1
NUR 254 Exam 1 Childbearing Child Caring
Families Galen College Official Practice
Exam Actual Exam 2026/2027 with Detailed
Rationales | Complete Exam-Style Questions |
Pass Guaranteed – A+ Graded
TABLE OF CONTENTS
Section 1 | Antepartum Nursing & Prenatal Care | Q1 – Q10
Section 2 | High-Risk Pregnancy & Complications | Q11 – Q20
Section 3 | Intrapartum Nursing | Q21 – Q30
Section 4 | Postpartum Care | Q31 – Q40
Section 5 | Pediatric Growth & Development | Q41 – Q45
Section 6 | NGN-Style Clinical Judgment & Integrated Case Analysis | Q46 – Q50
Instructions: Choose the single best answer. Pass: 74% in 90 minutes.
══════════════════════════════════════
SECTION 1: ANTEPARTUM NURSING & PRENATAL CARE Q1 – Q10
══════════════════════════════════════
Question 1 of 50
A 24-year-old primigravida at 8 weeks gestation presents to the clinic with nausea,
amenorrhea, and breast tenderness. During the pelvic examination, the nurse
observes a bluish-purple coloration of the cervix and vagina. How should the nurse
document this clinical finding?
,2
A. Chadwick's sign ✓ CORRECT
B. Goodell's sign
C. Hegar's sign
D. McDonald's sign
Correct Answer: A
Rationale: Chadwick's sign is a probable sign of pregnancy characterized by a
bluish-purple discoloration of the cervix and vagina due to increased vascularity.
Nausea, amenorrhea, and fatigue are presumptive signs because they are subjective
symptoms experienced by the patient. Differentiating between subjective
presumptive signs and objective probable signs is a common NUR 254 exam
focus.
Question 2 of 50
A patient at her first prenatal visit reports her last menstrual period (LMP) began
on April 1st. Using Naegele's rule, the nurse calculates the estimated date of
delivery as which date?
A. December 8
B. January 8 ✓ CORRECT
C. January 1
D. December 1
Correct Answer: B
Rationale: Naegele's rule calculates the estimated date of delivery by subtracting 3
months from the first day of the last menstrual period and adding 7 days. January 1
,3
would be incorrect because it fails to add the necessary 7 days to the calculation.
Always verify the month subtraction and day addition carefully to avoid arithmetic
traps.
Question 3 of 50
A nurse is providing preconception counseling to a 27-year-old patient. The patient
asks why she needs to start taking a specific supplement before becoming
pregnant. The nurse explains that folic acid supplementation is crucial to prevent
neural tube defects. What is the recommended daily dosage?
A. 100 to 200 micrograms
B. 200 to 400 micrograms
C. 400 to 800 micrograms ✓ CORRECT
D. 800 to 1000 micrograms
Correct Answer: C
Rationale: Folic acid supplementation at 400 to 800 micrograms daily is
recommended before conception and during early pregnancy to prevent neural tube
defects. Lower dosages may not provide adequate protection, while higher dosages
are reserved for patients with specific risk factors. Reinforce this critical prenatal
vitamin standard during early preconception counseling.
Question 4 of 50
During a routine prenatal visit, a nurse measures the fundal height of a patient who
is 28 weeks pregnant. The measurement is 30 cm. Based on standard clinical
guidelines, how should the nurse interpret this finding?
, 4
A. The fundal height is excessively large for gestational age
B. The fundal height indicates intrauterine growth restriction
C. The fundal height requires an immediate ultrasound
D. The fundal height is within the normal expected range ✓ CORRECT
Correct Answer: D
Rationale: Fundal height in centimeters should closely match the gestational age in
weeks, plus or minus 2 cm, making 26 to 30 cm an expected finding at 28 weeks.
A measurement of 24 cm might indicate intrauterine growth restriction, while 34
cm could suggest polyhydramnios or multiple gestation. Documenting within the
normal range prevents unnecessary immediate panic.
Question 5 of 50
An 18-year-old primigravida at 19 weeks gestation calls the clinic to report feeling
a fluttering sensation in her abdomen. The nurse recognizes this as the maternal
perception of fetal movement. How is this occurrence clinically documented?
