NUR2513/NUR 2513 Exam 1 V3 | Maternal
Child Nursing Q&A with Rationale |
Rasmussen University
1. A nurse is calculating the estimated date of delivery (EDD) using Naegele’s rule for a client
whose last menstrual period (LMP) began on February 14th. What is the correct EDD?
A. November 21st
B. November 14th
C. November 7th
D. December 21st
Correct Answer: A
Rationale: Naegele’s rule involves subtracting 3 months from the first day of the last
menstrual period and then adding 7 days and 1 year. For an LMP of February 14th,
subtracting 3 months goes back to November 14th of the previous year. Adding 7 days to
the 14th results in November 21st, which is the standard method for determining the
estimated date of birth.
2. A client is currently pregnant and has a history of one birth at 39 weeks, one birth at 34
weeks, and one miscarriage at 12 weeks. She has two living children. What is her GTPAL?
A. G3, T1, P1, A1, L2
B. G3, T2, P1, A0, L2
,C. G4, T2, P0, A1, L2
D. G4, T1, P1, A1, L2
Correct Answer: D
Rationale: The GTPAL system records obstetric history where G is gravidity (total
pregnancies), T is term births (37+ weeks), P is preterm births (20-36 weeks), A is
abortions/miscarriages (before 20 weeks), and L is living children. In this case, the woman
is pregnant now (G4), had one term birth (T1), one preterm birth (P1), and one miscarriage
(A1), with two living children (L2). This comprehensive assessment helps the nurse
understand the patient’s risk profile for the current pregnancy.
3. A nurse is reviewing signs of pregnancy with a group of nursing students. Which of the
following should the nurse identify as a positive sign of pregnancy?
A. Fetal heart tones heard via Doppler
B. Chadwick’s sign
C. Positive pregnancy test
D. Quickening
Correct Answer: A
Rationale: Positive signs of pregnancy are those that can be attributed only to the
presence of a fetus, such as fetal heart tones, visualization by ultrasound, or palpable fetal
movement by an examiner. Chadwick’s sign and pregnancy tests are considered probable
, signs because they could be caused by other conditions. Quickening is a presumptive sign
because it is a subjective sensation felt by the mother.
4. A client at 10 weeks of gestation reports frequent nausea and vomiting in the morning.
Which recommendation should the nurse provide?
A. Drink 500 mL of water immediately upon waking up.
B. Avoid all forms of ginger as it may cause uterine contractions.
C. Consume three large meals a day to maintain blood sugar.
D. Eat dry crackers or toast before rising from bed.
Correct Answer: D
Rationale: Eating dry carbohydrates such as crackers or toast 30 to 60 minutes before
getting out of bed helps settle the stomach and manage morning sickness. The nurse should
also advise the client to eat small, frequent meals throughout the day rather than three
large ones. Keeping the stomach from becoming completely empty or overly full is key to
minimizing nausea during the first trimester.
5. Which hormone is primarily responsible for maintaining the corpus luteum and is detected
in a standard urine pregnancy test?
A. Human chorionic gonadotropin (hCG)
B. Estrogen
C. Progesterone
Child Nursing Q&A with Rationale |
Rasmussen University
1. A nurse is calculating the estimated date of delivery (EDD) using Naegele’s rule for a client
whose last menstrual period (LMP) began on February 14th. What is the correct EDD?
A. November 21st
B. November 14th
C. November 7th
D. December 21st
Correct Answer: A
Rationale: Naegele’s rule involves subtracting 3 months from the first day of the last
menstrual period and then adding 7 days and 1 year. For an LMP of February 14th,
subtracting 3 months goes back to November 14th of the previous year. Adding 7 days to
the 14th results in November 21st, which is the standard method for determining the
estimated date of birth.
2. A client is currently pregnant and has a history of one birth at 39 weeks, one birth at 34
weeks, and one miscarriage at 12 weeks. She has two living children. What is her GTPAL?
A. G3, T1, P1, A1, L2
B. G3, T2, P1, A0, L2
,C. G4, T2, P0, A1, L2
D. G4, T1, P1, A1, L2
Correct Answer: D
Rationale: The GTPAL system records obstetric history where G is gravidity (total
pregnancies), T is term births (37+ weeks), P is preterm births (20-36 weeks), A is
abortions/miscarriages (before 20 weeks), and L is living children. In this case, the woman
is pregnant now (G4), had one term birth (T1), one preterm birth (P1), and one miscarriage
(A1), with two living children (L2). This comprehensive assessment helps the nurse
understand the patient’s risk profile for the current pregnancy.
3. A nurse is reviewing signs of pregnancy with a group of nursing students. Which of the
following should the nurse identify as a positive sign of pregnancy?
A. Fetal heart tones heard via Doppler
B. Chadwick’s sign
C. Positive pregnancy test
D. Quickening
Correct Answer: A
Rationale: Positive signs of pregnancy are those that can be attributed only to the
presence of a fetus, such as fetal heart tones, visualization by ultrasound, or palpable fetal
movement by an examiner. Chadwick’s sign and pregnancy tests are considered probable
, signs because they could be caused by other conditions. Quickening is a presumptive sign
because it is a subjective sensation felt by the mother.
4. A client at 10 weeks of gestation reports frequent nausea and vomiting in the morning.
Which recommendation should the nurse provide?
A. Drink 500 mL of water immediately upon waking up.
B. Avoid all forms of ginger as it may cause uterine contractions.
C. Consume three large meals a day to maintain blood sugar.
D. Eat dry crackers or toast before rising from bed.
Correct Answer: D
Rationale: Eating dry carbohydrates such as crackers or toast 30 to 60 minutes before
getting out of bed helps settle the stomach and manage morning sickness. The nurse should
also advise the client to eat small, frequent meals throughout the day rather than three
large ones. Keeping the stomach from becoming completely empty or overly full is key to
minimizing nausea during the first trimester.
5. Which hormone is primarily responsible for maintaining the corpus luteum and is detected
in a standard urine pregnancy test?
A. Human chorionic gonadotropin (hCG)
B. Estrogen
C. Progesterone
