GALEN NUR 230 MATERNITY EXAM 1
QUESTIONS AND ANSWERS 2026
Presumptive signs of pregnancy - ANSWERSAmenorrhea
Fatigue
N/V
Breast tenderness
Urinary frequency
Quickening (Fetal movement)
Probable signs of pregnancy - ANSWERSHegar's sign (lower uterine segment softens)
Goodell's sign (Cervical softening, occurs approx 4 weeks gestation)
Chadwick's sign (bluish discoloration of the cervix, vagina, and labia. seen as early a 6-
8 weeks after conception)
Positive pregnancy test
Braxton hicks contractions (false contractions)
Ballotment (push the baby's head up and it goes up and comes back down)
Positive signs of pregnancy - ANSWERSHearing fetal heart tones
Visualization of the fetus
Palpation of fetal movement by examiner
Pregnancy terms - ANSWERSGravida: # of pregnancies (including current)
Para: # of pregnancies 20 weeks or greater
Term: 37-40+ weeks (postterm 42+ weeks)
Preterm: 20-37 weeks
Abortion: any pregnancy that ended prior to 20 weeks
, Living: # of living children
Neagle's Rule - ANSWERSmethod for calculating
estimated due date (EDD)
first day of last menstrual period (LMP)
Subtract 3 from the month
Add 7 to the day
Adjust year if needed
Fetal Assessment - ANSWERSFHR: 110-160
Uterine height in cm should equal gestational age +/- 2
Fetal movement: once felt, they should keep feeling it and it should increase as
pregnancy goes
Cardiac changes in mom - ANSWERSBlood volume increases 40-50%
-results in anemia
-BP stays the same or decreases
Cardiac output increases 30-50%
-HR increases
Increased risk for clotting due to increased clotting time and factors
Respiratory changes in mom - ANSWERSIncreased O2 requirements
Ligaments of rib cage relax
Diaphragm is displaced due to enlarging uterus; chest breathing vs abd breathing
Upper respiratory more vascular: congestion, epistaxis (nose bleeds), changing in voice
RR increases
GI changes in mom - ANSWERSN/V (due to increased HCG)-should subside by end of
the first trimester
QUESTIONS AND ANSWERS 2026
Presumptive signs of pregnancy - ANSWERSAmenorrhea
Fatigue
N/V
Breast tenderness
Urinary frequency
Quickening (Fetal movement)
Probable signs of pregnancy - ANSWERSHegar's sign (lower uterine segment softens)
Goodell's sign (Cervical softening, occurs approx 4 weeks gestation)
Chadwick's sign (bluish discoloration of the cervix, vagina, and labia. seen as early a 6-
8 weeks after conception)
Positive pregnancy test
Braxton hicks contractions (false contractions)
Ballotment (push the baby's head up and it goes up and comes back down)
Positive signs of pregnancy - ANSWERSHearing fetal heart tones
Visualization of the fetus
Palpation of fetal movement by examiner
Pregnancy terms - ANSWERSGravida: # of pregnancies (including current)
Para: # of pregnancies 20 weeks or greater
Term: 37-40+ weeks (postterm 42+ weeks)
Preterm: 20-37 weeks
Abortion: any pregnancy that ended prior to 20 weeks
, Living: # of living children
Neagle's Rule - ANSWERSmethod for calculating
estimated due date (EDD)
first day of last menstrual period (LMP)
Subtract 3 from the month
Add 7 to the day
Adjust year if needed
Fetal Assessment - ANSWERSFHR: 110-160
Uterine height in cm should equal gestational age +/- 2
Fetal movement: once felt, they should keep feeling it and it should increase as
pregnancy goes
Cardiac changes in mom - ANSWERSBlood volume increases 40-50%
-results in anemia
-BP stays the same or decreases
Cardiac output increases 30-50%
-HR increases
Increased risk for clotting due to increased clotting time and factors
Respiratory changes in mom - ANSWERSIncreased O2 requirements
Ligaments of rib cage relax
Diaphragm is displaced due to enlarging uterus; chest breathing vs abd breathing
Upper respiratory more vascular: congestion, epistaxis (nose bleeds), changing in voice
RR increases
GI changes in mom - ANSWERSN/V (due to increased HCG)-should subside by end of
the first trimester
