NUR 3500 FINAL EXAM QUESTIONS
AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS
RATIONALE
Pregnantsxpersonsxprematuresxlaborsxandsxgettingsxterbutaline.sxWhatsxtosxmonitorsxforsxa
dversesxeffects?sx-sxANSWERS-
Tachycardiasx(looksxforsxincreasedsxHR)sx(normallysxusedsxbronchodilatorsxcausingsxtach
ycardia)
Femalesxptsxtellingsxhowsxtosxchecksxbasalsxtempsxtosxdeterminesxwhensxovulating.sxWhatsx
issxtimesxframesxtheysxshouldsxbesxfollowingsxtosxtakesxbasalsxtemp?sx-sxANSWERS-
morningsxbeforesxgettingsxupsx(havesxthermometersxatsxbedside)
Havesxsomeonesxwhosxexperiencedsxasxvagsxdeliverysx12sxhrssxago,sxpostsxdeliverysxwhats
xpositionsxwouldsxyousxexpectsxhersxfundussxtosxbesxat?sx-sxANSWERS-
Levelsxofsxumbilicus
Havesxasx8sxhrsxpostpartumsxptsxwhosxissxmultiferous,sxwhatsxwouldsxalertsxyousxshesxneeds
sxtosxurinate?sx-sxANSWERS-
Threesxfingerssxpressedsxabovesxthesxfundussxandsxdisplacedsxtosxthesxside
Newbornsx6sxhrssxpostsxdelivery,sxmomsxwassx30sxgravidasx2sxparasx2,sxcsxsection,sxAFPsxp
ositive,sxmedsxhistory,sxsurgsxhistorysxnone,sxgroupsxbetasxstrepsxpositive,sxweightsx5sxlbsx8
sxozsx(18.9sxinchessxlong),sxtempsx99,sxHRsx120,sxRRsx50,sxskinsxwarmsxandsxdry,sxcolorsxco
nsistent,sxmildsxamountsxofsxlanugosxpresent,sxheadsxcircumferencesx34sxcm,sxsutures,sxa
nteriorsxfontanelsxflatsxandsxsoft,sxpupilssxequalsxreactivesxtosxlight,sxnosxretractions,sxumbili
calsxcordsxclamped,sxnosxherniations,sxsacsxnotedsxonsxlumbarsxarea,sxreflexessxintact,sxm
econiumsxstoolsxnoted.sxWhatsxissxthesxdiagnosis?sxWhatsxaresxthesxactionssxtosxtake?
sxWhatsxparameterssxshouldsxbesxmonitored?sx-sxANSWERS--Diagnosis: sxmeningocele
-Actionssxtosxtake:sx(sterilesxdressing)sxmoistsxcompress,sxplacesxpronesxposition
-Monitor:sxCSFsxleakage,sxheadsxcircumference
Havesxgroupsxofsxptssxonsxintrapartumsxunit,sxwhatsxwouldsxyousxreportsxtosxprovidersximme
diately?sx-sxANSWERS-Epigastricsxpainsxandsxunresolvedsxheadache
Secondsxstagesxofsxlaborsxofsxasx28sxyearsxoldsxG2para1sx39sxweeks,sxhistorysxofsxinsulinsx
GDM,sx4sxcmsxintosxlabor,sx-
1sxstation,sxclientsxreportssxneedssxtosxhavesxbowelsxmovement,sxsterilesxvaginalsxexam,sx
10cm,sx100%sxeffaced,sxFHRsx130,sxvariablesxdecels,sxprovidersxnotified,sx3:03sxandsxfeta
lsxheadsxcrowningsxwithsxprovidersxthere.sxWhatsxconditionsxandsx2sxactionssxandsx2sxmonit
ors.sx-sxANSWERS--Diagnosis:sxShouldersxdystocia
, -
Actionssxtosxtake:sxsuprapubicsxpressure,sxflexsxclientssxlegssxagainstsxabdomensx(mcrob
ertssxposition)
-Monitor:sxmovementsxofsxuppersxextremities,sxmaternalsxperineumsxforsxtrauma
