NUR 3500 FINAL EXAM 2026/2027 | NURSING STUDY GUIDE, PRACTICE
QUESTIONS, ANSWERS & EXAM REVIEW
Pregnant person premature labor and getting terbutaline. What to monitor for adverse effects? - ANS
✔✔Tachycardia (look for increased HR) (normally used bronchodilator causing tachycardia)
Female pt telling how to check basal temp to determine when ovulating. What is time frame they should
be following to take basal temp? - ANS ✔✔morning before getting up (have thermometer at bedside)
Have someone who experienced a vag delivery 12 hrs ago, post delivery what position would you expect
her fundus to be at? - ANS ✔✔Level of umbilicus
Have a 8 hr postpartum pt who is multiferous, what would alert you she needs to urinate? - ANS
✔✔Three fingers pressed above the fundus and displaced to the side
Newborn 6 hrs post delivery, mom was 30 gravida 2 para 2, c section, AFP positive, med history, surg
history none, group beta strep positive, weight 5 lb 8 oz (18.9 inches long), temp 99, HR 120, RR 50, skin
warm and dry, color consistent, mild amount of lanugo present, head circumference 34 cm, sutures,
anterior fontanel flat and soft, pupils equal reactive to light, no retractions, umbilical cord clamped, no
herniations, sac noted on lumbar area, reflexes intact, meconium stool noted. What is the diagnosis?
What are the actions to take? What parameters should be monitored? - ANS ✔✔-Diagnosis:
meningocele
-Actions to take: (sterile dressing) moist compress, place prone position
-Monitor: CSF leakage, head circumference
Have group of pts on intrapartum unit, what would you report to provider immediately? - ANS
✔✔Epigastric pain and unresolved headache
Second stage of labor of a 28 year old G2para1 39 weeks, history of insulin GDM, 4 cm into labor, -1
station, client reports needs to have bowel movement, sterile vaginal exam, 10cm, 100% effaced, FHR
130, variable decels, provider notified, 3:03 and fetal head crowning with provider there. What condition
and 2 actions and 2 monitors. - ANS ✔✔-Diagnosis: Shoulder dystocia
-Actions to take: suprapubic pressure, flex clients legs against abdomen (mcroberts position)
-Monitor: movement of upper extremities, maternal perineum for trauma
Providing teaching to 30 week gestation mom to have non stress test. What would tell you pt needs
further teaching? - ANS ✔✔She thinks she has to lie flat on her back during the test (needs to be in semi
fowlers position)
Teaching 23 week gestation about immunizations. What would you include in her teaching? - ANS ✔✔-
Do not get rubella when pregnant
-varicella do not get pregnant 28 days
-you can receive flu shot
-you cannot get TDAP vaccine
, Nurse in docs office for pregnant lady, VS at 9am temp 97.9, HR 88, RR 20, BP 179/99. HR 82, RR16, HR
81, RR 16, BP 170/101. gravida 3para2, 36 weeks gestation, 178 lbs, 6 lb weight gain last 2 weeks,
headache and Tylenol does not relieve, swelling of fingers and hands, DTR 3+, Fetal heart tones 148.
What to report? - ANS ✔✔Report BP, visual disturbances, 6 lb weight, DTR
Caring for pt during NST test. At end of 30 min, note FHR 120 with minimal variability and no
accelerations. 2 decels of 15 min in FHR during period fetal movement each lasting 20 sec. Which of the
following interpretations of finding would the nurse make? - ANS ✔✔Nonreactive test
Nurse caring for new mother concerned about newborns eyes being crossed/closed. Which of the
following statements is therapeutic response? - ANS ✔✔This occurs because newborns lack muscle
control to regulate eye movement (last 3-6 months)
First trimester pregnancy and asked if she can continue to exercise during pregnancy. What would be
your response? - ANS ✔✔Daily light jogging up to 30 min is fine throughout pregnancy
Interviewing client who has possible endometriosis. What in the history would be consistent with this
diagnosis? - ANS ✔✔Dysmenorrhea unresponsive to NSAIDs
Nurse teaching group of teens about condoms to prevent STDs. Which of the following statements
should nurse include in teaching? - ANS ✔✔Female condoms can help prevent sexually transmitted
viruses
Have 35 year old with fibrocystic disease of breast. At which of the following times should nurse inform
client manifestations are most present? - ANS ✔✔Before menstruation (painful breasts, smooth lumps);
reducing caffeine and salt may help for benign fibrocystic disease
Caring for middle adult female client reports menstrual periods irregular and having hot flashes. What
should you expect to have for early menopause? - ANS ✔✔Dryness with intercourse
Assessing client for postpartum infection. What finding indicate client assessment needs for
endometritis? - ANS ✔✔pelvic pain
Caring for 2 hr postpartum, see slow perineal pad in 10 min, skin color ashen, weak and lightheaded,
oxygen nonrebreather mask 10mL. What actions should she do? - ANS ✔✔Fundal massage to promote
contractions
Reviewing contraceptive options for poor clients. Nurse should identify which client has
contraindications for receiving oral contraceptives? - ANS ✔✔38 year old smoking 6 packs of cigarettes a
day
Nurse in antepartum clinic, client on fetal monitor, fetal heart 120, abdomen soft nontender, cramping,
burns when urinate, vag exam 2 cm 100% effaced, 0 station, bloody mucus on glove, 12:30 FHR 145,
uterine contractions every 2 min, client reports pain 6/10, provider notified and prescriptions received,
review assessment findings. - ANS ✔✔-preterm labor: vag exam, vag discharge
-pain: preterm labor and UTI
-UTI: temp 100.5
QUESTIONS, ANSWERS & EXAM REVIEW
Pregnant person premature labor and getting terbutaline. What to monitor for adverse effects? - ANS
✔✔Tachycardia (look for increased HR) (normally used bronchodilator causing tachycardia)
Female pt telling how to check basal temp to determine when ovulating. What is time frame they should
be following to take basal temp? - ANS ✔✔morning before getting up (have thermometer at bedside)
Have someone who experienced a vag delivery 12 hrs ago, post delivery what position would you expect
her fundus to be at? - ANS ✔✔Level of umbilicus
Have a 8 hr postpartum pt who is multiferous, what would alert you she needs to urinate? - ANS
✔✔Three fingers pressed above the fundus and displaced to the side
Newborn 6 hrs post delivery, mom was 30 gravida 2 para 2, c section, AFP positive, med history, surg
history none, group beta strep positive, weight 5 lb 8 oz (18.9 inches long), temp 99, HR 120, RR 50, skin
warm and dry, color consistent, mild amount of lanugo present, head circumference 34 cm, sutures,
anterior fontanel flat and soft, pupils equal reactive to light, no retractions, umbilical cord clamped, no
herniations, sac noted on lumbar area, reflexes intact, meconium stool noted. What is the diagnosis?
