NUR 114 - EXAM 1 PRACTICE
QUESTIONS|NUR 114 FINAL STUDY|NUR
114 FINAL EXAM|NUR 114 FINAL EXAM
STUDY GUIDE 1| NURSING | JEFFERSON
STATE (PDF) LATEST VERSION WITH
EXPERT DETAILED QUESTIONS AND
ANSWERS
1. A 34-week gestation patient phones the health care providers office with
concerns about feeling light headed. She states she is dizzy while lying down and
states that she "feels like I could pass out." She also reports she has awakened in
the middle of the night feeling this way. The nurse should
a. Instruct the patient to see the HCP right away to have her blood pressure
checked
b. Discuss supine hypertension with the patient and encourage her to avoid lying
flat on her back
c. Reassure the patient that this is a normal finding for the pregnant patient
d. Inform the patient to increase her fluid intake to two liters a day - CORRECT
ANSWER ✔✔- B
2. Signs of pre-eclampsia include hypertension, generalized edema, and
__________.
a. Blurred vision
b. Proteinuria
c. +2 reflexes
d. Increased urinary output - CORRECT ANSWER ✔✔- B
,3. A patient is being admitted to the maternity unit because she is in early labor.
The nurse would initially
a. Assess maternal vital signs and fetal heartrate
b. Measure fundal height to determine fetal size
c. Perform a sterile vaginal exam to determine cervical dilation and effacement -
CORRECT ANSWER ✔✔- A
5. While obtaining the obstetric history the pregnant patient reports she is 36 weeks
with her fourth child. She states she had one elective abortion at 5 weeks, a
daughter who was born at 40 weeks gestation, and a son who was born at 37 weeks
gestation. What is this patients GTPAL total?
a. 4-1-1-1-2
b. 3-1-1-1-2
c. 2-1-0-1-1
d. 4-2-1-0-2 - CORRECT ANSWER ✔✔- A
6. The maternal serum alfa-fetal protein (MSAFP) sample collected from the
patient at 16 weeks gestation indicated that this pregnancy is at high-risk for
having Down Syndrome. The patient is informed that she will require further
diagnostic testing. For these findings, the MSAFP level was
a. Decreased
b. Increased - CORRECT ANSWER ✔✔- A
8. The pregnant patient's lab values obtained on the first prenatal visit has indicated
that the rubella titer is negative. The nurse should
a. Offer the patient the rubella vaccine at the next prenatal visit
,b. Inform the patient of the dangers of not receiving the rubella vaccine prior to
delivery
c. Prepare the patient to receive the vaccine within 72 hours from the birth of her
child
d. Explain to the patient that a negative titer indicated that she is immune to rubella
at this time - CORRECT ANSWER ✔✔- C
9. The post-partum patient delivered five hours ago and has cool, clammy skin, and
she is restless. The patient is excessively thirsty. The nurse's first action is to
a. Obtain maternal vital signs
b. Notify the healthcare provider
c. Massage the fundus of uterus
d. Calculate total urinary output since delivery - CORRECT ANSWER ✔✔- C
10. The patient arrives to the emergency department bleeding heavily. She reports
being 32-weeks pregnant, heavy smoker, her vital signs are stable, fetal heart
baseline is within the normal range, and she denies pain. Other assessment findings
include the abdomen is soft and non-tender, fundal height appropriate for
gestational age and there are no contractions. Upon inspection of the peri-pad you
note it is moderately saturated with bright-red bleeding. This patient is
experiencing
a. Placental abruption
b. Placenta previa
c. Threatened abortion
d. Inevitable abortion - CORRECT ANSWER ✔✔- B
11. The laboring patient is having strong contractions every one to two minutes
that are lasting 60-70 seconds. She notifies the nurse she is having intense
sensations of pressure on the perineal area. The nurse's priority action is to
, a. Perform sterile vaginal exam for cervical dilation, effacement, and station
b. Notify the healthcare provider that the patient will be delivering soon
c. Offer the patient a bed pan
d. Reposition the patient - CORRECT ANSWER ✔✔- A
12. A 32-year-old primigravida who is 8 weeks pregnant presents to the emergency
room with a chief complaint of "unilateral stabbing pain in her lower abdomen
with dark red bleeding." Based on these assessment findings the nurse would
suspect which pregnancy-related complications?
a. Placenta Previa
b. Ectopic pregnancy
c. Preterm labor
d. Cervical Insufficiency - CORRECT ANSWER ✔✔- B
13. A client at 4 months gestation comes for a prenatal visit. The client reports
continued nausea and vomiting. The client also states she has noticed dark brown
spotting. She has experienced no weight loss and has a fundal height larger than
expected for the of her pregnancy. Based on this assessment data, which of the
following complications should be suspected?
