NRSG 2200 Fundamentals Unit #2 Exam (Unit 3 &
Unit 4) Questions With Correct Answers
The nurse is assessing a pregnant client at 20 weeks gestation and obtains a
hemoglobin level. Which result would be a cause for concern?
A - 12.8 g/dl
B - 10.6 g/dl
C - 11.9 g/dl
D - 11.2 g/dl - ANSWER B - 10.6 g/dl
A nurse is reviewing the medical record of a pregnant woman and notes that she
is gravida 2. The nurse interprets this to indicate the number of :
A - Births
B - Spontaneous abortions (miscarriages)
C - Pregnancies
D - Preterm Births - ANSWER C - Pregnancies
A pregnant client in her second trimester visits a health care center. She
informs the nurse that at times she experiences difficulty breathing. What would
the nurse identify as the most likely cause of the clients report?
A - Pressure on the pelvic area by the growing fetus
B - Displacement of the stomach by the growing fetus
C - Pressure on the rectal vein by the growing fetus
D - Pressure on the diaphragm by the growing fetus - ANSWER D - Pressure on
the diaphragm by the growing fetus
During a routine prenatal visit, a client at 36 weeks' gestation states she has
difficulty breathing and feels like her pulse rate is really fast. The nurse find her
pulse to be 100 beats/minute (Increased from baseline readings of 70 to 74
beats per minute) and irregular, with bilateral crackles in the lower lung bases.
Which nursing diagnosis would be the priority for this client?
A - Impaired gas exchange related to pulmonary congestion
B - Ineffective tissue perfusion related to supine hypotensive syndrome
C - Activity intolerance related to increased metabolic requirements
D - Anxiety related to fear of pregnancy outcome - ANSWER A - Impaired gas
exchange related to pulmonary congestion
,A nurse student identifies which action to be the best way to prevent
complications of pregnancy?
A - Eating a diet high in protein
B - Receiving prenatal care
C - Getting adequate rest each night
D - Limiting work hours - ANSWER B - Receiving prenatal care
A client who has just given a blood sample for pregnancy testing in the health
care providers office asks the nurse what method of confirming pregnancy is the
most accurate. The nurse explains the difference between presumptive
symptoms, probable signs, and positive signs. What should the nurse mention as
an example of a positive sign, which may be used to diagnose pregnancy?
A - Visualization of the fetus by ultrasound
B - Absence of a period
C - Laboratory test of a blood serum specimen for hCG
D - Laboratory test of a urine specimen for hCG - ANSWER A - Visualization of
the fetus by ultrasound
A clients menstrual period is two weeks late. She has been feeling tired and has
had episodes of nausea in the morning. What classification of pregnancy
symptoms is this client experiencing?
A - Presumptive
B - Positive
C - No classification
D - Probable - ANSWER A - Presumptive
The client at 18 weeks gestation states, "I feel a fluttering sensation, kind of like
gas." The nurse understands that the client is describing what occurrence?
A - Placenta previa
B - Lightening
C - Linea Nigra
D - Quickening - ANSWER D - Quickening
What medic pair is the highest concern if reported during a pregnant clients
medical history?
A - Heart disease and diabetes
B - Irritable bowel syndrome and nausea
C - Asthma and environmental allergies
D - Sinus congestion and bronchitis - ANSWER A - Heart disease and diabetes
,A woman suspecting she is pregnant asks the nurse about which signs would
confirm her pregnancy. The nurse would explain that which sign would confirm
the pregnancy?
A - Abdominal pain
B - Absence of menstrual period
C - Morning sickness
D - Palpable fetal movement - ANSWER D - Palpable fetal movement
The urine of a woman in her second trimester of pregnancy is found to contain
glucose. For which condition should she be tested?
A - Hypothyroidism
B - Preeclampsia
C - Gestational diabetes
D - Anemia - ANSWER C - Gestational diabetes
The nursing instructor is teaching a class on the nutritional needs of the
pregnant client. The instructor determines the session is successful when the
students correctly choose which supplement as being known to prevent up to
70% of CNS birth defects?
A - Vitamin A
B - Folic Acid
C - Iodine
D - Zinc - ANSWER B - Folic Acid
The nurse is caring for a client with a G=5, T=0, P=3, A=1, L=3 obstetric history.
The nurse is most correct to state which interpretation?
