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. Signs of Pregnancy & GTPAL 2
3. Hormones of Pregnancy 3
4. Prenatal Care & Fetal Assessment 3
,5. Pregnancy Complications 4
6. Maternal Physiological Changes 5
7. Labor & Delivery 5
8. 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.
Signs of Pregnancy & GTPAL
1 A client at 10 weeks gestation reports nausea, vomiting, fatigue, and breast
tenderness. The nurse recognizes these as:
A Presumptive signs of pregnancy
B Probable signs of pregnancy
C Positive signs of pregnancy
D Diagnostic signs of pregnancy
Why A is correct: Presumptive signs are subjective changes experienced by the mother,
including nausea/vomiting, amenorrhea, breast changes, fatigue, urinary frequency, and
quickening.
B — Probable signs are objective findings such as Hegar's, Goodell's, and Chadwick's signs.
C — Positive signs include fetal heart sounds, visualization of the fetus, and fetal movement
felt by examiner.
D — Diagnostic signs is not a standard category.
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. Signs of Pregnancy & GTPAL 2
3. Hormones of Pregnancy 3
4. Prenatal Care & Fetal Assessment 3
,5. Pregnancy Complications 4
6. Maternal Physiological Changes 5
7. Labor & Delivery 5
8. 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.
Signs of Pregnancy & GTPAL
1 A client at 10 weeks gestation reports nausea, vomiting, fatigue, and breast
tenderness. The nurse recognizes these as:
A Presumptive signs of pregnancy
B Probable signs of pregnancy
C Positive signs of pregnancy
D Diagnostic signs of pregnancy
Why A is correct: Presumptive signs are subjective changes experienced by the mother,
including nausea/vomiting, amenorrhea, breast changes, fatigue, urinary frequency, and
quickening.
B — Probable signs are objective findings such as Hegar's, Goodell's, and Chadwick's signs.
C — Positive signs include fetal heart sounds, visualization of the fetus, and fetal movement
felt by examiner.
D — Diagnostic signs is not a standard category.