A. Quickening ✓ CORRECT
B. Lightening
C. Ballotment
D. Engagement
Correct Answer: A
Rationale: Quickening is the term for the maternal perception of fetal movement,
typically occurring between 18 and 20 weeks for a primigravida. Lightening refers
to the fetal descent into the pelvis near term, while ballotment is an objective
NUR 254 Exam 1 Childbearing Child Caring
Families Galen College Official Practice
Exam Actual Exam 2026/2027 with Detailed
Rationales | Complete Exam-Style Questions |
Pass Guaranteed – A+ Graded
TABLE OF CONTENTS
Section 1 | Antepartum Nursing & Prenatal Care | Q1 – Q10
Section 2 | High-Risk Pregnancy & Complications | Q11 – Q20
Section 3 | Intrapartum Nursing | Q21 – Q30
Section 4 | Postpartum Care | Q31 – Q40
Section 5 | Pediatric Growth & Development | Q41 – Q45
Section 6 | NGN-Style Clinical Judgment & Integrated Case Analysis | Q46 – Q50
Instructions: Choose the single best answer. Pass: 74% in 90 minutes.
══════════════════════════════════════
SECTION 1: ANTEPARTUM NURSING & PRENATAL CARE Q1 – Q10
══════════════════════════════════════
Question 1 of 50
A 24-year-old primigravida at 8 weeks gestation presents to the clinic with nausea,
amenorrhea, and breast tenderness. During the pelvic examination, the nurse
observes a bluish-purple coloration of the cervix and vagina. How should the nurse
document this clinical finding?
,2
A. Chadwick's sign ✓ CORRECT
B. Goodell's sign
C. Hegar's sign
D. McDonald's sign
Correct Answer: A
Rationale: Chadwick's sign is a probable sign of pregnancy characterized by a
bluish-purple discoloration of the cervix and vagina due to increased vascularity.
Nausea, amenorrhea, and fatigue are presumptive signs because they are subjective
symptoms experienced by the patient. Differentiating between subjective
presumptive signs and objective probable signs is a common NUR 254 exam
focus.
Question 2 of 50
A patient at her first prenatal visit reports her last menstrual period (LMP) began
on April 1st. Using Naegele's rule, the nurse calculates the estimated date of
delivery as which date?
A. December 8
B. January 8 ✓ CORRECT
C. January 1
D. December 1
Correct Answer: B
Rationale: Naegele's rule calculates the estimated date of delivery by subtracting 3
months from the first day of the last menstrual period and adding 7 days. January 1
,3
would be incorrect because it fails to add the necessary 7 days to the calculation.
Always verify the month subtraction and day addition carefully to avoid arithmetic
traps.
Question 3 of 50
A nurse is providing preconception counseling to a 27-year-old patient. The patient
asks why she needs to start taking a specific supplement before becoming
pregnant. The nurse explains that folic acid supplementation is crucial to prevent
neural tube defects. What is the recommended daily dosage?
A. 100 to 200 micrograms
B. 200 to 400 micrograms
C. 400 to 800 micrograms ✓ CORRECT
D. 800 to 1000 micrograms
Correct Answer: C
Rationale: Folic acid supplementation at 400 to 800 micrograms daily is
recommended before conception and during early pregnancy to prevent neural tube
defects. Lower dosages may not provide adequate protection, while higher dosages
are reserved for patients with specific risk factors. Reinforce this critical prenatal
vitamin standard during early preconception counseling.
Question 4 of 50
During a routine prenatal visit, a nurse measures the fundal height of a patient who
is 28 weeks pregnant. The measurement is 30 cm. Based on standard clinical
guidelines, how should the nurse interpret this finding?
, 4
A. The fundal height is excessively large for gestational age
B. The fundal height indicates intrauterine growth restriction
C. The fundal height requires an immediate ultrasound
D. The fundal height is within the normal expected range ✓ CORRECT
Correct Answer: D
Rationale: Fundal height in centimeters should closely match the gestational age in
weeks, plus or minus 2 cm, making 26 to 30 cm an expected finding at 28 weeks.
A measurement of 24 cm might indicate intrauterine growth restriction, while 34
cm could suggest polyhydramnios or multiple gestation. Documenting within the
normal range prevents unnecessary immediate panic.
Question 5 of 50
An 18-year-old primigravida at 19 weeks gestation calls the clinic to report feeling
a fluttering sensation in her abdomen. The nurse recognizes this as the maternal
perception of fetal movement. How is this occurrence clinically documented?
A. Quickening ✓ CORRECT
B. Lightening
C. Ballotment
D. Engagement
Correct Answer: A
Rationale: Quickening is the term for the maternal perception of fetal movement,
typically occurring between 18 and 20 weeks for a primigravida. Lightening refers
to the fetal descent into the pelvis near term, while ballotment is an objective
