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NU 661 Final Exam Practice Exam 2026 | 300+ Questions with Correct Answers | High-Risk Pregnancy, Prenatal Care, Obstetric Complications, Postpartum Care & Maternal-Newborn Health

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Prepare for the NU 661 Final Exam with this comprehensive 300+ practice questions and verified answers study guide covering maternal-newborn nursing, prenatal care, high-risk pregnancy, obstetric complications, postpartum care, fetal assessment, substance use in pregnancy, and evidence-based maternity management. This exam-focused resource reviews essential topics including prenatal assessment, Rh incompatibility, gestational hypertension, preeclampsia, HELLP syndrome, gestational diabetes mellitus (GDM), preterm labor, cervical insufficiency, cerclage placement, fetal surveillance, labor and delivery, postpartum depression, neonatal abstinence syndrome (NAS), substance use disorders during pregnancy, HIV management in pregnancy, nutrition, breastfeeding, and maternal-fetal complications. The structured question-and-answer format promotes active recall, strengthens clinical reasoning, and prepares graduate nursing students for comprehensive final examinations, advanced practice coursework, and national Nurse Practitioner certification review. This comprehensive study guide provides an in-depth review of evidence-based obstetric and maternal-newborn care across the continuum of pregnancy, labor, delivery, and the postpartum period. Topics include prenatal visit scheduling, prenatal laboratory testing, Rh antibody screening, fetal growth assessment, electronic fetal monitoring (EFM), non-stress testing (NST), biophysical profiles (BPP), pregnancy nutrition requirements, folic acid and iron deficiency, teratogenic risk periods, substance use during pregnancy (alcohol, cocaine, heroin, marijuana, oxycodone, methadone, and buprenorphine), neonatal abstinence syndrome (NAS), cervical cerclage indications, gestational hypertension, preeclampsia diagnosis and treatment, magnesium sulfate therapy, HELLP syndrome, gestational diabetes screening and management, preterm birth prevention, premature rupture of membranes (PROM), infertility risk factors, postpartum depression screening using the Edinburgh Postnatal Depression Scale (EPDS), postpartum infections, breastfeeding recommendations, HIV management during pregnancy, multiple gestation, fetal macrosomia, prolapsed umbilical cord, oral health during pregnancy, and exercise recommendations for pregnant patients. The material also emphasizes maternal risk assessment, fetal monitoring, patient education, preventive care, pharmacologic management, and evidence-based clinical decision-making essential for graduate nursing education and advanced obstetric practice. This document is particularly suitable for: NU 661 students Master of Science in Nursing (MSN) students Family Nurse Practitioner (FNP) students Women's Health Nurse Practitioner (WHNP) students Adult-Gerontology Primary Care Nurse Practitioner (AGPCNP) students Doctor of Nursing Practice (DNP) students Advanced Practice Registered Nurse (APRN) students Maternal-Newborn Nursing students Obstetrics and Gynecology clinical rotation students Graduate nursing students preparing for final examinations Nurse Practitioner board certification candidates References American College of Obstetricians and Gynecologists. (2024). Practice Bulletin Collection. ACOG. Cunningham, F. G., Leveno, K. J., Dashe, J. S., et al. (2022). Williams Obstetrics (26th ed.). McGraw-Hill Education. Gabbe, S. G., Niebyl, J. R., Simpson, J. L., et al. (2024). Obstetrics: Normal and Problem Pregnancies (9th ed.). Elsevier. Centers for Disease Control and Prevention. (2024). Treating for Two: Medicine and Pregnancy. U.S. Department of Health and Human Services. American Diabetes Association. (2024). Standards of Care in Diabetes—2024. Diabetes Care, 47(Supplement_1). U.S. Preventive Services Task Force. (2024). Recommendations for Prenatal and Preventive Care During Pregnancy. Keywords NU 661, NU 661 Final Exam, Maternal Newborn Nursing, Advanced Nursing, High Risk Pregnancy, Prenatal Care, Prenatal Assessment, Pregnancy Complications, Rh Incompatibility, Rh Negative Pregnancy, Prenatal Labs, Electronic Fetal Monitoring, EFM, Non Stress Test, NST, Biophysical Profile, BPP, Gestational Hypertension, Preeclampsia, HELLP Syndrome, Magnesium Sulfate, Gestational Diabetes, GDM, Insulin Therapy, Preterm Labor, Premature Rupture of Membranes, PROM, Cervical Cerclage, Cervical Insufficiency, Multiple Gestation, Fetal Growth Restriction, IUGR, Macrosomia, Neonatal Abstinence Syndrome, NAS, Substance Use in Pregnancy, Alcohol in Pregnancy, Cocaine in Pregnancy, Heroin in Pregnancy, Methadone, Buprenorphine, Suboxone, HIV in Pregnancy, Breastfeeding, Postpartum Care, Postpartum Depression, Edinburgh Postnatal Depression Scale, EPDS, Maternal Fetal Medicine, Women's Health, Obstetrics, Advanced Practice Nursing, Nurse Practitioner, Graduate Nursing, Final Exam Review

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NU 661 Final Exam 2026 Exam
Questions and Answers |
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alcohol and pregnancy - ANSWER ✔✔Have a higher rate of

spontaneous abortion

Infants born to drinking mothers have a high probability of being afflicted

with FAS

FAS is characterized by facial deformities, growth deficiency, and CNS

problems.

The severity of FAS is dose-related.


cocaine and pregnancy - ANSWER ✔✔unable to detox the drug

,smaller head

spontaneous abortion

low birth weight

strokes

premature labor

respirator distress

SID risk

fetal demise

congenital abnormalities


Heroin and pregnancy - ANSWER ✔✔premature birth weight,

tremulous behavior, poor sleep, poor sucking and feeding, risk of SIDS

Withdrawal, NAS

Risk of PTL

risk of PTB

Miscarriage


suboxone in pregnancy - ANSWER ✔✔used in MAT program for

women

Fetus will need to be monitored for NAS symptoms

, Labor pain relief will be complicated at patient has a higher tolerance (

epidural will offer pain relief)


heroine withdrawal in pregnancy - ANSWER ✔✔symptoms like

tachycardia, hypertension, nausea, vomiting, chills, etc.


OXYCODONE PREGNANCY - ANSWER ✔✔Maternal risk :

symptoms like tachycardia, hypertension, nausea, vomiting, chills, etc.

Fetal risk : miscarriage, premature rupture of membranes, placental

abruption, and neonatal death, Neonatal abstinence syndrome (NAS),

Skin problems, neuro problems, high pitched cry, problems breathing


marijuana and pregnancy - ANSWER ✔✔PTL


IUGR

Neonatal morbidity

NICU admission

NAS


cerclage placement - ANSWER ✔✔suture is placed around the cervix

to "close" the internal os to prevent premature rupture of membranes

and preterm birth , performed between 16-24 week gestation.

contraindicated if signs of labor or ROM, and if over 28 weeks.



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