NUR 272 Exam 1 Review Questions and 100% CorrectAnswers 2026/27
Update - MEC
1. The nurse is explaining the function of the placenta to a pregnant patient. Which statement indicates
to the nurse that further clarification is necessary? Which statement indicates the client needs further
teaching? the placenta does not maintain a temperature (amniotic fluid does)
A. "My baby gets oxygen from the placenta."
B. "The placenta functions to help excrete waste products."
C. "The nourishment that I take in passes through the placenta."
D. "The placenta helps maintain a stable temperature for my baby."
2. A woman is 16 weeks pregnant with her first baby. She asks how long it will be before she feels the
baby move. What is the nurse's best answer?
a. “You should have felt the baby move by now
b. “Within the next month, you should start to feel fluttering sensations.
c. “The baby is moving; however, you can't feel it yet."
d. ” Some babies are quiet, and you don't feel them move."
3. A pregnant woman has come to the emergency department with complaints of nasal congestion and
epistaxis. What is the correct interpretation of these symptoms by the practitioner?
a. nasal stuffiness and nosebleeds are caused by a decrease in progesterone.
b. these conditions are abnormal. Refer the client to an ear, nose, and throat specialists.
c. estrogen relaxes the smooth muscles in the respiratory tract, so congestion and epistaxis are within normal
limits.
d. estrogen causes increased blood supply to the mucous membranes and can result in congestion and
nosebleeds
4. Which statement best describes the changes that occur during the fetal period of development?
a. maturation of organ systems
b. development of basic organ systems
c. resistance of organs to damage from external agents
d. development of placental oxygen-carbon dioxide exchange
5. A patient in her third trimester of pregnancy is asking about safe travel. Which statement should the
nurse provide regarding safe travel during pregnancy?
a. "Only travel by car during pregnancy."
b. "Avoid use of the seat belt during the third trimester."
c. "You can travel by plane until your 38th week of gestation."
d. "If you are traveling by car stop to walk every 1 to 2 hours.
6. A nurse in a clinic receives a phone call from a client who believes she is pregnant and would like to
be tested in the clinic to confirm her pregnancy. Which of the following information should the nurse
provide to the client?
a) "You should wait until 4 weeks after conception to be tested."
b) "You should be off any medications for 24 hours prior to the test."
c) "You should be NPO for at least 8 hours prior to the test."
d) "You should collect urine from the first morning void.”
7. The musculoskeletal system adapts to the changes that occur during pregnancy. A woman can
expect to experience what change?
a. Her center of gravity will shift backward.
b. She will have increased lordosis.
c. She will have increased abdominal muscle tone.
d. She will notice decreased mobility of her pelvic joints.
NUR 272 Exam 1
,8. A woman who has completed one pregnancy with a fetus (or fetuses) reaching the stage of fetal
viability is called a:
a. Primipara.
c. Multipara.
b. Primigravida.
d. Nulligravida.
9. A woman has come to the clinic for preconception counseling because she wants to start trying to
get pregnant. Which guidance should she expect to receive?
a. "Discontinue all contraception now."
b. "Lose weight so that you can gain more during pregnancy."
c. "You may take any medications you have been regularly taking."
d. "Make sure you include adequate folic acid in your diet."
10. Which is the gravida and para for a client who delivered triplets 2 years ago and is now pregnant
again?
A. 2, 3
B. 1, 2
C. 2, 1
D. 1, 3
11. The nurse should include which weight gain teaching during pregnancy ? Inadequate weight gain can
cause intrauterine growth restrictions The nurse should refer which of the following clients to a registered
dietician?
(sata)
A. Diabetic
B. Client who’s a vegetarian
12. Most women with uncomplicated pregnancies can use the nurse as their primary
source for nutritional information. The nurse or midwife should refer a client to a
registered dietitian for in-depth nutritional counseling in the following situations (Select
all that apply).
a. Preexisting or gestational illness such as diabetes
b. Ethnic or cultural food patterns
c. Obesity
d. Vegetarian diet
e. Allergy to tree nuts
A, B, C, D
13. Which complaint made by a patient at 35 weeks of gestation requires additional assessment?
a. Abdominal pain
b. Ankle edema in the afternoon
c. Backache with prolonged standing
d. Shortness of breath when climbing stairs
14. You are performing assessments for an obstetric patient who is 5 months pregnant with her third
child. Which finding would cause you to suspect that the patient was at risk?
a. Patient states that she doesn't feel any Braxton Hicks contractions like she had in her prior pregnancies.
b. The fundus is between the xipiod process.
c. Cervical changes, such as Goodell's sign and Chadwick's sign, are present.
d. She has increased vaginal secretions.
