Ready to level up your due date calculation quiz skills and reinforce maternal health knowledge before exam day? Jump into our free scored NCLEX challenge featuring both Naegele's rule practice and a targeted maternal child health nursing quiz. In just 10 timed questions, you'll master prenatal calculation practice, tackle essential OB NCLEX practice questions, and build confidence in predicting due dates. Perfect for nursing students reviewing clinical rotations or prepping for licensing, this quiz tests core formulas and real-life scenarios. Are you ready to prove your skills and see your NCLEX readiness soar? Let's get started now!
A client's last menstrual period began on March 1, 2023. Using Naegele's rule, what is the estimated due date?
January 8, 2024
December 1, 2023
December 8, 2023
December 15, 2023
Naegele's rule estimates the due date by adding one year, subtracting three months, and adding seven days to the first day of the LMP. Starting with March 1, 2023, plus 7 days is March 8, minus 3 months is December 8, 2023. This method assumes a 28-day cycle and is commonly used in obstetrics. For more detail, see ACOG Guidelines.
What is the normal duration of a full-term pregnancy in weeks?
42 weeks
40 weeks
38 weeks
36 weeks
A full-term pregnancy is defined as 39 weeks 0 days through 40 weeks 6 days. The traditional count from LMP yields a 40-week gestation period. This timing aligns with fetal development milestones and perinatal outcomes. See more at CDC Gestational Age.
Which vitamin supplement is most important in early pregnancy to help prevent neural tube defects?
Iron
Vitamin D
Folic acid
Calcium
Folic acid is crucial in the first trimester to reduce the risk of neural tube defects such as spina bifida. The CDC recommends women of childbearing age take 400 - 800 mcg daily. Adequate folate before conception and during early pregnancy supports neural development. More information at CDC Folic Acid.
A client in her first trimester reports nausea and vomiting. Which intervention should the nurse recommend first?
Avoid all fluids with meals
Consume small, frequent, dry meals
Increase protein intake dramatically
Eat large meals three times daily
Small, frequent meals of dry, bland foods help reduce gastrointestinal irritation and manage nausea. Avoiding large meals prevents overdistention of the stomach. Adequate hydration between meals and balanced protein can be added as tolerated. Guidelines from ACOG Nausea Management support this approach.
At 20 weeks gestation, what should the fundal height measurement approximately be in centimeters?
24 cm
20 cm
16 cm
28 cm
Fundal height in centimeters typically corresponds to gestational age in weeks between 20 and 36 weeks. At 20 weeks, the fundus should be at the level of the umbilicus, about 20 cm. This measurement helps assess fetal growth and amniotic fluid volume. See more at ACOG Fundal Height.
If a client's last menstrual period was July 10, 2023, what is the estimated due date using Naegele's rule?
April 17, 2024
March 17, 2024
May 17, 2024
April 3, 2024
Naegele's rule adds one year, subtracts three months, and adds seven days to the LMP. For July 10, 2023: +7 days = July 17, -3 months = April 17, and year advances to 2024. This calculation assumes a standard 28-day cycle. Reference: ACOG Guidelines.
Which of the following findings is most indicative of preeclampsia?
New-onset hypertension and proteinuria
Bradycardia and oliguria
Hypotension and proteinuria
Hyperglycemia and edema
Preeclampsia is defined as new-onset hypertension after 20 weeks' gestation accompanied by proteinuria or end-organ dysfunction. Blood pressure ?140/90 mm Hg plus proteinuria >300 mg/24 hours confirms the diagnosis. It requires close monitoring and management to prevent complications. For details see ACOG Hypertension in Pregnancy.
What is the recommended total weight gain during pregnancy for a woman with a normal BMI?
25 - 35 pounds
35 - 45 pounds
11 - 20 pounds
15 - 25 pounds
The Institute of Medicine recommends a weight gain of 25 - 35 pounds for women with a pre-pregnancy BMI of 18.5 - 24.9. This range supports fetal growth and reduces maternal complications. Weight gain outside this range is associated with adverse outcomes. See guidelines at IOM Pregnancy Weight Gain.
