NR 327 Maternal-Child Nursing Week 2 Quiz 2026 |Chamberlain
College
1. A client reports her last menstrual period began on May 10, 2026. Using
Naegele’s Rule, what is her estimated date of delivery (EDD)?
A. January 17, 2027
B. February 3, 2027
C. February 17, 2027
D. March 10, 2027
Answer: C
Rationale: Naegele’s Rule is calculated by subtracting 3 months from the first day of the
last menstrual period and adding 7 days and 1 year.
2. A nurse is assessing a client who is pregnant for the fourth time. She has one
living child born at 38 weeks, twins born at 34 weeks (one died), and one
miscarriage at 12 weeks. What is her GTPAL?
A. G4, T1, P1, A1, L2
B. G4, T2, P1, A1, L3
C. G4, T1, P2, A1, L2
D. G3, T1, P1, A1, L2
Answer: A
Rationale: G=4 (current, 38wk, twins, miscarriage); T=1 (38wk); P=1 (twins); A=1 (12wk);
L=2 (one from 38wk, one twin).
,3. Which of the following signs is considered a positive sign of pregnancy?
A. Amenorrhea
B. Positive pregnancy test
C. Chadwick’s sign
D. Fetal heart tones heard by Doppler
Answer: D
Rationale: Positive signs are objective and can only be attributed to the fetus, such as fetal
heart tones, ultrasound visualization, or fetal movement felt by a clinician.
4. The nurse notes a bluish-purple discoloration of the cervix and vaginal
mucosa. This finding is known as:
A. Goodell’s sign
B. Hegar’s sign
C. Ballottement
D. Chadwick’s sign
Answer: D
Rationale: Chadwick’s sign is the bluish-purple coloration of the vaginal mucosa and cervix
due to increased vascularity.
5. What is the primary function of the hormone progesterone during
pregnancy?
A. Stimulating uterine contractions
B. Developing the mammary glands for lactation
C. Maintaining the endometrium and relaxing smooth muscles
D. Increasing maternal metabolism
Answer: C
Rationale: Progesterone is essential for maintaining the pregnancy by relaxing smooth
muscle to prevent contractions and sustaining the uterine lining.
, 6. At how many weeks of gestation should the nurse expect to find the fundus
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 fundus typically reaches the level of the umbilicus.
7. A pregnant client asks why she is advised to take folic acid. The nurse explains
it prevents:
A. Gestational diabetes
B. Neural tube defects
C. Macrosomia
D. Fetal alcohol syndrome
Answer: B
Rationale: Folic acid supplementation is critical in early pregnancy to prevent neural tube
defects like spina bifida.
8. Which physiological change in the cardiovascular system is common during
the second trimester?
A. Decreased heart rate
B. Increased plasma volume causing physiological anemia
C. Increased blood pressure
D. Decreased cardiac output
Answer: B
Rationale: Plasma volume increases more rapidly than red blood cell production, leading
to hemodilution known as physiological anemia of pregnancy.
College
1. A client reports her last menstrual period began on May 10, 2026. Using
Naegele’s Rule, what is her estimated date of delivery (EDD)?
A. January 17, 2027
B. February 3, 2027
C. February 17, 2027
D. March 10, 2027
Answer: C
Rationale: Naegele’s Rule is calculated by subtracting 3 months from the first day of the
last menstrual period and adding 7 days and 1 year.
2. A nurse is assessing a client who is pregnant for the fourth time. She has one
living child born at 38 weeks, twins born at 34 weeks (one died), and one
miscarriage at 12 weeks. What is her GTPAL?
A. G4, T1, P1, A1, L2
B. G4, T2, P1, A1, L3
C. G4, T1, P2, A1, L2
D. G3, T1, P1, A1, L2
Answer: A
Rationale: G=4 (current, 38wk, twins, miscarriage); T=1 (38wk); P=1 (twins); A=1 (12wk);
L=2 (one from 38wk, one twin).
,3. Which of the following signs is considered a positive sign of pregnancy?
A. Amenorrhea
B. Positive pregnancy test
C. Chadwick’s sign
D. Fetal heart tones heard by Doppler
Answer: D
Rationale: Positive signs are objective and can only be attributed to the fetus, such as fetal
heart tones, ultrasound visualization, or fetal movement felt by a clinician.
4. The nurse notes a bluish-purple discoloration of the cervix and vaginal
mucosa. This finding is known as:
A. Goodell’s sign
B. Hegar’s sign
C. Ballottement
D. Chadwick’s sign
Answer: D
Rationale: Chadwick’s sign is the bluish-purple coloration of the vaginal mucosa and cervix
due to increased vascularity.
5. What is the primary function of the hormone progesterone during
pregnancy?
A. Stimulating uterine contractions
B. Developing the mammary glands for lactation
C. Maintaining the endometrium and relaxing smooth muscles
D. Increasing maternal metabolism
Answer: C
Rationale: Progesterone is essential for maintaining the pregnancy by relaxing smooth
muscle to prevent contractions and sustaining the uterine lining.
, 6. At how many weeks of gestation should the nurse expect to find the fundus
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 fundus typically reaches the level of the umbilicus.
7. A pregnant client asks why she is advised to take folic acid. The nurse explains
it prevents:
A. Gestational diabetes
B. Neural tube defects
C. Macrosomia
D. Fetal alcohol syndrome
Answer: B
Rationale: Folic acid supplementation is critical in early pregnancy to prevent neural tube
defects like spina bifida.
8. Which physiological change in the cardiovascular system is common during
the second trimester?
A. Decreased heart rate
B. Increased plasma volume causing physiological anemia
C. Increased blood pressure
D. Decreased cardiac output
Answer: B
Rationale: Plasma volume increases more rapidly than red blood cell production, leading
to hemodilution known as physiological anemia of pregnancy.
