NU 661 Exam 1 V2 | NU 661 Primary Care
of Childbearing Woman | Actual Q&A with
Rationale (NU661 Exam 1) | Regis
1. A 24-year-old patient presents for her first prenatal visit. Which of the following are
considered presumptive signs of pregnancy?
A. Goodell’s sign
B. Chadwick’s sign
C. Amenorrhea
D. Positive urine hCG test
Correct Answer: C
Presumptive signs are subjective findings reported by the patient such as nausea, fatigue,
and amenorrhea. Unlike probable or positive signs, these symptoms can be caused by
conditions other than pregnancy. Identifying these early helps the clinician differentiate
between subjective experiences and objective clinical evidence.
2. Calculate the Estimated Date of Delivery (EDD) using Naegele’s Rule for a patient whose
Last Normal Menstrual Period (LNMP) began on April 10th.
A. January 10th
B. January 17th
C. January 3rd
,D. December 17th
Correct Answer: B
Naegele’s Rule involves subtracting three months from the first day of the last menstrual
period and adding seven days and one year. For an LNMP of April 10th, subtracting three
months leads to January, and adding seven days results in January 17th of the following
year. This method remains the standard for estimating gestational age in a cycle that is 28
days long.
3. Which hormone is primarily responsible for maintaining the corpus luteum and supporting
the pregnancy until the placenta takes over progesterone production?
A. Estrogen
B. Human Chorionic Gonadotropin (hCG)
C. Relaxin
D. Oxytocin
Correct Answer: B
Human Chorionic Gonadotropin is secreted by the syncytiotrophoblast after implantation
occurs. Its primary role is to maintain the corpus luteum so that progesterone levels
remain high enough to support the endometrial lining. Once the placenta is fully functional
at approximately 10 to 12 weeks, the corpus luteum regresses as the placenta becomes the
main source of hormones.
, 4. Which of the following interventions or laboratory tests are typically included in the initial
prenatal visit for a healthy primigravida? (Select All That Apply)
A. Complete Blood Count (CBC)
B. Blood type and Rh factor
C. Screening for Rubella immunity
D. Syphilis screening (RPR/VDRL)
E. Group B Streptococcus (GBS) vaginal culture
F. Chlamydia and Gonorrhea screening
Correct Answer: A, B, C, D, F
The initial prenatal visit involves a comprehensive assessment to establish a baseline for
maternal health and identify potential risks. Standard labs include blood typing, Rh status,
infectious disease screening, and assessment of baseline hemoglobin and hematocrit.
Group B Strep screening is deferred until later in pregnancy, typically between 36 0/7 and
37 6/7 weeks of gestation.
5. A patient at 8 weeks gestation reports sharp unilateral pelvic pain and vaginal spotting.
What is the most critical condition to rule out immediately?
A. Spontaneous abortion
B. Ectopic pregnancy
C. Molar pregnancy
of Childbearing Woman | Actual Q&A with
Rationale (NU661 Exam 1) | Regis
1. A 24-year-old patient presents for her first prenatal visit. Which of the following are
considered presumptive signs of pregnancy?
A. Goodell’s sign
B. Chadwick’s sign
C. Amenorrhea
D. Positive urine hCG test
Correct Answer: C
Presumptive signs are subjective findings reported by the patient such as nausea, fatigue,
and amenorrhea. Unlike probable or positive signs, these symptoms can be caused by
conditions other than pregnancy. Identifying these early helps the clinician differentiate
between subjective experiences and objective clinical evidence.
2. Calculate the Estimated Date of Delivery (EDD) using Naegele’s Rule for a patient whose
Last Normal Menstrual Period (LNMP) began on April 10th.
A. January 10th
B. January 17th
C. January 3rd
,D. December 17th
Correct Answer: B
Naegele’s Rule involves subtracting three months from the first day of the last menstrual
period and adding seven days and one year. For an LNMP of April 10th, subtracting three
months leads to January, and adding seven days results in January 17th of the following
year. This method remains the standard for estimating gestational age in a cycle that is 28
days long.
3. Which hormone is primarily responsible for maintaining the corpus luteum and supporting
the pregnancy until the placenta takes over progesterone production?
A. Estrogen
B. Human Chorionic Gonadotropin (hCG)
C. Relaxin
D. Oxytocin
Correct Answer: B
Human Chorionic Gonadotropin is secreted by the syncytiotrophoblast after implantation
occurs. Its primary role is to maintain the corpus luteum so that progesterone levels
remain high enough to support the endometrial lining. Once the placenta is fully functional
at approximately 10 to 12 weeks, the corpus luteum regresses as the placenta becomes the
main source of hormones.
, 4. Which of the following interventions or laboratory tests are typically included in the initial
prenatal visit for a healthy primigravida? (Select All That Apply)
A. Complete Blood Count (CBC)
B. Blood type and Rh factor
C. Screening for Rubella immunity
D. Syphilis screening (RPR/VDRL)
E. Group B Streptococcus (GBS) vaginal culture
F. Chlamydia and Gonorrhea screening
Correct Answer: A, B, C, D, F
The initial prenatal visit involves a comprehensive assessment to establish a baseline for
maternal health and identify potential risks. Standard labs include blood typing, Rh status,
infectious disease screening, and assessment of baseline hemoglobin and hematocrit.
Group B Strep screening is deferred until later in pregnancy, typically between 36 0/7 and
37 6/7 weeks of gestation.
5. A patient at 8 weeks gestation reports sharp unilateral pelvic pain and vaginal spotting.
What is the most critical condition to rule out immediately?
A. Spontaneous abortion
B. Ectopic pregnancy
C. Molar pregnancy
