NUR 254 EXAM 1 (GALEN) NEWEST 2026 ACTUAL
EXAM| MATERNAL AND PEDIATRICS EXAM 1 REVIEW
WITH COMPLETE 250 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED A+
(MOST RECENT!!)
Question 1
A client reports a positive home pregnancy test. The nurse
explains that the test detects which hormone?
A) Estrogen
B) Progesterone
C) Human chorionic gonadotropin (hCG)
D) Follicle-stimulating hormone (FSH)
Correct Answer: C
*Rationale: hCG is produced by the placenta shortly after
implantation. It is the hormone detected by both urine and serum
pregnancy tests, appearing as early as 8-10 days after
conception.*
1
,Question 2
The nurse calculates a client’s estimated date of delivery (EDD)
using Naegele’s rule. The client’s last menstrual period (LMP) was
May 10. What is the EDD?
A) February 3
B) February 17
C) March 3
D) March 17
Correct Answer: B
Rationale: Naegele’s rule: LMP (May 10) → subtract 3 months
(February 10) → add 7 days → February 17.
Question 3
The nurse is teaching a primigravida about positive signs of
pregnancy. Which finding is a positive sign?
A) Amenorrhea
B) Fetal heartbeat heard on Doppler
C) Nausea and vomiting
D) Breast tenderness
2
,Correct Answer: B
Rationale: Positive signs confirm pregnancy definitively: ultrasound
visualization of fetus, fetal heart tones, and fetal movement felt by
examiner. Amenorrhea, nausea, and breast changes are
probable/presumptive signs.
Question 4
A client at 12 weeks gestation asks when she will likely first feel
fetal movement. The nurse responds:
A) 8-10 weeks
B) 12-14 weeks
C) 16-20 weeks
D) 24-28 weeks
Correct Answer: C
*Rationale: Quickening (first fetal movement felt by the mother)
typically occurs between 16-20 weeks in primigravidas,
sometimes earlier (14-16 weeks) in multigravidas.*
3
, Question 5
During a routine prenatal visit at 24 weeks, the nurse measures
the fundal height at 22 cm. Which action is most appropriate?
A) Document as normal
B) Prepare for immediate ultrasound
C) Re-measure after the client empties her bladder
D) Notify the provider of possible intrauterine growth
restriction
Correct Answer: D
*Rationale: Fundal height in cm should approximately equal
gestational age in weeks (±2-3 cm). 24 weeks should be 22-26
cm. At 22 cm, this is below expected range, potentially indicating
IUGR or oligohydramnios, warranting provider notification.*
Question 6
The nurse auscultates the fetal heart rate (FHR) at a prenatal
visit. Which FHR is within normal range?
A) 80 bpm
B) 100 bpm
4
EXAM| MATERNAL AND PEDIATRICS EXAM 1 REVIEW
WITH COMPLETE 250 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED A+
(MOST RECENT!!)
Question 1
A client reports a positive home pregnancy test. The nurse
explains that the test detects which hormone?
A) Estrogen
B) Progesterone
C) Human chorionic gonadotropin (hCG)
D) Follicle-stimulating hormone (FSH)
Correct Answer: C
*Rationale: hCG is produced by the placenta shortly after
implantation. It is the hormone detected by both urine and serum
pregnancy tests, appearing as early as 8-10 days after
conception.*
1
,Question 2
The nurse calculates a client’s estimated date of delivery (EDD)
using Naegele’s rule. The client’s last menstrual period (LMP) was
May 10. What is the EDD?
A) February 3
B) February 17
C) March 3
D) March 17
Correct Answer: B
Rationale: Naegele’s rule: LMP (May 10) → subtract 3 months
(February 10) → add 7 days → February 17.
Question 3
The nurse is teaching a primigravida about positive signs of
pregnancy. Which finding is a positive sign?
A) Amenorrhea
B) Fetal heartbeat heard on Doppler
C) Nausea and vomiting
D) Breast tenderness
2
,Correct Answer: B
Rationale: Positive signs confirm pregnancy definitively: ultrasound
visualization of fetus, fetal heart tones, and fetal movement felt by
examiner. Amenorrhea, nausea, and breast changes are
probable/presumptive signs.
Question 4
A client at 12 weeks gestation asks when she will likely first feel
fetal movement. The nurse responds:
A) 8-10 weeks
B) 12-14 weeks
C) 16-20 weeks
D) 24-28 weeks
Correct Answer: C
*Rationale: Quickening (first fetal movement felt by the mother)
typically occurs between 16-20 weeks in primigravidas,
sometimes earlier (14-16 weeks) in multigravidas.*
3
, Question 5
During a routine prenatal visit at 24 weeks, the nurse measures
the fundal height at 22 cm. Which action is most appropriate?
A) Document as normal
B) Prepare for immediate ultrasound
C) Re-measure after the client empties her bladder
D) Notify the provider of possible intrauterine growth
restriction
Correct Answer: D
*Rationale: Fundal height in cm should approximately equal
gestational age in weeks (±2-3 cm). 24 weeks should be 22-26
cm. At 22 cm, this is below expected range, potentially indicating
IUGR or oligohydramnios, warranting provider notification.*
Question 6
The nurse auscultates the fetal heart rate (FHR) at a prenatal
visit. Which FHR is within normal range?
A) 80 bpm
B) 100 bpm
4
