NUR 254 EXAM 1 QUESTIONS AND
ANSWERS 100% PASS 2026/2027
Presumtive signs of pregnancy - ANS SUBJECTIVE
-Nausea/vomiting
-amenorrhea
-breast changes
-fatigue
-urinary frequency
-quickening (fetal movement)
Probable signs of pregnancy - ANS EXAMINER OBJECTIVE FINDING
-Hegar's sign
-Goodell's sign
-Chadwick's sign
-Positive pregnancy test
-Braxton hicks contractions
-Ballotment
Hegar's sign - ANS softening of the lower uterine segment
Goodell's sign - ANS softening of the cervix
2026/2027 ALLRIGHTS RESERVED
1
,Chadwick's sign - ANS Bluish-purple coloration of the vaginal mucosa and cervix
ballotment - ANS Rebounding of the fetus against the examiner's finger on palpation. When
the examiner taps the cervix, the fetus floats upward in the amniotic fluid.
Positive signs of pregnancy - ANS -hearing fetal heart sounds
-Visualization of the fetus
-feeling of fetal movement by examiner
Gravida - ANS total number of pregnancies
Para - ANS number of pregnancies 20 weeks or >
Term - ANS 37-40+ weeks (posterm 42+ weeks)
Preterm - ANS 20-36 6/7 weeks
Abortion - ANS prior to 20 weeks
Living - ANS Number of living children
Naegle's rule - estimate due date - ANS LMP - 3 months + 7 days
Fetal Assessment - ANS -10-12 weeks: Fetal heart rate ( 110-160)
-20 weeks: Uterine height (symphysis pubis to the top of the fundus in cm should equal
gestational age +/-2)
-20 weeks: Fetal movement (once mother feels fetal movement, should feel fetal movement
every day increasingly)
2026/2027 ALLRIGHTS RESERVED
2
, Cardiac changes in pregnancy - ANS -Increased blood volume (40-50%)
***results in physiological anemia
-Increased cardiac output (30-50%)
***increased HR (10-20bpm)
-Blood pressure stays the same or slightly decreases
-Increased clotting factors
-Decreased venous return
Respiratory changes in pregnancy - ANS -Increased incidence of nasal congestion, voice
change, and epistaxis due to increased vascular
-Increased O2 needs due to increased metabolic rate
***Increased respiratory rate
***Increased body temp
-Ligaments of the rib cage relax due to relaxin
-Diaphragm is displaced by the growing uterus
gastrointestinal changes in pregnacy - ANS -GI system slows down (due to progesterone)
***constipation & heartburn
-N/V in the first trimester due to (Increased HCG)
-hyperemesis graviduriam (last entire pregnancy)
2026/2027 ALLRIGHTS RESERVED
3
ANSWERS 100% PASS 2026/2027
Presumtive signs of pregnancy - ANS SUBJECTIVE
-Nausea/vomiting
-amenorrhea
-breast changes
-fatigue
-urinary frequency
-quickening (fetal movement)
Probable signs of pregnancy - ANS EXAMINER OBJECTIVE FINDING
-Hegar's sign
-Goodell's sign
-Chadwick's sign
-Positive pregnancy test
-Braxton hicks contractions
-Ballotment
Hegar's sign - ANS softening of the lower uterine segment
Goodell's sign - ANS softening of the cervix
2026/2027 ALLRIGHTS RESERVED
1
,Chadwick's sign - ANS Bluish-purple coloration of the vaginal mucosa and cervix
ballotment - ANS Rebounding of the fetus against the examiner's finger on palpation. When
the examiner taps the cervix, the fetus floats upward in the amniotic fluid.
Positive signs of pregnancy - ANS -hearing fetal heart sounds
-Visualization of the fetus
-feeling of fetal movement by examiner
Gravida - ANS total number of pregnancies
Para - ANS number of pregnancies 20 weeks or >
Term - ANS 37-40+ weeks (posterm 42+ weeks)
Preterm - ANS 20-36 6/7 weeks
Abortion - ANS prior to 20 weeks
Living - ANS Number of living children
Naegle's rule - estimate due date - ANS LMP - 3 months + 7 days
Fetal Assessment - ANS -10-12 weeks: Fetal heart rate ( 110-160)
-20 weeks: Uterine height (symphysis pubis to the top of the fundus in cm should equal
gestational age +/-2)
-20 weeks: Fetal movement (once mother feels fetal movement, should feel fetal movement
every day increasingly)
2026/2027 ALLRIGHTS RESERVED
2
, Cardiac changes in pregnancy - ANS -Increased blood volume (40-50%)
***results in physiological anemia
-Increased cardiac output (30-50%)
***increased HR (10-20bpm)
-Blood pressure stays the same or slightly decreases
-Increased clotting factors
-Decreased venous return
Respiratory changes in pregnancy - ANS -Increased incidence of nasal congestion, voice
change, and epistaxis due to increased vascular
-Increased O2 needs due to increased metabolic rate
***Increased respiratory rate
***Increased body temp
-Ligaments of the rib cage relax due to relaxin
-Diaphragm is displaced by the growing uterus
gastrointestinal changes in pregnacy - ANS -GI system slows down (due to progesterone)
***constipation & heartburn
-N/V in the first trimester due to (Increased HCG)
-hyperemesis graviduriam (last entire pregnancy)
2026/2027 ALLRIGHTS RESERVED
3
