Concepts of Nursing: The
Childbearing/Child Caring Family | Galen
(Latest 2026/ 2027 Updates STUDY
BUNDLE PACKAGE WITH COMPLETE
SOLUTIONS) 100% Verified Questions &
Answers | Grade A
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### 📝 NUR 230 Exam 1 & 2 Study Compilation (Based on 2026 Verified Sources)
, The following content is organized by exam and major topic areas as they appear in the verified Q&A
resources.
#### � NUR 230 Exam 1: Antepartum & Intrapartum Focus
**Topic 1: GTPAL & Obstetric History**
This is a high-yield calculation area. Remember the components:
- **G**ravida: Total number of pregnancies.
- **T**erm: Births after 37 weeks.
- **P**reterm: Births between 20 and 36.6 weeks.
- **A**bortion: Losses before 20 weeks (includes miscarriages).
- **L**iving: Number of living children.
**Practice Question Example:**
A client has a son born at 38 weeks, a daughter born at 29 weeks (living), a miscarriage at 8 weeks, and a
stillbirth at 19 weeks. She is currently 24 weeks pregnant. What is her **GTPAL**?
- **Answer:** **G5 T1 P1 A2 L2**
- *Rationale:* This is her 5th pregnancy (G=5); one birth after 37 weeks (T=1); one preterm birth at 29
weeks (P=1); two losses before 20 weeks (A=2); two living children (L=2).
**Topic 2: Signs & Symptoms of Pregnancy**
- **Presumptive (Subjective):** Breast changes, N/V, fatigue, urinary frequency, quickening.
- **Probable (Objective):** Positive pregnancy test, Goodell's sign, Chadwick's sign, Ballottement.
- **Positive (Definitive):** Ultrasound visualization of fetus, fetal heart tones.
**Topic 3: Prenatal Care & High-Risk Conditions**
- **Preeclampsia Symptoms:** Elevated BP, headache, hyperreflexia, proteinuria, edema.