NRSG 2200 FUNDAMENTALS UNIT 2 EXAM
QUESTIONS AND ANSWERS | UNITS 3 & 4 STUDY
GUIDE & PRACTICE TEST 2026/2027
The nurse is assessing a pregnant client at 20 weeks gestation and obtains a hemoglobin level. Which
result would be a cause for concern?
A - 12.8 g/dl
B - 10.6 g/dl
C - 11.9 g/dl
D - 11.2 g/dl - ANS ✔✔B - 10.6 g/dl
A nurse is reviewing the medical record of a pregnant woman and notes that she is gravida 2. The nurse
interprets this to indicate the number of :
A - Births
B - Spontaneous abortions (miscarriages)
C - Pregnancies
D - Preterm Births - ANS ✔✔C - Pregnancies
A pregnant client in her second trimester visits a health care center. She informs the nurse that at times
she experiences difficulty breathing. What would the nurse identify as the most likely cause of the clients
report?
A - Pressure on the pelvic area by the growing fetus
B - Displacement of the stomach by the growing fetus
C - Pressure on the rectal vein by the growing fetus
D - Pressure on the diaphragm by the growing fetus - ANS ✔✔D - Pressure on the diaphragm by the
growing fetus
During a routine prenatal visit, a client at 36 weeks' gestation states she has difficulty breathing and feels
like her pulse rate is really fast. The nurse find her pulse to be 100 beats/minute (Increased from
baseline readings of 70 to 74 beats per minute) and irregular, with bilateral crackles in the lower lung
bases. Which nursing diagnosis would be the priority for this client?
A - Impaired gas exchange related to pulmonary congestion
B - Ineffective tissue perfusion related to supine hypotensive syndrome
C - Activity intolerance related to increased metabolic requirements
D - Anxiety related to fear of pregnancy outcome - ANS ✔✔A - Impaired gas exchange related to
pulmonary congestion
A nurse student identifies which action to be the best way to prevent complications of pregnancy?
,A - Eating a diet high in protein
B - Receiving prenatal care
C - Getting adequate rest each night
D - Limiting work hours - ANS ✔✔B - Receiving prenatal care
A client who has just given a blood sample for pregnancy testing in the health care providers office asks
the nurse what method of confirming pregnancy is the most accurate. The nurse explains the difference
between presumptive symptoms, probable signs, and positive signs. What should the nurse mention as
an example of a positive sign, which may be used to diagnose pregnancy?
A - Visualization of the fetus by ultrasound
B - Absence of a period
C - Laboratory test of a blood serum specimen for hCG
D - Laboratory test of a urine specimen for hCG - ANS ✔✔A - Visualization of the fetus by ultrasound
A clients menstrual period is two weeks late. She has been feeling tired and has had episodes of nausea
in the morning. What classification of pregnancy symptoms is this client experiencing?
A - Presumptive
B - Positive
C - No classification
D - Probable - ANS ✔✔A - Presumptive
The client at 18 weeks gestation states, "I feel a fluttering sensation, kind of like gas." The nurse
understands that the client is describing what occurrence?
A - Placenta previa
B - Lightening
C - Linea Nigra
D - Quickening - ANS ✔✔D - Quickening
What medic pair is the highest concern if reported during a pregnant clients medical history?
A - Heart disease and diabetes
B - Irritable bowel syndrome and nausea
C - Asthma and environmental allergies
D - Sinus congestion and bronchitis - ANS ✔✔A - Heart disease and diabetes
A woman suspecting she is pregnant asks the nurse about which signs would confirm her pregnancy. The
nurse would explain that which sign would confirm the pregnancy?
A - Abdominal pain
B - Absence of menstrual period
C - Morning sickness
D - Palpable fetal movement - ANS ✔✔D - Palpable fetal movement
The urine of a woman in her second trimester of pregnancy is found to contain glucose. For which
condition should she be tested?
