OAKLAND UNIVERSITY NRS 3026 EXAM
2 LATEST 2026/2027 LATEST UPDATE
(COMPLIED FROM REAL EXAM) GRADED
A
For which patient would an L/S ratio of 2:1 potentially be considered abnormal?
a. A 38-year-old gravida 2, para 1, who is 38 weeks' gestation
b. A 24-year-old gravida 1, para 0, who has diabetes
c. A 44-year-old gravida 6, para 5, who is at term
d. An 18-year-old gravida 1, para 0, who is in early labor at term
b
Which complication could occur as a result of percutaneous umbilical blood sampling
(PUBS)?
a. Postdates pregnancy
b. Fetal bradycardia
c. Placenta previa
d. Uterine rupture
b
A newly pregnant patient tells the nurse that she has irregular periods and is unsure of
when she got pregnant. Scheduling an ultrasound is a standing prescription for the
patient's health care provider. When is the best time for the nurse to schedule the
patient's ultrasound?
a. Immediately
b. In 2 weeks
c. In 4 weeks
d. In 6 weeks
a
,The nurse is reviewing the procedure for alpha-nurse (AFP) screening with a patient at 16
weeks' gestation. The nurse determines that the patient understands the teaching when
she states that will be collected for the initial screening process?
a. Urine
b. Blood
c. Saliva
d. Amniotic fluid
b
A patient at 36 weeks gestation is undergoing a nonstress test (NST) test. The nurse
observes the fetal heart rate baseline at 135 beats per minute (bpm) and four nonepisodic
patterns of the fetal heart rate reaching 160 bpm for period of 20 to 25 seconds each.
How will the nurse record these findings?
a. NST positive, nonreassuring
b. NST negative, reassuring
c. NST reactive, reassuring
d. NST nonreactive, nonreassuring
c
A new mother asks whether she should feed her newborn colostrum because it is not "real
milk." The nurse's best answer includes which information?
a. Colostrum is unnecessary for newborns."
b. Colostrum is high in antibodies, protein, vitamins, and minerals.
c. Colostrum is lower in calories than milk and should be supplemented by formula.
d. Giving colostrum is important in helping the mother learn how to breastfeed before she
goes home.
b
,A mother is breastfeeding her newborn son and is experiencing sign sof her breasts
feeling tender and full in between infant feedings. She asks if there are any suggestions
that you can provide to alleviate this physical complaint. The ideal nursing response
would be to:
a. tell the patient to wear a bra at all times to provide more support to breast tissue.
b. have the patient put the infant to her breast more frequently.
c. place ice packs on breast tissue after infant feeding.
d. explain that this is a normal finding and will resolve as her breast tissue becomes more
used to nursing.
b
A mother is attempting to breastfeed her infant in the hospital setting. The infant is
sleepy and displays some audible swallowing, the maternal nipples are flat, and the
breasts are soft. The nurse has attempted to teach the mother positioning on one side,
and now the mother wants to place the infant to the breast on the other side. Based on
LATCH scores, what score would the nurse assign to this feeding session?
a. 10 and document the findings in the chart.
b. 6 and further teach and assist the mother in feeding activities.
c. 5 and tell the mother to discontinue feeding attempts at this time because the infant is
too sleepy.
d. 8 and no further assistance is needed for feeing.
b
A nurse conveys concern over the fact that she is not certain if her newborn is receiving
enough nutrients from breastfeeding. This is the baby's first clinic visit after birth. What
information can you provide that will help alleviate her fears regarding nutrient status for
her newborn?
a. Monitor the infant's output; as long as at least six or more diapers are changed in a 24-
hour period, the baby is receiving a sufficient intake.
b. Tell the mother that if a baby is satisfied with feedings he or he will be content and not
fussy.
c. Tell the mother that breast milk contains everything required for the infant and not to
worry about nutrition.
d. Provide nutrition information in the form of pamphlets for the mother to tkae home
with her so that she uses them as a point of reference.
a
, A breastfeeding mother asks the postpartum nurse if any supplementation is necessary
once her breast milk comes in. What is the nurse's most appropriate response?
a. "Are you concerned about your ability to adequately nurse your baby?"
b. "Do you eat a well-balanced diet, high in protein and carbohydrates?"
c. Breast milk is low in vitamin D and supplementation with 400 IU is recommended."
d. "Your breast milk has all the vitamins and will adequately meet your baby's needs."
c
A new mother is preparing for discharge. She plans on bottle feeding her baby. Which
statement indicates to the nurse that the mom needs more information about bottle
feeding?
a. "I should encourage my baby to consume the entire amount of formula prepared for
each feeding."
b. "I can make up a 24-hour supply of formula and refrigerate the bottles so I am ready to
feed my baby."
c. "I will hold my baby in a cradle hold and alternate sides from left to right when I feed
my baby."
d. "I will generally feed my baby every 3 to 4 hours or more often as signs of hunger are
displayed."
a
Late in pregnancy, the patient's breasts should be evaluated by the nurse to identify any
potential concerns related to breastfeeding. Which of the following nipple conditions
make it necessary to intervene prior to birth? (Select all that apply.)