a. Hyperemesis gravidarium
b. Threatened abortion
c. Hydatidiform mole
d. Abruptio placentae - CORRECT ANSWER ✔✔- C
14. A client with hyperemesis gravidarum has been admitted to the facility. The
nurse would expect that the initial treatment for this client would involve:
a. Corticosteroids to advance fetal ling maturity
b. Total parenteral nutrition to correct nutritional deficits
QUESTIONS|NUR 114 FINAL STUDY|NUR
114 FINAL EXAM|NUR 114 FINAL EXAM
STUDY GUIDE 1| NURSING | JEFFERSON
STATE (PDF) LATEST VERSION WITH
EXPERT DETAILED QUESTIONS AND
ANSWERS
1. A 34-week gestation patient phones the health care providers office with
concerns about feeling light headed. She states she is dizzy while lying down and
states that she "feels like I could pass out." She also reports she has awakened in
the middle of the night feeling this way. The nurse should
a. Instruct the patient to see the HCP right away to have her blood pressure
checked
b. Discuss supine hypertension with the patient and encourage her to avoid lying
flat on her back
c. Reassure the patient that this is a normal finding for the pregnant patient
d. Inform the patient to increase her fluid intake to two liters a day - CORRECT
ANSWER ✔✔- B
2. Signs of pre-eclampsia include hypertension, generalized edema, and
__________.
a. Blurred vision
b. Proteinuria
c. +2 reflexes
d. Increased urinary output - CORRECT ANSWER ✔✔- B
,3. A patient is being admitted to the maternity unit because she is in early labor.
The nurse would initially
a. Assess maternal vital signs and fetal heartrate
b. Measure fundal height to determine fetal size
c. Perform a sterile vaginal exam to determine cervical dilation and effacement -
CORRECT ANSWER ✔✔- A
5. While obtaining the obstetric history the pregnant patient reports she is 36 weeks
with her fourth child. She states she had one elective abortion at 5 weeks, a
daughter who was born at 40 weeks gestation, and a son who was born at 37 weeks
gestation. What is this patients GTPAL total?
a. 4-1-1-1-2
b. 3-1-1-1-2
c. 2-1-0-1-1
d. 4-2-1-0-2 - CORRECT ANSWER ✔✔- A
6. The maternal serum alfa-fetal protein (MSAFP) sample collected from the
patient at 16 weeks gestation indicated that this pregnancy is at high-risk for
having Down Syndrome. The patient is informed that she will require further
diagnostic testing. For these findings, the MSAFP level was
a. Decreased
b. Increased - CORRECT ANSWER ✔✔- A
8. The pregnant patient's lab values obtained on the first prenatal visit has indicated
that the rubella titer is negative. The nurse should
a. Offer the patient the rubella vaccine at the next prenatal visit
,b. Inform the patient of the dangers of not receiving the rubella vaccine prior to
delivery
c. Prepare the patient to receive the vaccine within 72 hours from the birth of her
child
d. Explain to the patient that a negative titer indicated that she is immune to rubella
at this time - CORRECT ANSWER ✔✔- C
9. The post-partum patient delivered five hours ago and has cool, clammy skin, and
she is restless. The patient is excessively thirsty. The nurse's first action is to
a. Obtain maternal vital signs
b. Notify the healthcare provider
c. Massage the fundus of uterus
d. Calculate total urinary output since delivery - CORRECT ANSWER ✔✔- C
10. The patient arrives to the emergency department bleeding heavily. She reports
being 32-weeks pregnant, heavy smoker, her vital signs are stable, fetal heart
baseline is within the normal range, and she denies pain. Other assessment findings
include the abdomen is soft and non-tender, fundal height appropriate for
gestational age and there are no contractions. Upon inspection of the peri-pad you
note it is moderately saturated with bright-red bleeding. This patient is
experiencing
a. Placental abruption
b. Placenta previa
c. Threatened abortion
d. Inevitable abortion - CORRECT ANSWER ✔✔- B
11. The laboring patient is having strong contractions every one to two minutes
that are lasting 60-70 seconds. She notifies the nurse she is having intense
sensations of pressure on the perineal area. The nurse's priority action is to
, a. Perform sterile vaginal exam for cervical dilation, effacement, and station
b. Notify the healthcare provider that the patient will be delivering soon
c. Offer the patient a bed pan
d. Reposition the patient - CORRECT ANSWER ✔✔- A
12. A 32-year-old primigravida who is 8 weeks pregnant presents to the emergency
room with a chief complaint of "unilateral stabbing pain in her lower abdomen
with dark red bleeding." Based on these assessment findings the nurse would
suspect which pregnancy-related complications?
a. Placenta Previa
b. Ectopic pregnancy
c. Preterm labor
d. Cervical Insufficiency - CORRECT ANSWER ✔✔- B
13. A client at 4 months gestation comes for a prenatal visit. The client reports
continued nausea and vomiting. The client also states she has noticed dark brown
spotting. She has experienced no weight loss and has a fundal height larger than
expected for the of her pregnancy. Based on this assessment data, which of the
following complications should be suspected?
a. Hyperemesis gravidarium
b. Threatened abortion
c. Hydatidiform mole
d. Abruptio placentae - CORRECT ANSWER ✔✔- C
14. A client with hyperemesis gravidarum has been admitted to the facility. The
nurse would expect that the initial treatment for this client would involve:
a. Corticosteroids to advance fetal ling maturity
b. Total parenteral nutrition to correct nutritional deficits
