,NU 170/NU170 Exam 1 | Maternal-Child Nursing
(2026) Q&A | Galen College
1. A client at 39 weeks gestation reports regular contractions that are increasing
in intensity and frequency. The nurse identifies this as:
A) Braxton Hicks contractions
B) False labor
C) True labor
D) Preterm labor
Correct Answer: True labor
Rationale: True labor is characterized by regular contractions that become
stronger, longer, and closer together, leading to cervical change. Braxton Hicks
contractions are irregular and often stop with activity. False labor lacks
progressive cervical change, and preterm labor occurs before 37 weeks.
2. A client asks about her expected date of delivery. Her last menstrual period
began on August 10. Using Naegele’s rule, the nurse calculates the EDD as:
A) May 3
B) May 10
C) May 17
D) June 10
Correct Answer: May 17
,Rationale: Naegele’s rule: subtract 3 months (August to May) and add 7 days
(10+7=17). The EDD is May 17. This standard calculation assumes a 28-day cycle
with ovulation on day 14.
3. The nurse is teaching a primigravida about presumptive signs of pregnancy.
Which is a presumptive sign?
A) Fetal heartbeat on Doppler
B) Positive pregnancy test
C) Amenorrhea and breast tenderness
D) Ultrasound visualization of the fetus
Correct Answer: Amenorrhea and breast tenderness
Rationale: Presumptive signs are subjective and experienced by the mother
(amenorrhea, nausea, breast changes). Probable signs include positive
pregnancy test and Hegar’s sign, while positive signs directly confirm pregnancy
(fetal heart tones, ultrasound).
4. A mother asks about her 2-year-old’s play. The nurse explains that toddlers
mostly engage in:
A) Solitary play
B) Associative play
C) Cooperative play
D) Parallel play
Correct Answer: Parallel play
, Rationale: Toddlers play alongside other children without direct interaction,
known as parallel play. Solitary play is for infants, associative play is for
preschoolers, and cooperative play emerges in school-age children.
5. A newborn at 1 minute has a heart rate of 80 bpm, weak cry, some flexion,
grimace, and acrocyanosis. The nurse calculates the Apgar score as:
A) 4
B) 5
C) 6
D) 7
Correct Answer: 5
Rationale: Apgar: HR <100 = 1, weak cry = 1, some flexion = 1, grimace = 1,
acrocyanosis = 1. Total = 5. A score of 4-6 indicates moderate difficulty; the
infant may need stimulation and oxygen.
6. A nurse is reviewing fetal heart rate patterns. Late decelerations are
associated with:
A) Cord compression
B) Head compression
C) Placental insufficiency
D) Fetal sleep
Correct Answer: Placental insufficiency
(2026) Q&A | Galen College
1. A client at 39 weeks gestation reports regular contractions that are increasing
in intensity and frequency. The nurse identifies this as:
A) Braxton Hicks contractions
B) False labor
C) True labor
D) Preterm labor
Correct Answer: True labor
Rationale: True labor is characterized by regular contractions that become
stronger, longer, and closer together, leading to cervical change. Braxton Hicks
contractions are irregular and often stop with activity. False labor lacks
progressive cervical change, and preterm labor occurs before 37 weeks.
2. A client asks about her expected date of delivery. Her last menstrual period
began on August 10. Using Naegele’s rule, the nurse calculates the EDD as:
A) May 3
B) May 10
C) May 17
D) June 10
Correct Answer: May 17
,Rationale: Naegele’s rule: subtract 3 months (August to May) and add 7 days
(10+7=17). The EDD is May 17. This standard calculation assumes a 28-day cycle
with ovulation on day 14.
3. The nurse is teaching a primigravida about presumptive signs of pregnancy.
Which is a presumptive sign?
A) Fetal heartbeat on Doppler
B) Positive pregnancy test
C) Amenorrhea and breast tenderness
D) Ultrasound visualization of the fetus
Correct Answer: Amenorrhea and breast tenderness
Rationale: Presumptive signs are subjective and experienced by the mother
(amenorrhea, nausea, breast changes). Probable signs include positive
pregnancy test and Hegar’s sign, while positive signs directly confirm pregnancy
(fetal heart tones, ultrasound).
4. A mother asks about her 2-year-old’s play. The nurse explains that toddlers
mostly engage in:
A) Solitary play
B) Associative play
C) Cooperative play
D) Parallel play
Correct Answer: Parallel play
, Rationale: Toddlers play alongside other children without direct interaction,
known as parallel play. Solitary play is for infants, associative play is for
preschoolers, and cooperative play emerges in school-age children.
5. A newborn at 1 minute has a heart rate of 80 bpm, weak cry, some flexion,
grimace, and acrocyanosis. The nurse calculates the Apgar score as:
A) 4
B) 5
C) 6
D) 7
Correct Answer: 5
Rationale: Apgar: HR <100 = 1, weak cry = 1, some flexion = 1, grimace = 1,
acrocyanosis = 1. Total = 5. A score of 4-6 indicates moderate difficulty; the
infant may need stimulation and oxygen.
6. A nurse is reviewing fetal heart rate patterns. Late decelerations are
associated with:
A) Cord compression
B) Head compression
C) Placental insufficiency
D) Fetal sleep
Correct Answer: Placental insufficiency
