NUR 230 Exam 1 2026 | Galen College of Nursing | Latest
Update | Questions & Answers | Graded A+
1. Describe the importance of follow-up care after a molar pregnancy.
Follow-up care is only needed if symptoms persist.
Follow-up care focuses only on dietary changes.
Follow-up care is not necessary after a molar pregnancy.
Follow-up care is crucial to monitor for potential complications and
ensure complete removal of molar tissue.
2. If a pregnant woman currently consumes 400 mg of caffeine daily, what steps
should she take to align with recommended guidelines?
She should increase her intake to 600 mg per day.
She can continue her current intake as it is safe.
She should eliminate caffeine completely without consulting a doctor.
She should reduce her intake to 200 mg per day or less.
3. Describe how pregnancy affects the cardiovascular system and why these
changes are important for maternal and fetal health.
Pregnancy has no significant effects on the cardiovascular system.
Pregnancy decreases heart rate and blood pressure to conserve
energy for the mother.
Pregnancy increases blood volume and cardiac output to support
the growing fetus, which is crucial for delivering oxygen and
nutrients.
Pregnancy reduces blood volume to prevent complications.
,4. If a woman has had three pregnancies, with one resulting in a live birth and
two ending in miscarriage, how would you classify her gravida and para?
Her gravida would be 3 and her para would be 1.
Her gravida would be 3 and her para would be 2.
Her gravida would be 1 and her para would be 3.
Her gravida would be 2 and her para would be 1.
5. A client who's 5 weeks pregnant reports nausea and vomiting. The nurse
reassures the client that these symptoms probably will subside by:
14 to 17 weeks' gestation.
9 to 12 weeks' gestation.
5 to 8 weeks' gestation.
18 to 22 weeks' gestation.
6. Describe why oxytocin administration may be contraindicated in certain
pregnancy complications.
Oxytocin is used to decrease uterine contractions in all cases.
Oxytocin is always safe to use regardless of the situation.
Oxytocin is only contraindicated if the mother has a history of
diabetes.
Oxytocin may be contraindicated in cases of fetal distress because
it can increase uterine contractions, potentially worsening the
situation.
7. A pregnant woman in labor shows signs of fetal distress. What should the
healthcare provider consider regarding the use of oxytocin?
, The provider should increase the dosage of oxytocin to stabilize the
situation.
The provider should avoid administering oxytocin due to the risk of
exacerbating fetal distress.
The provider should administer oxytocin only if the mother requests it.
The provider should administer oxytocin to speed up labor.
8. Describe the role of progesterone in the physiological changes that occur
during pregnancy.
Progesterone helps maintain the uterine lining and supports fetal
development.
Progesterone initiates labor contractions.
Progesterone regulates blood sugar levels during pregnancy.
Progesterone stimulates milk production in the breasts.
9. During pregnancy, a diabetic woman's insulin requirement often:
Decrease during pregnancy
Insulin is not used during pregnancy
Normalize to the point where many women do not require medication
Increase during the 2nd and 3rd trimesters
10. Which of the following is considered a probable sign of pregnancy?
Morning sickness
Quickening
Chadwick's sign
Fetal heartbeat
, 11. Main function of hPL is: p. 156
Maintain corpus luteum
Promote fetal growth by altering maternal protein, carbohydrate,
and fat metabolism.
Increase myometrial mass in preparation for placentation
12. What is the medical term for the skin discoloration often seen during
pregnancy, commonly referred to as the 'mask of pregnancy'?
Dermatitis
Melasma
Chloasma
Erythema
13. What is one situation in which oxytocin should not be administered during
labor?
When the pregnancy is post-term
When the mother is fully dilated
In cases of fetal distress
If the mother has a history of hypertension
14. A pregnant woman notices dark patches developing on her face.
Considering the physiological changes during pregnancy, what advice
should she receive regarding this condition?
She should avoid all sun exposure to prevent further discoloration.
