OAKLAND UNIVERSITY NRS 3026 EXAM
2 LATEST 2026/2027 LATEST UPDATE
(COMPLIED FROM REAL EXAM) GRADED
A+
A pregnant patient's biophysical profile score is 8. The patient asks the nurse to
explain the results. What is the nurse's most appropriate response?
a. "The test results are within normal limits."
b. "Immediate birth by cesarean birth is being considered."
c. "Further testing will be performed to determine the meaning of this score."
d. "An obstetric specialist will evaluate the results of this profile and, within the
next week, will inform you of your options regarding birth."
a
Which analysis of maternal serum is the best predictor of chromosomal
abnormalities in the fetus?
a. Biopsychosocial profile
b. Multiple-marker screening
c. Lecithin-to-sphingomyelin ratio
d. Blood type and crossmatch of maternal and fetal serum
b
The clinic nurse is obtaining a health history on a newly pregnant patient. Which
is an indication for fetal diagnostic procedures if present in the health history?
a. Maternal diabetes
b. Weight gain of 25 lb
c. Maternal age older than 30 years
d. Previous infant weighing more than 3000 g at birth
a
What point in the pregnancy is the most accurate time to determine gestation age
through ultrasound?
a. First trimester
b. Second trimester
c. Third trimester
d. No difference
a
The primary reason for evaluating alpha-fetoprotein (AFP) levels in maternal
serum is to determine whether the fetus has which condition?
,a. Hemophilia
b. Sickle cell anemia
c. A neural tube defect
d. Abnormal lecithin-to-sphingomyelin ratio
c
When is the earliest interval that chorionic villus sampling (CVS) can be
performed during pregnancy?
a. 4 weeks
b. 8 weeks
c. 10 weeks
d. 14 weeks
c
Which aspect of fetal diagnostic testing is most important to expectant parents?
a. Safety of the fetus
b. Duration of test
c. Cost of the procedure
d. Physical discomfort caused by the procedure
a
The nurse's role in diagnostic testing is to provide which of the following?
a. Advice to the couple
b. Information about the tests
c. Reassurance about fetal safety
d. Assistance with decision making
b
Which factors should be considered a contraindication for transcervical chorionic
villus sampling?
a. Rh-negative mother
b. Gestation less than 15 weeks
c. Maternal age younger than 35 years
d. Positive for group B Streptococcus
d
What is the purpose of amniocentesis for a patient hospitalized at 34 weeks of
gestation with pregnancy-induced hypertension?
a. Determine if a metabolic disorder exists.
b. Identify the sex of the fetus.
c. Identify abnormal fetal cells.
d. Determine fetal lung maturity.
d
What does optimal nursing care after an amniocentesis include?
a. Pushing fluids by mouth
,b. Monitoring uterine activity
c. Placing the patient in a supine position for 2 hours
d. Applying a pressure dressing to the puncture site
b
What is the term for a nonstress test in which there are more fetal heart rates
accelerations of 15 or more beats. per minute (BPM) with fetal movement in a 20-
minute period?
a. Postive
b. Negative
c. Reactive
d. Nonreactive
c
What is the purpose of initiating contractions in a contraction stress test (CST)?
a. Increase placental blood flow
b. Identify fetal acceleration patterns
c. Determine the degree of fetal activity
d. Apply a stressful stimulus to the fetus
d
A biophysical profile is performed on a pregnant patient. The following
assessments are noted: nonreactive stress test (NST), three episodes of fetal
breathing movements (FBMs), limited gross movements, opening and closing of
hands indicating the presence of fetal tone, and adequate amniotic fluid index
(AFI) meeting criteria. Which answer would be the correct interpretation of this
result?
a. A score of 10 would indicate that the results are equivocal.
b. A score of 8 would indicate normal results.
c. A score of 6 would indicate that birth should be considered as a possible
treatment option.
d. A score of 9 would indicate reassurance.
b
In preparing a pregnant patient for a nonstress test (NST), which of the following
should be included in the plan of care?
a. Have the patient void prior to being placed on the fetal monitor because a full
bladder will interfere with results.
b. Maintain NPO status prior to testing.
c. Position the patient for comfort, adjusting the tocotransducer to locate fetal
heart rate.
d. Have an infusion pump prepared with oxytocin per protocol for evaluation.
c
The results of a contraction stress test (CST) are positive. Which intervention is
necessary based on this test result?
