NU 170 Exam 1 V2 | NU 170 Maternal-Child
Nursing | Actual Q&A with Rationale
(NU170 Exam 1) | Galen
1. A client at 8 weeks gestation reports frequent nausea and breast tenderness. The nurse
understands these findings are classified as which type of pregnancy signs?
A. Diagnostic signs
B. Probable signs
C. Positive signs
D. Presumptive signs
Correct Answer: D
Presumptive signs are subjective manifestations reported by the patient such as nausea
and fatigue. These changes could be caused by other conditions and are not diagnostic of
pregnancy. The nurse must document these as subjective data for further evaluation.
2. Using Naegele’s rule, what is the estimated date of delivery (EDD) for a client whose last
menstrual period (LMP) began on April 10?
A. January 10
B. January 17
C. January 3
,D. July 17
Correct Answer: B
To calculate the EDD, the nurse subtracts three months and adds seven days to the first
day of the LMP. Adding seven days to April 10 results in April 17, and subtracting three
months leads to January. This rule assumes a standard 28-day menstrual cycle for accuracy.
3. A nurse is teaching a prenatal class about the physiological changes occurring during the
second trimester. Which of the following should the nurse include? (Select all that apply)
A. Increased heart rate by 10 to 15 beats per minute
B. Development of physiological anemia due to plasma expansion
C. Increased glomerular filtration rate (GFR)
D. Decrease in total blood volume
E. Lordosis due to the shifting center of gravity
F. Hyperplasia and hypertrophy of the thyroid gland
Correct Answer: A, B, C, E, F
During pregnancy, the cardiovascular system undergoes massive expansion in volume and
workload to support the fetus. Physiological anemia occurs because the increase in plasma
is greater than the increase in red blood cell mass. The nurse must also educate on
musculoskeletal changes like lordosis which helps the client maintain balance.
, 4. A nurse is assessing a client who is at 30 weeks gestation and reports feeling dizzy and faint
when lying on her back. What is the priority nursing intervention?
A. Position the client on her left side
B. Administer supplemental oxygen
C. Increase the IV fluid rate
D. Obtain a 12-lead ECG
Correct Answer: A
Supine hypotensive syndrome occurs when the heavy uterus compresses the inferior vena
cava, reducing venous return. Turning the client to a lateral position immediately relieves
the pressure and restores cardiac output. This is a common and easily corrected issue in
late pregnancy.
5. A client’s obstetric history indicates she had one birth at 39 weeks, one birth at 34 weeks,
and one miscarriage at 12 weeks. She is currently pregnant. What is her GTPAL?
A. G4, T2, P0, A1, L2
B. G4, T1, P1, A1, L2
C. G3, T1, P1, A1, L2
D. G4, T1, P1, A0, L3
Correct Answer: B
Nursing | Actual Q&A with Rationale
(NU170 Exam 1) | Galen
1. A client at 8 weeks gestation reports frequent nausea and breast tenderness. The nurse
understands these findings are classified as which type of pregnancy signs?
A. Diagnostic signs
B. Probable signs
C. Positive signs
D. Presumptive signs
Correct Answer: D
Presumptive signs are subjective manifestations reported by the patient such as nausea
and fatigue. These changes could be caused by other conditions and are not diagnostic of
pregnancy. The nurse must document these as subjective data for further evaluation.
2. Using Naegele’s rule, what is the estimated date of delivery (EDD) for a client whose last
menstrual period (LMP) began on April 10?
A. January 10
B. January 17
C. January 3
,D. July 17
Correct Answer: B
To calculate the EDD, the nurse subtracts three months and adds seven days to the first
day of the LMP. Adding seven days to April 10 results in April 17, and subtracting three
months leads to January. This rule assumes a standard 28-day menstrual cycle for accuracy.
3. A nurse is teaching a prenatal class about the physiological changes occurring during the
second trimester. Which of the following should the nurse include? (Select all that apply)
A. Increased heart rate by 10 to 15 beats per minute
B. Development of physiological anemia due to plasma expansion
C. Increased glomerular filtration rate (GFR)
D. Decrease in total blood volume
E. Lordosis due to the shifting center of gravity
F. Hyperplasia and hypertrophy of the thyroid gland
Correct Answer: A, B, C, E, F
During pregnancy, the cardiovascular system undergoes massive expansion in volume and
workload to support the fetus. Physiological anemia occurs because the increase in plasma
is greater than the increase in red blood cell mass. The nurse must also educate on
musculoskeletal changes like lordosis which helps the client maintain balance.
, 4. A nurse is assessing a client who is at 30 weeks gestation and reports feeling dizzy and faint
when lying on her back. What is the priority nursing intervention?
A. Position the client on her left side
B. Administer supplemental oxygen
C. Increase the IV fluid rate
D. Obtain a 12-lead ECG
Correct Answer: A
Supine hypotensive syndrome occurs when the heavy uterus compresses the inferior vena
cava, reducing venous return. Turning the client to a lateral position immediately relieves
the pressure and restores cardiac output. This is a common and easily corrected issue in
late pregnancy.
5. A client’s obstetric history indicates she had one birth at 39 weeks, one birth at 34 weeks,
and one miscarriage at 12 weeks. She is currently pregnant. What is her GTPAL?
A. G4, T2, P0, A1, L2
B. G4, T1, P1, A1, L2
C. G3, T1, P1, A1, L2
D. G4, T1, P1, A0, L3
Correct Answer: B