,A - Hypothyroidism
B - Preeclampsia
C - Gestational diabetes
D - Anemia - ANS ✔✔C - Gestational diabetes
The nursing instructor is teaching a class on the nutritional needs of the pregnant client. The instructor
determines the session is successful when the students correctly choose which supplement as being
known to prevent up to 70% of CNS birth defects?
A - Vitamin A
B - Folic Acid
C - Iodine
D - Zinc - ANS ✔✔B - Folic Acid
The nurse is caring for a client with a G=5, T=0, P=3, A=1, L=3 obstetric history. The nurse is most correct
to state which interpretation?
A - The client has had difficulty reaching full term
B - The client has had difficulty becoming pregnant
C - The client has had uncomplicated pregnancies
D - The client has had multiple abortions (elective terminations of pregnancy) - ANS ✔✔A - The client
has had difficulty reaching full term
A woman in her second trimester comes for a follow-up visit and says to the nurse, "I feel like I'm on an
emotional roller-coaster." Which response by the nurse would be most appropriate?
A - "Have you been experiencing any thoughts of harming yourself"?
B - "How often has this been happening to you"?
C - "Maybe you need some medication to level things out".
D - "Mood swings are completely normal during pregnancy". - ANS ✔✔D - "Mood swings are completely
normal during pregnancy".
During a routine prenatal visit, the woman complains about lack of sleep due to "the baby having a
dance party at night which keeps me awake with all the kicking." Which nursing diagnosis would be most
appropriate for the nurse to document?
A - Acute, intense pain related to frequent kicking by the fetus
B - Fatigue related to increased need for rest during pregnancy
C - Disturbed sleep pattern related to frequent movement of fetus at night
D - Health-seeking behaviors related to client request for a sleep medication - ANS ✔✔C - Disturbed
sleep pattern related to frequent movement of fetus at night
A pregnant clients last menstrual period was March 10. Using Naegele rule, the nurse estimated the date
of birth to be :
A - December 17
B - February 21
, C - January 7
D - January 30 - ANS ✔✔A - December 17
The nurse cares for a pregnant client at the first prenatal visits and reviews expected changes that will
occur during pregnancy. Which information will the nurse include in the education?
A - Blood pressure decreased in the third trimester
B - Hemoglobin levels rise significantly during pregnancy
C - During pregnancy blood volume can increase by at least 40%
D - Pregnancy typically causes a decrease in respiratory rate - ANS ✔✔C - During pregnancy blood
volume can increase by at least 40%
A pregnant client in her first trimester of pregnancy reports spontaneous, irregular, painless
contractions. What does this indicate?
A - Infection of the gastrointestinal (GI) tract
B - Acid indigestion
C - Preterm labor
D - Braxton hicks contractions - ANS ✔✔D - Braxton hicks contractions
In a clients seventh month of pregnancy, she reports feeling "dizzy", like I'm going to pass out, when I lie
down flat on my back." The nurse explains that this is due to :
A - Physiologic anemia due to hemoglobin decrease
B - Pressure of the presenting fetal part on the diaphragm
C - A 50% increase in blood volume
D - Pressure of the gravid uterus on the vena cava - ANS ✔✔D - Pressure of the gravid uterus on the vena
cava
A nurse strongly encourages a pregnant Clint to avoid eating swordfish and tilefish because these fish
contain which component?
A - Lactose, which leads to abdominal discomfort, gas, and diarrhea
B - Low-quality protein that does not meet the clients requirements
C - Mercury, which could harm the developing fetus if eating in large amounts
D - Excess folic acid, which could increase the risk for neutral tube defects - ANS ✔✔C - Mercury, which
could harm the developing fetus if eating in large amounts
A mother comes in with her 17 year old daughter to find out why she has not had a menstrual cycle for a
few months. Examination confirms the daughter is pregnant with a fundal height of approximately 24
cm. The nurse interprets this finding as indicating that the daughter is approximately how many weeks
pregnant?
