NUR 231
Exam 1 Childbearing and Child Caring Family
Exam 1 • Practice Questions & Rationales
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Galen College of Nursing
NUR 231
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NUR 231 Exam 1: Childbearing and Child Caring Family 2026/2027 UPDATE – Galen
1. A nurse is calculating the estimated date of delivery (EDD) using Nagele’s rule for a client
whose last menstrual period (LMP) began on May 10th. Which date is the correct EDD?
A. February 3rd
B. February 10th
C. August 17th
D. February 17th
Answer: D
Rationale: Nagele’s rule involves subtracting 3 months and adding 7 days and 1 year to the
first day of the LMP. May minus 3 months is February; 10 plus 7 days is 17.
2. A client is pregnant for the fourth time. She has one living child born at 39 weeks, one
miscarriage at 12 weeks, and twins born at 34 weeks. What is her GTPAL?
A. G4, T1, P2, A1, L3
B. G3, T2, P1, A0, L3
C. G4, T2, P2, A1, L2
D. G4, T1, P1, A1, L3
Answer: D
, Rationale: G (Gravida) is 4 pregnancies; T (Term) is 1 (39-week birth); P (Preterm) is 1
(twins count as one event/parity, but 2 living children); A (Abortion) is 1 (miscarriage); L
(Living) is 3.
3. During a routine prenatal visit at 24 weeks gestation, which of the following findings
should the nurse report to the provider immediately?
A. Occasional Braxton Hicks contractions
B. Increased vaginal discharge (leukorrhea)
C. Facial edema and blurred vision
D. Fundal height of 24 cm
Answer: C
Rationale: Facial edema and blurred vision are warning signs of preeclampsia and require
immediate assessment. The other findings are common or expected.
4. A nurse is reviewing a client’s lab results during the first trimester. Which result requires
further follow-up?
A. Hgb 11.5 g/dL
B. WBC 10,000/mm3
C. Blood type O positive
D. Negative Rubella titer
Answer: D
Exam 1 Childbearing and Child Caring Family
Exam 1 • Practice Questions & Rationales
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Galen College of Nursing
NUR 231
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NUR 231 Exam 1: Childbearing and Child Caring Family 2026/2027 UPDATE – Galen
1. A nurse is calculating the estimated date of delivery (EDD) using Nagele’s rule for a client
whose last menstrual period (LMP) began on May 10th. Which date is the correct EDD?
A. February 3rd
B. February 10th
C. August 17th
D. February 17th
Answer: D
Rationale: Nagele’s rule involves subtracting 3 months and adding 7 days and 1 year to the
first day of the LMP. May minus 3 months is February; 10 plus 7 days is 17.
2. A client is pregnant for the fourth time. She has one living child born at 39 weeks, one
miscarriage at 12 weeks, and twins born at 34 weeks. What is her GTPAL?
A. G4, T1, P2, A1, L3
B. G3, T2, P1, A0, L3
C. G4, T2, P2, A1, L2
D. G4, T1, P1, A1, L3
Answer: D
, Rationale: G (Gravida) is 4 pregnancies; T (Term) is 1 (39-week birth); P (Preterm) is 1
(twins count as one event/parity, but 2 living children); A (Abortion) is 1 (miscarriage); L
(Living) is 3.
3. During a routine prenatal visit at 24 weeks gestation, which of the following findings
should the nurse report to the provider immediately?
A. Occasional Braxton Hicks contractions
B. Increased vaginal discharge (leukorrhea)
C. Facial edema and blurred vision
D. Fundal height of 24 cm
Answer: C
Rationale: Facial edema and blurred vision are warning signs of preeclampsia and require
immediate assessment. The other findings are common or expected.
4. A nurse is reviewing a client’s lab results during the first trimester. Which result requires
further follow-up?
A. Hgb 11.5 g/dL
B. WBC 10,000/mm3
C. Blood type O positive
D. Negative Rubella titer
Answer: D
