ACE YOUR NUR 254 EXAM: COMPLETE STUDY GUIDE WITH
COMPREHENSIVE QUESTIONS AND ANSWERS LATEST
2026/2027
◍ True Labor. Ans: Cervical Change & Contractions
◍ Para. Ans: # of viable pregnancies (>20 weeks)
◍ False Labor. Ans: Braxton Hicks contractions
◍ Nullgravida. Ans: Never pregnant
◍ Primigravida. Ans: Pregnant or one chile
◍ Multigravida. Ans: Pregnant second or more times
◍ Ovulation. Ans: Occurs 14 days before next menstruation
◍ Mature Ovum. Ans: Live 12-24 hours then starts to degenerate
◍ Sperm. Ans: Lives up to 5 days in female system
◍ Naegeles Rule. Ans: add 7 days to LMP, subtract 3 months, add 1
year
,◍ Term. Ans: Delivery at 37 to 42 weeks
◍ Preterm. Ans: Delivery after 20 weeks- 36 weeks 6/7 days
◍ Abortion. Ans: Delivery before 20 weeks
◍ Human Chorionic Gonadotropin (hCG). Ans: Maintain corpus
leteum
In urine & serum 10 to 14 days after conception
◍ Human Placental Lactogen (hPL). Ans: Insulin antagonist by
placenta increase blood glucose
◍ Estrogen. Ans: Vasodilation, changes sensitivity of respiratory
system to carbon dioxide
Softens cervix, initiate uterine activity, maintain labor
Develops breasts for lactation, secretion of prolactin
◍ Presumptive Signs of Pregnancy. Ans: Subjective signs
◍ Probable signs of pregnancy. Ans: Objective signs
Positive pregnancy test, Ballottement, Hegar, Goddells
◍ Hormones of Pregnancy. Ans: progesterone and estrogen
, Relaxin
◍ Breast function. Ans: Progesterone (glands)
Estrogen (ducts)
Prolactin (milk secretions)
◍ Hegars Sign. Ans: softening of the lower uterine segment
◍ Goddells sign. Ans: Cervical softening
◍ Ballottement. Ans: a sharp upward pushing against the uterine wall
with a finger inserted into the vagina for diagnosing pregnancy by
feeling the return impact of the displaced fetus
◍ Positive Signs of pregnancy. Ans: audible fetal heartbeat, fetal
movement felt by examiner, ultrasound visualization of fetus,
leopolds
◍ Muscular Uterine changes. Ans: Can hold 15-20 liters
Mucous plug
◍ Placenta previa. Ans: Low implantation of the placenta
No vaginal ultrasounds, Monitor bleeding- should be painless
C/s @ delivery
COMPREHENSIVE QUESTIONS AND ANSWERS LATEST
2026/2027
◍ True Labor. Ans: Cervical Change & Contractions
◍ Para. Ans: # of viable pregnancies (>20 weeks)
◍ False Labor. Ans: Braxton Hicks contractions
◍ Nullgravida. Ans: Never pregnant
◍ Primigravida. Ans: Pregnant or one chile
◍ Multigravida. Ans: Pregnant second or more times
◍ Ovulation. Ans: Occurs 14 days before next menstruation
◍ Mature Ovum. Ans: Live 12-24 hours then starts to degenerate
◍ Sperm. Ans: Lives up to 5 days in female system
◍ Naegeles Rule. Ans: add 7 days to LMP, subtract 3 months, add 1
year
,◍ Term. Ans: Delivery at 37 to 42 weeks
◍ Preterm. Ans: Delivery after 20 weeks- 36 weeks 6/7 days
◍ Abortion. Ans: Delivery before 20 weeks
◍ Human Chorionic Gonadotropin (hCG). Ans: Maintain corpus
leteum
In urine & serum 10 to 14 days after conception
◍ Human Placental Lactogen (hPL). Ans: Insulin antagonist by
placenta increase blood glucose
◍ Estrogen. Ans: Vasodilation, changes sensitivity of respiratory
system to carbon dioxide
Softens cervix, initiate uterine activity, maintain labor
Develops breasts for lactation, secretion of prolactin
◍ Presumptive Signs of Pregnancy. Ans: Subjective signs
◍ Probable signs of pregnancy. Ans: Objective signs
Positive pregnancy test, Ballottement, Hegar, Goddells
◍ Hormones of Pregnancy. Ans: progesterone and estrogen
, Relaxin
◍ Breast function. Ans: Progesterone (glands)
Estrogen (ducts)
Prolactin (milk secretions)
◍ Hegars Sign. Ans: softening of the lower uterine segment
◍ Goddells sign. Ans: Cervical softening
◍ Ballottement. Ans: a sharp upward pushing against the uterine wall
with a finger inserted into the vagina for diagnosing pregnancy by
feeling the return impact of the displaced fetus
◍ Positive Signs of pregnancy. Ans: audible fetal heartbeat, fetal
movement felt by examiner, ultrasound visualization of fetus,
leopolds
◍ Muscular Uterine changes. Ans: Can hold 15-20 liters
Mucous plug
◍ Placenta previa. Ans: Low implantation of the placenta
No vaginal ultrasounds, Monitor bleeding- should be painless
C/s @ delivery
