GALEN COLLEGE OF NURSING · COLLEGE OF NURSING
NUR 254
Maternal/Newborn
Nursing
Exam 1 Study Guide
NCLEX-Style Practice Questions with Detailed Rationales
Topic Focus: Concepts of Nursing — The Childbearing and Child Caring
Families
Exam 1 Edition · September 2026
Table of Contents
1. Instructions for Use 2
2. Pregnancy Terminology 2
3. Hormones & Signs of Pregnancy 2
4. Maternal Physiological Changes 3
,5. Prenatal Care & Fetal Assessment 3
6. Nutrition & Weight Gain 4
7. Pregnancy Complications 4
8. Labor & Delivery 5
9. Fetal Monitoring & Interventions 6
NUR 254 · Galen College of Nursing Page 1
, NUR 254 MATERNAL/NEWBORN NURSING — EXAM 1 INSTRUCTIONS & QUESTIONS
How to Use This Study Guide
Read each stem, choose your answer, then check the rationale directly below it. The correct
option is marked, and each wrong option is explained so you understand why it's wrong — not
just that it is. This guide contains comprehensive NCLEX-style questions covering all concepts
for NUR 254 Exam 1.
Pregnancy Terminology
1 A nurse is documenting a client's obstetric history. The client is currently pregnant
for the first time. Which term should the nurse use?
A Nulligravida
B Primigravida
C Multigravida
D Gravida 0
Why B is correct: Primigravida means a woman who is pregnant for the first time. "Primi"
means first, and "gravida" means pregnant woman.
A — Nulligravida means a woman who has never been pregnant.
C — Multigravida means a woman who has been pregnant two or more times.
D — Gravida 0 would indicate no pregnancies.
NUR 254
Maternal/Newborn
Nursing
Exam 1 Study Guide
NCLEX-Style Practice Questions with Detailed Rationales
Topic Focus: Concepts of Nursing — The Childbearing and Child Caring
Families
Exam 1 Edition · September 2026
Table of Contents
1. Instructions for Use 2
2. Pregnancy Terminology 2
3. Hormones & Signs of Pregnancy 2
4. Maternal Physiological Changes 3
,5. Prenatal Care & Fetal Assessment 3
6. Nutrition & Weight Gain 4
7. Pregnancy Complications 4
8. Labor & Delivery 5
9. Fetal Monitoring & Interventions 6
NUR 254 · Galen College of Nursing Page 1
, NUR 254 MATERNAL/NEWBORN NURSING — EXAM 1 INSTRUCTIONS & QUESTIONS
How to Use This Study Guide
Read each stem, choose your answer, then check the rationale directly below it. The correct
option is marked, and each wrong option is explained so you understand why it's wrong — not
just that it is. This guide contains comprehensive NCLEX-style questions covering all concepts
for NUR 254 Exam 1.
Pregnancy Terminology
1 A nurse is documenting a client's obstetric history. The client is currently pregnant
for the first time. Which term should the nurse use?
A Nulligravida
B Primigravida
C Multigravida
D Gravida 0
Why B is correct: Primigravida means a woman who is pregnant for the first time. "Primi"
means first, and "gravida" means pregnant woman.
A — Nulligravida means a woman who has never been pregnant.
C — Multigravida means a woman who has been pregnant two or more times.
D — Gravida 0 would indicate no pregnancies.
