NUR 202/NUR202 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 October 12. Using Naegele’s rule, which date should the nurse document?
A. July 12
B. January 12
C. July 19
D. January 19
Correct Answer: C
Explanation: Naegele’s rule is calculated by subtracting three months from the first day of
the last menstrual period and then adding seven days and one year. For a client with a last
period starting October 12, subtracting three months results in July, and adding seven days
results in July 19. This calculation is a standard component of initial prenatal assessments
in nursing practice.
2. A client is pregnant for the fourth time. She has one child born at 39 weeks, twins born at
34 weeks, and had one spontaneous abortion at 10 weeks. How should the nurse document
her GTPAL?
A. G3, T1, P2, A1, L3
B. G4, T2, P1, A1, L2
,C. G4, T1, P2, A1, L3
D. G4, T1, P1, A1, L3
Correct Answer: D
Explanation: The GTPAL system tracks Gravidity (4 total pregnancies), Term births (1 at
39 weeks), Preterm births (1 pregnancy of twins at 34 weeks counts as one event),
Abortions (1), and Living children (3). In this scenario, the twin birth counts as one
preterm delivery event but results in two living children. Accurate documentation of this
history is critical for assessing current obstetric risk factors.
3. During a prenatal visit at 30 weeks gestation, a client reports feeling dizzy and faint when
lying on her back. What is the nurse’s best response?
A. Explain that this is normal and will pass in a few minutes.
B. Recommend that she perform deep breathing exercises.
C. Advise the client to increase her fluid intake immediately.
D. Instruct the client to lie on her left side to improve blood flow.
Correct Answer: D
Explanation: Supine hypotensive syndrome occurs when the heavy uterus compresses the
inferior vena cava, reducing venous return to the heart. Turning the client to her left side
displaces the uterus and restores cardiac output and placental perfusion. This intervention
is a priority to prevent maternal hypotension and fetal hypoxia.
,4. Which of the following is considered a positive sign of pregnancy?
A. Amenorrhea
B. Positive pregnancy test
C. Chadwick’s sign
D. Fetal heart tones heard by Doppler
Correct Answer: D
Explanation: Positive signs of pregnancy are those that are attributed only to the presence
of a fetus, such as hearing fetal heart tones or visualizing the fetus via ultrasound.
Presumptive signs like amenorrhea are subjective and could be caused by other conditions.
Probable signs like a positive HCG test suggest pregnancy but are not absolute diagnostic
proof.
5. A nurse is assessing a client at 20 weeks gestation. Where should the nurse expect to
palpate 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. Two fingerbreadths above the umbilicus
Correct Answer: C
, Explanation: By approximately 20 weeks of gestation, the fundus is typically located at the
level of the umbilicus. Fundal height is measured in centimeters from the symphysis pubis
and usually correlates with the weeks of gestation between 18 and 32 weeks. Discrepancies
in this measurement may indicate issues with fetal growth or amniotic fluid volume.
6. A client in the first trimester of pregnancy asks why she needs to take folic acid. Which
explanation by the nurse is most accurate?
A. Folic acid helps prevent gestational diabetes.
B. Folic acid is essential for the prevention of neural tube defects.
C. Folic acid reduces the risk of iron-deficiency anemia.
D. Folic acid helps the baby develop strong bones and teeth.
Correct Answer: B
Explanation: Folic acid supplementation is critical during early pregnancy to support the
proper closure of the neural tube. Deficiencies in this B vitamin are linked to serious birth
defects like spina bifida and anencephaly. The recommended daily intake for pregnant
women is typically 400 to 800 micrograms to ensure healthy fetal neurological
development.
7. Which of the following interventions is a priority for a client receiving Magnesium Sulfate
for preeclampsia?
A. Assessing deep tendon reflexes and urinary output hourly.
B. Monitoring blood glucose levels every 4 hours.
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 October 12. Using Naegele’s rule, which date should the nurse document?
A. July 12
B. January 12
C. July 19
D. January 19
Correct Answer: C
Explanation: Naegele’s rule is calculated by subtracting three months from the first day of
the last menstrual period and then adding seven days and one year. For a client with a last
period starting October 12, subtracting three months results in July, and adding seven days
results in July 19. This calculation is a standard component of initial prenatal assessments
in nursing practice.
2. A client is pregnant for the fourth time. She has one child born at 39 weeks, twins born at
34 weeks, and had one spontaneous abortion at 10 weeks. How should the nurse document
her GTPAL?
A. G3, T1, P2, A1, L3
B. G4, T2, P1, A1, L2
,C. G4, T1, P2, A1, L3
D. G4, T1, P1, A1, L3
Correct Answer: D
Explanation: The GTPAL system tracks Gravidity (4 total pregnancies), Term births (1 at
39 weeks), Preterm births (1 pregnancy of twins at 34 weeks counts as one event),
Abortions (1), and Living children (3). In this scenario, the twin birth counts as one
preterm delivery event but results in two living children. Accurate documentation of this
history is critical for assessing current obstetric risk factors.
3. During a prenatal visit at 30 weeks gestation, a client reports feeling dizzy and faint when
lying on her back. What is the nurse’s best response?
A. Explain that this is normal and will pass in a few minutes.
B. Recommend that she perform deep breathing exercises.
C. Advise the client to increase her fluid intake immediately.
D. Instruct the client to lie on her left side to improve blood flow.
Correct Answer: D
Explanation: Supine hypotensive syndrome occurs when the heavy uterus compresses the
inferior vena cava, reducing venous return to the heart. Turning the client to her left side
displaces the uterus and restores cardiac output and placental perfusion. This intervention
is a priority to prevent maternal hypotension and fetal hypoxia.
,4. Which of the following is considered a positive sign of pregnancy?
A. Amenorrhea
B. Positive pregnancy test
C. Chadwick’s sign
D. Fetal heart tones heard by Doppler
Correct Answer: D
Explanation: Positive signs of pregnancy are those that are attributed only to the presence
of a fetus, such as hearing fetal heart tones or visualizing the fetus via ultrasound.
Presumptive signs like amenorrhea are subjective and could be caused by other conditions.
Probable signs like a positive HCG test suggest pregnancy but are not absolute diagnostic
proof.
5. A nurse is assessing a client at 20 weeks gestation. Where should the nurse expect to
palpate 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. Two fingerbreadths above the umbilicus
Correct Answer: C
, Explanation: By approximately 20 weeks of gestation, the fundus is typically located at the
level of the umbilicus. Fundal height is measured in centimeters from the symphysis pubis
and usually correlates with the weeks of gestation between 18 and 32 weeks. Discrepancies
in this measurement may indicate issues with fetal growth or amniotic fluid volume.
6. A client in the first trimester of pregnancy asks why she needs to take folic acid. Which
explanation by the nurse is most accurate?
A. Folic acid helps prevent gestational diabetes.
B. Folic acid is essential for the prevention of neural tube defects.
C. Folic acid reduces the risk of iron-deficiency anemia.
D. Folic acid helps the baby develop strong bones and teeth.
Correct Answer: B
Explanation: Folic acid supplementation is critical during early pregnancy to support the
proper closure of the neural tube. Deficiencies in this B vitamin are linked to serious birth
defects like spina bifida and anencephaly. The recommended daily intake for pregnant
women is typically 400 to 800 micrograms to ensure healthy fetal neurological
development.
7. Which of the following interventions is a priority for a client receiving Magnesium Sulfate
for preeclampsia?
A. Assessing deep tendon reflexes and urinary output hourly.
B. Monitoring blood glucose levels every 4 hours.
