Maternal-Child Nursing: Pregnancy & Prenatal Care Practice Pack 2026
|Chamberlain College
1. A nurse is calculating a client’s expected date of delivery using Naegele’s rule.
The client’s last menstrual period began on November 1st. What is the expected
date of delivery?
A. August 1st
B. February 8th
C. July 25th
D. August 8th
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. Nov 1 minus 3 months is August 1, plus 7 days is August
8.
2. A client is pregnant for the fourth time. She has one child born at 39 weeks,
twins born at 34 weeks, and had one miscarriage at 12 weeks. What is her
GTPAL?
A. G4 T1 P2 A1 L3
B. G4 T2 P1 A1 L3
C. G3 T2 P1 A1 L2
D. G4 T1 P1 A1 L3
Answer: D
Rationale: Gravida (G) is 4 (current + 3 previous). Term (T) is 1 (39-weeker). Preterm (P)
is 1 (twins count as one delivery event). Abortion (A) is 1 (miscarriage). Living (L) is 3
(singleton + twins).
,3. Which of the following is considered a presumptive sign of pregnancy?
A. Hegar’s sign
B. Amenorrhea
C. Positive pregnancy test
D. Fetal heart tones
Answer: B
Rationale: Presumptive signs are subjective changes felt by the woman (amenorrhea,
fatigue, nausea). Probable signs are objective (Hegar’s, pregnancy test). Positive signs are
definitive (FHT, ultrasound).
4. At 20 weeks gestation, where should the nurse expect to find the fundus?
A. Umbilicus
B. Xiphoid process
C. Symphysis pubis
D. Halfway between symphysis and umbilicus
Answer: A
Rationale: At 20 weeks gestation, the fundus is typically located at the level of the
umbilicus.
5. A pregnant client with a pre-pregnancy BMI of 22 asks how much weight she
should gain. What is the recommended range?
A. 11 to 20 lbs
B. 25 to 35 lbs
C. 15 to 25 lbs
D. 28 to 40 lbs
Answer: B
Rationale: For a client with a normal BMI (18.5-24.9), the recommended total weight gain
during pregnancy is 25 to 35 pounds.
, 6. Why is folic acid supplementation critical during the preconception period
and early pregnancy?
A. To prevent gestational diabetes
B. To improve iron absorption
C. To reduce the risk of neural tube defects
D. To prevent maternal anemia
Answer: C
Rationale: Folic acid is essential for DNA synthesis and replication, and adequate intake
reduces the incidence of neural tube defects like spina bifida.
7. A client at 32 weeks gestation complains of feeling dizzy and faint when lying
on her back. What is the nurse’s best action?
A. Report the findings to the provider immediately
B. Assess the client for pregnancy-induced hypertension
C. Tell the client to increase fluid intake
D. Advise the client to lie on her left side
Answer: D
Rationale: This describes supine hypotensive syndrome, caused by the heavy uterus
compressing the inferior vena cava. Turning the client to her side relieves the pressure.
8. Which screening test is typically performed between 24 and 28 weeks of
gestation?
A. One-hour glucose tolerance test
B. Alpha-fetoprotein (AFP)
C. Group B Streptococcus (GBS) culture
D. Nuchal translucency screening
Answer: A
Rationale: The 1-hour glucose tolerance test is a routine screen for gestational diabetes
performed between 24 and 28 weeks.
|Chamberlain College
1. A nurse is calculating a client’s expected date of delivery using Naegele’s rule.
The client’s last menstrual period began on November 1st. What is the expected
date of delivery?
A. August 1st
B. February 8th
C. July 25th
D. August 8th
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. Nov 1 minus 3 months is August 1, plus 7 days is August
8.
2. A client is pregnant for the fourth time. She has one child born at 39 weeks,
twins born at 34 weeks, and had one miscarriage at 12 weeks. What is her
GTPAL?
A. G4 T1 P2 A1 L3
B. G4 T2 P1 A1 L3
C. G3 T2 P1 A1 L2
D. G4 T1 P1 A1 L3
Answer: D
Rationale: Gravida (G) is 4 (current + 3 previous). Term (T) is 1 (39-weeker). Preterm (P)
is 1 (twins count as one delivery event). Abortion (A) is 1 (miscarriage). Living (L) is 3
(singleton + twins).
,3. Which of the following is considered a presumptive sign of pregnancy?
A. Hegar’s sign
B. Amenorrhea
C. Positive pregnancy test
D. Fetal heart tones
Answer: B
Rationale: Presumptive signs are subjective changes felt by the woman (amenorrhea,
fatigue, nausea). Probable signs are objective (Hegar’s, pregnancy test). Positive signs are
definitive (FHT, ultrasound).
4. At 20 weeks gestation, where should the nurse expect to find the fundus?
A. Umbilicus
B. Xiphoid process
C. Symphysis pubis
D. Halfway between symphysis and umbilicus
Answer: A
Rationale: At 20 weeks gestation, the fundus is typically located at the level of the
umbilicus.
5. A pregnant client with a pre-pregnancy BMI of 22 asks how much weight she
should gain. What is the recommended range?
A. 11 to 20 lbs
B. 25 to 35 lbs
C. 15 to 25 lbs
D. 28 to 40 lbs
Answer: B
Rationale: For a client with a normal BMI (18.5-24.9), the recommended total weight gain
during pregnancy is 25 to 35 pounds.
, 6. Why is folic acid supplementation critical during the preconception period
and early pregnancy?
A. To prevent gestational diabetes
B. To improve iron absorption
C. To reduce the risk of neural tube defects
D. To prevent maternal anemia
Answer: C
Rationale: Folic acid is essential for DNA synthesis and replication, and adequate intake
reduces the incidence of neural tube defects like spina bifida.
7. A client at 32 weeks gestation complains of feeling dizzy and faint when lying
on her back. What is the nurse’s best action?
A. Report the findings to the provider immediately
B. Assess the client for pregnancy-induced hypertension
C. Tell the client to increase fluid intake
D. Advise the client to lie on her left side
Answer: D
Rationale: This describes supine hypotensive syndrome, caused by the heavy uterus
compressing the inferior vena cava. Turning the client to her side relieves the pressure.
8. Which screening test is typically performed between 24 and 28 weeks of
gestation?
A. One-hour glucose tolerance test
B. Alpha-fetoprotein (AFP)
C. Group B Streptococcus (GBS) culture
D. Nuchal translucency screening
Answer: A
Rationale: The 1-hour glucose tolerance test is a routine screen for gestational diabetes
performed between 24 and 28 weeks.