a. Flat nipples
b. Cracked nipples
c. Everted nipples
d. Inverted nipples
e. Nipples that contract when compressed
a, d, e
2 LATEST 2026/2027 LATEST UPDATE
(COMPLIED FROM REAL EXAM) GRADED
A
For which patient would an L/S ratio of 2:1 potentially be considered abnormal?
a. A 38-year-old gravida 2, para 1, who is 38 weeks' gestation
b. A 24-year-old gravida 1, para 0, who has diabetes
c. A 44-year-old gravida 6, para 5, who is at term
d. An 18-year-old gravida 1, para 0, who is in early labor at term
b
Which complication could occur as a result of percutaneous umbilical blood sampling
(PUBS)?
a. Postdates pregnancy
b. Fetal bradycardia
c. Placenta previa
d. Uterine rupture
b
A newly pregnant patient tells the nurse that she has irregular periods and is unsure of
when she got pregnant. Scheduling an ultrasound is a standing prescription for the
patient's health care provider. When is the best time for the nurse to schedule the
patient's ultrasound?
a. Immediately
b. In 2 weeks
c. In 4 weeks
d. In 6 weeks
a
,The nurse is reviewing the procedure for alpha-nurse (AFP) screening with a patient at 16
weeks' gestation. The nurse determines that the patient understands the teaching when
she states that will be collected for the initial screening process?
a. Urine
b. Blood
c. Saliva
d. Amniotic fluid
b
A patient at 36 weeks gestation is undergoing a nonstress test (NST) test. The nurse
observes the fetal heart rate baseline at 135 beats per minute (bpm) and four nonepisodic
patterns of the fetal heart rate reaching 160 bpm for period of 20 to 25 seconds each.
How will the nurse record these findings?
a. NST positive, nonreassuring
b. NST negative, reassuring
c. NST reactive, reassuring
d. NST nonreactive, nonreassuring
c
A new mother asks whether she should feed her newborn colostrum because it is not "real
milk." The nurse's best answer includes which information?
a. Colostrum is unnecessary for newborns."
b. Colostrum is high in antibodies, protein, vitamins, and minerals.
c. Colostrum is lower in calories than milk and should be supplemented by formula.
d. Giving colostrum is important in helping the mother learn how to breastfeed before she
goes home.
b
,A mother is breastfeeding her newborn son and is experiencing sign sof her breasts
feeling tender and full in between infant feedings. She asks if there are any suggestions
that you can provide to alleviate this physical complaint. The ideal nursing response
would be to:
a. tell the patient to wear a bra at all times to provide more support to breast tissue.
b. have the patient put the infant to her breast more frequently.
c. place ice packs on breast tissue after infant feeding.
d. explain that this is a normal finding and will resolve as her breast tissue becomes more
used to nursing.
b
A mother is attempting to breastfeed her infant in the hospital setting. The infant is
sleepy and displays some audible swallowing, the maternal nipples are flat, and the
breasts are soft. The nurse has attempted to teach the mother positioning on one side,
and now the mother wants to place the infant to the breast on the other side. Based on
LATCH scores, what score would the nurse assign to this feeding session?
a. 10 and document the findings in the chart.
b. 6 and further teach and assist the mother in feeding activities.
c. 5 and tell the mother to discontinue feeding attempts at this time because the infant is
too sleepy.
d. 8 and no further assistance is needed for feeing.
b
A nurse conveys concern over the fact that she is not certain if her newborn is receiving
enough nutrients from breastfeeding. This is the baby's first clinic visit after birth. What
information can you provide that will help alleviate her fears regarding nutrient status for
her newborn?
a. Monitor the infant's output; as long as at least six or more diapers are changed in a 24-
hour period, the baby is receiving a sufficient intake.
b. Tell the mother that if a baby is satisfied with feedings he or he will be content and not
fussy.
c. Tell the mother that breast milk contains everything required for the infant and not to
worry about nutrition.
d. Provide nutrition information in the form of pamphlets for the mother to tkae home
with her so that she uses them as a point of reference.
a
, A breastfeeding mother asks the postpartum nurse if any supplementation is necessary
once her breast milk comes in. What is the nurse's most appropriate response?
a. "Are you concerned about your ability to adequately nurse your baby?"
b. "Do you eat a well-balanced diet, high in protein and carbohydrates?"
c. Breast milk is low in vitamin D and supplementation with 400 IU is recommended."
d. "Your breast milk has all the vitamins and will adequately meet your baby's needs."
c
A new mother is preparing for discharge. She plans on bottle feeding her baby. Which
statement indicates to the nurse that the mom needs more information about bottle
feeding?
a. "I should encourage my baby to consume the entire amount of formula prepared for
each feeding."
b. "I can make up a 24-hour supply of formula and refrigerate the bottles so I am ready to
feed my baby."
c. "I will hold my baby in a cradle hold and alternate sides from left to right when I feed
my baby."
d. "I will generally feed my baby every 3 to 4 hours or more often as signs of hunger are
displayed."
a
Late in pregnancy, the patient's breasts should be evaluated by the nurse to identify any
potential concerns related to breastfeeding. Which of the following nipple conditions
make it necessary to intervene prior to birth? (Select all that apply.)
a. Flat nipples
b. Cracked nipples
c. Everted nipples
d. Inverted nipples
e. Nipples that contract when compressed
a, d, e
