NURS 431 EXAM QUESTIONS WITH
VERIFIED ANSWERS
Factors influencing the decision to undergo genetic testing before and/or during
pregnancy include:
Select all that apply.
-Social norms, where care is received, socioeconomic status
-Feelings of commitment and responsibility to others
-The needs and preferences of the individual
-Cultural and ethnic differences
-The doctor's decision for the patient - Answer--Social norms, where care is received,
socioeconomic status
-Feelings of commitment and responsibility to others
-The needs and preferences of the individual
-Cultural and ethnic differences
You are caring for a newly admitted patient with a diagnosis of hyperemesis
gravidarum. Which finding is a clinical manifestation of this diagnosis?
-Fasting serum glucose of 100
-Platelets of 100,000
-Hemoglobin of 10.8
-Ketones present in urine sample - Answer--Ketones present in urine sample
You are caring for a patient who has just been diagnosed with HELLP syndrome. You
would expect to see the following findings in her lab results:
-Elevated WBCs
-Elevated hemoglobin level (>12.0)
-Decreased liver enzymes (AST and ALT)
-Low platelets (<100,000) - Answer--Low platelets (<100,000)
The most critical time during fetal development for threats to the developing body
systems is:
-The fetal period - from week 18 through week 28 post conception
-The fetal period - from week 9 through week 18 post conception
-The embryonic period - from day 15 to 60 post conception
-The pre-embryonic period - from fertilization to the second week of pregnancy -
Answer--The embryonic period - from day 15 to 60 post conception
You are caring for a client at her initial prenatal visit. During the history interview, the
patient mentions that she was pregnant in 2010 and the pregnancy ended at 12 weeks;
her second pregnancy was in 2012, delivered at 36 weeks and child is alive; her other
pregnancy was twins delivered at 34 weeks gestations and both babies are alive; and
she is currently pregnant. Calculate the GTPAL.
- G-4, T-1, P-2, A-1, L-3
, - G-5, T-0, P-3, A-1, L-3
- G-4, T-0, P-2, A-1, L-3
- G-4, T-0, P-3, A-1, L-3 - Answer-- G-4, T-0, P-2, A-1, L-3
You are caring for a client on her initial prenatal visit. Her LMP was July 8th, 2020.
Using Nagele's rule what is her estimated date of delivery (EDD)?
- 04/15/2021
- 05/15/2021
- 03/15/2021
- 02/15/2021 - Answer-- 04/15/2021
A mom has a painful abdomen and foul smelling lochia. What do you suspect? -
Answer-suspect an infection. endometriosis possibly
A nurse is caring for a client in Labor & Delivery on a fetal heart monitor and notes
periodic episodic accelerations of the fetal heart rate with fetal movement. Which of the
following actions is appropriate?
-Reposition the mother and check the monitor for other changes in the tracing
-Notify the physician or midwife as soon as possible of the findings
-Take the mothers vital signs and tell the mother that she may need to be started on
oxygen
-Document the findings and tell the mother that the tracing indicates fetal well being -
Answer--Document the findings and tell the mother that the tracing indicates fetal well
being
What is the priority intervention for a patient who is having recurrent late decelerations
while lying on her side and with Pitocin infusing for labor augmentation.
-Document the findings
-Notify the provider
-Apply oxygen to the mother
-Stop the Pitocin infusion - Answer--Stop the Pitocin infusion
A pregnant patient at 39 weeks gestation calls the clinic to ask if she might be in labor.
The following signs indicate that she is likely in true labor:
-Bloody show
-Cervical effacement
-Regular contractions that have been getting stronger and closer together
-Contractions that get stronger or less strong depending on maternal movement -
Answer--Regular contractions that have been getting stronger and closer together
You are caring for a patient who has just had a c-section. You need to be aware of the
risks of a c-section which include:
-Decreased incidence of sepsis
-Maternal morbidity that is 5-10 times higher than for a vaginal birth
-Increased infertility with future pregnancies
VERIFIED ANSWERS
Factors influencing the decision to undergo genetic testing before and/or during
pregnancy include:
Select all that apply.
