N306 Final Study Guide Practice EXAM NEWEST, 2024/
2025, ACTUAL EXAM QUESTIONS AND WELL
VERIFIED -ANSWER--S REAL EXAM!!
What hormone is tested to confirm pregnancy? ......-ANSWER--.....HCG (human
chorionic gonadotropin)
A woman comes into the clinical and is being treated for infertility with
Clomiphene Citrate. You are educating her on adverse reactions. You know
education was successful when ......-ANSWER--.....The woman states the adverse
effects are hot flashes, breast discomfort, headaches, and insomnia
Action: stimulates release of FSH and LH
Progesterone ......-ANSWER--.....Facilitates implantation and decreases uterine
contraction
Estrogen ......-ANSWER--.....enlargement of breasts and uterus
hCG - Human Chorionic Gonadotropin Hormone ......-ANSWER--.....stims corpus
lute to secrete progesterone/estrogen
,hPL (human placental lactose) ......-ANSWER--.....increases insulin resistance in
mom and prepares breasts for lactation
A woman comes into the emergency department and states that she thinks her
water just broke. What test should be done? ......-ANSWER--.....Nitrazine test
To determine if if was urine (acidic) or manic fluid (alkaline)
When is the fetus most vulnerable to teratogens? ......-ANSWER--.....In the first
trimester
During organogenesis (4-8 weeks)
A woman states that she and her husband have been out of the country and they
are trying to get pregnant. The father tests positive for Zika. What would you
educate them? ......-ANSWER--.....Do not get pregnant for 6 months, lives in
testes for 6 months
What are presumptive signs of pregnancy? ......-ANSWER--.....Amenorrhea
N/V
Breast changes
Urination frequency
Quickening (fetal movement)
,What are probable signs of pregnancy? ......-ANSWER--.....*Chadwick's sign*:
blueishpurple vaginal mucosa seen at 6-8 wks
*Goodell's sign*: softening of the cervix palpates at 8 wks
*Hegar's sign*: softening of the lower uterine segment at 6 wks
Melasma: brownish pigmentation on forehead
Linea negra: dark line from umbilicus to pubis
*Ballottement*: sharp upward pushing against the uterine wall with a finger
inserted into the vagina and will feel impact of the displaced fetus (16 wks)
Positive pregnancy test --> hCG in urine
McDonald's rule ......-ANSWER--.....Between 22-24 weeks fundal height in cm
should match the number of weeks
12 weeks: fundus clears symphysis
20 weeks: fundus at umbilicus
36 weeks: fundus at xiphoid
If a mother comes in and is group B strep positive. What should the nurse do?
......-ANSWER--.....Give the mother antibiotic, ampicillin 1g Q4h
If a mother gives birth and is Hep B positive, what should the nurse do?
......-ANSWER--.....Give hepatitis B globulin (HBIG) AND hepatitis vaccine (2
shots) If the mother is negative only give the vaccine
, What test is given to the mother if she is Rh negative to see if she is sensitized to
her babies blood? ......-ANSWER--.....Coombs test --> if it positive she has been
sensitized and needs Rhogam
What does the biophysical profile consist of? ......-ANSWER--.....FHR reactivity
(NST)
Fetal movements
Tone
Breathing
Amniotic fluid volume
*a score of 2/10 or less prompts immediate delivery*
Chorionic villus sampling ......-ANSWER--.....Used for chromosomal analysis
between
10-12 weeks to detect feral abnormalities
Tests for metabolic disorders --> cystic fibrosis
Fetal heart rate is auscultated twice in 30 mins
Instruct the woman to report: abdominal cramping, leaking of fluid, bleeding,
fever, or chills
Administer Rhogam to Rh- mothers
Amniocentesis ......-ANSWER--.....Genetic testing, fetal lung maturity, assessment
of hemolytic disease, or intrauterine infection, and therapy for polyhydramnios
2025, ACTUAL EXAM QUESTIONS AND WELL
VERIFIED -ANSWER--S REAL EXAM!!
What hormone is tested to confirm pregnancy? ......-ANSWER--.....HCG (human
chorionic gonadotropin)
A woman comes into the clinical and is being treated for infertility with
Clomiphene Citrate. You are educating her on adverse reactions. You know
education was successful when ......-ANSWER--.....The woman states the adverse
effects are hot flashes, breast discomfort, headaches, and insomnia
Action: stimulates release of FSH and LH
Progesterone ......-ANSWER--.....Facilitates implantation and decreases uterine
contraction
Estrogen ......-ANSWER--.....enlargement of breasts and uterus
hCG - Human Chorionic Gonadotropin Hormone ......-ANSWER--.....stims corpus
lute to secrete progesterone/estrogen
,hPL (human placental lactose) ......-ANSWER--.....increases insulin resistance in
mom and prepares breasts for lactation
A woman comes into the emergency department and states that she thinks her
water just broke. What test should be done? ......-ANSWER--.....Nitrazine test
To determine if if was urine (acidic) or manic fluid (alkaline)
When is the fetus most vulnerable to teratogens? ......-ANSWER--.....In the first
trimester
During organogenesis (4-8 weeks)
A woman states that she and her husband have been out of the country and they
are trying to get pregnant. The father tests positive for Zika. What would you
educate them? ......-ANSWER--.....Do not get pregnant for 6 months, lives in
testes for 6 months
What are presumptive signs of pregnancy? ......-ANSWER--.....Amenorrhea
N/V
Breast changes
Urination frequency
Quickening (fetal movement)
,What are probable signs of pregnancy? ......-ANSWER--.....*Chadwick's sign*:
blueishpurple vaginal mucosa seen at 6-8 wks
*Goodell's sign*: softening of the cervix palpates at 8 wks
*Hegar's sign*: softening of the lower uterine segment at 6 wks
Melasma: brownish pigmentation on forehead
Linea negra: dark line from umbilicus to pubis
*Ballottement*: sharp upward pushing against the uterine wall with a finger
inserted into the vagina and will feel impact of the displaced fetus (16 wks)
Positive pregnancy test --> hCG in urine
McDonald's rule ......-ANSWER--.....Between 22-24 weeks fundal height in cm
should match the number of weeks
12 weeks: fundus clears symphysis
20 weeks: fundus at umbilicus
36 weeks: fundus at xiphoid
If a mother comes in and is group B strep positive. What should the nurse do?
......-ANSWER--.....Give the mother antibiotic, ampicillin 1g Q4h
If a mother gives birth and is Hep B positive, what should the nurse do?
......-ANSWER--.....Give hepatitis B globulin (HBIG) AND hepatitis vaccine (2
shots) If the mother is negative only give the vaccine
, What test is given to the mother if she is Rh negative to see if she is sensitized to
her babies blood? ......-ANSWER--.....Coombs test --> if it positive she has been
sensitized and needs Rhogam
What does the biophysical profile consist of? ......-ANSWER--.....FHR reactivity
(NST)
Fetal movements
Tone
Breathing
Amniotic fluid volume
*a score of 2/10 or less prompts immediate delivery*
Chorionic villus sampling ......-ANSWER--.....Used for chromosomal analysis
between
10-12 weeks to detect feral abnormalities
Tests for metabolic disorders --> cystic fibrosis
Fetal heart rate is auscultated twice in 30 mins
Instruct the woman to report: abdominal cramping, leaking of fluid, bleeding,
fever, or chills
Administer Rhogam to Rh- mothers
Amniocentesis ......-ANSWER--.....Genetic testing, fetal lung maturity, assessment
of hemolytic disease, or intrauterine infection, and therapy for polyhydramnios
