Clarkson College
Course Number: NRS 357
Course Title: Physical Assessment
Exam: Final Exam
Date:2026
Question 1 pts
On her second visit, the woman eight weeks pregnant is surprise
that her blood pressure is lower than it was before she became
pregnant. The nurse explains blood pressure drops slightly during
the first trimester because:
The body is in the resting state
,u Answered Peripheral vessels constrict
rrect Answer Peripheral vessels dilate
The heart becomes enlarged
Question 2 pts
Mrs. Vanessa Narciso, a 30 year old G1P1 (1001), gave birth
vaginally 2 hours ago and has a third-degree laceration. There is
ice in place on her perineum. However, her perineum is slightly
edematous, and Mrs. Narciso is having pain rated 6 on a scale of
1 to 10. Which nursing intervention would be the most appropriate
at this time?
Initiate anesthetic sprays to the perineum
Administer pain medication as ordered
Begin sitz bath
Correct! Replace ice packs to the perineum
Question 3 pts
, Mrs. Vanessa Narciso, a 30 year old G3 P3 woman who is 1 day
postpartum following a vaginal birth is being cared by Nurse
Marina. Which of the following findings by Nurse Marina indicates
a need for further assessment?
Correct! Temperature of 100.8 ˚F (38.2˚C)
Pulse of 60
WBC count of 10,000
Hemoglobin 12.1 g/dl
Question 4 pts
Mrs. Vanessa Narciso, a G1P1 (1001) postpartum patient states
that she would like to take a nap but allows the Nurse Marina to
take vital signs and perform an assessment. According to Reva
Rubin, Nurse Marina recognizes that Mrs. Vanessa is experiencing
what phase?
Correct! Taking-in phase
Letting-go phase
Taking-hold phase
Postpartum phase
, Question 5 pts
The nurse discusses BTL (Bilateral Tubal Ligation), which of the
following pre-operative instructions is paramount to the couple.
(Select all that apply)
u Answered
She and her husband must be certain that this procedure is
permanent.
Correct! Bring a companion
NPO after midnight until after the procedure.
Take a bath before the procedure.
Question 6 pts
Mrs. Vanessa Narciso is a Gravida 1 Para 0 in labor and is
monitored by Nurse Marina whose fetus has a frank breech
presentation. Vaginal examination revealed fetus is in left sacrum
anterior position and station -1. Nurse Marina would be safe to
interpret this as:
The fetal face is toward the maternal symphysis pubis
u Answered The fetal sacrum is toward the maternal sacrum
Course Number: NRS 357
Course Title: Physical Assessment
Exam: Final Exam
Date:2026
Question 1 pts
On her second visit, the woman eight weeks pregnant is surprise
that her blood pressure is lower than it was before she became
pregnant. The nurse explains blood pressure drops slightly during
the first trimester because:
The body is in the resting state
,u Answered Peripheral vessels constrict
rrect Answer Peripheral vessels dilate
The heart becomes enlarged
Question 2 pts
Mrs. Vanessa Narciso, a 30 year old G1P1 (1001), gave birth
vaginally 2 hours ago and has a third-degree laceration. There is
ice in place on her perineum. However, her perineum is slightly
edematous, and Mrs. Narciso is having pain rated 6 on a scale of
1 to 10. Which nursing intervention would be the most appropriate
at this time?
Initiate anesthetic sprays to the perineum
Administer pain medication as ordered
Begin sitz bath
Correct! Replace ice packs to the perineum
Question 3 pts
, Mrs. Vanessa Narciso, a 30 year old G3 P3 woman who is 1 day
postpartum following a vaginal birth is being cared by Nurse
Marina. Which of the following findings by Nurse Marina indicates
a need for further assessment?
Correct! Temperature of 100.8 ˚F (38.2˚C)
Pulse of 60
WBC count of 10,000
Hemoglobin 12.1 g/dl
Question 4 pts
Mrs. Vanessa Narciso, a G1P1 (1001) postpartum patient states
that she would like to take a nap but allows the Nurse Marina to
take vital signs and perform an assessment. According to Reva
Rubin, Nurse Marina recognizes that Mrs. Vanessa is experiencing
what phase?
Correct! Taking-in phase
Letting-go phase
Taking-hold phase
Postpartum phase
, Question 5 pts
The nurse discusses BTL (Bilateral Tubal Ligation), which of the
following pre-operative instructions is paramount to the couple.
(Select all that apply)
u Answered
She and her husband must be certain that this procedure is
permanent.
Correct! Bring a companion
NPO after midnight until after the procedure.
Take a bath before the procedure.
Question 6 pts
Mrs. Vanessa Narciso is a Gravida 1 Para 0 in labor and is
monitored by Nurse Marina whose fetus has a frank breech
presentation. Vaginal examination revealed fetus is in left sacrum
anterior position and station -1. Nurse Marina would be safe to
interpret this as:
The fetal face is toward the maternal symphysis pubis
u Answered The fetal sacrum is toward the maternal sacrum
