NURS 326 – FINAL EXAM UPDATED
QUESTIONS AND CORRECT ANSWERS.
Of the stages below, which is the riskiest stage of fetal development? Why?
a. pre-embryonic
b. menstrual stage
c. fetal
d. embryonic - ANS d. Embryonic (wks 3-8)
(Explanation: all of the major organs/systems are starting their formation. The baby is very
susceptible to teratogens during this time)
What are the TORCH infections? - ANS Diseases and infections that can cause fetal
abnormalities:
- Toxoplasmosis
- Rubella
- CMV
- Hepatitis and Herpes
- Zika
- Group B Strep
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,When protecting against Rubella, what is included in prenatal care for the patient? -
ANS Obtaining a Rubella titer is included to confirm Mom has adequate protection from
Rubella
What are the 3 fetal shunts? What are they used for? - ANS - Ductus Venosus
- Foramen Ovale
- Ductus Arteriosus
Used to bypass organs that aren't fully developed (Lungs and Liver)
What is considered a full term birth/pregnancy?
What is considered a post-term birth/pregnancy? - ANS Full term: a birth occurs between 38
and 40 weeks gestation
Post Term: a birth that occurs between 41-42 weeks gestation
Patient comes into the ED because her water broke. The patient is 18 wks gestation. How is this
pregnancy dated?
a. Pre-term (viable)
b. Post term (viable)
c. Pre-term (not-viable)
d. Full-term (not-viable) - ANS c. Pre-term (not-viable)
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,Explanation: 20 weeks is used as the time of viability for the baby. Labor below 20 weeks (19w
and before) is considered a miscarriage
The nurse understands that the 3 factors that influence good outcomes during pregnancy for
mom and baby include: - ANS - Good Nutrition
- Good Prenatal care
- Good Support (family, partner, etc.)
A patient is pregnant with their second child. Her first child was born at 39 weeks gestation and
is 4 years old. How would you indicate this using the 5-digit system? - ANS Answer: G2P1001
Explained:
- G2 = 2 pregnancies
- P1001 = 1 full term, 0 preterm births, 0 abortions, and 1 living child
What medication is used to stop preterm labor? - ANS Magnesium Sulfate
What vital sign below should not increase from baseline for a pregnant patient?
a. HR
b. BP
c. GCS
d. Temperature - ANS b. BP
Explanation: In the beginning of pregnancy, BP decreases but should return to baseline by the
time of delivery (when not in pain)
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, You're the nurse of a patient who's 30 wks gestation. You're doing a vaginal assessment of the
patient, which requires the patient to lie on their back. Shortly into the assessment the patient
becomes hypotensive, starts sweating profusely, and is complaining that she's dizzy. You
immediately sit her up out of concern for her and the baby's well-being. What happened here? -
ANS Supine Hypotensive Syndrome (vena cava syndrome): When the pregnant patient lays
on their back, the uterus occludes a major vessel (vena cava) and causes severe hypotension.
This is serious because it stops blood flow to the uterus and lower extremities.
What are the three positive signs of pregnancy (TRUE pregnancy signs)? - ANS - Visualization
of the baby by ultrasound
- Auscultation of baby's heartbeat (fetal heart tones)
- Health care provider palpates the baby vaginally
To prevent Rh sensitivity in consecutive pregnancies for a Rh-negative mom, what does she
need to receive and when? What do we give to the Mom if baby is Rh-positive at birth? -
ANS Rho-GAM at 28 wks as a precaution for possible Rh positive fetus.
Rho-GAM within 72 hrs after birth if infant is Rh-positive.
When checking the cervix during labor, what are the things the nurse documents/checks for? -
ANS - Dilation
- Effacement
- Position of the baby's head
- Possibly baby's fontanels
What are the 5 components of the birthing process? - ANS The 5 P's:
- Powers (Contractions and maternal pushing effort)
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
QUESTIONS AND CORRECT ANSWERS.
Of the stages below, which is the riskiest stage of fetal development? Why?
a. pre-embryonic
b. menstrual stage
c. fetal
d. embryonic - ANS d. Embryonic (wks 3-8)
(Explanation: all of the major organs/systems are starting their formation. The baby is very
susceptible to teratogens during this time)
What are the TORCH infections? - ANS Diseases and infections that can cause fetal
abnormalities:
- Toxoplasmosis
- Rubella
- CMV
- Hepatitis and Herpes
- Zika
- Group B Strep
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,When protecting against Rubella, what is included in prenatal care for the patient? -
ANS Obtaining a Rubella titer is included to confirm Mom has adequate protection from
Rubella
What are the 3 fetal shunts? What are they used for? - ANS - Ductus Venosus
- Foramen Ovale
- Ductus Arteriosus
Used to bypass organs that aren't fully developed (Lungs and Liver)
What is considered a full term birth/pregnancy?
What is considered a post-term birth/pregnancy? - ANS Full term: a birth occurs between 38
and 40 weeks gestation
Post Term: a birth that occurs between 41-42 weeks gestation
Patient comes into the ED because her water broke. The patient is 18 wks gestation. How is this
pregnancy dated?
a. Pre-term (viable)
b. Post term (viable)
c. Pre-term (not-viable)
d. Full-term (not-viable) - ANS c. Pre-term (not-viable)
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,Explanation: 20 weeks is used as the time of viability for the baby. Labor below 20 weeks (19w
and before) is considered a miscarriage
The nurse understands that the 3 factors that influence good outcomes during pregnancy for
mom and baby include: - ANS - Good Nutrition
- Good Prenatal care
- Good Support (family, partner, etc.)
A patient is pregnant with their second child. Her first child was born at 39 weeks gestation and
is 4 years old. How would you indicate this using the 5-digit system? - ANS Answer: G2P1001
Explained:
- G2 = 2 pregnancies
- P1001 = 1 full term, 0 preterm births, 0 abortions, and 1 living child
What medication is used to stop preterm labor? - ANS Magnesium Sulfate
What vital sign below should not increase from baseline for a pregnant patient?
a. HR
b. BP
c. GCS
d. Temperature - ANS b. BP
Explanation: In the beginning of pregnancy, BP decreases but should return to baseline by the
time of delivery (when not in pain)
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, You're the nurse of a patient who's 30 wks gestation. You're doing a vaginal assessment of the
patient, which requires the patient to lie on their back. Shortly into the assessment the patient
becomes hypotensive, starts sweating profusely, and is complaining that she's dizzy. You
immediately sit her up out of concern for her and the baby's well-being. What happened here? -
ANS Supine Hypotensive Syndrome (vena cava syndrome): When the pregnant patient lays
on their back, the uterus occludes a major vessel (vena cava) and causes severe hypotension.
This is serious because it stops blood flow to the uterus and lower extremities.
What are the three positive signs of pregnancy (TRUE pregnancy signs)? - ANS - Visualization
of the baby by ultrasound
- Auscultation of baby's heartbeat (fetal heart tones)
- Health care provider palpates the baby vaginally
To prevent Rh sensitivity in consecutive pregnancies for a Rh-negative mom, what does she
need to receive and when? What do we give to the Mom if baby is Rh-positive at birth? -
ANS Rho-GAM at 28 wks as a precaution for possible Rh positive fetus.
Rho-GAM within 72 hrs after birth if infant is Rh-positive.
When checking the cervix during labor, what are the things the nurse documents/checks for? -
ANS - Dilation
- Effacement
- Position of the baby's head
- Possibly baby's fontanels
What are the 5 components of the birthing process? - ANS The 5 P's:
- Powers (Contractions and maternal pushing effort)
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
