NUR 418 / NUR 415 Exam 1 V1 | NUR 418 /
NUR 415 Nursing Care of the Childbearing
& Childrearing Family | Actual Q&A with
Rationale (NUR418/NUR415 Exam 1) |
Concordia
1. A patient is currently pregnant. Her history includes a birth at 39 weeks (living), a
miscarriage at 12 weeks, and a birth of twins at 34 weeks (living). Using the GTPAL system,
how should the nurse document this patient?
A. G4, T2, P1, A1, L3
B. G3, T2, P1, A1, L2
C. G4, T1, P1, A1, L3
D. G3, T1, P2, A1, L3
Correct Answer: C
Explanation; The patient is Gravida 4 because she is currently pregnant plus three
previous pregnancies. Term is 1 for the 39-week birth, and Preterm is 1 for the twin birth
(multiples count as one pregnancy event). Abortion is 1 for the miscarriage, and Living is 3
(one from the first birth and two from the twins).
2. A nurse is performing a physical assessment on a pregnant patient at 20 weeks gestation.
Where should the nurse expect to find the fundus?
A. At the level of the symphysis pubis
,B. Halfway between the symphysis pubis and the umbilicus
C. At the level of the umbilicus
D. At the level of the xiphoid process
Correct Answer: C
Explanation; By 20 weeks of gestation, the fundus is typically located at the level of the
umbilicus. Before 12 weeks, the uterus is a pelvic organ, and it reaches the symphysis pubis
around 12 weeks. The height of the fundus in centimeters usually correlates with the
weeks of gestation between 18 and 32 weeks.
3. Which of the following findings are considered ‘Probable’ signs of pregnancy? (Select All
That Apply)
A. Amenorrhea
B. Positive pregnancy test
C. Chadwick’s sign
D. Fetal heart tones heard by Doppler
E. Goodell’s sign
F. Ballottement
Correct Answer: B,C,E,F
Explanation; Probable signs are objective findings observed by the examiner but not
definitive. Amenorrhea is a presumptive sign because it can be caused by factors other than
, pregnancy. Fetal heart tones are a positive sign because they provide absolute proof of a
fetus.
4. Using Naegele’s Rule, calculate the estimated date of delivery (EDD) for a patient whose
last menstrual period (LMP) began on October 15th.
A. July 15th
B. January 15th
C. July 22nd
D. January 22nd
Correct Answer: C
Explanation; Naegele’s Rule is calculated by subtracting 3 months from the first day of the
LMP and adding 7 days. Starting with October 15, subtracting 3 months brings you to July
15. Adding 7 days results in an EDD of July 22.
5. A patient at 32 weeks gestation is diagnosed with Gestational Diabetes. What is the
primary risk to the fetus if the mother’s blood glucose is poorly controlled?
A. Intrauterine growth restriction (IUGR)
B. Macrosomia
C. Fetal hyperglycemia at birth
D. Congenital heart defects
Correct Answer: B
NUR 415 Nursing Care of the Childbearing
& Childrearing Family | Actual Q&A with
Rationale (NUR418/NUR415 Exam 1) |
Concordia
1. A patient is currently pregnant. Her history includes a birth at 39 weeks (living), a
miscarriage at 12 weeks, and a birth of twins at 34 weeks (living). Using the GTPAL system,
how should the nurse document this patient?
A. G4, T2, P1, A1, L3
B. G3, T2, P1, A1, L2
C. G4, T1, P1, A1, L3
D. G3, T1, P2, A1, L3
Correct Answer: C
Explanation; The patient is Gravida 4 because she is currently pregnant plus three
previous pregnancies. Term is 1 for the 39-week birth, and Preterm is 1 for the twin birth
(multiples count as one pregnancy event). Abortion is 1 for the miscarriage, and Living is 3
(one from the first birth and two from the twins).
2. A nurse is performing a physical assessment on a pregnant patient at 20 weeks gestation.
Where should the nurse expect to find the fundus?
A. At the level of the symphysis pubis
,B. Halfway between the symphysis pubis and the umbilicus
C. At the level of the umbilicus
D. At the level of the xiphoid process
Correct Answer: C
Explanation; By 20 weeks of gestation, the fundus is typically located at the level of the
umbilicus. Before 12 weeks, the uterus is a pelvic organ, and it reaches the symphysis pubis
around 12 weeks. The height of the fundus in centimeters usually correlates with the
weeks of gestation between 18 and 32 weeks.
3. Which of the following findings are considered ‘Probable’ signs of pregnancy? (Select All
That Apply)
A. Amenorrhea
B. Positive pregnancy test
C. Chadwick’s sign
D. Fetal heart tones heard by Doppler
E. Goodell’s sign
F. Ballottement
Correct Answer: B,C,E,F
Explanation; Probable signs are objective findings observed by the examiner but not
definitive. Amenorrhea is a presumptive sign because it can be caused by factors other than
, pregnancy. Fetal heart tones are a positive sign because they provide absolute proof of a
fetus.
4. Using Naegele’s Rule, calculate the estimated date of delivery (EDD) for a patient whose
last menstrual period (LMP) began on October 15th.
A. July 15th
B. January 15th
C. July 22nd
D. January 22nd
Correct Answer: C
Explanation; Naegele’s Rule is calculated by subtracting 3 months from the first day of the
LMP and adding 7 days. Starting with October 15, subtracting 3 months brings you to July
15. Adding 7 days results in an EDD of July 22.
5. A patient at 32 weeks gestation is diagnosed with Gestational Diabetes. What is the
primary risk to the fetus if the mother’s blood glucose is poorly controlled?
A. Intrauterine growth restriction (IUGR)
B. Macrosomia
C. Fetal hyperglycemia at birth
D. Congenital heart defects
Correct Answer: B
