,NUR 231 Exam 1 The Childbearing Family Questions And Answers
2026/2027 Galen College
Q1. Which physiologic change is expected during a normal
pregnancy?
A) Decreased cardiac output
B) Decreased circulating blood volume
C) Increased cardiac output
D) Persistent severe hypertension
Correct Answer: C) Increased cardiac output
Rationale: Maternal cardiac output increases during pregnancy to meet the
metabolic demands of the mother, uterus, placenta, and developing fetus.
Q2. Which cardiovascular finding is generally expected during
pregnancy?
A) Persistent severe hypertension
B) Markedly decreased blood volume
C) Complete absence of peripheral vasodilation
D) A slight reduction in blood pressure during part of pregnancy
Correct Answer: D) A slight reduction in blood pressure during part of
pregnancy
Rationale: Systemic vascular resistance normally decreases during
pregnancy, so blood pressure may fall somewhat during the first and second
trimesters before returning toward the prepregnancy range later.
Q3. A client reports that her last menstrual period began on
February 8. Using Naegele's rule, what is the estimated date of
delivery?
A) November 15
B) December 1
C) November 1
D) December 15
Correct Answer: A) November 15
Rationale: Naegele's rule uses the first day of the LMP, subtracts 3 months,
and adds 7 days and 1 year when appropriate. February 8 becomes
November 15.
, Q4. Which finding is a presumptive sign of pregnancy?
A) Amenorrhea
B) Fetal heart tones heard by Doppler
C) Fetus visualized by ultrasound
D) Fetal movement palpated by the examiner
Correct Answer: A) Amenorrhea
Rationale: Presumptive signs are symptoms experienced by the client, such
as amenorrhea, nausea, fatigue, and breast changes. Positive signs are
directly attributable to the fetus.
Q5. Which finding is considered a positive sign of pregnancy?
A) Positive urine pregnancy test
B) Chadwick sign
C) Fetal heart activity detected by the examiner
D) Breast tenderness
Correct Answer: C) Fetal heart activity detected by the examiner
Rationale: Positive signs directly demonstrate the presence of a fetus and
include fetal heart activity, visualization of the fetus, and fetal movement
palpated by an examiner.
Q6. A client at 18 weeks' gestation reports feeling the fetus move
for the first time. What is this experience called?
A) Engagement
B) Ballottement
C) Quickening
D) Lightening
Correct Answer: C) Quickening
Rationale: Quickening is the mother's first perception of fetal movement
and commonly occurs during the second trimester.
Q7. Which physical finding is classified as a probable sign of
pregnancy?
A) Quickening felt by the mother
B) Fetal heart tones heard by Doppler
C) Fetus visualized by ultrasound
D) Goodell sign
2026/2027 Galen College
Q1. Which physiologic change is expected during a normal
pregnancy?
A) Decreased cardiac output
B) Decreased circulating blood volume
C) Increased cardiac output
D) Persistent severe hypertension
Correct Answer: C) Increased cardiac output
Rationale: Maternal cardiac output increases during pregnancy to meet the
metabolic demands of the mother, uterus, placenta, and developing fetus.
Q2. Which cardiovascular finding is generally expected during
pregnancy?
A) Persistent severe hypertension
B) Markedly decreased blood volume
C) Complete absence of peripheral vasodilation
D) A slight reduction in blood pressure during part of pregnancy
Correct Answer: D) A slight reduction in blood pressure during part of
pregnancy
Rationale: Systemic vascular resistance normally decreases during
pregnancy, so blood pressure may fall somewhat during the first and second
trimesters before returning toward the prepregnancy range later.
Q3. A client reports that her last menstrual period began on
February 8. Using Naegele's rule, what is the estimated date of
delivery?
A) November 15
B) December 1
C) November 1
D) December 15
Correct Answer: A) November 15
Rationale: Naegele's rule uses the first day of the LMP, subtracts 3 months,
and adds 7 days and 1 year when appropriate. February 8 becomes
November 15.
, Q4. Which finding is a presumptive sign of pregnancy?
A) Amenorrhea
B) Fetal heart tones heard by Doppler
C) Fetus visualized by ultrasound
D) Fetal movement palpated by the examiner
Correct Answer: A) Amenorrhea
Rationale: Presumptive signs are symptoms experienced by the client, such
as amenorrhea, nausea, fatigue, and breast changes. Positive signs are
directly attributable to the fetus.
Q5. Which finding is considered a positive sign of pregnancy?
A) Positive urine pregnancy test
B) Chadwick sign
C) Fetal heart activity detected by the examiner
D) Breast tenderness
Correct Answer: C) Fetal heart activity detected by the examiner
Rationale: Positive signs directly demonstrate the presence of a fetus and
include fetal heart activity, visualization of the fetus, and fetal movement
palpated by an examiner.
Q6. A client at 18 weeks' gestation reports feeling the fetus move
for the first time. What is this experience called?
A) Engagement
B) Ballottement
C) Quickening
D) Lightening
Correct Answer: C) Quickening
Rationale: Quickening is the mother's first perception of fetal movement
and commonly occurs during the second trimester.
Q7. Which physical finding is classified as a probable sign of
pregnancy?
A) Quickening felt by the mother
B) Fetal heart tones heard by Doppler
C) Fetus visualized by ultrasound
D) Goodell sign
