NR 327 Maternal-Child Nursing Week 2 Study Guide Quiz 2026
|Chamberlain College
1. A client reports her last menstrual period began on May 10th. Using
Naegele’s rule, what is her estimated date of birth (EDB)?
A. February 3rd
B. March 17th
C. January 17th
D. February 17th
Answer: D
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. Which of the following is considered a presumptive sign of pregnancy?
A. Hegar’s sign
B. Fetal heart tones
C. Amenorrhea
D. Positive pregnancy test
Answer: C
Rationale: Presumptive signs are subjective changes felt by the woman, such as
amenorrhea, fatigue, and nausea/vomiting.
,3. A nurse is assessing a client at 20 weeks gestation. Where should the nurse
expect to find the fundus?
A. At the xiphoid process
B. Halfway between the symphysis pubis and umbilicus
C. At the level of the umbilicus
D. Just above the symphysis pubis
Answer: C
Rationale: By 20 weeks of gestation, the fundus is typically located at the level of the
umbilicus.
4. In the GTPAL system, what does the ‘T’ represent?
A. Total number of pregnancies
B. Term births (37 weeks or more)
C. Threatened abortions
D. Trimester count
Answer: B
Rationale: In GTPAL, T stands for Term births, which refers to the number of pregnancies
delivered at 37 weeks 0 days or more.
5. Which sign involves a violet-blue color of the vaginal mucosa and cervix?
A. Goodell’s sign
B. Ballottement
C. Hegar’s sign
D. Chadwick’s sign
Answer: D
Rationale: Chadwick’s sign is the bluish discoloration of the cervix and vaginal mucosa due
to increased vascularity.
, 6. What is the recommended weight gain for a woman with a normal BMI (18.5–
24.9) during pregnancy?
A. 11 to 20 pounds
B. 25 to 35 pounds
C. 15 to 25 pounds
D. 28 to 40 pounds
Answer: B
Rationale: A woman with a normal pre-pregnancy BMI is encouraged to gain between 25
and 35 pounds during pregnancy.
7. What is the primary purpose of folic acid supplementation during the
preconception period and early pregnancy?
A. To prevent gestational diabetes
B. To prevent iron-deficiency anemia
C. To reduce the risk of neural tube defects
D. To improve placental blood flow
Answer: C
Rationale: Folic acid is essential in early pregnancy to prevent neural tube defects like
spina bifida.
8. A client in her third trimester complains of feeling dizzy and faint when lying
on her back. What is the nurse’s best response?
A. Lie on your left side to prevent pressure on the vena cava.
B. This is a sign of preeclampsia; come in for evaluation.
C. This is normal; just breathe deeply until it passes.
D. Increase your fluid intake as you are likely dehydrated.
Answer: A
Rationale: Supine hypotensive syndrome occurs when the heavy uterus compresses the
inferior vena cava; side-lying relieves this pressure.
|Chamberlain College
1. A client reports her last menstrual period began on May 10th. Using
Naegele’s rule, what is her estimated date of birth (EDB)?
A. February 3rd
B. March 17th
C. January 17th
D. February 17th
Answer: D
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. Which of the following is considered a presumptive sign of pregnancy?
A. Hegar’s sign
B. Fetal heart tones
C. Amenorrhea
D. Positive pregnancy test
Answer: C
Rationale: Presumptive signs are subjective changes felt by the woman, such as
amenorrhea, fatigue, and nausea/vomiting.
,3. A nurse is assessing a client at 20 weeks gestation. Where should the nurse
expect to find the fundus?
A. At the xiphoid process
B. Halfway between the symphysis pubis and umbilicus
C. At the level of the umbilicus
D. Just above the symphysis pubis
Answer: C
Rationale: By 20 weeks of gestation, the fundus is typically located at the level of the
umbilicus.
4. In the GTPAL system, what does the ‘T’ represent?
A. Total number of pregnancies
B. Term births (37 weeks or more)
C. Threatened abortions
D. Trimester count
Answer: B
Rationale: In GTPAL, T stands for Term births, which refers to the number of pregnancies
delivered at 37 weeks 0 days or more.
5. Which sign involves a violet-blue color of the vaginal mucosa and cervix?
A. Goodell’s sign
B. Ballottement
C. Hegar’s sign
D. Chadwick’s sign
Answer: D
Rationale: Chadwick’s sign is the bluish discoloration of the cervix and vaginal mucosa due
to increased vascularity.
, 6. What is the recommended weight gain for a woman with a normal BMI (18.5–
24.9) during pregnancy?
A. 11 to 20 pounds
B. 25 to 35 pounds
C. 15 to 25 pounds
D. 28 to 40 pounds
Answer: B
Rationale: A woman with a normal pre-pregnancy BMI is encouraged to gain between 25
and 35 pounds during pregnancy.
7. What is the primary purpose of folic acid supplementation during the
preconception period and early pregnancy?
A. To prevent gestational diabetes
B. To prevent iron-deficiency anemia
C. To reduce the risk of neural tube defects
D. To improve placental blood flow
Answer: C
Rationale: Folic acid is essential in early pregnancy to prevent neural tube defects like
spina bifida.
8. A client in her third trimester complains of feeling dizzy and faint when lying
on her back. What is the nurse’s best response?
A. Lie on your left side to prevent pressure on the vena cava.
B. This is a sign of preeclampsia; come in for evaluation.
C. This is normal; just breathe deeply until it passes.
D. Increase your fluid intake as you are likely dehydrated.
Answer: A
Rationale: Supine hypotensive syndrome occurs when the heavy uterus compresses the
inferior vena cava; side-lying relieves this pressure.
