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Nur 114 - Exam 1 Practice Questions and Answers with
Solutions
1. A 34-week gestation patient phones the health care providers
office with concerns about feeling light headed. She states she
is dizzy while lying down and states that she "feels like I could
pass out." She also reports she has awakened in the middle of
the night feeling this way. The nurse should
a. Instruct the patient to see the HCP right away to have her
blood pressure checked
b. Discuss supine hypertension with the patient and encourage
her to avoid lying flat on her back
c. Reassure the patient that this is a normal finding for the
pregnant patient
d. Inform the patient to increase her fluid intake to two liters a
day - ANSWER B
2. Signs of pre-eclampsia include hypertension, generalized
edema, and __________.
a. Blurred vision
b. Proteinuria
c. +2 reflexes
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d. Increased urinary output - ANSWER B
3. A patient is being admitted to the maternity unit because she
is in early labor. The nurse would initially
a. Assess maternal vital signs and fetal heartrate
b. Measure fundal height to determine fetal size
c. Perform a sterile vaginal exam to determine cervical dilation
and effacement - ANSWER A
5. While obtaining the obstetric history the pregnant patient
reports she is 36 weeks with her fourth child. She states she had
one elective abortion at 5 weeks, a daughter who was born at
40 weeks gestation, and a son who was born at 37 weeks
gestation. What is this patients GTPAL total?
a. 4-1-1-1-2
b. 3-1-1-1-2
c. 2-1-0-1-1
d. 4-2-1-0-2 - ANSWER A
6. The maternal serum alfa-fetal protein (MSAFP) sample
collected from the patient at 16 weeks gestation indicated that
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this pregnancy is at high-risk for having Down Syndrome. The
patient is informed that she will require further diagnostic
testing. For these findings, the MSAFP level was
a. Decreased
b. Increased - ANSWER A
8. The pregnant patient's lab values obtained on the first
prenatal visit has indicated that the rubella titer is negative. The
nurse should
a. Offer the patient the rubella vaccine at the next prenatal visit
b. Inform the patient of the dangers of not receiving the rubella
vaccine prior to delivery
c. Prepare the patient to receive the vaccine within 72 hours
from the birth of her child
d. Explain to the patient that a negative titer indicated that she
is immune to rubella at this time - ANSWER C
9. The post-partum patient delivered five hours ago and has
cool, clammy skin, and she is restless. The patient is excessively
thirsty. The nurse's first action is to
a. Obtain maternal vital signs
Nur 114 - Exam 1 Practice Questions and Answers with
Solutions
1. A 34-week gestation patient phones the health care providers
office with concerns about feeling light headed. She states she
is dizzy while lying down and states that she "feels like I could
pass out." She also reports she has awakened in the middle of
the night feeling this way. The nurse should
a. Instruct the patient to see the HCP right away to have her
blood pressure checked
b. Discuss supine hypertension with the patient and encourage
her to avoid lying flat on her back
c. Reassure the patient that this is a normal finding for the
pregnant patient
d. Inform the patient to increase her fluid intake to two liters a
day - ANSWER B
2. Signs of pre-eclampsia include hypertension, generalized
edema, and __________.
a. Blurred vision
b. Proteinuria
c. +2 reflexes
,2|Page
d. Increased urinary output - ANSWER B
3. A patient is being admitted to the maternity unit because she
is in early labor. The nurse would initially
a. Assess maternal vital signs and fetal heartrate
b. Measure fundal height to determine fetal size
c. Perform a sterile vaginal exam to determine cervical dilation
and effacement - ANSWER A
5. While obtaining the obstetric history the pregnant patient
reports she is 36 weeks with her fourth child. She states she had
one elective abortion at 5 weeks, a daughter who was born at
40 weeks gestation, and a son who was born at 37 weeks
gestation. What is this patients GTPAL total?
a. 4-1-1-1-2
b. 3-1-1-1-2
c. 2-1-0-1-1
d. 4-2-1-0-2 - ANSWER A
6. The maternal serum alfa-fetal protein (MSAFP) sample
collected from the patient at 16 weeks gestation indicated that
, 3|Page
this pregnancy is at high-risk for having Down Syndrome. The
patient is informed that she will require further diagnostic
testing. For these findings, the MSAFP level was
a. Decreased
b. Increased - ANSWER A
8. The pregnant patient's lab values obtained on the first
prenatal visit has indicated that the rubella titer is negative. The
nurse should
a. Offer the patient the rubella vaccine at the next prenatal visit
b. Inform the patient of the dangers of not receiving the rubella
vaccine prior to delivery
c. Prepare the patient to receive the vaccine within 72 hours
from the birth of her child
d. Explain to the patient that a negative titer indicated that she
is immune to rubella at this time - ANSWER C
9. The post-partum patient delivered five hours ago and has
cool, clammy skin, and she is restless. The patient is excessively
thirsty. The nurse's first action is to
a. Obtain maternal vital signs