NUR 272 Exam 1
,15. A woman's obstetric history indicates that she is pregnant for the fourth time, and all of her
children from previous pregnancies are living. One was born at 39 weeks of gestation, twins were born
at 34 weeks of gestation, and another child was born at 35 weeks of gestation. What is her gravidity
and parity using the GTPAL system?
a. 3-1-1-1-3
b. 4-1-2-0-4
c. 3-0-3-0-3
d. 4-2-1-0-3
16. What represents a typical progression through the phases of a woman's establishing a relationship
with the fetus?
A) Accepts the fetus as distinct from herself accepts the biologic fact of pregnancy has a feeling of
caring and responsibility
B) Fantasizes about the child's gender and personality views the child as part of herself becomes introspective
C) Views the child as part of herself has feelings of well-being accepts the biologic fact of pregnancy
D) I am pregnant. I am going to have a baby. I am going to be a mother.
17. Which patient will most likely seek prenatal care?
Answer: 20-year-old who is in her first pregnancy and has access to a free prenatal clinic
18 .A pregnant client that is 10 weeks gestation is requiring about rubella ?
Answer: Rubella should be given postpartum
19.A pregnant client tells her nurse that she is worried about the blotchy, brownish coloring over her
cheeks, nose, and forehead. The nurse can reassure her that this is a normal condition related to
hormonal changes. What is the correct term for this integumentary finding?
a. Melasma
b. Linea nigra
c. Striae gravidarum
d. Palmar erythema
20. A 27-year-old pregnant woman had a pre-conceptual body mass index (BMI) of 19. What is this
client's total recommended weight gain during pregnancy should be at least ?
A.20 kg (44 lb)
b.16 kg (35 (b)
c.12.5 kg (27.5 lb)
d. 10 kg (22 lb)
21. A client tells the nurse at a prenatal interview that she has quit smoking, only has a glass of wine
with dinner, and has cut down on coffee to four cups a day. What response by the nurse will be most
helpful in promoting a lifestyle change?
a. "You have made some good progress toward having a healthy baby. Let's talk about the changes you have
made."
b. "You need to do a lot better than that. You are still hurting your baby."
c. "Here are some pamphlets for you to study. They will help you to find more ways
to improve."
d. "Those few things won't cause any trouble. Good for you."
22 .abuse assessment (never ask what she done wrong)
23.3 positive signs of pregnancy (can’t determine by fetal outline because it can be a lump)
NUR 272 Exam 1
, 24. Signs and symptoms that a woman should report immediately to her health care provider include
(Select all that apply):
A. Vaginal bleeding.
B. Rupture of membranes.
C. Heartburn accompanied by severe headache.
D. Decreased libido.
E. Urinary frequency.
25 Mrs. dean is 2 months pregnant and has a history of two spontaneous miscarriages. Which of the
following assessments indicates a potential for a third miscarriage?
a. Lab results revealing an elevation in protein-bound iodine
b. Dietary intake indicating 300 more calories than eaten by the non-pregnant female
c. Reports of exposure to a child with rubella over a period of time
d. Nervous, anxious behavior noted during the prenatal visits
26. A primigravida in her first trimester is Rh negative. To prevent anti-Rh antibodies from forming, this
woman would receive:
Answer: Rh immune globulin at 28 weeks and within 72 hours after the birth of an Rh-positive infant.
27 The nurse is teaching a client how to correctly use progestin only oral contraceptives. the nurse
should include which information in the teaching plan?
a. take one pill at the same time each day
b. take the pills with calcium rich foods to promote absorption
c. skip five days between the end of one pill cycle and the beginning of the next
d. an additional method of contraception is not needed through the end of the cycle if a pill is missed
28. After assessing a client, a nurse determines that an IUD as a method of contraceptive would be
contraindicated based on a history of which finding?
A) Smoking
B) Hypertension
C) multiple sex partners
D) Thromboembolic disease
29 .Which of the following is important for a woman scheduled to undergo a tubal ligation to
understand?
a) The procedure will reduce her menstrual flow in amount.
b) She will have lessened dysmenorrhea following the procedure.
c) She should schedule it to be done just before a menstrual flow.
d) She must think of the procedure as irreversible.
30 The nurse is assessing the health history of a male partner. Which data is most likely to be related
to an infertility problem?
A) 30 years of age
B) employment as a taxi driver
C) intercourse approximately every third day
D) immunization against mumps as a child
31. An 18-year-old pregnant woman asks the nurse why she has to have a routine alpha-fetoprotein
serum level drawn. The nurse explains that this:
A) is a screening test for placental function.
B) may reveal chromosomal abnormalities.
C) measures the fetal liver function.
D) tests the ability of her heart to accommodate the pregnancy.
