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NU 335 Exam 2 Practice Questions and
Answers (100% Correct Answers) Already
Graded A+
The nurse is reviewing the lab tests of four prenatal clients. Which lab
finding would support the diagnosis of hyperemesis gravidarum?
a. Hypercalcemia.
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b. Hypokalemia.
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c. Hyperkalemia.
d. Hypocalcemia. Ans: b. Hypokalemia.
Rationale: In severe cases, hyperemesis causes dehydration, which leads
to fluid-electrolyte imbalance. Severe potassium loss can disrupt cardiac
functioning. Potassium loss (hypokalemia), not hyperkalemia, is
characteristic of hyperemesis gravidarum. Neither hypercalcemia nor
hypocalcemia (low calcium) is characteristic of hyperemesis
gravidarum.
If a client does not respond to standard home treatment for severe
hyperemesis gravidarum, the nurse will anticipate adding which therapy
on an outpatient basis?
a. Low-fat soft diet.
b. Complex carbohydrates with limited liquids.
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c. IV fluids.
d. Total parenteral nutrition. Ans: c. IV fluids.
Rationale: If the woman does not respond to standard approaches to
the control of nausea and vomiting in pregnancy, she might require
intravenous (IV) fluids on an outpatient basis. Total parenteral nutrition
would be started only if the client were unresponsive to IV hydration.
Lowfat soft diet and complex carbohydrates with limited liquids are
progressive diets after the client is stabilized for hyperemesis gravidarum.
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A client at 30 weeks' gestation is admitted to the maternity unit with
vaginal bleeding. What should be the nurse's initial nursing action?
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a. Count and weigh peripads.
b. Start an intravenous infusion drip.
c. Assess blood pressure and pulse.
d. Observe for pallor, clammy skin, and perspiration. Ans: c. Assess blood
pressure and pulse.
Rationale: The nurse's initial action for a client with vaginal bleeding at 30
weeks would be to assess blood pressure and pulse. Counting and
weighing peripads; observing for pallor, clammy skin, and perspiration;
and starting an intravenous infusion drip are all important actions for this
client; they are just not the initial action.
A prenatal client at 16 weeks' gestation presents to the clinic with
unexplained bright red bleeding, cramping, and backache, which she
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has had for the past two days. A pelvic exam reveals a closed cervix.
What type of abortion does this indicate?
a. Threatened.
b. Incomplete.
c. Missed.
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d. Imminent. Ans: a. Threatened.
Rationale: A threatened abortion (miscarriage) has symptoms of vaginal
bleeding and backache without cervical dilation. In an imminent
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abortion, the internal cervical os is dilated. Although the cervix is closed
in a missed abortion, other symptoms would include a regression in
breast changes and a brownish vaginal discharge. Diagnosis is made
based on history, pelvic exam, and a negative pregnancy test. With an
incomplete abortion, the embryo has passed out of the uterus, but the
placenta remains, and the internal os is slightly dilated.
The client asks for information about ectopic pregnancy. The nurse
correctly responds by saying ectopic pregnancy is caused by: (Select all
that apply.)
a. Pelvic inflammatory disease (PID).
b. Presence of an IUD.
c. In utero exposure to diethylstilbestrol (DES).
d. Endometriosis. Ans: a. Pelvic inflammatory disease (PID).
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d. Endometriosis.
b. Presence of an IUD.
c. In utero exposure to diethylstilbestrol (DES).
Rationale: Ectopic pregnancy can be caused by tubal damage from
pelvic inflammatory disease (PID), previous tubal surgery, congenital
anomalies of the tube, endometriosis, previous ectopic pregnancy,
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presence of an IUD, and in utero exposure to diethylstilbestrol (DES).
A client presents to the physician's office with complaints of right-sided
abdominal pain, dizziness, and vaginal bleeding. A pelvic exam
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determines adnexal tenderness. What diagnosis should the nurse
suspect?
a. Cholelithiasis.
b. Appendicitis.
c. Threatened abortion.
d. Ectopic pregnancy. Ans: d. Ectopic pregnancy.
Rationale: A client with an ectopic pregnancy would present to the
physician's office with complaints of one-sided abdominal pain, dizziness,
and vaginal bleeding, and would have adnexal tenderness on exam.
Clients with a threatened abortion would have complaints of
unexplained bleeding, cramping, or backache. A pelvic exam would
reveal a closed cervix. Clients with appendicitis would have complaints
of lower right-sided tenderness, low-grade fever, nausea, and often
1
NU 335 Exam 2 Practice Questions and
Answers (100% Correct Answers) Already
Graded A+
The nurse is reviewing the lab tests of four prenatal clients. Which lab
finding would support the diagnosis of hyperemesis gravidarum?
a. Hypercalcemia.
