OAKLAND UNIVERSITY NRS 3026 EXAM 3
QUESTION AND ANSWER |YEAR 2026.2027|
HIGHLIGHTED ANSWER
A patient reports to the clinic nurse that she has not had a period in over 12 weeks, she is
tired, and breasts are sore all of the time. The patient's urine test is positive for hCG. What
is the correct nursing action related to this information?
a. Ask the patient if she has had any nausea or vomiting in the morning.
b. Schedule the patient to be seen by a health care provider within the next 4 weeks.
c. Send the patient to the maternity screening of the clinic for a routine ultrasound.
d. Determine if there are any factors that might prohibit her from seeking medical care.
d
Which comment made by a patient in her first trimester indicates ambivalent feelings?
a. "My body is changing so quickly."
b. "I haven't felt well since this pregnancy began."
c. "I'm concerned about the amount of weight I've gained."
d. "I wanted to become pregnant, but I'm scared about being a mother."
d
A patient who is 7 months pregnant states, "I'm worried that something will happen to
my baby." Which is the nurse's best response?
a. "Your baby is doing fine."
b. "Tell me about your concerns."
c. "There is nothing to worry about."
d. "The doctor is taking good care of you and your baby."
b
,What is the term for the step in maternal role attachment that relates to the woman
giving up certain aspects of her previous life?
a. Fantasy
b. Grief work
c. Role playing
d. Looking for a fit
b
An expectant patient in her third trimester reports that she developed a strong tie to her
baby from the beginning and now is really in tune to her baby's temperament. The nurse
interprets this as the development of which maternal task of pregnancy?
a. Learning to give of herself
b. Developing attachment with the baby
c. Securing acceptance of the baby by others
d. Seeking safe passage for herself and her baby
b
Which situation best describes a man trying on fathering behaviors?
a. Reading books on newborn care
b. Spending more time with his siblings
c. Coaching a little league baseball team
d. Exhibiting physical symptoms related to pregnancy
c
A 36-year-old divorcee with a successful modeling career finds out that her 18-year-old
daughter is expecting her first child. Which is a major factor in determining how this
woman will respond to becoming a grandmother?
a. Her age
b. Her career
c. Being divorced
d. Age of the daughter
a
,Which patient will most likely seek prenatal care?
a. A 15-year-old who patient who tells her friends, "I just don't believe that I am
pregnant."
b. A 28-year-old who is in her second pregnancy and abuses drugs and alcohol.
c. A 20-year-old who is in her first pregnancy and has access to a free prenatal clinic.
d. A 30-year-old who is in her fifth pregnancy and delivered her last infant at home with
the help of her mother and sister.
c
A medical-surgical nurse is asked to float to a women's health unit to care for patients
who are scheduled for therapeutic abortions. The nurse refuses to accept this assignment
and expresses her personal beliefs as being incongruent with this medical practice The
nursing supervisor states that the unit is short-staffed and the nurse is familiar with caring
for postoperative patients. In consideration of legal and ethical practices, can the nursing
supervisor enforce this assignment?
a. The staff nurse has the responsibility of accepting any assignment that is made while
working for a health care unit, so the nursing supervisor is within his or her rights to
enforce this assignment
b. Because the unit is short-staffed, the staff nurse should accept the assignment to
provide care by benefit of her or his experience to patients who need care
c. The staff nurse has expressed a legitimate concern based on his or her fee
c
With regard to an obstetric litigation case, a nurse working in labor and birth is found to
be negligent. Which intervention performed by the nurse indicates that a breach of duty
has occurred?
a. The nurse did not document fetal heart tones (FHR) during the second stage of labor.
b. The patient was only provided ice chips during the labor period, which lasted 8 hours.
c. The nurse allowed the patient to use bathroom rather than a bedpan during the first
stage of labor.
d. The nurse asked family members to leave the room when she prepared to do a pelvic
exam on the patient.
a
, A nurse is working with an active labor who is in preterm labor and has been designated
as high risk. The patient is very apprehensive and asks the nurse, "Is everything going to
be all right?" Th nurse replies, "Yes, everything will be okay." Following delivery via an
emergency cesarean birth, the newborn undergoes resuscitation and does not survive. The
patient is distraught over the outcome nad blames the nurse for telling her that
everything would be okay. Which ethical principle did the nurse violate?
a. Autonomy
b. Fidelity
c. Beneficience
d. Accountability
b
A nurse is working in the area of labor and birth. Her assignment is to take care of a
gravida 1 para 0 woman who presents in early labor at term. Vaginal exam reflects the
following: 2 cm, cervix posterior, — 1 station, and vertex with membranes intact. The
patient asks the nurse if she can break her water so that her labor can go faster. The
nurse's response, based on the ethical principle of malficience, is which of the following?
a. Tell the patient that she will have to wait until she has progressed further on the vaginal
exam and then she will perform an amniotomy.
b. Have the patient write down her request and then call the physician for an order to
implement the amniotomy.
c. Instruct the patient that only a physician or certified midwife can perform this
procedure.
d. Give the patient an enema to stimulate labor.
c
A nurse working in a labor and birth unit is asked to take care of two high-risk patients in
the labor and birth suite: a 34 weeks' gestation 28-year-old gravida 3, para 2 in preterm
labor and a 40-year-old gravida 1, para 0 who is severely preeclamptic. The nurse refuses
this assignment telling the charge nurse that based on individual patient acuity, each
patient should have one-on-one care. Which ethical principle is the nurse advocating?
