NUR202 EXAM 1 – QUESTIONS AND
CORRECT ANSWERS
With.regard.to.chromosome.abnormalities,.nurses.should.be.aware.that:
a..They.occur.in.approximately.10%.of.newborns.
b..Abnormalities.of.number.are.the.leading.cause.of.pregnancy.loss.
c..Down.syndrome.is.a.result.of.an.abnormal.chromosome.structure.
d..Unbalanced.translocation.results.in.a.mild.abnormality.that.the.child.will.outgrow..-.ans-
✔✔b
With.regard.to.the.development.of.the.respiratory.system,.maternity.nurses.should.be.awa
re.that:
a..The.respiratory.system.does.not.begin.developing.until.after.the.embryonic.stage
b..The.infant's.lungs.are.considered.mature.when.the.L/S.ratio.is.1:1,.at.about.32.weeks
c..Maternal.hypertension.can.reduce.maternal-
placental.blood.flow,.accelerating.lung.maturity
d..Fetal.respiratory.movements.are.not.visible.on.ultrasound.scans.until.at.least.16.weeks.-
.ans-✔✔C
(fetal.lungs.are.considered.mature.at.35.weeks,.fetal.respiratory.movements.are.not.visible
.on.ultrasound.exams.until.11.weeks)
The.mucous.plug.that.forms.in.the.endocervical.canal.is.called.the:
a..Operculum
b..Leukorrhea
c..Funic.souffle
d..Ballottement.-.ans-✔✔A
,(leukorrhea.is.normal.pregnant.discharge,.funic.souffle.is.the.blowing.sound.heard.while.lis
tening.to.fetal.heartbeat,.ballottement.is.a.palpation.pregnancy.test)
In.understanding.and.guiding.a.woman.through.her.acceptance.of.pregnancy,.a.maternity.
nurse.should.be.aware.that:
a..Nonacceptance.of.the.pregnancy.very.often.equates.to.rejection.of.the.child.
b..Mood.swings.most.likely.are.the.result.of.worries.about.finances.and.a.changed.lifestyle.
as.well.as.profound.hormonal.changes.
c..ambivalent.feelings.during.pregnancy.usually.are.seen.only.in.emotionally.immature.or.v
ery.young.mothers..-.ans-✔✔B
With.regard.to.the.initial.physical.exam.of.a.woman.beginning.prenatal.care,.maternity.nurs
es.should.be.aware.that:
a..Only.women.who.show.physical.signs.or.meet.the.sociologic.profile.should.be.assessed.
for.physical.abuse
b..The.woman.should.empty.her.bladder.before.the.pelvic.examination
c..The.distribution,.amount,.and.quality.of.body.hair.are.of.no.particular.importance
d..The.size.of.the.uterus.is.discounted.in.the.initial.examination.because.it.is.just.going.to.g
et.bigger.soon.-.ans-✔✔B
Maternal.nutritional.status.is.an.especially.significant.factor.of.the.many.factors.that.influen
ce.the.outcome.of.pregnancy.because:
a..It.is.very.difficult.to.adjust.because.of.people's.ingrained.eating.habits.
b..It.is.an.important.preventive.measure.for.a.variety.of.problems.
c..Women.love.obsessing.about.their.weight.and.diets.
d..A.woman's.preconception.weight.becomes.irrelevant.-.ans-✔✔B
A.client.asks.her.nurse,."My.doctor.told.me.that.he.is.concerned.with.the.grade.of.my.place
nta.because.I.am.overdue..What.does.that.mean?".The.best.response.by.the.nurse.is:
a.."Your.placenta.changes.as.your.pregnancy.progresses,.and.it.is.given.a.score.that.indic
ates.the.amount.of.calcium.deposits.it.has..The.more.calcium.deposits,.the.higher.the.grad
e,.or.number,.that.is.assigned.to.the.placenta..It.also.means.that.less.blood.and.oxygen.ca
n.be.delivered.to.your.baby."
b.."Your.placenta.isn't.working.properly,.and.your.baby.is.in.danger."
c.."This.means.that.we.will.need.to.perform.an.amniocentesis.to.detect.if.you.have.any.plac
ental.damage."
d.."Don't.worry.about.it..Everything.is.fine.".-.ans-✔✔A
The.nurse.should.explain.that.transvaginal.diagnostic.tests.may.be.indicated.for.a.number.
