NUR 353 REP QUESTIONS AND ANSWERS | NUR 353 REP STUDY GUIDE
& PRACTICE TEST 2026/2027
A nurse is assessing a patient with preeclampsia who delivered 12 hours ago.
Which of the following assessments would indicate that the condition has not yet resolved?
a. blood pressure reading at prenatal baseline
b. adequate urinary output and no proteinuria
c. presence of 1-2+ deep tendon reflexes
d. patient complaints of blurred vision and headache - ANS✔✔ D
A nurse is completing the admission assessment of a client who is at 38 weeks gestation and has
severe preeclampsia.
Which one of the following findings is consistent with the diagnosis of severe preeclampsia?
a. Polyuria
b. Absence of clonus
c. Epigastric pain
d. Tachycardia - ANS✔✔ C
Why is magnesium sulfate is given to women with preeclampsia and eclampsia?
a. To improve patellar reflexes and increase respiratory efficiency
b. To prevent and treat convulsions
c. To decrease blood pressure readings
d. To prevent a boggy uterus and lessen lochial flow - ANS✔✔ B
,A nurse in a prenatal clinic is reviewing results from recent one-hour oral glucose tolerance
tests.
Which one of the 4 pregnant clients needs to be scheduled for a follow-up, diagnostic three-
hour glucose tolerance test?
a. One hour GTT result: 115 mg/dl
b. One hour GTT result: 95 mg/dl
c. One hour GTT result: 125 mg/dl
d. One hour GTT result: 160 mg/dl - ANS✔✔ D
A nurse is caring for a client at 30 weeks gestation who has just been diagnosed with gestational
diabetes.
The client has a lot of questions about the risks to her baby with GDM.
What is the best explanation by the nurse for why her fetus is at risk for macrosomia and
hypoglycemia at delivery?
a. To prevent macrosomia, you should only gain 11-20 lbs. total during this pregnancy.
b. When your blood sugar levels are too high, the insulin that you make can cross the placenta
and affect your baby's metabolism.
c. Extra sugar (glucose) can cross the placenta to your baby. This may cause your baby to gain
extra weight and to have sudden low blood glucose after birth.
d. Your baby may be born with diabetes. - ANS✔✔ C
A nurse is administering magnesium sulfate IV to a client who has severe preeclampsia for
seizure prophylaxis. Which of the following indicates magnesium sulfate toxicity? (Select all that
apply.)
a. RR less than 12/min
, b. Urinary output less than 30 mL/hr
c. Hyperreflexic deep-tendon reflexes
d. Decrease LOC
e. Flushing and sweating - ANS✔✔ A B D
The nurse is preparing to discharge a 30-year-old woman who has experienced a miscarriage at
10 weeks of gestation. Which statement by the woman would indicate a correct understanding
of the discharge instructions?
a. "I will not experience mood swings since I was only at 10 weeks of gestation."
b. "I will avoid sexual intercourse for 6 weeks and pregnancy for 6 months."
c. "I should eat foods that are high in iron and protein to help my body heal."
d. "I should expect the bleeding to be heavy and bright red for at least 1 week." - ANS✔✔ C
(After a miscarriage a woman may experience mood swings and depression from the reduction
of hormones and the grieving process. Sexual intercourse should be avoided for 2 weeks or until
the bleeding has stopped and should avoid pregnancy for 2 months. A woman who has
experienced a miscarriage should be advised to eat foods that are high in iron and protein to
help replenish her body after the loss. The woman should not experience bright red, heavy,
profuse bleeding; this should be reported to the health care provider.)
A woman with severe preeclampsia is receiving a magnesium sulfate infusion. The nurse
becomes concerned after assessment when the woman exhibits:
a. a sleepy, sedated affect.
b. a respiratory rate of 10 breaths/min.
c. deep tendon reflexes of 2+.
d. absent ankle clonus. - ANS✔✔ B (Because magnesium sulfate is a central nervous system
(CNS) depressant, the client will most likely become sedated when the infusion is initiated. A
respiratory rate of 10 breaths/min indicates that the client is experiencing respiratory
& PRACTICE TEST 2026/2027
A nurse is assessing a patient with preeclampsia who delivered 12 hours ago.