Providingsxteachingsxtosx30sxweeksxgestationsxmomsxtosxhavesxnonsxstresssxtest.sxWhatsxw
ouldsxtellsxyousxptsxneedssxfurthersxteaching?sx-sxANSWERS-
Shesxthinkssxshesxhassxtosxliesxflatsxonsxhersxbacksxduringsxthesxtestsx(needssxtosxbesxinsxsem
isxfowlerssxposition)
Teachingsx23sxweeksxgestationsxaboutsximmunizations.sxWhatsxwouldsxyousxincludesxinsxh
ersxteaching?sx-sxANSWERS--Dosxnotsxgetsxrubellasxwhensxpregnant
-varicellasxdosxnotsxgetsxpregnantsx28sxdays
-yousxcansxreceivesxflusxshot
-yousxcannotsxgetsxTDAPsxvaccine
Nursesxinsxdocssxofficesxforsxpregnantsxlady,sxVSsxatsx9amsxtempsx97.9,sxHRsx88,sxRRsx20,sx
BPsx179/99.sxHRsx82,sxRR16,sxHRsx81,sxRRsx16,sxBPsx170/101.sxgravidasx3para2,sx36sxwe
ekssxgestation,sx178sxlbs,sx6sxlbsxweightsxgainsxlastsx2sxweeks,sxheadachesxandsxTylenolsxd
oessxnotsxrelieve,sxswellingsxofsxfingerssxandsxhands,sxDTRsx3+,sxFetalsxheartsxtonessx148.s
xWhatsxtosxreport?sx-sxANSWERS-ReportsxBP,sxvisualsxdisturbances,sx6sxlbsxweight,sxDTR
CaringsxforsxptsxduringsxNSTsxtest.sxAtsxendsxofsx30sxmin,sxnotesxFHRsx120sxwithsxminimalsxv
ariabilitysxandsxnosxaccelerations.sx2sxdecelssxofsx15sxminsxinsxFHRsxduringsxperiodsxfetalsx
movementsxeachsxlastingsx20sxsec.sxWhichsxofsxthesxfollowingsxinterpretationssxofsxfindings
xwouldsxthesxnursesxmake?sx-sxANSWERS-Nonreactivesxtest
Nursesxcaringsxforsxnewsxmothersxconcernedsxaboutsxnewbornssxeyessxbeingsxcrossed/
closed.sxWhichsxofsxthesxfollowingsxstatementssxissxtherapeuticsxresponse?sx-
sxANSWERS-
Thissxoccurssxbecausesxnewbornssxlacksxmusclesxcontrolsxtosxregulatesxeyesxmovementsx(
lastsx3-6sxmonths)
Firstsxtrimestersxpregnancysxandsxaskedsxifsxshesxcansxcontinuesxtosxexercisesxduringsxpre
gnancy.sxWhatsxwouldsxbesxyoursxresponse?sx-sxANSWERS-
Dailysxlightsxjoggingsxupsxtosx30sxminsxissxfinesxthroughoutsxpregnancy
Interviewingsxclientsxwhosxhassxpossiblesxendometriosis.sxWhatsxinsxthesxhistorysxwouldsxb
esxconsistentsxwithsxthissxdiagnosis?sx-sxANSWERS-
DysmenorrheasxunresponsivesxtosxNSAIDs
NursesxteachingsxgroupsxofsxteenssxaboutsxcondomssxtosxpreventsxSTDs.sxWhichsxofsxthesxf
ollowingsxstatementssxshouldsxnursesxincludesxinsxteaching?sx-sxANSWERS-
Femalesxcondomssxcansxhelpsxpreventsxsexuallysxtransmittedsxviruses
Havesx35sxyearsxoldsxwithsxfibrocysticsxdiseasesxofsxbreast.sxAtsxwhichsxofsxthesxfollowingsxti
messxshouldsxnursesxinformsxclientsxmanifestationssxaresxmostsxpresent?sx-sxANSWERS-
Beforesxmenstruationsx(painfulsxbreasts,sxsmoothsxlumps);sxreducingsxcaffeinesxandsxsalts
xmaysxhelpsxforsxbenignsxfibrocysticsxdisease
AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS
RATIONALE
Pregnantsxpersonsxprematuresxlaborsxandsxgettingsxterbutaline.sxWhatsxtosxmonitorsxforsxa
dversesxeffects?sx-sxANSWERS-
Tachycardiasx(looksxforsxincreasedsxHR)sx(normallysxusedsxbronchodilatorsxcausingsxtach
ycardia)
Femalesxptsxtellingsxhowsxtosxchecksxbasalsxtempsxtosxdeterminesxwhensxovulating.sxWhatsx
issxtimesxframesxtheysxshouldsxbesxfollowingsxtosxtakesxbasalsxtemp?sx-sxANSWERS-
morningsxbeforesxgettingsxupsx(havesxthermometersxatsxbedside)
Havesxsomeonesxwhosxexperiencedsxasxvagsxdeliverysx12sxhrssxago,sxpostsxdeliverysxwhats
xpositionsxwouldsxyousxexpectsxhersxfundussxtosxbesxat?sx-sxANSWERS-
Levelsxofsxumbilicus
Havesxasx8sxhrsxpostpartumsxptsxwhosxissxmultiferous,sxwhatsxwouldsxalertsxyousxshesxneeds
sxtosxurinate?sx-sxANSWERS-
Threesxfingerssxpressedsxabovesxthesxfundussxandsxdisplacedsxtosxthesxside
Newbornsx6sxhrssxpostsxdelivery,sxmomsxwassx30sxgravidasx2sxparasx2,sxcsxsection,sxAFPsxp
ositive,sxmedsxhistory,sxsurgsxhistorysxnone,sxgroupsxbetasxstrepsxpositive,sxweightsx5sxlbsx8
sxozsx(18.9sxinchessxlong),sxtempsx99,sxHRsx120,sxRRsx50,sxskinsxwarmsxandsxdry,sxcolorsxco
nsistent,sxmildsxamountsxofsxlanugosxpresent,sxheadsxcircumferencesx34sxcm,sxsutures,sxa
nteriorsxfontanelsxflatsxandsxsoft,sxpupilssxequalsxreactivesxtosxlight,sxnosxretractions,sxumbili
calsxcordsxclamped,sxnosxherniations,sxsacsxnotedsxonsxlumbarsxarea,sxreflexessxintact,sxm
econiumsxstoolsxnoted.sxWhatsxissxthesxdiagnosis?sxWhatsxaresxthesxactionssxtosxtake?
sxWhatsxparameterssxshouldsxbesxmonitored?sx-sxANSWERS--Diagnosis: sxmeningocele
-Actionssxtosxtake:sx(sterilesxdressing)sxmoistsxcompress,sxplacesxpronesxposition
-Monitor:sxCSFsxleakage,sxheadsxcircumference
Havesxgroupsxofsxptssxonsxintrapartumsxunit,sxwhatsxwouldsxyousxreportsxtosxprovidersximme
diately?sx-sxANSWERS-Epigastricsxpainsxandsxunresolvedsxheadache
Secondsxstagesxofsxlaborsxofsxasx28sxyearsxoldsxG2para1sx39sxweeks,sxhistorysxofsxinsulinsx
GDM,sx4sxcmsxintosxlabor,sx-
1sxstation,sxclientsxreportssxneedssxtosxhavesxbowelsxmovement,sxsterilesxvaginalsxexam,sx
10cm,sx100%sxeffaced,sxFHRsx130,sxvariablesxdecels,sxprovidersxnotified,sx3:03sxandsxfeta
lsxheadsxcrowningsxwithsxprovidersxthere.sxWhatsxconditionsxandsx2sxactionssxandsx2sxmonit
ors.sx-sxANSWERS--Diagnosis:sxShouldersxdystocia
, -
Actionssxtosxtake:sxsuprapubicsxpressure,sxflexsxclientssxlegssxagainstsxabdomensx(mcrob
ertssxposition)
-Monitor:sxmovementsxofsxuppersxextremities,sxmaternalsxperineumsxforsxtrauma
