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NUR 230 Exam 3 (Latest 2026/2027 Update) | Anatomy,
Neurology & Surgical Terminology | 300 Correct Q&A |
Nursing Fundamentals Review | Grade A+
A patient is admitted to the labor and delivery unit with vaginal
bleeding. To differentiate between placenta previa and placental
abruption, the nurse will assess?
A.Abdominal pain
B.Fetal heart rate pattern
C.Pad counts
Hgb and Hct counts ......ANSWER......A.Abdominal pain
There are many associated risk factors in the development of placenta
previa. SATA
A.Jogger with low body mass index
B.First time mother who smokes 2 packs of cigarettes per day
C.Registered nurse who works 3 busy 12 hour shifts a week on a med-
surg floor.
D.A client who delivered at 32 weeks SVD with her last pregnancy due
to pre-eclampsia
E.Client pregnant with triplets
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F.A client who has a history of two previous cesarean sections
......ANSWER......B.First time mother who smokes 2 packs of cigarettes
per day
E.Client pregnant with triplets
F.A client who has a history of two previous cesarean sections
A client at 24 weeks of gestation is admitted to the emergency
department after sustaining severe internal injuries during a motor
vehicle accident. The nurse suspects internal bleeding and placental
abruption. The suspicion is supported by which finding?
A.Early decelerations are noted on the EFM
B.Kleihauer Betke is positive
C.Late decelerations are noted on the EFM
D.The blood pressure was 110/58 an hour ago and is now 108/56
......ANSWER......C.Late decelerations are noted on the EFM
Which of the following signs/symptoms would the nurse expect to see
in the woman with a placental abruption?
A.Pain-free vaginal bleeding
B.Increasing abdominal girth
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C.Fetal heart rate accelerations
D.Blood pressure 110/60, pulse 80 ......ANSWER......B.Increasing
abdominal girth
(d/t accumulation of blood in myometrium)
A client is admitted to the labor and delivery unit with vaginal bleeding
at 25 weeks gestation. To begin to differentiate between placenta previa
and placental abruption, the nurse will?
A.Palpate the fundus
B.Assess orthostatic blood pressures and pulse rate
C.Evaluate the hemoglobin and hematocrit counts
D.Begin pad counts ......ANSWER......A.Palpate the fundus
(Soft with previa or often hard with abruption)
A client at 31 weeks gestation diagnosed with a complete placenta
previa is being discharged home. Which finding would prevent the
client from going home?
A.The client reports fetal movement 5 times an hour.
B.Half of the peri pad is saturated with bright red blood.
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C.The client reports feeling 2 mild contractions in the last hour.
D.Urine output = 450 ml over the last 8 hours. ......ANSWER......B.Half of
the peri pad is saturated with bright red blood.
(No discharge if actively bleeding)
When comparing symptoms of previa to abruption, which of the
following is NOT associated with placenta previa?
A.Dark red bleeding
B.Painless
C.Normal uterine size
D.Soft uterine tone ......ANSWER......A.Dark red bleeding
A nurse is evaluating the findings on a client at 30 weeks diagnosed with
a 10% placental abruption who is receiving Magnesium Sulfate at 2
gram/hour. What is the priority in this situation?
A.Increase the Magnesium
B.Continue to monitor the client and EFM
C.Administer 0.25 mg of SQ terbutaline
D.Discontinue the Magnesium Sulfate infusion
NUR 230 Exam 3 (Latest 2026/2027 Update) | Anatomy,
Neurology & Surgical Terminology | 300 Correct Q&A |
Nursing Fundamentals Review | Grade A+
A patient is admitted to the labor and delivery unit with vaginal
bleeding. To differentiate between placenta previa and placental
abruption, the nurse will assess?
A.Abdominal pain
B.Fetal heart rate pattern
C.Pad counts
Hgb and Hct counts ......ANSWER......A.Abdominal pain
There are many associated risk factors in the development of placenta
previa. SATA
A.Jogger with low body mass index
B.First time mother who smokes 2 packs of cigarettes per day
C.Registered nurse who works 3 busy 12 hour shifts a week on a med-
surg floor.
D.A client who delivered at 32 weeks SVD with her last pregnancy due
to pre-eclampsia
E.Client pregnant with triplets
,2|Page
F.A client who has a history of two previous cesarean sections
......ANSWER......B.First time mother who smokes 2 packs of cigarettes
per day
E.Client pregnant with triplets
F.A client who has a history of two previous cesarean sections
A client at 24 weeks of gestation is admitted to the emergency
department after sustaining severe internal injuries during a motor
vehicle accident. The nurse suspects internal bleeding and placental
abruption. The suspicion is supported by which finding?
A.Early decelerations are noted on the EFM
B.Kleihauer Betke is positive
C.Late decelerations are noted on the EFM
D.The blood pressure was 110/58 an hour ago and is now 108/56
......ANSWER......C.Late decelerations are noted on the EFM
Which of the following signs/symptoms would the nurse expect to see
in the woman with a placental abruption?
A.Pain-free vaginal bleeding
B.Increasing abdominal girth
,3|Page
C.Fetal heart rate accelerations
D.Blood pressure 110/60, pulse 80 ......ANSWER......B.Increasing
abdominal girth
(d/t accumulation of blood in myometrium)
A client is admitted to the labor and delivery unit with vaginal bleeding
at 25 weeks gestation. To begin to differentiate between placenta previa
and placental abruption, the nurse will?
A.Palpate the fundus
B.Assess orthostatic blood pressures and pulse rate
C.Evaluate the hemoglobin and hematocrit counts
D.Begin pad counts ......ANSWER......A.Palpate the fundus
(Soft with previa or often hard with abruption)
A client at 31 weeks gestation diagnosed with a complete placenta
previa is being discharged home. Which finding would prevent the
client from going home?
A.The client reports fetal movement 5 times an hour.
B.Half of the peri pad is saturated with bright red blood.
, 4|Page
C.The client reports feeling 2 mild contractions in the last hour.
D.Urine output = 450 ml over the last 8 hours. ......ANSWER......B.Half of
the peri pad is saturated with bright red blood.
(No discharge if actively bleeding)
When comparing symptoms of previa to abruption, which of the
following is NOT associated with placenta previa?
A.Dark red bleeding
B.Painless
C.Normal uterine size
D.Soft uterine tone ......ANSWER......A.Dark red bleeding
A nurse is evaluating the findings on a client at 30 weeks diagnosed with
a 10% placental abruption who is receiving Magnesium Sulfate at 2
gram/hour. What is the priority in this situation?
A.Increase the Magnesium
B.Continue to monitor the client and EFM
C.Administer 0.25 mg of SQ terbutaline
D.Discontinue the Magnesium Sulfate infusion
