NSG 3500 EXAM 1 STUDY GUIDE 2026 | COMPREHENSIVE
KEY TOPICS & UPDATED EXAM QUESTIONS AND CORRECT
ANSWERS 100%
NSG 3500 Exam 1 Resource
This is NOT an all-inclusive list of material that could be on the exam. Students are expected to
review all content covered in the lecture PowerPoints as well as the chapters in the textbook. Do not
use this list as the only resource to study for your exam. This is simply meant as a way of organizing
the various topics that were covered in the units that could be tested as part of this exam:
Nutrition in pregnancy
Be familiar with dietary requirements (what vitamins/nutrients are important; focus on those
that are important for fetal development – example: FOLIC ACID, IRON, FIBER, PROTEIN).
Make sure you know dietary sources as well (Folic Acid, Iron, Fiber, and Protein).
Physiologic changes in pregnancy
Cardiovascular – what happens that is significant? Consider blood pressure changes (in
1st trimester specifically)
Respiratory – how is respiratory impacted by pregnancy??
GI – major complication for the GI system? (Hint: caused by progesterone in early pregnancy)
GU – what changes do we see for urinary?
Skin/hair changes – mask of pregnancy, striae gravidarum
Reproductive – remember that fundal height should match gestational weeks during the first
20 weeks of pregnancy; after 20 weeks, the measurement is a determinant of fetal growth. We
allow a +/- 2 for measurement & gestational weeks, anything greater or less than 2 indicates
issue with fetal growth (example: 26 weeks but measuring @ 22 weeks, or 24 weeks but
measuring at 28 weeks).
Remember that ANY bleeding beyond first trimester is an emergency (some bleeding in
first trimester can be expected), and bleeding should always be reported to provider (at any
gestation).
Psychosocial changes in pregnancy
Relationship challenges
Body image concerns
Feelings toward pregnancy
GTPAL – make sure you can calculate this.
Gravida – total number of pregnancies
Parity – total number of deliveries after 20 weeks and 0 days
TPAL
o Term – delivery after 37 weeks gestation
o Preterm – delivery between 20 weeks 0 days and 36 weeks 6 days gestation
o Abortion – any pregnancy that is terminated (spontaneous or inducted/elective) or
ends (in delivery) before 20 weeks
, o Living – number of living children @ time of delivery
Naegele’s Rule – make sure you can calculate EDD using this method.
Take first day of LMP and add 7 days
Subtract 3 months and adjust the year (or you can add 9 months)
KEY TOPICS & UPDATED EXAM QUESTIONS AND CORRECT
ANSWERS 100%
NSG 3500 Exam 1 Resource
This is NOT an all-inclusive list of material that could be on the exam. Students are expected to
review all content covered in the lecture PowerPoints as well as the chapters in the textbook. Do not
use this list as the only resource to study for your exam. This is simply meant as a way of organizing
the various topics that were covered in the units that could be tested as part of this exam:
Nutrition in pregnancy
Be familiar with dietary requirements (what vitamins/nutrients are important; focus on those
that are important for fetal development – example: FOLIC ACID, IRON, FIBER, PROTEIN).
Make sure you know dietary sources as well (Folic Acid, Iron, Fiber, and Protein).
Physiologic changes in pregnancy
Cardiovascular – what happens that is significant? Consider blood pressure changes (in
1st trimester specifically)
Respiratory – how is respiratory impacted by pregnancy??
GI – major complication for the GI system? (Hint: caused by progesterone in early pregnancy)
GU – what changes do we see for urinary?
Skin/hair changes – mask of pregnancy, striae gravidarum
Reproductive – remember that fundal height should match gestational weeks during the first
20 weeks of pregnancy; after 20 weeks, the measurement is a determinant of fetal growth. We
allow a +/- 2 for measurement & gestational weeks, anything greater or less than 2 indicates
issue with fetal growth (example: 26 weeks but measuring @ 22 weeks, or 24 weeks but
measuring at 28 weeks).
Remember that ANY bleeding beyond first trimester is an emergency (some bleeding in
first trimester can be expected), and bleeding should always be reported to provider (at any
gestation).
Psychosocial changes in pregnancy
Relationship challenges
Body image concerns
Feelings toward pregnancy
GTPAL – make sure you can calculate this.
Gravida – total number of pregnancies
Parity – total number of deliveries after 20 weeks and 0 days
TPAL
o Term – delivery after 37 weeks gestation
o Preterm – delivery between 20 weeks 0 days and 36 weeks 6 days gestation
o Abortion – any pregnancy that is terminated (spontaneous or inducted/elective) or
ends (in delivery) before 20 weeks
, o Living – number of living children @ time of delivery
Naegele’s Rule – make sure you can calculate EDD using this method.
Take first day of LMP and add 7 days
Subtract 3 months and adjust the year (or you can add 9 months)
