PNR 203/PNR203 Exam 1 V1 | Maternal-Newborn
Nursing Q&A with Rationale | Fortis College
1. A nurse is calculating the estimated date of delivery (EDD) for a client whose last menstrual
period began on May 10th. Using Naegele’s rule, which date should the nurse document?
A. February 3rd
B. February 17th
C. January 17th
D. March 10th
Correct Answer: B
Explanation: To calculate the EDD using Naegele’s rule, the nurse subtracts 3 months and
adds 7 days to the first day of the last menstrual period. Starting with May 10, subtracting 3
months brings the date to February 10, and adding 7 days results in February 17. This rule
assumes a standard 28-day cycle and is the most common method for clinical estimation.
2. A client is currently pregnant and has a history of one twin pregnancy delivered at 38
weeks, one miscarriage at 10 weeks, and one child born at 35 weeks. Using the GTPAL
system, how should the nurse record this?
A. G4, T1, P2, A1, L2
B. G3, T2, P1, A1, L2
C. G4, T2, P1, A1, L3
,D. G4, T1, P1, A1, L3
Correct Answer: D
Explanation: The client is currently pregnant (G4), had one term birth (T1 for the twins at
38 weeks), one preterm birth (P1 at 35 weeks), one abortion/miscarriage (A1), and has
three living children (L3). Note that twins count as one parity event but two living children.
This standardized documentation helps healthcare providers understand the client’s
complete obstetric history at a glance.
3. A nurse is assessing a pregnant client at 20 weeks of gestation. Where should the nurse
expect to find the fundus?
A. Slightly above the symphysis pubis
B. Halfway between the symphysis pubis and umbilicus
C. At the level of the umbilicus
D. At the level of the xiphoid process
Correct Answer: C
Explanation: At 20 weeks of gestation, the fundus is typically located at the level of the
umbilicus. This measurement serves as a benchmark to assess fetal growth and amniotic
fluid volume during the second trimester. If the measurement deviates significantly,
ultrasound may be indicated to rule out complications.
, 4. Which of the following symptoms reported by a client in the first trimester is considered a
presumptive sign of pregnancy?
A. Amenorrhea
B. Positive pregnancy test
C. Hegar’s sign
D. Fetal heart tones
Correct Answer: A
Explanation: Presumptive signs are subjective changes reported by the woman, such as
amenorrhea, fatigue, and nausea. Probable signs are objective changes observed by an
examiner, like a positive pregnancy test or Hegar’s sign. Positive signs are definitive proofs
of pregnancy, such as hearing fetal heart tones or visualizing the fetus via ultrasound.
5. A nurse is providing teaching to a client who is at 8 weeks of gestation and experiencing
morning sickness. Which instruction should the nurse include?
A. Wait at least 2 hours after eating before lying down.
B. Drink 250 mL of water with every meal.
C. Eat dry crackers before getting out of bed in the morning.
D. Consume three large meals a day to keep the stomach full.
Correct Answer: C
Nursing Q&A with Rationale | Fortis College
1. A nurse is calculating the estimated date of delivery (EDD) for a client whose last menstrual
period began on May 10th. Using Naegele’s rule, which date should the nurse document?
A. February 3rd
B. February 17th
C. January 17th
D. March 10th
Correct Answer: B
Explanation: To calculate the EDD using Naegele’s rule, the nurse subtracts 3 months and
adds 7 days to the first day of the last menstrual period. Starting with May 10, subtracting 3
months brings the date to February 10, and adding 7 days results in February 17. This rule
assumes a standard 28-day cycle and is the most common method for clinical estimation.
2. A client is currently pregnant and has a history of one twin pregnancy delivered at 38
weeks, one miscarriage at 10 weeks, and one child born at 35 weeks. Using the GTPAL
system, how should the nurse record this?
A. G4, T1, P2, A1, L2
B. G3, T2, P1, A1, L2
C. G4, T2, P1, A1, L3
,D. G4, T1, P1, A1, L3
Correct Answer: D
Explanation: The client is currently pregnant (G4), had one term birth (T1 for the twins at
38 weeks), one preterm birth (P1 at 35 weeks), one abortion/miscarriage (A1), and has
three living children (L3). Note that twins count as one parity event but two living children.
This standardized documentation helps healthcare providers understand the client’s
complete obstetric history at a glance.
3. A nurse is assessing a pregnant client at 20 weeks of gestation. Where should the nurse
expect to find the fundus?
A. Slightly above the symphysis pubis
B. Halfway between the symphysis pubis and umbilicus
C. At the level of the umbilicus
D. At the level of the xiphoid process
Correct Answer: C
Explanation: At 20 weeks of gestation, the fundus is typically located at the level of the
umbilicus. This measurement serves as a benchmark to assess fetal growth and amniotic
fluid volume during the second trimester. If the measurement deviates significantly,
ultrasound may be indicated to rule out complications.
, 4. Which of the following symptoms reported by a client in the first trimester is considered a
presumptive sign of pregnancy?
A. Amenorrhea
B. Positive pregnancy test
C. Hegar’s sign
D. Fetal heart tones
Correct Answer: A
Explanation: Presumptive signs are subjective changes reported by the woman, such as
amenorrhea, fatigue, and nausea. Probable signs are objective changes observed by an
examiner, like a positive pregnancy test or Hegar’s sign. Positive signs are definitive proofs
of pregnancy, such as hearing fetal heart tones or visualizing the fetus via ultrasound.
5. A nurse is providing teaching to a client who is at 8 weeks of gestation and experiencing
morning sickness. Which instruction should the nurse include?
A. Wait at least 2 hours after eating before lying down.
B. Drink 250 mL of water with every meal.
C. Eat dry crackers before getting out of bed in the morning.
D. Consume three large meals a day to keep the stomach full.
Correct Answer: C
