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NUR 202 ACTUAL EXAM 2026/2027 |
NGN Questions | Verified Q&A | Pass
Guaranteed - A+ Graded
Section 1: Foundations of Maternal-Newborn Care
Q1: A 28-year-old patient is pregnant for the third time. She had one spontaneous abortion at 10
weeks, one full-term live birth, and is currently 16 weeks pregnant with twins. Using the GTPAL
system, how would you document her obstetric history?
A. G3, T1, P0, A1, L1
B. G3, T1, P1, A1, L1
C. G4, T1, P0, A1, L1
D. G3, T2, P0, A1, L2
Correct Answer: A
Rationale: The best answer is A. This patient has been pregnant three times total (G3), carried
one pregnancy to term (T1), has no preterm births (P0), had one abortion (A1), and has one
living child (L1). Even though she's currently pregnant with twins, GTPAL counts the pregnancy
itself, not the number of fetuses, so this current pregnancy adds one to the gravida count but
doesn't change the other numbers yet.
Q2: During a prenatal visit, a patient asks why she feels so short of breath just climbing a flight
of stairs. You explain that which normal physiologic change of pregnancy is mostly responsible?
A. A decrease in plasma volume causing relative anemia
B. An increase in oxygen consumption and elevation of the diaphragm
C. A drop in cardiac output due to reduced stroke volume
D. Compression of the vena cava reducing venous return
,2
Correct Answer: B
Rationale: The best answer is B. This choice is correct because during pregnancy, oxygen
consumption goes up by about 15-20% and the growing uterus pushes the diaphragm upward,
which makes pregnant women feel short of breath even with mild exertion. This is completely
normal and expected, though it can feel alarming if the patient doesn't understand why it's
happening.
Q3: A nursing student is reviewing fetal circulation and asks why the foramen ovale is
necessary. You would explain that its primary purpose is to:
A. Allow blood to bypass the pulmonary circulation and go directly to the left side of the heart
B. Shunt oxygenated blood away from the liver and into the inferior vena cava
C. Direct blood from the right ventricle into the aorta instead of the lungs
D. Prevent backflow of blood from the umbilical artery into the placenta
Correct Answer: A
Rationale: The best answer is A. The foramen ovale is an opening in the fetal heart that lets
blood flow from the right atrium to the left atrium, which basically lets blood skip the pulmonary
circuit since the lungs aren't doing any gas exchange yet. This matches standard fetal circulation
where the placenta, not the lungs, is handling oxygenation.
Q4: At 24 weeks gestation, a patient's fundal height measures 22 cm. Which of the following is
your most appropriate initial nursing action?
A. Immediately notify the provider of suspected intrauterine growth restriction
B. Document the finding and recognize this is within normal variation for fundal height
C. Prepare the patient for an emergency ultrasound to assess fetal well-being
D. Recheck the measurement using a different tape measure and chart the average
Correct Answer: B
, 3
Rationale: The best answer is B. Fundal height typically matches weeks of gestation plus or
minus about 2 cm, so 22 cm at 24 weeks is well within normal limits. This aligns with standard
practice where we document and continue routine monitoring rather than jumping to
interventions when measurements fall within expected parameters.
Q5: A patient at 8 weeks gestation asks when she can expect to feel the baby move. You tell her
that most first-time mothers first notice fetal movement, or quickening, around:
A. 12 to 14 weeks gestation
B. 16 to 20 weeks gestation
C. 24 to 28 weeks gestation
D. 32 to 36 weeks gestation
Correct Answer: B
Rationale: The best answer is B. Most primigravidas, or first-time moms, start feeling those first
fluttery movements somewhere between 16 and 20 weeks, though it can be earlier for women
who've been pregnant before since they know what to look for. This is one of those milestones
patients love to ask about, so it's good to set realistic expectations.
Q6: Which hormone, produced by the corpus luteum and later by the placenta, is responsible for
maintaining the endometrial lining and preventing menstruation during early pregnancy?
