Verified NURSG 125 / N144 Exam 2
Practice Real Questions And Reliable
Answers 2026/2027 Latest Update A+
Guaranteed Pass!!! (MOST RECENT )
Antepartum Care & Prenatal Assessment
1) A woman's obstetric history indicates that she is pregnant for the fourth time. One child was
born at 39 weeks, twins were born at 34 weeks, and another child was born at 35 weeks. All
children are living. What is her GTPAL?
A) 3-1-1-1-3
B) 4-1-2-0-4
C) 3-0-3-0-3
D) 4-2-1-0-4
Correct Answer: B
Using GTPAL: G = 4 (four pregnancies total); T = 1 (one term birth at 39 weeks); P = 2 (two preterm
pregnancies: twins at 34 weeks counted as one pregnancy, and the 35-week birth); A = 0 (no
abortions); L = 4 (four living children) .
2) A woman at 10 weeks of gestation is seen in the prenatal clinic with presumptive signs and
symptoms of pregnancy. Which finding is a presumptive sign?
A) Positive pregnancy test
Page 1 of 78 SUCCESS!!!
,B) Amenorrhea
C) Chadwick's sign
D) Hegar's sign
Correct Answer: B
Presumptive signs are subjective and experienced by the woman, such as amenorrhea, nausea,
breast tenderness, and quickening. A positive pregnancy test, Chadwick's sign, and Hegar's sign are
probable signs detected by the examiner .
3) The nurse teaches a pregnant woman about the presumptive, probable, and positive signs
of pregnancy. The woman demonstrates understanding if she states that a positive sign of
pregnancy is:
A) A positive pregnancy test
B) Fetal movement palpated by the nurse-midwife
C) Braxton Hicks contractions
D) Quickening
Correct Answer: B
Positive signs of pregnancy are attributed to the presence of a fetus, such as hearing the fetal
heartbeat or palpating fetal movement. A positive pregnancy test and Braxton Hicks contractions
are probable signs. Quickening is a presumptive sign .
4) A woman is at 14 weeks of gestation. The nurse would expect to palpate the fundus at which
level?
A) Not palpable above the symphysis at this time
B) Slightly above the symphysis pubis
C) At the level of the umbilicus
D) Midway between the umbilicus and xiphoid process
Correct Answer: B
Page 2 of 78 SUCCESS!!!
,The uterus may be palpated above the symphysis pubis sometime between the twelfth and
fourteenth weeks of pregnancy. The fundus reaches the level of the umbilicus at approximately 22
to 24 weeks .
5) A nurse is calculating the estimated date of delivery using Naegele's rule. The client's last
menstrual period began on March 31. What is the expected date of birth?
A) January 7
B) January 14
C) December 31
D) January 21
Correct Answer: A
Naegele's rule: Subtract 3 months from the first day of the LMP (March 31 → December 31), then add
7 days (December 31 + 7 days = January 7) .
6) A nurse is assessing a client at 32 weeks of gestation. The fundal height measures 27 cm.
Which condition should the nurse suspect?
A) Polyhydramnios
B) Macrosomia
C) Intrauterine growth restriction
D) Multifetal gestation
Correct Answer: C
Between 20 and 36 weeks, fundal height in centimeters should correlate within ±2 cm of the
gestational week. A fundal height of 27 cm at 32 weeks represents a significant negative deviation,
suggesting intrauterine growth restriction. Polyhydramnios and multifetal gestation would produce
fundal heights greater than expected .
7) During a routine first-trimester prenatal exam, a client reports an increase in vaginal
discharge that is white, thin, and watery. What action should the nurse implement?
Page 3 of 78 SUCCESS!!!
, A) Inform her that this is a normal physiological change
B) Notify the healthcare provider immediately
C) Recommend an over-the-counter yeast infection medication
D) Prepare the client for a sterile speculum exam
Correct Answer: A
Leukorrhea (white, thin, watery vaginal discharge) is a normal physiological change during
pregnancy due to increased estrogen and blood flow to the genital area. No treatment is required
unless the discharge changes color, has a foul odor, or is accompanied by itching or burning .
8) A 28-year-old primigravida at 12 weeks' gestation reports mild nausea and vomiting each
morning. Which intervention should the nurse recommend first?
A) Eating small, frequent meals containing dry carbohydrates
B) Taking antiemetic medication before rising
C) Restricting oral fluids to prevent vomiting
D) Scheduling an immediate ultrasound to rule out molar pregnancy
Correct Answer: A
First-line management for mild nausea and vomiting of pregnancy includes dietary modifications
such as eating small, frequent meals containing dry carbohydrates (e.g., crackers) before rising.
Pharmacologic therapy is reserved for cases that do not respond to dietary changes .
Fetal Development & Diagnostic Testing
9) The placenta functions as an endocrine gland during pregnancy. Which hormone is
produced by the placenta to maintain the corpus luteum?
A) Oxytocin
B) Prolactin
C) Human chorionic gonadotropin (hCG)
D) Luteinizing hormone (LH)
Correct Answer: C
Page 4 of 78 SUCCESS!!!
