NUR 327 Questions and Verified ANSWERS Exam Latest Update 2026 100% pass

NUR 327 Questions and Verified ANSWERS Exam Latest Update 2026 100% pass What not to eat while pregnant – Raw or undercooked foods Soft cheese Pate Excessive caffeine Alcohol Raw milk Smoked seafood Why is folic acid a recommended supplement for pregnant clients? - 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 - the same amount of kcal as pre-pregnancy A woman in her second trimester of pregnancy should consume an extra _____ kcal per day - 340 A woman in her third trimester of pregnancy should consume an extra _____ kcal per day - 452 sudden infant death syndrome is caused by - smoking/tobacco use presumative signs of pregnancy - amenorrhea (absence of menstruation) nausea, vomiting breast changes (swelling, tenderness, darkening or areola) probable signs of pregnancy - 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 - palpation of the fetal outline visualization of the pregnancy on ultrasound presence of the fetal heartbeat NUR 327 NUR 327 why is the 8th week during embryonic development so important? - 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? - 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 Placenta - Blocks transfer of certain substances to fetus Exchanges nutrients, oxygen, and waste products between fetus and maternal circulation Umbillical cord - Carries deoxygenated blood away from fetus and oxygenated blood to fetus Connects placenta to fetus Contains Wharton's jelly Amniotic fluid - Cushions fetus from compression Provides for fetal lung development Regulates fetal temperature Danger signs of pregnancy - Absence or decrease in fetal movement Visual disturbances Severe/sudden Headaches Edema Rapid weight gain Severe abdominal pain Signs of infection Vaginal bleeding Vaginal drainage (aside from normal mucus) Persistent vomiting Muscular irritability or convulsions Normal pregnancy discomforts - pyrosis (heartburn) constipation hemorrhoids leg cramps nasal stuffiness increased estrogen lower back pain What is the normal fetal heart rate in beats per minute - 110-160 NUR 327 NUR 327 Which statement describes a spontaneous abortion? - The loss of a pregnancy prior to 20 weeks gestation “Aka miscarriage” Pregnancy loss after 20 weeks gestation is called _____ - stillbirth How to measure and record kick counts - report decreased or absent fetal movement lay down on your side for 1 to 2 hours and count the number of movements felt. feel at least 10 fetal movements in one to two hours A pregnant woman at 23 weeks' gestation is at an antepartum visit. The nurse assesses fundal height at 26 cm. What does this measurement indicate? - There may be more than 1 fetus present in the uterus The nurse measured incorrectly. Polyhydramnios may be present. The estimated date of delivery may be inaccurate Non-stress test (NST) - evaluate how periods of fetal movement impact the fetal heart rate, and may be done once or repeated regularly When is a NST usually preformed? - between 24-32 weeks Reactive NST - In a fetus that is 32 weeks gestation or greater, two fetal heart rate accelerations 15 beats above baseline must occur in a 20-minute period of monitoring Non-reactive NST - In a fetus 32 weeks gestation or higher, the accelerations do not exceed 15 beats above baseline or do not occur at least twice in 40 minutes of monitoring *BPP is needed* Biophysical profile (BPP) - electronic fetal monitoring (a nonstress test) is used with ultrasound to assess fetal oxygenation in utero *score is based out of 10* Amniocentesis - Used to evaluate for various conditions including chromosomal and metabolic abnormalities and fetal lung maturity When is an amniocentesis usually preformed? - between 15-20 weeks chorionic villus sampling (CVS) - microscopic projections that burrow from the placenta into the endometrial tissue early in pregnancy that help to detect fetal chromosomal, metabolic, and DNA abnormalities When is a CVS usually preformed? - between 10-13 weeks NUR 327 NUR 327 Which instructions does the nurse provide to the client who is preparing for an ultrasound? - The ultrasound will confirm the location of the placenta. The mother should not empty her bladder prior to the test. Hyperemesis gravidarum - severe nausea and vomiting lasting beyond the first trimester, causing dehydration, nutritional deficits, weight loss, and fluid and electrolyte imbalances meds for hyperemesis gravidarum - ondansetron proton pump inhibitors antacids (calcium carbonate) H2 histamine blockers Ectopic pregnancy - Fertilization of the ova occurs in the fallopian tube Neonatal abstinence syndrome (NAS) - drug withdrawal that occurs in newborn infants whose mothers were frequent drug users during pregnancy Rh Incompatibility - Rh