NUR 202/NUR202 Exam 1 V1 | Maternal-
Newborn Nursing Q&A with Rationale |
Fortis College
1. A nurse is calculating the estimated date of delivery (EDD) for a client whose last menstrual
period (LMP) began on October 5th. Using Nägele’s rule, which date should the nurse record?
A. July 5th
B. July 12th
C. June 28th
D. August 12th
Correct Answer: B
Expert Explanation: To calculate the EDD using Nägele’s rule, the nurse should subtract 3
months from the first day of the LMP and add 7 days and 1 year. October minus 3 months is
July, and adding 7 days to the 5th results in the 12th. This method assumes a standard 28-
day menstrual cycle and is the most common clinical tool for dating pregnancy.
2. A client presents to the clinic for her first prenatal visit. She has a history of one
miscarriage at 10 weeks, one birth at 35 weeks (living), and one birth at 39 weeks (living). She
is currently pregnant. What is her GTPAL?
A. G4 T1 P1 A1 L2
B. G3 T2 P0 A1 L2
,C. G4 T2 P1 A1 L2
D. G3 T1 P1 A1 L2
Correct Answer: A
Expert Explanation: Gravida (G) is 4 because she has been pregnant four times including
the current one. Term (T) is 1 for the 39-week birth, Preterm (P) is 1 for the 35-week birth,
Abortion (A) is 1 for the miscarriage, and Living (L) is 2 for the two children. Proper
documentation of obstetric history is vital for assessing maternal and fetal risk factors.
3. A nurse is assessing a client at 20 weeks of gestation. At which anatomical location should
the nurse expect to palpate the fundus?
A. Umbilicus
B. Xiphoid process
C. Symphysis pubis
D. Halfway between symphysis and umbilicus
Correct Answer: A
Expert Explanation: At 20 weeks of gestation, the fundal height is typically level with the
umbilicus. This measurement in centimeters usually correlates with the weeks of gestation
between 18 and 32 weeks. Significant deviations from this measurement may indicate
issues such as intrauterine growth restriction or polyhydramnios.
, 4. A nurse is teaching a pregnant client about the importance of folic acid. Which of the
following conditions does folic acid help prevent?
A. Macrosomia
B. Cerebral palsy
C. Neural tube defects
D. Gestational diabetes
Correct Answer: C
Expert Explanation: Adequate folic acid intake is critical in the early stages of pregnancy
to ensure the proper closure of the neural tube. Deficiencies can lead to severe
malformations such as spina bifida or anencephaly. The CDC recommends that all women
of childbearing age consume 400 mcg of folic acid daily.
5. A client at 32 weeks of gestation reports painless, bright red vaginal bleeding. Which
condition should the nurse suspect?
A. Placenta previa
B. Preterm labor
C. Abruptio placentae
D. Ectopic pregnancy
Correct Answer: A
Newborn Nursing Q&A with Rationale |
Fortis College
1. A nurse is calculating the estimated date of delivery (EDD) for a client whose last menstrual
period (LMP) began on October 5th. Using Nägele’s rule, which date should the nurse record?
A. July 5th
B. July 12th
C. June 28th
D. August 12th
Correct Answer: B
Expert Explanation: To calculate the EDD using Nägele’s rule, the nurse should subtract 3
months from the first day of the LMP and add 7 days and 1 year. October minus 3 months is
July, and adding 7 days to the 5th results in the 12th. This method assumes a standard 28-
day menstrual cycle and is the most common clinical tool for dating pregnancy.
2. A client presents to the clinic for her first prenatal visit. She has a history of one
miscarriage at 10 weeks, one birth at 35 weeks (living), and one birth at 39 weeks (living). She
is currently pregnant. What is her GTPAL?
A. G4 T1 P1 A1 L2
B. G3 T2 P0 A1 L2
,C. G4 T2 P1 A1 L2
D. G3 T1 P1 A1 L2
Correct Answer: A
Expert Explanation: Gravida (G) is 4 because she has been pregnant four times including
the current one. Term (T) is 1 for the 39-week birth, Preterm (P) is 1 for the 35-week birth,
Abortion (A) is 1 for the miscarriage, and Living (L) is 2 for the two children. Proper
documentation of obstetric history is vital for assessing maternal and fetal risk factors.
3. A nurse is assessing a client at 20 weeks of gestation. At which anatomical location should
the nurse expect to palpate the fundus?
A. Umbilicus
B. Xiphoid process
C. Symphysis pubis
D. Halfway between symphysis and umbilicus
Correct Answer: A
Expert Explanation: At 20 weeks of gestation, the fundal height is typically level with the
umbilicus. This measurement in centimeters usually correlates with the weeks of gestation
between 18 and 32 weeks. Significant deviations from this measurement may indicate
issues such as intrauterine growth restriction or polyhydramnios.
, 4. A nurse is teaching a pregnant client about the importance of folic acid. Which of the
following conditions does folic acid help prevent?
A. Macrosomia
B. Cerebral palsy
C. Neural tube defects
D. Gestational diabetes
Correct Answer: C
Expert Explanation: Adequate folic acid intake is critical in the early stages of pregnancy
to ensure the proper closure of the neural tube. Deficiencies can lead to severe
malformations such as spina bifida or anencephaly. The CDC recommends that all women
of childbearing age consume 400 mcg of folic acid daily.
5. A client at 32 weeks of gestation reports painless, bright red vaginal bleeding. Which
condition should the nurse suspect?
A. Placenta previa
B. Preterm labor
C. Abruptio placentae
D. Ectopic pregnancy
Correct Answer: A
