NUR 335 EXAM 2: MATERNAL HEALTH THEORY & APPLICATION V1
Arizona College of Nursing
Updated Questions & Answers With Rationale
A+ Graded| Brand New Release!
NUR 335 Maternal Health Theory & Application Exam 2 is an internal examination
administered by Arizona College of Nursing. This exam assesses the nursing
student's competency in intrapartum care, fetal monitoring, postpartum
assessment, newborn care, and obstetric complications.
CONTENT DOMAINS
1. Labor & Delivery: Stages and Mechanisms .................... 20%
2. Fetal Monitoring & Assessment ............................. 20%
3. Postpartum Assessment & Complications ..................... 20%
4. Newborn Assessment & Care ................................. 20%
5. High-Risk Obstetric Conditions ............................ 20%
SECTION 1: LABOR & DELIVERY: STAGES AND MECHANISMS (Questions 1-50)
1. A pregnant patient at 10 weeks gestation is admitted to the emergency
department with severe, unremitting vomiting, a 6% reduction in pre-
pregnancy body weight, and ketonuria. Which secondary clinical finding
should the nurse anticipate as a direct metabolic consequence of
hyperemesis gravidarum?
A. Metabolic acidosis due to severe starvation
B. Metabolic alkalosis resulting from the loss of gastric hydrochloric acid
, C. Respiratory acidosis secondary to shallow breathing
D. Respiratory alkalosis caused by hyperventilation and pain
Correct Answer: B
Rationale: The continuous, severe loss of acidic stomach contents
(hydrochloric acid) during intractable vomiting depletes hydrogen and
chloride ions in the body. This specific loss shifts the maternal acid-
base balance toward metabolic alkalosis. If the condition progresses to
severe starvation where the body burns fat stores for energy, it can
concurrently trigger ketosis, but the primary, immediate hazard from
direct gastric loss is metabolic alkalosis accompanied by hypokalemia and
hypochloremia[citation:1].
2. When planning the discharge education for a pregnant client who has just
been stabilized following an episode of hyperemesis gravidarum, which
dietary and lifestyle strategies should the nurse reinforce to minimize
the recurrence of nausea and vomiting?
A. Consuming three large, nutrient-dense meals daily with plenty of water
during the meals
B. Eating small, frequent, dry meals high in protein and complex
carbohydrates, while consuming fluids mainly between meals
C. Maintaining an empty stomach between meals to prevent digestive overload
D. Incorporating high-fat, highly seasoned comfort foods to quickly
, replace lost calories
Correct Answer: B
Rationale: To manage hyperemesis and prevent gastric distension or
irritation, patients should eat small, frequent meals (every 2 to 3
hours) that are high in protein and complex carbohydrates, as these are
easier to tolerate and stabilize blood sugar. Fluids should be consumed
between meals rather than with food to prevent an overfilled stomach, and
an empty stomach should be avoided because hunger can actively trigger or
worsen nausea. High-fat, heavily seasoned foods delay gastric emptying
and should be completely avoided[citation:1].
3. A client at 30 weeks' gestation is admitted to the maternity unit with
vaginal bleeding. What should be the nurse's initial nursing action?
A. Count and weigh peripads
B. Start an intravenous infusion drip
C. Assess blood pressure and pulse
D. Observe for pallor, clammy skin, and perspiration
Correct Answer: C
Rationale: The nurse's initial action for a client with vaginal bleeding
at 30 weeks would be to assess blood pressure and pulse. Counting and
weighing peripads; observing for pallor, clammy skin, and perspiration;
, and starting an intravenous infusion drip are all important actions for
this client; they are just not the initial action[citation:1].
4. A prenatal client at 16 weeks' gestation presents to the clinic with
unexplained bright red bleeding, cramping, and backache, which she has
had for the past two days. A pelvic exam reveals a closed cervix. What
type of abortion does this indicate?
A. Threatened
B. Missed
C. Imminent
D. Incomplete
Correct Answer: A
Rationale: A threatened abortion (miscarriage) has symptoms of vaginal
bleeding and backache without cervical dilation. In an imminent abortion,
the internal cervical os is dilated. Although the cervix is closed in a
missed abortion, other symptoms would include a regression in breast
changes and a brownish vaginal discharge[citation:1].
5. The client asks for information about ectopic pregnancy. The nurse
correctly responds by saying ectopic pregnancy is caused by: (Select all
that apply.)
