NUR231 Exam 1 V3 | NUR 231 Childbearing &
Child Caring Family Exam Q&A | Galen College
of Nursing
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This exam-style preparation material is designed to support students preparing for maternal-child
nursing assessments involving prenatal healthcare, family nursing management, and safe
maternal-child nursing interventions. The material emphasizes evidence-based nursing care
and patient-centered family support strategies.
The questions are structured to closely mirror actual course assessments while reinforcing
analytical reasoning and maternal-child nursing decision-making skills. Detailed expert
explanations are included to improve comprehension and academic performance.
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The Exam Covers:
• Prenatal screening procedures
• High-risk pregnancy factors
• Maternal emotional adaptations
• Fetal monitoring basics
• Nursing ethics in maternal care
• Therapeutic communication with families
• Nursing assessment during pregnancy
• Community maternal health resources
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1. A woman in her first trimester of pregnancy expresses conflicting feelings about being
pregnant. How should the nurse interpret this behavior?
A. A normal response known as ambivalence during the first trimester
B. A sign of maladaptive coping that requires psychiatric referral
,C. Indication that the pregnancy was likely unplanned and unwanted
D. Evidence of a lack of maternal-fetal bonding
Correct Answer: A
Expert Explanation: Ambivalence is a common and normal emotional response during the
first trimester, even when a pregnancy is planned. This internal conflict often arises as the
woman processes the significant life changes ahead. The nurse’s role is to provide
reassurance that these feelings are typical and usually resolve as the pregnancy progresses
into the second trimester.
2. Using Naegele’s rule, what is the estimated date of delivery (EDD) for a patient whose last
menstrual period (LMP) began on March 10?
A. December 10
B. December 17
C. December 3
D. January 17
Correct Answer: B
Expert Explanation: Naegele’s rule involves subtracting three months from the first day of
the last menstrual period and then adding seven days and one year. For an LMP of March
10, subtracting three months leads to December, and adding seven days results in
December 17. This calculation provides a standardized method for estimating the 40-week
gestation period.
, 3. At what gestational age is the screening for Group B Streptococcus (GBS) typically
performed?
A. 16-20 weeks
B. 24-28 weeks
C. 35-37 weeks
D. After 40 weeks
Correct Answer: C
Expert Explanation: Screening for Group B Streptococcus is standard practice between 35
and 37 weeks of gestation. This timing is chosen because the bacteria can transiently
colonize the vaginal tract, and a result close to delivery is most predictive. If the mother
tests positive, prophylactic antibiotics are administered during labor to prevent neonatal
sepsis.
4. Which screening test is used to detect potential neural tube defects between 15 and 22
weeks of gestation?
A. Chorionic Villus Sampling (CVS)
B. Glucose Tolerance Test (GTT)
C. Alpha-fetoprotein (AFP)
D. Indirect Coombs Test
Correct Answer: C
Child Caring Family Exam Q&A | Galen College
of Nursing
────────────────────────────────────
This exam-style preparation material is designed to support students preparing for maternal-child
nursing assessments involving prenatal healthcare, family nursing management, and safe
maternal-child nursing interventions. The material emphasizes evidence-based nursing care
and patient-centered family support strategies.
The questions are structured to closely mirror actual course assessments while reinforcing
analytical reasoning and maternal-child nursing decision-making skills. Detailed expert
explanations are included to improve comprehension and academic performance.
════════════════════════════════════
The Exam Covers:
• Prenatal screening procedures
• High-risk pregnancy factors
• Maternal emotional adaptations
• Fetal monitoring basics
• Nursing ethics in maternal care
• Therapeutic communication with families
• Nursing assessment during pregnancy
• Community maternal health resources
════════════════════════════════════
1. A woman in her first trimester of pregnancy expresses conflicting feelings about being
pregnant. How should the nurse interpret this behavior?
A. A normal response known as ambivalence during the first trimester
B. A sign of maladaptive coping that requires psychiatric referral
,C. Indication that the pregnancy was likely unplanned and unwanted
D. Evidence of a lack of maternal-fetal bonding
Correct Answer: A
Expert Explanation: Ambivalence is a common and normal emotional response during the
first trimester, even when a pregnancy is planned. This internal conflict often arises as the
woman processes the significant life changes ahead. The nurse’s role is to provide
reassurance that these feelings are typical and usually resolve as the pregnancy progresses
into the second trimester.
2. Using Naegele’s rule, what is the estimated date of delivery (EDD) for a patient whose last
menstrual period (LMP) began on March 10?
A. December 10
B. December 17
C. December 3
D. January 17
Correct Answer: B
Expert Explanation: Naegele’s rule involves subtracting three months from the first day of
the last menstrual period and then adding seven days and one year. For an LMP of March
10, subtracting three months leads to December, and adding seven days results in
December 17. This calculation provides a standardized method for estimating the 40-week
gestation period.
, 3. At what gestational age is the screening for Group B Streptococcus (GBS) typically
performed?
A. 16-20 weeks
B. 24-28 weeks
C. 35-37 weeks
D. After 40 weeks
Correct Answer: C
Expert Explanation: Screening for Group B Streptococcus is standard practice between 35
and 37 weeks of gestation. This timing is chosen because the bacteria can transiently
colonize the vaginal tract, and a result close to delivery is most predictive. If the mother
tests positive, prophylactic antibiotics are administered during labor to prevent neonatal
sepsis.
4. Which screening test is used to detect potential neural tube defects between 15 and 22
weeks of gestation?
A. Chorionic Villus Sampling (CVS)
B. Glucose Tolerance Test (GTT)
C. Alpha-fetoprotein (AFP)
D. Indirect Coombs Test
Correct Answer: C