Providingsxteachingsxtosx30sxweeksxgestationsxmomsxtosxhavesxnonsxstresssxtest.sxWhatsxw
ouldsxtellsxyousxptsxneedssxfurthersxteaching?sx-sxANSWERS-
Shesxthinkssxshesxhassxtosxliesxflatsxonsxhersxbacksxduringsxthesxtestsx(needssxtosxbesxinsxsem
isxfowlerssxposition)
Teachingsx23sxweeksxgestationsxaboutsximmunizations.sxWhatsxwouldsxyousxincludesxinsxh
ersxteaching?sx-sxANSWERS--Dosxnotsxgetsxrubellasxwhensxpregnant
-varicellasxdosxnotsxgetsxpregnantsx28sxdays
-yousxcansxreceivesxflusxshot
-yousxcannotsxgetsxTDAPsxvaccine
Nursesxinsxdocssxofficesxforsxpregnantsxlady,sxVSsxatsx9amsxtempsx97.9,sxHRsx88,sxRRsx20,sx
BPsx179/99.sxHRsx82,sxRR16,sxHRsx81,sxRRsx16,sxBPsx170/101.sxgravidasx3para2,sx36sxwe
ekssxgestation,sx178sxlbs,sx6sxlbsxweightsxgainsxlastsx2sxweeks,sxheadachesxandsxTylenolsxd
oessxnotsxrelieve,sxswellingsxofsxfingerssxandsxhands,sxDTRsx3+,sxFetalsxheartsxtonessx148.s
xWhatsxtosxreport?sx-sxANSWERS-ReportsxBP,sxvisualsxdisturbances,sx6sxlbsxweight,sxDTR
CaringsxforsxptsxduringsxNSTsxtest.sxAtsxendsxofsx30sxmin,sxnotesxFHRsx120sxwithsxminimalsxv
ariabilitysxandsxnosxaccelerations.sx2sxdecelssxofsx15sxminsxinsxFHRsxduringsxperiodsxfetalsx
movementsxeachsxlastingsx20sxsec.sxWhichsxofsxthesxfollowingsxinterpretationssxofsxfindings
xwouldsxthesxnursesxmake?sx-sxANSWERS-Nonreactivesxtest
Nursesxcaringsxforsxnewsxmothersxconcernedsxaboutsxnewbornssxeyessxbeingsxcrossed/
closed.sxWhichsxofsxthesxfollowingsxstatementssxissxtherapeuticsxresponse?sx-
sxANSWERS-
Thissxoccurssxbecausesxnewbornssxlacksxmusclesxcontrolsxtosxregulatesxeyesxmovementsx(
lastsx3-6sxmonths)
Firstsxtrimestersxpregnancysxandsxaskedsxifsxshesxcansxcontinuesxtosxexercisesxduringsxpre
gnancy.sxWhatsxwouldsxbesxyoursxresponse?sx-sxANSWERS-
Dailysxlightsxjoggingsxupsxtosx30sxminsxissxfinesxthroughoutsxpregnancy
Interviewingsxclientsxwhosxhassxpossiblesxendometriosis.sxWhatsxinsxthesxhistorysxwouldsxb
esxconsistentsxwithsxthissxdiagnosis?sx-sxANSWERS-
DysmenorrheasxunresponsivesxtosxNSAIDs
NursesxteachingsxgroupsxofsxteenssxaboutsxcondomssxtosxpreventsxSTDs.sxWhichsxofsxthesxf
ollowingsxstatementssxshouldsxnursesxincludesxinsxteaching?sx-sxANSWERS-
Femalesxcondomssxcansxhelpsxpreventsxsexuallysxtransmittedsxviruses
Havesx35sxyearsxoldsxwithsxfibrocysticsxdiseasesxofsxbreast.sxAtsxwhichsxofsxthesxfollowingsxti
messxshouldsxnursesxinformsxclientsxmanifestationssxaresxmostsxpresent?sx-sxANSWERS-
Beforesxmenstruationsx(painfulsxbreasts,sxsmoothsxlumps);sxreducingsxcaffeinesxandsxsalts
xmaysxhelpsxforsxbenignsxfibrocysticsxdisease