A. Pelvic inflammatory disease (PID)
Arizona College of Nursing
Updated Questions & Answers With Rationale
A+ Graded| Brand New Release!
NUR 335 Maternal Health Theory & Application Exam 2 is an internal examination
administered by Arizona College of Nursing. This exam assesses the nursing
student's competency in intrapartum care, fetal monitoring, postpartum
assessment, newborn care, and obstetric complications.
CONTENT DOMAINS
1. Labor & Delivery: Stages and Mechanisms .................... 20%
2. Fetal Monitoring & Assessment ............................. 20%
3. Postpartum Assessment & Complications ..................... 20%
4. Newborn Assessment & Care ................................. 20%
5. High-Risk Obstetric Conditions ............................ 20%
SECTION 1: LABOR & DELIVERY: STAGES AND MECHANISMS (Questions 1-50)
1. A pregnant patient at 10 weeks gestation is admitted to the emergency
department with severe, unremitting vomiting, a 6% reduction in pre-
pregnancy body weight, and ketonuria. Which secondary clinical finding
should the nurse anticipate as a direct metabolic consequence of
hyperemesis gravidarum?
A. Metabolic acidosis due to severe starvation
B. Metabolic alkalosis resulting from the loss of gastric hydrochloric acid
, C. Respiratory acidosis secondary to shallow breathing
D. Respiratory alkalosis caused by hyperventilation and pain
Correct Answer: B
Rationale: The continuous, severe loss of acidic stomach contents
(hydrochloric acid) during intractable vomiting depletes hydrogen and
chloride ions in the body. This specific loss shifts the maternal acid-
base balance toward metabolic alkalosis. If the condition progresses to
severe starvation where the body burns fat stores for energy, it can
concurrently trigger ketosis, but the primary, immediate hazard from
direct gastric loss is metabolic alkalosis accompanied by hypokalemia and
hypochloremia[citation:1].
2. When planning the discharge education for a pregnant client who has just
been stabilized following an episode of hyperemesis gravidarum, which
dietary and lifestyle strategies should the nurse reinforce to minimize
the recurrence of nausea and vomiting?
A. Consuming three large, nutrient-dense meals daily with plenty of water
during the meals
B. Eating small, frequent, dry meals high in protein and complex
carbohydrates, while consuming fluids mainly between meals
C. Maintaining an empty stomach between meals to prevent digestive overload
D. Incorporating high-fat, highly seasoned comfort foods to quickly
, replace lost calories
Correct Answer: B
Rationale: To manage hyperemesis and prevent gastric distension or
irritation, patients should eat small, frequent meals (every 2 to 3
hours) that are high in protein and complex carbohydrates, as these are
easier to tolerate and stabilize blood sugar. Fluids should be consumed
between meals rather than with food to prevent an overfilled stomach, and
an empty stomach should be avoided because hunger can actively trigger or
worsen nausea. High-fat, heavily seasoned foods delay gastric emptying
and should be completely avoided[citation:1].
3. A client at 30 weeks' gestation is admitted to the maternity unit with
vaginal bleeding. What should be the nurse's initial nursing action?
A. Count and weigh peripads
B. Start an intravenous infusion drip
C. Assess blood pressure and pulse
D. Observe for pallor, clammy skin, and perspiration
Correct Answer: C
Rationale: The nurse's initial action for a client with vaginal bleeding
at 30 weeks would be to assess blood pressure and pulse. Counting and
weighing peripads; observing for pallor, clammy skin, and perspiration;
, and starting an intravenous infusion drip are all important actions for
this client; they are just not the initial action[citation:1].
4. A prenatal client at 16 weeks' gestation presents to the clinic with
unexplained bright red bleeding, cramping, and backache, which she has
had for the past two days. A pelvic exam reveals a closed cervix. What
type of abortion does this indicate?
A. Threatened
B. Missed
C. Imminent
D. Incomplete
Correct Answer: A
Rationale: A threatened abortion (miscarriage) has symptoms of vaginal
bleeding and backache without cervical dilation. In an imminent abortion,
the internal cervical os is dilated. Although the cervix is closed in a
missed abortion, other symptoms would include a regression in breast
changes and a brownish vaginal discharge[citation:1].
5. The client asks for information about ectopic pregnancy. The nurse
correctly responds by saying ectopic pregnancy is caused by: (Select all
that apply.)
A. Pelvic inflammatory disease (PID)
