NUR2513/NUR 2513 Exam 1 V1 | Maternal-
Child Nursing Q&A with Rationale |
Rasmussen University
1. A nurse is reviewing the GTPAL system for a client who is currently 24 weeks pregnant, has
a 3-year-old born at 38 weeks, and had a miscarriage at 10 weeks. How should the nurse
document this?
A. G3 T2 P0 A1 L2
B. G3 T1 P1 A0 L1
C. G2 T1 P0 A1 L1
D. G3 T1 P0 A1 L1
Correct Answer: D
Rationale: Gravidity (G) is 3 because she is currently pregnant, has one living child, and
had one miscarriage. Term (T) is 1 because the 3-year-old was born at 38 weeks, while
Preterm (P) is 0. Abortion (A) is 1 for the miscarriage at 10 weeks, and Living (L) is 1 for
the one surviving child.
2. When using Naegele’s Rule, what would be the Estimated Date of Delivery (EDD) for a
client whose last menstrual period (LMP) began on February 10th?
A. November 17th
B. November 10th
,C. November 3rd
D. December 17th
Correct Answer: A
Rationale: 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 February 10th, subtracting
three months goes back to November, and adding seven days to the 10th results in the
17th. This method assumes a standard 28-day cycle and is the standard practice for
calculating EDD in clinical settings.
3. A nurse is providing education to a pregnant client about physiological anemia of
pregnancy. Which statement by the nurse is correct?
A. It is caused by a decrease in the number of red blood cells during the second trimester.
B. It occurs because plasma volume increases more than the red blood cell mass.
C. It is a pathological condition that requires immediate blood transfusion.
D. It results from a lack of dietary iron intake during the first trimester.
Correct Answer: B
Rationale: Physiological anemia occurs due to the rapid expansion of plasma volume,
which exceeds the increase in red blood cell production, leading to hemodilution. This is a
normal compensatory mechanism to support the placental circulation and protect the
mother against blood loss during delivery. Nurses must monitor hemoglobin and
hematocrit levels to distinguish this from true iron-deficiency anemia.
, 4. Which of the following signs observed by the nurse is considered a ‘positive’ sign of
pregnancy?
A. Amenorrhea for two consecutive months
B. Positive serum pregnancy test
C. Hegar’s sign upon pelvic exam
D. Fetal heart tones heard via Doppler
Correct Answer: D
Rationale: Positive signs of pregnancy are those that are attributed only to the presence of
a fetus, such as fetal heart sounds, visualization of the fetus by ultrasound, or palpated fetal
movement by the provider. Amenorrhea and morning sickness are presumptive signs,
while pregnancy tests and Hegar’s sign are probable signs. Identifying these differences is
critical for accurate clinical assessment and patient education.
5. A client at 32 weeks gestation is diagnosed with preeclampsia. Which of the following
findings should the nurse report to the provider immediately?
A. Epigastric pain or right upper quadrant pain
B. Blood pressure of 138/88 mmHg
C. 1+ pitting edema in the lower extremities
D. Weight gain of 1 pound in one week
Correct Answer: A
Child Nursing Q&A with Rationale |
Rasmussen University
1. A nurse is reviewing the GTPAL system for a client who is currently 24 weeks pregnant, has
a 3-year-old born at 38 weeks, and had a miscarriage at 10 weeks. How should the nurse
document this?
A. G3 T2 P0 A1 L2
B. G3 T1 P1 A0 L1
C. G2 T1 P0 A1 L1
D. G3 T1 P0 A1 L1
Correct Answer: D
Rationale: Gravidity (G) is 3 because she is currently pregnant, has one living child, and
had one miscarriage. Term (T) is 1 because the 3-year-old was born at 38 weeks, while
Preterm (P) is 0. Abortion (A) is 1 for the miscarriage at 10 weeks, and Living (L) is 1 for
the one surviving child.
2. When using Naegele’s Rule, what would be the Estimated Date of Delivery (EDD) for a
client whose last menstrual period (LMP) began on February 10th?
A. November 17th
B. November 10th
,C. November 3rd
D. December 17th
Correct Answer: A
Rationale: 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 February 10th, subtracting
three months goes back to November, and adding seven days to the 10th results in the
17th. This method assumes a standard 28-day cycle and is the standard practice for
calculating EDD in clinical settings.
3. A nurse is providing education to a pregnant client about physiological anemia of
pregnancy. Which statement by the nurse is correct?
A. It is caused by a decrease in the number of red blood cells during the second trimester.
B. It occurs because plasma volume increases more than the red blood cell mass.
C. It is a pathological condition that requires immediate blood transfusion.
D. It results from a lack of dietary iron intake during the first trimester.
Correct Answer: B
Rationale: Physiological anemia occurs due to the rapid expansion of plasma volume,
which exceeds the increase in red blood cell production, leading to hemodilution. This is a
normal compensatory mechanism to support the placental circulation and protect the
mother against blood loss during delivery. Nurses must monitor hemoglobin and
hematocrit levels to distinguish this from true iron-deficiency anemia.
, 4. Which of the following signs observed by the nurse is considered a ‘positive’ sign of
pregnancy?
A. Amenorrhea for two consecutive months
B. Positive serum pregnancy test
C. Hegar’s sign upon pelvic exam
D. Fetal heart tones heard via Doppler
Correct Answer: D
Rationale: Positive signs of pregnancy are those that are attributed only to the presence of
a fetus, such as fetal heart sounds, visualization of the fetus by ultrasound, or palpated fetal
movement by the provider. Amenorrhea and morning sickness are presumptive signs,
while pregnancy tests and Hegar’s sign are probable signs. Identifying these differences is
critical for accurate clinical assessment and patient education.
5. A client at 32 weeks gestation is diagnosed with preeclampsia. Which of the following
findings should the nurse report to the provider immediately?
A. Epigastric pain or right upper quadrant pain
B. Blood pressure of 138/88 mmHg
C. 1+ pitting edema in the lower extremities
D. Weight gain of 1 pound in one week
Correct Answer: A
