NUR 231 Maternal Nursing Exam 2 Practice 2026 UPDATE 2026 Update • Verified Answers
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NUR 231 Maternal Nursing Exam 2 Practice 2026
UPDATE
Actual Exam Questions & Verified Answers
with Detailed Rationales
Document Type: Exam (Elaborations)
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Full Rationales
Status: Verified & Updated for 2026
Exam (Elaborations) • Actual Questions & Rationales Page 1
,NUR 231 Maternal Nursing Exam 2 Practice 2026 UPDATE 2026 Update • Verified Answers
Questions & Verified Answers
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. Recognizing this principle allows the nurse to prioritize care, anticipate
complications, and provide accurate patient education. Exam questions often test the ability to distinguish this
concept from closely related distractors, making a clear rationale essential for mastery.
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. for a client whose Last Menstrual Period (LMP) began on March 15?
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. Recognizing this principle allows the nurse to prioritize care,
anticipate complications, and provide accurate patient education. Exam questions often test the ability to
distinguish this concept from closely related distractors, making a clear rationale essential for mastery.
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. Recognizing this principle allows the nurse to prioritize care, anticipate
complications, and provide accurate patient education. Exam questions often test the ability to distinguish this
concept from closely related distractors, making a clear rationale essential for mastery.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, NUR 231 Maternal Nursing Exam 2 Practice 2026 UPDATE 2026 Update • Verified Answers
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. Applying this knowledge in clinical settings supports safe,
evidence-based practice and improves patient outcomes. This is an important clinical concept because
selecting the correct answer (B) requires understanding both the pathophysiology and the practical nursing
implications.
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.
Recognizing this principle allows the nurse to prioritize care, anticipate complications, and provide accurate
patient education. Exam questions often test the ability to distinguish this concept from closely related
distractors, making a clear rationale essential for mastery.
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. This is an important clinical concept because selecting the correct answer (D) requires
understanding both the pathophysiology and the practical nursing implications. Recognizing this principle
allows the nurse to prioritize care, anticipate complications, and provide accurate patient education.
Exam (Elaborations) • Actual Questions & Rationales Page 3
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NUR 231 Maternal Nursing Exam 2 Practice 2026
UPDATE
Actual Exam Questions & Verified Answers
with Detailed Rationales
Document Type: Exam (Elaborations)
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Full Rationales
Status: Verified & Updated for 2026
Exam (Elaborations) • Actual Questions & Rationales Page 1
,NUR 231 Maternal Nursing Exam 2 Practice 2026 UPDATE 2026 Update • Verified Answers
Questions & Verified Answers
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. Recognizing this principle allows the nurse to prioritize care, anticipate
complications, and provide accurate patient education. Exam questions often test the ability to distinguish this
concept from closely related distractors, making a clear rationale essential for mastery.
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. for a client whose Last Menstrual Period (LMP) began on March 15?
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. Recognizing this principle allows the nurse to prioritize care,
anticipate complications, and provide accurate patient education. Exam questions often test the ability to
distinguish this concept from closely related distractors, making a clear rationale essential for mastery.
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. Recognizing this principle allows the nurse to prioritize care, anticipate
complications, and provide accurate patient education. Exam questions often test the ability to distinguish this
concept from closely related distractors, making a clear rationale essential for mastery.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, NUR 231 Maternal Nursing Exam 2 Practice 2026 UPDATE 2026 Update • Verified Answers
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. Applying this knowledge in clinical settings supports safe,
evidence-based practice and improves patient outcomes. This is an important clinical concept because
selecting the correct answer (B) requires understanding both the pathophysiology and the practical nursing
implications.
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.
Recognizing this principle allows the nurse to prioritize care, anticipate complications, and provide accurate
patient education. Exam questions often test the ability to distinguish this concept from closely related
distractors, making a clear rationale essential for mastery.
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. This is an important clinical concept because selecting the correct answer (D) requires
understanding both the pathophysiology and the practical nursing implications. Recognizing this principle
allows the nurse to prioritize care, anticipate complications, and provide accurate patient education.
Exam (Elaborations) • Actual Questions & Rationales Page 3