A - The client has had difficulty reaching full term
B - The client has had difficulty becoming pregnant
C - The client has had uncomplicated pregnancies
D - The client has had multiple abortions (elective terminations of pregnancy) -
ANSWER A - The client has had difficulty reaching full term
A woman in her second trimester comes for a follow-up visit and says to the
nurse, "I feel like I'm on an emotional roller-coaster." Which response by the
nurse would be most appropriate?
A - "Have you been experiencing any thoughts of harming yourself"?
B - "How often has this been happening to you"?
C - "Maybe you need some medication to level things out".
D - "Mood swings are completely normal during pregnancy". - ANSWER D -
"Mood swings are completely normal during pregnancy".
, During a routine prenatal visit, the woman complains about lack of sleep due to
"the baby having a dance party at night which keeps me awake with all the
kicking." Which nursing diagnosis would be most appropriate for the nurse to
document?
A - Acute, intense pain related to frequent kicking by the fetus
B - Fatigue related to increased need for rest during pregnancy
C - Disturbed sleep pattern related to frequent movement of fetus at night
D - Health-seeking behaviors related to client request for a sleep medication -
ANSWER C - Disturbed sleep pattern related to frequent movement of fetus at
night
A pregnant clients last menstrual period was March 10. Using Naegele rule, the
nurse estimated the date of birth to be :
A - December 17
B - February 21
C - January 7
D - January 30 - ANSWER A - December 17
The nurse cares for a pregnant client at the first prenatal visits and reviews
expected changes that will occur during pregnancy. Which information will the
nurse include in the education?
A - Blood pressure decreased in the third trimester
B - Hemoglobin levels rise significantly during pregnancy
C - During pregnancy blood volume can increase by at least 40%
D - Pregnancy typically causes a decrease in respiratory rate - ANSWER C -
During pregnancy blood volume can increase by at least 40%
A pregnant client in her first trimester of pregnancy reports spontaneous,
irregular, painless contractions. What does this indicate?
A - Infection of the gastrointestinal (GI) tract
B - Acid indigestion
C - Preterm labor
D - Braxton hicks contractions - ANSWER D - Braxton hicks contractions
In a clients seventh month of pregnancy, she reports feeling "dizzy", like I'm
going to pass out, when I lie down flat on my back." The nurse explains that this
is due to :
A - Physiologic anemia due to hemoglobin decrease
B - Pressure of the presenting fetal part on the diaphragm
C - A 50% increase in blood volume
Unit 4) Questions With Correct Answers
The nurse is assessing a pregnant client at 20 weeks gestation and obtains a
hemoglobin level. Which result would be a cause for concern?
A - 12.8 g/dl
B - 10.6 g/dl
C - 11.9 g/dl
D - 11.2 g/dl - ANSWER B - 10.6 g/dl
A nurse is reviewing the medical record of a pregnant woman and notes that she
is gravida 2. The nurse interprets this to indicate the number of :
A - Births
B - Spontaneous abortions (miscarriages)
C - Pregnancies
D - Preterm Births - ANSWER C - Pregnancies
A pregnant client in her second trimester visits a health care center. She
informs the nurse that at times she experiences difficulty breathing. What would
the nurse identify as the most likely cause of the clients report?
A - Pressure on the pelvic area by the growing fetus
B - Displacement of the stomach by the growing fetus
C - Pressure on the rectal vein by the growing fetus
D - Pressure on the diaphragm by the growing fetus - ANSWER D - Pressure on
the diaphragm by the growing fetus
During a routine prenatal visit, a client at 36 weeks' gestation states she has
difficulty breathing and feels like her pulse rate is really fast. The nurse find her
pulse to be 100 beats/minute (Increased from baseline readings of 70 to 74
beats per minute) and irregular, with bilateral crackles in the lower lung bases.
Which nursing diagnosis would be the priority for this client?
A - Impaired gas exchange related to pulmonary congestion
B - Ineffective tissue perfusion related to supine hypotensive syndrome
C - Activity intolerance related to increased metabolic requirements
D - Anxiety related to fear of pregnancy outcome - ANSWER A - Impaired gas
exchange related to pulmonary congestion
,A nurse student identifies which action to be the best way to prevent
complications of pregnancy?
A - Eating a diet high in protein
B - Receiving prenatal care
C - Getting adequate rest each night
D - Limiting work hours - ANSWER B - Receiving prenatal care
A client who has just given a blood sample for pregnancy testing in the health
care providers office asks the nurse what method of confirming pregnancy is the
most accurate. The nurse explains the difference between presumptive
symptoms, probable signs, and positive signs. What should the nurse mention as
an example of a positive sign, which may be used to diagnose pregnancy?
