NR 327 COMPREHENSIVE TEST PAPER
2026 FULL SOLUTION STUDY GUIDE
● why is folic acid a recommended supplement for pregnant clients?.
Answer: it decreases the risk for newborn neural tube defects, such as
spina bifida, which form in the early weeks of fetal development
*recommended dose is 400 mcg/day*
● A woman in her first trimester of pregnancy should consume _______
per day. Answer: the same amount of kcal as pre-pregnancy
● A woman in her second trimester of pregnancy should consume an
extra _____ kcal per day. Answer: 340
● A woman in her third trimester of pregnancy should consume an extra
_____ kcal per day. Answer: 452
● sudden infant death syndrome is caused by. Answer: smoking/tobacco
use
● presumative signs of pregnancy. Answer: amenorrhea (absence of
menstruation)
nausea, vomiting
, breast changes (swelling, tenderness, darkening or areola)
● probable signs of pregnancy. Answer: uterine enlargement
Goodell's sign (cervical softening)
ballottement (upon abdominal palpation a rebound is felt)
positive pregnancy test (detects presence of HCG in blood or urine)
Chadwick's sign (increased vascularity noted upon pelvic exam)
● Positive signs of pregnancy. Answer: palpation of the fetal outline
visualization of the pregnancy on ultrasound
presence of the fetal heartbeat
● why is the 8th week during embryonic development so important?.
Answer: This is the time when birth defects develop.
All major body organs develop.
The developing embryo is vulnerable to teratogenic agents.
● A sexually active woman of childbearing age states that she began her
menses 3 days ago, but the bleeding is lighter than usual. What would
lead her provider to order a pregnancy test even though she states she
began her menses?. Answer: She may be having a miscarriage even
though she didn't realize she was pregnant
She may be pregnant and experiencing implantation bleeding rather than
her menses
2026 FULL SOLUTION STUDY GUIDE
● why is folic acid a recommended supplement for pregnant clients?.
Answer: it decreases the risk for newborn neural tube defects, such as
spina bifida, which form in the early weeks of fetal development
*recommended dose is 400 mcg/day*
● A woman in her first trimester of pregnancy should consume _______
per day. Answer: the same amount of kcal as pre-pregnancy
● A woman in her second trimester of pregnancy should consume an
extra _____ kcal per day. Answer: 340
● A woman in her third trimester of pregnancy should consume an extra
_____ kcal per day. Answer: 452
● sudden infant death syndrome is caused by. Answer: smoking/tobacco
use
● presumative signs of pregnancy. Answer: amenorrhea (absence of
menstruation)
nausea, vomiting
, breast changes (swelling, tenderness, darkening or areola)
● probable signs of pregnancy. Answer: uterine enlargement
Goodell's sign (cervical softening)
ballottement (upon abdominal palpation a rebound is felt)
positive pregnancy test (detects presence of HCG in blood or urine)
Chadwick's sign (increased vascularity noted upon pelvic exam)
● Positive signs of pregnancy. Answer: palpation of the fetal outline
visualization of the pregnancy on ultrasound
presence of the fetal heartbeat
● why is the 8th week during embryonic development so important?.
Answer: This is the time when birth defects develop.
All major body organs develop.
The developing embryo is vulnerable to teratogenic agents.
● A sexually active woman of childbearing age states that she began her
menses 3 days ago, but the bleeding is lighter than usual. What would
lead her provider to order a pregnancy test even though she states she
began her menses?. Answer: She may be having a miscarriage even
though she didn't realize she was pregnant
She may be pregnant and experiencing implantation bleeding rather than
her menses
