NUR231 Exam 1 V2 | NUR 231 Childbearing &
Child Caring Family Exam Q&A | Galen College
of Nursing
────────────────────────────────────
This study guide is intended to provide comprehensive preparation for maternal-child nursing
examinations by focusing on prenatal nursing care, family health promotion, and safe
nursing interventions for mothers and infants. The content reflects practical nursing concepts
frequently tested in maternal-child nursing assessments.
This version contains realistic exam-style questions designed to strengthen understanding of
pregnancy care, prenatal risk assessment, and therapeutic nursing management strategies.
Detailed expert explanations support deeper understanding and practical clinical application.
════════════════════════════════════
The Exam Covers:
• Pregnancy assessment techniques
• Prenatal diagnostic testing
• Maternal physiological changes
• Nutrition during pregnancy
• Prenatal patient teaching
• Emotional adaptation to pregnancy
• Risk factors in prenatal care
• Health promotion for mothers and infants
════════════════════════════════════
1. A pregnant client reports her last menstrual period began on May 10th. Using Naegele’s
rule, what is her estimated date of delivery (EDD)?
A. February 10th
B. February 3rd
,C. January 17th
D. February 17th
Correct Answer: D
Expert Explanation: To calculate the EDD using Naegele’s rule, subtract three months and
add seven days to the first day of the last menstrual period. For May 10th, subtracting three
months leads to February, and adding seven days leads to the 17th. This method assumes a
standard 28-day cycle and is the most common way to estimate the due date.
2. A woman is pregnant for the fourth time. She has one child born at 39 weeks, twins born at
34 weeks, and one miscarriage at 10 weeks. What is her GTPAL?
A. G4, T1, P2, A1, L3
B. G3, T2, P1, A0, L2
C. G4, T1, P1, A1, L3
D. G4, T2, P1, A1, L3
Correct Answer: C
Expert Explanation: G (Gravida) is 4 because this is her fourth pregnancy. T (Term) is 1
for the 39-week birth, P (Preterm) is 1 because twins count as one birth event at 34 weeks,
A (Abortion) is 1 for the miscarriage, and L (Living) is 3 because she has three living
children. This classification system helps nurses quickly assess a patient’s obstetric history.
, 3. Which of the following is considered a positive sign of pregnancy?
A. Positive pregnancy test
B. Amenorrhea
C. Fetal heart tones heard by Doppler
D. Chadwick’s sign
Correct Answer: C
Expert Explanation: Positive signs of pregnancy are those that can be attributed only to
the presence of a fetus, such as hearing heart tones or seeing the fetus on ultrasound.
Amenorrhea is a presumptive sign because it can be caused by other factors. A positive
pregnancy test and Chadwick’s sign are considered probable signs because they are
objective but not definitive.
4. A nurse is teaching a pregnant client about nutrition. How many additional calories per day
are recommended during the second trimester?
A. None
B. 500 kcal
C. 450 kcal
D. 340 kcal
Correct Answer: D
Child Caring Family Exam Q&A | Galen College
of Nursing
────────────────────────────────────
This study guide is intended to provide comprehensive preparation for maternal-child nursing
examinations by focusing on prenatal nursing care, family health promotion, and safe
nursing interventions for mothers and infants. The content reflects practical nursing concepts
frequently tested in maternal-child nursing assessments.
This version contains realistic exam-style questions designed to strengthen understanding of
pregnancy care, prenatal risk assessment, and therapeutic nursing management strategies.
Detailed expert explanations support deeper understanding and practical clinical application.
════════════════════════════════════
The Exam Covers:
• Pregnancy assessment techniques
• Prenatal diagnostic testing
• Maternal physiological changes
• Nutrition during pregnancy
• Prenatal patient teaching
• Emotional adaptation to pregnancy
• Risk factors in prenatal care
• Health promotion for mothers and infants
════════════════════════════════════
1. A pregnant client reports her last menstrual period began on May 10th. Using Naegele’s
rule, what is her estimated date of delivery (EDD)?
A. February 10th
B. February 3rd
,C. January 17th
D. February 17th
Correct Answer: D
Expert Explanation: To calculate the EDD using Naegele’s rule, subtract three months and
add seven days to the first day of the last menstrual period. For May 10th, subtracting three
months leads to February, and adding seven days leads to the 17th. This method assumes a
standard 28-day cycle and is the most common way to estimate the due date.
2. A woman is pregnant for the fourth time. She has one child born at 39 weeks, twins born at
34 weeks, and one miscarriage at 10 weeks. What is her GTPAL?
A. G4, T1, P2, A1, L3
B. G3, T2, P1, A0, L2
C. G4, T1, P1, A1, L3
D. G4, T2, P1, A1, L3
Correct Answer: C
Expert Explanation: G (Gravida) is 4 because this is her fourth pregnancy. T (Term) is 1
for the 39-week birth, P (Preterm) is 1 because twins count as one birth event at 34 weeks,
A (Abortion) is 1 for the miscarriage, and L (Living) is 3 because she has three living
children. This classification system helps nurses quickly assess a patient’s obstetric history.
, 3. Which of the following is considered a positive sign of pregnancy?
A. Positive pregnancy test
B. Amenorrhea
C. Fetal heart tones heard by Doppler
D. Chadwick’s sign
Correct Answer: C
Expert Explanation: Positive signs of pregnancy are those that can be attributed only to
the presence of a fetus, such as hearing heart tones or seeing the fetus on ultrasound.
Amenorrhea is a presumptive sign because it can be caused by other factors. A positive
pregnancy test and Chadwick’s sign are considered probable signs because they are
objective but not definitive.
4. A nurse is teaching a pregnant client about nutrition. How many additional calories per day
are recommended during the second trimester?
A. None
B. 500 kcal
C. 450 kcal
D. 340 kcal
Correct Answer: D
