NUR2513 Exam 1 Questions and Correct Answers with Explanation |
Latest Update | Rasmussen University
1. A nurse is calculating a client’s estimated date of delivery (EDD) using
Naegele’s rule. The client’s last menstrual period (LMP) began on November
21st. What is the expected date of delivery?
A. August 14th
B. August 28th
C. September 14th
D. September 28th
Answer: B
Explanation: Naegele’s rule involves subtracting 3 months from the first day of the LMP,
adding 7 days, and adding 1 year. Nov 21 minus 3 months is Aug 21; adding 7 days results
in Aug 28.
2. A woman is pregnant for the fourth time. She has one living child born at 38
weeks, one child born at 35 weeks, and had one miscarriage at 10 weeks. Using
the GTPAL system, how should the nurse document her status?
A. G4, T1, P1, A1, L2
B. G3, T2, P0, A1, L2
C. G4, T2, P1, A0, L2
D. G4, T1, P2, A1, L1
,Answer: A
Explanation: Gravida: 4 pregnancies. Term: 1 (38 weeks). Preterm: 1 (35 weeks).
Abortion: 1 (miscarriage). Living: 2 children.
3. Which of the following is considered a positive sign of pregnancy?
A. Fetal heart tones heard via Doppler
B. Positive pregnancy test
C. Amenorrhea
D. Chadwick’s sign
Answer: A
Explanation: Positive signs are objective and can only be attributed to a fetus: fetal heart
tones, visualization by ultrasound, or palpable fetal movement by a provider.
4. During a prenatal visit at 20 weeks gestation, where should the nurse expect
the fundus to be located?
A. Symphysis pubis
B. At the level of the umbilicus
C. Halfway between the symphysis pubis and umbilicus
D. At the xiphoid process
Answer: B
Explanation: At 20 weeks gestation, the fundus is typically located at the level of the
umbilicus.
,5. A pregnant client asks the nurse why she needs to take folic acid. Which
response is most appropriate?
A. It reduces the risk of neural tube defects.
B. It prevents maternal anemia.
C. It helps in the development of fetal bones.
D. It prevents gestational diabetes.
Answer: A
Explanation: Folic acid is essential in the periconceptional period and early pregnancy to
prevent neural tube defects like spina bifida.
6. What is the purpose of the RhoGAM (Rh immune globulin) injection given to
an Rh-negative mother?
A. To prevent the mother from forming antibodies against Rh-positive fetal blood
B. To treat fetal hemolytic disease
C. To increase the fetal red blood cell count
D. To prevent ABO incompatibility
Answer: A
Explanation: RhoGAM prevents the Rh-negative mother from becoming sensitized to Rh-
positive fetal blood, preventing hemolytic disease in future pregnancies.
, 7. A nurse is reviewing a non-stress test (NST). The result is ‘reactive.’ How
should the nurse interpret this?
A. The fetus is in distress and requires immediate delivery.
B. The test is inconclusive and must be repeated.
C. The fetus has no heart rate variability.
D. There are at least two accelerations of 15 bpm lasting 15 seconds in a 20-minute period.
Answer: D
Explanation: A reactive NST is a reassuring sign, defined as having at least two FHR
accelerations of 15 bpm for at least 15 seconds within a 20-minute window.
8. Which hormone is primarily responsible for maintaining the endometrial
lining during early pregnancy?
A. Estrogen
B. Luteinizing hormone (LH)
C. Human chorionic gonadotropin (hCG)
D. Progesterone
Answer: D
Explanation: Progesterone is the ‘hormone of pregnancy’ that maintains the uterine lining
and prevents contractions.
Latest Update | Rasmussen University
1. A nurse is calculating a client’s estimated date of delivery (EDD) using
Naegele’s rule. The client’s last menstrual period (LMP) began on November
21st. What is the expected date of delivery?
A. August 14th
B. August 28th
C. September 14th
D. September 28th
Answer: B
Explanation: Naegele’s rule involves subtracting 3 months from the first day of the LMP,
adding 7 days, and adding 1 year. Nov 21 minus 3 months is Aug 21; adding 7 days results
in Aug 28.
2. A woman is pregnant for the fourth time. She has one living child born at 38
weeks, one child born at 35 weeks, and had one miscarriage at 10 weeks. Using
the GTPAL system, how should the nurse document her status?
A. G4, T1, P1, A1, L2
B. G3, T2, P0, A1, L2
C. G4, T2, P1, A0, L2
D. G4, T1, P2, A1, L1
,Answer: A
Explanation: Gravida: 4 pregnancies. Term: 1 (38 weeks). Preterm: 1 (35 weeks).
Abortion: 1 (miscarriage). Living: 2 children.
3. Which of the following is considered a positive sign of pregnancy?
A. Fetal heart tones heard via Doppler
B. Positive pregnancy test
C. Amenorrhea
D. Chadwick’s sign
Answer: A
Explanation: Positive signs are objective and can only be attributed to a fetus: fetal heart
tones, visualization by ultrasound, or palpable fetal movement by a provider.
4. During a prenatal visit at 20 weeks gestation, where should the nurse expect
the fundus to be located?
A. Symphysis pubis
B. At the level of the umbilicus
C. Halfway between the symphysis pubis and umbilicus
D. At the xiphoid process
Answer: B
Explanation: At 20 weeks gestation, the fundus is typically located at the level of the
umbilicus.
,5. A pregnant client asks the nurse why she needs to take folic acid. Which
response is most appropriate?
A. It reduces the risk of neural tube defects.
B. It prevents maternal anemia.
C. It helps in the development of fetal bones.
D. It prevents gestational diabetes.
Answer: A
Explanation: Folic acid is essential in the periconceptional period and early pregnancy to
prevent neural tube defects like spina bifida.
6. What is the purpose of the RhoGAM (Rh immune globulin) injection given to
an Rh-negative mother?
A. To prevent the mother from forming antibodies against Rh-positive fetal blood
B. To treat fetal hemolytic disease
C. To increase the fetal red blood cell count
D. To prevent ABO incompatibility
Answer: A
Explanation: RhoGAM prevents the Rh-negative mother from becoming sensitized to Rh-
positive fetal blood, preventing hemolytic disease in future pregnancies.
, 7. A nurse is reviewing a non-stress test (NST). The result is ‘reactive.’ How
should the nurse interpret this?
A. The fetus is in distress and requires immediate delivery.
B. The test is inconclusive and must be repeated.
C. The fetus has no heart rate variability.
D. There are at least two accelerations of 15 bpm lasting 15 seconds in a 20-minute period.
Answer: D
Explanation: A reactive NST is a reassuring sign, defined as having at least two FHR
accelerations of 15 bpm for at least 15 seconds within a 20-minute window.
8. Which hormone is primarily responsible for maintaining the endometrial
lining during early pregnancy?
A. Estrogen
B. Luteinizing hormone (LH)
C. Human chorionic gonadotropin (hCG)
D. Progesterone
Answer: D
Explanation: Progesterone is the ‘hormone of pregnancy’ that maintains the uterine lining
and prevents contractions.
