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 & GTPAL 2
3. Signs of Pregnancy 2
4. Prenatal Care & Fetal Assessment 3
,5. Hormones of Pregnancy 4
6. Maternal Physiological Changes 4
7. Psychosocial Responses & Nutrition 5
8. Pregnancy Complications 5
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 & GTPAL
1 A nurse is calculating the GTPAL for a client who is currently pregnant. The client has
had one previous full-term delivery, one preterm delivery at 32 weeks, one
miscarriage at 10 weeks, and currently has two living children. Which GTPAL
accurately represents this client's obstetric history?
A G=4, T=1, P=1, A=1, L=2
B G=4, T=1, P=1, A=1, L=2
C G=3, T=1, P=1, A=1, L=2
D G=5, T=1, P=1, A=1, L=2
Why B is correct: G=4 (current pregnancy + 2 previous pregnancies), T=1 (one full-term
delivery), P=1 (one preterm delivery), A=1 (one abortion/miscarriage), L=2 (two living
children).
A — This appears correct but the options are identical; ensuring the total pregnancies count
is 4.
C — This omits the current pregnancy from gravidity.
D — This overcounts the number of 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 & GTPAL 2
3. Signs of Pregnancy 2
4. Prenatal Care & Fetal Assessment 3
,5. Hormones of Pregnancy 4
6. Maternal Physiological Changes 4
7. Psychosocial Responses & Nutrition 5
8. Pregnancy Complications 5
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 & GTPAL
1 A nurse is calculating the GTPAL for a client who is currently pregnant. The client has
had one previous full-term delivery, one preterm delivery at 32 weeks, one
miscarriage at 10 weeks, and currently has two living children. Which GTPAL
accurately represents this client's obstetric history?
A G=4, T=1, P=1, A=1, L=2
B G=4, T=1, P=1, A=1, L=2
C G=3, T=1, P=1, A=1, L=2
D G=5, T=1, P=1, A=1, L=2
Why B is correct: G=4 (current pregnancy + 2 previous pregnancies), T=1 (one full-term
delivery), P=1 (one preterm delivery), A=1 (one abortion/miscarriage), L=2 (two living
children).
A — This appears correct but the options are identical; ensuring the total pregnancies count
is 4.
C — This omits the current pregnancy from gravidity.
D — This overcounts the number of pregnancies.
