obstetric history of a client who is currently pregnant. The client
has a 5-year-old born at 39 weeks gestation, 3-year-old twins born at 34 weeks gestation, and
had a spontaneous abortion at 10 weeks gestation. How should the nurse document the
client’s GTPAL?
A. G4, T2, P1, A1, L3
B. G5, T1, P2, A1, L3
C. G4, T1, P1, A1, L3
D. G4, T1, P2, A1, L2
Correct Answer: C
Gravidity is 4 because the client is currently pregnant and has had three previous
pregnancies. Term refers to the one birth at 39 weeks, while Preterm refers to the twin
birth at 34 weeks, which counts as one pregnancy event. Living children are 3 because the
twin birth resulted in two children and the term birth resulted in one.
,2. A client at 32 weeks gestation is diagnosed with severe preeclampsia. Which of the
following clinical findings should the nurse expect to assess? (Select All That Apply)
A. Epigastric pain
B. Hyporeflexia
C. Visual disturbances
D. Severe headache
E. Increased urine output
F. Proteinuria of 3+ or greater
Correct Answer: A, C, D, F
Severe preeclampsia is characterized by systemic involvement including central nervous
system changes like headaches and blurred vision. Epigastric pain is a significant warning
sign that indicates hepatic involvement and potential liver capsule hematoma. The nurse
should also monitor for significant proteinuria and hyperreflexia rather than hyporeflexia.
3. A nurse is performing a physical assessment on a client who is at 16 weeks gestation.
Where should the nurse expect to palpate the fundus?
A. Halfway between the symphysis pubis and the umbilicus
B. Just above the symphysis pubis
C. At the level of the umbilicus
D. At the level of the xiphoid process
, Correct Answer: A
By 12 weeks gestation, the fundus should be palpable just above the symphysis pubis. At
20 weeks, the fundus reaches the level of the umbilicus, making the halfway point
appropriate for 16 weeks. This measurement helps the provider verify that fetal growth is
progressing at the expected rate.
4. A nurse is caring for a client in the first stage of labor who is in the active phase. Which of
the following cervical dilations corresponds with this phase?
A. 0 to 3 cm
B. 8 to 10 cm
C. 4 to 7 cm
D. 10 to 12 cm
Correct Answer: C
The first stage of labor consists of the latent, active, and transition phases. The active
phase is characterized by cervical dilation of 4 to 7 cm and more regular, intense
contractions. The latent phase occurs from 0 to 3 cm, while the transition phase occurs
from 8 to 10 cm.
5. A nurse is teaching a pregnant client about Nagele’s rule. The client’s last menstrual period
(LMP) began on March 10th. What is the estimated date of delivery (EDD)?
A. December 10th
B. January 17th