of.situations,.including.(select.all.that.apply):
a..Multifetal.gestation
b..Obesity
, c..Fetal.abnormalities
d..Amniotic.fluid.volume
e..Ectopic.pregnancy.-.ans-✔✔A.B.C.E
When.assessing.a.woman.in.labor,.the.nurse.is.aware.that.the.relationship.of.the.fetal.body
.parts.to.one.another.is.called.fetal:
a..Lie
b..Presentation
c..Attitude
d..Position.-.ans-✔✔C
(lie.is.fetal.back.to.mother.spine,.presentation.is.how.the.fetus.will.expel,.position.is.__)
Which.statement.is.the.best.rationale.for.assessing.maternal.vital.signs.between.contractio
ns?
a..During.a.contraction.assessing.FHR's.is.the.priority
b..Maternal.circulating.blood.volume.increases.temporarily.during.contractions
c..Maternal.blood.flow.to.the.heart.is.reduced.during.contractions
d..Vital.signs.taken.during.contractions.are.not.accurate.-.ans-✔✔B
A.normal.uterine.activity.pattern.in.labor.is.characterized.by:
a..Contractions.every.2-5.mins
b..Contractions.lasting.about.2.mins
c..Contractions.about.1.min.apart
d..Contraction.intensity.of.about.1000.mm.Hg.with.relaxation.at.50.mm.Hg.-.ans-✔✔A
A.woman.is.experiencing.back.labor.and.complains.of.intense.pain.in.her.lower.back..An.ef
fective.relief.measure.would.be.to.use:
A).Counterpressure.against.the.sacrum
B).Pant-blow.(breaths.and.puffs).breathing.techniques
C).Effleurage.
D).Conscious.relaxation.or.guided.imagery..-.ans-✔✔A
(pant-blow.&.effleurage.are.for.visceral.pain)
For.the.labor.nurse,.care.of.the.expectant.mother.begins.with.any.or.all.of.these.situations,.
with.the.exception.of:
a..The.onset.of.progressive,.regular.contractions.
b..The.bloody,.or.pink,.show.
c..The.spontaneous.rupture.of.membranes.
d..Formulation.of.the.woman's.plan.of.care.for.labor..-.ans-✔✔D
Leopold.maneuvers.would.be.an.inappropriate.method.of.assessment.to.determine:
a..Gender.of.fetus
b..#.of.fetuses
CORRECT ANSWERS
With.regard.to.chromosome.abnormalities,.nurses.should.be.aware.that:
a..They.occur.in.approximately.10%.of.newborns.
b..Abnormalities.of.number.are.the.leading.cause.of.pregnancy.loss.
c..Down.syndrome.is.a.result.of.an.abnormal.chromosome.structure.
d..Unbalanced.translocation.results.in.a.mild.abnormality.that.the.child.will.outgrow..-.ans-
✔✔b
With.regard.to.the.development.of.the.respiratory.system,.maternity.nurses.should.be.awa
re.that:
a..The.respiratory.system.does.not.begin.developing.until.after.the.embryonic.stage
b..The.infant's.lungs.are.considered.mature.when.the.L/S.ratio.is.1:1,.at.about.32.weeks
c..Maternal.hypertension.can.reduce.maternal-
placental.blood.flow,.accelerating.lung.maturity
d..Fetal.respiratory.movements.are.not.visible.on.ultrasound.scans.until.at.least.16.weeks.-
.ans-✔✔C
(fetal.lungs.are.considered.mature.at.35.weeks,.fetal.respiratory.movements.are.not.visible
.on.ultrasound.exams.until.11.weeks)
The.mucous.plug.that.forms.in.the.endocervical.canal.is.called.the:
a..Operculum
b..Leukorrhea
c..Funic.souffle
d..Ballottement.-.ans-✔✔A
,(leukorrhea.is.normal.pregnant.discharge,.funic.souffle.is.the.blowing.sound.heard.while.lis
tening.to.fetal.heartbeat,.ballottement.is.a.palpation.pregnancy.test)
In.understanding.and.guiding.a.woman.through.her.acceptance.of.pregnancy,.a.maternity.
nurse.should.be.aware.that:
a..Nonacceptance.of.the.pregnancy.very.often.equates.to.rejection.of.the.child.
b..Mood.swings.most.likely.are.the.result.of.worries.about.finances.and.a.changed.lifestyle.
as.well.as.profound.hormonal.changes.
c..ambivalent.feelings.during.pregnancy.usually.are.seen.only.in.emotionally.immature.or.v
ery.young.mothers..-.ans-✔✔B
With.regard.to.the.initial.physical.exam.of.a.woman.beginning.prenatal.care,.maternity.nurs
es.should.be.aware.that:
a..Only.women.who.show.physical.signs.or.meet.the.sociologic.profile.should.be.assessed.
for.physical.abuse
b..The.woman.should.empty.her.bladder.before.the.pelvic.examination
c..The.distribution,.amount,.and.quality.of.body.hair.are.of.no.particular.importance
d..The.size.of.the.uterus.is.discounted.in.the.initial.examination.because.it.is.just.going.to.g
et.bigger.soon.-.ans-✔✔B
Maternal.nutritional.status.is.an.especially.significant.factor.of.the.many.factors.that.influen
ce.the.outcome.of.pregnancy.because:
a..It.is.very.difficult.to.adjust.because.of.people's.ingrained.eating.habits.
b..It.is.an.important.preventive.measure.for.a.variety.of.problems.
c..Women.love.obsessing.about.their.weight.and.diets.
d..A.woman's.preconception.weight.becomes.irrelevant.-.ans-✔✔B
A.client.asks.her.nurse,."My.doctor.told.me.that.he.is.concerned.with.the.grade.of.my.place
nta.because.I.am.overdue..What.does.that.mean?".The.best.response.by.the.nurse.is:
a.."Your.placenta.changes.as.your.pregnancy.progresses,.and.it.is.given.a.score.that.indic
ates.the.amount.of.calcium.deposits.it.has..The.more.calcium.deposits,.the.higher.the.grad
e,.or.number,.that.is.assigned.to.the.placenta..It.also.means.that.less.blood.and.oxygen.ca
n.be.delivered.to.your.baby."
b.."Your.placenta.isn't.working.properly,.and.your.baby.is.in.danger."
c.."This.means.that.we.will.need.to.perform.an.amniocentesis.to.detect.if.you.have.any.plac
ental.damage."
d.."Don't.worry.about.it..Everything.is.fine.".-.ans-✔✔A
The.nurse.should.explain.that.transvaginal.diagnostic.tests.may.be.indicated.for.a.number.
of.situations,.including.(select.all.that.apply):
a..Multifetal.gestation
b..Obesity
, c..Fetal.abnormalities
d..Amniotic.fluid.volume
e..Ectopic.pregnancy.-.ans-✔✔A.B.C.E
When.assessing.a.woman.in.labor,.the.nurse.is.aware.that.the.relationship.of.the.fetal.body
.parts.to.one.another.is.called.fetal:
a..Lie
b..Presentation
c..Attitude
d..Position.-.ans-✔✔C
(lie.is.fetal.back.to.mother.spine,.presentation.is.how.the.fetus.will.expel,.position.is.__)
Which.statement.is.the.best.rationale.for.assessing.maternal.vital.signs.between.contractio
ns?
a..During.a.contraction.assessing.FHR's.is.the.priority
b..Maternal.circulating.blood.volume.increases.temporarily.during.contractions
c..Maternal.blood.flow.to.the.heart.is.reduced.during.contractions
d..Vital.signs.taken.during.contractions.are.not.accurate.-.ans-✔✔B
A.normal.uterine.activity.pattern.in.labor.is.characterized.by:
a..Contractions.every.2-5.mins
b..Contractions.lasting.about.2.mins
c..Contractions.about.1.min.apart
d..Contraction.intensity.of.about.1000.mm.Hg.with.relaxation.at.50.mm.Hg.-.ans-✔✔A
A.woman.is.experiencing.back.labor.and.complains.of.intense.pain.in.her.lower.back..An.ef
fective.relief.measure.would.be.to.use:
A).Counterpressure.against.the.sacrum
B).Pant-blow.(breaths.and.puffs).breathing.techniques
C).Effleurage.
D).Conscious.relaxation.or.guided.imagery..-.ans-✔✔A
(pant-blow.&.effleurage.are.for.visceral.pain)
For.the.labor.nurse,.care.of.the.expectant.mother.begins.with.any.or.all.of.these.situations,.
with.the.exception.of:
a..The.onset.of.progressive,.regular.contractions.
b..The.bloody,.or.pink,.show.
c..The.spontaneous.rupture.of.membranes.
d..Formulation.of.the.woman's.plan.of.care.for.labor..-.ans-✔✔D
Leopold.maneuvers.would.be.an.inappropriate.method.of.assessment.to.determine:
a..Gender.of.fetus
b..#.of.fetuses
