Nur 114 - Exam 1 Practice Questions and Answers
Question 1.
1. A 34-week gestation patient phones the health care providers office with concerns
about feeling light headed. She states she is dizzy while lying down and states that she
"feels like I could pass out." She also reports she has awakened in the middle of the night
feeling this way. The nurse should a. Instruct the patient to see the HCP right away to have
her blood pressure checked b. Discuss supine hypertension with the patient and
encourage her to avoid lying flat on her back c. Reassure the patient that this is a normal
finding for the pregnant patient d. Inform the patient to increase her fluid intake to two
liters a day
Correct Answer: B
Question 2.
2. Signs of pre-eclampsia include hypertension, generalized edema, and __________. a.
Blurred vision b. Proteinuria c. +2 reflexes d. Increased urinary output
Correct Answer: B
Question 3.
3. A patient is being admitted to the maternity unit because she is in early labor. The nurse
would initially a. Assess maternal vital signs and fetal heartrate b. Measure fundal height
to determine fetal size c. Perform a sterile vaginal exam to determine cervical dilation and
effacement
Correct Answer: A
Question 4.
5. While obtaining the obstetric history the pregnant patient reports she is 36 weeks with
her fourth child. She states she had one elective abortion at 5 weeks, a daughter who was
born at 40 weeks gestation, and a son who was born at 37 weeks gestation. What is this
patients GTPAL total? a. 4-1-1-1-2 b. 3-1-1-1-2 c. 2-1-0-1-1 d. 4-2-1-0-2
Correct Answer: A
Question 5.
6. The maternal serum alfa-fetal protein (MSAFP) sample collected from the patient at 16
weeks gestation indicated that this pregnancy is at high-risk for having Down Syndrome.
The patient is informed that she will require further diagnostic testing. For these findings,
the MSAFP level was a. Decreased b. Increased
Correct Answer: A
Question 6.
8. The pregnant patient's lab values obtained on the first prenatal visit has indicated that
the rubella titer is negative. The nurse should a. Offer the patient the rubella vaccine at
, the next prenatal visit b. Inform the patient of the dangers of not receiving the rubella
vaccine prior to delivery c. Prepare the patient to receive the vaccine within 72 hours from
the birth of her child d. Explain to the patient that a negative titer indicated that she is
immune to rubella at this time
Correct Answer: C
Question 7.
9. The post-partum patient delivered five hours ago and has cool, clammy skin, and she is
restless. The patient is excessively thirsty. The nurse's first action is to a. Obtain maternal
vital signs b. Notify the healthcare provider c. Massage the fundus of uterus d. Calculate
total urinary output since delivery
Correct Answer: C
Question 8.
10. The patient arrives to the emergency department bleeding heavily. She reports being
32-weeks pregnant, heavy smoker, her vital signs are stable, fetal heart baseline is within
the normal range, and she denies pain. Other assessment findings include the abdomen is
soft and non-tender, fundal height appropriate for gestational age and there are no
contractions. Upon inspection of the peri-pad you note it is moderately saturated with
bright-red bleeding. This patient is experiencing a. Placental abruption b. Placenta previa
c. Threatened abortion d. Inevitable abortion
Correct Answer: B
Question 9.
11. The laboring patient is having strong contractions every one to two minutes that are
lasting 60-70 seconds. She notifies the nurse she is having intense sensations of pressure
on the perineal area. The nurse's priority action is to a. Perform sterile vaginal exam for
cervical dilation, effacement, and station b. Notify the healthcare provider that the patient
will be delivering soon c. Offer the patient a bed pan d. Reposition the patient
Correct Answer: A
Question 10.
12. A 32-year-old primigravida who is 8 weeks pregnant presents to the emergency room
with a chief complaint of "unilateral stabbing pain in her lower abdomen with dark red
bleeding." Based on these assessment findings the nurse would suspect which
pregnancy-related complications? a. Placenta Previa b. Ectopic pregnancy c. Preterm labor
d. Cervical Insufficiency
Correct Answer: B
Question 11.
13. A client at 4 months gestation comes for a prenatal visit. The client reports continued
nausea and vomiting. The client also states she has noticed dark brown spotting. She has
experienced no weight loss and has a fundal height larger than expected for the of her
pregnancy. Based on this assessment data, which of the following complications should be
Question 1.
