NUR 3300 Exam 2 – Nursing Practice II (2026)
Exam Question with Correct Answers & Detailed Rationales
William Paterson University
Exam 2 Overview
NUR 3300 – Nursing Practice II at William Paterson University provides students with
clinical practicum experience delivering therapeutic nursing care to clients at all stages
of human development during periods of changing health and illness.
Exam 2 focuses on the following core topics:
• Maternal-Newborn Nursing
• Antepartum Assessment and Care
• Fetal Development and Assessment
• Intrapartum Care and Labor Management
• Postpartum Assessment and Complications
• Newborn Assessment and Transition
• Breastfeeding and Newborn Nutrition
• Family Dynamics and Cultural Competence
• Pharmacology and Pain Management in Labor
• High-Risk Pregnancy Conditions
SECTION 1: Antepartum Assessment and Care (Questions 1-
40)
,1. The nurse is assessing a pregnant patient at 12 weeks gestation. Which finding
is normal for this stage of pregnancy?
A) Fundal height at the umbilicus
B) Fundal height at the symphysis pubis
C) Fundal height at the xiphoid process
D) Fundal height not palpable
Answer: B
Rationale: At 12 weeks gestation, the fundus is at the symphysis pubis. At 20 weeks, it is
at the umbilicus. At 36 weeks, it is at the xiphoid process. Fundal height in centimeters
corresponds to weeks of gestation from 20-34 weeks.
2. The nurse is assessing a pregnant patient's weight gain. Which weight gain is
recommended for a patient with a normal BMI (18.5-24.9)?
A) 15-20 pounds
B) 25-35 pounds
C) 35-45 pounds
D) 50-60 pounds
Answer: B
Rationale: Recommended weight gain for a patient with a normal BMI (18.5-24.9) is 25-
35 pounds. Underweight patients (BMI <18.5) should gain 28-40 pounds, overweight
patients (BMI 25-29.9) should gain 15-25 pounds, and obese patients (BMI ≥30) should
gain 11-20 pounds.
3. A pregnant patient reports nausea and vomiting in the first trimester. Which
intervention should the nurse recommend?
A) Eat small, frequent meals
B) Avoid fatty and spicy foods
C) Eat crackers before getting out of bed
D) All of the above
,Answer: D
Rationale: Nausea and vomiting in pregnancy (morning sickness) can be managed with
small, frequent meals, avoiding triggers (fatty, spicy foods), and eating dry crackers
before getting out of bed. Vitamin B6 and ginger may also help.
4. The nurse is assessing a pregnant patient at 20 weeks gestation. The patient
asks when she will feel the baby move. Which response is most accurate?
A) "You should feel movement by 12 weeks"
B) "You should feel movement by 16-20 weeks"
C) "You should feel movement by 24-28 weeks"
D) "You will not feel movement until after 30 weeks"
Answer: B
Rationale: Quickening (fetal movement felt by the mother) typically occurs between 16-
20 weeks gestation. Primigravidas may feel movement later (18-20 weeks), while
multigravidas may feel movement earlier (16-18 weeks).
5. The nurse is teaching a pregnant patient about danger signs during pregnancy.
Which symptom requires immediate notification of the healthcare provider?
A) Nausea in the first trimester
B) Vaginal bleeding
C) Breast tenderness
D) Frequent urination
Answer: B
Rationale: Vaginal bleeding during pregnancy is a danger sign that requires immediate
evaluation. Other danger signs include severe headache, visual disturbances, abdominal
pain, fever, decreased fetal movement, and rupture of membranes.
, 6. The nurse is assessing a pregnant patient's blood pressure. Which finding
indicates gestational hypertension?
A) 130/85 mmHg
B) 140/90 mmHg
C) 150/95 mmHg
D) Both B and C
Answer: D
Rationale: Gestational hypertension is defined as a blood pressure of 140/90 mmHg or
higher after 20 weeks of gestation in a patient with previously normal blood pressure. This
requires monitoring for progression to preeclampsia.
7. A pregnant patient is diagnosed with gestational diabetes. Which finding is most
consistent with this diagnosis?
A) Hyperglycemia during pregnancy
B) Polyuria and polydipsia
C) Macrosomia in the fetus
D) All of the above
Answer: D
Rationale: Gestational diabetes presents with hyperglycemia, polyuria, polydipsia, and
can lead to fetal macrosomia. It is diagnosed with the glucose tolerance test and requires
dietary management, exercise, and possibly insulin.
8. The nurse is teaching a pregnant patient about nutritional needs. Which nutrient is
most important for preventing neural tube defects?
