NUR 106 MODULE A PRACTICE
QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS 100%
CORRECT RATED A+
Probability of Fraternal Twins Through Paternal Line
a. Her chance is significantly increased because her husband is a fraternal twin
b. Her chance is no greater than any other woman in the general population ✔✔
c. Fraternal twinning skips a generation, so her children will be twins
d. Identical twins are genetically passed down through the father's family line
Answer: No greater chance than any other. ✔✔
Clinical Rationale: Fraternal (dizygotic) twinning depends on hyperovulation,
which is a maternal genetic trait. A father cannot cause a mother to release multiple
eggs during ovulation, so his family history of fraternal twins does not increase his
partner's odds.
Obstetric History (GTPAL Format)
a. G4 T3 P2 A1 L4
b. G5 T2 P2 A1 L4
c. G5 T2 P1 A1 L4 ✔✔
d. G4 T3 P1 A1 L4
Answer: G5 T2 P1 A1 L4 ✔✔
GTPAL Calculation Breakdown:
Even with the umbilicus
Around the 22nd week of gestation the top of the fundus is at the level of the
umbilicus. Just above the symphysis pubis is too low for a pregnancy between the
,fifth and sixth months of gestation. Two fingerbreadths above the umbilicus is too
high for 20 to 22 weeks' gestation. Halfway between the symphysis pubis and
umbilicus is too low for a pregnancy between the fifth and sixth months of
gestation. -ANSWER ✔✔A pregnant client's last menstrual period was on
February 11. A physical assessment on July 18 should reveal the top of the fundus
to be where?
<p>A pregnant client's last menstrual period was on February 11. A physical
assessment on July 18 should reveal the top of the fundus to be where?
Even with the umbilicus
Just above the symphysis pubis
Two fingerbreadths above the umbilicus
Halfway between the symphysis and umbilicus
1
Amenorrhea
2
Breast changes
3
Urinary frequency -ANSWER ✔✔A client in her 10th week of pregnancy exhibits
presumptive signs of pregnancy. Which clinical findings may the nurse determine
upon assessment?
Amenorrhea
, Breast changes
Urinary frequency
Abdominal enlargement
Positive urine pregnancy test
1
Smoker
2
Twin gestation
Smokers generally have a nutrient-poor diet and are at risk for continuing the same
diet through pregnancy. Multifetal pregnancies require nutrition above the normal
requirements for pregnancy. A hemoglobin reading of 12 g/dL and fasting blood
sugar of 80 mg/dL are normal values. Caffeine intake of 180 mg/day is less than
the daily recommended intake. -ANSWER ✔✔What are the indicators of
nutritional risk in pregnancy in a client who is of normal weight?
Smoker
Twin gestation
Hemoglobin of 12 g/dL (120 mmol/L)
Term delivery 2 years ago
QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS 100%
CORRECT RATED A+
Probability of Fraternal Twins Through Paternal Line
a. Her chance is significantly increased because her husband is a fraternal twin
b. Her chance is no greater than any other woman in the general population ✔✔
c. Fraternal twinning skips a generation, so her children will be twins
d. Identical twins are genetically passed down through the father's family line
Answer: No greater chance than any other. ✔✔
Clinical Rationale: Fraternal (dizygotic) twinning depends on hyperovulation,
which is a maternal genetic trait. A father cannot cause a mother to release multiple
eggs during ovulation, so his family history of fraternal twins does not increase his
partner's odds.
Obstetric History (GTPAL Format)
a. G4 T3 P2 A1 L4
b. G5 T2 P2 A1 L4
c. G5 T2 P1 A1 L4 ✔✔
d. G4 T3 P1 A1 L4
Answer: G5 T2 P1 A1 L4 ✔✔
GTPAL Calculation Breakdown:
Even with the umbilicus
Around the 22nd week of gestation the top of the fundus is at the level of the
umbilicus. Just above the symphysis pubis is too low for a pregnancy between the
,fifth and sixth months of gestation. Two fingerbreadths above the umbilicus is too
high for 20 to 22 weeks' gestation. Halfway between the symphysis pubis and
umbilicus is too low for a pregnancy between the fifth and sixth months of
gestation. -ANSWER ✔✔A pregnant client's last menstrual period was on
February 11. A physical assessment on July 18 should reveal the top of the fundus
to be where?
<p>A pregnant client's last menstrual period was on February 11. A physical
assessment on July 18 should reveal the top of the fundus to be where?
Even with the umbilicus
Just above the symphysis pubis
Two fingerbreadths above the umbilicus
Halfway between the symphysis and umbilicus
1
Amenorrhea
2
Breast changes
3
Urinary frequency -ANSWER ✔✔A client in her 10th week of pregnancy exhibits
presumptive signs of pregnancy. Which clinical findings may the nurse determine
upon assessment?
Amenorrhea
, Breast changes
Urinary frequency
Abdominal enlargement
Positive urine pregnancy test
1
Smoker
2
Twin gestation
Smokers generally have a nutrient-poor diet and are at risk for continuing the same
diet through pregnancy. Multifetal pregnancies require nutrition above the normal
requirements for pregnancy. A hemoglobin reading of 12 g/dL and fasting blood
sugar of 80 mg/dL are normal values. Caffeine intake of 180 mg/day is less than
the daily recommended intake. -ANSWER ✔✔What are the indicators of
nutritional risk in pregnancy in a client who is of normal weight?
Smoker
Twin gestation
Hemoglobin of 12 g/dL (120 mmol/L)
Term delivery 2 years ago
