NUR 353 REPRODUCTION EXAM 2 QUESTIONS AND ANSWERS | NUR
353 REPRODUCTION EXAM 2 STUDY GUIDE & PRACTICE TEST
2026/2027
What do you assess for when looking for signs of pre-eclampsia? - Correct answer ✔✔ -
epigastric pain
-proteinuria,
-headaches
-blurred vision
-edema
-weight gain of >5 lbs in 1 week
-hyperflexic DTRs
What is the difference between pre-eclampsia and gestation HTN? - Correct answer ✔✔
proteinuria
What are signs of magnesium toxicity? Antidote? - Correct answer ✔✔ hypoflexic DTRs, fatigue,
decrease LOC, lower RR, weak grip (all b/c it depresses CNS); calcium gluconate
Does insulin cross placenta? - Correct answer ✔✔ No, but glucose does. So, when mother eats a
lot of sugar baby makes more insulin to compensate. When born, baby can be hypoglycemic
(shaky & sick) b/c it has all this insulin, but no glucose.
When is GTT done? - Correct answer ✔✔ 26 & 28 weeks
Cut off for 1 hour GTT? - Correct answer ✔✔ 140, now 3 hour needed
,Results of what mean mom has GDM? - Correct answer ✔✔ When 3 hour GTT done, 2 or more
results are NOT within normal range
How can ectopic pregnancy cause early pregnancy bleeding? - Correct answer ✔✔ Implantation
outside of uterus, then ruptures causing hemorrhaging
What is an incompetent cervix? - Correct answer ✔✔ easily opens w/ contractions; risk for pre-
term labor
What is placenta previa? - Correct answer ✔✔ placenta blocks cervix
What to avoid with placenta previa? - Correct answer ✔✔ vaginal exams, intercourse
Placenta previa can cause what to mother and fetus? - Correct answer ✔✔ hemorrhage,
decrease oxygen and blood to fetus
What is placenta abruption? - Correct answer ✔✔ placenta prematurely detaches from uterus
What can cause placenta abruption? - Correct answer ✔✔ HTN, cocaine, blunt trauma,
smoking, poor nutrition
How is placenta abruption DIFFERENT from placenta previa? - Correct answer ✔✔ pain
What does the BISHOP score include and determine? - Correct answer ✔✔ dilation, effacement,
station, consistency, and position; determines if the cervix is ready for labor
What do we want the BISHOP score to be? - Correct answer ✔✔ above 8/10
,What makes cervix ripen? - Correct answer ✔✔ cervidil, prostaglandin gel, inflated foley cath
bulb, and cytotec
What induces labor? - Correct answer ✔✔ amnio hook to break sac, IV pitocin
What is labor augmentation? - Correct answer ✔✔ making labor strong, closer, and more
effective
What meds prevent pre-term labor? - Correct answer ✔✔ tocolytics (ex. Magnesium Sulfate,
terbutaline)
What matures fetal lungs? - Correct answer ✔✔ betamethasone
When does one use vacuum or forceps? - Correct answer ✔✔ maternal exhaustion or fetal
distress; ONLY if baby is crowing
Two main risks for uterine rupture? - Correct answer ✔✔ TOLAC (Trial of Labor After C-section)
and VBAC (Vaginal Birth After C-section)
What kind of c-section scare is best? - Correct answer ✔✔ transverse or horizontal
What causes shoulder dystocia? - Correct answer ✔✔ GDM or small maternal pelvis
Interventions for shoulder dystocia? - Correct answer ✔✔ McRobert's position (needs hyper
flexed towards shoulders) and suprapubic pressure
What is a prolapsed cord? - Correct answer ✔✔ cord lies below the presenting part of the fetus
, What is the first clue of a prolapsed cord? - Correct answer ✔✔ change in FHR, repetitive
variable decels (from cord compression)
Interventions for a prolapsed cord? - Correct answer ✔✔ hands and knees position
What is the risk of meconium aspiration syndrome? - Correct answer ✔✔ infection
BUBBLE-LE - Correct answer ✔✔ PP assessment; breasts, uterus, bladder, bowel, lochia,
episiotomy- legs, emotions
REEDA - Correct answer ✔✔ perineum assessment; redness, edema, ecchymosis, discharge,
approximation of edges
Where do we want fundus upon assessment? - Correct answer ✔✔ midline at umbilicus, firm
What helps uterus contract back to normal? - Correct answer ✔✔ uterine massage, oxytocin (IV
Pitocin), and breastfeeding
When should you start massaging fundus? - Correct answer ✔✔ right after placenta is born,
every 15 minutes for first hour, then every 30 minutes
Reva Rubin's Model - Correct answer ✔✔ Taking in, taking hold, letting go
Taking in phase includes: - Correct answer ✔✔ -focus on self and meeting basic needs
-excited and talkative
-wants to relive birth
353 REPRODUCTION EXAM 2 STUDY GUIDE & PRACTICE TEST
2026/2027
What do you assess for when looking for signs of pre-eclampsia? - Correct answer ✔✔ -
epigastric pain
-proteinuria,
-headaches
-blurred vision
-edema
-weight gain of >5 lbs in 1 week
-hyperflexic DTRs
What is the difference between pre-eclampsia and gestation HTN? - Correct answer ✔✔
proteinuria
What are signs of magnesium toxicity? Antidote? - Correct answer ✔✔ hypoflexic DTRs, fatigue,
decrease LOC, lower RR, weak grip (all b/c it depresses CNS); calcium gluconate
Does insulin cross placenta? - Correct answer ✔✔ No, but glucose does. So, when mother eats a
lot of sugar baby makes more insulin to compensate. When born, baby can be hypoglycemic
(shaky & sick) b/c it has all this insulin, but no glucose.
