NUR 230
EXAM 1
OB/Peds
50 Actual Questions w/Correct Answers
Galen College of Nursing
What you Will Get:
• 50 verified questions
• Correct answers with Rationales.
• Ideal for exam preparation and concept
reinforcement.
,1. The nurse is teaching a client who is in the 10th week of pregnancy about
morning sickness. Which of the following should the nurse include in the
teaching?
A. Eat small, frequent meals throughout the day
B. Avoid all fluids during meals to prevent nausea
C. Take antiemetic medication immediately upon waking
D. Increase intake of spicy and fatty foods to settle the stomach
Correct Answer:
A. Eat small, frequent meals throughout the day
Expert Rationale:
Small, frequent meals help prevent an empty stomach, which can worsen nausea
during early pregnancy. The client should avoid spicy and fatty foods, keep
crackers at the bedside before rising, and maintain hydration. Antiemetics are not
first-line unless prescribed for severe symptoms.
2. The nurse is teaching a client about symptoms to report during pregnancy.
Which statement by the client indicates correct understanding?
A. “I’ll report increased frequency of urination.”
B. “Nausea should be reported immediately.”
C. “If I have any fluid leaking from my vagina, I must call the clinic immediately.”
D. “If I feel tired after resting, I should report it immediately.”
Correct Answer:
C. “If I have any fluid leaking from my vagina, I must call the clinic immediately.”
Expert Rationale:
Vaginal fluid leakage may indicate rupture of membranes, which increases the risk
for infection or preterm labor and requires prompt evaluation. Urinary frequency,
,mild nausea, and fatigue are common pregnancy discomforts unless severe or
accompanied by danger signs.
3. The charge nurse is discussing probable signs of pregnancy with a newly hired
nurse. Which finding is a probable sign of pregnancy?
A. Fetal heart rate detected by Doppler
B. Goodell sign
C. Breast tenderness
D. Negative serum pregnancy test
Correct Answer:
B. Goodell sign
Expert Rationale:
Goodell sign is softening of the cervix and is considered a probable sign of
pregnancy. Breast tenderness is a presumptive sign. Fetal heart rate detection is a
positive sign of pregnancy. A negative pregnancy test does not support pregnancy.
4. The nurse is preparing to teach a client about physiological changes during
pregnancy. Which change should the nurse identify as increased during
pregnancy?
A. Gastrointestinal contractility
B. Blood pressure
C. Systemic vascular resistance
D. Cardiac output
Correct Answer:
D. Cardiac output
Expert Rationale:
Cardiac output increases during pregnancy to meet the increased metabolic needs
of the mother and fetus. Gastrointestinal motility decreases, contributing to
,constipation. Blood pressure often stays the same or slightly decreases during
mid-pregnancy due to decreased systemic vascular resistance.
5. The nurse has provided dietary teaching for a pregnant client with iron-
deficiency anemia. Which meal choice indicates understanding?
A. Red beans with whole grain and mixed greens
B. Toasted cheese sandwich with celery sticks
C. Oatmeal, whole wheat toast, and jelly
D. Chicken salad sandwich with almonds and raisins
Correct Answer:
A. Red beans with whole grain and mixed greens
Expert Rationale:
Red beans and leafy greens provide non-heme iron, and greens may also provide
vitamin C, which improves iron absorption. Cheese and dairy can interfere with
iron absorption. The other meals provide less iron or lack strong iron-supporting
components.
6. The nurse is teaching a client who is 18 weeks pregnant about preparing her
7-year-old daughter for a new sibling. Which recommendation is best based on
the child’s age?
A. “Wait to discuss the birth until your daughter asks about it.”
B. “Use your pregnancy as a way to begin basic human sexuality teaching.”
C. “Teach your daughter how to hold and talk to the baby using her favorite doll.”
D. “Avoid discussing the baby until closer to delivery.”
Correct Answer:
C. “Teach your daughter how to hold and talk to the baby using her favorite
doll.”
Expert Rationale:
, A 7-year-old school-age child benefits from concrete, age-appropriate
involvement. Practicing with a doll can decrease anxiety and help the child feel
included in the new sibling’s arrival.
7. The nurse is caring for a client who states, “I think I am pregnant.” The first
day of the client’s LMP was October 1. Using Naegele’s rule, what is the
estimated date of delivery?
A. September 24
B. July 8
C. June 24
D. August 8
Correct Answer:
B. July 8
Expert Rationale:
Naegele’s rule is calculated by subtracting 3 months from the first day of the last
menstrual period, adding 7 days, and adding 1 year. October 1 minus 3 months is
July 1; adding 7 days gives July 8.
8. The nurse is caring for a pregnant client recently diagnosed with pica. Which
hemoglobin level would the nurse most likely expect in the client’s chart?
