NU 661 Exam 1 V3 | NU 661 Primary Care
of Childbearing Woman | Actual Q&A with
Rationale (NU661 Exam 1) | Regis
1. A patient presents for her first prenatal visit. Using Naegele’s rule, if her last menstrual
period (LMP) began on May 10th, what is her estimated date of delivery (EDD)?
A. February 10th
B. February 17th
C. February 3rd
D. February 24th
Correct Answer: B
Naegele’s Rule calculates the EDD by subtracting three months from the first day of the
last menstrual period and adding seven days. For an LMP of May 10th, subtracting three
months results in February 10th, and adding seven days results in February 17th. This
calculation assumes a standard 28-day menstrual cycle and remains the gold standard for
clinical estimation of due dates.
2. Which of the following signs and symptoms are categorized as ‘Probable’ signs of
pregnancy? (Select All That Apply)
A. Goodell’s sign
B. Amenorrhea
,C. Chadwick’s sign
D. Fetal heart tones heard by Doppler
E. Positive serum pregnancy test
F. Hegar’s sign
Correct Answer: A, C, E, F
Probable signs of pregnancy are objective findings observed by the examiner but are not
definitive proof of a live fetus. These include cervical changes like Goodell’s and Hegar’s
signs, as well as laboratory results like a positive HCG test. Amenorrhea is considered a
presumptive sign, while fetal heart tones are a positive sign of pregnancy.
3. At approximately 20 weeks gestation, where should the fundus be located during a
physical examination?
A. At the symphysis pubis
B. At the level of the umbilicus
C. Halfway between the symphysis and umbilicus
D. Three finger-breadths above the umbilicus
Correct Answer: B
The fundal height in centimeters generally correlates with the weeks of gestation between
20 and 36 weeks. At 20 weeks, the fundus is expected to be at the level of the umbilicus in a
, singleton pregnancy. Measurement should be performed from the symphysis pubis to the
top of the fundus to ensure fetal growth is tracking appropriately.
4. What is the recommended daily intake of folic acid for a low-risk pregnant woman to
prevent neural tube defects?
A. 200 mcg
B. 400 mcg
C. 1 mg
D. 4 mg
Correct Answer: B
Standard prenatal care guidelines recommend that all women of childbearing age
consume at least 400 mcg of folic acid daily. This dosage helps prevent major birth defects
of the baby’s brain and spine, known as neural tube defects. Women with a history of a
previous child with a neural tube defect may require a higher dose, such as 4 mg, starting
before conception.
5. A woman with a BMI of 22 (normal) asks how much weight she should gain during her
pregnancy. What is the appropriate recommendation?
A. 11 to 20 pounds
B. 15 to 25 pounds
C. 28 to 40 pounds
of Childbearing Woman | Actual Q&A with
Rationale (NU661 Exam 1) | Regis
1. A patient presents for her first prenatal visit. Using Naegele’s rule, if her last menstrual
period (LMP) began on May 10th, what is her estimated date of delivery (EDD)?
A. February 10th
B. February 17th
C. February 3rd
D. February 24th
Correct Answer: B
Naegele’s Rule calculates the EDD by subtracting three months from the first day of the
last menstrual period and adding seven days. For an LMP of May 10th, subtracting three
months results in February 10th, and adding seven days results in February 17th. This
calculation assumes a standard 28-day menstrual cycle and remains the gold standard for
clinical estimation of due dates.
2. Which of the following signs and symptoms are categorized as ‘Probable’ signs of
pregnancy? (Select All That Apply)
A. Goodell’s sign
B. Amenorrhea
,C. Chadwick’s sign
D. Fetal heart tones heard by Doppler
E. Positive serum pregnancy test
F. Hegar’s sign
Correct Answer: A, C, E, F
Probable signs of pregnancy are objective findings observed by the examiner but are not
definitive proof of a live fetus. These include cervical changes like Goodell’s and Hegar’s
signs, as well as laboratory results like a positive HCG test. Amenorrhea is considered a
presumptive sign, while fetal heart tones are a positive sign of pregnancy.
3. At approximately 20 weeks gestation, where should the fundus be located during a
physical examination?
A. At the symphysis pubis
B. At the level of the umbilicus
C. Halfway between the symphysis and umbilicus
D. Three finger-breadths above the umbilicus
Correct Answer: B
The fundal height in centimeters generally correlates with the weeks of gestation between
20 and 36 weeks. At 20 weeks, the fundus is expected to be at the level of the umbilicus in a
, singleton pregnancy. Measurement should be performed from the symphysis pubis to the
top of the fundus to ensure fetal growth is tracking appropriately.
4. What is the recommended daily intake of folic acid for a low-risk pregnant woman to
prevent neural tube defects?
A. 200 mcg
B. 400 mcg
C. 1 mg
D. 4 mg
Correct Answer: B
Standard prenatal care guidelines recommend that all women of childbearing age
consume at least 400 mcg of folic acid daily. This dosage helps prevent major birth defects
of the baby’s brain and spine, known as neural tube defects. Women with a history of a
previous child with a neural tube defect may require a higher dose, such as 4 mg, starting
before conception.
5. A woman with a BMI of 22 (normal) asks how much weight she should gain during her
pregnancy. What is the appropriate recommendation?
A. 11 to 20 pounds
B. 15 to 25 pounds
C. 28 to 40 pounds
