NR 327 Maternal-Child Nursing Week 2 Practice Exam 2026
|Chamberlain College
1. A nurse is reviewing presumptive signs of pregnancy with a client. Which of
the following should the nurse include?
A. Amenorrhea
B. Positive pregnancy test
C. Goodell’s sign
D. Fetal heart tones
Answer: A
Rationale: Presumptive signs are subjective changes reported by the woman, such as
amenorrhea, fatigue, and nausea. Positive pregnancy tests and Goodell’s sign are probable
signs, while fetal heart tones are positive signs.
2. Using Naegele’s rule, what is the estimated date of delivery (EDD) for a client
whose last menstrual period (LMP) began on March 10th?
A. November 17th
B. December 3rd
C. January 17th
D. December 17th
Answer: D
Rationale: Naegele’s rule is calculated by subtracting 3 months and adding 7 days and 1
year to the first day of the LMP. March 10 minus 3 months is December 10, plus 7 days is
December 17.
,3. A client is at 20 weeks of gestation. Where should the nurse expect to find the
fundus when palpating the abdomen?
A. Symphysis pubis
B. Xiphoid process
C. Umbilicus
D. Halfway between symphysis and umbilicus
Answer: C
Rationale: At 20 weeks gestation, the fundus is typically located at the level of the
umbilicus.
4. A nurse is assessing a pregnant client and notes a bluish-purple discoloration
of the cervix and vaginal mucosa. This is known as:
A. Hegar’s sign
B. Goodell’s sign
C. Chadwick’s sign
D. Ballottement
Answer: C
Rationale: Chadwick’s sign is the bluish-purple discoloration of the cervix and vaginal
mucosa due to increased vascularity.
5. A client who is pregnant for the first time is termed a:
A. Primigravida
B. Nulligravida
C. Multipara
D. Primipara
Answer: A
Rationale: A primigravida is a woman who is pregnant for the first time.
, 6. Which of the following findings is considered a positive sign of pregnancy?
A. Visualization of the fetus by ultrasound
B. Braxton Hicks contractions
C. Uterine enlargement
D. Abdominal striae
Answer: A
Rationale: Positive signs are objective data that verify a pregnancy, such as visualization of
the fetus, fetal heart sounds, or fetal movement felt by an examiner.
7. The nurse is calculating the GTPAL for a client who is currently 10 weeks
pregnant, has a 5-year-old at home born at 39 weeks, and had a miscarriage at
12 weeks.
A. G3 T1 P0 A1 L1
B. G2 T1 P0 A1 L1
C. G3 T2 P0 A1 L1
D. G3 T1 P1 A0 L1
Answer: A
Rationale: Gravida (3) includes current, living child, and miscarriage. Term (1) is the 39-
week child. Preterm (0). Abortions (1) is the miscarriage. Living (1) is the 5-year-old.
8. Which nutrient is essential in the periconceptual period to prevent neural
tube defects?
A. Folic acid
B. Iron
C. Vitamin C
D. Calcium
Answer: A
Rationale: Folic acid (Vitamin B9) intake of 400-800 mcg daily is critical to prevent neural
tube defects like spina bifida.
|Chamberlain College
1. A nurse is reviewing presumptive signs of pregnancy with a client. Which of
the following should the nurse include?
A. Amenorrhea
B. Positive pregnancy test
C. Goodell’s sign
D. Fetal heart tones
Answer: A
Rationale: Presumptive signs are subjective changes reported by the woman, such as
amenorrhea, fatigue, and nausea. Positive pregnancy tests and Goodell’s sign are probable
signs, while fetal heart tones are positive signs.
2. Using Naegele’s rule, what is the estimated date of delivery (EDD) for a client
whose last menstrual period (LMP) began on March 10th?
A. November 17th
B. December 3rd
C. January 17th
D. December 17th
Answer: D
Rationale: Naegele’s rule is calculated by subtracting 3 months and adding 7 days and 1
year to the first day of the LMP. March 10 minus 3 months is December 10, plus 7 days is
December 17.
,3. A client is at 20 weeks of gestation. Where should the nurse expect to find the
fundus when palpating the abdomen?
A. Symphysis pubis
B. Xiphoid process
C. Umbilicus
D. Halfway between symphysis and umbilicus
Answer: C
Rationale: At 20 weeks gestation, the fundus is typically located at the level of the
umbilicus.
4. A nurse is assessing a pregnant client and notes a bluish-purple discoloration
of the cervix and vaginal mucosa. This is known as:
A. Hegar’s sign
B. Goodell’s sign
C. Chadwick’s sign
D. Ballottement
Answer: C
Rationale: Chadwick’s sign is the bluish-purple discoloration of the cervix and vaginal
mucosa due to increased vascularity.
5. A client who is pregnant for the first time is termed a:
A. Primigravida
B. Nulligravida
C. Multipara
D. Primipara
Answer: A
Rationale: A primigravida is a woman who is pregnant for the first time.
, 6. Which of the following findings is considered a positive sign of pregnancy?
A. Visualization of the fetus by ultrasound
B. Braxton Hicks contractions
C. Uterine enlargement
D. Abdominal striae
Answer: A
Rationale: Positive signs are objective data that verify a pregnancy, such as visualization of
the fetus, fetal heart sounds, or fetal movement felt by an examiner.
7. The nurse is calculating the GTPAL for a client who is currently 10 weeks
pregnant, has a 5-year-old at home born at 39 weeks, and had a miscarriage at
12 weeks.
A. G3 T1 P0 A1 L1
B. G2 T1 P0 A1 L1
C. G3 T2 P0 A1 L1
D. G3 T1 P1 A0 L1
Answer: A
Rationale: Gravida (3) includes current, living child, and miscarriage. Term (1) is the 39-
week child. Preterm (0). Abortions (1) is the miscarriage. Living (1) is the 5-year-old.
8. Which nutrient is essential in the periconceptual period to prevent neural
tube defects?
A. Folic acid
B. Iron
C. Vitamin C
D. Calcium
Answer: A
Rationale: Folic acid (Vitamin B9) intake of 400-800 mcg daily is critical to prevent neural
tube defects like spina bifida.
