NU 170 Exam 1 V1 | NU 170 Maternal-Child
Nursing | Actual Q&A with Rationale
(NU170 Exam 1) | Galen
1. A nurse is reviewing the records of several pregnant clients. Which of the following findings
should the nurse document as presumptive signs of pregnancy? (Select all that Apply)
A. Amenorrhea
B. Nausea and vomiting
C. Quickening
D. Goodell’s sign
E. Positive pregnancy test
F. Breast sensitivity
Correct Answer: A, B, C, F
Presumptive signs are subjective changes felt by the woman that can be caused by
conditions other than pregnancy. Amenorrhea, fatigue, breast changes, and quickening fall
into this category as they are not definitive proof of a fetus. Probable signs like Goodell’s
sign and positive tests are objective changes observed by an examiner, while positive signs
are attributed only to the presence of a fetus.
,2. A client provides the nurse with the date of her last menstrual period (LMP) as June 15th.
Using Naegele’s rule, what is the estimated date of delivery (EDD)?
A. March 15th
B. March 8th
C. March 22nd
D. April 22nd
Correct Answer: C
To calculate the EDD using Naegele’s rule, the nurse subtracts 3 months from the first day
of the LMP and adds 7 days and 1 year. Subtracting 3 months from June 15th results in
March 15th, and adding 7 days results in March 22nd. This calculation provides an
approximate date for the end of a 40-week gestation period.
3. A nurse is assessing a pregnant client at 20 weeks of gestation. Where should the nurse
expect to palpate the fundus?
A. At the symphysis pubis
B. Halfway between the symphysis pubis and the umbilicus
C. At the level of the umbilicus
D. At the xiphoid process
Correct Answer: C
, By 20 weeks of gestation, the fundus is typically located at the level of the umbilicus. This
measurement in centimeters usually correlates with the weeks of gestation between 18
and 32 weeks. Deviations from this measurement may indicate issues with fetal growth or
amniotic fluid volume.
4. A nurse is taking a prenatal history. The client has one living child born at 38 weeks, a
history of one miscarriage at 12 weeks, and is currently pregnant. What is her GTPAL?
A. G3, T1, P1, A1, L1
B. G3, T1, P0, A1, L1
C. G2, T1, P0, A1, L1
D. G3, T0, P1, A1, L1
Correct Answer: B
Gravida (G) represents the total number of pregnancies, which is 3 including the current
one. Term (T) represents births at 37 weeks or later, which is 1; Preterm (P) is 0 as the
miscarriage was before 20 weeks; Abortion (A) is 1 for the miscarriage; and Living (L) is 1.
Accurate GTPAL coding is essential for assessing obstetric risk and history.
5. The nurse observes late decelerations on the electronic fetal monitor (EFM) strip. Which
action should the nurse take first?
A. Increase the IV pitocin rate
B. Reposition the client to a side-lying position
C. Perform a vaginal exam
Nursing | Actual Q&A with Rationale
(NU170 Exam 1) | Galen
1. A nurse is reviewing the records of several pregnant clients. Which of the following findings
should the nurse document as presumptive signs of pregnancy? (Select all that Apply)
A. Amenorrhea
B. Nausea and vomiting
C. Quickening
D. Goodell’s sign
E. Positive pregnancy test
F. Breast sensitivity
Correct Answer: A, B, C, F
Presumptive signs are subjective changes felt by the woman that can be caused by
conditions other than pregnancy. Amenorrhea, fatigue, breast changes, and quickening fall
into this category as they are not definitive proof of a fetus. Probable signs like Goodell’s
sign and positive tests are objective changes observed by an examiner, while positive signs
are attributed only to the presence of a fetus.
,2. A client provides the nurse with the date of her last menstrual period (LMP) as June 15th.
Using Naegele’s rule, what is the estimated date of delivery (EDD)?
A. March 15th
B. March 8th
C. March 22nd
D. April 22nd
Correct Answer: C
To calculate the EDD using Naegele’s rule, the nurse subtracts 3 months from the first day
of the LMP and adds 7 days and 1 year. Subtracting 3 months from June 15th results in
March 15th, and adding 7 days results in March 22nd. This calculation provides an
approximate date for the end of a 40-week gestation period.
3. A nurse is assessing a pregnant client at 20 weeks of gestation. Where should the nurse
expect to palpate the fundus?
A. At the symphysis pubis
B. Halfway between the symphysis pubis and the umbilicus
C. At the level of the umbilicus
D. At the xiphoid process
Correct Answer: C
, By 20 weeks of gestation, the fundus is typically located at the level of the umbilicus. This
measurement in centimeters usually correlates with the weeks of gestation between 18
and 32 weeks. Deviations from this measurement may indicate issues with fetal growth or
amniotic fluid volume.
4. A nurse is taking a prenatal history. The client has one living child born at 38 weeks, a
history of one miscarriage at 12 weeks, and is currently pregnant. What is her GTPAL?
A. G3, T1, P1, A1, L1
B. G3, T1, P0, A1, L1
C. G2, T1, P0, A1, L1
D. G3, T0, P1, A1, L1
Correct Answer: B
Gravida (G) represents the total number of pregnancies, which is 3 including the current
one. Term (T) represents births at 37 weeks or later, which is 1; Preterm (P) is 0 as the
miscarriage was before 20 weeks; Abortion (A) is 1 for the miscarriage; and Living (L) is 1.
Accurate GTPAL coding is essential for assessing obstetric risk and history.
5. The nurse observes late decelerations on the electronic fetal monitor (EFM) strip. Which
action should the nurse take first?
A. Increase the IV pitocin rate
B. Reposition the client to a side-lying position
C. Perform a vaginal exam
