NUR 411 Final Exam Review
A nurse is counseling a couple of how fertilization occurs. What part of the fallopian tube
does fertilization occurs? - answer Fertilization occurs in the upper 2/3 of the fallopian
tube
The couple wants to know how soon after fertilization does implantation occur. What
would you tell them? - answer6 days
The nurse is talking to the couple about the functions of the corpus luteum prior to
development of the placenta. The corpus luteum is responsible for synthesis of what
hormones - answer Progesterone and Estrogen
The umbilical cord is composed of how many arteries? How many veins? - answerTwo
arteries one vein
What is a nuchal cord? - answerUmbilical cord wrapped around the fetal neck
When is the fetus most susceptible to teratogens? What are some potential teratogens?
- answerFirst trimester teratogens include medications, illness and infections, legal and
illegal substances
A clients LMP is July 5th what is her EDC? - answerApril 12th
Subtract 3 months, add 7 days
As the nurse you are talking to the couple about fertilization. The couple wants to know
what is a Zygote? How long her eggs are fertile for? And also how long sperm can live
for? - answerZygote is the fertilized ovum, Ovum is fertile only for 12-24 hours, sperm
live up to 5 days
The couple is confused about how many days a pregnancy lasts. What does the nurse
tell them? - answer260 days, 10 lunar months, 40 weeks
The couple is asking if the umbilical cord is attached to her "belly button" . How would
you as the nurse explain this to them? - answerThe fetal umbilical cord is attached to
the placenta
The client has gone for an ultrasound and has been told she has oligohydraminos. How
would you explain this to her?
What if she had polyhydraminos? - answerMeans that her amniotic fluid is low AFI < 5
Polyhydraminos is the opposite AFI is in the 95% for gestational age.
,Amniotic fluid serves many functions for the fetus. What are some of these functions -
answerAllows the fetus to move
Cushions from trauma
Lubricates
Helps Maintain temperature
Allows the infant to practice swallowing
The nurse knows that the embryo develops in a cephalocuadal manner. What does this
mean? - answerDevelops from the head down
A nurse is taking care of a patient and the physician has ordered tetracycline which is a
Category C Drug (FDA category). What would the nurse do? - answerX category is
contraindicated in pregnancy, notify physician
The nurse is taking care of a patient who is 28 weeks pregnant and smokes 20
cigarettes per day. What would you as the nurse tell the patient about smoking during
pregnancy? - answerResult in low birth rate/IUGR, SIDS, prematurity, stillbirth, offer
smoking cessation info
Your patient is 39 weeks (with a boy) and admitted for induction of labor. She is
concerned because her brothers sisters mother had a baby born with hypospadias.
What is this congenital anomaly? - answerOpening of the urethra is on the underside of
the penis
The nurse is doing the Ballard Assessment on the baby after birth. The nurse know the
purpose of this test is to_________. - answerDetermine gestational age
The nurse remembers a pneumonic for a group of infections that have adverse effects
on pregnancy. - answerTORCH Toxoplasmosis, Other infections, rubella,
Cytomegalovirus, herpes
The nurse is taking care of a client who is at her first prenatal visit G1P0 and is
concerned she may have a STI. When will she be tested? - answerTested at this first
visit and then as determined
The client is concerned what effects STIs may have on her pregnancy. What does the
nurse tell her? - answerCould result in premature rupture of membranes, premature
labor, miscarriage, and postpartum infection
The nurse is taking care of a client in the clinic who has been trying for three months to
get pregnant and has not yet been able to and thinks she is "infertile". What is the
definition of infertility? And some common etiologic factors? - answerInfertility is the
inability for a couple to get pregnant after one year of unprotected sex.
Hormonal factors, uterine or vaginal factors, low sperm count, tubal occlusion,
endometriosis.
, A 20 year old female is in the clinic who is 8 weeks gestation. She is wondering when
she will be able to hear her baby's heartbeat and when she will feel fetal movement.