, a. Repeat the test in 1 week so that results can be trended based on this baseline
result.
b. Contact the health care provider to discuss birth options for the patient.
c. Send the patient out for a meal and repeat the test confirm that the results are
valid.
d. Ask the patient to perform a fetal kick count assessment for the next 30
minutes and then reassess the patient.
b
A pregnant patient has received the results of her triple-screen testing and it is
positive. She provides you with a copy of the test results that she obtained from
the lab. What would the nurse anticipate as being implemented in the patient's
plan of care?
a. No further testing is indicated at this time because results are normal.
b. Refer to the physician for additional testing.
c. Validate the results with the lab facility.
d. Repeat the test in 2 weeks and have the patient return for her regularly
scheduled prenatal visit.
b
A pregnant woman is scheduled to undergo chorionic villus sampling (CVS)
based on genetic family history. Which medication does the nurse anticipate will
be administered?
a. Magnesium sulfate
b. Prostaglandin suppository
c. RhoGAM if the patient is Rh-negative
d. Betamethasone
c
For which patient would an L/S ratio of 2:1 potentially be considered abnormal?
a. A 38-year-old gravida 2, para 1, who is 38 weeks' gestation
b. A 24-year-old gravida 1, para 0, who has diabetes
c. A 44-year-old gravida 6, para 5, who is at term
d. An 18-year-old gravida 1, para 0, who is in early labor at term
b
Which complication could occur as a result of percutaneous umbilical blood
sampling (PUBS)?
a. Postdates pregnancy
b. Fetal bradycardia
c. Placenta previa
d. Uterine rupture
b
A newly pregnant patient tells the nurse that she has irregular periods and is
unsure of when she got pregnant. Scheduling an ultrasound is a standing
prescription for the patient's health care provider. When is the best time for the
2 LATEST 2026/2027 LATEST UPDATE
(COMPLIED FROM REAL EXAM) GRADED
A+
A pregnant patient's biophysical profile score is 8. The patient asks the nurse to
explain the results. What is the nurse's most appropriate response?
a. "The test results are within normal limits."
b. "Immediate birth by cesarean birth is being considered."
c. "Further testing will be performed to determine the meaning of this score."
d. "An obstetric specialist will evaluate the results of this profile and, within the
next week, will inform you of your options regarding birth."
a
Which analysis of maternal serum is the best predictor of chromosomal
abnormalities in the fetus?
a. Biopsychosocial profile
b. Multiple-marker screening
c. Lecithin-to-sphingomyelin ratio
d. Blood type and crossmatch of maternal and fetal serum
b
The clinic nurse is obtaining a health history on a newly pregnant patient. Which
is an indication for fetal diagnostic procedures if present in the health history?
a. Maternal diabetes
b. Weight gain of 25 lb
c. Maternal age older than 30 years
d. Previous infant weighing more than 3000 g at birth
a
What point in the pregnancy is the most accurate time to determine gestation age
through ultrasound?
a. First trimester
b. Second trimester
c. Third trimester
d. No difference
a
The primary reason for evaluating alpha-fetoprotein (AFP) levels in maternal
serum is to determine whether the fetus has which condition?
,a. Hemophilia
b. Sickle cell anemia
c. A neural tube defect
d. Abnormal lecithin-to-sphingomyelin ratio
c
When is the earliest interval that chorionic villus sampling (CVS) can be
performed during pregnancy?
a. 4 weeks
b. 8 weeks
c. 10 weeks
d. 14 weeks
c
Which aspect of fetal diagnostic testing is most important to expectant parents?
a. Safety of the fetus
b. Duration of test
c. Cost of the procedure
d. Physical discomfort caused by the procedure
a
The nurse's role in diagnostic testing is to provide which of the following?
