NUR-631 Advanced Health Assessment TEST
BANK Exam LATEST 2024/2025 D'Youville
University GRADED A +
NUR-631 Advanced Health Assessment TEST BANK
Exam LATEST 2024/2025 D'Youville University
GRADED A + GUARANTEED PASS (QUESTIONS
AND ANSWERS WITH RATIONALES) ACE YOUR
EXAM -pdf
A 29-year-old homemaker who is G4P3 comes to your clinic for her first prenatal check. Her
last period was 2 months ago. She has had three previous pregnancies and deliveries with no
complications. She has no medical problems and has had no surgeries. Her only current
complaint is of severe reflux that occurs in the mornings and evenings. On examination she is
in no acute distress. Her vitals are 110/70 with a pulse of 88. Her respirations are 16. Her head,
eyes, ears, nose, throat, thyroid, cardiac, pulmonary, and abdominal examinations are
unremarkable. On bimanual examination her cervix is soft and her uterus is 10 weeks in size.
Pap smear, cultures, and blood work are pending.
What is the most likely cause of her first-trimester reflux?
A) Increasing prolactin levels
B) Increasing ADH (antidiuretic hormone) levels
C) Increasing progesterone
D) Enlarged gravid uterus - ANS :C) Increasing progesterone
A 26-year-old telephone operator comes to your office for her first prenatal visit. This is her
first pregnancy. Her last period was about 2 months ago. She has no current complaints. She
is eating healthily, taking vitamins, and exercising. She has a past medical history of an
appendectomy as a teenager. Her mother had three children vaginally with no complications.
On examination she appears healthy and her vital signs are unremarkable. Her head, eyes,
ears, nose, throat, thyroid, cardiac, pulmonary, and abdominal examinations are also
unremarkable. By speculum examination, her cervix appears bluish in color and highly
A BOMB 1
, NUR-631 Advanced Health Assessment TEST
BANK Exam LATEST 2024/2025 D'Youville
University GRADED A +
vascular. A bimanual examination reveals a soft cervix and a 12-week-sized uterus. No masses
are felt in either adnexal area. Results of her Pap, cultures, and blood work are pending.
What clinical sign is responsible for her blue, highly vascular cervix?
A) Chadwick's sign
B) Hegar's sign
C) Leopold - ANS :A) Chadwick's sign
A 22-year-old clerk, primigravida, comes to your office for a prenatal visit. She is in her second
trimester and has had prenatal care since she was 8 weeks pregnant. Her only complaint is
that she has a new brownish line straight down her abdomen. On examination her vital signs
are unremarkable. Her urine has no protein, glucose, or leukocytes. With a Doptone the fetal
heart rate is 140, and her uterus is palpated to the umbilicus. Today you are sending her for
congenital abnormality screening and setting up an ultrasound.
What physical finding is responsible for her new "brown line"?
A) Corpus luteum
B) Linea nigra
C) Linea alba
D) Diastasis recti - ANS :B) Linea nigra
A 20-year-old college student comes in with symptoms of fatigue, nausea, and an increase in
urination. Her last period was 3 months ago (June 20, 2008). She is sexually active and always
uses condoms. Her past medical history is unremarkable. On examination you see a young,
anxious-appearing woman. Her vital signs are unremarkable. Her head, eyes, ears, throat,
neck, thyroid, cardiac, pulmonary, and abdominal examinations are unremarkable. On pelvic
examination a soft cervix is palpated and a 14-week-sized uterus is palpated. A urine
pregnancy test is positive. You then inform the patient that she is expecting and, using
Naegele's rule, give her the estimated date of confinement (EDC, or due date).
A BOMB 2
, NUR-631 Advanced Health Assessment TEST
BANK Exam LATEST 2024/2025 D'Youville
University GRADED A +
What was the due date you gave her?
A) March 27, 2009
B) March 13, 2009
C) September 27, 2009
D) March 20, 2009 - ANS :A) March 27, 2009
A 32-year-old attorney comes to your office for her second prenatal visit. She has had two
previous pregnancies with uneventful prenatal care and vaginal deliveries. Her only problem
was that with each pregnancy she gained 50 lbs (23 kg) and had difficulty losing the weight
afterward. She has no complaints today. Looking at her chart, you see she is currently 10
weeks pregnant and that her prenatal weight was 130 lbs (59 kg). Her weight today is 134 lbs
(60.9 kg). Her height is 5'4", giving her a BMI of 22. Her blood pressure, pulse, and urine tests
are unremarkable. The fetal heart tone is difficult to find but is located and is 150. While you
give her first trimester education, you tell her how much weight you expect her to gain.
How much weight should this patient gain during pregnancy?