She should be informed that these dark patches, known as
chloasma, are common and often fade after pregnancy, but she
Update | Questions & Answers | Graded A+
1. Describe the importance of follow-up care after a molar pregnancy.
Follow-up care is only needed if symptoms persist.
Follow-up care focuses only on dietary changes.
Follow-up care is not necessary after a molar pregnancy.
Follow-up care is crucial to monitor for potential complications and
ensure complete removal of molar tissue.
2. If a pregnant woman currently consumes 400 mg of caffeine daily, what steps
should she take to align with recommended guidelines?
She should increase her intake to 600 mg per day.
She can continue her current intake as it is safe.
She should eliminate caffeine completely without consulting a doctor.
She should reduce her intake to 200 mg per day or less.
3. Describe how pregnancy affects the cardiovascular system and why these
changes are important for maternal and fetal health.
Pregnancy has no significant effects on the cardiovascular system.
Pregnancy decreases heart rate and blood pressure to conserve
energy for the mother.
Pregnancy increases blood volume and cardiac output to support
the growing fetus, which is crucial for delivering oxygen and
nutrients.
Pregnancy reduces blood volume to prevent complications.
,4. If a woman has had three pregnancies, with one resulting in a live birth and
two ending in miscarriage, how would you classify her gravida and para?
Her gravida would be 3 and her para would be 1.
Her gravida would be 3 and her para would be 2.
Her gravida would be 1 and her para would be 3.
Her gravida would be 2 and her para would be 1.
5. A client who's 5 weeks pregnant reports nausea and vomiting. The nurse
reassures the client that these symptoms probably will subside by:
14 to 17 weeks' gestation.
9 to 12 weeks' gestation.
5 to 8 weeks' gestation.
18 to 22 weeks' gestation.
6. Describe why oxytocin administration may be contraindicated in certain
pregnancy complications.
Oxytocin is used to decrease uterine contractions in all cases.
Oxytocin is always safe to use regardless of the situation.
Oxytocin is only contraindicated if the mother has a history of
diabetes.
Oxytocin may be contraindicated in cases of fetal distress because
it can increase uterine contractions, potentially worsening the
situation.
7. A pregnant woman in labor shows signs of fetal distress. What should the
healthcare provider consider regarding the use of oxytocin?
, The provider should increase the dosage of oxytocin to stabilize the
situation.
The provider should avoid administering oxytocin due to the risk of
exacerbating fetal distress.
The provider should administer oxytocin only if the mother requests it.
The provider should administer oxytocin to speed up labor.
8. Describe the role of progesterone in the physiological changes that occur
during pregnancy.
Progesterone helps maintain the uterine lining and supports fetal
development.
Progesterone initiates labor contractions.
Progesterone regulates blood sugar levels during pregnancy.
Progesterone stimulates milk production in the breasts.
9. During pregnancy, a diabetic woman's insulin requirement often:
Decrease during pregnancy
Insulin is not used during pregnancy
Normalize to the point where many women do not require medication
Increase during the 2nd and 3rd trimesters
10. Which of the following is considered a probable sign of pregnancy?
Morning sickness
Quickening
Chadwick's sign
Fetal heartbeat
, 11. Main function of hPL is: p. 156
Maintain corpus luteum
Promote fetal growth by altering maternal protein, carbohydrate,
and fat metabolism.
Increase myometrial mass in preparation for placentation
12. What is the medical term for the skin discoloration often seen during
pregnancy, commonly referred to as the 'mask of pregnancy'?
Dermatitis
Melasma
Chloasma
Erythema
13. What is one situation in which oxytocin should not be administered during
labor?
When the pregnancy is post-term
When the mother is fully dilated
In cases of fetal distress
If the mother has a history of hypertension
14. A pregnant woman notices dark patches developing on her face.
Considering the physiological changes during pregnancy, what advice
should she receive regarding this condition?
She should avoid all sun exposure to prevent further discoloration.
She should be informed that these dark patches, known as
chloasma, are common and often fade after pregnancy, but she