A - Visualization of the fetus by ultrasound
B - Absence of a period
C - Laboratory test of a blood serum specimen for hCG
D - Laboratory test of a urine specimen for hCG - ANSWER A - Visualization of
the fetus by ultrasound
A clients menstrual period is two weeks late. She has been feeling tired and has
had episodes of nausea in the morning. What classification of pregnancy
symptoms is this client experiencing?
A - Presumptive
B - Positive
C - No classification
D - Probable - ANSWER A - Presumptive
The client at 18 weeks gestation states, "I feel a fluttering sensation, kind of like
gas." The nurse understands that the client is describing what occurrence?
A - Placenta previa
B - Lightening
C - Linea Nigra
D - Quickening - ANSWER D - Quickening
What medic pair is the highest concern if reported during a pregnant clients
medical history?
A - Heart disease and diabetes
B - Irritable bowel syndrome and nausea
C - Asthma and environmental allergies
D - Sinus congestion and bronchitis - ANSWER A - Heart disease and diabetes
,A woman suspecting she is pregnant asks the nurse about which signs would
confirm her pregnancy. The nurse would explain that which sign would confirm
the pregnancy?
A - Abdominal pain
B - Absence of menstrual period
C - Morning sickness
D - Palpable fetal movement - ANSWER D - Palpable fetal movement
The urine of a woman in her second trimester of pregnancy is found to contain
glucose. For which condition should she be tested?
A - Hypothyroidism
B - Preeclampsia
C - Gestational diabetes
D - Anemia - ANSWER C - Gestational diabetes
The nursing instructor is teaching a class on the nutritional needs of the
pregnant client. The instructor determines the session is successful when the
students correctly choose which supplement as being known to prevent up to
70% of CNS birth defects?
A - Vitamin A
B - Folic Acid
C - Iodine
D - Zinc - ANSWER B - Folic Acid
The nurse is caring for a client with a G=5, T=0, P=3, A=1, L=3 obstetric history.
The nurse is most correct to state which interpretation?
A - The client has had difficulty reaching full term
B - The client has had difficulty becoming pregnant
C - The client has had uncomplicated pregnancies
D - The client has had multiple abortions (elective terminations of pregnancy) -
ANSWER A - The client has had difficulty reaching full term
A woman in her second trimester comes for a follow-up visit and says to the
nurse, "I feel like I'm on an emotional roller-coaster." Which response by the
nurse would be most appropriate?
A - "Have you been experiencing any thoughts of harming yourself"?
B - "How often has this been happening to you"?
C - "Maybe you need some medication to level things out".
D - "Mood swings are completely normal during pregnancy". - ANSWER D -
"Mood swings are completely normal during pregnancy".
, During a routine prenatal visit, the woman complains about lack of sleep due to
"the baby having a dance party at night which keeps me awake with all the
kicking." Which nursing diagnosis would be most appropriate for the nurse to
document?
A - Acute, intense pain related to frequent kicking by the fetus
B - Fatigue related to increased need for rest during pregnancy
C - Disturbed sleep pattern related to frequent movement of fetus at night
D - Health-seeking behaviors related to client request for a sleep medication -
ANSWER C - Disturbed sleep pattern related to frequent movement of fetus at
night
A pregnant clients last menstrual period was March 10. Using Naegele rule, the
nurse estimated the date of birth to be :
A - December 17
B - February 21
C - January 7
D - January 30 - ANSWER A - December 17
The nurse cares for a pregnant client at the first prenatal visits and reviews
expected changes that will occur during pregnancy. Which information will the
nurse include in the education?
A - Blood pressure decreased in the third trimester
B - Hemoglobin levels rise significantly during pregnancy
C - During pregnancy blood volume can increase by at least 40%
D - Pregnancy typically causes a decrease in respiratory rate - ANSWER C -
During pregnancy blood volume can increase by at least 40%
A pregnant client in her first trimester of pregnancy reports spontaneous,
irregular, painless contractions. What does this indicate?
A - Infection of the gastrointestinal (GI) tract
B - Acid indigestion
C - Preterm labor
D - Braxton hicks contractions - ANSWER D - Braxton hicks contractions
In a clients seventh month of pregnancy, she reports feeling "dizzy", like I'm
going to pass out, when I lie down flat on my back." The nurse explains that this
is due to :
A - Physiologic anemia due to hemoglobin decrease
B - Pressure of the presenting fetal part on the diaphragm
C - A 50% increase in blood volume
