NSG 3500
Maternal Health Exam 1 Comprehensive Study Guide
Exam 1 • Practice Questions & Rationales
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Nursing Program
NSG 3500
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NSG 3500 Maternal Health Exam 1 Comprehensive Study Guide 2026/2027 UPDATE – Galen
1. A patient reports her Last Menstrual Period (LMP) began on May 15, 2025. Using Naegele’s
Rule, what is her Estimated Date of Delivery (EDD)?
A. February 22, 2026
B. February 15, 2026
C. August 22, 2026
D. February 8, 2026
Answer: A
Rationale: Naegele’s Rule is calculated by taking the first day of the LMP, subtracting 3
months, and adding 7 days and 1 year. May 15 minus 3 months is February 15, plus 7 days
is February 22.
2. A nurse is assessing a pregnant client who is at 28 weeks gestation. Which of the following
findings should be reported to the provider immediately?
A. Increased vaginal discharge (leukorrhea)
B. Epigastric pain and blurred vision
C. Occasional Braxton Hicks contractions
D. Dependent edema in the ankles by the end of the day
, Answer: B
Rationale: Epigastric pain and blurred vision are classic signs of preeclampsia or
impending eclampsia (HELLP syndrome), indicating hepatic involvement and central
nervous system irritability.
3. A nurse is performing a GTPAL for a client who is currently pregnant, has a 5-year-old child
born at 38 weeks, a 2-year-old child born at 34 weeks, and had a miscarriage at 10 weeks.
What is the GTPAL?
A. G3, T1, P1, A1, L2
B. G3, T2, P0, A1, L2
C. G4, T2, P1, A0, L2
D. G4, T1, P1, A1, L2
Answer: D
Rationale: Gravida (total pregnancies) = 4 (current + 5yo + 2yo + miscarriage). Term (37+
weeks) = 1 (5yo). Preterm (20-36.6 weeks) = 1 (2yo). Abortion (<20 weeks) = 1. Living = 2.
4. Which physiological change in the cardiovascular system is considered normal during the
second trimester of pregnancy?
A. Decrease in total blood volume by 20%
B. Increase in heart rate of 10-15 beats per minute
C. Increase in blood pressure to 140/90 mmHg
Maternal Health Exam 1 Comprehensive Study Guide
Exam 1 • Practice Questions & Rationales
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Nursing Program
NSG 3500
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NSG 3500 Maternal Health Exam 1 Comprehensive Study Guide 2026/2027 UPDATE – Galen
1. A patient reports her Last Menstrual Period (LMP) began on May 15, 2025. Using Naegele’s
Rule, what is her Estimated Date of Delivery (EDD)?
A. February 22, 2026
B. February 15, 2026
C. August 22, 2026
D. February 8, 2026
Answer: A
Rationale: Naegele’s Rule is calculated by taking the first day of the LMP, subtracting 3
months, and adding 7 days and 1 year. May 15 minus 3 months is February 15, plus 7 days
is February 22.
2. A nurse is assessing a pregnant client who is at 28 weeks gestation. Which of the following
findings should be reported to the provider immediately?
A. Increased vaginal discharge (leukorrhea)
B. Epigastric pain and blurred vision
C. Occasional Braxton Hicks contractions
D. Dependent edema in the ankles by the end of the day
, Answer: B
Rationale: Epigastric pain and blurred vision are classic signs of preeclampsia or
impending eclampsia (HELLP syndrome), indicating hepatic involvement and central
nervous system irritability.
3. A nurse is performing a GTPAL for a client who is currently pregnant, has a 5-year-old child
born at 38 weeks, a 2-year-old child born at 34 weeks, and had a miscarriage at 10 weeks.
What is the GTPAL?
A. G3, T1, P1, A1, L2
B. G3, T2, P0, A1, L2
C. G4, T2, P1, A0, L2
D. G4, T1, P1, A1, L2
Answer: D
Rationale: Gravida (total pregnancies) = 4 (current + 5yo + 2yo + miscarriage). Term (37+
weeks) = 1 (5yo). Preterm (20-36.6 weeks) = 1 (2yo). Abortion (<20 weeks) = 1. Living = 2.
4. Which physiological change in the cardiovascular system is considered normal during the
second trimester of pregnancy?
A. Decrease in total blood volume by 20%
B. Increase in heart rate of 10-15 beats per minute
C. Increase in blood pressure to 140/90 mmHg
