NR327 Maternal-Child Nursing Week 1-3 Exam Prep 2026
|Chamberlain College
1. A woman at 10 weeks gestation reports morning sickness. Which of the
following is a presumptive sign of pregnancy?
A. Positive pregnancy test
B. Fetal heart tones
C. Amenorrhea
D. Chadwick’s sign
Answer: C
Rationale: Presumptive signs are subjective changes reported by the woman, such as
amenorrhea, nausea, and breast tenderness.
2. Calculate the estimated date of delivery (EDD) using Naegele’s rule for a
woman whose last menstrual period began on October 15.
A. July 8
B. July 15
C. January 22
D. July 22
Answer: D
Rationale: Naegele’s rule: First day of LMP - 3 months + 7 days + 1 year. Oct 15 - 3 months
= July 15 + 7 days = July 22.
,3. A patient is currently pregnant. She has a 5-year-old born at 38 weeks and a
3-year-old born at 34 weeks. She had one miscarriage at 10 weeks. What is her
GTPAL?
A. G4, T2, P1, A0, L2
B. G3, T2, P0, A1, L2
C. G4, T1, P1, A1, L2
D. G3, T1, P1, A1, L3
Answer: C
Rationale: G (Gravida)=4 (current, 38wk, 34wk, miscarriage); T (Term)=1 (38wk); P
(Preterm)=1 (34wk); A (Abortion)=1 (10wk); L (Living)=2.
4. Which hormone is primarily responsible for maintaining the endometrial
lining during early pregnancy?
A. Progesterone
B. Estrogen
C. Human growth hormone
D. Oxytocin
Answer: A
Rationale: Progesterone is the ‘hormone of pregnancy’ that maintains the uterine lining
and prevents contractions.
5. At which gestational age does the fetal heart begin to beat?
A. Week 2
B. Week 12
C. Week 8
D. Week 4
Answer: D
Rationale: The fetal heart starts beating by the end of the 4th week of gestation.
, 6. What is the primary function of amniotic fluid?
A. Cushion the fetus and maintain temperature
B. Provide oxygen to the fetus
C. Transport nutrients from the placenta
D. Filter fetal waste products
Answer: A
Rationale: Amniotic fluid provides protection from trauma, allows symmetrical growth,
and maintains a constant temperature.
7. Which of the following describes the ‘L’ in the VEAL CHOP acronym for fetal
monitoring?
A. Long term variability - Head compression
B. Low heart rate - Cord compression
C. Late decelerations - Placental insufficiency
D. Late accelerations - Oxygenation
Answer: C
Rationale: L stands for Late Decelerations, which are caused by Uteroplacental
insufficiency (P in CHOP).
8. A pregnant woman in her second trimester feels dizzy when lying on her back.
This is most likely due to:
A. Orthostatic hypotension
B. Supine hypotensive syndrome
C. Iron deficiency anemia
D. Preeclampsia
Answer: B
Rationale: The heavy uterus compresses the inferior vena cava when the mother is supine,
reducing cardiac output.
|Chamberlain College
1. A woman at 10 weeks gestation reports morning sickness. Which of the
following is a presumptive sign of pregnancy?
A. Positive pregnancy test
B. Fetal heart tones
C. Amenorrhea
D. Chadwick’s sign
Answer: C
Rationale: Presumptive signs are subjective changes reported by the woman, such as
amenorrhea, nausea, and breast tenderness.
2. Calculate the estimated date of delivery (EDD) using Naegele’s rule for a
woman whose last menstrual period began on October 15.
A. July 8
B. July 15
C. January 22
D. July 22
Answer: D
Rationale: Naegele’s rule: First day of LMP - 3 months + 7 days + 1 year. Oct 15 - 3 months
= July 15 + 7 days = July 22.
,3. A patient is currently pregnant. She has a 5-year-old born at 38 weeks and a
3-year-old born at 34 weeks. She had one miscarriage at 10 weeks. What is her
GTPAL?
A. G4, T2, P1, A0, L2
B. G3, T2, P0, A1, L2
C. G4, T1, P1, A1, L2
D. G3, T1, P1, A1, L3
Answer: C
Rationale: G (Gravida)=4 (current, 38wk, 34wk, miscarriage); T (Term)=1 (38wk); P
(Preterm)=1 (34wk); A (Abortion)=1 (10wk); L (Living)=2.
4. Which hormone is primarily responsible for maintaining the endometrial
lining during early pregnancy?
A. Progesterone
B. Estrogen
C. Human growth hormone
D. Oxytocin
Answer: A
Rationale: Progesterone is the ‘hormone of pregnancy’ that maintains the uterine lining
and prevents contractions.
5. At which gestational age does the fetal heart begin to beat?
A. Week 2
B. Week 12
C. Week 8
D. Week 4
Answer: D
Rationale: The fetal heart starts beating by the end of the 4th week of gestation.
, 6. What is the primary function of amniotic fluid?
A. Cushion the fetus and maintain temperature
B. Provide oxygen to the fetus
C. Transport nutrients from the placenta
D. Filter fetal waste products
Answer: A
Rationale: Amniotic fluid provides protection from trauma, allows symmetrical growth,
and maintains a constant temperature.
7. Which of the following describes the ‘L’ in the VEAL CHOP acronym for fetal
monitoring?
A. Long term variability - Head compression
B. Low heart rate - Cord compression
C. Late decelerations - Placental insufficiency
D. Late accelerations - Oxygenation
Answer: C
Rationale: L stands for Late Decelerations, which are caused by Uteroplacental
insufficiency (P in CHOP).
8. A pregnant woman in her second trimester feels dizzy when lying on her back.
This is most likely due to:
A. Orthostatic hypotension
B. Supine hypotensive syndrome
C. Iron deficiency anemia
D. Preeclampsia
Answer: B
Rationale: The heavy uterus compresses the inferior vena cava when the mother is supine,
reducing cardiac output.
