NUR 335 FINAL EXAM MATERNAL HEALTH THEORY &
APPLICATION (ARIZONA COLLEGE EXAMINATION
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
1.
A pregnant client at 32 weeks reports a sudden severe headache
accompanied by blurred vision and epigastric discomfort. Which
nursing action is the priority?
A. Encourage the client to rest quietly and reassess symptoms in one
hour
B. Obtain the client's blood pressure and immediately assess for
preeclampsia-related complications
C. Provide an oral analgesic and encourage increased fluid consumption
throughout the afternoon
D. Explain that headaches and visual changes are common discomforts
during third-trimester pregnancy
Answer: B
Rationale: Severe headache, visual disturbances, and epigastric pain
are concerning manifestations of severe preeclampsia. Immediate
assessment of blood pressure and maternal-fetal status is necessary
because complications can progress rapidly.
2.
,A nurse is teaching a client about folic acid supplementation before
conception. Which explanation best describes the primary reason folic
acid is recommended?
A. It prevents maternal gestational hypertension during the third
trimester
B. It significantly reduces the risk of neural tube defects in developing
embryos
C. It prevents iron-deficiency anemia throughout the entire pregnancy
D. It promotes fetal lung maturity before the expected delivery date
Answer: B
Rationale: Adequate folic acid before conception and during early
pregnancy substantially decreases the risk of neural tube defects,
making preconception supplementation especially important.
3.
A client at 10 weeks gestation reports persistent vomiting, inability to
tolerate fluids, and decreased urine output. Which condition should the
nurse suspect?
A. Hyperemesis gravidarum
B. Physiologic morning sickness
C. Gestational hypertension
D. Placenta previa
Answer: A
,Rationale: Severe persistent vomiting accompanied by dehydration,
reduced urine output, weight loss, and electrolyte abnormalities is
characteristic of hyperemesis gravidarum.
4.
A pregnant client asks why routine prenatal visits include monitoring
maternal weight at nearly every appointment. Which response
demonstrates appropriate nursing understanding?
A. Weight changes provide information about maternal and fetal
nutritional status and potential complications
B. Weight measurements determine the exact gestational age
regardless of menstrual history
C. Weight gain confirms that fetal development is progressing normally
without additional assessment
D. Weight monitoring primarily determines whether the client will
require cesarean birth
Answer: A
Rationale: Maternal weight trends help evaluate nutritional status and
may identify inadequate gain, excessive gain, fluid retention, or other
pregnancy-related concerns.
5.
A client at 28 weeks gestation reports painless bright-red vaginal
bleeding without contractions. Which condition should the nurse
recognize as most concerning?
, A. Abruptio placentae
B. Placenta previa
C. Ectopic pregnancy
D. Hyperemesis gravidarum
Answer: B
Rationale: Placenta previa commonly presents with painless, bright-red
vaginal bleeding during the second or third trimester and requires
careful evaluation.
6.
A client with suspected placenta previa begins experiencing vaginal
bleeding during hospitalization. Which nursing intervention should be
avoided unless specifically ordered?
A. Monitoring maternal vital signs
B. Assessing fetal heart rate
C. Performing a digital vaginal examination
D. Establishing intravenous access
Answer: C
Rationale: Digital vaginal examination can disrupt the placenta when
placenta previa is present and potentially cause severe hemorrhage.
7.
APPLICATION (ARIZONA COLLEGE EXAMINATION
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
1.
A pregnant client at 32 weeks reports a sudden severe headache
accompanied by blurred vision and epigastric discomfort. Which
nursing action is the priority?
A. Encourage the client to rest quietly and reassess symptoms in one
hour
B. Obtain the client's blood pressure and immediately assess for
preeclampsia-related complications
C. Provide an oral analgesic and encourage increased fluid consumption
throughout the afternoon
D. Explain that headaches and visual changes are common discomforts
during third-trimester pregnancy
Answer: B
Rationale: Severe headache, visual disturbances, and epigastric pain
are concerning manifestations of severe preeclampsia. Immediate
assessment of blood pressure and maternal-fetal status is necessary
because complications can progress rapidly.
2.
,A nurse is teaching a client about folic acid supplementation before
conception. Which explanation best describes the primary reason folic
acid is recommended?
A. It prevents maternal gestational hypertension during the third
trimester
B. It significantly reduces the risk of neural tube defects in developing
embryos
C. It prevents iron-deficiency anemia throughout the entire pregnancy
D. It promotes fetal lung maturity before the expected delivery date
Answer: B
Rationale: Adequate folic acid before conception and during early
pregnancy substantially decreases the risk of neural tube defects,
making preconception supplementation especially important.
3.
A client at 10 weeks gestation reports persistent vomiting, inability to
tolerate fluids, and decreased urine output. Which condition should the
nurse suspect?
A. Hyperemesis gravidarum
B. Physiologic morning sickness
C. Gestational hypertension
D. Placenta previa
Answer: A
,Rationale: Severe persistent vomiting accompanied by dehydration,
reduced urine output, weight loss, and electrolyte abnormalities is
characteristic of hyperemesis gravidarum.
4.
A pregnant client asks why routine prenatal visits include monitoring
maternal weight at nearly every appointment. Which response
demonstrates appropriate nursing understanding?
A. Weight changes provide information about maternal and fetal
nutritional status and potential complications
B. Weight measurements determine the exact gestational age
regardless of menstrual history
C. Weight gain confirms that fetal development is progressing normally
without additional assessment
D. Weight monitoring primarily determines whether the client will
require cesarean birth
Answer: A
Rationale: Maternal weight trends help evaluate nutritional status and
may identify inadequate gain, excessive gain, fluid retention, or other
pregnancy-related concerns.
5.
A client at 28 weeks gestation reports painless bright-red vaginal
bleeding without contractions. Which condition should the nurse
recognize as most concerning?
, A. Abruptio placentae
B. Placenta previa
C. Ectopic pregnancy
D. Hyperemesis gravidarum
Answer: B
Rationale: Placenta previa commonly presents with painless, bright-red
vaginal bleeding during the second or third trimester and requires
careful evaluation.
6.
A client with suspected placenta previa begins experiencing vaginal
bleeding during hospitalization. Which nursing intervention should be
avoided unless specifically ordered?
A. Monitoring maternal vital signs
B. Assessing fetal heart rate
C. Performing a digital vaginal examination
D. Establishing intravenous access
Answer: C
Rationale: Digital vaginal examination can disrupt the placenta when
placenta previa is present and potentially cause severe hemorrhage.
7.
