NUR 418 / NUR 415 Exam 1 V2 | NUR 418 /
NUR 415 Nursing Care of the Childbearing
& Childrearing Family | Actual Q&A with
Rationale (NUR418/NUR415 Exam 1) |
Concordia
1. A nurse is calculating the estimated date of birth (EDB) for a client whose last menstrual
period began on May 10. Using Naegele’s rule, which date should the nurse document?
A. February 17
B. February 3
C. January 17
D. March 10
Correct Answer: A
Explanation; To calculate the EDB using Naegele’s rule, the nurse subtracts 3 months and
adds 7 days to the first day of the last menstrual period. Starting from May 10, subtracting
three months leads to February, and adding seven days to 10 results in 17. This calculation
assumes a standard 28-day cycle and is the most common method used in clinical practice.
2. Which of the following findings observed by the nurse is considered a presumptive sign of
pregnancy?
A. Hegar’s sign
,B. Fetal heart tones
C. Positive pregnancy test
D. Quickening
Correct Answer: D
Explanation; Presumptive signs are subjective changes reported by the woman, such as
amenorrhea, fatigue, and quickening. Probable signs like Hegar’s sign or a positive
pregnancy test are objective findings observed by the examiner. Positive signs are
definitive proofs of pregnancy, such as hearing fetal heart tones or visualizing the fetus via
ultrasound.
3. A nurse is caring for a client in the first stage of labor who is receiving magnesium sulfate
for preeclampsia. Which assessment finding should the nurse report to the provider
immediately?
A. Urine output of 40 mL/hr
B. Respiratory rate of 10/min
C. Deep tendon reflexes of 2+
D. Blood pressure of 150/90 mmHg
Correct Answer: B
Explanation; A respiratory rate below 12/min is a primary indicator of magnesium sulfate
toxicity and requires immediate intervention. Magnesium sulfate is a central nervous
, system depressant used to prevent seizures in preeclampsia. The nurse must also monitor
for decreased urine output and loss of deep tendon reflexes to ensure patient safety.
4. When assessing a fetal heart rate (FHR) tracing, the nurse notes late decelerations. What is
the priority nursing action?
A. Perform a vaginal exam
B. Reposition the client to a side-lying position
C. Increase the IV fluid rate
D. Administer oxygen via nasal cannula
Correct Answer: B
Explanation; Late decelerations are indicative of uteroplacental insufficiency and require
immediate intrauterine resuscitation. Repositioning the client to the lateral position is the
first step to improve blood flow to the placenta. Other interventions include increasing IV
fluids and administering oxygen via a non-rebreather mask to optimize fetal oxygenation.
5. A nurse is assessing a newborn 1 minute after birth. The newborn has a heart rate of
110/min, a weak cry, some flexion of the extremities, grimacing when stimulated, and a pink
body with blue hands and feet. What is the APGAR score?
A. 6
B. 5
C. 7
NUR 415 Nursing Care of the Childbearing
& Childrearing Family | Actual Q&A with
Rationale (NUR418/NUR415 Exam 1) |
Concordia
1. A nurse is calculating the estimated date of birth (EDB) for a client whose last menstrual
period began on May 10. Using Naegele’s rule, which date should the nurse document?
A. February 17
B. February 3
C. January 17
D. March 10
Correct Answer: A
Explanation; To calculate the EDB using Naegele’s rule, the nurse subtracts 3 months and
adds 7 days to the first day of the last menstrual period. Starting from May 10, subtracting
three months leads to February, and adding seven days to 10 results in 17. This calculation
assumes a standard 28-day cycle and is the most common method used in clinical practice.
2. Which of the following findings observed by the nurse is considered a presumptive sign of
pregnancy?
A. Hegar’s sign
,B. Fetal heart tones
C. Positive pregnancy test
D. Quickening
Correct Answer: D
Explanation; Presumptive signs are subjective changes reported by the woman, such as
amenorrhea, fatigue, and quickening. Probable signs like Hegar’s sign or a positive
pregnancy test are objective findings observed by the examiner. Positive signs are
definitive proofs of pregnancy, such as hearing fetal heart tones or visualizing the fetus via
ultrasound.
3. A nurse is caring for a client in the first stage of labor who is receiving magnesium sulfate
for preeclampsia. Which assessment finding should the nurse report to the provider
immediately?
A. Urine output of 40 mL/hr
B. Respiratory rate of 10/min
C. Deep tendon reflexes of 2+
D. Blood pressure of 150/90 mmHg
Correct Answer: B
Explanation; A respiratory rate below 12/min is a primary indicator of magnesium sulfate
toxicity and requires immediate intervention. Magnesium sulfate is a central nervous
, system depressant used to prevent seizures in preeclampsia. The nurse must also monitor
for decreased urine output and loss of deep tendon reflexes to ensure patient safety.
4. When assessing a fetal heart rate (FHR) tracing, the nurse notes late decelerations. What is
the priority nursing action?
A. Perform a vaginal exam
B. Reposition the client to a side-lying position
C. Increase the IV fluid rate
D. Administer oxygen via nasal cannula
Correct Answer: B
Explanation; Late decelerations are indicative of uteroplacental insufficiency and require
immediate intrauterine resuscitation. Repositioning the client to the lateral position is the
first step to improve blood flow to the placenta. Other interventions include increasing IV
fluids and administering oxygen via a non-rebreather mask to optimize fetal oxygenation.
5. A nurse is assessing a newborn 1 minute after birth. The newborn has a heart rate of
110/min, a weak cry, some flexion of the extremities, grimacing when stimulated, and a pink
body with blue hands and feet. What is the APGAR score?
A. 6
B. 5
C. 7