Which of the following assessments would indicate that the condition has not yet resolved?
a. blood pressure reading at prenatal baseline
b. adequate urinary output and no proteinuria
c. presence of 1-2+ deep tendon reflexes
d. patient complaints of blurred vision and headache - ANS✔✔ D
A nurse is completing the admission assessment of a client who is at 38 weeks gestation and has
severe preeclampsia.
Which one of the following findings is consistent with the diagnosis of severe preeclampsia?
a. Polyuria
b. Absence of clonus
c. Epigastric pain
d. Tachycardia - ANS✔✔ C
Why is magnesium sulfate is given to women with preeclampsia and eclampsia?
a. To improve patellar reflexes and increase respiratory efficiency
b. To prevent and treat convulsions
c. To decrease blood pressure readings
d. To prevent a boggy uterus and lessen lochial flow - ANS✔✔ B
,A nurse in a prenatal clinic is reviewing results from recent one-hour oral glucose tolerance
tests.
Which one of the 4 pregnant clients needs to be scheduled for a follow-up, diagnostic three-
hour glucose tolerance test?
a. One hour GTT result: 115 mg/dl
b. One hour GTT result: 95 mg/dl
c. One hour GTT result: 125 mg/dl
d. One hour GTT result: 160 mg/dl - ANS✔✔ D
A nurse is caring for a client at 30 weeks gestation who has just been diagnosed with gestational
diabetes.
The client has a lot of questions about the risks to her baby with GDM.
What is the best explanation by the nurse for why her fetus is at risk for macrosomia and
hypoglycemia at delivery?
a. To prevent macrosomia, you should only gain 11-20 lbs. total during this pregnancy.
b. When your blood sugar levels are too high, the insulin that you make can cross the placenta
and affect your baby's metabolism.
c. Extra sugar (glucose) can cross the placenta to your baby. This may cause your baby to gain
extra weight and to have sudden low blood glucose after birth.
d. Your baby may be born with diabetes. - ANS✔✔ C
A nurse is administering magnesium sulfate IV to a client who has severe preeclampsia for
seizure prophylaxis. Which of the following indicates magnesium sulfate toxicity? (Select all that
apply.)
a. RR less than 12/min
, b. Urinary output less than 30 mL/hr
c. Hyperreflexic deep-tendon reflexes
d. Decrease LOC
e. Flushing and sweating - ANS✔✔ A B D
The nurse is preparing to discharge a 30-year-old woman who has experienced a miscarriage at
10 weeks of gestation. Which statement by the woman would indicate a correct understanding
of the discharge instructions?
a. "I will not experience mood swings since I was only at 10 weeks of gestation."
b. "I will avoid sexual intercourse for 6 weeks and pregnancy for 6 months."
c. "I should eat foods that are high in iron and protein to help my body heal."
d. "I should expect the bleeding to be heavy and bright red for at least 1 week." - ANS✔✔ C
(After a miscarriage a woman may experience mood swings and depression from the reduction
of hormones and the grieving process. Sexual intercourse should be avoided for 2 weeks or until
the bleeding has stopped and should avoid pregnancy for 2 months. A woman who has
experienced a miscarriage should be advised to eat foods that are high in iron and protein to
help replenish her body after the loss. The woman should not experience bright red, heavy,
profuse bleeding; this should be reported to the health care provider.)
A woman with severe preeclampsia is receiving a magnesium sulfate infusion. The nurse
becomes concerned after assessment when the woman exhibits:
a. a sleepy, sedated affect.
b. a respiratory rate of 10 breaths/min.
c. deep tendon reflexes of 2+.
d. absent ankle clonus. - ANS✔✔ B (Because magnesium sulfate is a central nervous system
(CNS) depressant, the client will most likely become sedated when the infusion is initiated. A
respiratory rate of 10 breaths/min indicates that the client is experiencing respiratory
