NUR 353 REP EXAM 2 PRACTICE QUESTIONS 2026/2027 | NURSING STUDY
GUIDE, ANSWERS & EXAM REVIEW
(A) April 1st minus 3 months plus 7 days and 1 year equals an estimated date of delivery of January 8. -
correct answer ✔✔A nurse is caring for a client who is pregnant and states that their last menstrual
period was April 1st. Which of the following is the client's estimated date of delivery?
A. January 8
B. January 15
C. February 8
D. February 15
(A)T1 indicates the client has delivered one newborn at term
(D)G3 indicates the client has had two prior pregnancies and the client is currently pregnant
(E) L1 indicates the client has one living child - correct answer ✔✔A nurse in a prenatal clinic is caring for
a client who is in the first trimester of pregnancy. The client's health record includes this data: G3 T1 P0
A1 L1. How should the nurse interpret this information? (Select all that apply.)
A. Client has delivered one newborn at term.
B. Client has experienced no preterm labor.
C. Client has been through active labor.
D. Client has had two prior pregnancies.
E. Client has one living child.
(B) Goodell's sign is a probable sign of pregnancy
(C) Ballottement is a probable sign of pregnancy
(D) Chadwick's sign is a probable sign of pregnancy - correct answer ✔✔A nurse is reviewing the health
record of a client who is pregnant. The provider indicated the client exhibits probable signs of pregnancy.
Which of the following findings should the nurse expect? (Select all that apply.)
A. Montgomery's glands
B. Goodell's sign
C. Ballottement
D. Chadwick's sign
E. Quickening
(C) Maternal hypotension occurs when the client is lying in the supine position and the weight of the
gravid uterus places pressure on the vena cava, decreasing venous blood flow to the heart - correct
answer ✔✔A nurse in a prenatal clinic is caring for a client who is pregnant and experiencing episodes of
maternal hypotension. The client asks the nurse what causes these episodes. Which of the following
responses should the nurse make?
A. "This is due to an increase in blood volume."
B. "This is due to pressure from the uterus on the diaphragm."
C. "This is due to the weight of the uterus on the vena cava."
D. "This is due to increased cardiac output."
(D) Urine pregnancy tests should be done on a first-voided morning specimen to provide the most
accurate results - correct answer ✔✔A nurse in a clinic receives a phone call from a client who would like
, to be tested in the clinic to confirm a pregnancy. Which of the following information should the nurse
provide to the client?
A. "You should wait until 4 weeks after conception to be tested."
B. "You should be off any medications for 24 hours prior to the test."
C. "You should be NPO for at least 8 hours prior to the test."
D. "You should collect urine from the first morning void."
(D) True contractions do not go away with hydration or walking. They are regular in frequency, duration,
and intensity and become stronger with walking. - correct answer ✔✔A client calls a provider's office
and reports having contractions for 2 hr that increased with activity and did not decrease with rest and
hydration. The client denies leaking of vaginal fluid but did notice blood when wiping after voiding.
Which of the following manifestations is the client experiencing?
A. Braxton Hicks contractions
B. Rupture of membranes
C. Fetal descent
D. True contractions
(A) In stage 1, latent phase, the cervix dilates from 0 to 3 cm, and contraction duration ranges from 30 to
45 seconds. - correct answer ✔✔A nurse is caring for a client having contractions every 8 min that are 30
to 40 seconds in duration. The client's cervix is 2 cm dilated, 50% effaced, and the fetus is at a -2 station
with a FHR around 140/min. Which of the following stages and phases of labor is this client
experiencing?
A. First stage, latent phase
B. First stage, active phase
C. First stage, transition phase
D. Second stage of labor
(B) The greatest risk to the client and fetus is umbilical cord prolapse, leading to fetal distress following
rupture of membranes. The first action to take is to check the FHR for clinical findings of distress. -
correct answer ✔✔A nurse is caring for a client who is 40 weeks of gestation and reports having large
gush of fluid from the vagina while walking from the bathroom. Which of the following actions should
the nurse take first?
A. Examine the amniotic fluid for meconium. B. Check the FHR.
C. Dry the client and make them comfortable.
D. Apply a tocotransducer
(B) Rupture of membranes for longer than 24 hr prior to delivery increases the risk that infectious
organisms will enter the vagina and then eventually into the uterus. - correct answer ✔✔A nurse is
completing an admission assessment for a client who is 39 weeks of gestation and reports fluid leaking
from the vagina for 2 days. Which of the following conditions is the client at risk for developing?