A - 24
B - 18
C - 22
D - 20 - ANS ✔✔A - 24
QUESTIONS AND ANSWERS | UNITS 3 & 4 STUDY
GUIDE & PRACTICE TEST 2026/2027
The nurse is assessing a pregnant client at 20 weeks gestation and obtains a hemoglobin level. Which
result would be a cause for concern?
A - 12.8 g/dl
B - 10.6 g/dl
C - 11.9 g/dl
D - 11.2 g/dl - ANS ✔✔B - 10.6 g/dl
A nurse is reviewing the medical record of a pregnant woman and notes that she is gravida 2. The nurse
interprets this to indicate the number of :
A - Births
B - Spontaneous abortions (miscarriages)
C - Pregnancies
D - Preterm Births - ANS ✔✔C - Pregnancies
A pregnant client in her second trimester visits a health care center. She informs the nurse that at times
she experiences difficulty breathing. What would the nurse identify as the most likely cause of the clients
report?
A - Pressure on the pelvic area by the growing fetus
B - Displacement of the stomach by the growing fetus
C - Pressure on the rectal vein by the growing fetus
D - Pressure on the diaphragm by the growing fetus - ANS ✔✔D - Pressure on the diaphragm by the
growing fetus
During a routine prenatal visit, a client at 36 weeks' gestation states she has difficulty breathing and feels
like her pulse rate is really fast. The nurse find her pulse to be 100 beats/minute (Increased from
baseline readings of 70 to 74 beats per minute) and irregular, with bilateral crackles in the lower lung
bases. Which nursing diagnosis would be the priority for this client?
A - Impaired gas exchange related to pulmonary congestion
B - Ineffective tissue perfusion related to supine hypotensive syndrome
C - Activity intolerance related to increased metabolic requirements
D - Anxiety related to fear of pregnancy outcome - ANS ✔✔A - Impaired gas exchange related to
pulmonary congestion
A nurse student identifies which action to be the best way to prevent complications of pregnancy?
,A - Eating a diet high in protein
B - Receiving prenatal care
C - Getting adequate rest each night
D - Limiting work hours - ANS ✔✔B - Receiving prenatal care
A client who has just given a blood sample for pregnancy testing in the health care providers office asks
the nurse what method of confirming pregnancy is the most accurate. The nurse explains the difference
between presumptive symptoms, probable signs, and positive signs. What should the nurse mention as
an example of a positive sign, which may be used to diagnose pregnancy?
A - Visualization of the fetus by ultrasound
B - Absence of a period
C - Laboratory test of a blood serum specimen for hCG
D - Laboratory test of a urine specimen for hCG - ANS ✔✔A - Visualization of the fetus by ultrasound
A clients menstrual period is two weeks late. She has been feeling tired and has had episodes of nausea
in the morning. What classification of pregnancy symptoms is this client experiencing?
A - Presumptive
B - Positive
C - No classification
D - Probable - ANS ✔✔A - Presumptive
The client at 18 weeks gestation states, "I feel a fluttering sensation, kind of like gas." The nurse
understands that the client is describing what occurrence?
A - Placenta previa
B - Lightening
C - Linea Nigra
D - Quickening - ANS ✔✔D - Quickening
What medic pair is the highest concern if reported during a pregnant clients medical history?
A - Heart disease and diabetes
B - Irritable bowel syndrome and nausea
C - Asthma and environmental allergies
D - Sinus congestion and bronchitis - ANS ✔✔A - Heart disease and diabetes
A woman suspecting she is pregnant asks the nurse about which signs would confirm her pregnancy. The
nurse would explain that which sign would confirm the pregnancy?
A - Abdominal pain
B - Absence of menstrual period
C - Morning sickness
D - Palpable fetal movement - ANS ✔✔D - Palpable fetal movement
The urine of a woman in her second trimester of pregnancy is found to contain glucose. For which
condition should she be tested?
