NUR 114 (Exams 1–5&final) Complete Full Course
Study Bundle
NUR 114 Course Overview
NUR 114 focuses on foundational nursing concepts including maternal/newborn
care, medical-surgical nursing, fundamentals of nursing practice, pediatric nursing,
and mental health concepts.
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EXAM 1: MATERNAL & NEWBORN NURSING
# Maternity & Reproductive Health
Question 1
A client reports continued nausea and vomiting with dark brown spotting. She has
experienced no weight loss and has a fundal height larger than expected for
gestational age. Based on this assessment data, which complication should be
suspected?
A) Ectopic pregnancy
B) Molar pregnancy
C) Hyperemesis gravidarum
1
,D) Placenta previa
Correct Correct Answer: B
Rationale: A fundal height larger than expected for gestational age combined with
dark brown spotting suggests a molar pregnancy (gestational trophoblastic
disease). The uterus is often larger than expected, and vaginal bleeding (dark
brown) is a classic presentation.
---
Question 2
At 12 weeks gestation, a pregnant client asks, "What's happening with my baby?"
Which of the following would be included in your response? Select all that apply.
A) External genitalia becomes distinguished to gender
B) Eyebrows forming
C) Urine is being produced and secreted
D) Digestive system becoming active
E) Lanugo present on head
Correct Correct Answer: A, C, D
2
,Rationale: At 12 weeks, external genitalia can be distinguished, the kidneys begin
producing urine, and the digestive system becomes active. Eyebrows and lanugo
(fine hair) typically develop later in the second trimester.
---
Question 3
Expected integumentary changes occurring during pregnancy include which of the
following? Select all that apply.
A) Melasma
B) Nausea
C) Linea nigra
D) Striae gravidarum
E) Ptyalism
Correct Correct Answer: A, C, D
Rationale: Melasma (darkening of facial skin), linea nigra (dark line from
umbilicus to pubic symphysis), and striae gravidarum (stretch marks) are
integumentary changes. Nausea (GI) and ptyalism (excessive salivation) are not
integumentary changes.
---
3
, Question 4
Which hormones are responsible for maintaining the health of the released ovum
and preparing the endometrium for implantation?
A) Luteinizing hormone
B) Progesterone
C) Estrogen
D) Follicle-stimulating hormone
Correct Correct Answer: B
Rationale: Progesterone maintains the health of the released ovum and prepares the
endometrium for implantation. Estrogen is responsible for proliferation of the
endometrial lining. LH triggers ovulation; FSH stimulates follicle development.
---
Question 5
Shortly after delivery, fetal circulation transitions to neonatal circulation due to
closure of the circulatory shunts and dilation of the pulmonary vessels. These
changes occur due to which action?
A) Delivery of the placenta
4
Study Bundle
NUR 114 Course Overview
NUR 114 focuses on foundational nursing concepts including maternal/newborn
care, medical-surgical nursing, fundamentals of nursing practice, pediatric nursing,
and mental health concepts.
---
EXAM 1: MATERNAL & NEWBORN NURSING
# Maternity & Reproductive Health
Question 1
A client reports continued nausea and vomiting with dark brown spotting. She has
experienced no weight loss and has a fundal height larger than expected for
gestational age. Based on this assessment data, which complication should be
suspected?
A) Ectopic pregnancy
B) Molar pregnancy
C) Hyperemesis gravidarum
1
,D) Placenta previa
Correct Correct Answer: B
Rationale: A fundal height larger than expected for gestational age combined with
dark brown spotting suggests a molar pregnancy (gestational trophoblastic
disease). The uterus is often larger than expected, and vaginal bleeding (dark
brown) is a classic presentation.
---
Question 2
At 12 weeks gestation, a pregnant client asks, "What's happening with my baby?"
Which of the following would be included in your response? Select all that apply.
A) External genitalia becomes distinguished to gender
B) Eyebrows forming
C) Urine is being produced and secreted
D) Digestive system becoming active
E) Lanugo present on head
Correct Correct Answer: A, C, D
2
,Rationale: At 12 weeks, external genitalia can be distinguished, the kidneys begin
producing urine, and the digestive system becomes active. Eyebrows and lanugo
(fine hair) typically develop later in the second trimester.
---
Question 3
Expected integumentary changes occurring during pregnancy include which of the
following? Select all that apply.
A) Melasma
B) Nausea
C) Linea nigra
D) Striae gravidarum
E) Ptyalism
Correct Correct Answer: A, C, D
Rationale: Melasma (darkening of facial skin), linea nigra (dark line from
umbilicus to pubic symphysis), and striae gravidarum (stretch marks) are
integumentary changes. Nausea (GI) and ptyalism (excessive salivation) are not
integumentary changes.
---
3
, Question 4
Which hormones are responsible for maintaining the health of the released ovum
and preparing the endometrium for implantation?
A) Luteinizing hormone
B) Progesterone
C) Estrogen
D) Follicle-stimulating hormone
Correct Correct Answer: B
Rationale: Progesterone maintains the health of the released ovum and prepares the
endometrium for implantation. Estrogen is responsible for proliferation of the
endometrial lining. LH triggers ovulation; FSH stimulates follicle development.
---
Question 5
Shortly after delivery, fetal circulation transitions to neonatal circulation due to
closure of the circulatory shunts and dilation of the pulmonary vessels. These
changes occur due to which action?
A) Delivery of the placenta
4