What are the actions to take? What parameters should be monitored? - ANS ✔✔-Diagnosis:
meningocele
-Actions to take: (sterile dressing) moist compress, place prone position
-Monitor: CSF leakage, head circumference
Have group of pts on intrapartum unit, what would you report to provider immediately? - ANS
✔✔Epigastric pain and unresolved headache
Second stage of labor of a 28 year old G2para1 39 weeks, history of insulin GDM, 4 cm into labor, -1
station, client reports needs to have bowel movement, sterile vaginal exam, 10cm, 100% effaced, FHR
130, variable decels, provider notified, 3:03 and fetal head crowning with provider there. What condition
and 2 actions and 2 monitors. - ANS ✔✔-Diagnosis: Shoulder dystocia
-Actions to take: suprapubic pressure, flex clients legs against abdomen (mcroberts position)
-Monitor: movement of upper extremities, maternal perineum for trauma
Providing teaching to 30 week gestation mom to have non stress test. What would tell you pt needs
further teaching? - ANS ✔✔She thinks she has to lie flat on her back during the test (needs to be in semi
fowlers position)
Teaching 23 week gestation about immunizations. What would you include in her teaching? - ANS ✔✔-
Do not get rubella when pregnant
-varicella do not get pregnant 28 days
-you can receive flu shot
-you cannot get TDAP vaccine
, Nurse in docs office for pregnant lady, VS at 9am temp 97.9, HR 88, RR 20, BP 179/99. HR 82, RR16, HR
81, RR 16, BP 170/101. gravida 3para2, 36 weeks gestation, 178 lbs, 6 lb weight gain last 2 weeks,
headache and Tylenol does not relieve, swelling of fingers and hands, DTR 3+, Fetal heart tones 148.
What to report? - ANS ✔✔Report BP, visual disturbances, 6 lb weight, DTR
Caring for pt during NST test. At end of 30 min, note FHR 120 with minimal variability and no
accelerations. 2 decels of 15 min in FHR during period fetal movement each lasting 20 sec. Which of the
following interpretations of finding would the nurse make? - ANS ✔✔Nonreactive test
Nurse caring for new mother concerned about newborns eyes being crossed/closed. Which of the
following statements is therapeutic response? - ANS ✔✔This occurs because newborns lack muscle
control to regulate eye movement (last 3-6 months)
First trimester pregnancy and asked if she can continue to exercise during pregnancy. What would be
your response? - ANS ✔✔Daily light jogging up to 30 min is fine throughout pregnancy
Interviewing client who has possible endometriosis. What in the history would be consistent with this
diagnosis? - ANS ✔✔Dysmenorrhea unresponsive to NSAIDs
Nurse teaching group of teens about condoms to prevent STDs. Which of the following statements
should nurse include in teaching? - ANS ✔✔Female condoms can help prevent sexually transmitted
viruses
Have 35 year old with fibrocystic disease of breast. At which of the following times should nurse inform
client manifestations are most present? - ANS ✔✔Before menstruation (painful breasts, smooth lumps);
reducing caffeine and salt may help for benign fibrocystic disease
Caring for middle adult female client reports menstrual periods irregular and having hot flashes. What
should you expect to have for early menopause? - ANS ✔✔Dryness with intercourse
Assessing client for postpartum infection. What finding indicate client assessment needs for
endometritis? - ANS ✔✔pelvic pain
Caring for 2 hr postpartum, see slow perineal pad in 10 min, skin color ashen, weak and lightheaded,
oxygen nonrebreather mask 10mL. What actions should she do? - ANS ✔✔Fundal massage to promote
contractions
Reviewing contraceptive options for poor clients. Nurse should identify which client has
contraindications for receiving oral contraceptives? - ANS ✔✔38 year old smoking 6 packs of cigarettes a
day
Nurse in antepartum clinic, client on fetal monitor, fetal heart 120, abdomen soft nontender, cramping,
burns when urinate, vag exam 2 cm 100% effaced, 0 station, bloody mucus on glove, 12:30 FHR 145,
uterine contractions every 2 min, client reports pain 6/10, provider notified and prescriptions received,
review assessment findings. - ANS ✔✔-preterm labor: vag exam, vag discharge
-pain: preterm labor and UTI
-UTI: temp 100.5
