NR-327 Midterm Exam Practice Questions with Answers 100% PASS |
Chamberlain College
1. A nurse is calculating a client’s expected date of delivery (EDD) using
Naegele’s rule. The client’s last menstrual period (LMP) began on February 10.
What is the EDD?
A. November 10
B. November 17
C. October 17
D. December 17
Answer: B
Rationale: Naegele’s rule is calculated by subtracting 3 months from the first day of the
LMP and adding 7 days and 1 year. February 10 minus 3 months is November 10, plus 7
days is November 17.
2. A client is pregnant for the 4th time. She has one living child born at 38
weeks, twins born at 34 weeks, and one miscarriage at 12 weeks. Using the
GTPAL system, how should the nurse document this?
A. G4, T1, P2, A1, L3
B. G4, T2, P1, A0, L3
C. G3, T1, P1, A1, L2
D. G4, T1, P1, A1, L3
Answer: D
Rationale: G (Gravida) is 4 (current pregnancy + 3 previous). T (Term) is 1 (38-week
birth). P (Preterm) is 1 (the twin birth counts as one event). A (Abortion) is 1 (miscarriage).
L (Living) is 3 (one single child + twins).
,3. Which of the following is considered a positive sign of pregnancy?
A. Amenorrhea
B. Fetal heart tones heard by Doppler
C. Positive serum pregnancy test
D. Chadwick’s sign
Answer: B
Rationale: Positive signs are objective and can only be attributed to a fetus: fetal heart
sounds, visualization by ultrasound, or palpation of fetal movement by a clinician.
Amenorrhea is presumptive; pregnancy tests and Chadwick’s sign are probable.
4. A nurse is monitoring a client receiving Magnesium Sulfate for preeclampsia.
Which finding should be reported to the provider immediately?
A. Respiratory rate of 14/min
B. Deep tendon reflexes 2+
C. Urine output of 20 mL/hr
D. Feeling of warmth and flushing
Answer: C
Rationale: Magnesium is excreted by the kidneys. Urine output less than 30 mL/hr
indicates potential toxicity. Reflexes 2+ and RR 14 are normal. Flushing is a common side
effect, not toxicity.
5. When assessing a fetal heart rate (FHR) tracing, the nurse notes late
decelerations. Which is the priority nursing action?
A. Increase the IV oxytocin rate
B. Assist the client into a side-lying position
C. Perform a vaginal exam
D. Apply a fetal scalp electrode
Answer: B
, Rationale: Late decelerations indicate uteroplacental insufficiency. The first action is to
improve perfusion by turning the client to their side, followed by oxygen and fluids.
6. A client at 32 weeks gestation presents with painless, bright red vaginal
bleeding. The nurse should suspect which condition?
A. Abruptio placentae
B. Ectopic pregnancy
C. Placenta previa
D. Preterm labor
Answer: C
Rationale: Placenta previa is classicly characterized by painless, bright red bleeding in the
third trimester. Abruptio placentae usually involves painful, dark red bleeding.
7. What is the primary purpose of administering Vitamin K (Phytonadione) to a
newborn?
A. To prevent hemorrhagic disease of the newborn
B. To stimulate the production of red blood cells
C. To prevent ophthalmia neonatorum
D. To increase immunity against hepatitis B
Answer: A
Rationale: Newborns have a sterile gut and cannot produce Vitamin K, which is necessary
for clotting factor synthesis, making them at risk for bleeding.
Chamberlain College
1. A nurse is calculating a client’s expected date of delivery (EDD) using
Naegele’s rule. The client’s last menstrual period (LMP) began on February 10.
What is the EDD?
A. November 10
B. November 17
C. October 17
D. December 17
Answer: B
Rationale: Naegele’s rule is calculated by subtracting 3 months from the first day of the
LMP and adding 7 days and 1 year. February 10 minus 3 months is November 10, plus 7
days is November 17.
2. A client is pregnant for the 4th time. She has one living child born at 38
weeks, twins born at 34 weeks, and one miscarriage at 12 weeks. Using the
GTPAL system, how should the nurse document this?
A. G4, T1, P2, A1, L3
B. G4, T2, P1, A0, L3
C. G3, T1, P1, A1, L2
D. G4, T1, P1, A1, L3
Answer: D
Rationale: G (Gravida) is 4 (current pregnancy + 3 previous). T (Term) is 1 (38-week
birth). P (Preterm) is 1 (the twin birth counts as one event). A (Abortion) is 1 (miscarriage).
L (Living) is 3 (one single child + twins).
,3. Which of the following is considered a positive sign of pregnancy?
A. Amenorrhea
B. Fetal heart tones heard by Doppler
C. Positive serum pregnancy test
D. Chadwick’s sign
Answer: B
Rationale: Positive signs are objective and can only be attributed to a fetus: fetal heart
sounds, visualization by ultrasound, or palpation of fetal movement by a clinician.
Amenorrhea is presumptive; pregnancy tests and Chadwick’s sign are probable.
4. A nurse is monitoring a client receiving Magnesium Sulfate for preeclampsia.
Which finding should be reported to the provider immediately?
A. Respiratory rate of 14/min
B. Deep tendon reflexes 2+
C. Urine output of 20 mL/hr
D. Feeling of warmth and flushing
Answer: C
Rationale: Magnesium is excreted by the kidneys. Urine output less than 30 mL/hr
indicates potential toxicity. Reflexes 2+ and RR 14 are normal. Flushing is a common side
effect, not toxicity.
5. When assessing a fetal heart rate (FHR) tracing, the nurse notes late
decelerations. Which is the priority nursing action?
A. Increase the IV oxytocin rate
B. Assist the client into a side-lying position
C. Perform a vaginal exam
D. Apply a fetal scalp electrode
Answer: B
, Rationale: Late decelerations indicate uteroplacental insufficiency. The first action is to
improve perfusion by turning the client to their side, followed by oxygen and fluids.
6. A client at 32 weeks gestation presents with painless, bright red vaginal
bleeding. The nurse should suspect which condition?
A. Abruptio placentae
B. Ectopic pregnancy
C. Placenta previa
D. Preterm labor
Answer: C
Rationale: Placenta previa is classicly characterized by painless, bright red bleeding in the
third trimester. Abruptio placentae usually involves painful, dark red bleeding.
7. What is the primary purpose of administering Vitamin K (Phytonadione) to a
newborn?
A. To prevent hemorrhagic disease of the newborn
B. To stimulate the production of red blood cells
C. To prevent ophthalmia neonatorum
D. To increase immunity against hepatitis B
Answer: A
Rationale: Newborns have a sterile gut and cannot produce Vitamin K, which is necessary
for clotting factor synthesis, making them at risk for bleeding.
