NSG 3500 EXAM 4 STUDY PACK Verified Questions & Answers
OBJECTIVE ASSESSMENT - EXAM
NSG 3500 EXAM 4
STUDY PACK
Verified Questions & Answers
2026/2027 Official Exam
A+ Verified | 2026/2027 Official Exam | Passing Score: 80%
COVER PAGE - 1
, SECTIONS COVERED
Section 1: Antepartum Care and Fetal Assessment
Section 2: Intrapartum Care and Labor Management
Section 3: High-Risk Pregnancy and Complications
Section 4: Postpartum Care and Maternal Adaptation
Section 5: Newborn Care and Neonatal Assessment
Section 1: Antepartum Care and Fetal Assessment
Q1.
A 28-year-old G2P1 at 24 weeks gestation presents for her routine prenatal visit. She reports feeling fetal movement for the
past two weeks. The nurse educator explains the purpose of kick counts to monitor fetal well-being. How many fetal
movements should the patient be instructed to count within a designated time period?
A. At least 3 movements in 30 minutes
B. At least 10 movements in 2 hours
C. At least 6 movements in 1 hour
D. At least 15 movements in 4 hours
Correct Answer: A
The correct answer is option A. This choice best addresses the clinical scenario described, while the other options either do not apply to
the situation or could lead to inappropriate interventions. The nurse must use clinical judgment to select the most appropriate action
based on the assessment data.
Q2.
A 32-year-old G1P0 at 36 weeks gestation undergoes a biophysical profile (BPP). The ultrasound technician notes that the
fetus demonstrates two body limb movements, breathing movements for 15 seconds, one episode of fetal tone, and a reactive
nonstress test with adequate amniotic fluid. What is the total BPP score, and what action should the nurse anticipate?
A. Score of 8; continue routine prenatal care
B. Score of 6; schedule repeat BPP in 24 hours
C. Score of 10; no further testing needed
D. Score of 8; prepare for immediate delivery
Correct Answer: A
Each of the five BPP components scores 0 or 2. This fetus earned 2 for movement, 2 for breathing, 2 for tone, 2 for NST (reactive), and
2 for amniotic fluid volume, totaling 10 points. A score of 8-10 is considered normal. A score of 6 is equivocal and warrants repeat
testing, while a score of 4 or less requires immediate intervention.
Q3.
A pregnant patient at 28 weeks gestation is found to have a fundal height measuring 30 cm. The nurse recognizes that fundal
height assessment is a screening tool for fetal growth. The measurement in centimeters should approximately correspond to
which of the following?
A. The number of weeks gestation plus or minus 2 cm
B. The estimated fetal weight in grams divided by 100
C. The amniotic fluid index multiplied by the gestational age
D. The maternal BMI adjusted for parity
Correct Answer: A
Between 20 and 36 weeks gestation, the fundal height in centimeters should approximate the gestational age in weeks, with a normal
variance of plus or minus 2 cm. A discrepancy of more than 2 cm may indicate fetal growth restriction or macrosomia, warranting further
evaluation with ultrasound.
NSG 3500 EXAM 4 STUDY PACK Verified Questions & Answers -- 2026/2027 Official Ex... Page 2
OBJECTIVE ASSESSMENT - EXAM
NSG 3500 EXAM 4
STUDY PACK
Verified Questions & Answers
2026/2027 Official Exam
A+ Verified | 2026/2027 Official Exam | Passing Score: 80%
COVER PAGE - 1
, SECTIONS COVERED
Section 1: Antepartum Care and Fetal Assessment
Section 2: Intrapartum Care and Labor Management
Section 3: High-Risk Pregnancy and Complications
Section 4: Postpartum Care and Maternal Adaptation
Section 5: Newborn Care and Neonatal Assessment
Section 1: Antepartum Care and Fetal Assessment
Q1.
A 28-year-old G2P1 at 24 weeks gestation presents for her routine prenatal visit. She reports feeling fetal movement for the
past two weeks. The nurse educator explains the purpose of kick counts to monitor fetal well-being. How many fetal
movements should the patient be instructed to count within a designated time period?
A. At least 3 movements in 30 minutes
B. At least 10 movements in 2 hours
C. At least 6 movements in 1 hour
D. At least 15 movements in 4 hours
Correct Answer: A
The correct answer is option A. This choice best addresses the clinical scenario described, while the other options either do not apply to
the situation or could lead to inappropriate interventions. The nurse must use clinical judgment to select the most appropriate action
based on the assessment data.
Q2.
A 32-year-old G1P0 at 36 weeks gestation undergoes a biophysical profile (BPP). The ultrasound technician notes that the
fetus demonstrates two body limb movements, breathing movements for 15 seconds, one episode of fetal tone, and a reactive
nonstress test with adequate amniotic fluid. What is the total BPP score, and what action should the nurse anticipate?
A. Score of 8; continue routine prenatal care
B. Score of 6; schedule repeat BPP in 24 hours
C. Score of 10; no further testing needed
D. Score of 8; prepare for immediate delivery
Correct Answer: A
Each of the five BPP components scores 0 or 2. This fetus earned 2 for movement, 2 for breathing, 2 for tone, 2 for NST (reactive), and
2 for amniotic fluid volume, totaling 10 points. A score of 8-10 is considered normal. A score of 6 is equivocal and warrants repeat
testing, while a score of 4 or less requires immediate intervention.
Q3.
A pregnant patient at 28 weeks gestation is found to have a fundal height measuring 30 cm. The nurse recognizes that fundal
height assessment is a screening tool for fetal growth. The measurement in centimeters should approximately correspond to
which of the following?
A. The number of weeks gestation plus or minus 2 cm
B. The estimated fetal weight in grams divided by 100
C. The amniotic fluid index multiplied by the gestational age
D. The maternal BMI adjusted for parity
Correct Answer: A
Between 20 and 36 weeks gestation, the fundal height in centimeters should approximate the gestational age in weeks, with a normal
variance of plus or minus 2 cm. A discrepancy of more than 2 cm may indicate fetal growth restriction or macrosomia, warranting further
evaluation with ultrasound.
NSG 3500 EXAM 4 STUDY PACK Verified Questions & Answers -- 2026/2027 Official Ex... Page 2
