NUR 230 EXAM 4 (OB/PEDS) |GALEN COLLEGE OF
NURSING | ACTUAL QUESTIONS AND VERIFIED
ANSWERS NEW 2026-2027 UPDATE|PASS
GUARANTEE|GRADED A+
Question 1
Q1: A nurse is calculating the estimated date of birth (EDB) using Naegele's Rule. The
client's last menstrual period (LMP) was May 20, 2025. What is the client's EDB?
A. February 20, 2026
B. February 27, 2026
C. February 13, 2026
D. March 1, 2026
CORRECT ANSWER
Answer: B. February 27, 2026 Rationale:Naegle's Rule = LMP - 3 months + 7 days + 1
year→ May 20, 2025 - 3 months = February 20→ + 7 days = February 27, 2026
Question 2
Q2: A nurse is reviewing the signs of pregnancy with a group of nursing students. Which of
the following are presumptive signs of pregnancy? (Select all that apply)
A. Amenorrhea
B. Positive pregnancy test
C. QuickeningD. Nausea and vomiting
E. Fetal heart sounds on Doppler
F. Fatigue
CORRECT ANSWER
Answers: A, C, D, F
Rationale: Presumptive signs: changes felt by the woman (e.g., amenorrhea, quickening,
fatigue, N/V).
1
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, Probable: positive test.
Positive: Doppler fetal HR.
Question 3
Q3: A nurse is teaching a pregnant client diagnosed with chlamydia. Which of the
following statements should the nurse include in the teaching?
A. "You'll need to wait until delivery to begin treatment."
B. "This infection can increase the risk of preterm labor."
C. "You do not need to treat your partner unless they have symptoms."
D. "You cannot transmit this infection to your newborn."
CORRECT ANSWER
Answer: B Rationale: Chlamydia increases risk for preterm labor and neonatal
conjunctivitis. Treat both partners even if asymptomatic.
Question 4
Q5: During a prenatal visit, a client becomes tearful when the nurse asks about her
relationship. She states her partner yells at her and has threatened to hurt her. What is the
priority action?
A. Notify social services
B. Offer the client a list of shelters
C. Document the client's statement
D. Determine if the client is currently safe
CORRECT ANSWER
Answer: D Rationale: Safety is always the priority. Once safety is ensured, notify
authorities and provide support.
2
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,Question 5
Q6: A nurse is caring for a newborn whose mother used heroin during pregnancy. Which of
the following are expected findings of neonatal abstinence syndrome (NAS)? (Select all
that apply)
A. Hypotonia
B. High-pitched cry
C. Poor feeding
D. Increased sleep
E. Tremors
F. Hyperactive reflexes
CORRECT ANSWER
Answers: B, C, E, F Rationale: NAS includes tremors, high-pitched cry, poor feeding,
hyperreflexia, vomiting, irritability, sneezing, and diarrhea.
Question 6
Q7: A nurse is reviewing the results of a quad screen for a client at 17 weeks gestation.
Which of the following results indicates a possible risk for neural tube defects?
A. Decreased hCG
B. Increased alpha-fetoprotein (AFP)
C. Decreased estriol
D. Increased inhibin A
CORRECT ANSWER
Answer: B Rationale: ↑ AFP is associated with open neural tube defects like spina bifida.
Question 7
Q8: A nurse is teaching a pregnant client about nutritional needs during pregnancy. Which
of the following should the nurse include? (Select all that apply)
3
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, A. Consume 400 mcg of folic acid daily
B. Increase daily calories by 500 kcal in second trimester
C. Avoid unpasteurized milk and soft cheeses
D. Limit fish high in mercury
E. Drink at least 2-3 liters of water daily
CORRECT ANSWER
Answers: A, C, D, E Rationale:
2nd trimester = +340 kcal
3rd trimester = +450 kcal
Avoid mercury (e.g., swordfish), unpasteurized dairy.
Hydration is essential for blood volume and amniotic fluid.
Question 8
Q3: A nurse is caring for a client who is Rh-negative and has just delivered a healthy Rh-
positive newborn. Which of the following actions is appropriate?
A. Administer RhoGAM within 48 hours of delivery
B. Administer RhoGAM to the newborn
C. Withhold RhoGAM because the newborn is healthy
D. Administer RhoGAM to the mother within 72 hours postpartum
CORRECT ANSWER
Answer: D Rationale:Rho(D) immune globulin (RhoGAM) must be given to Rh-negative
mothers who deliver an Rh-positive baby within 72 hours of birth to prevent
isoimmunization.