A) Iron
B) Calcium
C) Folic acid
D) Vitamin D
Exam Question with Correct Answers & Detailed Rationales
William Paterson University
Exam 2 Overview
NUR 3300 – Nursing Practice II at William Paterson University provides students with
clinical practicum experience delivering therapeutic nursing care to clients at all stages
of human development during periods of changing health and illness.
Exam 2 focuses on the following core topics:
• Maternal-Newborn Nursing
• Antepartum Assessment and Care
• Fetal Development and Assessment
• Intrapartum Care and Labor Management
• Postpartum Assessment and Complications
• Newborn Assessment and Transition
• Breastfeeding and Newborn Nutrition
• Family Dynamics and Cultural Competence
• Pharmacology and Pain Management in Labor
• High-Risk Pregnancy Conditions
SECTION 1: Antepartum Assessment and Care (Questions 1-
40)
,1. The nurse is assessing a pregnant patient at 12 weeks gestation. Which finding
is normal for this stage of pregnancy?
A) Fundal height at the umbilicus
B) Fundal height at the symphysis pubis
C) Fundal height at the xiphoid process
D) Fundal height not palpable
Answer: B
Rationale: At 12 weeks gestation, the fundus is at the symphysis pubis. At 20 weeks, it is
at the umbilicus. At 36 weeks, it is at the xiphoid process. Fundal height in centimeters
corresponds to weeks of gestation from 20-34 weeks.
2. The nurse is assessing a pregnant patient's weight gain. Which weight gain is
recommended for a patient with a normal BMI (18.5-24.9)?
A) 15-20 pounds
B) 25-35 pounds
C) 35-45 pounds
D) 50-60 pounds
Answer: B
Rationale: Recommended weight gain for a patient with a normal BMI (18.5-24.9) is 25-
35 pounds. Underweight patients (BMI <18.5) should gain 28-40 pounds, overweight
patients (BMI 25-29.9) should gain 15-25 pounds, and obese patients (BMI ≥30) should
gain 11-20 pounds.
3. A pregnant patient reports nausea and vomiting in the first trimester. Which
intervention should the nurse recommend?
A) Eat small, frequent meals
B) Avoid fatty and spicy foods
C) Eat crackers before getting out of bed
D) All of the above
,Answer: D
Rationale: Nausea and vomiting in pregnancy (morning sickness) can be managed with
small, frequent meals, avoiding triggers (fatty, spicy foods), and eating dry crackers
before getting out of bed. Vitamin B6 and ginger may also help.
4. The nurse is assessing a pregnant patient at 20 weeks gestation. The patient
asks when she will feel the baby move. Which response is most accurate?
A) "You should feel movement by 12 weeks"
B) "You should feel movement by 16-20 weeks"
C) "You should feel movement by 24-28 weeks"
D) "You will not feel movement until after 30 weeks"
Answer: B
Rationale: Quickening (fetal movement felt by the mother) typically occurs between 16-
20 weeks gestation. Primigravidas may feel movement later (18-20 weeks), while
multigravidas may feel movement earlier (16-18 weeks).
5. The nurse is teaching a pregnant patient about danger signs during pregnancy.
Which symptom requires immediate notification of the healthcare provider?
A) Nausea in the first trimester
B) Vaginal bleeding
C) Breast tenderness
D) Frequent urination
Answer: B
Rationale: Vaginal bleeding during pregnancy is a danger sign that requires immediate
evaluation. Other danger signs include severe headache, visual disturbances, abdominal
pain, fever, decreased fetal movement, and rupture of membranes.
, 6. The nurse is assessing a pregnant patient's blood pressure. Which finding
indicates gestational hypertension?
A) 130/85 mmHg
B) 140/90 mmHg
C) 150/95 mmHg
D) Both B and C
Answer: D
Rationale: Gestational hypertension is defined as a blood pressure of 140/90 mmHg or
higher after 20 weeks of gestation in a patient with previously normal blood pressure. This
requires monitoring for progression to preeclampsia.
7. A pregnant patient is diagnosed with gestational diabetes. Which finding is most
consistent with this diagnosis?
A) Hyperglycemia during pregnancy
B) Polyuria and polydipsia
C) Macrosomia in the fetus
D) All of the above
Answer: D
Rationale: Gestational diabetes presents with hyperglycemia, polyuria, polydipsia, and
can lead to fetal macrosomia. It is diagnosed with the glucose tolerance test and requires
dietary management, exercise, and possibly insulin.
8. The nurse is teaching a pregnant patient about nutritional needs. Which nutrient is
most important for preventing neural tube defects?
A) Iron
B) Calcium
C) Folic acid
D) Vitamin D