,A - Hypothyroidism
B - Preeclampsia
C - Gestational diabetes
D - Anemia - ANS ✔✔C - Gestational diabetes
The nursing instructor is teaching a class on the nutritional needs of the pregnant client. The instructor
determines the session is successful when the students correctly choose which supplement as being
known to prevent up to 70% of CNS birth defects?
A - Vitamin A
B - Folic Acid
C - Iodine
D - Zinc - ANS ✔✔B - Folic Acid
The nurse is caring for a client with a G=5, T=0, P=3, A=1, L=3 obstetric history. The nurse is most correct
to state which interpretation?
A - The client has had difficulty reaching full term
B - The client has had difficulty becoming pregnant
C - The client has had uncomplicated pregnancies
D - The client has had multiple abortions (elective terminations of pregnancy) - ANS ✔✔A - The client
has had difficulty reaching full term
A woman in her second trimester comes for a follow-up visit and says to the nurse, "I feel like I'm on an
emotional roller-coaster." Which response by the nurse would be most appropriate?
A - "Have you been experiencing any thoughts of harming yourself"?
B - "How often has this been happening to you"?
C - "Maybe you need some medication to level things out".
D - "Mood swings are completely normal during pregnancy". - ANS ✔✔D - "Mood swings are completely
normal during pregnancy".
During a routine prenatal visit, the woman complains about lack of sleep due to "the baby having a
dance party at night which keeps me awake with all the kicking." Which nursing diagnosis would be most
appropriate for the nurse to document?
A - Acute, intense pain related to frequent kicking by the fetus
B - Fatigue related to increased need for rest during pregnancy
C - Disturbed sleep pattern related to frequent movement of fetus at night
D - Health-seeking behaviors related to client request for a sleep medication - ANS ✔✔C - Disturbed
sleep pattern related to frequent movement of fetus at night
A pregnant clients last menstrual period was March 10. Using Naegele rule, the nurse estimated the date
of birth to be :
A - December 17
B - February 21
, C - January 7
D - January 30 - ANS ✔✔A - December 17
The nurse cares for a pregnant client at the first prenatal visits and reviews expected changes that will
occur during pregnancy. Which information will the nurse include in the education?
A - Blood pressure decreased in the third trimester
B - Hemoglobin levels rise significantly during pregnancy
C - During pregnancy blood volume can increase by at least 40%
D - Pregnancy typically causes a decrease in respiratory rate - ANS ✔✔C - During pregnancy blood
volume can increase by at least 40%
A pregnant client in her first trimester of pregnancy reports spontaneous, irregular, painless
contractions. What does this indicate?
A - Infection of the gastrointestinal (GI) tract
B - Acid indigestion
C - Preterm labor
D - Braxton hicks contractions - ANS ✔✔D - Braxton hicks contractions
In a clients seventh month of pregnancy, she reports feeling "dizzy", like I'm going to pass out, when I lie
down flat on my back." The nurse explains that this is due to :
A - Physiologic anemia due to hemoglobin decrease
B - Pressure of the presenting fetal part on the diaphragm
C - A 50% increase in blood volume
D - Pressure of the gravid uterus on the vena cava - ANS ✔✔D - Pressure of the gravid uterus on the vena
cava
A nurse strongly encourages a pregnant Clint to avoid eating swordfish and tilefish because these fish
contain which component?
A - Lactose, which leads to abdominal discomfort, gas, and diarrhea
B - Low-quality protein that does not meet the clients requirements
C - Mercury, which could harm the developing fetus if eating in large amounts
D - Excess folic acid, which could increase the risk for neutral tube defects - ANS ✔✔C - Mercury, which
could harm the developing fetus if eating in large amounts
A mother comes in with her 17 year old daughter to find out why she has not had a menstrual cycle for a
few months. Examination confirms the daughter is pregnant with a fundal height of approximately 24
cm. The nurse interprets this finding as indicating that the daughter is approximately how many weeks
pregnant?
A - 24
B - 18
C - 22
D - 20 - ANS ✔✔A - 24
