NUR 231
Exam 1 Childbearing and Child Caring Family
Exam 1 • Practice Questions & Rationales
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Galen College of Nursing
NUR 231
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NUR 231 Exam 1: Childbearing and Child Caring Family 2026/2027 UPDATE – Galen
1. A nurse is calculating the estimated date of delivery (EDD) for a client whose last menstrual
period (LMP) began on March 15th. Using Naegele’s Rule, what is the correct EDD?
A. December 15th
B. December 22nd
C. December 8th
D. January 22nd
Answer: B
Rationale: Naegele’s Rule is calculated by subtracting 3 months from the first day of the
LMP and adding 7 days and 1 year. March 15 minus 3 months is December 15, plus 7 days
is December 22.
2. A pregnant client reports to the clinic for her first prenatal visit. She has a history of one
spontaneous abortion at 10 weeks, one term birth at 39 weeks, and a daughter born at 34
weeks. What is her GTPAL?
A. G3 T1 P1 A1 L2
B. G4 T1 P1 A1 L2
C. G4 T2 P0 A1 L2
D. G3 T2 P0 A1 L2
, Answer: B
Rationale: G (Gravida) is 4 (current pregnancy, term birth, preterm birth, and abortion). T
(Term) is 1. P (Preterm) is 1 (the 34-week birth). A (Abortion) is 1. L (Living) is 2.
3. Which of the following findings is considered a positive sign of pregnancy?
A. A positive serum pregnancy test
B. Hegar’s sign
C. Fetal heart tones heard by Doppler
D. Amenorrhea and morning sickness
Answer: C
Rationale: Positive signs are objective and can only be attributed to a fetus: fetal heart
tones, visualization by ultrasound, or palpable fetal movement by a provider. Pregnancy
tests and Hegar’s sign are ‘probable’ signs.
4. A nurse is caring for a client at 32 weeks gestation who is experiencing painless, bright red
vaginal bleeding. Which condition should the nurse suspect?
A. Placental abruption
B. Placenta previa
C. Preterm labor
D. Ectopic pregnancy
Answer: B
Exam 1 Childbearing and Child Caring Family
Exam 1 • Practice Questions & Rationales
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Galen College of Nursing
NUR 231
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NUR 231 Exam 1: Childbearing and Child Caring Family 2026/2027 UPDATE – Galen
1. A nurse is calculating the estimated date of delivery (EDD) for a client whose last menstrual
period (LMP) began on March 15th. Using Naegele’s Rule, what is the correct EDD?
A. December 15th
B. December 22nd
C. December 8th
D. January 22nd
Answer: B
Rationale: Naegele’s Rule is calculated by subtracting 3 months from the first day of the
LMP and adding 7 days and 1 year. March 15 minus 3 months is December 15, plus 7 days
is December 22.
2. A pregnant client reports to the clinic for her first prenatal visit. She has a history of one
spontaneous abortion at 10 weeks, one term birth at 39 weeks, and a daughter born at 34
weeks. What is her GTPAL?
A. G3 T1 P1 A1 L2
B. G4 T1 P1 A1 L2
C. G4 T2 P0 A1 L2
D. G3 T2 P0 A1 L2
, Answer: B
Rationale: G (Gravida) is 4 (current pregnancy, term birth, preterm birth, and abortion). T
(Term) is 1. P (Preterm) is 1 (the 34-week birth). A (Abortion) is 1. L (Living) is 2.
3. Which of the following findings is considered a positive sign of pregnancy?
A. A positive serum pregnancy test
B. Hegar’s sign
C. Fetal heart tones heard by Doppler
D. Amenorrhea and morning sickness
Answer: C
Rationale: Positive signs are objective and can only be attributed to a fetus: fetal heart
tones, visualization by ultrasound, or palpable fetal movement by a provider. Pregnancy
tests and Hegar’s sign are ‘probable’ signs.
4. A nurse is caring for a client at 32 weeks gestation who is experiencing painless, bright red
vaginal bleeding. Which condition should the nurse suspect?
A. Placental abruption
B. Placenta previa
C. Preterm labor
D. Ectopic pregnancy
Answer: B
