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Maternal and Child Health NCLEX Quiz: Naegele's Rule Practice

Ready to Master Prenatal Calculations? Start Your OB NCLEX Practice Now!

Editorial: Review CompletedCreated By: Tanu NirwalUpdated Aug 28, 2025
Difficulty: Moderate
2-5mins
Learning OutcomesCheat Sheet
Teal background with paper art of pregnant belly clock quiz cards baby icon stethoscope for maternal child health quiz

Use this NCLEX quiz to practice Naegele's rule and maternal-child health . Solve due date math and OB scenarios in 10 timed questions, and get a score to spot gaps before the exam. Quick, focused practice to build speed and confidence.

Using Naegele's rule, what is the estimated due date if the LMP was July 12, 2025 (28-day cycle)?
March 12, 2026
March 19, 2026
April 19, 2026
April 12, 2026
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Naegele's rule is calculated by adding 7 days to the first day of the LMP and subtracting 3 months, then adjusting the year as needed.
False
True
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Naegele's rule provides an exact delivery date for all pregnancies.
False
True
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A client's LMP was November 28, 2024. What is the EDD using Naegele's rule (28-day cycle)?
August 28, 2025
September 7, 2025
September 1, 2025
September 4, 2025
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Naegele's rule should be based on the last day of bleeding from the LMP.
True
False
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If a client is unsure of her LMP, Naegele's rule cannot be reliably applied.
False
True
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At 20 weeks, where is the fundus typically palpated?
At the level of the umbilicus
At the xiphoid process
Midway between pubis and umbilicus
Two fingerbreadths below the umbilicus
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A client with a 35-day menstrual cycle had an LMP of January 5, 2025. Using adjusted Naegele's rule for cycle length, what is the EDD?
September 12, 2025
October 5, 2025
October 12, 2025
September 19, 2025
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For a 24-day cycle, the client's LMP was March 30, 2025. What is the EDD using Naegele's rule with cycle length adjustment?
January 2, 2026
January 6, 2026
December 30, 2025
January 9, 2026
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Which dating method supersedes Naegele's rule when they conflict in the first trimester?
Quickening date reported by the mother
Second-trimester biparietal diameter ultrasound
Early first-trimester crown-rump length ultrasound
Fundal height measurement at 20 weeks
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When adjusting Naegele's rule for cycle length, longer cycles require adding the excess days beyond 28 to the EDD.
True
False
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A client with irregular cycles conceived via IVF with a known embryo transfer date. Which is the best method to estimate the due date?
Use fundal height at 12 weeks
Rely on quickening date
Use Naegele's rule based on the last bleeding episode
Calculate 38 weeks from fertilization (or 40 weeks from LMP-equivalent) using IVF dating
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A client's LMP is April 1, 2025 with a 30-day cycle. What is the EDD using cycle adjustment?
December 29, 2025
January 1, 2026
January 8, 2026
January 5, 2026
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A 26-day cycle shortens the Naegele-derived EDD by 2 days.
True
False
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LMP was February 29, 2024 (leap year). Using Naegele's rule (28-day cycle), what is the EDD?
December 1, 2024
November 29, 2024
December 6, 2024
December 5, 2024
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Which immediate action is priority with a prolapsed umbilical cord?
Insert an internal fetal scalp electrode
Relieve pressure on the cord by elevating the presenting part and call for help
Apply fundal pressure to expedite delivery
Place the client supine and await provider
undefined
Magnesium sulfate toxicity is suspected with absent deep tendon reflexes, respiratory depression, and decreased urine output.
True
False
undefined
After amniotomy with meconium-stained fluid and variable decelerations, the priority nursing action is to reposition the client to improve cord perfusion.
False
True
undefined
Breastfeeding is contraindicated in classic galactosemia.
False
True
undefined
In suspected ectopic pregnancy, unilateral lower abdominal pain with vaginal bleeding and a positive pregnancy test warrants urgent evaluation.
True
False
undefined
0

Study Outcomes

  1. Calculate Estimated Due Date -

    Apply Naegele's rule in prenatal calculation practice to determine the estimated date of delivery based on the patient's last menstrual period.

  2. Adjust Prenatal Calculations -

    Modify due date calculations for varying cycle lengths and clinical scenarios to strengthen your prenatal calculation practice skills.

  3. Evaluate Maternal-Child Health Scenarios -

    Analyze case-based questions to identify appropriate maternal child health nursing interventions aligned with NCLEX standards.

  4. Demonstrate Time-Management Skills -

    Answer 10 timed OB NCLEX practice questions efficiently to build confidence and decision-making speed under exam conditions.

  5. Integrate Due Date Findings into Care Plans -

    Translate calculated estimated due dates into clear nursing care plans and patient education strategies for obstetric care.

  6. Identify Common Calculation Errors -

    Recognize and correct typical mistakes in due date calculation to enhance accuracy in maternal health assessments.

Cheat Sheet

  1. Accurate Due Date Calculation with Naegele's Rule -

    Use the formula LMP date + 7 days − 3 months + 1 year to estimate gestational age, a cornerstone of prenatal calculation practice (e.g., LMP: March 10 + 7 days = March 17; −3 months = December; +1 year = Dec 17 next year). Practicing Naegele's rule regularly ensures you master this due date calculation quiz method and boosts speed and accuracy for OB NCLEX practice questions.

  2. GTPAL Mnemonic for Obstetric History -

    The GTPAL system (Gravida, Term births, Preterm births, Abortions, Living children) offers a concise framework for recording patient history during maternal child health nursing quiz scenarios. Use the memory phrase "GREAT PALS" (Gravida, Full-term, Preterm, Abortus, Living) to recall each component efficiently.

  3. Fundal Height Measurement and Gestational Age -

    After 20 weeks, fundal height in centimeters approximates gestational age in weeks (e.g., 28 cm ≈ 28 weeks), a key skill in prenatal calculation practice and OB NCLEX practice questions. Variations beyond ±2 cm may signal growth issues, so always correlate with due date calculation quiz findings and perform follow-up assessments.

  4. Recommended Weight Gain by BMI Category -

    According to ACOG, normal BMI (18.5 - 24.9) patients should gain 25 - 35 lb, whereas underweight (<18.5) aim for 28 - 40 lb and overweight (25 - 29.9) for 15 - 25 lb, a critical aspect of maternal child health nursing quiz topics. Tracking weight gain per trimester (first: 1 - 4 lb total; second/third: ~1 lb/week) strengthens your prenatal calculation practice and ensures personalized patient counseling.

  5. Prenatal Visit Frequency Mnemonic 4-2-1 -

    Memorize "4-2-1" to remember visit intervals: every 4 weeks until 28 weeks, every 2 weeks until 36 weeks, and weekly thereafter, a staple for maternal child health nursing quiz readiness. Being able to quickly cite this schedule in OB NCLEX practice questions demonstrates mastery of prenatal care planning and due date calculation quiz context.

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