A. 12 g/dL
B. 16 g/dL
C. 20 g/dL
D. 8 g/dL
Correct Answer:
D. 8 g/dL
Expert Rationale:
EXAM 1
OB/Peds
50 Actual Questions w/Correct Answers
Galen College of Nursing
What you Will Get:
• 50 verified questions
• Correct answers with Rationales.
• Ideal for exam preparation and concept
reinforcement.
,1. The nurse is teaching a client who is in the 10th week of pregnancy about
morning sickness. Which of the following should the nurse include in the
teaching?
A. Eat small, frequent meals throughout the day
B. Avoid all fluids during meals to prevent nausea
C. Take antiemetic medication immediately upon waking
D. Increase intake of spicy and fatty foods to settle the stomach
Correct Answer:
A. Eat small, frequent meals throughout the day
Expert Rationale:
Small, frequent meals help prevent an empty stomach, which can worsen nausea
during early pregnancy. The client should avoid spicy and fatty foods, keep
crackers at the bedside before rising, and maintain hydration. Antiemetics are not
first-line unless prescribed for severe symptoms.
2. The nurse is teaching a client about symptoms to report during pregnancy.
Which statement by the client indicates correct understanding?
A. “I’ll report increased frequency of urination.”
B. “Nausea should be reported immediately.”
C. “If I have any fluid leaking from my vagina, I must call the clinic immediately.”
D. “If I feel tired after resting, I should report it immediately.”
Correct Answer:
C. “If I have any fluid leaking from my vagina, I must call the clinic immediately.”
Expert Rationale:
Vaginal fluid leakage may indicate rupture of membranes, which increases the risk
for infection or preterm labor and requires prompt evaluation. Urinary frequency,
,mild nausea, and fatigue are common pregnancy discomforts unless severe or
accompanied by danger signs.
3. The charge nurse is discussing probable signs of pregnancy with a newly hired
nurse. Which finding is a probable sign of pregnancy?
A. Fetal heart rate detected by Doppler
B. Goodell sign
C. Breast tenderness
D. Negative serum pregnancy test
Correct Answer:
B. Goodell sign
Expert Rationale:
Goodell sign is softening of the cervix and is considered a probable sign of
pregnancy. Breast tenderness is a presumptive sign. Fetal heart rate detection is a
positive sign of pregnancy. A negative pregnancy test does not support pregnancy.
4. The nurse is preparing to teach a client about physiological changes during
pregnancy. Which change should the nurse identify as increased during
pregnancy?
A. Gastrointestinal contractility
B. Blood pressure
C. Systemic vascular resistance
D. Cardiac output
Correct Answer:
D. Cardiac output
Expert Rationale:
Cardiac output increases during pregnancy to meet the increased metabolic needs
of the mother and fetus. Gastrointestinal motility decreases, contributing to
,constipation. Blood pressure often stays the same or slightly decreases during
mid-pregnancy due to decreased systemic vascular resistance.
5. The nurse has provided dietary teaching for a pregnant client with iron-
deficiency anemia. Which meal choice indicates understanding?
A. Red beans with whole grain and mixed greens
B. Toasted cheese sandwich with celery sticks
C. Oatmeal, whole wheat toast, and jelly
D. Chicken salad sandwich with almonds and raisins
Correct Answer:
A. Red beans with whole grain and mixed greens
Expert Rationale:
Red beans and leafy greens provide non-heme iron, and greens may also provide
vitamin C, which improves iron absorption. Cheese and dairy can interfere with
iron absorption. The other meals provide less iron or lack strong iron-supporting
components.
6. The nurse is teaching a client who is 18 weeks pregnant about preparing her
7-year-old daughter for a new sibling. Which recommendation is best based on
the child’s age?
A. “Wait to discuss the birth until your daughter asks about it.”
B. “Use your pregnancy as a way to begin basic human sexuality teaching.”
C. “Teach your daughter how to hold and talk to the baby using her favorite doll.”
D. “Avoid discussing the baby until closer to delivery.”
Correct Answer:
C. “Teach your daughter how to hold and talk to the baby using her favorite
doll.”
Expert Rationale:
, A 7-year-old school-age child benefits from concrete, age-appropriate
involvement. Practicing with a doll can decrease anxiety and help the child feel
included in the new sibling’s arrival.
7. The nurse is caring for a client who states, “I think I am pregnant.” The first
day of the client’s LMP was October 1. Using Naegele’s rule, what is the
estimated date of delivery?
A. September 24
B. July 8
C. June 24
D. August 8
Correct Answer:
B. July 8
Expert Rationale:
Naegele’s rule is calculated by subtracting 3 months from the first day of the last
menstrual period, adding 7 days, and adding 1 year. October 1 minus 3 months is
July 1; adding 7 days gives July 8.
8. The nurse is caring for a pregnant client recently diagnosed with pica. Which
hemoglobin level would the nurse most likely expect in the client’s chart?
A. 12 g/dL
B. 16 g/dL
C. 20 g/dL
D. 8 g/dL
Correct Answer:
D. 8 g/dL
Expert Rationale:
