MIS 180 1(SDSU LANCE CAMERON)
ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED
A+
◍ A couple expresses interest in contraceptive options. They travel frequently
and one partner has difficulty remembering daily medications. Based on this
information, which contraceptive method is most appropriate?a) Oral
contraceptive pillsb) Diaphragmc) Condomd) Subdermal implant.
Answer: d) Subdermal implant
◍ Pregnancy.
Answer: pregnancy usually lasts 40 wks, beginning from the 1st day of last
menstrual cycle and is divided into 3 trimesters, each last 3 months = 13
weeks
◍ A pregnant client is unable to afford nutrient-rich foods. Her prenatal labs
reveal low folic acid. Which nursing intervention best supports fetal neural
tube health?a) Advise supplementation with iron tablets onlyb) Teach about
affordable sources of folic acid, like beans and spinachc) Suggest she double
her calcium intaked) Instruct her to reduce protein intake.
Answer: b) Teach about affordable sources of folic acid, like beans and
spinach
◍ A patient on oxytocin for labor augmentation develops strong, frequent
contractions and the fetal heart monitor shows recurrent late decelerations.
What is the best sequence of immediate nursing actions?a) Increase
oxytocin, then turn patient on sideb) Check cervical dilation, then give
oxygenc) Stop oxytocin, reposition patient, administer oxygen, call
providerd) Turn patient supine and request pain medication.
, Answer: c) Stop oxytocin, reposition patient, administer oxygen, call
provider
◍ The period from conception to birth.
Answer: - egg is fertilized by sperm- egg is implanted in the lining of the
uterus- develops into the placenta & embryo - later Into the fetus/baby
◍ A woman in the second stage of labor is anxious and exhausted, pushing
ineffectively. What nursing intervention will most likely promote safe
delivery?a) Offer ice chips frequentlyb) Coach her on rhythmic breathing
and use position changes to optimize pushing effortsc) Palpate fundus for
firmnessd) Restrict visitors from the room.
Answer: b) Coach her on rhythmic breathing and use position changes to
optimize pushing efforts
◍ Maternal changes in pregnancy.
Answer: GI: - decreased bowel motility = constipation- decreased
esophageal sphincter toneRenal:- increased renal plasma flow 1 L = 2-2.5
lbs- increased GFR- Increased risk UTI- decreased serum creatine &
BUNEndocrine:- Increased level of estrogen & progesterone produces by
ovaries- increased level of T3 & T4, prolactin, cortisolCardiac:- increased
HR, cardiac output, and stroke volume due to increase in blood volume as
well as fluid increase to support the growth and nutrition of
babyPulmonary:- Increased ventilation per min *** PaO2*** PAO2-
Decreased ***PaCO2***PACO2 - lungs have to work so hard to oxygenate
all the extra blood Musculoskeletal:- Increased lumbar lordosis- Increased
joint taxityHematological:- Increased erythrocyte volume- Increased
leukocytes- Increased risk of thromboembolism
◍ Estrogen in pregnancy.
Answer: prepares the body for pregnancy1. supress FSH & LH2. growth of
fetal organs3. maternal tissue growth
◍ Progesterone in pregnancy.
Answer: - helps maintain pregnancyProgesterone levels increase greatly
during pregnancyPrepare breasts for lactation and reduce contractions of
, uterus (reduces spontaneous abortion)high levels affect brain (progesterone
converted to allopregnanolone)- facilitates GABA receptors, increases
inhibition, anxiolytic properties (reduces stress)Behavioral prophylactic for
reducing spontaneous abortion
◍ Para.
Answer: the number of times a woman has given birth to a fetus atleast 20
weeks gestation viable or not, counting multiple birth as one birth event =
twins
◍ A postpartum client reports both breasts are extremely swollen, painful, and
she is unable to breastfeed comfortably. What complication is she most at
risk for if this is untreated?a) Engrossmentb) Galactorrheac) Mastitis
resulting in possible abscess formationd) Involution of the breast tissue.
Answer: c) Mastitis resulting in possible abscess formation
◍ A newborn is being assessed. When the nurse strokes his cheek, he turns
toward the touch and begins to suck. The nurse uses this reflex to determine
readiness for:a) Bathingb) Swaddlingc) Safe feeding and attachmentd)
Neuromotor assessment.
Answer: c) Safe feeding and attachment
◍ A patient in preterm labor is started on magnesium sulfate. During
assessment, the nurse notes absent deep tendon reflexes and respiratory rate
of 10/min. What is the nurse's priority action?a) Increase IV fluidsb)
Discontinue magnesium and administer calcium gluconate as orderedc)
Continue infusion at a lower rated) Notify the physician only if patient
becomes unresponsive.
Answer: b) Discontinue magnesium and administer calcium gluconate as
ordered
◍ Primipara.
Answer: a woman who has borne once after a pregnancy of atleast 20 weeks
◍ Primigravida.
Answer: first pregnancy
, ◍ Multipara.
Answer: woman who has given birth to two or more children at atleast 20
weeks gest alive
◍ Nullipara.
Answer: a woman who has never borne a viable child
◍ GTPAL.
Answer: G: gravida - how many times pregnantT: term - how many
pregnancies reached termP: preterm - how many born before 37 weeksA:
abortions - births ending before 20 weeksL: living: number of living
children
◍ Function of the placenta.
Answer: provide nutrients and oxygen to the fetus
◍ A postpartum woman is O-negative and her baby is O-positive. She declines
Rho(D) immunoglobulin. What complication could occur in future
pregnancies?a) Thrombocytopenia in the infantb) Iron deficiency anemia in
the infantc) Hemolytic disease of the newborn (erythroblastosis fetalis)d)
Gestational hypertension.
Answer: c) Hemolytic disease of the newborn (erythroblastosis fetalis)
◍ A 37-year-old woman who smokes wishes to start oral contraceptives. How
should the nurse advise her regarding risks?a) "You do not require
additional screening."b) "Smoking increases your risk of blood clots with
birth control pills."c) "It lowers your cancer risk overall."d) "Contraceptives
work fine at any age regardless of smoking.".
Answer: b) "Smoking increases your risk of blood clots with birth control
pills."
◍ A labor augmentation is ordered: 20 units of Pitocin in 500ml normal saline,
running at 18ml/hr.Calculate the milliunits per minute Pitocin delivered.
Show your work..
Answer: 12 mu/min*
ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED
A+
◍ A couple expresses interest in contraceptive options. They travel frequently
and one partner has difficulty remembering daily medications. Based on this
information, which contraceptive method is most appropriate?a) Oral
contraceptive pillsb) Diaphragmc) Condomd) Subdermal implant.
Answer: d) Subdermal implant
◍ Pregnancy.
Answer: pregnancy usually lasts 40 wks, beginning from the 1st day of last
menstrual cycle and is divided into 3 trimesters, each last 3 months = 13
weeks
◍ A pregnant client is unable to afford nutrient-rich foods. Her prenatal labs
reveal low folic acid. Which nursing intervention best supports fetal neural
tube health?a) Advise supplementation with iron tablets onlyb) Teach about
affordable sources of folic acid, like beans and spinachc) Suggest she double
her calcium intaked) Instruct her to reduce protein intake.
Answer: b) Teach about affordable sources of folic acid, like beans and
spinach
◍ A patient on oxytocin for labor augmentation develops strong, frequent
contractions and the fetal heart monitor shows recurrent late decelerations.
What is the best sequence of immediate nursing actions?a) Increase
oxytocin, then turn patient on sideb) Check cervical dilation, then give
oxygenc) Stop oxytocin, reposition patient, administer oxygen, call
providerd) Turn patient supine and request pain medication.
, Answer: c) Stop oxytocin, reposition patient, administer oxygen, call
provider
◍ The period from conception to birth.
Answer: - egg is fertilized by sperm- egg is implanted in the lining of the
uterus- develops into the placenta & embryo - later Into the fetus/baby
◍ A woman in the second stage of labor is anxious and exhausted, pushing
ineffectively. What nursing intervention will most likely promote safe
delivery?a) Offer ice chips frequentlyb) Coach her on rhythmic breathing
and use position changes to optimize pushing effortsc) Palpate fundus for
firmnessd) Restrict visitors from the room.
Answer: b) Coach her on rhythmic breathing and use position changes to
optimize pushing efforts
◍ Maternal changes in pregnancy.
Answer: GI: - decreased bowel motility = constipation- decreased
esophageal sphincter toneRenal:- increased renal plasma flow 1 L = 2-2.5
lbs- increased GFR- Increased risk UTI- decreased serum creatine &
BUNEndocrine:- Increased level of estrogen & progesterone produces by
ovaries- increased level of T3 & T4, prolactin, cortisolCardiac:- increased
HR, cardiac output, and stroke volume due to increase in blood volume as
well as fluid increase to support the growth and nutrition of
babyPulmonary:- Increased ventilation per min *** PaO2*** PAO2-
Decreased ***PaCO2***PACO2 - lungs have to work so hard to oxygenate
all the extra blood Musculoskeletal:- Increased lumbar lordosis- Increased
joint taxityHematological:- Increased erythrocyte volume- Increased
leukocytes- Increased risk of thromboembolism
◍ Estrogen in pregnancy.
Answer: prepares the body for pregnancy1. supress FSH & LH2. growth of
fetal organs3. maternal tissue growth
◍ Progesterone in pregnancy.
Answer: - helps maintain pregnancyProgesterone levels increase greatly
during pregnancyPrepare breasts for lactation and reduce contractions of
, uterus (reduces spontaneous abortion)high levels affect brain (progesterone
converted to allopregnanolone)- facilitates GABA receptors, increases
inhibition, anxiolytic properties (reduces stress)Behavioral prophylactic for
reducing spontaneous abortion
◍ Para.
Answer: the number of times a woman has given birth to a fetus atleast 20
weeks gestation viable or not, counting multiple birth as one birth event =
twins
◍ A postpartum client reports both breasts are extremely swollen, painful, and
she is unable to breastfeed comfortably. What complication is she most at
risk for if this is untreated?a) Engrossmentb) Galactorrheac) Mastitis
resulting in possible abscess formationd) Involution of the breast tissue.
Answer: c) Mastitis resulting in possible abscess formation
◍ A newborn is being assessed. When the nurse strokes his cheek, he turns
toward the touch and begins to suck. The nurse uses this reflex to determine
readiness for:a) Bathingb) Swaddlingc) Safe feeding and attachmentd)
Neuromotor assessment.
Answer: c) Safe feeding and attachment
◍ A patient in preterm labor is started on magnesium sulfate. During
assessment, the nurse notes absent deep tendon reflexes and respiratory rate
of 10/min. What is the nurse's priority action?a) Increase IV fluidsb)
Discontinue magnesium and administer calcium gluconate as orderedc)
Continue infusion at a lower rated) Notify the physician only if patient
becomes unresponsive.
Answer: b) Discontinue magnesium and administer calcium gluconate as
ordered
◍ Primipara.
Answer: a woman who has borne once after a pregnancy of atleast 20 weeks
◍ Primigravida.
Answer: first pregnancy
, ◍ Multipara.
Answer: woman who has given birth to two or more children at atleast 20
weeks gest alive
◍ Nullipara.
Answer: a woman who has never borne a viable child
◍ GTPAL.
Answer: G: gravida - how many times pregnantT: term - how many
pregnancies reached termP: preterm - how many born before 37 weeksA:
abortions - births ending before 20 weeksL: living: number of living
children
◍ Function of the placenta.
Answer: provide nutrients and oxygen to the fetus
◍ A postpartum woman is O-negative and her baby is O-positive. She declines
Rho(D) immunoglobulin. What complication could occur in future
pregnancies?a) Thrombocytopenia in the infantb) Iron deficiency anemia in
the infantc) Hemolytic disease of the newborn (erythroblastosis fetalis)d)
Gestational hypertension.
Answer: c) Hemolytic disease of the newborn (erythroblastosis fetalis)
◍ A 37-year-old woman who smokes wishes to start oral contraceptives. How
should the nurse advise her regarding risks?a) "You do not require
additional screening."b) "Smoking increases your risk of blood clots with
birth control pills."c) "It lowers your cancer risk overall."d) "Contraceptives
work fine at any age regardless of smoking.".
Answer: b) "Smoking increases your risk of blood clots with birth control
pills."
◍ A labor augmentation is ordered: 20 units of Pitocin in 500ml normal saline,
running at 18ml/hr.Calculate the milliunits per minute Pitocin delivered.
Show your work..
Answer: 12 mu/min*
