NUR 114 - EXAM 1
NUR 114 - EXAM 1 PRACTICE QUESTIONS AND
ANSWERS GRADED A+
1. A 34-week gestation patient phones the health care providers office with
concerns about feeling light headed. She states she is dizzy while lying down and
states that she "feels like I could pass out." She also reports she has awakened in
the middle of the night feeling this way. The nurse should
a. Instruct the patient to see the HCP right away to have her blood pressure
checked
b. Discuss supine hypertension with the patient and encourage her to avoid lying
flat on her back
c. Reassure the patient that this is a normal finding for the pregnant patient
d. Inform the patient to increase her fluid intake to two liters a day - correct answer
B
2. Signs of pre-eclampsia include hypertension, generalized edema, and
__________.
a. Blurred vision
b. Proteinuria
,NUR 114 - EXAM 1
c. +2 reflexes
d. Increased urinary output - correct answer B
3. A patient is being admitted to the maternity unit because she is in early labor.
The nurse would initially
a. Assess maternal vital signs and fetal heartrate
b. Measure fundal height to determine fetal size
c. Perform a sterile vaginal exam to determine cervical dilation and effacement -
correct answer A
5. While obtaining the obstetric history the pregnant patient reports she is 36
weeks with her fourth child. She states she had one elective abortion at 5 weeks, a
daughter who was born at 40 weeks gestation, and a son who was born at 37
weeks gestation. What is this patients GTPAL total?
a. 4-1-1-1-2
b. 3-1-1-1-2
c. 2-1-0-1-1
d. 4-2-1-0-2 - correct answer A
6. The maternal serum alfa-fetal protein (MSAFP) sample collected from the
patient at 16 weeks gestation indicated that this pregnancy is at high-risk for
having Down Syndrome. The patient is informed that she will require further
diagnostic testing. For these findings, the MSAFP level was
a. Decreased
b. Increased - correct answer A
, NUR 114 - EXAM 1
8. The pregnant patient's lab values obtained on the first prenatal visit has
indicated that the rubella titer is negative. The nurse should
a. Offer the patient the rubella vaccine at the next prenatal visit
b. Inform the patient of the dangers of not receiving the rubella vaccine prior to
delivery
c. Prepare the patient to receive the vaccine within 72 hours from the birth of her
child
d. Explain to the patient that a negative titer indicated that she is immune to
rubella at this time - correct answer C
9. The post-partum patient delivered five hours ago and has cool, clammy skin,
and she is restless. The patient is excessively thirsty. The nurse's first action is to
a. Obtain maternal vital signs
b. Notify the healthcare provider
c. Massage the fundus of uterus
d. Calculate total urinary output since delivery - correct answer C
10. The patient arrives to the emergency department bleeding heavily. She
reports being 32-weeks pregnant, heavy smoker, her vital signs are stable, fetal
heart baseline is within the normal range, and she denies pain. Other assessment
findings include the abdomen is soft and non-tender, fundal height appropriate
for gestational age and there are no contractions. Upon inspection of the peri-pad
you note it is moderately saturated with bright-red bleeding. This patient is
experiencing
a. Placental abruption
b. Placenta previa
c. Threatened abortion
d. Inevitable abortion - correct answer B
NUR 114 - EXAM 1 PRACTICE QUESTIONS AND
ANSWERS GRADED A+
1. A 34-week gestation patient phones the health care providers office with
concerns about feeling light headed. She states she is dizzy while lying down and
states that she "feels like I could pass out." She also reports she has awakened in
the middle of the night feeling this way. The nurse should
a. Instruct the patient to see the HCP right away to have her blood pressure
checked
b. Discuss supine hypertension with the patient and encourage her to avoid lying
flat on her back
c. Reassure the patient that this is a normal finding for the pregnant patient
d. Inform the patient to increase her fluid intake to two liters a day - correct answer
B
2. Signs of pre-eclampsia include hypertension, generalized edema, and
__________.
a. Blurred vision
b. Proteinuria
,NUR 114 - EXAM 1
c. +2 reflexes
d. Increased urinary output - correct answer B
3. A patient is being admitted to the maternity unit because she is in early labor.
The nurse would initially
a. Assess maternal vital signs and fetal heartrate
b. Measure fundal height to determine fetal size
c. Perform a sterile vaginal exam to determine cervical dilation and effacement -
correct answer A
5. While obtaining the obstetric history the pregnant patient reports she is 36
weeks with her fourth child. She states she had one elective abortion at 5 weeks, a
daughter who was born at 40 weeks gestation, and a son who was born at 37
weeks gestation. What is this patients GTPAL total?
a. 4-1-1-1-2
b. 3-1-1-1-2
c. 2-1-0-1-1
d. 4-2-1-0-2 - correct answer A
6. The maternal serum alfa-fetal protein (MSAFP) sample collected from the
patient at 16 weeks gestation indicated that this pregnancy is at high-risk for
having Down Syndrome. The patient is informed that she will require further
diagnostic testing. For these findings, the MSAFP level was
a. Decreased
b. Increased - correct answer A
, NUR 114 - EXAM 1
8. The pregnant patient's lab values obtained on the first prenatal visit has
indicated that the rubella titer is negative. The nurse should
a. Offer the patient the rubella vaccine at the next prenatal visit
b. Inform the patient of the dangers of not receiving the rubella vaccine prior to
delivery
c. Prepare the patient to receive the vaccine within 72 hours from the birth of her
child
d. Explain to the patient that a negative titer indicated that she is immune to
rubella at this time - correct answer C
9. The post-partum patient delivered five hours ago and has cool, clammy skin,
and she is restless. The patient is excessively thirsty. The nurse's first action is to
a. Obtain maternal vital signs
b. Notify the healthcare provider
c. Massage the fundus of uterus
d. Calculate total urinary output since delivery - correct answer C
10. The patient arrives to the emergency department bleeding heavily. She
reports being 32-weeks pregnant, heavy smoker, her vital signs are stable, fetal
heart baseline is within the normal range, and she denies pain. Other assessment
findings include the abdomen is soft and non-tender, fundal height appropriate
for gestational age and there are no contractions. Upon inspection of the peri-pad
you note it is moderately saturated with bright-red bleeding. This patient is
experiencing
a. Placental abruption
b. Placenta previa
c. Threatened abortion
d. Inevitable abortion - correct answer B