© 2026 Assignment Expert
b. Hypokalemia.
Guru01 - Stuvia
c. Hyperkalemia.
d. Hypocalcemia. Ans: b. Hypokalemia.
Rationale: In severe cases, hyperemesis causes dehydration, which leads
to fluid-electrolyte imbalance. Severe potassium loss can disrupt cardiac
functioning. Potassium loss (hypokalemia), not hyperkalemia, is
characteristic of hyperemesis gravidarum. Neither hypercalcemia nor
hypocalcemia (low calcium) is characteristic of hyperemesis
gravidarum.
If a client does not respond to standard home treatment for severe
hyperemesis gravidarum, the nurse will anticipate adding which therapy
on an outpatient basis?
a. Low-fat soft diet.
b. Complex carbohydrates with limited liquids.
,For Expert help and assignment handling,
2
c. IV fluids.
d. Total parenteral nutrition. Ans: c. IV fluids.
Rationale: If the woman does not respond to standard approaches to
the control of nausea and vomiting in pregnancy, she might require
intravenous (IV) fluids on an outpatient basis. Total parenteral nutrition
would be started only if the client were unresponsive to IV hydration.
Lowfat soft diet and complex carbohydrates with limited liquids are
progressive diets after the client is stabilized for hyperemesis gravidarum.
© 2026 Assignment Expert
A client at 30 weeks' gestation is admitted to the maternity unit with
vaginal bleeding. What should be the nurse's initial nursing action?
Guru01 - Stuvia
a. Count and weigh peripads.
b. Start an intravenous infusion drip.
c. Assess blood pressure and pulse.
d. Observe for pallor, clammy skin, and perspiration. Ans: c. Assess blood
pressure and pulse.
Rationale: The nurse's initial action for a client with vaginal bleeding at 30
weeks would be to assess blood pressure and pulse. Counting and
weighing peripads; observing for pallor, clammy skin, and perspiration;
and starting an intravenous infusion drip are all important actions for this
client; they are just not the initial action.
A prenatal client at 16 weeks' gestation presents to the clinic with
unexplained bright red bleeding, cramping, and backache, which she
,For Expert help and assignment handling,
3
has had for the past two days. A pelvic exam reveals a closed cervix.
What type of abortion does this indicate?
a. Threatened.
b. Incomplete.
c. Missed.
© 2026 Assignment Expert
d. Imminent. Ans: a. Threatened.
Rationale: A threatened abortion (miscarriage) has symptoms of vaginal
bleeding and backache without cervical dilation. In an imminent
Guru01 - Stuvia
abortion, the internal cervical os is dilated. Although the cervix is closed
in a missed abortion, other symptoms would include a regression in
breast changes and a brownish vaginal discharge. Diagnosis is made
based on history, pelvic exam, and a negative pregnancy test. With an
incomplete abortion, the embryo has passed out of the uterus, but the
placenta remains, and the internal os is slightly dilated.
The client asks for information about ectopic pregnancy. The nurse
correctly responds by saying ectopic pregnancy is caused by: (Select all
that apply.)
a. Pelvic inflammatory disease (PID).
b. Presence of an IUD.
c. In utero exposure to diethylstilbestrol (DES).
d. Endometriosis. Ans: a. Pelvic inflammatory disease (PID).
, For Expert help and assignment handling,
4
d. Endometriosis.
b. Presence of an IUD.
c. In utero exposure to diethylstilbestrol (DES).
Rationale: Ectopic pregnancy can be caused by tubal damage from
pelvic inflammatory disease (PID), previous tubal surgery, congenital
anomalies of the tube, endometriosis, previous ectopic pregnancy,
© 2026 Assignment Expert
presence of an IUD, and in utero exposure to diethylstilbestrol (DES).
A client presents to the physician's office with complaints of right-sided
abdominal pain, dizziness, and vaginal bleeding. A pelvic exam
Guru01 - Stuvia
determines adnexal tenderness. What diagnosis should the nurse
suspect?
a. Cholelithiasis.
b. Appendicitis.
c. Threatened abortion.
d. Ectopic pregnancy. Ans: d. Ectopic pregnancy.
Rationale: A client with an ectopic pregnancy would present to the
physician's office with complaints of one-sided abdominal pain, dizziness,
and vaginal bleeding, and would have adnexal tenderness on exam.
Clients with a threatened abortion would have complaints of
unexplained bleeding, cramping, or backache. A pelvic exam would
reveal a closed cervix. Clients with appendicitis would have complaints
of lower right-sided tenderness, low-grade fever, nausea, and often