a. Accountability
b. Beneficience
c. Justice
d. Fidelity
b
QUESTION AND ANSWER |YEAR 2026.2027|
HIGHLIGHTED ANSWER
A patient reports to the clinic nurse that she has not had a period in over 12 weeks, she is
tired, and breasts are sore all of the time. The patient's urine test is positive for hCG. What
is the correct nursing action related to this information?
a. Ask the patient if she has had any nausea or vomiting in the morning.
b. Schedule the patient to be seen by a health care provider within the next 4 weeks.
c. Send the patient to the maternity screening of the clinic for a routine ultrasound.
d. Determine if there are any factors that might prohibit her from seeking medical care.
d
Which comment made by a patient in her first trimester indicates ambivalent feelings?
a. "My body is changing so quickly."
b. "I haven't felt well since this pregnancy began."
c. "I'm concerned about the amount of weight I've gained."
d. "I wanted to become pregnant, but I'm scared about being a mother."
d
A patient who is 7 months pregnant states, "I'm worried that something will happen to
my baby." Which is the nurse's best response?
a. "Your baby is doing fine."
b. "Tell me about your concerns."
c. "There is nothing to worry about."
d. "The doctor is taking good care of you and your baby."
b
,What is the term for the step in maternal role attachment that relates to the woman
giving up certain aspects of her previous life?
a. Fantasy
b. Grief work
c. Role playing
d. Looking for a fit
b
An expectant patient in her third trimester reports that she developed a strong tie to her
baby from the beginning and now is really in tune to her baby's temperament. The nurse
interprets this as the development of which maternal task of pregnancy?
a. Learning to give of herself
b. Developing attachment with the baby
c. Securing acceptance of the baby by others
d. Seeking safe passage for herself and her baby
b
Which situation best describes a man trying on fathering behaviors?
a. Reading books on newborn care
b. Spending more time with his siblings
c. Coaching a little league baseball team
d. Exhibiting physical symptoms related to pregnancy
c
A 36-year-old divorcee with a successful modeling career finds out that her 18-year-old
daughter is expecting her first child. Which is a major factor in determining how this
woman will respond to becoming a grandmother?
a. Her age
b. Her career
c. Being divorced
d. Age of the daughter
a
,Which patient will most likely seek prenatal care?
a. A 15-year-old who patient who tells her friends, "I just don't believe that I am
pregnant."
b. A 28-year-old who is in her second pregnancy and abuses drugs and alcohol.
c. A 20-year-old who is in her first pregnancy and has access to a free prenatal clinic.
d. A 30-year-old who is in her fifth pregnancy and delivered her last infant at home with
the help of her mother and sister.
c
A medical-surgical nurse is asked to float to a women's health unit to care for patients
who are scheduled for therapeutic abortions. The nurse refuses to accept this assignment
and expresses her personal beliefs as being incongruent with this medical practice The
nursing supervisor states that the unit is short-staffed and the nurse is familiar with caring
for postoperative patients. In consideration of legal and ethical practices, can the nursing
supervisor enforce this assignment?
a. The staff nurse has the responsibility of accepting any assignment that is made while
working for a health care unit, so the nursing supervisor is within his or her rights to
enforce this assignment
b. Because the unit is short-staffed, the staff nurse should accept the assignment to
provide care by benefit of her or his experience to patients who need care
c. The staff nurse has expressed a legitimate concern based on his or her fee
c
With regard to an obstetric litigation case, a nurse working in labor and birth is found to
be negligent. Which intervention performed by the nurse indicates that a breach of duty
has occurred?
a. The nurse did not document fetal heart tones (FHR) during the second stage of labor.
b. The patient was only provided ice chips during the labor period, which lasted 8 hours.
c. The nurse allowed the patient to use bathroom rather than a bedpan during the first
stage of labor.
d. The nurse asked family members to leave the room when she prepared to do a pelvic
exam on the patient.
a
, A nurse is working with an active labor who is in preterm labor and has been designated
as high risk. The patient is very apprehensive and asks the nurse, "Is everything going to
be all right?" Th nurse replies, "Yes, everything will be okay." Following delivery via an
emergency cesarean birth, the newborn undergoes resuscitation and does not survive. The
patient is distraught over the outcome nad blames the nurse for telling her that
everything would be okay. Which ethical principle did the nurse violate?
a. Autonomy
b. Fidelity
c. Beneficience
d. Accountability
b
A nurse is working in the area of labor and birth. Her assignment is to take care of a
gravida 1 para 0 woman who presents in early labor at term. Vaginal exam reflects the
following: 2 cm, cervix posterior, — 1 station, and vertex with membranes intact. The
patient asks the nurse if she can break her water so that her labor can go faster. The
nurse's response, based on the ethical principle of malficience, is which of the following?
a. Tell the patient that she will have to wait until she has progressed further on the vaginal
exam and then she will perform an amniotomy.
b. Have the patient write down her request and then call the physician for an order to
implement the amniotomy.
c. Instruct the patient that only a physician or certified midwife can perform this
procedure.
d. Give the patient an enema to stimulate labor.
c
A nurse working in a labor and birth unit is asked to take care of two high-risk patients in
the labor and birth suite: a 34 weeks' gestation 28-year-old gravida 3, para 2 in preterm
labor and a 40-year-old gravida 1, para 0 who is severely preeclamptic. The nurse refuses
this assignment telling the charge nurse that based on individual patient acuity, each
patient should have one-on-one care. Which ethical principle is the nurse advocating?
a. Accountability
b. Beneficience
c. Justice
d. Fidelity
b
