NR 327 PREGNANCY MANAGEMENT EXAM 1
2025/2026 WITH 100% ACCURATE ANSWERS
2026 Exam · 98 Questions · With Rationales
ati. NR 327 PREGNANCY MANAGEMENT EXAM 1 2025/2026 WITH 100% ACCURATE ANSWERS
Question: 1 of 98
A pregnant client at 32 weeks' gestation has a 1-hour glucose challenge result of 186 mg/dL. Which follow-up
action is most appropriate?
A. Reassure the client that the value is within normal limits.
B. Schedule a 3-hour 100-g oral glucose tolerance test.
C. Initiate insulin therapy immediately.
D. Repeat the 50-g challenge in 4 weeks.
PREVIOUS CONTINUE
A pregnant client at 32 weeks' gestation has a 1-hour glucose challenge result of 186
mg/dL. Which follow-up action is most appropriate?
A. Reassure the client that the value is within normal limits.
(Correct) B. Schedule a 3-hour 100-g oral glucose tolerance test.
C. Initiate insulin therapy immediately.
D. Repeat the 50-g challenge in 4 weeks.
Correct Answer: B
A 1-hour 50-g screen 140 mg/dL (or 130-135 in high-risk protocols) requires diagnostic confirmation with the
3-hour 100-g OGTT before any diagnosis of GDM. Insulin is not initiated without a confirmed diagnosis and
failed lifestyle management, and repeating the screen delays care.
Page 1 | NR 327 PREGNANCY MANAGEMENT EXAM 1 2025/2026 WITH 100% ACCURATE ANSWERS 2026
, NR 327 PREGNANCY MANAGEMENT EXAM 1
2025/2026 WITH 100% ACCURATE ANSWERS
2026 Exam · 98 Questions · With Rationales
ati. NR 327 PREGNANCY MANAGEMENT EXAM 1 2025/2026 WITH 100% ACCURATE ANSWERS
Question: 2 of 98
Which physiologic adaptation of pregnancy most directly explains an increased risk of supine hypotension in
the second trimester?
A. Increased glomerular filtration rate
B. Aortocaval compression by the gravid uterus
C. Decreased serum albumin
D. Elevated progesterone-mediated smooth muscle relaxation
PREVIOUS CONTINUE
Which physiologic adaptation of pregnancy most directly explains an increased risk of
supine hypotension in the second trimester?
A. Increased glomerular filtration rate
(Correct) B. Aortocaval compression by the gravid uterus
C. Decreased serum albumin
D. Elevated progesterone-mediated smooth muscle relaxation
Correct Answer: B
Supine hypotension results from compression of the inferior vena cava and aorta by the enlarging uterus when
the client lies flat, reducing venous return. The other options reflect normal adaptations but do not cause the
positional hypotension.
Page 2 | NR 327 PREGNANCY MANAGEMENT EXAM 1 2025/2026 WITH 100% ACCURATE ANSWERS 2026
, NR 327 PREGNANCY MANAGEMENT EXAM 1
2025/2026 WITH 100% ACCURATE ANSWERS
2026 Exam · 98 Questions · With Rationales
ati. NR 327 PREGNANCY MANAGEMENT EXAM 1 2025/2026 WITH 100% ACCURATE ANSWERS
Question: 3 of 98
A client at 18 weeks' gestation declines all genetic screening. Which statement by the nurse best reflects the
ethical principle of autonomy?
A. Screening is mandatory to protect the fetus.
B. You should discuss this with your partner before deciding.
C. I will document your informed refusal and provide resources if you change your mind.
D. Without screening, you cannot receive prenatal care here.
PREVIOUS CONTINUE
A client at 18 weeks' gestation declines all genetic screening. Which statement by the
nurse best reflects the ethical principle of autonomy?
A. Screening is mandatory to protect the fetus.
B. You should discuss this with your partner before deciding.
(Correct) C. I will document your informed refusal and provide resources if you change your mind.
