NR 327 Maternal-Child Nursing Week 3 Study Guide Quiz 2026
|Chamberlain College
1. A nurse is calculating the estimated date of delivery (EDD) for a client using
Naegele’s rule. The client’s last menstrual period began on June 10th. What is
the correct EDD?
A. March 10th
B. March 17th
C. April 17th
D. February 17th
Answer: B
Rationale: Naegele’s rule is calculated by subtracting 3 months and adding 7 days and 1
year to the first day of the LMP. June minus 3 months is March; 10 plus 7 days is 17.
2. Which of the following is considered a presumptive sign of pregnancy?
A. Positive pregnancy test
B. Chadwick’s sign
C. Fetal heart tones
D. Amenorrhea
Answer: D
Rationale: Presumptive signs are subjective changes felt by the woman, such as
amenorrhea, fatigue, and nausea/vomiting. Chadwick’s sign and positive tests are probable
signs.
,3. During a prenatal visit at 20 weeks gestation, where should the nurse expect
to find the fundus?
A. At the xiphoid process
B. Just above the symphysis pubis
C. Halfway between the symphysis and umbilicus
D. At the level of the umbilicus
Answer: D
Rationale: At 20 weeks gestation, the fundal height is typically at the level of the umbilicus.
After 20 weeks, it usually measures in centimeters approximately equal to the weeks of
gestation.
4. A pregnant client asks the nurse why she needs to take folic acid. What is the
best response by the nurse?
A. It prevents maternal anemia
B. It reduces the risk of neural tube defects
C. It helps in the development of fetal bones
D. It prevents gestational diabetes
Answer: B
Rationale: Folic acid is essential in the periconceptional period and early pregnancy to
prevent neural tube defects such as spina bifida and anencephaly.
5. Which of the following is a ‘positive’ sign of pregnancy?
A. Hegar’s sign
B. Ballottement
C. Uterine enlargement
D. Visualizing the fetus via ultrasound
Answer: D
, Rationale: Positive signs are objective data that can only be attributed to the presence of a
fetus, such as fetal heart sounds, visualization by ultrasound, or palpable fetal movement
by an examiner.
6. A client in her second trimester reports feeling dizzy and faint when lying on
her back. What should the nurse recommend?
A. Turn onto her left side
B. Drink a glass of orange juice
C. Take deep breaths for one minute
D. Elevate her legs with two pillows
Answer: A
Rationale: This is supine hypotensive syndrome, caused by the weight of the uterus
compressing the inferior vena cava. Turning to the side (preferably left) relieves the
pressure.
7. A nurse is reviewing G-T-P-A-L. A client is currently pregnant, had one
miscarriage at 10 weeks, and has one living child born at 39 weeks. What is her
GTPAL?
A. G2, T1, P0, A1, L1
B. G3, T1, P0, A1, L1
C. G3, T0, P1, A1, L1
D. G2, T1, P1, A0, L1
Answer: B
Rationale: Gravida (G) = 3 (current, miscarriage, full term); Term (T) = 1 (39 weeks);
Preterm (P) = 0; Abortion (A) = 1 (miscarriage before 20 weeks); Living (L) = 1.
|Chamberlain College
1. A nurse is calculating the estimated date of delivery (EDD) for a client using
Naegele’s rule. The client’s last menstrual period began on June 10th. What is
the correct EDD?
A. March 10th
B. March 17th
C. April 17th
D. February 17th
Answer: B
Rationale: Naegele’s rule is calculated by subtracting 3 months and adding 7 days and 1
year to the first day of the LMP. June minus 3 months is March; 10 plus 7 days is 17.
2. Which of the following is considered a presumptive sign of pregnancy?
A. Positive pregnancy test
B. Chadwick’s sign
C. Fetal heart tones
D. Amenorrhea
Answer: D
Rationale: Presumptive signs are subjective changes felt by the woman, such as
amenorrhea, fatigue, and nausea/vomiting. Chadwick’s sign and positive tests are probable
signs.
,3. During a prenatal visit at 20 weeks gestation, where should the nurse expect
to find the fundus?
A. At the xiphoid process
B. Just above the symphysis pubis
C. Halfway between the symphysis and umbilicus
D. At the level of the umbilicus
Answer: D
Rationale: At 20 weeks gestation, the fundal height is typically at the level of the umbilicus.
After 20 weeks, it usually measures in centimeters approximately equal to the weeks of
gestation.
4. A pregnant client asks the nurse why she needs to take folic acid. What is the
best response by the nurse?
A. It prevents maternal anemia
B. It reduces the risk of neural tube defects
C. It helps in the development of fetal bones
D. It prevents gestational diabetes
Answer: B
Rationale: Folic acid is essential in the periconceptional period and early pregnancy to
prevent neural tube defects such as spina bifida and anencephaly.
5. Which of the following is a ‘positive’ sign of pregnancy?
A. Hegar’s sign
B. Ballottement
C. Uterine enlargement
D. Visualizing the fetus via ultrasound
Answer: D
, Rationale: Positive signs are objective data that can only be attributed to the presence of a
fetus, such as fetal heart sounds, visualization by ultrasound, or palpable fetal movement
by an examiner.
6. A client in her second trimester reports feeling dizzy and faint when lying on
her back. What should the nurse recommend?
A. Turn onto her left side
B. Drink a glass of orange juice
C. Take deep breaths for one minute
D. Elevate her legs with two pillows
Answer: A
Rationale: This is supine hypotensive syndrome, caused by the weight of the uterus
compressing the inferior vena cava. Turning to the side (preferably left) relieves the
pressure.
7. A nurse is reviewing G-T-P-A-L. A client is currently pregnant, had one
miscarriage at 10 weeks, and has one living child born at 39 weeks. What is her
GTPAL?
A. G2, T1, P0, A1, L1
B. G3, T1, P0, A1, L1
C. G3, T0, P1, A1, L1
D. G2, T1, P1, A0, L1
Answer: B
Rationale: Gravida (G) = 3 (current, miscarriage, full term); Term (T) = 1 (39 weeks);
Preterm (P) = 0; Abortion (A) = 1 (miscarriage before 20 weeks); Living (L) = 1.