incompatibility occurs when the mother is Rh- and the fetus is Rh+ Antibodies from the mother may enter the blood stream of her unborn infant, damaging the red blood cells ABO incompatibility - when the mother is blood type O and the fetus is blood type A, B, or AB Clinical manifestations of both Rh and ABO incompatibility - anemia caused by RBC destruction erythroblastosis fetalis fetal hydrops pathologic jaundice kernicterus Risk factors of multifetal pregnancy - Overstretched uterus leading to postpartum hemorrhage Increased nutritional requirements Possible need for operative delivery Uterine irritability leading to premature contractions Placenta Previa - Placenta has implanted near or completely over the cervical opening sudden onset of painless, bright red uterine bleeding occurring in the last half of pregnancy* C-section is needed* Abruptio placentae - when the placenta partially or completely detaches from the uterus prior to delivery NUR 327 NUR 327 *will cause decreased perfusion of blood through the umbilical cord to the fetus* *sudden severe abdominal pain and uterine rigidity* complications of abruptio placentae (fetus) - secondary to acute blood loss intrauterine growth restriction higher risk of congenital abnormalities complications of abruptio placentae (mother) - life threatening hemorrhage C-section higher risk of postpartum hemorrhage what to monitor if aburptio placentae is present - Misdiagnosed as labor Fetal distress due to decreased perfusion Maternal hemorrhage Gestational hypertension... - develops during pregnancy after 20 weeks of gestation Mild preeclampsia - Blood pressure is 144/92; prepregnancy baseline BP was 118/74. Weight has increased 4 pounds a month during the second trimester. Urine has 1+ protein. Severe preeclampsia - The urine output is less than 500 mL in 24 hours. Edema is very noticeable in the face, feet, and hands. The client reports headaches and blurred vision Severe persistent epigastric pain Enclampsia - Most severe form of preeclampsia Tonic-clonic seizure activity What medical interventions may require hospitalization for a client with preeclampsia? - Continuous blood pressure monitoring Intravenous (IV) medication Continuous fetal monitoring Enforced bed rest The nurse must differentiate between signs of severe preeclampsia and HELLP syndrome. Which assessment findings indicate HELLP syndrome? - Elevated liver enzymes Hemolysis Platelet count less than 100,000/mm3 Toxoplasmosis - transmitted by eating raw, contaminated meats or coming in contact with the feces of infected cats. Herpes genitalis - painful genital lesions that can infect the fetus in the uterus if membranes rupture when there are active lesions NUR 327 NUR 327 *C-section is needed* If rubella is contracted by the woman in the first trimester of pregnancy, it can cause... - serious congenital defects At which point is the risk for transmission of hepatitis B from mother to fetus highest? - During vaginal delivery if the mother is positive for hepatitis B Chorioamnionitis - infection of the amniotic sac when the fluid has ruptured It is best to deliver the fetus before infection sets in and increases the risk for additional issues for both mother and fetus what confirms gestational diabetes? - 3 hour glucose tolerance test Macrosomia - a fetus who is larger than normal for the gestational age *ex: mother is 30 weeks pregnant but the fundus measures 34 cm* Fetal complications of gestational diabetes - Neonatal Hypoglycemia Macrosomia Respiratory Distress Syndrome Neonatal Hyperbilirubinemia What will the nurse anticipate when caring for a client with gestational diabetes mellitus? - a more difficult delivery, particularly for women with smaller pelvises. Early signs of labor - braxton-hicks contractions lightening (baby drops in the birth canal) bloody show burst of energy (nesting) Increased vaginal secretions When giving IV pain meds to a pregnant client... - avoid giving 2 hours or less before delivery *baby can have respiratory depression* Frequency (contraction pattern) - beginning of one contraction to the beginning of the next duration (contraction pattern) - beginning of one contraction to the end of it Effacement - thinning of the cervix (0-100%) Station - how low the head is Stage 1 of labor (latent) - dilated from 0-5cm and regular contractions NUR 327 Stage 1 of labor (active) - dilated from 6-10 cm and more intense contractions closer together Stage 2 of labor - starts at 10cm dilated and ends with the delivery of the baby Stage 3 of labor - starts with the delivery of the baby and ends with the delivery of the placenta Stage 4 of labor - initial recovery period, about 2-3hrs long. We want the body to return back to homeostasis and monitor vitals and risk for hemorrhage NUR 327