,NR 602 Midterm Exam | Primary Care: Childbearing &
Childrearing (2026) Q&A | Chamberlain
1. A client at 10 weeks' gestation reports amenorrhea, nausea, and breast tenderness. How
should the nurse document these findings?
A) Positive signs of pregnancy
B) Probable signs of pregnancy
C) Presumptive signs of pregnancy
D) Diagnostic signs of pregnancy
Correct Answer: Presumptive signs of pregnancy
Rationale: Presumptive signs are subjective symptoms reported by the client, such as
amenorrhea, nausea, breast tenderness, and fatigue. They suggest pregnancy but do not
confirm it, as other conditions can cause these symptoms. Probable signs are objective
findings noted on examination, while positive signs definitively confirm pregnancy.
2. A nurse palpates the uterine fundus at the level of the umbilicus. What gestational age
does this finding suggest?
A) 12 weeks
B) 16 weeks
C) 20 weeks
D) 24 weeks
,Correct Answer: 20 weeks
Rationale: A fundal height at the level of the umbilicus is a classic landmark for 20 weeks'
gestation. At 12 weeks, the fundus is at the symphysis pubis. At 16 weeks, it is midway
between the symphysis pubis and the umbilicus. This measurement helps assess fetal growth
and gestational age.
3. A client's last menstrual period began on May 10. Using Naegele's rule, what is the
estimated date of delivery?
A) February 3
B) February 17
C) February 20
D) February 24
Correct Answer: February 17
Rationale: Naegele's rule involves adding seven days to the first day of the last menstrual
period (May 17), subtracting three months (February 17), and adding one year if necessary.
This calculation provides the estimated date of delivery. It assumes a 28-day menstrual cycle
and ovulation on day 14.
4. Which hormone surge directly triggers ovulation?
A) Estrogen
, B) Follicle-stimulating hormone
C) Gonadotropin-releasing hormone
D) Luteinizing hormone
Correct Answer: Luteinizing hormone
Rationale: A surge in luteinizing hormone (LH) from the anterior pituitary is the direct
trigger for ovulation, typically occurring mid-cycle. Estrogen peaks before the LH surge, while
FSH stimulates follicular growth. GnRH from the hypothalamus regulates the release of FSH
and LH.
5. During a pelvic assessment, the nurse notes a rounded, oval inlet and straight side walls.
Which pelvic type is this?
A) Android
B) Anthropoid
C) Gynecoid
D) Platypelloid
Correct Answer: Gynecoid
Rationale: The gynecoid pelvis has a rounded, oval inlet and straight side walls. It is the
most common pelvic type and is favorable for vaginal birth. The android pelvis is heart-
shaped, the anthropoid is oval and long, and the platypelloid is flat and wide.
6. Which vaccine is safe to administer during pregnancy?
Childrearing (2026) Q&A | Chamberlain
1. A client at 10 weeks' gestation reports amenorrhea, nausea, and breast tenderness. How
should the nurse document these findings?
A) Positive signs of pregnancy
B) Probable signs of pregnancy
C) Presumptive signs of pregnancy
D) Diagnostic signs of pregnancy
Correct Answer: Presumptive signs of pregnancy
Rationale: Presumptive signs are subjective symptoms reported by the client, such as
amenorrhea, nausea, breast tenderness, and fatigue. They suggest pregnancy but do not
confirm it, as other conditions can cause these symptoms. Probable signs are objective
findings noted on examination, while positive signs definitively confirm pregnancy.
2. A nurse palpates the uterine fundus at the level of the umbilicus. What gestational age
does this finding suggest?
A) 12 weeks
B) 16 weeks
C) 20 weeks
D) 24 weeks
,Correct Answer: 20 weeks
Rationale: A fundal height at the level of the umbilicus is a classic landmark for 20 weeks'
gestation. At 12 weeks, the fundus is at the symphysis pubis. At 16 weeks, it is midway
between the symphysis pubis and the umbilicus. This measurement helps assess fetal growth
and gestational age.
3. A client's last menstrual period began on May 10. Using Naegele's rule, what is the
estimated date of delivery?
A) February 3
B) February 17
C) February 20
D) February 24
Correct Answer: February 17
Rationale: Naegele's rule involves adding seven days to the first day of the last menstrual
period (May 17), subtracting three months (February 17), and adding one year if necessary.
This calculation provides the estimated date of delivery. It assumes a 28-day menstrual cycle
and ovulation on day 14.
4. Which hormone surge directly triggers ovulation?
A) Estrogen
, B) Follicle-stimulating hormone
C) Gonadotropin-releasing hormone
D) Luteinizing hormone
Correct Answer: Luteinizing hormone
Rationale: A surge in luteinizing hormone (LH) from the anterior pituitary is the direct
trigger for ovulation, typically occurring mid-cycle. Estrogen peaks before the LH surge, while
FSH stimulates follicular growth. GnRH from the hypothalamus regulates the release of FSH
and LH.
5. During a pelvic assessment, the nurse notes a rounded, oval inlet and straight side walls.
Which pelvic type is this?
A) Android
B) Anthropoid
C) Gynecoid
D) Platypelloid
Correct Answer: Gynecoid
Rationale: The gynecoid pelvis has a rounded, oval inlet and straight side walls. It is the
most common pelvic type and is favorable for vaginal birth. The android pelvis is heart-
shaped, the anthropoid is oval and long, and the platypelloid is flat and wide.
6. Which vaccine is safe to administer during pregnancy?