NUR 272 Exam 1
Update - MEC
1. The nurse is explaining the function of the placenta to a pregnant patient. Which statement indicates
to the nurse that further clarification is necessary? Which statement indicates the client needs further
teaching? the placenta does not maintain a temperature (amniotic fluid does)
A. "My baby gets oxygen from the placenta."
B. "The placenta functions to help excrete waste products."
C. "The nourishment that I take in passes through the placenta."
D. "The placenta helps maintain a stable temperature for my baby."
2. A woman is 16 weeks pregnant with her first baby. She asks how long it will be before she feels the
baby move. What is the nurse's best answer?
a. “You should have felt the baby move by now
b. “Within the next month, you should start to feel fluttering sensations.
c. “The baby is moving; however, you can't feel it yet."
d. ” Some babies are quiet, and you don't feel them move."
3. A pregnant woman has come to the emergency department with complaints of nasal congestion and
epistaxis. What is the correct interpretation of these symptoms by the practitioner?
a. nasal stuffiness and nosebleeds are caused by a decrease in progesterone.
b. these conditions are abnormal. Refer the client to an ear, nose, and throat specialists.
c. estrogen relaxes the smooth muscles in the respiratory tract, so congestion and epistaxis are within normal
limits.
d. estrogen causes increased blood supply to the mucous membranes and can result in congestion and
nosebleeds
4. Which statement best describes the changes that occur during the fetal period of development?
a. maturation of organ systems
b. development of basic organ systems
c. resistance of organs to damage from external agents
d. development of placental oxygen-carbon dioxide exchange
5. A patient in her third trimester of pregnancy is asking about safe travel. Which statement should the
nurse provide regarding safe travel during pregnancy?
a. "Only travel by car during pregnancy."
b. "Avoid use of the seat belt during the third trimester."
c. "You can travel by plane until your 38th week of gestation."
d. "If you are traveling by car stop to walk every 1 to 2 hours.
6. A nurse in a clinic receives a phone call from a client who believes she is pregnant and would like to
be tested in the clinic to confirm her pregnancy. Which of the following information should the nurse
provide to the client?
a) "You should wait until 4 weeks after conception to be tested."
b) "You should be off any medications for 24 hours prior to the test."
c) "You should be NPO for at least 8 hours prior to the test."
d) "You should collect urine from the first morning void.”
7. The musculoskeletal system adapts to the changes that occur during pregnancy. A woman can
expect to experience what change?
a. Her center of gravity will shift backward.
b. She will have increased lordosis.
c. She will have increased abdominal muscle tone.
d. She will notice decreased mobility of her pelvic joints.
NUR 272 Exam 1
,8. A woman who has completed one pregnancy with a fetus (or fetuses) reaching the stage of fetal
viability is called a:
a. Primipara.
c. Multipara.
b. Primigravida.
d. Nulligravida.
9. A woman has come to the clinic for preconception counseling because she wants to start trying to
get pregnant. Which guidance should she expect to receive?
a. "Discontinue all contraception now."
b. "Lose weight so that you can gain more during pregnancy."
c. "You may take any medications you have been regularly taking."
d. "Make sure you include adequate folic acid in your diet."
10. Which is the gravida and para for a client who delivered triplets 2 years ago and is now pregnant
again?
A. 2, 3
B. 1, 2
C. 2, 1
D. 1, 3
11. The nurse should include which weight gain teaching during pregnancy ? Inadequate weight gain can
cause intrauterine growth restrictions The nurse should refer which of the following clients to a registered
dietician?
(sata)
A. Diabetic
B. Client who’s a vegetarian
12. Most women with uncomplicated pregnancies can use the nurse as their primary
source for nutritional information. The nurse or midwife should refer a client to a
registered dietitian for in-depth nutritional counseling in the following situations (Select
all that apply).
a. Preexisting or gestational illness such as diabetes
b. Ethnic or cultural food patterns
c. Obesity
d. Vegetarian diet
e. Allergy to tree nuts
A, B, C, D
13. Which complaint made by a patient at 35 weeks of gestation requires additional assessment?
a. Abdominal pain
b. Ankle edema in the afternoon
c. Backache with prolonged standing
d. Shortness of breath when climbing stairs
14. You are performing assessments for an obstetric patient who is 5 months pregnant with her third
child. Which finding would cause you to suspect that the patient was at risk?
a. Patient states that she doesn't feel any Braxton Hicks contractions like she had in her prior pregnancies.
b. The fundus is between the xipiod process.
c. Cervical changes, such as Goodell's sign and Chadwick's sign, are present.
d. She has increased vaginal secretions.