Question 9
4
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NURSING | ACTUAL QUESTIONS AND VERIFIED
ANSWERS NEW 2026-2027 UPDATE|PASS
GUARANTEE|GRADED A+
Question 1
Q1: A nurse is calculating the estimated date of birth (EDB) using Naegele's Rule. The
client's last menstrual period (LMP) was May 20, 2025. What is the client's EDB?
A. February 20, 2026
B. February 27, 2026
C. February 13, 2026
D. March 1, 2026
CORRECT ANSWER
Answer: B. February 27, 2026 Rationale:Naegle's Rule = LMP - 3 months + 7 days + 1
year→ May 20, 2025 - 3 months = February 20→ + 7 days = February 27, 2026
Question 2
Q2: A nurse is reviewing the signs of pregnancy with a group of nursing students. Which of
the following are presumptive signs of pregnancy? (Select all that apply)
A. Amenorrhea
B. Positive pregnancy test
C. QuickeningD. Nausea and vomiting
E. Fetal heart sounds on Doppler
F. Fatigue
CORRECT ANSWER
Answers: A, C, D, F
Rationale: Presumptive signs: changes felt by the woman (e.g., amenorrhea, quickening,
fatigue, N/V).
1
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, Probable: positive test.
Positive: Doppler fetal HR.
Question 3
Q3: A nurse is teaching a pregnant client diagnosed with chlamydia. Which of the
following statements should the nurse include in the teaching?
A. "You'll need to wait until delivery to begin treatment."
B. "This infection can increase the risk of preterm labor."
C. "You do not need to treat your partner unless they have symptoms."
D. "You cannot transmit this infection to your newborn."
CORRECT ANSWER
Answer: B Rationale: Chlamydia increases risk for preterm labor and neonatal
conjunctivitis. Treat both partners even if asymptomatic.
Question 4
Q5: During a prenatal visit, a client becomes tearful when the nurse asks about her
relationship. She states her partner yells at her and has threatened to hurt her. What is the
priority action?
A. Notify social services
B. Offer the client a list of shelters
C. Document the client's statement
D. Determine if the client is currently safe
CORRECT ANSWER
Answer: D Rationale: Safety is always the priority. Once safety is ensured, notify
authorities and provide support.
2
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,Question 5
Q6: A nurse is caring for a newborn whose mother used heroin during pregnancy. Which of
the following are expected findings of neonatal abstinence syndrome (NAS)? (Select all
that apply)
A. Hypotonia
B. High-pitched cry
C. Poor feeding
D. Increased sleep
E. Tremors
F. Hyperactive reflexes
CORRECT ANSWER
Answers: B, C, E, F Rationale: NAS includes tremors, high-pitched cry, poor feeding,
hyperreflexia, vomiting, irritability, sneezing, and diarrhea.
Question 6
Q7: A nurse is reviewing the results of a quad screen for a client at 17 weeks gestation.
Which of the following results indicates a possible risk for neural tube defects?
A. Decreased hCG
B. Increased alpha-fetoprotein (AFP)
C. Decreased estriol
D. Increased inhibin A
CORRECT ANSWER
Answer: B Rationale: ↑ AFP is associated with open neural tube defects like spina bifida.
Question 7
Q8: A nurse is teaching a pregnant client about nutritional needs during pregnancy. Which
of the following should the nurse include? (Select all that apply)
3
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, A. Consume 400 mcg of folic acid daily
B. Increase daily calories by 500 kcal in second trimester
C. Avoid unpasteurized milk and soft cheeses
D. Limit fish high in mercury
E. Drink at least 2-3 liters of water daily
CORRECT ANSWER
Answers: A, C, D, E Rationale:
2nd trimester = +340 kcal
3rd trimester = +450 kcal
Avoid mercury (e.g., swordfish), unpasteurized dairy.
Hydration is essential for blood volume and amniotic fluid.
Question 8
Q3: A nurse is caring for a client who is Rh-negative and has just delivered a healthy Rh-
positive newborn. Which of the following actions is appropriate?
A. Administer RhoGAM within 48 hours of delivery
B. Administer RhoGAM to the newborn
C. Withhold RhoGAM because the newborn is healthy
D. Administer RhoGAM to the mother within 72 hours postpartum
CORRECT ANSWER
Answer: D Rationale:Rho(D) immune globulin (RhoGAM) must be given to Rh-negative
mothers who deliver an Rh-positive baby within 72 hours of birth to prevent
isoimmunization.
Question 9
4
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