-Social norms, where care is received, socioeconomic status
-Feelings of commitment and responsibility to others
-The needs and preferences of the individual
-Cultural and ethnic differences
-The doctor's decision for the patient - Answer--Social norms, where care is received,
socioeconomic status
-Feelings of commitment and responsibility to others
-The needs and preferences of the individual
-Cultural and ethnic differences
You are caring for a newly admitted patient with a diagnosis of hyperemesis
gravidarum. Which finding is a clinical manifestation of this diagnosis?
-Fasting serum glucose of 100
-Platelets of 100,000
-Hemoglobin of 10.8
-Ketones present in urine sample - Answer--Ketones present in urine sample
You are caring for a patient who has just been diagnosed with HELLP syndrome. You
would expect to see the following findings in her lab results:
-Elevated WBCs
-Elevated hemoglobin level (>12.0)
-Decreased liver enzymes (AST and ALT)
-Low platelets (<100,000) - Answer--Low platelets (<100,000)
The most critical time during fetal development for threats to the developing body
systems is:
-The fetal period - from week 18 through week 28 post conception
-The fetal period - from week 9 through week 18 post conception
-The embryonic period - from day 15 to 60 post conception
-The pre-embryonic period - from fertilization to the second week of pregnancy -
Answer--The embryonic period - from day 15 to 60 post conception
You are caring for a client at her initial prenatal visit. During the history interview, the
patient mentions that she was pregnant in 2010 and the pregnancy ended at 12 weeks;
her second pregnancy was in 2012, delivered at 36 weeks and child is alive; her other
pregnancy was twins delivered at 34 weeks gestations and both babies are alive; and
she is currently pregnant. Calculate the GTPAL.
- G-4, T-1, P-2, A-1, L-3
, - G-5, T-0, P-3, A-1, L-3
- G-4, T-0, P-2, A-1, L-3
- G-4, T-0, P-3, A-1, L-3 - Answer-- G-4, T-0, P-2, A-1, L-3
You are caring for a client on her initial prenatal visit. Her LMP was July 8th, 2020.
Using Nagele's rule what is her estimated date of delivery (EDD)?
- 04/15/2021
- 05/15/2021
- 03/15/2021
- 02/15/2021 - Answer-- 04/15/2021
A mom has a painful abdomen and foul smelling lochia. What do you suspect? -
Answer-suspect an infection. endometriosis possibly
A nurse is caring for a client in Labor & Delivery on a fetal heart monitor and notes
periodic episodic accelerations of the fetal heart rate with fetal movement. Which of the
following actions is appropriate?
-Reposition the mother and check the monitor for other changes in the tracing
-Notify the physician or midwife as soon as possible of the findings
-Take the mothers vital signs and tell the mother that she may need to be started on
oxygen
-Document the findings and tell the mother that the tracing indicates fetal well being -
Answer--Document the findings and tell the mother that the tracing indicates fetal well
being
What is the priority intervention for a patient who is having recurrent late decelerations
while lying on her side and with Pitocin infusing for labor augmentation.
-Document the findings
-Notify the provider
-Apply oxygen to the mother
-Stop the Pitocin infusion - Answer--Stop the Pitocin infusion
A pregnant patient at 39 weeks gestation calls the clinic to ask if she might be in labor.
The following signs indicate that she is likely in true labor:
-Bloody show
-Cervical effacement
-Regular contractions that have been getting stronger and closer together
-Contractions that get stronger or less strong depending on maternal movement -
Answer--Regular contractions that have been getting stronger and closer together
You are caring for a patient who has just had a c-section. You need to be aware of the
risks of a c-section which include:
-Decreased incidence of sepsis
-Maternal morbidity that is 5-10 times higher than for a vaginal birth
-Increased infertility with future pregnancies
