Nur 114 - Exam 1 Practice Questions &
Answers
1. nA n34-week ngestation npatient nphones nthe nhealth ncare nproviders noffice nwith
nconcerns nabout nfeeling nlight nheaded. nShe nstates nshe nis ndizzy nwhile nlying ndown
nand nstates nthat nshe n"feels nlike nI ncould npass nout." nShe nalso nreports nshe nhas
nawakened nin nthe nmiddle nof nthe nnight nfeeling nthis nway. nThe nnurse nshould
a. nInstruct nthe npatient nto nsee nthe nHCP nright naway nto nhave nher nblood npressure
nchecked
b. nDiscuss nsupine nhypertension nwith nthe npatient nand nencourage nher nto navoid
nlying nflat non nher nback
c. nReassure nthe npatient nthat nthis nis na nnormal nfinding nfor nthe npregnant npatient
d. nInform nthe npatient nto nincrease nher nfluid nintake nto ntwo nliters na nday n- nANS-B
2. nSigns nof npre-eclampsia ninclude nhypertension, ngeneralized nedema, nand
n__________.
a. nBlurred nvision
b. nProteinuria
c. n+2 nreflexes
d. nIncreased nurinary noutput n- nANS-B
3. nA npatient nis nbeing nadmitted nto nthe nmaternity nunit nbecause nshe nis nin nearly
nlabor. nThe nnurse nwould ninitially
a. nAssess nmaternal nvital nsigns nand nfetal nheartrate
b. nMeasure nfundal nheight nto ndetermine nfetal nsize
c. nPerform na nsterile nvaginal nexam nto ndetermine ncervical ndilation nand neffacement n-
nANS-A
5. nWhile nobtaining nthe nobstetric nhistory nthe npregnant npatient nreports nshe nis n36
nweeks nwith nher nfourth nchild. nShe nstates nshe nhad none nelective nabortion nat n5
nweeks, na ndaughter nwho nwas nborn nat n40 nweeks ngestation, nand na nson nwho nwas
nborn nat n37 nweeks ngestation. nWhat nis nthis npatients nGTPAL ntotal?
a. n4-1-1-1-2
b. n3-1-1-1-2
c. n2-1-0-1-1
d. n4-2-1-0-2 n- nANS-A
6. nThe nmaternal nserum nalfa-fetal nprotein n(MSAFP) nsample ncollected nfrom nthe
npatient nat n16 nweeks ngestation nindicated nthat nthis npregnancy nis nat nhigh-risk nfor
nhaving nDown nSyndrome. nThe npatient nis ninformed nthat nshe nwill nrequire nfurther
ndiagnostic ntesting. nFor nthese nfindings, nthe nMSAFP nlevel nwas
a. nDecreased
, b. nIncreased n- nANS-A
8. nThe npregnant npatient's nlab nvalues nobtained non nthe nfirst nprenatal nvisit nhas
nindicated nthat nthe nrubella ntiter nis nnegative. nThe nnurse nshould
a. nOffer nthe npatient nthe nrubella nvaccine nat nthe nnext nprenatal nvisit
b. nInform nthe npatient nof nthe ndangers nof nnot nreceiving nthe nrubella nvaccine nprior nto
ndelivery
c. nPrepare nthe npatient nto nreceive nthe nvaccine nwithin n72 nhours nfrom nthe nbirth nof
nher nchild
d. nExplain nto nthe npatient nthat na nnegative ntiter nindicated nthat nshe nis nimmune nto
nrubella nat nthis ntime n- nANS-C
9. nThe npost-partum npatient ndelivered nfive nhours nago nand nhas ncool, nclammy nskin,
nand nshe nis nrestless. nThe npatient nis nexcessively nthirsty. nThe nnurse's nfirst naction nis
nto
a. nObtain nmaternal nvital nsigns
b. nNotify nthe nhealthcare nprovider
c. nMassage nthe nfundus nof nuterus
d. nCalculate ntotal nurinary noutput nsince ndelivery n- nANS-C
10. nThe npatient narrives nto nthe nemergency ndepartment nbleeding nheavily. nShe