A) Less than 15 pounds (less than 7 kg)
B) 15 to 25 pounds (7 to 11.5 kg)
C) 25 to 35 pounds (11.5 to 16 kg)
D) 30 to 40 pounds ( - ANS :C) 25 to 35 pounds (11.5 to 16 kg)
A 35-year-old bus driver comes to your office for a prenatal visit. She is approximately 28
weeks pregnant and has had no complications. She is complaining only of heartburn and has
had no fatigue, headaches, leg swelling, contractions, leakage of fluid, or bleeding. On
examination her blood pressure is 142/92 and her urine shows no glucose, protein, or
leukocytes. Her weight gain is appropriate, with no large recent increases. Fetal tones are 140
and her uterus measures 32 cm from the pubic bone. Looking back through her chart, you see
A BOMB 3
, NUR-631 Advanced Health Assessment TEST
BANK Exam LATEST 2024/2025 D'Youville
University GRADED A +
her prenatal blood pressure was 120/70 and her blood pressures during the first 20 weeks
were usually 120 to 130/70 to 80.
What type of blood pressure is this?
A) Normotensive for pregnancy
B) Chronic hypertension
C) Gestational hypertension
D) Preeclampsia - ANS :C) Gestational hypertension
A 24-year-old cashier comes to your clinic for her first OB visit. She had her last period 10
weeks before, which would mean she is 12 weeks pregnant. She did a home pregnancy urine
test a month ago and it was positive. She has had some fatigue and nausea, but not in the
last week. She has had no cramping or bleeding. Her vital signs, head, eyes, ears, nose, throat,
thyroid, cardiac, pulmonary, and abdominal examinations are all unremarkable. On speculum
examination her os is closed and there is a pinkish hue to the cervix. On bimanual examination
the cervix is soft and the uterus is enlarged to the pelvic brim. Despite 20 minutes of trying,
you cannot find heart tones. You repeat a urine pregnancy test and it is negative. A serum
pregnancy test is ordered and is positive. You send the patient for a vaginal ultrasound.
What is the most likely explanation for her presentation?
A) Earlier than 12 weeks
B) Fetal demise - ANS :B) Fetal demise (missed abortion)
Jeannie is a 24-year-old pregnant woman who asks you today if her frequent urination is
normal. Which of the following hormones is most likely responsible for this?
A) TSH
B) HCG
C) Oxytocin
A BOMB 4
BANK Exam LATEST 2024/2025 D'Youville
University GRADED A +
NUR-631 Advanced Health Assessment TEST BANK
Exam LATEST 2024/2025 D'Youville University
GRADED A + GUARANTEED PASS (QUESTIONS
AND ANSWERS WITH RATIONALES) ACE YOUR
EXAM -pdf
A 29-year-old homemaker who is G4P3 comes to your clinic for her first prenatal check. Her
last period was 2 months ago. She has had three previous pregnancies and deliveries with no
complications. She has no medical problems and has had no surgeries. Her only current
complaint is of severe reflux that occurs in the mornings and evenings. On examination she is
in no acute distress. Her vitals are 110/70 with a pulse of 88. Her respirations are 16. Her head,
eyes, ears, nose, throat, thyroid, cardiac, pulmonary, and abdominal examinations are
unremarkable. On bimanual examination her cervix is soft and her uterus is 10 weeks in size.
Pap smear, cultures, and blood work are pending.
What is the most likely cause of her first-trimester reflux?
A) Increasing prolactin levels
B) Increasing ADH (antidiuretic hormone) levels
C) Increasing progesterone
D) Enlarged gravid uterus - ANS :C) Increasing progesterone
A 26-year-old telephone operator comes to your office for her first prenatal visit. This is her
first pregnancy. Her last period was about 2 months ago. She has no current complaints. She
is eating healthily, taking vitamins, and exercising. She has a past medical history of an
appendectomy as a teenager. Her mother had three children vaginally with no complications.
On examination she appears healthy and her vital signs are unremarkable. Her head, eyes,
ears, nose, throat, thyroid, cardiac, pulmonary, and abdominal examinations are also
unremarkable. By speculum examination, her cervix appears bluish in color and highly
A BOMB 1
, NUR-631 Advanced Health Assessment TEST
BANK Exam LATEST 2024/2025 D'Youville
University GRADED A +
vascular. A bimanual examination reveals a soft cervix and a 12-week-sized uterus. No masses
are felt in either adnexal area. Results of her Pap, cultures, and blood work are pending.
What clinical sign is responsible for her blue, highly vascular cervix?