1. A 34-week gestation patient phones the health care providers office with concerns
about feeling light headed. She states she is dizzy while lying down and states that she
"feels like I could pass out." She also reports she has awakened in the middle of the night
feeling this way. The nurse should a. Instruct the patient to see the HCP right away to have
her blood pressure checked b. Discuss supine hypertension with the patient and
encourage her to avoid lying flat on her back c. Reassure the patient that this is a normal
finding for the pregnant patient d. Inform the patient to increase her fluid intake to two
liters a day
Correct Answer: B
Question 2.
2. Signs of pre-eclampsia include hypertension, generalized edema, and __________. a.
Blurred vision b. Proteinuria c. +2 reflexes d. Increased urinary output
Correct Answer: B
Question 3.
3. A patient is being admitted to the maternity unit because she is in early labor. The nurse
would initially a. Assess maternal vital signs and fetal heartrate b. Measure fundal height
to determine fetal size c. Perform a sterile vaginal exam to determine cervical dilation and
effacement
Correct Answer: A
Question 4.
5. While obtaining the obstetric history the pregnant patient reports she is 36 weeks with
her fourth child. She states she had one elective abortion at 5 weeks, a daughter who was
born at 40 weeks gestation, and a son who was born at 37 weeks gestation. What is this
patients GTPAL total? a. 4-1-1-1-2 b. 3-1-1-1-2 c. 2-1-0-1-1 d. 4-2-1-0-2
Correct Answer: A
Question 5.
6. The maternal serum alfa-fetal protein (MSAFP) sample collected from the patient at 16
weeks gestation indicated that this pregnancy is at high-risk for having Down Syndrome.
The patient is informed that she will require further diagnostic testing. For these findings,
the MSAFP level was a. Decreased b. Increased
Correct Answer: A
Question 6.
8. The pregnant patient's lab values obtained on the first prenatal visit has indicated that
the rubella titer is negative. The nurse should a. Offer the patient the rubella vaccine at
, the next prenatal visit b. Inform the patient of the dangers of not receiving the rubella
vaccine prior to delivery c. Prepare the patient to receive the vaccine within 72 hours from
the birth of her child d. Explain to the patient that a negative titer indicated that she is
immune to rubella at this time
Correct Answer: C
Question 7.
9. The post-partum patient delivered five hours ago and has cool, clammy skin, and she is
restless. The patient is excessively thirsty. The nurse's first action is to a. Obtain maternal
vital signs b. Notify the healthcare provider c. Massage the fundus of uterus d. Calculate
total urinary output since delivery
Correct Answer: C
Question 8.
10. The patient arrives to the emergency department bleeding heavily. She reports being
32-weeks pregnant, heavy smoker, her vital signs are stable, fetal heart baseline is within
the normal range, and she denies pain. Other assessment findings include the abdomen is
soft and non-tender, fundal height appropriate for gestational age and there are no
contractions. Upon inspection of the peri-pad you note it is moderately saturated with
bright-red bleeding. This patient is experiencing a. Placental abruption b. Placenta previa
c. Threatened abortion d. Inevitable abortion
Correct Answer: B
Question 9.
11. The laboring patient is having strong contractions every one to two minutes that are
lasting 60-70 seconds. She notifies the nurse she is having intense sensations of pressure
on the perineal area. The nurse's priority action is to a. Perform sterile vaginal exam for
cervical dilation, effacement, and station b. Notify the healthcare provider that the patient
will be delivering soon c. Offer the patient a bed pan d. Reposition the patient
Correct Answer: A
Question 10.
12. A 32-year-old primigravida who is 8 weeks pregnant presents to the emergency room
with a chief complaint of "unilateral stabbing pain in her lower abdomen with dark red
bleeding." Based on these assessment findings the nurse would suspect which
pregnancy-related complications? a. Placenta Previa b. Ectopic pregnancy c. Preterm labor
d. Cervical Insufficiency
Correct Answer: B
Question 11.
13. A client at 4 months gestation comes for a prenatal visit. The client reports continued
nausea and vomiting. The client also states she has noticed dark brown spotting. She has
experienced no weight loss and has a fundal height larger than expected for the of her
pregnancy. Based on this assessment data, which of the following complications should be
