,NUR 254 Exam 1 | Concepts of Childbearing &
Child Caring Families (2026) Q&A | Galen College
1. Which sign of pregnancy is considered presumptive because it is subjective
and reported by the woman?
A) Goodell’s sign
B) Fetal heartbeat on Doppler
C) Amenorrhea
D) Hegar’s sign
Correct Answer: Amenorrhea
Rationale: Presumptive signs are those the woman experiences, such as
amenorrhea, nausea, and fatigue. They suggest pregnancy but can be caused by
other conditions. Goodell’s, Hegar’s, and fetal heartbeat are probable or
positive signs.
2. Using Naegele’s rule, the nurse adds 7 days to the first day of the last
menstrual period and subtracts how many months?
A) 3 months
B) 4 months
C) 2 months
D) 1 month
Correct Answer: 3 months
,Rationale: Naegele’s rule: LMP + 7 days – 3 months. For a January 1 LMP, the
estimated due date is October 8. It assumes a 28‑day cycle and 280‑day
gestation.
3. A fundal height of 24 cm at 24 weeks gestation indicates:
A) Intrauterine growth restriction
B) Polyhydramnios
C) Macrosomia
D) Appropriate for gestational age
Correct Answer: Appropriate for gestational age
Rationale: From 20 to 34 weeks, fundal height in centimeters should equal
weeks of gestation. A measurement of 24 cm at 24 weeks is exactly as expected
and suggests normal fetal growth.
4. Painless, bright red vaginal bleeding in the third trimester is most
characteristic of:
A) Abruptio placentae
B) Placenta previa
C) Preterm labor
D) Bloody show
Correct Answer: Placenta previa
, Rationale: Placenta previa, where the placenta covers the cervical os, typically
causes painless bleeding. Vaginal examinations must be avoided because they
can precipitate severe hemorrhage.
5. Sudden severe abdominal pain with a rigid, “board‑like” abdomen at 34
weeks suggests:
A) Placenta previa
B) Preterm labor
C) Abruptio placentae
D) Round ligament pain
Correct Answer: Abruptio placentae
Rationale: Abruptio placentae is the premature separation of the placenta,
presenting with painful dark bleeding and uterine rigidity. It is an obstetric
emergency requiring immediate delivery.
6. Following a 1‑hour glucose challenge test result of 155 mg/dL at 28 weeks,
the nurse anticipates:
A) Immediate insulin therapy
B) Repeat 1‑hour test in one week
C) A 3‑hour oral glucose tolerance test
D) Diagnosis of gestational diabetes
Correct Answer: A 3‑hour oral glucose tolerance test
Child Caring Families (2026) Q&A | Galen College
1. Which sign of pregnancy is considered presumptive because it is subjective
and reported by the woman?
A) Goodell’s sign
B) Fetal heartbeat on Doppler
C) Amenorrhea
D) Hegar’s sign
Correct Answer: Amenorrhea
Rationale: Presumptive signs are those the woman experiences, such as
amenorrhea, nausea, and fatigue. They suggest pregnancy but can be caused by
other conditions. Goodell’s, Hegar’s, and fetal heartbeat are probable or
positive signs.
2. Using Naegele’s rule, the nurse adds 7 days to the first day of the last
menstrual period and subtracts how many months?
A) 3 months
B) 4 months
C) 2 months
D) 1 month
Correct Answer: 3 months
,Rationale: Naegele’s rule: LMP + 7 days – 3 months. For a January 1 LMP, the
estimated due date is October 8. It assumes a 28‑day cycle and 280‑day
gestation.
3. A fundal height of 24 cm at 24 weeks gestation indicates:
A) Intrauterine growth restriction
B) Polyhydramnios
C) Macrosomia
D) Appropriate for gestational age
Correct Answer: Appropriate for gestational age
Rationale: From 20 to 34 weeks, fundal height in centimeters should equal
weeks of gestation. A measurement of 24 cm at 24 weeks is exactly as expected
and suggests normal fetal growth.
4. Painless, bright red vaginal bleeding in the third trimester is most
characteristic of:
A) Abruptio placentae
B) Placenta previa
C) Preterm labor
D) Bloody show
Correct Answer: Placenta previa
, Rationale: Placenta previa, where the placenta covers the cervical os, typically
causes painless bleeding. Vaginal examinations must be avoided because they
can precipitate severe hemorrhage.
5. Sudden severe abdominal pain with a rigid, “board‑like” abdomen at 34
weeks suggests:
A) Placenta previa
B) Preterm labor
C) Abruptio placentae
D) Round ligament pain
Correct Answer: Abruptio placentae
Rationale: Abruptio placentae is the premature separation of the placenta,
presenting with painful dark bleeding and uterine rigidity. It is an obstetric
emergency requiring immediate delivery.
6. Following a 1‑hour glucose challenge test result of 155 mg/dL at 28 weeks,
the nurse anticipates:
A) Immediate insulin therapy
B) Repeat 1‑hour test in one week
C) A 3‑hour oral glucose tolerance test
D) Diagnosis of gestational diabetes
Correct Answer: A 3‑hour oral glucose tolerance test
