NUR166/NUR 166 Exam 1 V1 | Concepts of
Family Centered Nursing for the Practical
Nurse Q&A with Rationale | Hondros
College of Nursing
1. A nurse is teaching a pregnant client about the presumptive signs of pregnancy. Which of
the following should the nurse include in the teaching?
A. Positive pregnancy test
B. Fetal heart tones
C. Amenorrhea
D. Goodell’s sign
Correct Answer: C
Rationale: Presumptive signs are subjective changes reported by the client such as
amenorrhea, fatigue, and nausea. A positive pregnancy test and Goodell’s sign are
considered probable signs because they are objective findings observed by the examiner.
Fetal heart tones are a positive sign because they provide definitive proof of a fetus.
2. Using Nagele’s Rule, calculate the estimated date of delivery (EDD) for a client whose last
menstrual period (LMP) began on October 15.
A. June 22
B. July 8
,C. July 22
D. August 15
Correct Answer: C
Rationale: Nagele’s Rule is calculated by taking the first day of the LMP, subtracting 3
months, and adding 7 days and 1 year. For an LMP of October 15, subtracting 3 months
leads to July, and adding 7 days results in July 22. This method is the standard for
estimating the delivery date in clinical practice.
3. A patient is currently pregnant, has a 5-year-old child born at 38 weeks, and had a
miscarriage at 10 weeks. What is her GTPAL?
A. G3, T1, P0, A1, L1
B. G2, T1, P0, A1, L1
C. G3, T0, P1, A1, L1
D. G2, T1, P1, A0, L1
Correct Answer: A
Rationale: G (Gravida) is 3 because she is currently pregnant, had one full-term birth, and
one miscarriage. T (Term) is 1 for the child born at 38 weeks, P (Preterm) is 0, A
(Abortion/Miscarriage) is 1, and L (Living) is 1. This classification system helps nurses
track the obstetric history of a patient accurately.
, 4. Which hormone is primarily responsible for maintaining the endometrial lining during early
pregnancy until the placenta takes over?
A. Estrogen
B. Luteinizing Hormone
C. Human Chorionic Gonadotropin
D. Progesterone
Correct Answer: D
Rationale: Progesterone is often called the ‘hormone of pregnancy’ because it maintains
the uterine lining to support the embryo. It is initially produced by the corpus luteum
before the placenta assumes production around 10-12 weeks. Without sufficient
progesterone, the pregnancy cannot be maintained and a miscarriage may occur.
5. A nurse is assessing a pregnant patient in her second trimester. Which of the following
cardiovascular changes is considered normal?
A. Decrease in blood volume by 20%
B. Increase in heart rate by 10-15 bpm
C. Significant increase in diastolic blood pressure
D. Decrease in cardiac output
Correct Answer: B
Family Centered Nursing for the Practical
Nurse Q&A with Rationale | Hondros
College of Nursing
1. A nurse is teaching a pregnant client about the presumptive signs of pregnancy. Which of
the following should the nurse include in the teaching?
A. Positive pregnancy test
B. Fetal heart tones
C. Amenorrhea
D. Goodell’s sign
Correct Answer: C
Rationale: Presumptive signs are subjective changes reported by the client such as
amenorrhea, fatigue, and nausea. A positive pregnancy test and Goodell’s sign are
considered probable signs because they are objective findings observed by the examiner.
Fetal heart tones are a positive sign because they provide definitive proof of a fetus.
2. Using Nagele’s Rule, calculate the estimated date of delivery (EDD) for a client whose last
menstrual period (LMP) began on October 15.
A. June 22
B. July 8
,C. July 22
D. August 15
Correct Answer: C
Rationale: Nagele’s Rule is calculated by taking the first day of the LMP, subtracting 3
months, and adding 7 days and 1 year. For an LMP of October 15, subtracting 3 months
leads to July, and adding 7 days results in July 22. This method is the standard for
estimating the delivery date in clinical practice.
3. A patient is currently pregnant, has a 5-year-old child born at 38 weeks, and had a
miscarriage at 10 weeks. What is her GTPAL?
A. G3, T1, P0, A1, L1
B. G2, T1, P0, A1, L1
C. G3, T0, P1, A1, L1
D. G2, T1, P1, A0, L1
Correct Answer: A
Rationale: G (Gravida) is 3 because she is currently pregnant, had one full-term birth, and
one miscarriage. T (Term) is 1 for the child born at 38 weeks, P (Preterm) is 0, A
(Abortion/Miscarriage) is 1, and L (Living) is 1. This classification system helps nurses
track the obstetric history of a patient accurately.
, 4. Which hormone is primarily responsible for maintaining the endometrial lining during early
pregnancy until the placenta takes over?
A. Estrogen
B. Luteinizing Hormone
C. Human Chorionic Gonadotropin
D. Progesterone
Correct Answer: D
Rationale: Progesterone is often called the ‘hormone of pregnancy’ because it maintains
the uterine lining to support the embryo. It is initially produced by the corpus luteum
before the placenta assumes production around 10-12 weeks. Without sufficient
progesterone, the pregnancy cannot be maintained and a miscarriage may occur.
5. A nurse is assessing a pregnant patient in her second trimester. Which of the following
cardiovascular changes is considered normal?
A. Decrease in blood volume by 20%
B. Increase in heart rate by 10-15 bpm
C. Significant increase in diastolic blood pressure
D. Decrease in cardiac output
Correct Answer: B
