,NUR 231 Exam 1 | Childbearing & Child Caring Family (2026) Q&A |
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Galen
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1. A |nurse |is |calculating |the |estimated |date |of |delivery |(EDC) |for |a |client |whose |last
|menstrual |period |(LMP) |began |on |June |10. |Using |Nägele's |rule, |what |is |the |correct |EDC?
A) March |3
B) March |17
C) April |10
D) April |17
Correct |Answer: |March |17
Rationale: |Nägele's |rule |calculates |EDC |by |subtracting |3 |months |from |the |first |day |of |the
|LMP, |adding |7 |days, |and |adding |1 |year. |Starting |from |June |10, |subtracting |3 |months |gives
|March |10; |adding |7 |days |results |in |March |17 |. |March |3 |is |incorrect, |and |April |dates |are |too
|late.
2. A |client |at |32 |weeks' |gestation |is |experiencing |irregular, |painless |uterine |contractions
|that |subside |with |walking. |Which |term |best |describes |these |contractions?
A) Preterm |labor
B) Braxton |Hicks
C) True |labor
D) Cervical |effacement
Correct |Answer: |Braxton |Hicks
Rationale: |Braxton |Hicks |contractions |are |irregular, |painless, |and |often |described |as |"annoying"
|rather |than |painful; |they |typically |subside |with |activity |or |walking |. |They |are |considered |a
|probable |sign |of |pregnancy |and |can |begin |after |the |4th |month. |Preterm |labor |contractions |are
,regular |and |increase |in |intensity; |true |labor |contractions |cause |progressive |cervical |change.
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, 3. A |pregnant |woman |reports |amenorrhea, |nausea, |vomiting, |and |breast |tenderness.
|How |would |the |nurse |classify |these |findings |in |relation |to |pregnancy |signs?
A) Positive |signs
B) Probable |signs
C) Presumptive |signs
D) Diagnostic |signs
Correct |Answer: |Presumptive |signs
Rationale: |Presumptive |signs |are |subjective |and |possible |indicators |of |pregnancy |that |could |also
|have |other |causes. |Examples |include |amenorrhea, |nausea |and |vomiting, |breast |tenderness,
|fatigue, |and |urinary |frequency |. |These |are |not |definitive |proof |of |pregnancy. |Probable |signs
|are |objective |(e.g., |Goodell's |sign), |and |positive |signs |(e.g., |fetal |heartbeat) |are |definitive.
4. During |a |prenatal |examination, |the |nurse |notes |a |bluish |discoloration |of |the |client's |cervix
|and |vagina. |This |finding |is |most |consistent |with:
A) Goodell's |sign
B) Hegar's |sign
C) Chadwick's |sign
D) Ballottement
Correct |Answer: |Chadwick's |sign
Rationale: |Chadwick's |sign |is |a |bluish |or |purplish |discoloration |of |the |cervix, |vagina, |and |vulva
|due |to |increased |vascularity |and |blood |flow, |typically |observable |by |the |6th |to |8th |week |of
|pregnancy |. |Goodell's |sign |is |softening |of |the |cervix; |Hegar's |sign |is |softening |of |the |lower
uterine |segment; |ballottement |is |passive |movement |of |the |fetus.
| | | | | | | | | | | |
Galen
|
1. A |nurse |is |calculating |the |estimated |date |of |delivery |(EDC) |for |a |client |whose |last
|menstrual |period |(LMP) |began |on |June |10. |Using |Nägele's |rule, |what |is |the |correct |EDC?
A) March |3
B) March |17
C) April |10
D) April |17
Correct |Answer: |March |17
Rationale: |Nägele's |rule |calculates |EDC |by |subtracting |3 |months |from |the |first |day |of |the
|LMP, |adding |7 |days, |and |adding |1 |year. |Starting |from |June |10, |subtracting |3 |months |gives
|March |10; |adding |7 |days |results |in |March |17 |. |March |3 |is |incorrect, |and |April |dates |are |too
|late.
2. A |client |at |32 |weeks' |gestation |is |experiencing |irregular, |painless |uterine |contractions
|that |subside |with |walking. |Which |term |best |describes |these |contractions?
A) Preterm |labor
B) Braxton |Hicks
C) True |labor
D) Cervical |effacement
Correct |Answer: |Braxton |Hicks
Rationale: |Braxton |Hicks |contractions |are |irregular, |painless, |and |often |described |as |"annoying"
|rather |than |painful; |they |typically |subside |with |activity |or |walking |. |They |are |considered |a
|probable |sign |of |pregnancy |and |can |begin |after |the |4th |month. |Preterm |labor |contractions |are
,regular |and |increase |in |intensity; |true |labor |contractions |cause |progressive |cervical |change.
|
, 3. A |pregnant |woman |reports |amenorrhea, |nausea, |vomiting, |and |breast |tenderness.
|How |would |the |nurse |classify |these |findings |in |relation |to |pregnancy |signs?
A) Positive |signs
B) Probable |signs
C) Presumptive |signs
D) Diagnostic |signs
Correct |Answer: |Presumptive |signs
Rationale: |Presumptive |signs |are |subjective |and |possible |indicators |of |pregnancy |that |could |also
|have |other |causes. |Examples |include |amenorrhea, |nausea |and |vomiting, |breast |tenderness,
|fatigue, |and |urinary |frequency |. |These |are |not |definitive |proof |of |pregnancy. |Probable |signs
|are |objective |(e.g., |Goodell's |sign), |and |positive |signs |(e.g., |fetal |heartbeat) |are |definitive.
4. During |a |prenatal |examination, |the |nurse |notes |a |bluish |discoloration |of |the |client's |cervix
|and |vagina. |This |finding |is |most |consistent |with:
A) Goodell's |sign
B) Hegar's |sign
C) Chadwick's |sign
D) Ballottement
Correct |Answer: |Chadwick's |sign
Rationale: |Chadwick's |sign |is |a |bluish |or |purplish |discoloration |of |the |cervix, |vagina, |and |vulva
|due |to |increased |vascularity |and |blood |flow, |typically |observable |by |the |6th |to |8th |week |of
|pregnancy |. |Goodell's |sign |is |softening |of |the |cervix; |Hegar's |sign |is |softening |of |the |lower
uterine |segment; |ballottement |is |passive |movement |of |the |fetus.
