NU 170
Maternal-Child Nursing Exam 1 Advanced Review
Exam Review • High-Yield Practice
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Galen College of Nursing
NU 170
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NU 170 Maternal-Child Nursing Exam 1 Advanced Review 2026/2027 UPDATED – Galen
1. A pregnant client at 32 weeks’ gestation presents with sudden, painless vaginal bleeding.
Which condition should the nurse suspect first?
A. Placenta previa
B. Abruptio placentae
C. Cervical insufficiency
D. Preterm labor
Answer: A
Rationale: Painless, bright red vaginal bleeding in the second or third trimester is a
hallmark sign of placenta previa. Abruptio placentae usually presents with painful bleeding
and a rigid abdomen.
2. Using Naegele’s rule, calculate the estimated date of delivery (EDD) for a client whose last
menstrual period (LMP) began on March 10.
A. December 17
B. December 3
C. January 17
D. December 10
, Answer: A
Rationale: Naegele’s rule: Subtract 3 months from the first day of the LMP and add 7 days.
March 10 - 3 months = Dec 10; Dec 10 + 7 days = Dec 17.
3. A client is pregnant for the 4th time. She has one living child born at 38 weeks, one
miscarriage at 10 weeks, and one set of twins born at 34 weeks. What is her GTPAL?
A. G3, T1, P1, A1, L3
B. G4, T2, P1, A1, L2
C. G4, T1, P2, A1, L3
D. G4, T1, P1, A1, L3
Answer: D
Rationale: G (Gravida): 4 total pregnancies. T (Term): 1 (the 38-week birth). P (Preterm):
1 (the twin birth at 34 weeks counts as one event). A (Abortion): 1 (miscarriage at 10
weeks). L (Living): 3 (1 from the term birth + 2 from the twin birth).
4. Which fetal heart rate pattern is most indicative of uteroplacental insufficiency?
A. Early decelerations
B. Variable decelerations
C. Accelerations
D. Late decelerations
Answer: D
Maternal-Child Nursing Exam 1 Advanced Review
Exam Review • High-Yield Practice
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Galen College of Nursing
NU 170
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NU 170 Maternal-Child Nursing Exam 1 Advanced Review 2026/2027 UPDATED – Galen
1. A pregnant client at 32 weeks’ gestation presents with sudden, painless vaginal bleeding.
Which condition should the nurse suspect first?
A. Placenta previa
B. Abruptio placentae
C. Cervical insufficiency
D. Preterm labor
Answer: A
Rationale: Painless, bright red vaginal bleeding in the second or third trimester is a
hallmark sign of placenta previa. Abruptio placentae usually presents with painful bleeding
and a rigid abdomen.
2. Using Naegele’s rule, calculate the estimated date of delivery (EDD) for a client whose last
menstrual period (LMP) began on March 10.
A. December 17
B. December 3
C. January 17
D. December 10
, Answer: A
Rationale: Naegele’s rule: Subtract 3 months from the first day of the LMP and add 7 days.
March 10 - 3 months = Dec 10; Dec 10 + 7 days = Dec 17.
3. A client is pregnant for the 4th time. She has one living child born at 38 weeks, one
miscarriage at 10 weeks, and one set of twins born at 34 weeks. What is her GTPAL?
A. G3, T1, P1, A1, L3
B. G4, T2, P1, A1, L2
C. G4, T1, P2, A1, L3
D. G4, T1, P1, A1, L3
Answer: D
Rationale: G (Gravida): 4 total pregnancies. T (Term): 1 (the 38-week birth). P (Preterm):
1 (the twin birth at 34 weeks counts as one event). A (Abortion): 1 (miscarriage at 10
weeks). L (Living): 3 (1 from the term birth + 2 from the twin birth).
4. Which fetal heart rate pattern is most indicative of uteroplacental insufficiency?
A. Early decelerations
B. Variable decelerations
C. Accelerations
D. Late decelerations
Answer: D
