NURS 326 Exam #1 Questions With Complete Solutions
A 22-year-old woman pregnant with a single fetus had a
preconception body mass index (BMI) of 24. When she was
seen in the clinic at 14 weeks of gestation, she had gained 1.8 kg
(4 lbs) since conception. How would the nurse interpret this
finding?
a. The woman's weight gain is appropriate for this stage of
pregnancy.
b. This weight gain indicates possible gestational hypertension.
c. This weight gain indicates that the woman's infant is at risk
for intrauterine growth restriction (IUGR).
d. This weight gain cannot be evaluated until the woman has
been observed for several more weeks. Correct Answers a. The
woman's weight gain is appropriate for this stage of pregnancy.
A 25 - year old pregnant patient is at 10 weeks of gestation.
Their BMI is calculated to be 24. Regarding weight gain during
pregnancy, the nurse should recommend:
a. A total weight gain of 39 lbs
b. First - trimester weight gain of 2 to 4 lbs
c. Weight gain of 1 lb. each week for 40 weeks
d. Weight gain of 6 lbs. during the second and third trimester
Correct Answers b. First trimester weight gain of 2 to 4 lbs.
A 35 year patient is 30 weeks pregnant. They have 2 boys one
born at 31 weeks and one born at 38 weeks. The patient also has
1 daughter born at 38 weeks and reports that they miscarried at
,16 weeks. What is the patient's GTPAL? Correct Answers 5-2-
1-1-3
A client arrives at a prenatal clinic for the first prenatal
assessment. The client tells a nurse that the first day of her last
menstrual period was September 19th, 2013. Using Naegele's
rule, the nurse determines the estimated date of confinement as:
A. July 26, 2013
B. June 12, 2014
C. June 26, 2014
D. July 12, 2014 Correct Answers C. June 26, 2014
A client in the first trimester of pregnancy arrives at a health
care clinic and reports that she has been experiencing vaginal
bleeding. A threatened abortion is suspected, and the nurse
instructs the client regarding management of care. Which
statement, if made by the client, indicates a need for further
education?
A. "I will maintain strict bedrest throughout the remainder of the
pregnancy."
B. "I will avoid sexual intercourse until the bleeding has
stopped, and for 2 weeks following the last evidence of
bleeding."
C. "I will count the number of perineal pads used on a daily
basis and note the amount and color of blood on the pad."
D. "I will watch for the evidence of the passage of tissue."
Correct Answers A. "I will maintain strict bedrest throughout
the remainder of the pregnancy."
,A client who is 36 weeks pregnant comes to the clinic for a
prenatal checkup. To assess the client's preparation for
parenting, the nurse might ask which question?
A. "Are you planning to have epidural anesthesia?"
B. "Have you begun prenatal classes?"
C. "What changes have you made at home to get ready for the
baby?"
D. "Can you tell me about the meals you typically eat each
day?" Correct Answers C. "What changes have you made at
home to get ready for the baby?"
A client who is at 7 weeks of gestation is experiencing N/V in
the morning. Which of the following should the nurse include?
a. Awaken during the night to eat a snack
b. Eat crackers or plain toast before getting out of bed
c. Skip breakfast and eat lunch after nausea has subsided
d. Eat a large evening meal Correct Answers b. Eat crackers or
plain toast before getting out of bed
A client who is at 8 weeks of gestation tells the RN that she isn't
sure she is happy about being pregnant. Which of the following
responses should the nurse make?
a. "I will inform the provider that you are having these feelings"
b. "It is normal to have these feelings during the first few
months of pregnancy"
c. "You should be happy that you are going to bring a new life
into the world"
, d. "I am going to make you an appointment with a counselor so
you can discuss these thoughts" Correct Answers b. "It is
normal to have these feelings during the first few months of
pregnancy"
A group of maternity nurses are providing education to pregnant
clients about changes in blood pressure. What information
should the nurses include?
a. Compression of the iliac veins and inferior vena cava by the
uterus contributes to hemorrhoids in the later stage of term
pregnancy.
b. The systolic blood pressure increases slightly as pregnancy
advances; the diastolic pressure remains constant.
c. Shifting the client's position and changing from arm to arm
for different measurements produces the most accurate
composite blood pressure reading at each visit.
d. A blood pressure cuff that is too small produces a reading that
is too low; a cuff that is too large produces a reading that is too
high. Correct Answers a. Compression of the iliac veins and
inferior vena cava by the uterus contributes to hemorrhoids in
the later stage of term pregnancy.