NUR 272 Exam 1
,15. A woman's obstetric history indicates that she is pregnant for the fourth time, and all of her
children from previous pregnancies are living. One was born at 39 weeks of gestation, twins were born
at 34 weeks of gestation, and another child was born at 35 weeks of gestation. What is her gravidity
and parity using the GTPAL system?
a. 3-1-1-1-3
b. 4-1-2-0-4
c. 3-0-3-0-3
d. 4-2-1-0-3
16. What represents a typical progression through the phases of a woman's establishing a relationship
with the fetus?
A) Accepts the fetus as distinct from herself accepts the biologic fact of pregnancy has a feeling of
caring and responsibility
B) Fantasizes about the child's gender and personality views the child as part of herself becomes introspective
C) Views the child as part of herself has feelings of well-being accepts the biologic fact of pregnancy
D) I am pregnant. I am going to have a baby. I am going to be a mother.
17. Which patient will most likely seek prenatal care?
Answer: 20-year-old who is in her first pregnancy and has access to a free prenatal clinic
18 .A pregnant client that is 10 weeks gestation is requiring about rubella ?
Answer: Rubella should be given postpartum
19.A pregnant client tells her nurse that she is worried about the blotchy, brownish coloring over her
cheeks, nose, and forehead. The nurse can reassure her that this is a normal condition related to
hormonal changes. What is the correct term for this integumentary finding?
a. Melasma
b. Linea nigra
c. Striae gravidarum
d. Palmar erythema
20. A 27-year-old pregnant woman had a pre-conceptual body mass index (BMI) of 19. What is this
client's total recommended weight gain during pregnancy should be at least ?
A.20 kg (44 lb)
b.16 kg (35 (b)
c.12.5 kg (27.5 lb)
d. 10 kg (22 lb)
21. A client tells the nurse at a prenatal interview that she has quit smoking, only has a glass of wine
with dinner, and has cut down on coffee to four cups a day. What response by the nurse will be most
helpful in promoting a lifestyle change?
a. "You have made some good progress toward having a healthy baby. Let's talk about the changes you have
made."
b. "You need to do a lot better than that. You are still hurting your baby."
c. "Here are some pamphlets for you to study. They will help you to find more ways
to improve."
d. "Those few things won't cause any trouble. Good for you."
22 .abuse assessment (never ask what she done wrong)
23.3 positive signs of pregnancy (can’t determine by fetal outline because it can be a lump)
NUR 272 Exam 1
, 24. Signs and symptoms that a woman should report immediately to her health care provider include
(Select all that apply):
A. Vaginal bleeding.
B. Rupture of membranes.
C. Heartburn accompanied by severe headache.
D. Decreased libido.
E. Urinary frequency.
25 Mrs. dean is 2 months pregnant and has a history of two spontaneous miscarriages. Which of the
following assessments indicates a potential for a third miscarriage?
a. Lab results revealing an elevation in protein-bound iodine
b. Dietary intake indicating 300 more calories than eaten by the non-pregnant female
c. Reports of exposure to a child with rubella over a period of time
d. Nervous, anxious behavior noted during the prenatal visits
26. A primigravida in her first trimester is Rh negative. To prevent anti-Rh antibodies from forming, this
woman would receive:
Answer: Rh immune globulin at 28 weeks and within 72 hours after the birth of an Rh-positive infant.
27 The nurse is teaching a client how to correctly use progestin only oral contraceptives. the nurse
should include which information in the teaching plan?
a. take one pill at the same time each day
b. take the pills with calcium rich foods to promote absorption
c. skip five days between the end of one pill cycle and the beginning of the next
d. an additional method of contraception is not needed through the end of the cycle if a pill is missed
28. After assessing a client, a nurse determines that an IUD as a method of contraceptive would be
contraindicated based on a history of which finding?
A) Smoking
B) Hypertension
C) multiple sex partners
D) Thromboembolic disease
29 .Which of the following is important for a woman scheduled to undergo a tubal ligation to
understand?
a) The procedure will reduce her menstrual flow in amount.
b) She will have lessened dysmenorrhea following the procedure.
c) She should schedule it to be done just before a menstrual flow.
d) She must think of the procedure as irreversible.
30 The nurse is assessing the health history of a male partner. Which data is most likely to be related
to an infertility problem?
A) 30 years of age
B) employment as a taxi driver
C) intercourse approximately every third day
D) immunization against mumps as a child
31. An 18-year-old pregnant woman asks the nurse why she has to have a routine alpha-fetoprotein
serum level drawn. The nurse explains that this:
A) is a screening test for placental function.
B) may reveal chromosomal abnormalities.
C) measures the fetal liver function.
D) tests the ability of her heart to accommodate the pregnancy.
NUR 272 Exam 1
