NUR 2633/NUR2633 Exam 1 V1 | Maternal
Child Health Nursing Q&A with Rationale |
Rasmussen University
1. A nurse is assessing a pregnant client who reports her last menstrual period (LMP) began
on May 15th. Using Naegele’s rule, what is the estimated date of delivery (EDD)?
A. February 22nd
B. February 15th
C. February 8th
D. March 22nd
Correct Answer: A
Rationale: Naegele’s rule is calculated by subtracting 3 months from the first day of the
LMP and adding 7 days and 1 year. For an LMP of May 15th, subtracting three months leads
to February, and adding seven days to the 15th results in the 22nd. This calculation
provides a standardized method for estimating the date of birth, assuming a 28-day cycle.
2. A client is currently 32 weeks pregnant. Her obstetric history includes a 5-year-old son born
at 39 weeks, a 3-year-old daughter born at 34 weeks, and one miscarriage at 10 weeks. What
is her GTPAL?
A. G3, T2, P0, A1, L2
B. G4, T1, P1, A1, L2
,C. G4, T2, P1, A0, L2
D. G3, T1, P1, A1, L3
Correct Answer: B
Rationale: The client is Gravida 4 (current pregnancy, two full/preterm births, one
miscarriage). Term is 1 (the 5-year-old born at 39 weeks), Preterm is 1 (the 3-year-old
born at 34 weeks), Abortion is 1 (miscarriage at 10 weeks), and Living is 2. The GTPAL
system provides a detailed overview of a woman’s pregnancy history and outcomes.
3. Which of the following findings is considered a positive sign of pregnancy?
A. Positive serum pregnancy test
B. Fetal heart tones heard via Doppler
C. Chadwick’s sign
D. Amenorrhea and morning sickness
Correct Answer: B
Rationale: Positive signs of pregnancy are those that can only be attributed to the
presence of a fetus, such as fetal heart tones, visualization by ultrasound, or palpable fetal
movement by an examiner. Presumptive signs are subjective feelings like nausea or fatigue,
while probable signs are objective physical changes like a positive HCG test or cervical
softening. Determining positive signs is crucial for a definitive diagnosis of pregnancy in a
clinical setting.
,4. A nurse is educating a client about the purpose of folic acid supplementation during the
first trimester. Which condition does folic acid help prevent?
A. Gestational diabetes
B. Neural tube defects
C. Fetal macrosomia
D. Preeclampsia
Correct Answer: B
Rationale: Folic acid is essential for the proper development of the fetal neural tube, which
eventually becomes the brain and spinal cord. Inadequate intake of folic acid during early
pregnancy is strongly linked to defects such as spina bifida and anencephaly. The CDC
recommends that all women of childbearing age consume 400 mcg of folic acid daily to
ensure protection during the first weeks of conception.
5. During a prenatal visit, a client at 20 weeks gestation reports feeling dizzy and lightheaded
when lying on her back. What is the nurse’s best response?
A. Advise the client to remain flat to increase pelvic blood flow.
B. Instruct the client to increase her caffeine intake to raise blood pressure.
C. Refer the client to a cardiologist for suspected arrhythmias.
D. Explain this is supine hypotension and recommend lying on her side.
Correct Answer: D
, Rationale: Supine hypotensive syndrome occurs when the heavy uterus compresses the
inferior vena cava, reducing venous return to the heart and lowering cardiac output. Lying
on the side, particularly the left side, relieves this pressure and improves maternal and fetal
circulation. This is a common physiological discomfort of pregnancy that usually resolves
with a change in position.
6. Which hormone is primarily responsible for maintaining the corpus luteum and ensuring
the production of progesterone in early pregnancy?
A. Estrogen
B. Human placental lactogen (hPL)
C. Relaxin
D. Human chorionic gonadotropin (hCG)
Correct Answer: D
Rationale: Human chorionic gonadotropin (hCG) is secreted by the trophoblastic cells
after implantation to maintain the corpus luteum. The corpus luteum then produces
progesterone, which is vital for maintaining the uterine lining until the placenta takes over
hormone production at around 10-12 weeks. High levels of hCG are also responsible for the
‘morning sickness’ often experienced by pregnant women in the first trimester.
7. A client at 28 weeks gestation is Rh-negative and has an unsensitized antibody screen.
What is the appropriate nursing action?
