NUR 231 Maternal Nursing Exam 2 Practice 2026 UPDATE
1. A client is 16 weeks pregnant and has a history of one spontaneous abortion at 10 weeks,
one birth at 38 weeks, and one birth at 34 weeks. Both children are alive. Using the GTPAL
system, how should the nurse document this?
A. G3, T2, P0, A1, L2
B. G4, T1, P1, A1, L2
C. G4, T2, P1, A0, L2
D. G3, T1, P1, A1, L2
Answer: B
Rationale: G (Gravida) = 4 (current + 3 previous); T (Term) = 1 (38 weeks); P (Preterm) =
1 (34 weeks); A (Abortion) = 1 (10 weeks); L (Living) = 2.
2. Using Naegele’s Rule, what is the Estimated Date of Delivery (EDD) for a client whose Last
Menstrual Period (LMP) began on March 15?
A. December 22
B. December 8
C. January 22
D. November 22
Answer: A
,Rationale: Naegele’s Rule: Subtract 3 months from the first day of LMP and add 7 days.
March 15 minus 3 months is Dec 15, plus 7 days is Dec 22.
3. Which physiological change is considered a ‘probable’ sign of pregnancy?
A. Amenorrhea
B. Fetal heart tones heard by Doppler
C. Quickening
D. Positive pregnancy test
Answer: D
Rationale: A positive pregnancy test is a probable sign. Amenorrhea and quickening are
presumptive. Fetal heart tones are a positive sign.
4. A pregnant client in her second trimester reports feeling dizzy and faint when lying on her
back. Which intervention should the nurse recommend?
A. Drink a glass of orange juice immediately
B. Turn onto the left side
C. Perform deep breathing exercises
D. Increase daily fluid intake
Answer: B
Rationale: Supine hypotensive syndrome occurs when the heavy uterus compresses the
inferior vena cava. Turning to the side relieves the pressure.
, 5. A nurse is teaching a pregnant client about nutrition. Which of the following should the
nurse identify as the recommended weight gain for a client with a normal BMI?
A. 11 to 20 lbs
B. 25 to 35 lbs
C. 15 to 25 lbs
D. 28 to 40 lbs
Answer: B
Rationale: For a woman with a normal BMI (18.5-24.9), the recommended weight gain is
25 to 35 pounds.
6. Which mineral supplement is essential to prevent neural tube defects and should be taken
before and during early pregnancy?
A. Iron
B. Calcium
C. Vitamin C
D. Folic Acid
Answer: D
Rationale: Folic acid (400-800 mcg daily) is crucial in early pregnancy to reduce the risk of
neural tube defects like spina bifida.
1. A client is 16 weeks pregnant and has a history of one spontaneous abortion at 10 weeks,
one birth at 38 weeks, and one birth at 34 weeks. Both children are alive. Using the GTPAL
system, how should the nurse document this?
A. G3, T2, P0, A1, L2
B. G4, T1, P1, A1, L2
C. G4, T2, P1, A0, L2
D. G3, T1, P1, A1, L2
Answer: B
Rationale: G (Gravida) = 4 (current + 3 previous); T (Term) = 1 (38 weeks); P (Preterm) =
1 (34 weeks); A (Abortion) = 1 (10 weeks); L (Living) = 2.
2. Using Naegele’s Rule, what is the Estimated Date of Delivery (EDD) for a client whose Last
Menstrual Period (LMP) began on March 15?
A. December 22
B. December 8
C. January 22
D. November 22
Answer: A
,Rationale: Naegele’s Rule: Subtract 3 months from the first day of LMP and add 7 days.
March 15 minus 3 months is Dec 15, plus 7 days is Dec 22.
3. Which physiological change is considered a ‘probable’ sign of pregnancy?
A. Amenorrhea
B. Fetal heart tones heard by Doppler
C. Quickening
D. Positive pregnancy test
Answer: D
Rationale: A positive pregnancy test is a probable sign. Amenorrhea and quickening are
presumptive. Fetal heart tones are a positive sign.
4. A pregnant client in her second trimester reports feeling dizzy and faint when lying on her
back. Which intervention should the nurse recommend?
A. Drink a glass of orange juice immediately
B. Turn onto the left side
C. Perform deep breathing exercises
D. Increase daily fluid intake
Answer: B
Rationale: Supine hypotensive syndrome occurs when the heavy uterus compresses the
inferior vena cava. Turning to the side relieves the pressure.
, 5. A nurse is teaching a pregnant client about nutrition. Which of the following should the
nurse identify as the recommended weight gain for a client with a normal BMI?
A. 11 to 20 lbs
B. 25 to 35 lbs
C. 15 to 25 lbs
D. 28 to 40 lbs
Answer: B
Rationale: For a woman with a normal BMI (18.5-24.9), the recommended weight gain is
25 to 35 pounds.
6. Which mineral supplement is essential to prevent neural tube defects and should be taken
before and during early pregnancy?
A. Iron
B. Calcium
C. Vitamin C
D. Folic Acid
Answer: D
Rationale: Folic acid (400-800 mcg daily) is crucial in early pregnancy to reduce the risk of
neural tube defects like spina bifida.
