NUR 254 TEST 1 STUDY GUIDE
2026/2027 COMPLETE QUESTIONS
WITH CORRECT DETAILED ANSWERS
|| 100% GUARANTEED PASS
<LATEST VERSION>
Galen College Of Nursing
1. Presumtive signs of pregnancy - ANSWER SUBJECTIVE
-Nausea/vomiting
-amenorrhea
-breast changes
-fatigue
-urinary frequency
-quickening (fetal movement)
2. Probable signs of pregnancy - ANSWER EXAMINER OBJECTIVE
FINDING
-Hegar's sign
-Goodell's sign
-Chadwick's sign
-Positive pregnancy test
-Braxton hicks contractions
-Ballotment
3. Hegar's sign - ANSWER softening of the lower uterine segment
4. Goodell's sign - ANSWER softening of the cervix
,5. Chadwick's sign - ANSWER Bluish-purple coloration of the vaginal mucosa
and cervix
6. pregestational diabetes - ANSWER Diabetes that existed before pregnancy
-type 1 or type 2
glucose crosses placenta, insulin does not
-fetus produces insulin around 10 weeks
Treatment
-insulin is preferred
First trimester (7-15 weeks)
-prone to hypoglycemia due to increased metabolic rate
Second & third trimester
-insulin needs may double or quadruple
7. pregestational diabetes risks - ANSWER Maternal
-Preeclampsia
-Perinatal death
-Polyhydramnios (too much amniotic fluid)
-Preterm birth
-postpartum hemorrhage
-infection
-C section
Fetal
-unexplained fetal death
, -Congenital anomalies
-Macrosomic fetus
-hypoglycemia
-respiratory distress
8. gestational diabetes - ANSWER Risk Factors
-obesity
-family hx
-age >35
-comorbidities
-previous infant >9lbs at birth
Treatment
First step: diet and exercise
second step: insulin
oral meds not often used because they cross the placenta, insulin does not
greater risk for developing diabetes later in life
9. preterm labor diagnosis - ANSWER 20-36 6/7 weeks
contractions
progressive cervical change ( effacement and dilation)
10.Preterm Labor & Birth - ANSWER -Labor/birth occurring between 20 & 37
completed weeks of gestation
Low Birth weight 2500g or <
, 11.Fetal Fibronectin - ANSWER Swab vaginal secretions at 24 to 34 weeks;
indicates loss of fetal membrane integrity; USED TO DETERMINE PTL
12.Chorioamnionitis - ANSWER bacterial infection of the amniotic cavity
Maternal fever
Fetal tachycardia
Uterine Tenderness
Foul odor of amniotic fluid
13.Post term Preganancy - ANSWER Beyond end of 42 weeks gestation
14.Dysfunctional Labor (Dystocia) - ANSWER long, difficult, or abnormal
labor caused by various conditions associated with the five factors affecting
labor
15.Precipitous Labor - ANSWER Labor that lasts 3 hours or less from onset of
contractions to time of delivery
16.Induction of Labor - ANSWER Elective induction > 39 weeks
Bishops score 5 or less, cervix not ripe
17.Ripen Cervix - ANSWER chemical
Mechanical & Physical
Amniotomy
18.Oxytocin - ANSWER stimulates uterine contractions
High alert: 1st/min: 1mL/hr
2026/2027 COMPLETE QUESTIONS
WITH CORRECT DETAILED ANSWERS
|| 100% GUARANTEED PASS
<LATEST VERSION>
Galen College Of Nursing
1. Presumtive signs of pregnancy - ANSWER SUBJECTIVE
-Nausea/vomiting
-amenorrhea
-breast changes
-fatigue
-urinary frequency
-quickening (fetal movement)
2. Probable signs of pregnancy - ANSWER EXAMINER OBJECTIVE
FINDING
-Hegar's sign
-Goodell's sign
-Chadwick's sign
-Positive pregnancy test
-Braxton hicks contractions
-Ballotment
3. Hegar's sign - ANSWER softening of the lower uterine segment
4. Goodell's sign - ANSWER softening of the cervix
,5. Chadwick's sign - ANSWER Bluish-purple coloration of the vaginal mucosa
and cervix
6. pregestational diabetes - ANSWER Diabetes that existed before pregnancy
-type 1 or type 2
glucose crosses placenta, insulin does not
-fetus produces insulin around 10 weeks
Treatment
-insulin is preferred
First trimester (7-15 weeks)
-prone to hypoglycemia due to increased metabolic rate
Second & third trimester
-insulin needs may double or quadruple
7. pregestational diabetes risks - ANSWER Maternal
-Preeclampsia
-Perinatal death
-Polyhydramnios (too much amniotic fluid)
-Preterm birth
-postpartum hemorrhage
-infection
-C section
Fetal
-unexplained fetal death
, -Congenital anomalies
-Macrosomic fetus
-hypoglycemia
-respiratory distress
8. gestational diabetes - ANSWER Risk Factors
-obesity
-family hx
-age >35
-comorbidities
-previous infant >9lbs at birth
Treatment
First step: diet and exercise
second step: insulin
oral meds not often used because they cross the placenta, insulin does not
greater risk for developing diabetes later in life
9. preterm labor diagnosis - ANSWER 20-36 6/7 weeks
contractions
progressive cervical change ( effacement and dilation)
10.Preterm Labor & Birth - ANSWER -Labor/birth occurring between 20 & 37
completed weeks of gestation
Low Birth weight 2500g or <
, 11.Fetal Fibronectin - ANSWER Swab vaginal secretions at 24 to 34 weeks;
indicates loss of fetal membrane integrity; USED TO DETERMINE PTL
12.Chorioamnionitis - ANSWER bacterial infection of the amniotic cavity
Maternal fever
Fetal tachycardia
Uterine Tenderness
Foul odor of amniotic fluid
13.Post term Preganancy - ANSWER Beyond end of 42 weeks gestation
14.Dysfunctional Labor (Dystocia) - ANSWER long, difficult, or abnormal
labor caused by various conditions associated with the five factors affecting
labor
15.Precipitous Labor - ANSWER Labor that lasts 3 hours or less from onset of
contractions to time of delivery
16.Induction of Labor - ANSWER Elective induction > 39 weeks
Bishops score 5 or less, cervix not ripe
17.Ripen Cervix - ANSWER chemical
Mechanical & Physical
Amniotomy
18.Oxytocin - ANSWER stimulates uterine contractions
High alert: 1st/min: 1mL/hr
