NUR166/NUR 166 Exam 1 V2 | Concepts of
Family Centered Nursing for the Practical
Nurse Q&A with Rationale | Hondros
College of Nursing
1. A nurse is calculating the estimated date of birth (EDB) for a client whose last menstrual
period (LMP) began on March 15. Using Naegele’s rule, what date should the nurse provide?
A. December 22
B. December 15
C. January 22
D. January 15
Correct Answer: A
Rationale: Naegele’s rule is a standard method used to estimate the delivery date by taking
the first day of the last menstrual period, subtracting three months, and adding seven days
plus one year if necessary. For an LMP of March 15, subtracting three months brings the
date to December 15, and adding seven days results in December 22. This calculation is a
fundamental skill for practical nurses working in prenatal clinics to ensure accurate
monitoring of fetal development.
2. A client at 10 weeks of gestation reports feeling fetal movement. The nurse should
document this as which type of sign of pregnancy?
A. Positive
,B. Probable
C. Diagnostic
D. Presumptive
Correct Answer: D
Rationale: Presumptive signs of pregnancy are subjective symptoms that the mother feels,
such as quickening, nausea, or breast tenderness. Because these symptoms can be caused
by conditions other than pregnancy, they are not definitive indicators. The nurse must
recognize that subjective reports require further clinical validation through objective signs
or diagnostic testing.
3. Which objective finding observed by the healthcare provider during a pelvic exam is known
as Chadwick’s sign?
A. Softening of the cervix
B. Softening of the lower uterine segment
C. Purplish-blue discoloration of the cervix
D. Easily flexed uterus
Correct Answer: C
Rationale: Chadwick’s sign is characterized by a deep blue or purplish discoloration of the
cervix, vagina, and vulva due to increased vascularity. This is considered a probable sign of
, pregnancy because it is an objective change observed by a clinician. It usually becomes
apparent around the sixth to eighth week of gestation as estrogen levels rise.
4. A nurse is reviewing the GTPAL system for a client who is currently pregnant, has a 5-year-
old born at 38 weeks, and had a miscarriage at 10 weeks. How should the nurse record this?
A. G2, T1, P0, A1, L1
B. G3, T1, P0, A1, L1
C. G3, T0, P1, A1, L1
D. G2, T1, P1, A0, L1
Correct Answer: B
Rationale: G stands for Gravida (total pregnancies), T for Term births (37+ weeks), P for
Preterm (20-36.6 weeks), A for Abortions/Miscarriages (under 20 weeks), and L for Living
children. This client is currently pregnant (G1), had one term birth (T1), and one
miscarriage (A1), making her G3. Since she has one living child, the final count is G3, T1, P0,
A1, L1.
5. What is the primary function of the amniotic fluid during pregnancy?
A. Providing nourishment to the fetus
B. Maintaining a constant body temperature for the fetus
C. Transferring oxygen from the mother
D. Filtering fetal waste products
Family Centered Nursing for the Practical
Nurse Q&A with Rationale | Hondros
College of Nursing
1. A nurse is calculating the estimated date of birth (EDB) for a client whose last menstrual
period (LMP) began on March 15. Using Naegele’s rule, what date should the nurse provide?
A. December 22
B. December 15
C. January 22
D. January 15
Correct Answer: A
Rationale: Naegele’s rule is a standard method used to estimate the delivery date by taking
the first day of the last menstrual period, subtracting three months, and adding seven days
plus one year if necessary. For an LMP of March 15, subtracting three months brings the
date to December 15, and adding seven days results in December 22. This calculation is a
fundamental skill for practical nurses working in prenatal clinics to ensure accurate
monitoring of fetal development.
2. A client at 10 weeks of gestation reports feeling fetal movement. The nurse should
document this as which type of sign of pregnancy?
A. Positive
,B. Probable
C. Diagnostic
D. Presumptive
Correct Answer: D
Rationale: Presumptive signs of pregnancy are subjective symptoms that the mother feels,
such as quickening, nausea, or breast tenderness. Because these symptoms can be caused
by conditions other than pregnancy, they are not definitive indicators. The nurse must
recognize that subjective reports require further clinical validation through objective signs
or diagnostic testing.
3. Which objective finding observed by the healthcare provider during a pelvic exam is known
as Chadwick’s sign?
A. Softening of the cervix
B. Softening of the lower uterine segment
C. Purplish-blue discoloration of the cervix
D. Easily flexed uterus
Correct Answer: C
Rationale: Chadwick’s sign is characterized by a deep blue or purplish discoloration of the
cervix, vagina, and vulva due to increased vascularity. This is considered a probable sign of
, pregnancy because it is an objective change observed by a clinician. It usually becomes
apparent around the sixth to eighth week of gestation as estrogen levels rise.
4. A nurse is reviewing the GTPAL system for a client who is currently pregnant, has a 5-year-
old born at 38 weeks, and had a miscarriage at 10 weeks. How should the nurse record this?
A. G2, T1, P0, A1, L1
B. G3, T1, P0, A1, L1
C. G3, T0, P1, A1, L1
D. G2, T1, P1, A0, L1
Correct Answer: B
Rationale: G stands for Gravida (total pregnancies), T for Term births (37+ weeks), P for
Preterm (20-36.6 weeks), A for Abortions/Miscarriages (under 20 weeks), and L for Living
children. This client is currently pregnant (G1), had one term birth (T1), and one
miscarriage (A1), making her G3. Since she has one living child, the final count is G3, T1, P0,
A1, L1.
5. What is the primary function of the amniotic fluid during pregnancy?
A. Providing nourishment to the fetus
B. Maintaining a constant body temperature for the fetus
C. Transferring oxygen from the mother
D. Filtering fetal waste products
