NU 170 Exam 1 V3 | NU 170 Maternal-Child
Nursing | Actual Q&A with Rationale
(NU170 Exam 1) | Galen
1. A nurse is assessing a client at 12 weeks gestation. Which of the following findings are
considered probable signs of pregnancy? Select all that apply.
A. Amenorrhea
B. Goodell’s sign
C. Chadwick’s sign
D. Hegar’s sign
E. Fetal heart tones heard by Doppler
F. Positive serum pregnancy test
Correct Answer: B, C, D, F
Probable signs of pregnancy are objective findings observed by the examiner but do not
definitely confirm pregnancy. Goodell’s, Chadwick’s, and Hegar’s signs relate to cervical and
uterine changes during the first trimester. Amenorrhea is a presumptive sign, while fetal
heart tones are a positive sign confirming a live fetus.
2. Using Naegele’s rule, what is the estimated date of delivery (EDD) for a client whose last
menstrual period (LMP) began on October 14?
A. July 7
,B. June 21
C. July 14
D. July 21
Correct Answer: D
Naegele’s rule calculates the EDD by subtracting 3 months from the first day of the last
menstrual period and adding 7 days and 1 year. October minus 3 months is July, and 14
days plus 7 days is 21. Therefore, the calculated due date for this client is July 21 of the
following year.
3. A nurse is reviewing the GTPAL of a client who is currently pregnant, has a 5-year-old born
at 39 weeks, and a 3-year-old born at 34 weeks. She had one miscarriage at 10 weeks. What is
her GTPAL?
A. G3, T1, P1, A1, L2
B. G4, T2, P0, A1, L2
C. G3, T2, P0, A1, L2
D. G4, T1, P1, A1, L2
Correct Answer: D
The client is currently pregnant (Gravida 4) and has one term birth at 39 weeks (Term 1).
She has one preterm birth at 34 weeks (Preterm 1) and one miscarriage (Abortion 1). Since
she has two living children, her Living count is 2, resulting in G4-T1-P1-A1-L2.
, 4. At 20 weeks of gestation, where should the nurse expect to find the fundus of the uterus?
A. Symphysis pubis
B. Xiphoid process
C. Halfway between the symphysis pubis and umbilicus
D. At the level of the umbilicus
Correct Answer: D
The fundal height in centimeters usually correlates with the weeks of gestation between
18 and 32 weeks. At 20 weeks, the fundus is typically located at the level of the umbilicus. If
the measurement is significantly different, it may indicate twins, polyhydramnios, or
intrauterine growth restriction.
5. A client at 32 weeks gestation is diagnosed with gestational hypertension. Which
assessment finding should the nurse report immediately?
A. Blurred vision or headache
B. Trace proteinuria
C. Dependent edema in the ankles
D. Heart rate of 90 bpm
Correct Answer: A
Blurred vision and persistent headaches are warning signs of worsening preeclampsia and
potential central nervous system irritability. These symptoms may precede a seizure
Nursing | Actual Q&A with Rationale
(NU170 Exam 1) | Galen
1. A nurse is assessing a client at 12 weeks gestation. Which of the following findings are
considered probable signs of pregnancy? Select all that apply.
A. Amenorrhea
B. Goodell’s sign
C. Chadwick’s sign
D. Hegar’s sign
E. Fetal heart tones heard by Doppler
F. Positive serum pregnancy test
Correct Answer: B, C, D, F
Probable signs of pregnancy are objective findings observed by the examiner but do not
definitely confirm pregnancy. Goodell’s, Chadwick’s, and Hegar’s signs relate to cervical and
uterine changes during the first trimester. Amenorrhea is a presumptive sign, while fetal
heart tones are a positive sign confirming a live fetus.
2. Using Naegele’s rule, what is the estimated date of delivery (EDD) for a client whose last
menstrual period (LMP) began on October 14?
A. July 7
,B. June 21
C. July 14
D. July 21
Correct Answer: D
Naegele’s rule calculates the EDD by subtracting 3 months from the first day of the last
menstrual period and adding 7 days and 1 year. October minus 3 months is July, and 14
days plus 7 days is 21. Therefore, the calculated due date for this client is July 21 of the
following year.
3. A nurse is reviewing the GTPAL of a client who is currently pregnant, has a 5-year-old born
at 39 weeks, and a 3-year-old born at 34 weeks. She had one miscarriage at 10 weeks. What is
her GTPAL?
A. G3, T1, P1, A1, L2
B. G4, T2, P0, A1, L2
C. G3, T2, P0, A1, L2
D. G4, T1, P1, A1, L2
Correct Answer: D
The client is currently pregnant (Gravida 4) and has one term birth at 39 weeks (Term 1).
She has one preterm birth at 34 weeks (Preterm 1) and one miscarriage (Abortion 1). Since
she has two living children, her Living count is 2, resulting in G4-T1-P1-A1-L2.
, 4. At 20 weeks of gestation, where should the nurse expect to find the fundus of the uterus?
A. Symphysis pubis
B. Xiphoid process
C. Halfway between the symphysis pubis and umbilicus
D. At the level of the umbilicus
Correct Answer: D
The fundal height in centimeters usually correlates with the weeks of gestation between
18 and 32 weeks. At 20 weeks, the fundus is typically located at the level of the umbilicus. If
the measurement is significantly different, it may indicate twins, polyhydramnios, or
intrauterine growth restriction.
5. A client at 32 weeks gestation is diagnosed with gestational hypertension. Which
assessment finding should the nurse report immediately?
A. Blurred vision or headache
B. Trace proteinuria
C. Dependent edema in the ankles
D. Heart rate of 90 bpm
Correct Answer: A
Blurred vision and persistent headaches are warning signs of worsening preeclampsia and
potential central nervous system irritability. These symptoms may precede a seizure
