NUR2513/NUR 2513 Exam 1 V3 | Maternal-
Child Nursing Q&A with Rationale |
Rasmussen University
1. A nurse is calculating a client’s expected date of delivery (EDD) using Naegele’s rule. The
client’s last menstrual period (LMP) began on February 10th. What is the correct EDD?
A. November 3rd
B. October 17th
C. November 17th
D. May 10th
Correct Answer: C
Rationale: To calculate the EDD using Naegele’s rule, the nurse subtracts three months and
adds seven days to the first day of the LMP. In this scenario, February minus three months
is November, and adding seven days to the 10th results in the 17th. This method assumes a
standard 28-day menstrual cycle for accuracy.
2. A client presents for her first prenatal visit. She has a history of one miscarriage at 10
weeks, one birth at 38 weeks (now 5 years old), and one birth at 35 weeks (now 3 years old).
How should the nurse record 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
Rationale: The Gravida (G) includes all pregnancies, which total 4 including the current
one. Term (T) is 1 (the 38-week birth), Preterm (P) is 1 (the 35-week birth), Abortion (A) is
1 (the miscarriage), and Living (L) is 2. This systematic approach ensures an accurate
obstetric history is documented for clinical safety.
3. During a prenatal check-up, a client at 10 weeks gestation asks when the fetal heart begins
to beat. Which response by the nurse is most accurate?
A.
B. The heart begins to beat at approximately 4 weeks.
C. The heartbeat is detectable only after 12 weeks.
D. The heart is fully formed and beating by 16 weeks.
B. The heart starts beating at approximately 8 weeks.
Correct Answer: A
Rationale: The fetal heart begins to beat as early as the 4th week of gestation, although it is
not yet audible by Doppler. This represents one of the earliest signs of organogenesis
during the embryonic stage. Nurses should explain that while the heart is beating,
specialized equipment is needed to hear it at this early stage.
, 4. Which of the following is considered a positive sign of pregnancy?
A. Chadwick’s sign
B. Positive serum pregnancy test
C. Fetal heart tones heard by the provider
D. Amenorrhea
Correct Answer: C
Rationale: Positive signs of pregnancy are those that can only be attributed to the
presence of a fetus, such as fetal heart tones or ultrasound visualization. A positive
pregnancy test is considered a probable sign because other conditions like hydatidiform
mole can cause elevated hCG levels. Amenorrhea is a presumptive sign because it is
subjective and can be caused by many factors other than pregnancy.
5. A nurse is teaching a pregnant client about physiological changes. Which statement
regarding the cardiovascular system during pregnancy is correct?
A. Blood volume decreases to prevent hypertension.
B. The heart rate typically decreases to compensate for volume.
C. Red blood cell production stops to prevent thick blood.
D. Cardiac output increases by 30% to 50% during pregnancy.
Correct Answer: D
Child Nursing Q&A with Rationale |
Rasmussen University
1. A nurse is calculating a client’s expected date of delivery (EDD) using Naegele’s rule. The
client’s last menstrual period (LMP) began on February 10th. What is the correct EDD?
A. November 3rd
B. October 17th
C. November 17th
D. May 10th
Correct Answer: C
Rationale: To calculate the EDD using Naegele’s rule, the nurse subtracts three months and
adds seven days to the first day of the LMP. In this scenario, February minus three months
is November, and adding seven days to the 10th results in the 17th. This method assumes a
standard 28-day menstrual cycle for accuracy.
2. A client presents for her first prenatal visit. She has a history of one miscarriage at 10
weeks, one birth at 38 weeks (now 5 years old), and one birth at 35 weeks (now 3 years old).
How should the nurse record 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
Rationale: The Gravida (G) includes all pregnancies, which total 4 including the current
one. Term (T) is 1 (the 38-week birth), Preterm (P) is 1 (the 35-week birth), Abortion (A) is
1 (the miscarriage), and Living (L) is 2. This systematic approach ensures an accurate
obstetric history is documented for clinical safety.
3. During a prenatal check-up, a client at 10 weeks gestation asks when the fetal heart begins
to beat. Which response by the nurse is most accurate?
A.
B. The heart begins to beat at approximately 4 weeks.
C. The heartbeat is detectable only after 12 weeks.
D. The heart is fully formed and beating by 16 weeks.
B. The heart starts beating at approximately 8 weeks.
Correct Answer: A
Rationale: The fetal heart begins to beat as early as the 4th week of gestation, although it is
not yet audible by Doppler. This represents one of the earliest signs of organogenesis
during the embryonic stage. Nurses should explain that while the heart is beating,
specialized equipment is needed to hear it at this early stage.
, 4. Which of the following is considered a positive sign of pregnancy?
A. Chadwick’s sign
B. Positive serum pregnancy test
C. Fetal heart tones heard by the provider
D. Amenorrhea
Correct Answer: C
Rationale: Positive signs of pregnancy are those that can only be attributed to the
presence of a fetus, such as fetal heart tones or ultrasound visualization. A positive
pregnancy test is considered a probable sign because other conditions like hydatidiform
mole can cause elevated hCG levels. Amenorrhea is a presumptive sign because it is
subjective and can be caused by many factors other than pregnancy.
5. A nurse is teaching a pregnant client about physiological changes. Which statement
regarding the cardiovascular system during pregnancy is correct?
A. Blood volume decreases to prevent hypertension.
B. The heart rate typically decreases to compensate for volume.
C. Red blood cell production stops to prevent thick blood.
D. Cardiac output increases by 30% to 50% during pregnancy.
Correct Answer: D