A group of student nurses are reiviewing length for a normal
pregnancy. Which time span should the student nurse identify as
being appropriate?
a. 9 lunar months, 8.5 calendar months, 39 weeks, 272 days
b. 9 calendar months, 10 lunar months, 42 weeks, 294 days
c. 9 calendar months, 38 weeks, 266 days
A 22-year-old woman pregnant with a single fetus had a
preconception body mass index (BMI) of 24. When she was
seen in the clinic at 14 weeks of gestation, she had gained 1.8 kg
(4 lbs) since conception. How would the nurse interpret this
finding?
a. The woman's weight gain is appropriate for this stage of
pregnancy.
b. This weight gain indicates possible gestational hypertension.
c. This weight gain indicates that the woman's infant is at risk
for intrauterine growth restriction (IUGR).
d. This weight gain cannot be evaluated until the woman has
been observed for several more weeks. Correct Answers a. The
woman's weight gain is appropriate for this stage of pregnancy.
A 25 - year old pregnant patient is at 10 weeks of gestation.
Their BMI is calculated to be 24. Regarding weight gain during
pregnancy, the nurse should recommend:
a. A total weight gain of 39 lbs
b. First - trimester weight gain of 2 to 4 lbs
c. Weight gain of 1 lb. each week for 40 weeks
d. Weight gain of 6 lbs. during the second and third trimester
Correct Answers b. First trimester weight gain of 2 to 4 lbs.
A 35 year patient is 30 weeks pregnant. They have 2 boys one
born at 31 weeks and one born at 38 weeks. The patient also has
1 daughter born at 38 weeks and reports that they miscarried at
,16 weeks. What is the patient's GTPAL? Correct Answers 5-2-
1-1-3
A client arrives at a prenatal clinic for the first prenatal
assessment. The client tells a nurse that the first day of her last
menstrual period was September 19th, 2013. Using Naegele's
rule, the nurse determines the estimated date of confinement as:
A. July 26, 2013
B. June 12, 2014
C. June 26, 2014
D. July 12, 2014 Correct Answers C. June 26, 2014
A client in the first trimester of pregnancy arrives at a health
care clinic and reports that she has been experiencing vaginal
bleeding. A threatened abortion is suspected, and the nurse
instructs the client regarding management of care. Which
statement, if made by the client, indicates a need for further
education?
A. "I will maintain strict bedrest throughout the remainder of the
pregnancy."
B. "I will avoid sexual intercourse until the bleeding has
stopped, and for 2 weeks following the last evidence of
bleeding."
C. "I will count the number of perineal pads used on a daily
basis and note the amount and color of blood on the pad."
D. "I will watch for the evidence of the passage of tissue."
Correct Answers A. "I will maintain strict bedrest throughout
the remainder of the pregnancy."
,A client who is 36 weeks pregnant comes to the clinic for a
prenatal checkup. To assess the client's preparation for
parenting, the nurse might ask which question?
A. "Are you planning to have epidural anesthesia?"
B. "Have you begun prenatal classes?"
C. "What changes have you made at home to get ready for the
baby?"
D. "Can you tell me about the meals you typically eat each
day?" Correct Answers C. "What changes have you made at
home to get ready for the baby?"
A client who is at 7 weeks of gestation is experiencing N/V in
the morning. Which of the following should the nurse include?
a. Awaken during the night to eat a snack
b. Eat crackers or plain toast before getting out of bed
c. Skip breakfast and eat lunch after nausea has subsided
d. Eat a large evening meal Correct Answers b. Eat crackers or
plain toast before getting out of bed
A client who is at 8 weeks of gestation tells the RN that she isn't
sure she is happy about being pregnant. Which of the following
responses should the nurse make?
a. "I will inform the provider that you are having these feelings"
b. "It is normal to have these feelings during the first few
months of pregnancy"
c. "You should be happy that you are going to bring a new life
into the world"
, d. "I am going to make you an appointment with a counselor so
you can discuss these thoughts" Correct Answers b. "It is
normal to have these feelings during the first few months of
pregnancy"
A group of maternity nurses are providing education to pregnant
clients about changes in blood pressure. What information
should the nurses include?
a. Compression of the iliac veins and inferior vena cava by the
uterus contributes to hemorrhoids in the later stage of term
pregnancy.
b. The systolic blood pressure increases slightly as pregnancy
advances; the diastolic pressure remains constant.
c. Shifting the client's position and changing from arm to arm
for different measurements produces the most accurate
composite blood pressure reading at each visit.
d. A blood pressure cuff that is too small produces a reading that
is too low; a cuff that is too large produces a reading that is too
high. Correct Answers a. Compression of the iliac veins and
inferior vena cava by the uterus contributes to hemorrhoids in
the later stage of term pregnancy.
A group of student nurses are reiviewing length for a normal
pregnancy. Which time span should the student nurse identify as
being appropriate?
a. 9 lunar months, 8.5 calendar months, 39 weeks, 272 days
b. 9 calendar months, 10 lunar months, 42 weeks, 294 days
c. 9 calendar months, 38 weeks, 266 days
