NUR 353 EXAM 1 REP SPRING 2026/2027 ASU BOWLES QUESTIONS
AND ANSWERS | NUR 353 EXAM 1 STUDY GUIDE & PRACTICE TEST
Prenatal care nursing interventions - Correct answer ✔✔ -Leopold maneuvers
-Assist in gynecological exam (ensure client's bladder is empty and guide in taking deep breaths)
-do not empty bladder before ultrasound
-Administer Rho Gam around 28 wks for clients who are Rh-negative
-see pregnancy milestones
Assessment of weight gain in pregnancy (referrals) - Correct answer ✔✔ -Maternal effects→
gestational diabetes, gestational HTN, preeclampsia, worsening obesity, more likely to be
induced, more likely to have C-section
-Fetal effects→ macrosomia (4000g threshold, big baby), stillbirth, childhood obesity, more
likely to be born earlier, hypoglycemia
Common discomforts of pregnancy - Correct answer ✔✔ -N/V→ encourage client to eat
crackers or dry toast before getting out of bed and avoid having an empty stomach, spicy food,
greasy or gas forming foods; drink fluids between meals
-Breast tenderness→ supportive bra
-Urinary frequency→ empty frequently and decrease fluid intake before bedtime, use perineal
pads, Kegel exercises
-UTIs→ wipe front to back, avoid baths, wear cotton underwear, avoid tight-fitting pants,
consume lots of water, void before and after sex, void as soon as the urge occurs
-Fatigue→ engage in frequent rest periods
-Heartburn→ small frequent meals, do not allow stomach to get too empty or too full, do not lie
down immediately after eating
-Constipation→ drink plenty of water, eat high fiber, exercise regularly
-Hemorrhoids→ warm sitz bath, witch hazel pads, topical ointments
, -Backaches→ pelvic tilt exercises, proper body mechanics, side-lying position, counterpressure
-SOB→ maintain good posture, sleep with extra pillows
-Leg cramps→ keep affected leg straight, dorsiflex foot, heat pad
-Varicose veins and lower extremity edema→ legs elevated, avoid constricting clothing, wear
support hose, avoid sitting or standing in one position for extended periods of time, do not sit
with legs crossed at knees, sleep in left lateral position, exercise moderately
-Gingivitis, nasal stuffiness, epistaxis (nosebleed)→ brush teeth gently, use humidifier, normal
saline nose drops or spray
-Braxton Hicks→ change in position and walking can subside contractions
-Supine hypotension→ lie in side-lying position or semi-sitting position with knees slightly flexed
-Trimester 1→ nausea, vomiting, fatigue, breast tenderness, increased salivation, gingivitis,
anemia
-Trimester 2→ headache, carpal tunnel, constipation, leukuria, heartburn, pica
-Trimester 3→ braxton hicks, urinary frequency, round ligament pain, edema, dyspn
Ectopic pregnancy - Correct answer ✔✔ -Abrupt unilateral lower quadrant abdominal pain with
or without vaginal bleeding resulting from the implantation of fertilized ovum outside of the
uterine cavity
-Second most frequent cause of bleeding in early pregnancy and leading cause of infertility
-Risk factors→ any factor that compromises tubal patency (STIs, assisted reproductive tech,
tubal surgery, and IUD)
-Expected findings→ unilateral stabbing pain in lower quadrant, menses delayed (1-2 wks) and
lighter or irregular, scant dark red or brown vaginal spotting 6-8wks after last normal menses,
referred shoulder pain due to blood in peritoneal cavity which irritates the diaphragm or
phrenic nerve after rupture, findings of shock if severe
-Rapid treatment→ medical management, methotrexate, salpingostomy, laparoscopic
salpingectomy
-Nursing interventions→ replace fluids, maintain electrolyte balance, medications, education
and support, obtain serum hCG, progesterone liver, renal CBC, type and Rh
AND ANSWERS | NUR 353 EXAM 1 STUDY GUIDE & PRACTICE TEST
Prenatal care nursing interventions - Correct answer ✔✔ -Leopold maneuvers
-Assist in gynecological exam (ensure client's bladder is empty and guide in taking deep breaths)
-do not empty bladder before ultrasound
-Administer Rho Gam around 28 wks for clients who are Rh-negative
-see pregnancy milestones
Assessment of weight gain in pregnancy (referrals) - Correct answer ✔✔ -Maternal effects→
gestational diabetes, gestational HTN, preeclampsia, worsening obesity, more likely to be
induced, more likely to have C-section
-Fetal effects→ macrosomia (4000g threshold, big baby), stillbirth, childhood obesity, more
likely to be born earlier, hypoglycemia
Common discomforts of pregnancy - Correct answer ✔✔ -N/V→ encourage client to eat
crackers or dry toast before getting out of bed and avoid having an empty stomach, spicy food,
greasy or gas forming foods; drink fluids between meals
-Breast tenderness→ supportive bra
-Urinary frequency→ empty frequently and decrease fluid intake before bedtime, use perineal
pads, Kegel exercises
-UTIs→ wipe front to back, avoid baths, wear cotton underwear, avoid tight-fitting pants,
consume lots of water, void before and after sex, void as soon as the urge occurs
-Fatigue→ engage in frequent rest periods
-Heartburn→ small frequent meals, do not allow stomach to get too empty or too full, do not lie
down immediately after eating
-Constipation→ drink plenty of water, eat high fiber, exercise regularly
-Hemorrhoids→ warm sitz bath, witch hazel pads, topical ointments
, -Backaches→ pelvic tilt exercises, proper body mechanics, side-lying position, counterpressure
-SOB→ maintain good posture, sleep with extra pillows
-Leg cramps→ keep affected leg straight, dorsiflex foot, heat pad
-Varicose veins and lower extremity edema→ legs elevated, avoid constricting clothing, wear
support hose, avoid sitting or standing in one position for extended periods of time, do not sit
with legs crossed at knees, sleep in left lateral position, exercise moderately
-Gingivitis, nasal stuffiness, epistaxis (nosebleed)→ brush teeth gently, use humidifier, normal
saline nose drops or spray
-Braxton Hicks→ change in position and walking can subside contractions
-Supine hypotension→ lie in side-lying position or semi-sitting position with knees slightly flexed
-Trimester 1→ nausea, vomiting, fatigue, breast tenderness, increased salivation, gingivitis,
anemia
-Trimester 2→ headache, carpal tunnel, constipation, leukuria, heartburn, pica
-Trimester 3→ braxton hicks, urinary frequency, round ligament pain, edema, dyspn
Ectopic pregnancy - Correct answer ✔✔ -Abrupt unilateral lower quadrant abdominal pain with
or without vaginal bleeding resulting from the implantation of fertilized ovum outside of the
uterine cavity
-Second most frequent cause of bleeding in early pregnancy and leading cause of infertility
-Risk factors→ any factor that compromises tubal patency (STIs, assisted reproductive tech,
tubal surgery, and IUD)
-Expected findings→ unilateral stabbing pain in lower quadrant, menses delayed (1-2 wks) and
lighter or irregular, scant dark red or brown vaginal spotting 6-8wks after last normal menses,
referred shoulder pain due to blood in peritoneal cavity which irritates the diaphragm or
phrenic nerve after rupture, findings of shock if severe
-Rapid treatment→ medical management, methotrexate, salpingostomy, laparoscopic
salpingectomy
-Nursing interventions→ replace fluids, maintain electrolyte balance, medications, education
and support, obtain serum hCG, progesterone liver, renal CBC, type and Rh