A. Cord prolapse
B. Infection
C. Postpartum hemorrhage
D. Hydramnios
(C) The transition phase of labor occurs when the client becomes irritable, feels rectal pressure similar to
the need to have a bowel movement, and can become nauseous with emesis - correct answer ✔✔A
nurse is caring for a client who is in active labor, irritable, and reports the urge to have a bowel
GUIDE, ANSWERS & EXAM REVIEW
(A) April 1st minus 3 months plus 7 days and 1 year equals an estimated date of delivery of January 8. -
correct answer ✔✔A nurse is caring for a client who is pregnant and states that their last menstrual
period was April 1st. Which of the following is the client's estimated date of delivery?
A. January 8
B. January 15
C. February 8
D. February 15
(A)T1 indicates the client has delivered one newborn at term
(D)G3 indicates the client has had two prior pregnancies and the client is currently pregnant
(E) L1 indicates the client has one living child - correct answer ✔✔A nurse in a prenatal clinic is caring for
a client who is in the first trimester of pregnancy. The client's health record includes this data: G3 T1 P0
A1 L1. How should the nurse interpret this information? (Select all that apply.)
A. Client has delivered one newborn at term.
B. Client has experienced no preterm labor.
C. Client has been through active labor.
D. Client has had two prior pregnancies.
E. Client has one living child.
(B) Goodell's sign is a probable sign of pregnancy
(C) Ballottement is a probable sign of pregnancy
(D) Chadwick's sign is a probable sign of pregnancy - correct answer ✔✔A nurse is reviewing the health
record of a client who is pregnant. The provider indicated the client exhibits probable signs of pregnancy.
Which of the following findings should the nurse expect? (Select all that apply.)
A. Montgomery's glands
B. Goodell's sign
C. Ballottement
D. Chadwick's sign
E. Quickening
(C) Maternal hypotension occurs when the client is lying in the supine position and the weight of the
gravid uterus places pressure on the vena cava, decreasing venous blood flow to the heart - correct
answer ✔✔A nurse in a prenatal clinic is caring for a client who is pregnant and experiencing episodes of
maternal hypotension. The client asks the nurse what causes these episodes. Which of the following
responses should the nurse make?
A. "This is due to an increase in blood volume."
B. "This is due to pressure from the uterus on the diaphragm."
C. "This is due to the weight of the uterus on the vena cava."
D. "This is due to increased cardiac output."
(D) Urine pregnancy tests should be done on a first-voided morning specimen to provide the most
accurate results - correct answer ✔✔A nurse in a clinic receives a phone call from a client who would like
, to be tested in the clinic to confirm a pregnancy. Which of the following information should the nurse
provide to the client?
A. "You should wait until 4 weeks after conception to be tested."
B. "You should be off any medications for 24 hours prior to the test."
C. "You should be NPO for at least 8 hours prior to the test."
D. "You should collect urine from the first morning void."
(D) True contractions do not go away with hydration or walking. They are regular in frequency, duration,
and intensity and become stronger with walking. - correct answer ✔✔A client calls a provider's office
and reports having contractions for 2 hr that increased with activity and did not decrease with rest and
hydration. The client denies leaking of vaginal fluid but did notice blood when wiping after voiding.
Which of the following manifestations is the client experiencing?
A. Braxton Hicks contractions
B. Rupture of membranes
C. Fetal descent
D. True contractions
(A) In stage 1, latent phase, the cervix dilates from 0 to 3 cm, and contraction duration ranges from 30 to
45 seconds. - correct answer ✔✔A nurse is caring for a client having contractions every 8 min that are 30
to 40 seconds in duration. The client's cervix is 2 cm dilated, 50% effaced, and the fetus is at a -2 station
with a FHR around 140/min. Which of the following stages and phases of labor is this client
experiencing?
A. First stage, latent phase
B. First stage, active phase
C. First stage, transition phase
D. Second stage of labor
(B) The greatest risk to the client and fetus is umbilical cord prolapse, leading to fetal distress following
rupture of membranes. The first action to take is to check the FHR for clinical findings of distress. -
correct answer ✔✔A nurse is caring for a client who is 40 weeks of gestation and reports having large
gush of fluid from the vagina while walking from the bathroom. Which of the following actions should
the nurse take first?
A. Examine the amniotic fluid for meconium. B. Check the FHR.
C. Dry the client and make them comfortable.
D. Apply a tocotransducer
(B) Rupture of membranes for longer than 24 hr prior to delivery increases the risk that infectious
organisms will enter the vagina and then eventually into the uterus. - correct answer ✔✔A nurse is
completing an admission assessment for a client who is 39 weeks of gestation and reports fluid leaking
from the vagina for 2 days. Which of the following conditions is the client at risk for developing?
A. Cord prolapse
B. Infection
C. Postpartum hemorrhage
D. Hydramnios
(C) The transition phase of labor occurs when the client becomes irritable, feels rectal pressure similar to
the need to have a bowel movement, and can become nauseous with emesis - correct answer ✔✔A
nurse is caring for a client who is in active labor, irritable, and reports the urge to have a bowel