When is GTT done? - Correct answer ✔✔ 26 & 28 weeks
Cut off for 1 hour GTT? - Correct answer ✔✔ 140, now 3 hour needed
,Results of what mean mom has GDM? - Correct answer ✔✔ When 3 hour GTT done, 2 or more
results are NOT within normal range
How can ectopic pregnancy cause early pregnancy bleeding? - Correct answer ✔✔ Implantation
outside of uterus, then ruptures causing hemorrhaging
What is an incompetent cervix? - Correct answer ✔✔ easily opens w/ contractions; risk for pre-
term labor
What is placenta previa? - Correct answer ✔✔ placenta blocks cervix
What to avoid with placenta previa? - Correct answer ✔✔ vaginal exams, intercourse
Placenta previa can cause what to mother and fetus? - Correct answer ✔✔ hemorrhage,
decrease oxygen and blood to fetus
What is placenta abruption? - Correct answer ✔✔ placenta prematurely detaches from uterus
What can cause placenta abruption? - Correct answer ✔✔ HTN, cocaine, blunt trauma,
smoking, poor nutrition
How is placenta abruption DIFFERENT from placenta previa? - Correct answer ✔✔ pain
What does the BISHOP score include and determine? - Correct answer ✔✔ dilation, effacement,
station, consistency, and position; determines if the cervix is ready for labor
What do we want the BISHOP score to be? - Correct answer ✔✔ above 8/10
,What makes cervix ripen? - Correct answer ✔✔ cervidil, prostaglandin gel, inflated foley cath
bulb, and cytotec
What induces labor? - Correct answer ✔✔ amnio hook to break sac, IV pitocin
What is labor augmentation? - Correct answer ✔✔ making labor strong, closer, and more
effective
What meds prevent pre-term labor? - Correct answer ✔✔ tocolytics (ex. Magnesium Sulfate,
terbutaline)
What matures fetal lungs? - Correct answer ✔✔ betamethasone
When does one use vacuum or forceps? - Correct answer ✔✔ maternal exhaustion or fetal
distress; ONLY if baby is crowing
Two main risks for uterine rupture? - Correct answer ✔✔ TOLAC (Trial of Labor After C-section)
and VBAC (Vaginal Birth After C-section)
What kind of c-section scare is best? - Correct answer ✔✔ transverse or horizontal
What causes shoulder dystocia? - Correct answer ✔✔ GDM or small maternal pelvis
Interventions for shoulder dystocia? - Correct answer ✔✔ McRobert's position (needs hyper
flexed towards shoulders) and suprapubic pressure
What is a prolapsed cord? - Correct answer ✔✔ cord lies below the presenting part of the fetus
, What is the first clue of a prolapsed cord? - Correct answer ✔✔ change in FHR, repetitive
variable decels (from cord compression)
Interventions for a prolapsed cord? - Correct answer ✔✔ hands and knees position
What is the risk of meconium aspiration syndrome? - Correct answer ✔✔ infection
BUBBLE-LE - Correct answer ✔✔ PP assessment; breasts, uterus, bladder, bowel, lochia,
episiotomy- legs, emotions
REEDA - Correct answer ✔✔ perineum assessment; redness, edema, ecchymosis, discharge,
approximation of edges
Where do we want fundus upon assessment? - Correct answer ✔✔ midline at umbilicus, firm
What helps uterus contract back to normal? - Correct answer ✔✔ uterine massage, oxytocin (IV
Pitocin), and breastfeeding
When should you start massaging fundus? - Correct answer ✔✔ right after placenta is born,
every 15 minutes for first hour, then every 30 minutes
Reva Rubin's Model - Correct answer ✔✔ Taking in, taking hold, letting go
Taking in phase includes: - Correct answer ✔✔ -focus on self and meeting basic needs
-excited and talkative
-wants to relive birth