D. Without screening, you cannot receive prenatal care here.
Correct Answer: C
Respecting autonomy requires honoring an informed refusal, documenting it, and keeping options open without
coercion. The other responses are coercive or inaccurate and violate patient self-determination and informed
consent standards.
Page 3 | NR 327 PREGNANCY MANAGEMENT EXAM 1 2025/2026 WITH 100% ACCURATE ANSWERS 2026
, NR 327 PREGNANCY MANAGEMENT EXAM 1
2025/2026 WITH 100% ACCURATE ANSWERS
2026 Exam · 98 Questions · With Rationales
ati. NR 327 PREGNANCY MANAGEMENT EXAM 1 2025/2026 WITH 100% ACCURATE ANSWERS
Question: 4 of 98
A client at 28 weeks' gestation reports a painless, gush of clear fluid. Nitrazine paper turns blue-black and
ferning is seen on speculum exam. Which nursing action is priority?
A. Perform a sterile digital cervical exam to assess dilation.
B. Obtain a urine culture and await results.
C. Initiate continuous fetal monitoring and notify the provider.
D. Encourage ambulation to promote comfort.
PREVIOUS CONTINUE
A client at 28 weeks' gestation reports a painless, gush of clear fluid. Nitrazine paper turns
blue-black and ferning is seen on speculum exam. Which nursing action is priority?
A. Perform a sterile digital cervical exam to assess dilation.
B. Obtain a urine culture and await results.
(Correct) C. Initiate continuous fetal monitoring and notify the provider.
D. Encourage ambulation to promote comfort.
Correct Answer: C
Blue-black nitrazine and ferning confirm rupture of membranes; priority is assessing fetal well-being and
notifying the provider to guide expectant management. Digital exams increase infection risk, and ambulation
may promote cord prolapse with a high presenting part.
Page 4 | NR 327 PREGNANCY MANAGEMENT EXAM 1 2025/2026 WITH 100% ACCURATE ANSWERS 2026
2025/2026 WITH 100% ACCURATE ANSWERS
2026 Exam · 98 Questions · With Rationales
ati. NR 327 PREGNANCY MANAGEMENT EXAM 1 2025/2026 WITH 100% ACCURATE ANSWERS
Question: 1 of 98
A pregnant client at 32 weeks' gestation has a 1-hour glucose challenge result of 186 mg/dL. Which follow-up
action is most appropriate?
A. Reassure the client that the value is within normal limits.
B. Schedule a 3-hour 100-g oral glucose tolerance test.
C. Initiate insulin therapy immediately.
D. Repeat the 50-g challenge in 4 weeks.
PREVIOUS CONTINUE
A pregnant client at 32 weeks' gestation has a 1-hour glucose challenge result of 186
mg/dL. Which follow-up action is most appropriate?
A. Reassure the client that the value is within normal limits.
(Correct) B. Schedule a 3-hour 100-g oral glucose tolerance test.
C. Initiate insulin therapy immediately.
D. Repeat the 50-g challenge in 4 weeks.
Correct Answer: B
A 1-hour 50-g screen 140 mg/dL (or 130-135 in high-risk protocols) requires diagnostic confirmation with the
3-hour 100-g OGTT before any diagnosis of GDM. Insulin is not initiated without a confirmed diagnosis and
failed lifestyle management, and repeating the screen delays care.
Page 1 | NR 327 PREGNANCY MANAGEMENT EXAM 1 2025/2026 WITH 100% ACCURATE ANSWERS 2026
, NR 327 PREGNANCY MANAGEMENT EXAM 1
2025/2026 WITH 100% ACCURATE ANSWERS
2026 Exam · 98 Questions · With Rationales
ati. NR 327 PREGNANCY MANAGEMENT EXAM 1 2025/2026 WITH 100% ACCURATE ANSWERS
Question: 2 of 98
Which physiologic adaptation of pregnancy most directly explains an increased risk of supine hypotension in
the second trimester?
