NUR 230 Exam 2 – Galen OB/Peds Practice Quiz 2026 UPDATE
1. A pregnant client’s last menstrual period began on October 10th. Using Naegele’s rule,
what is the estimated date of delivery (EDD)?
A. July 10th
B. June 17th
C. January 17th
D. July 17th
Answer: D
Rationale: Naegele’s rule is calculated by subtracting 3 months from the first day of the
last menstrual period and adding 7 days and 1 year.
2. A nurse is reviewing the GTPAL of a client who is currently pregnant, has a 5-year-old born
at 38 weeks, and had a miscarriage at 10 weeks. What is the correct documentation?
A. G3 T1 P0 A1 L1
B. G2 T1 P0 A1 L1
C. G3 T0 P1 A1 L1
D. G2 T1 P1 A0 L1
Answer: A
,Rationale: G (Gravida) is 3 (current, 5-year-old, miscarriage). T (Term) is 1 (38 weeks). P
(Preterm) is 0. A (Abortion/Miscarriage) is 1. L (Living) is 1.
3. During a contraction stress test, the nurse observes late decelerations with more than 50%
of the contractions. How should this be interpreted?
A. Positive (Abnormal)
B. Negative (Normal)
C. Equivocal
D. Unsatisfactory
Answer: A
Rationale: A positive CST indicates late decelerations occur with 50% or more of
contractions, suggesting uteroplacental insufficiency.
4. A client at 32 weeks gestation presents with painless, bright red vaginal bleeding. Which
condition should the nurse suspect?
A. Abruptio placentae
B. Preeclampsia
C. Placenta previa
D. Ectopic pregnancy
Answer: C
, Rationale: Painless, bright red bleeding in the third trimester is a classic sign of placenta
previa. Abruptio placentae usually involves painful, dark red bleeding.
5. What is the primary goal of administering Magnesium Sulfate to a client with
preeclampsia?
A. To lower blood pressure
B. To prevent seizures
C. To increase urine output
D. To induce labor
Answer: B
Rationale: Magnesium Sulfate is used in preeclampsia primarily as a CNS depressant to
prevent eclampsia (seizures).
6. A nurse notes a repetitive pattern of variable decelerations on the fetal heart rate monitor.
What is the priority nursing action?
A. Administer oxygen via face mask
B. Change the maternal position
C. Increase the IV fluid rate
D. Prepare for immediate Cesarean section
Answer: B
1. A pregnant client’s last menstrual period began on October 10th. Using Naegele’s rule,
what is the estimated date of delivery (EDD)?
A. July 10th
B. June 17th
C. January 17th
D. July 17th
Answer: D
Rationale: Naegele’s rule is calculated by subtracting 3 months from the first day of the
last menstrual period and adding 7 days and 1 year.
2. A nurse is reviewing the GTPAL of a client who is currently pregnant, has a 5-year-old born
at 38 weeks, and had a miscarriage at 10 weeks. What is the correct documentation?
A. G3 T1 P0 A1 L1
B. G2 T1 P0 A1 L1
C. G3 T0 P1 A1 L1
D. G2 T1 P1 A0 L1
Answer: A
,Rationale: G (Gravida) is 3 (current, 5-year-old, miscarriage). T (Term) is 1 (38 weeks). P
(Preterm) is 0. A (Abortion/Miscarriage) is 1. L (Living) is 1.
3. During a contraction stress test, the nurse observes late decelerations with more than 50%
of the contractions. How should this be interpreted?
A. Positive (Abnormal)
B. Negative (Normal)
C. Equivocal
D. Unsatisfactory
Answer: A
Rationale: A positive CST indicates late decelerations occur with 50% or more of
contractions, suggesting uteroplacental insufficiency.
4. A client at 32 weeks gestation presents with painless, bright red vaginal bleeding. Which
condition should the nurse suspect?
A. Abruptio placentae
B. Preeclampsia
C. Placenta previa
D. Ectopic pregnancy
Answer: C
, Rationale: Painless, bright red bleeding in the third trimester is a classic sign of placenta
previa. Abruptio placentae usually involves painful, dark red bleeding.
5. What is the primary goal of administering Magnesium Sulfate to a client with
preeclampsia?
A. To lower blood pressure
B. To prevent seizures
C. To increase urine output
D. To induce labor
Answer: B
Rationale: Magnesium Sulfate is used in preeclampsia primarily as a CNS depressant to
prevent eclampsia (seizures).
6. A nurse notes a repetitive pattern of variable decelerations on the fetal heart rate monitor.
What is the priority nursing action?
A. Administer oxygen via face mask
B. Change the maternal position
C. Increase the IV fluid rate
D. Prepare for immediate Cesarean section
Answer: B