nreports nbeing n32-weeks npregnant, nheavy nsmoker, nher nvital nsigns nare nstable, nfetal
nheart nbaseline nis nwithin nthe nnormal nrange, nand nshe ndenies npain. nOther
nassessment nfindings ninclude nthe nabdomen nis nsoft nand nnon-tender, nfundal nheight
nappropriate nfor ngestational nage nand nthere nare nno ncontractions. nUpon ninspection
nof nthe nperi-pad nyou nnote nit nis nmoderately nsaturated nwith nbright-red nbleeding. nThis
npatient nis nexperiencing
a. nPlacental nabruption
b. nPlacenta nprevia
c. nThreatened nabortion
d. nInevitable nabortion n- nANS-B
11. nThe nlaboring npatient nis nhaving nstrong ncontractions nevery none nto ntwo nminutes
nthat nare nlasting n60-70 nseconds. nShe nnotifies nthe nnurse nshe nis nhaving nintense
nsensations nof npressure non nthe nperineal narea. nThe nnurse's npriority naction nis nto
a. nPerform nsterile nvaginal nexam nfor ncervical ndilation, neffacement, nand nstation
b. nNotify nthe nhealthcare nprovider nthat nthe npatient nwill nbe ndelivering nsoon
c. nOffer nthe npatient na nbed npan
d. nReposition nthe npatient n- nANS-A
12. nA n32-year-old nprimigravida nwho nis n8 nweeks npregnant npresents nto nthe
nemergency nroom nwith na nchief ncomplaint nof n"unilateral nstabbing npain nin nher nlower
nabdomen nwith ndark nred nbleeding." nBased non nthese nassessment nfindings nthe
nnurse nwould nsuspect nwhich npregnancy-related ncomplications?
a. nPlacenta nPrevia
b. nEctopic npregnancy
Answers
1. nA n34-week ngestation npatient nphones nthe nhealth ncare nproviders noffice nwith
nconcerns nabout nfeeling nlight nheaded. nShe nstates nshe nis ndizzy nwhile nlying ndown
nand nstates nthat nshe n"feels nlike nI ncould npass nout." nShe nalso nreports nshe nhas
nawakened nin nthe nmiddle nof nthe nnight nfeeling nthis nway. nThe nnurse nshould
a. nInstruct nthe npatient nto nsee nthe nHCP nright naway nto nhave nher nblood npressure
nchecked
b. nDiscuss nsupine nhypertension nwith nthe npatient nand nencourage nher nto navoid
nlying nflat non nher nback
c. nReassure nthe npatient nthat nthis nis na nnormal nfinding nfor nthe npregnant npatient
d. nInform nthe npatient nto nincrease nher nfluid nintake nto ntwo nliters na nday n- nANS-B
2. nSigns nof npre-eclampsia ninclude nhypertension, ngeneralized nedema, nand
n__________.
a. nBlurred nvision
b. nProteinuria
c. n+2 nreflexes
d. nIncreased nurinary noutput n- nANS-B
3. nA npatient nis nbeing nadmitted nto nthe nmaternity nunit nbecause nshe nis nin nearly
nlabor. nThe nnurse nwould ninitially
a. nAssess nmaternal nvital nsigns nand nfetal nheartrate
b. nMeasure nfundal nheight nto ndetermine nfetal nsize
c. nPerform na nsterile nvaginal nexam nto ndetermine ncervical ndilation nand neffacement n-
nANS-A
5. nWhile nobtaining nthe nobstetric nhistory nthe npregnant npatient nreports nshe nis n36
nweeks nwith nher nfourth nchild. nShe nstates nshe nhad none nelective nabortion nat n5
nweeks, na ndaughter nwho nwas nborn nat n40 nweeks ngestation, nand na nson nwho nwas
nborn nat n37 nweeks ngestation. nWhat nis nthis npatients nGTPAL ntotal?
