NUR 231 Final Exam Actual Exam V1 | NUR 231 Childbearing & Child
Caring Family (NUR231 Final Exam) | Galen College of Nursing
1. A nurse is calculating the estimated date of birth (EDB) using Nagele’s rule for a client
whose last menstrual period began on July 10. What is the correct EDB?
A. April 3
B. April 17
C. March 17
D. May 10
Answer: B
Rationale: To calculate the EDB using Nagele’s rule, subtract 3 months and add 7 days to
the first day of the LMP. Analysis: This method provides a standard for prenatal care
initiation. It is critical for tracking fetal growth and scheduling diagnostic screenings
throughout gestation.
2. Which of the following is considered a positive sign of pregnancy?
A. Amenorrhea
B. Fetal heart tones heard by Doppler
C. Positive pregnancy test
D. Goodell’s sign
Answer: B
Rationale: Positive signs of pregnancy are those attributed only to the presence of a fetus.
These include hearing fetal heart tones, visualizing the fetus via ultrasound, or palpating
fetal movement by an experienced examiner.
3. A client is pregnant for the 4th time. She has one living child born at 38 weeks, one child
born at 35 weeks, and had one miscarriage at 10 weeks. What is her GTPAL?
A. G3 T1 P1 A1 L2
B. G4 T2 P0 A1 L2
C. G4 T1 P1 A1 L2
D. G4 T1 P2 A0 L2
Answer: C
, Rationale: G (Gravida) is 4 (current + 3 previous). T (Term) is 1 (38 weeks). P (Preterm) is
1 (35 weeks). A (Abortion) is 1 (miscarriage). L (Living) is 2.
4. The nurse provides education to a woman planning pregnancy. Which vitamin should she
increase to prevent neural tube defects?
A. Vitamin C
B. Vitamin B12
C. Vitamin D
D. Folic Acid
Answer: D
Rationale: Folic acid 400-800 mcg daily is recommended for all women of childbearing age
to reduce the risk of neural tube defects like spina bifida. This intervention is most effective
when started before conception.
5. A client at 8 weeks gestation reports unilateral sharp lower abdominal pain and vaginal
spotting. What should the nurse suspect?
A. Placenta previa
B. Ectopic pregnancy
C. Abruptio placentae
D. Hydatidiform mole
Answer: B
Rationale: Ectopic pregnancy often presents with a triad of symptoms: abdominal pain,
delayed menses, and abnormal vaginal bleeding. It is a medical emergency if the fallopian
tube ruptures.
6. A nurse is assessing a client in labor and notes late decelerations on the fetal monitor.
What is the priority nursing action?
A. Apply oxygen at 8-10 L/min via non-rebreather mask
B. Assist the client to a knee-chest position
C. Increase the IV pitocin rate
D. Perform a vaginal exam to check for cord prolapse
Answer: A
Rationale: Late decelerations indicate uteroplacental insufficiency. Priority interventions
include turning the client to the side, increasing IV fluids, and applying oxygen.
Caring Family (NUR231 Final Exam) | Galen College of Nursing
1. A nurse is calculating the estimated date of birth (EDB) using Nagele’s rule for a client
whose last menstrual period began on July 10. What is the correct EDB?
A. April 3
B. April 17
C. March 17
D. May 10
Answer: B
Rationale: To calculate the EDB using Nagele’s rule, subtract 3 months and add 7 days to
the first day of the LMP. Analysis: This method provides a standard for prenatal care
initiation. It is critical for tracking fetal growth and scheduling diagnostic screenings
throughout gestation.
2. Which of the following is considered a positive sign of pregnancy?
A. Amenorrhea
B. Fetal heart tones heard by Doppler
C. Positive pregnancy test
D. Goodell’s sign
Answer: B
Rationale: Positive signs of pregnancy are those attributed only to the presence of a fetus.
These include hearing fetal heart tones, visualizing the fetus via ultrasound, or palpating
fetal movement by an experienced examiner.
3. A client is pregnant for the 4th time. She has one living child born at 38 weeks, one child
born at 35 weeks, and had one miscarriage at 10 weeks. What is her GTPAL?
A. G3 T1 P1 A1 L2
B. G4 T2 P0 A1 L2
C. G4 T1 P1 A1 L2
D. G4 T1 P2 A0 L2
Answer: C
, Rationale: G (Gravida) is 4 (current + 3 previous). T (Term) is 1 (38 weeks). P (Preterm) is
1 (35 weeks). A (Abortion) is 1 (miscarriage). L (Living) is 2.
4. The nurse provides education to a woman planning pregnancy. Which vitamin should she
increase to prevent neural tube defects?
A. Vitamin C
B. Vitamin B12
C. Vitamin D
D. Folic Acid
Answer: D
Rationale: Folic acid 400-800 mcg daily is recommended for all women of childbearing age
to reduce the risk of neural tube defects like spina bifida. This intervention is most effective
when started before conception.
5. A client at 8 weeks gestation reports unilateral sharp lower abdominal pain and vaginal
spotting. What should the nurse suspect?
A. Placenta previa
B. Ectopic pregnancy
C. Abruptio placentae
D. Hydatidiform mole
Answer: B
Rationale: Ectopic pregnancy often presents with a triad of symptoms: abdominal pain,
delayed menses, and abnormal vaginal bleeding. It is a medical emergency if the fallopian
tube ruptures.
6. A nurse is assessing a client in labor and notes late decelerations on the fetal monitor.
What is the priority nursing action?
A. Apply oxygen at 8-10 L/min via non-rebreather mask
B. Assist the client to a knee-chest position
C. Increase the IV pitocin rate
D. Perform a vaginal exam to check for cord prolapse
Answer: A
Rationale: Late decelerations indicate uteroplacental insufficiency. Priority interventions
include turning the client to the side, increasing IV fluids, and applying oxygen.
