NUR612/NUR 612 Exam 3 V3 | Advanced
Nursing II Q&A with Rationale | William
Paterson University
1. Which of the following findings is considered a ‘presumptive’ sign of pregnancy?
A. Positive serum pregnancy test
B. Amenorrhea
C. Chadwick’s sign
D. Fetal heart tones heard via Doppler
Answer: B
Rationale: Presumptive signs are subjective changes that the patient experiences and
reports. Amenorrhea is a classic presumptive sign because it is noticed by the patient but
could be caused by other factors like stress. Probable signs are objective findings by the
examiner, and positive signs are definitive proofs of a fetus.
2. At what gestational age does the fundus typically reach the level of the umbilicus?
A. 12 weeks
B. 16 weeks
C. 24 weeks
D. 20 weeks
,Answer: D
Rationale: At 20 weeks of gestation, the uterine fundus is generally at the level of the
umbilicus. This measurement serves as a clinical milestone to assess fetal growth and
gestational progress. Before this point, at 12 weeks, the fundus is just rising above the
symphysis pubis.
3. When assessing a geriatric patient for ‘Activities of Daily Living’ (ADLs), which task is
included?
A. Transferring from bed to chair
B. Shopping for groceries
C. Managing finances
D. Using a telephone
Answer: A
Rationale: Activities of Daily Living (ADLs) refer to basic self-care tasks required for
personal maintenance. Transferring is a fundamental ADL along with bathing, dressing, and
feeding. Managing finances and shopping are considered Instrumental Activities of Daily
Living (IADLs), which require more complex cognitive skills.
4. Which maneuver is used to assess for Developmental Dysplasia of the Hip (DDH) in a
newborn by attempting to relocate a dislocated hip?
A. Barlow maneuver
B. McMurray test
, C. Ortolani maneuver
D. Lachman test
Answer: C
Rationale: The Ortolani maneuver involves abducting the hip while applying upward
pressure to the greater trochanter. A positive Ortolani sign is a ‘clunk’ felt as the femoral
head reduces into the acetabulum. The Barlow maneuver is the opposite, used to see if a
hip can be provoked into dislocation.
5. What is the primary purpose of the Denver II Developmental Screening tool?
A. To diagnose specific learning disabilities
B. To measure intelligence quotients in preschoolers
C. To identify children who are falling behind in developmental milestones
D. To screen for physiological abnormalities in newborns
Answer: C
Rationale: The Denver II is a standardized tool used to monitor a child’s development from
birth to six years of age. It screens for delays in personal-social, fine motor-adaptive,
language, and gross motor domains. It is important to note that it is a screening tool and
not a definitive diagnostic test for specific disorders.
6. In the elderly, ‘Presbycusis’ typically manifests as what type of hearing loss?
A. Inability to hear low-frequency sounds
Nursing II Q&A with Rationale | William
Paterson University
1. Which of the following findings is considered a ‘presumptive’ sign of pregnancy?
A. Positive serum pregnancy test
B. Amenorrhea
C. Chadwick’s sign
D. Fetal heart tones heard via Doppler
Answer: B
Rationale: Presumptive signs are subjective changes that the patient experiences and
reports. Amenorrhea is a classic presumptive sign because it is noticed by the patient but
could be caused by other factors like stress. Probable signs are objective findings by the
examiner, and positive signs are definitive proofs of a fetus.
2. At what gestational age does the fundus typically reach the level of the umbilicus?
A. 12 weeks
B. 16 weeks
C. 24 weeks
D. 20 weeks
,Answer: D
Rationale: At 20 weeks of gestation, the uterine fundus is generally at the level of the
umbilicus. This measurement serves as a clinical milestone to assess fetal growth and
gestational progress. Before this point, at 12 weeks, the fundus is just rising above the
symphysis pubis.
3. When assessing a geriatric patient for ‘Activities of Daily Living’ (ADLs), which task is
included?
A. Transferring from bed to chair
B. Shopping for groceries
C. Managing finances
D. Using a telephone
Answer: A
Rationale: Activities of Daily Living (ADLs) refer to basic self-care tasks required for
personal maintenance. Transferring is a fundamental ADL along with bathing, dressing, and
feeding. Managing finances and shopping are considered Instrumental Activities of Daily
Living (IADLs), which require more complex cognitive skills.
4. Which maneuver is used to assess for Developmental Dysplasia of the Hip (DDH) in a
newborn by attempting to relocate a dislocated hip?
A. Barlow maneuver
B. McMurray test
, C. Ortolani maneuver
D. Lachman test
Answer: C
Rationale: The Ortolani maneuver involves abducting the hip while applying upward
pressure to the greater trochanter. A positive Ortolani sign is a ‘clunk’ felt as the femoral
head reduces into the acetabulum. The Barlow maneuver is the opposite, used to see if a
hip can be provoked into dislocation.
5. What is the primary purpose of the Denver II Developmental Screening tool?
A. To diagnose specific learning disabilities
B. To measure intelligence quotients in preschoolers
C. To identify children who are falling behind in developmental milestones
D. To screen for physiological abnormalities in newborns
Answer: C
Rationale: The Denver II is a standardized tool used to monitor a child’s development from
birth to six years of age. It screens for delays in personal-social, fine motor-adaptive,
language, and gross motor domains. It is important to note that it is a screening tool and
not a definitive diagnostic test for specific disorders.
6. In the elderly, ‘Presbycusis’ typically manifests as what type of hearing loss?
A. Inability to hear low-frequency sounds