a. n4-1-1-1-2
b. n3-1-1-1-2
c. n2-1-0-1-1
d. n4-2-1-0-2 n- nANS-A
6. nThe nmaternal nserum nalfa-fetal nprotein n(MSAFP) nsample ncollected nfrom nthe
npatient nat n16 nweeks ngestation nindicated nthat nthis npregnancy nis nat nhigh-risk nfor
nhaving nDown nSyndrome. nThe npatient nis ninformed nthat nshe nwill nrequire nfurther
ndiagnostic ntesting. nFor nthese nfindings, nthe nMSAFP nlevel nwas
a. nDecreased
, b. nIncreased n- nANS-A
8. nThe npregnant npatient's nlab nvalues nobtained non nthe nfirst nprenatal nvisit nhas
nindicated nthat nthe nrubella ntiter nis nnegative. nThe nnurse nshould
a. nOffer nthe npatient nthe nrubella nvaccine nat nthe nnext nprenatal nvisit
b. nInform nthe npatient nof nthe ndangers nof nnot nreceiving nthe nrubella nvaccine nprior nto
ndelivery
c. nPrepare nthe npatient nto nreceive nthe nvaccine nwithin n72 nhours nfrom nthe nbirth nof
nher nchild
d. nExplain nto nthe npatient nthat na nnegative ntiter nindicated nthat nshe nis nimmune nto
nrubella nat nthis ntime n- nANS-C
9. nThe npost-partum npatient ndelivered nfive nhours nago nand nhas ncool, nclammy nskin,
nand nshe nis nrestless. nThe npatient nis nexcessively nthirsty. nThe nnurse's nfirst naction nis
nto
a. nObtain nmaternal nvital nsigns
b. nNotify nthe nhealthcare nprovider
c. nMassage nthe nfundus nof nuterus
d. nCalculate ntotal nurinary noutput nsince ndelivery n- nANS-C
10. nThe npatient narrives nto nthe nemergency ndepartment nbleeding nheavily. nShe
nreports nbeing n32-weeks npregnant, nheavy nsmoker, nher nvital nsigns nare nstable, nfetal
nheart nbaseline nis nwithin nthe nnormal nrange, nand nshe ndenies npain. nOther
nassessment nfindings ninclude nthe nabdomen nis nsoft nand nnon-tender, nfundal nheight
nappropriate nfor ngestational nage nand nthere nare nno ncontractions. nUpon ninspection
nof nthe nperi-pad nyou nnote nit nis nmoderately nsaturated nwith nbright-red nbleeding. nThis
npatient nis nexperiencing
a. nPlacental nabruption
b. nPlacenta nprevia
c. nThreatened nabortion
d. nInevitable nabortion n- nANS-B
11. nThe nlaboring npatient nis nhaving nstrong ncontractions nevery none nto ntwo nminutes
nthat nare nlasting n60-70 nseconds. nShe nnotifies nthe nnurse nshe nis nhaving nintense
nsensations nof npressure non nthe nperineal narea. nThe nnurse's npriority naction nis nto
a. nPerform nsterile nvaginal nexam nfor ncervical ndilation, neffacement, nand nstation
b. nNotify nthe nhealthcare nprovider nthat nthe npatient nwill nbe ndelivering nsoon
c. nOffer nthe npatient na nbed npan
d. nReposition nthe npatient n- nANS-A
12. nA n32-year-old nprimigravida nwho nis n8 nweeks npregnant npresents nto nthe
nemergency nroom nwith na nchief ncomplaint nof n"unilateral nstabbing npain nin nher nlower
nabdomen nwith ndark nred nbleeding." nBased non nthese nassessment nfindings nthe
nnurse nwould nsuspect nwhich npregnancy-related ncomplications?
a. nPlacenta nPrevia
b. nEctopic npregnancy