A. Increased glomerular filtration rate
B. Aortocaval compression by the gravid uterus
C. Decreased serum albumin
D. Elevated progesterone-mediated smooth muscle relaxation
PREVIOUS CONTINUE
Which physiologic adaptation of pregnancy most directly explains an increased risk of
supine hypotension in the second trimester?
A. Increased glomerular filtration rate
(Correct) B. Aortocaval compression by the gravid uterus
C. Decreased serum albumin
D. Elevated progesterone-mediated smooth muscle relaxation
Correct Answer: B
Supine hypotension results from compression of the inferior vena cava and aorta by the enlarging uterus when
the client lies flat, reducing venous return. The other options reflect normal adaptations but do not cause the
positional hypotension.
Page 2 | NR 327 PREGNANCY MANAGEMENT EXAM 1 2025/2026 WITH 100% ACCURATE ANSWERS 2026
, NR 327 PREGNANCY MANAGEMENT EXAM 1
2025/2026 WITH 100% ACCURATE ANSWERS
2026 Exam · 98 Questions · With Rationales
ati. NR 327 PREGNANCY MANAGEMENT EXAM 1 2025/2026 WITH 100% ACCURATE ANSWERS
Question: 3 of 98
A client at 18 weeks' gestation declines all genetic screening. Which statement by the nurse best reflects the
ethical principle of autonomy?
A. Screening is mandatory to protect the fetus.
B. You should discuss this with your partner before deciding.
C. I will document your informed refusal and provide resources if you change your mind.
D. Without screening, you cannot receive prenatal care here.
PREVIOUS CONTINUE
A client at 18 weeks' gestation declines all genetic screening. Which statement by the
nurse best reflects the ethical principle of autonomy?
A. Screening is mandatory to protect the fetus.
B. You should discuss this with your partner before deciding.
(Correct) C. I will document your informed refusal and provide resources if you change your mind.
D. Without screening, you cannot receive prenatal care here.
Correct Answer: C
Respecting autonomy requires honoring an informed refusal, documenting it, and keeping options open without
coercion. The other responses are coercive or inaccurate and violate patient self-determination and informed
consent standards.
Page 3 | NR 327 PREGNANCY MANAGEMENT EXAM 1 2025/2026 WITH 100% ACCURATE ANSWERS 2026
, NR 327 PREGNANCY MANAGEMENT EXAM 1
2025/2026 WITH 100% ACCURATE ANSWERS
2026 Exam · 98 Questions · With Rationales
ati. NR 327 PREGNANCY MANAGEMENT EXAM 1 2025/2026 WITH 100% ACCURATE ANSWERS
Question: 4 of 98
A client at 28 weeks' gestation reports a painless, gush of clear fluid. Nitrazine paper turns blue-black and
ferning is seen on speculum exam. Which nursing action is priority?
A. Perform a sterile digital cervical exam to assess dilation.
B. Obtain a urine culture and await results.
C. Initiate continuous fetal monitoring and notify the provider.
D. Encourage ambulation to promote comfort.
PREVIOUS CONTINUE
A client at 28 weeks' gestation reports a painless, gush of clear fluid. Nitrazine paper turns
blue-black and ferning is seen on speculum exam. Which nursing action is priority?
A. Perform a sterile digital cervical exam to assess dilation.
B. Obtain a urine culture and await results.
(Correct) C. Initiate continuous fetal monitoring and notify the provider.
D. Encourage ambulation to promote comfort.
Correct Answer: C
Blue-black nitrazine and ferning confirm rupture of membranes; priority is assessing fetal well-being and
notifying the provider to guide expectant management. Digital exams increase infection risk, and ambulation
may promote cord prolapse with a high presenting part.
Page 4 | NR 327 PREGNANCY MANAGEMENT EXAM 1 2025/2026 WITH 100% ACCURATE ANSWERS 2026