A) Chadwick's sign
B) Hegar's sign
C) Leopold - ANS :A) Chadwick's sign
A 22-year-old clerk, primigravida, comes to your office for a prenatal visit. She is in her second
trimester and has had prenatal care since she was 8 weeks pregnant. Her only complaint is
that she has a new brownish line straight down her abdomen. On examination her vital signs
are unremarkable. Her urine has no protein, glucose, or leukocytes. With a Doptone the fetal
heart rate is 140, and her uterus is palpated to the umbilicus. Today you are sending her for
congenital abnormality screening and setting up an ultrasound.
What physical finding is responsible for her new "brown line"?
A) Corpus luteum
B) Linea nigra
C) Linea alba
D) Diastasis recti - ANS :B) Linea nigra
A 20-year-old college student comes in with symptoms of fatigue, nausea, and an increase in
urination. Her last period was 3 months ago (June 20, 2008). She is sexually active and always
uses condoms. Her past medical history is unremarkable. On examination you see a young,
anxious-appearing woman. Her vital signs are unremarkable. Her head, eyes, ears, throat,
neck, thyroid, cardiac, pulmonary, and abdominal examinations are unremarkable. On pelvic
examination a soft cervix is palpated and a 14-week-sized uterus is palpated. A urine
pregnancy test is positive. You then inform the patient that she is expecting and, using
Naegele's rule, give her the estimated date of confinement (EDC, or due date).
A BOMB 2
, NUR-631 Advanced Health Assessment TEST
BANK Exam LATEST 2024/2025 D'Youville
University GRADED A +
What was the due date you gave her?
A) March 27, 2009
B) March 13, 2009
C) September 27, 2009
D) March 20, 2009 - ANS :A) March 27, 2009
A 32-year-old attorney comes to your office for her second prenatal visit. She has had two
previous pregnancies with uneventful prenatal care and vaginal deliveries. Her only problem
was that with each pregnancy she gained 50 lbs (23 kg) and had difficulty losing the weight
afterward. She has no complaints today. Looking at her chart, you see she is currently 10
weeks pregnant and that her prenatal weight was 130 lbs (59 kg). Her weight today is 134 lbs
(60.9 kg). Her height is 5'4", giving her a BMI of 22. Her blood pressure, pulse, and urine tests
are unremarkable. The fetal heart tone is difficult to find but is located and is 150. While you
give her first trimester education, you tell her how much weight you expect her to gain.
How much weight should this patient gain during pregnancy?
A) Less than 15 pounds (less than 7 kg)
B) 15 to 25 pounds (7 to 11.5 kg)
C) 25 to 35 pounds (11.5 to 16 kg)
D) 30 to 40 pounds ( - ANS :C) 25 to 35 pounds (11.5 to 16 kg)
A 35-year-old bus driver comes to your office for a prenatal visit. She is approximately 28
weeks pregnant and has had no complications. She is complaining only of heartburn and has
had no fatigue, headaches, leg swelling, contractions, leakage of fluid, or bleeding. On
examination her blood pressure is 142/92 and her urine shows no glucose, protein, or
leukocytes. Her weight gain is appropriate, with no large recent increases. Fetal tones are 140
and her uterus measures 32 cm from the pubic bone. Looking back through her chart, you see
A BOMB 3
, NUR-631 Advanced Health Assessment TEST
BANK Exam LATEST 2024/2025 D'Youville
University GRADED A +
her prenatal blood pressure was 120/70 and her blood pressures during the first 20 weeks
were usually 120 to 130/70 to 80.
What type of blood pressure is this?
A) Normotensive for pregnancy
B) Chronic hypertension
C) Gestational hypertension
D) Preeclampsia - ANS :C) Gestational hypertension
A 24-year-old cashier comes to your clinic for her first OB visit. She had her last period 10
weeks before, which would mean she is 12 weeks pregnant. She did a home pregnancy urine
test a month ago and it was positive. She has had some fatigue and nausea, but not in the
last week. She has had no cramping or bleeding. Her vital signs, head, eyes, ears, nose, throat,
thyroid, cardiac, pulmonary, and abdominal examinations are all unremarkable. On speculum
examination her os is closed and there is a pinkish hue to the cervix. On bimanual examination
the cervix is soft and the uterus is enlarged to the pelvic brim. Despite 20 minutes of trying,
you cannot find heart tones. You repeat a urine pregnancy test and it is negative. A serum
pregnancy test is ordered and is positive. You send the patient for a vaginal ultrasound.
What is the most likely explanation for her presentation?
A) Earlier than 12 weeks
B) Fetal demise - ANS :B) Fetal demise (missed abortion)
Jeannie is a 24-year-old pregnant woman who asks you today if her frequent urination is
normal. Which of the following hormones is most likely responsible for this?
A) TSH
B) HCG
C) Oxytocin
A BOMB 4