What will you tell her? - answer10-12 weeks to Doppler Fetal heart tones, fetal
movement at 16-20 weeks
Your client 34 weeks gestation has been pregnant 5 times (including this one), she has
had 2 miscarriages, has two living children at home one born at term and one at
preterm what is her GPTPAL? - answerG5 P21122
Your client is 32 weeks pregnant with twins. This is her 2nd pregnancy. She gave birth
to twins at 38 3/7 one year ago what is her GPTPAL? - answerG2 P12002
You are reading your clients prenatal record and see that she is a primipara. What does
the nurse now know about this client? - answerHer first pregnancy
Your client is complaining of subjective signs of pregnancy. (Not exclusive to
pregnancy) What are some of these signs ? - answerAmenorrhea, Nausea and
vomiting, fatigue, Breast changes
The nurse knows that a lab test______ (for what hormone) may be drawn to help
confirm diagnosis of pregnancy. - answerHcG
A woman who is 9weeks pregnant is now at the clinic for her first prenatal visit. What
procedures or tests will be performed? - answerPelvic exam with pap smear, routine
prenatal labs, GC and Chlamydia, weight , BP, urine dip
A woman is approximately 20 weeks gestation. What should her fundal height be? The
woman asks why are you measuring my uterus? How would you as the nurse respond?
- answer20cm, measuring for appropriate fetal growth
A client who is 34 weeks gestation c/o shortness of breath. What physiologic change in
pregnancy may cause this? (after all other factors are ruled out) - answerDiaphragm
elevates, increased chest circumference due to increased tidal volume
Your client is an 18 year old G1P0 and complains of dizziness frequently. What
physiological changes of pregnancy may cause this? - answerPressure from large
uterus decreases venous return
The nurse is taking care of a client who is 28 weeks pregnant who complains of burning
and frequency of urination. UA is sent and confirmed UTI. What physiologic changes in
pregnancy increase the risk of UTI's in pregnancy. What client teaching is done? -
answerPressure of the uterus on the bladder causes incomplete bladder emptying lead
to stagnant urine, hormonal changes the ureters are more dilated and susceptible to
bacteria. Encourage PO hydration, cotton underwear, wipe front to back
A nurse is counseling a couple of how fertilization occurs. What part of the fallopian tube
does fertilization occurs? - answer Fertilization occurs in the upper 2/3 of the fallopian
tube
The couple wants to know how soon after fertilization does implantation occur. What
would you tell them? - answer6 days
The nurse is talking to the couple about the functions of the corpus luteum prior to
development of the placenta. The corpus luteum is responsible for synthesis of what
hormones - answer Progesterone and Estrogen
The umbilical cord is composed of how many arteries? How many veins? - answerTwo
arteries one vein
What is a nuchal cord? - answerUmbilical cord wrapped around the fetal neck
When is the fetus most susceptible to teratogens? What are some potential teratogens?
- answerFirst trimester teratogens include medications, illness and infections, legal and
illegal substances
A clients LMP is July 5th what is her EDC? - answerApril 12th
Subtract 3 months, add 7 days
As the nurse you are talking to the couple about fertilization. The couple wants to know
what is a Zygote? How long her eggs are fertile for? And also how long sperm can live
for? - answerZygote is the fertilized ovum, Ovum is fertile only for 12-24 hours, sperm
live up to 5 days
The couple is confused about how many days a pregnancy lasts. What does the nurse
tell them? - answer260 days, 10 lunar months, 40 weeks
The couple is asking if the umbilical cord is attached to her "belly button" . How would
you as the nurse explain this to them? - answerThe fetal umbilical cord is attached to
the placenta
The client has gone for an ultrasound and has been told she has oligohydraminos. How
would you explain this to her?
What if she had polyhydraminos? - answerMeans that her amniotic fluid is low AFI < 5
Polyhydraminos is the opposite AFI is in the 95% for gestational age.
