NR 327 Maternal Child Nursing Exam 1 Prep Questions and Answers
|Chamberlain College
1. Using Naegele’s rule, calculate the estimated date of delivery (EDD) for a
woman whose last menstrual period (LMP) began on March 15.
A. December 15
B. November 22
C. January 22
D. December 22
Answer: D
Rationale: Naegele’s rule is calculated by subtracting 3 months from the first day of the
LMP and adding 7 days and 1 year (March 15 - 3 months = Dec 15; + 7 days = Dec 22).
2. A woman is currently pregnant, has a 5-year-old born at 38 weeks, and had a
miscarriage at 10 weeks. What is her GTPAL?
A. G3, T0, P1, A1, L1
B. G2, T1, P0, A1, L1
C. G3, T1, P0, A1, L1
D. G3, T1, P1, A0, L1
Answer: C
Rationale: G (Gravida) = 3 (current, 5yo, miscarriage); T (Term) = 1 (38 weeks); P
(Preterm) = 0; A (Abortion/Miscarriage) = 1; L (Living) = 1.
,3. Which of the following is considered a ‘Positive’ sign of pregnancy?
A. Amenorrhea
B. Fetal heart tones heard by Doppler
C. Positive serum pregnancy test
D. Chadwick’s sign
Answer: B
Rationale: Positive signs are objective and can only be attributed to a fetus: fetal heart
tones, ultrasound visualization, and fetal movement felt by a provider.
4. What is the primary function of Human Chorionic Gonadotropin (hCG) in early
pregnancy?
A. Stimulates uterine growth
B. Decreases maternal insulin sensitivity
C. Prepares the breasts for lactation
D. Maintains the corpus luteum to produce progesterone
Answer: D
Rationale: hCG is secreted by the trophoblast to maintain the corpus luteum, which
secretes progesterone to maintain the endometrium until the placenta takes over.
5. At how many weeks of gestation is the fundus typically at the level of the
umbilicus?
A. 12 weeks
B. 16 weeks
C. 20 weeks
D. 24 weeks
Answer: C
Rationale: By 20 weeks gestation, the fundal height is usually at the level of the umbilicus.
, 6. Which physiological change is expected in the cardiovascular system during
pregnancy?
A. Decrease in plasma volume
B. Increase in cardiac output by 30-50%
C. Decrease in heart rate
D. Increase in blood pressure in the second trimester
Answer: B
Rationale: Cardiac output increases significantly (30-50%) to meet the metabolic demands
of the mother and fetus.
7. A pregnant woman complains of dizziness and feeling faint when lying on her
back. What is the nurse’s best action?
A. Assess for signs of preeclampsia
B. Check her blood glucose level
C. Advise her to increase her sodium intake
D. Instruct her to turn onto her left side
Answer: D
Rationale: This is supine hypotensive syndrome caused by the weight of the uterus
compressing the inferior vena cava. Left side-lying relieves this pressure.
8. Which vitamin is essential in the periconceptional period to prevent neural
tube defects?
A. Vitamin C
B. Vitamin D
C. Folic Acid
D. Vitamin B12
Answer: C
Rationale: Folic acid (400-800 mcg daily) is critical for proper closure of the neural tube in
the first weeks of pregnancy.
|Chamberlain College
1. Using Naegele’s rule, calculate the estimated date of delivery (EDD) for a
woman whose last menstrual period (LMP) began on March 15.
A. December 15
B. November 22
C. January 22
D. December 22
Answer: D
Rationale: Naegele’s rule is calculated by subtracting 3 months from the first day of the
LMP and adding 7 days and 1 year (March 15 - 3 months = Dec 15; + 7 days = Dec 22).
2. A woman is currently pregnant, has a 5-year-old born at 38 weeks, and had a
miscarriage at 10 weeks. What is her GTPAL?
A. G3, T0, P1, A1, L1
B. G2, T1, P0, A1, L1
C. G3, T1, P0, A1, L1
D. G3, T1, P1, A0, L1
Answer: C
Rationale: G (Gravida) = 3 (current, 5yo, miscarriage); T (Term) = 1 (38 weeks); P
(Preterm) = 0; A (Abortion/Miscarriage) = 1; L (Living) = 1.
,3. Which of the following is considered a ‘Positive’ sign of pregnancy?
A. Amenorrhea
B. Fetal heart tones heard by Doppler
C. Positive serum pregnancy test
D. Chadwick’s sign
Answer: B
Rationale: Positive signs are objective and can only be attributed to a fetus: fetal heart
tones, ultrasound visualization, and fetal movement felt by a provider.
4. What is the primary function of Human Chorionic Gonadotropin (hCG) in early
pregnancy?
A. Stimulates uterine growth
B. Decreases maternal insulin sensitivity
C. Prepares the breasts for lactation
D. Maintains the corpus luteum to produce progesterone
Answer: D
Rationale: hCG is secreted by the trophoblast to maintain the corpus luteum, which
secretes progesterone to maintain the endometrium until the placenta takes over.
5. At how many weeks of gestation is the fundus typically at the level of the
umbilicus?
A. 12 weeks
B. 16 weeks
C. 20 weeks
D. 24 weeks
Answer: C
Rationale: By 20 weeks gestation, the fundal height is usually at the level of the umbilicus.
, 6. Which physiological change is expected in the cardiovascular system during
pregnancy?
A. Decrease in plasma volume
B. Increase in cardiac output by 30-50%
C. Decrease in heart rate
D. Increase in blood pressure in the second trimester
Answer: B
Rationale: Cardiac output increases significantly (30-50%) to meet the metabolic demands
of the mother and fetus.
7. A pregnant woman complains of dizziness and feeling faint when lying on her
back. What is the nurse’s best action?
A. Assess for signs of preeclampsia
B. Check her blood glucose level
C. Advise her to increase her sodium intake
D. Instruct her to turn onto her left side
Answer: D
Rationale: This is supine hypotensive syndrome caused by the weight of the uterus
compressing the inferior vena cava. Left side-lying relieves this pressure.
8. Which vitamin is essential in the periconceptional period to prevent neural
tube defects?
A. Vitamin C
B. Vitamin D
C. Folic Acid
D. Vitamin B12
Answer: C
Rationale: Folic acid (400-800 mcg daily) is critical for proper closure of the neural tube in
the first weeks of pregnancy.
