NUR 231 Exam 1: Childbearing & Child Caring Family 2026 Galen
1. A nurse is calculating a client’s expected date of delivery (EDD) using
Naegele’s rule. The client’s last menstrual period (LMP) began on October 10th.
What is the EDD?
A. July 3rd
B. July 17th
C. January 17th
D. July 10th
Answer: B
Rationale: Naegele’s rule is calculated by subtracting 3 months from the LMP, adding 7
days, and adding 1 year if applicable.
2. Which of the following is considered a ‘positive’ sign of pregnancy?
A. Positive pregnancy test
B. Fetal heart tones heard via Doppler
C. Amenorrhea
D. Chadwick’s sign
Answer: B
Rationale: Positive signs of pregnancy are those that can only be attributed to a fetus, such
as fetal heart sounds, visualization by ultrasound, or palpation of fetal movement by a
clinician.
,3. A client is at 32 weeks gestation and reports a headache that won’t go away
and blurry vision. What is the nurse’s priority action?
A. Document the findings as normal third trimester discomfort
B. Ask the client to rest in a dark room
C. Suggest the client take acetaminophen
D. Assess the client’s blood pressure
Answer: D
Rationale: Headache and visual disturbances are warning signs of preeclampsia, requiring
immediate assessment of blood pressure and protein in the urine.
4. A pregnant woman’s GTPAL is 4-1-1-1-2. How many children are currently
living?
A. 1
B. 4
C. 3
D. 2
Answer: D
Rationale: In GTPAL, the ‘L’ stands for Living children. In 4-1-1-1-2, the L is 2.
5. The nurse notes a late deceleration on the fetal heart rate monitor. What is
the immediate priority intervention?
A. Increase the IV oxytocin rate
B. Place the client in a supine position
C. Perform a vaginal exam
D. Reposition the client to a side-lying position
Answer: D
Rationale: Late decelerations indicate uteroplacental insufficiency. Priority interventions
include repositioning the client, increasing IV fluids, and administering oxygen.
, 6. Which hormone is primarily responsible for maintaining the endometrial
lining during early pregnancy?
A. Progesterone
B. Estrogen
C. Follicle-stimulating hormone
D. Luteinizing hormone
Answer: A
Rationale: Progesterone, the ‘hormone of pregnancy,’ maintains the uterine lining and
prevents contractions.
7. A newborn has a heart rate of 110, a slow/weak cry, some flexion of
extremities, grimace with suctioning, and a pink body with blue extremities.
What is the APGAR score?
A. 7
B. 6
C. 5
D. 8
Answer: B
Rationale: HR (2), Cry (1), Flexion (1), Grimace (1), Color (1) = 6.
8. When is Rho(D) immune globulin (RhoGAM) typically administered to an Rh-
negative mother?
A. At 28 weeks gestation and within 72 hours of birth
B. Only if the baby is Rh-negative
C. At 20 weeks gestation and 48 hours after birth
D. Immediately following the first trimester
Answer: A
Rationale: RhoGAM is given at 28 weeks and within 72 hours of delivery if the infant is Rh-
positive to prevent sensitization.
1. A nurse is calculating a client’s expected date of delivery (EDD) using
Naegele’s rule. The client’s last menstrual period (LMP) began on October 10th.
What is the EDD?
A. July 3rd
B. July 17th
C. January 17th
D. July 10th
Answer: B
Rationale: Naegele’s rule is calculated by subtracting 3 months from the LMP, adding 7
days, and adding 1 year if applicable.
2. Which of the following is considered a ‘positive’ sign of pregnancy?
A. Positive pregnancy test
B. Fetal heart tones heard via Doppler
C. Amenorrhea
D. Chadwick’s sign
Answer: B
Rationale: Positive signs of pregnancy are those that can only be attributed to a fetus, such
as fetal heart sounds, visualization by ultrasound, or palpation of fetal movement by a
clinician.
,3. A client is at 32 weeks gestation and reports a headache that won’t go away
and blurry vision. What is the nurse’s priority action?
A. Document the findings as normal third trimester discomfort
B. Ask the client to rest in a dark room
C. Suggest the client take acetaminophen
D. Assess the client’s blood pressure
Answer: D
Rationale: Headache and visual disturbances are warning signs of preeclampsia, requiring
immediate assessment of blood pressure and protein in the urine.
4. A pregnant woman’s GTPAL is 4-1-1-1-2. How many children are currently
living?
A. 1
B. 4
C. 3
D. 2
Answer: D
Rationale: In GTPAL, the ‘L’ stands for Living children. In 4-1-1-1-2, the L is 2.
5. The nurse notes a late deceleration on the fetal heart rate monitor. What is
the immediate priority intervention?
A. Increase the IV oxytocin rate
B. Place the client in a supine position
C. Perform a vaginal exam
D. Reposition the client to a side-lying position
Answer: D
Rationale: Late decelerations indicate uteroplacental insufficiency. Priority interventions
include repositioning the client, increasing IV fluids, and administering oxygen.
, 6. Which hormone is primarily responsible for maintaining the endometrial
lining during early pregnancy?
A. Progesterone
B. Estrogen
C. Follicle-stimulating hormone
D. Luteinizing hormone
Answer: A
Rationale: Progesterone, the ‘hormone of pregnancy,’ maintains the uterine lining and
prevents contractions.
7. A newborn has a heart rate of 110, a slow/weak cry, some flexion of
extremities, grimace with suctioning, and a pink body with blue extremities.
What is the APGAR score?
A. 7
B. 6
C. 5
D. 8
Answer: B
Rationale: HR (2), Cry (1), Flexion (1), Grimace (1), Color (1) = 6.
8. When is Rho(D) immune globulin (RhoGAM) typically administered to an Rh-
negative mother?
A. At 28 weeks gestation and within 72 hours of birth
B. Only if the baby is Rh-negative
C. At 20 weeks gestation and 48 hours after birth
D. Immediately following the first trimester
Answer: A
Rationale: RhoGAM is given at 28 weeks and within 72 hours of delivery if the infant is Rh-
positive to prevent sensitization.