,Amniotic fluid serves many functions for the fetus. What are some of these functions -
answerAllows the fetus to move
Cushions from trauma
Lubricates
Helps Maintain temperature
Allows the infant to practice swallowing
The nurse knows that the embryo develops in a cephalocuadal manner. What does this
mean? - answerDevelops from the head down
A nurse is taking care of a patient and the physician has ordered tetracycline which is a
Category C Drug (FDA category). What would the nurse do? - answerX category is
contraindicated in pregnancy, notify physician
The nurse is taking care of a patient who is 28 weeks pregnant and smokes 20
cigarettes per day. What would you as the nurse tell the patient about smoking during
pregnancy? - answerResult in low birth rate/IUGR, SIDS, prematurity, stillbirth, offer
smoking cessation info
Your patient is 39 weeks (with a boy) and admitted for induction of labor. She is
concerned because her brothers sisters mother had a baby born with hypospadias.
What is this congenital anomaly? - answerOpening of the urethra is on the underside of
the penis
The nurse is doing the Ballard Assessment on the baby after birth. The nurse know the
purpose of this test is to_________. - answerDetermine gestational age
The nurse remembers a pneumonic for a group of infections that have adverse effects
on pregnancy. - answerTORCH Toxoplasmosis, Other infections, rubella,
Cytomegalovirus, herpes
The nurse is taking care of a client who is at her first prenatal visit G1P0 and is
concerned she may have a STI. When will she be tested? - answerTested at this first
visit and then as determined
The client is concerned what effects STIs may have on her pregnancy. What does the
nurse tell her? - answerCould result in premature rupture of membranes, premature
labor, miscarriage, and postpartum infection
The nurse is taking care of a client in the clinic who has been trying for three months to
get pregnant and has not yet been able to and thinks she is "infertile". What is the
definition of infertility? And some common etiologic factors? - answerInfertility is the
inability for a couple to get pregnant after one year of unprotected sex.
Hormonal factors, uterine or vaginal factors, low sperm count, tubal occlusion,
endometriosis.
, A 20 year old female is in the clinic who is 8 weeks gestation. She is wondering when
she will be able to hear her baby's heartbeat and when she will feel fetal movement.
What will you tell her? - answer10-12 weeks to Doppler Fetal heart tones, fetal
movement at 16-20 weeks
Your client 34 weeks gestation has been pregnant 5 times (including this one), she has
had 2 miscarriages, has two living children at home one born at term and one at
preterm what is her GPTPAL? - answerG5 P21122
Your client is 32 weeks pregnant with twins. This is her 2nd pregnancy. She gave birth
to twins at 38 3/7 one year ago what is her GPTPAL? - answerG2 P12002
You are reading your clients prenatal record and see that she is a primipara. What does
the nurse now know about this client? - answerHer first pregnancy
Your client is complaining of subjective signs of pregnancy. (Not exclusive to
pregnancy) What are some of these signs ? - answerAmenorrhea, Nausea and
vomiting, fatigue, Breast changes
The nurse knows that a lab test______ (for what hormone) may be drawn to help
confirm diagnosis of pregnancy. - answerHcG
A woman who is 9weeks pregnant is now at the clinic for her first prenatal visit. What
procedures or tests will be performed? - answerPelvic exam with pap smear, routine
prenatal labs, GC and Chlamydia, weight , BP, urine dip
A woman is approximately 20 weeks gestation. What should her fundal height be? The
woman asks why are you measuring my uterus? How would you as the nurse respond?
- answer20cm, measuring for appropriate fetal growth
A client who is 34 weeks gestation c/o shortness of breath. What physiologic change in
pregnancy may cause this? (after all other factors are ruled out) - answerDiaphragm
elevates, increased chest circumference due to increased tidal volume
Your client is an 18 year old G1P0 and complains of dizziness frequently. What
physiological changes of pregnancy may cause this? - answerPressure from large
uterus decreases venous return
The nurse is taking care of a client who is 28 weeks pregnant who complains of burning
and frequency of urination. UA is sent and confirmed UTI. What physiologic changes in
pregnancy increase the risk of UTI's in pregnancy. What client teaching is done? -
answerPressure of the uterus on the bladder causes incomplete bladder emptying lead
to stagnant urine, hormonal changes the ureters are more dilated and susceptible to
bacteria. Encourage PO hydration, cotton underwear, wipe front to back