During Leopold's maneuvers, which fetal part palpated at the fundus indicates a breech presentation?
Spine
Buttocks
Shoulder
Head
In a breech presentation, the fetal buttocks occupy the fundal segment because they are the presenting part. The buttocks feel softer and more irregular compared to the hard, round head. Identifying this helps plan for delivery. More on Leopold's maneuvers at NCBI Leopold's Maneuvers.
Which antibiotic is recommended for intrapartum Group B Streptococcus prophylaxis?
Penicillin G
Vancomycin
Ampicillin
Cefazolin
Penicillin G is the first-line antibiotic for intrapartum prophylaxis against Group B Streptococcus. It is administered intravenously at onset of labor and every four hours until delivery. This reduces neonatal GBS disease significantly. CDC recommendations: CDC GBS Guidelines.
Using Naegele's rule, what is the estimated due date for a client whose LMP was November 15, 2023?
September 22, 2024
July 22, 2024
August 8, 2024
August 22, 2024
Naegele's rule: LMP + one year - three months + seven days. For November 15, 2023: +7 days = November 22, -3 months = August 22, 2024. This yields the estimated due date. See ACOG Guidelines.
A reactive nonstress test is characterized by which finding within 20 minutes?
Three accelerations of 10 bpm lasting 10 seconds
Two accelerations of 15 bpm lasting 15 seconds
One acceleration of 10 bpm lasting 10 seconds
Two accelerations of 20 bpm lasting 20 seconds
A reactive NST requires at least two fetal heart rate accelerations of ?15 beats/min lasting ?15 seconds within 20 minutes. This indicates adequate fetal oxygenation and autonomic function. Nonreactive results warrant further testing. Detailed criteria at ACOG Fetal Monitoring.
When should Rho(D) immunoglobulin be administered to an Rh-negative mother with an Rh-positive newborn?
At 40 weeks gestation
Within 72 hours postpartum
At 28 weeks gestation
At the first prenatal visit
Rho(D) immunoglobulin is given within 72 hours after birth if the newborn is Rh-positive to prevent maternal sensitization. A dose at 28 weeks is also recommended, but the postpartum dose is critical. This prevents hemolytic disease in future pregnancies. Guidelines: ACOG Rh Incompatibility.
A biophysical profile score of 8 out of 10 with a normal amniotic fluid index indicates which of the following?
Normal fetal status
Oligohydramnios
Suspect fetal hypoxia
Immediate delivery indicated
A BPP score of 8 - 10 is considered normal, indicating fetal well?being when the amniotic fluid index is also normal. Scores of 6 are equivocal, and ?4 suggest compromise requiring further evaluation. Routine monitoring continues for normal results. See ACOG Biophysical Profile.
A client's LMP was April 1, 2023, and her menstrual cycle is 35 days. Using an adjusted Naegele's rule, what is her estimated due date?
February 1, 2024
December 31, 2023
January 15, 2024
January 8, 2024
Adjusted Naegele's rule accounts for cycle length variation: LMP - 3 months + 7 days + (cycle length - 28 days). For a 35-day cycle: 35 - 28=7 extra days. April 1, 2023 - 3 months = January 1, +7 days = January 8, +7 adjustment = January 15, 2024. See details at NCBI Cycle Adjustment.
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Study Outcomes
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.
Adjust Prenatal Calculations -
Modify due date calculations for varying cycle lengths and clinical scenarios to strengthen your prenatal calculation practice skills.
Evaluate Maternal-Child Health Scenarios -
Analyze case-based questions to identify appropriate maternal child health nursing interventions aligned with NCLEX standards.
Demonstrate Time-Management Skills -
Answer 10 timed OB NCLEX practice questions efficiently to build confidence and decision-making speed under exam conditions.
Integrate Due Date Findings into Care Plans -
Translate calculated estimated due dates into clear nursing care plans and patient education strategies for obstetric care.
Identify Common Calculation Errors -
Recognize and correct typical mistakes in due date calculation to enhance accuracy in maternal health assessments.
Cheat Sheet
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.
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.
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.
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.
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.