Practice Real Questions And Reliable
Answers 2026/2027 Latest Update A+
Guaranteed Pass!!! (MOST RECENT )
Antepartum Care & Prenatal Assessment
1) A woman's obstetric history indicates that she is pregnant for the fourth time. One child was
born at 39 weeks, twins were born at 34 weeks, and another child was born at 35 weeks. All
children are living. What is her GTPAL?
A) 3-1-1-1-3
B) 4-1-2-0-4
C) 3-0-3-0-3
D) 4-2-1-0-4
Correct Answer: B
Using GTPAL: G = 4 (four pregnancies total); T = 1 (one term birth at 39 weeks); P = 2 (two preterm
pregnancies: twins at 34 weeks counted as one pregnancy, and the 35-week birth); A = 0 (no
abortions); L = 4 (four living children) .
2) A woman at 10 weeks of gestation is seen in the prenatal clinic with presumptive signs and
symptoms of pregnancy. Which finding is a presumptive sign?
A) Positive pregnancy test
Page 1 of 78 SUCCESS!!!
,B) Amenorrhea
C) Chadwick's sign
D) Hegar's sign
Correct Answer: B
Presumptive signs are subjective and experienced by the woman, such as amenorrhea, nausea,
breast tenderness, and quickening. A positive pregnancy test, Chadwick's sign, and Hegar's sign are
probable signs detected by the examiner .
3) The nurse teaches a pregnant woman about the presumptive, probable, and positive signs
of pregnancy. The woman demonstrates understanding if she states that a positive sign of
pregnancy is:
A) A positive pregnancy test
B) Fetal movement palpated by the nurse-midwife
C) Braxton Hicks contractions
D) Quickening
Correct Answer: B
Positive signs of pregnancy are attributed to the presence of a fetus, such as hearing the fetal
heartbeat or palpating fetal movement. A positive pregnancy test and Braxton Hicks contractions
are probable signs. Quickening is a presumptive sign .
4) A woman is at 14 weeks of gestation. The nurse would expect to palpate the fundus at which
level?
A) Not palpable above the symphysis at this time
B) Slightly above the symphysis pubis
C) At the level of the umbilicus
D) Midway between the umbilicus and xiphoid process
Correct Answer: B
Page 2 of 78 SUCCESS!!!
,The uterus may be palpated above the symphysis pubis sometime between the twelfth and
fourteenth weeks of pregnancy. The fundus reaches the level of the umbilicus at approximately 22
to 24 weeks .
5) A nurse is calculating the estimated date of delivery using Naegele's rule. The client's last
menstrual period began on March 31. What is the expected date of birth?
A) January 7
B) January 14
C) December 31
D) January 21
Correct Answer: A
Naegele's rule: Subtract 3 months from the first day of the LMP (March 31 → December 31), then add
7 days (December 31 + 7 days = January 7) .
6) A nurse is assessing a client at 32 weeks of gestation. The fundal height measures 27 cm.
Which condition should the nurse suspect?
A) Polyhydramnios
B) Macrosomia
C) Intrauterine growth restriction
D) Multifetal gestation
Correct Answer: C
Between 20 and 36 weeks, fundal height in centimeters should correlate within ±2 cm of the
gestational week. A fundal height of 27 cm at 32 weeks represents a significant negative deviation,
suggesting intrauterine growth restriction. Polyhydramnios and multifetal gestation would produce
fundal heights greater than expected .
7) During a routine first-trimester prenatal exam, a client reports an increase in vaginal
discharge that is white, thin, and watery. What action should the nurse implement?
Page 3 of 78 SUCCESS!!!
, A) Inform her that this is a normal physiological change
B) Notify the healthcare provider immediately
C) Recommend an over-the-counter yeast infection medication
D) Prepare the client for a sterile speculum exam
Correct Answer: A
Leukorrhea (white, thin, watery vaginal discharge) is a normal physiological change during
pregnancy due to increased estrogen and blood flow to the genital area. No treatment is required
unless the discharge changes color, has a foul odor, or is accompanied by itching or burning .
8) A 28-year-old primigravida at 12 weeks' gestation reports mild nausea and vomiting each
morning. Which intervention should the nurse recommend first?
A) Eating small, frequent meals containing dry carbohydrates
B) Taking antiemetic medication before rising
C) Restricting oral fluids to prevent vomiting
D) Scheduling an immediate ultrasound to rule out molar pregnancy
Correct Answer: A
First-line management for mild nausea and vomiting of pregnancy includes dietary modifications
such as eating small, frequent meals containing dry carbohydrates (e.g., crackers) before rising.
Pharmacologic therapy is reserved for cases that do not respond to dietary changes .
Fetal Development & Diagnostic Testing
9) The placenta functions as an endocrine gland during pregnancy. Which hormone is
produced by the placenta to maintain the corpus luteum?
A) Oxytocin
B) Prolactin
C) Human chorionic gonadotropin (hCG)
D) Luteinizing hormone (LH)
Correct Answer: C
Page 4 of 78 SUCCESS!!!