A. Estrogen
B. Human chorionic gonadotropin (hCG)
C. Progesterone
D. Prolactin
Correct Answer: C
Rationale: The best answer is C. Progesterone is the hormone that keeps the endometrium thick
and vascular so the embryo can implant and stay put. We sometimes call it the "pro-gestation"
NUR 202 ACTUAL EXAM 2026/2027 |
NGN Questions | Verified Q&A | Pass
Guaranteed - A+ Graded
Section 1: Foundations of Maternal-Newborn Care
Q1: A 28-year-old patient is pregnant for the third time. She had one spontaneous abortion at 10
weeks, one full-term live birth, and is currently 16 weeks pregnant with twins. Using the GTPAL
system, how would you document her obstetric history?
A. G3, T1, P0, A1, L1
B. G3, T1, P1, A1, L1
C. G4, T1, P0, A1, L1
D. G3, T2, P0, A1, L2
Correct Answer: A
Rationale: The best answer is A. This patient has been pregnant three times total (G3), carried
one pregnancy to term (T1), has no preterm births (P0), had one abortion (A1), and has one
living child (L1). Even though she's currently pregnant with twins, GTPAL counts the pregnancy
itself, not the number of fetuses, so this current pregnancy adds one to the gravida count but
doesn't change the other numbers yet.
Q2: During a prenatal visit, a patient asks why she feels so short of breath just climbing a flight
of stairs. You explain that which normal physiologic change of pregnancy is mostly responsible?
A. A decrease in plasma volume causing relative anemia
B. An increase in oxygen consumption and elevation of the diaphragm
C. A drop in cardiac output due to reduced stroke volume
D. Compression of the vena cava reducing venous return
,2
Correct Answer: B
Rationale: The best answer is B. This choice is correct because during pregnancy, oxygen
consumption goes up by about 15-20% and the growing uterus pushes the diaphragm upward,
which makes pregnant women feel short of breath even with mild exertion. This is completely
normal and expected, though it can feel alarming if the patient doesn't understand why it's
happening.
Q3: A nursing student is reviewing fetal circulation and asks why the foramen ovale is
necessary. You would explain that its primary purpose is to:
A. Allow blood to bypass the pulmonary circulation and go directly to the left side of the heart
B. Shunt oxygenated blood away from the liver and into the inferior vena cava
C. Direct blood from the right ventricle into the aorta instead of the lungs
D. Prevent backflow of blood from the umbilical artery into the placenta
Correct Answer: A
Rationale: The best answer is A. The foramen ovale is an opening in the fetal heart that lets
blood flow from the right atrium to the left atrium, which basically lets blood skip the pulmonary
circuit since the lungs aren't doing any gas exchange yet. This matches standard fetal circulation
where the placenta, not the lungs, is handling oxygenation.
Q4: At 24 weeks gestation, a patient's fundal height measures 22 cm. Which of the following is
your most appropriate initial nursing action?
A. Immediately notify the provider of suspected intrauterine growth restriction
B. Document the finding and recognize this is within normal variation for fundal height
C. Prepare the patient for an emergency ultrasound to assess fetal well-being
D. Recheck the measurement using a different tape measure and chart the average
Correct Answer: B
, 3
Rationale: The best answer is B. Fundal height typically matches weeks of gestation plus or
minus about 2 cm, so 22 cm at 24 weeks is well within normal limits. This aligns with standard
practice where we document and continue routine monitoring rather than jumping to
interventions when measurements fall within expected parameters.
Q5: A patient at 8 weeks gestation asks when she can expect to feel the baby move. You tell her
that most first-time mothers first notice fetal movement, or quickening, around:
A. 12 to 14 weeks gestation
B. 16 to 20 weeks gestation
C. 24 to 28 weeks gestation
D. 32 to 36 weeks gestation
Correct Answer: B
Rationale: The best answer is B. Most primigravidas, or first-time moms, start feeling those first
fluttery movements somewhere between 16 and 20 weeks, though it can be earlier for women
who've been pregnant before since they know what to look for. This is one of those milestones
patients love to ask about, so it's good to set realistic expectations.
Q6: Which hormone, produced by the corpus luteum and later by the placenta, is responsible for
maintaining the endometrial lining and preventing menstruation during early pregnancy?
A. Estrogen
B. Human chorionic gonadotropin (hCG)
C. Progesterone
D. Prolactin
Correct Answer: C
Rationale: The best answer is C. Progesterone is the hormone that keeps the endometrium thick
and vascular so the embryo can implant and stay put. We sometimes call it the "pro-gestation"