a. Advice to the couple
b. Information about the tests
c. Reassurance about fetal safety
d. Assistance with decision making
b
Which factors should be considered a contraindication for transcervical chorionic
villus sampling?
a. Rh-negative mother
b. Gestation less than 15 weeks
c. Maternal age younger than 35 years
d. Positive for group B Streptococcus
d
What is the purpose of amniocentesis for a patient hospitalized at 34 weeks of
gestation with pregnancy-induced hypertension?
a. Determine if a metabolic disorder exists.
b. Identify the sex of the fetus.
c. Identify abnormal fetal cells.
d. Determine fetal lung maturity.
d
What does optimal nursing care after an amniocentesis include?
a. Pushing fluids by mouth
,b. Monitoring uterine activity
c. Placing the patient in a supine position for 2 hours
d. Applying a pressure dressing to the puncture site
b
What is the term for a nonstress test in which there are more fetal heart rates
accelerations of 15 or more beats. per minute (BPM) with fetal movement in a 20-
minute period?
a. Postive
b. Negative
c. Reactive
d. Nonreactive
c
What is the purpose of initiating contractions in a contraction stress test (CST)?
a. Increase placental blood flow
b. Identify fetal acceleration patterns
c. Determine the degree of fetal activity
d. Apply a stressful stimulus to the fetus
d
A biophysical profile is performed on a pregnant patient. The following
assessments are noted: nonreactive stress test (NST), three episodes of fetal
breathing movements (FBMs), limited gross movements, opening and closing of
hands indicating the presence of fetal tone, and adequate amniotic fluid index
(AFI) meeting criteria. Which answer would be the correct interpretation of this
result?
a. A score of 10 would indicate that the results are equivocal.
b. A score of 8 would indicate normal results.
c. A score of 6 would indicate that birth should be considered as a possible
treatment option.
d. A score of 9 would indicate reassurance.
b
In preparing a pregnant patient for a nonstress test (NST), which of the following
should be included in the plan of care?
a. Have the patient void prior to being placed on the fetal monitor because a full
bladder will interfere with results.
b. Maintain NPO status prior to testing.
c. Position the patient for comfort, adjusting the tocotransducer to locate fetal
heart rate.
d. Have an infusion pump prepared with oxytocin per protocol for evaluation.
c
The results of a contraction stress test (CST) are positive. Which intervention is
necessary based on this test result?
, a. Repeat the test in 1 week so that results can be trended based on this baseline
result.
b. Contact the health care provider to discuss birth options for the patient.
c. Send the patient out for a meal and repeat the test confirm that the results are
valid.
d. Ask the patient to perform a fetal kick count assessment for the next 30
minutes and then reassess the patient.
b
A pregnant patient has received the results of her triple-screen testing and it is
positive. She provides you with a copy of the test results that she obtained from
the lab. What would the nurse anticipate as being implemented in the patient's
plan of care?
a. No further testing is indicated at this time because results are normal.
b. Refer to the physician for additional testing.
c. Validate the results with the lab facility.
d. Repeat the test in 2 weeks and have the patient return for her regularly
scheduled prenatal visit.
b
A pregnant woman is scheduled to undergo chorionic villus sampling (CVS)
based on genetic family history. Which medication does the nurse anticipate will
be administered?
a. Magnesium sulfate
b. Prostaglandin suppository
c. RhoGAM if the patient is Rh-negative
d. Betamethasone
c
For which patient would an L/S ratio of 2:1 potentially be considered abnormal?
a. A 38-year-old gravida 2, para 1, who is 38 weeks' gestation
b. A 24-year-old gravida 1, para 0, who has diabetes
c. A 44-year-old gravida 6, para 5, who is at term
d. An 18-year-old gravida 1, para 0, who is in early labor at term
b
Which complication could occur as a result of percutaneous umbilical blood
sampling (PUBS)?
a. Postdates pregnancy
b. Fetal bradycardia
c. Placenta previa
d. Uterine rupture
b
A newly pregnant patient tells the nurse that she has irregular periods and is
unsure of when she got pregnant. Scheduling an ultrasound is a standing
prescription for the patient's health care provider. When is the best time for the