A. Wait until after delivery to check the baby’s blood type.
Child Health Nursing Q&A with Rationale |
Rasmussen University
1. A nurse is assessing a pregnant client who reports her last menstrual period (LMP) began
on May 15th. Using Naegele’s rule, what is the estimated date of delivery (EDD)?
A. February 22nd
B. February 15th
C. February 8th
D. March 22nd
Correct Answer: A
Rationale: Naegele’s rule is calculated by subtracting 3 months from the first day of the
LMP and adding 7 days and 1 year. For an LMP of May 15th, subtracting three months leads
to February, and adding seven days to the 15th results in the 22nd. This calculation
provides a standardized method for estimating the date of birth, assuming a 28-day cycle.
2. A client is currently 32 weeks pregnant. Her obstetric history includes a 5-year-old son born
at 39 weeks, a 3-year-old daughter born at 34 weeks, and one miscarriage at 10 weeks. What
is her GTPAL?
A. G3, T2, P0, A1, L2
B. G4, T1, P1, A1, L2
,C. G4, T2, P1, A0, L2
D. G3, T1, P1, A1, L3
Correct Answer: B
Rationale: The client is Gravida 4 (current pregnancy, two full/preterm births, one
miscarriage). Term is 1 (the 5-year-old born at 39 weeks), Preterm is 1 (the 3-year-old
born at 34 weeks), Abortion is 1 (miscarriage at 10 weeks), and Living is 2. The GTPAL
system provides a detailed overview of a woman’s pregnancy history and outcomes.
3. Which of the following findings is considered a positive sign of pregnancy?
A. Positive serum pregnancy test
B. Fetal heart tones heard via Doppler
C. Chadwick’s sign
D. Amenorrhea and morning sickness
Correct Answer: B
Rationale: Positive signs of pregnancy are those that can only be attributed to the
presence of a fetus, such as fetal heart tones, visualization by ultrasound, or palpable fetal
movement by an examiner. Presumptive signs are subjective feelings like nausea or fatigue,
while probable signs are objective physical changes like a positive HCG test or cervical
softening. Determining positive signs is crucial for a definitive diagnosis of pregnancy in a
clinical setting.
,4. A nurse is educating a client about the purpose of folic acid supplementation during the
first trimester. Which condition does folic acid help prevent?
A. Gestational diabetes
B. Neural tube defects
C. Fetal macrosomia
D. Preeclampsia
Correct Answer: B
Rationale: Folic acid is essential for the proper development of the fetal neural tube, which
eventually becomes the brain and spinal cord. Inadequate intake of folic acid during early
pregnancy is strongly linked to defects such as spina bifida and anencephaly. The CDC
recommends that all women of childbearing age consume 400 mcg of folic acid daily to
ensure protection during the first weeks of conception.
5. During a prenatal visit, a client at 20 weeks gestation reports feeling dizzy and lightheaded
when lying on her back. What is the nurse’s best response?
A. Advise the client to remain flat to increase pelvic blood flow.
B. Instruct the client to increase her caffeine intake to raise blood pressure.
C. Refer the client to a cardiologist for suspected arrhythmias.
D. Explain this is supine hypotension and recommend lying on her side.
Correct Answer: D
, Rationale: Supine hypotensive syndrome occurs when the heavy uterus compresses the
inferior vena cava, reducing venous return to the heart and lowering cardiac output. Lying
on the side, particularly the left side, relieves this pressure and improves maternal and fetal
circulation. This is a common physiological discomfort of pregnancy that usually resolves
with a change in position.
6. Which hormone is primarily responsible for maintaining the corpus luteum and ensuring
the production of progesterone in early pregnancy?
A. Estrogen
B. Human placental lactogen (hPL)
C. Relaxin
D. Human chorionic gonadotropin (hCG)
Correct Answer: D
Rationale: Human chorionic gonadotropin (hCG) is secreted by the trophoblastic cells
after implantation to maintain the corpus luteum. The corpus luteum then produces
progesterone, which is vital for maintaining the uterine lining until the placenta takes over
hormone production at around 10-12 weeks. High levels of hCG are also responsible for the
‘morning sickness’ often experienced by pregnant women in the first trimester.
7. A client at 28 weeks gestation is Rh-negative and has an unsensitized antibody screen.
What is the appropriate nursing action?
A. Wait until after delivery to check the baby’s blood type.
