NUR 231 Maternal Nursing Exam 1 Comprehensive Quiz 2026 UPDATE
1. A woman is currently pregnant, has a history of one birth at 39 weeks, one birth at 34
weeks, and one miscarriage at 12 weeks. What is her GTPAL?
A. G3, T1, P1, A1, L2
B. G3, T2, P0, A1, L2
C. G4, T2, P1, A0, L3
D. G4, T1, P1, A1, L2
Answer: D
Rationale: G (Gravida) is 4 (current + 3 previous). T (Term) is 1 (39 weeks). P (Preterm) is
1 (34 weeks). A (Abortion) is 1 (miscarriage). L (Living) is 2.
2. Using Naegele’s Rule, calculate the estimated date of delivery (EDD) for a patient whose
last menstrual period (LMP) began on March 10.
A. December 10
B. November 17
C. January 17
D. December 17
Answer: D
,Rationale: Naegele’s Rule: Subtract 3 months from the LMP and add 7 days. March 10
minus 3 months is December 10, plus 7 days is December 17.
3. Which of the following is considered a positive sign of pregnancy?
A. Positive pregnancy test
B. Amenorrhea
C. Fetal heart tones heard by Doppler
D. Chadwick’s sign
Answer: C
Rationale: Positive signs are definitive proof of pregnancy: fetal heart sounds, visualization
by ultrasound, or palpation of fetal movement by a clinician.
4. A pregnant patient at 32 weeks gestation reports feeling dizzy and lightheaded while lying
on her back. What is the priority nursing action?
A. Check the patient’s blood pressure immediately
B. Administer oxygen via nasal cannula
C. Turn the patient onto her left side
D. Increase the IV fluid rate
Answer: C
Rationale: This is supine hypotensive syndrome caused by the uterus compressing the
inferior vena cava. Turning to the side relieves the pressure.
, 5. What is the primary purpose of administering Rho(D) immune globulin (RhoGAM) to an Rh-
negative mother?
A. To prevent ABO incompatibility
B. To treat fetal hemolytic disease
C. To change the mother’s blood type to Rh-positive
D. To prevent the mother from forming antibodies against Rh-positive blood
Answer: D
Rationale: RhoGAM prevents the Rh-negative mother’s immune system from recognizing
and attacking Rh-positive fetal red blood cells.
6. A patient at 36 weeks gestation presents with painless, bright red vaginal bleeding. Which
condition should the nurse suspect?
A. Abruptio Placentae
B. Preterm Labor
C. Uterine Rupture
D. Placenta Previa
Answer: D
Rationale: Painless bright red bleeding is the classic sign of placenta previa. Abruption
usually involves painful, dark red bleeding.
1. A woman is currently pregnant, has a history of one birth at 39 weeks, one birth at 34
weeks, and one miscarriage at 12 weeks. What is her GTPAL?
A. G3, T1, P1, A1, L2
B. G3, T2, P0, A1, L2
C. G4, T2, P1, A0, L3
D. G4, T1, P1, A1, L2
Answer: D
Rationale: G (Gravida) is 4 (current + 3 previous). T (Term) is 1 (39 weeks). P (Preterm) is
1 (34 weeks). A (Abortion) is 1 (miscarriage). L (Living) is 2.
2. Using Naegele’s Rule, calculate the estimated date of delivery (EDD) for a patient whose
last menstrual period (LMP) began on March 10.
A. December 10
B. November 17
C. January 17
D. December 17
Answer: D
,Rationale: Naegele’s Rule: Subtract 3 months from the LMP and add 7 days. March 10
minus 3 months is December 10, plus 7 days is December 17.
3. Which of the following is considered a positive sign of pregnancy?
A. Positive pregnancy test
B. Amenorrhea
C. Fetal heart tones heard by Doppler
D. Chadwick’s sign
Answer: C
Rationale: Positive signs are definitive proof of pregnancy: fetal heart sounds, visualization
by ultrasound, or palpation of fetal movement by a clinician.
4. A pregnant patient at 32 weeks gestation reports feeling dizzy and lightheaded while lying
on her back. What is the priority nursing action?
A. Check the patient’s blood pressure immediately
B. Administer oxygen via nasal cannula
C. Turn the patient onto her left side
D. Increase the IV fluid rate
Answer: C
Rationale: This is supine hypotensive syndrome caused by the uterus compressing the
inferior vena cava. Turning to the side relieves the pressure.
, 5. What is the primary purpose of administering Rho(D) immune globulin (RhoGAM) to an Rh-
negative mother?
A. To prevent ABO incompatibility
B. To treat fetal hemolytic disease
C. To change the mother’s blood type to Rh-positive
D. To prevent the mother from forming antibodies against Rh-positive blood
Answer: D
Rationale: RhoGAM prevents the Rh-negative mother’s immune system from recognizing
and attacking Rh-positive fetal red blood cells.
6. A patient at 36 weeks gestation presents with painless, bright red vaginal bleeding. Which
condition should the nurse suspect?
A. Abruptio Placentae
B. Preterm Labor
C. Uterine Rupture
D. Placenta Previa
Answer: D
Rationale: Painless bright red bleeding is the classic sign of placenta previa. Abruption
usually involves painful, dark red bleeding.
