NUR-631 Advanced Health Assessment TEST BANK
NUR-631 Advanced Health Assessment TEST
BANK Exam LATEST 2024/2025 D'Youville
University GRADED A + GUARANTEED PASS
(QUESTIONS AND ANSWERS WITH RATIONALES)
ACE YOUR EXAM
1|Page
, NUR-631 Advanced Health Assessment TEST BANK
A 22-year-old clerk, primigravida, comes to your office for a prenatal visit. She is in her second
trimester and has had prenatal care since she was 8 weeks pregnant. Her only complaint is that
she has a new brownish line straight down her abdomen. On examination her vital signs are
unremarkable. Her urine has no protein, glucose, or leukocytes. With a Doptone the fetal heart
rate is 140, and her uterus is palpated to the umbilicus. Today you are sending her for congenital
abnormality screening and setting up an ultrasound.
What physical finding is responsible for her new "brown line"?
A) Corpus luteum
B) Linea nigra
C) Linea alba
D) Diastasis recti - ANSWER-B) Linea nigra
A 20-year-old college student comes in with symptoms of fatigue, nausea, and an increase in
urination. Her last period was 3 months ago (June 20, 2008). She is sexually active and always
uses condoms. Her past medical history is unremarkable. On examination you see a young,
anxious-appearing woman. Her vital signs are unremarkable. Her head, eyes, ears, throat, neck,
thyroid, cardiac, pulmonary, and abdominal examinations are unremarkable. On pelvic
examination a soft cervix is palpated and a 14-week-sized uterus is palpated. A urine pregnancy
test is positive. You then inform the patient that she is expecting and, using Naegele's rule, give
her the estimated date of confinement (EDC, or due date).
What was the due date you gave her?
A) March 27, 2009
B) March 13, 2009
C) September 27, 2009
D) March 20, 2009 - ANSWER-A) March 27, 2009
A 32-year-old attorney comes to your office for her second prenatal visit. She has had two
previous pregnancies with uneventful prenatal care and vaginal deliveries. Her only problem
was that with each pregnancy she gained 50 lbs (23 kg) and had difficulty losing the weight
afterward. She has no complaints today. Looking at her chart, you see she is currently 10 weeks
pregnant and that her prenatal weight was 130 lbs (59 kg). Her weight today is 134 lbs (60.9 kg).
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, NUR-631 Advanced Health Assessment TEST BANK
Her height is 5'4", giving her a BMI of 22. Her blood pressure, pulse, and urine tests are
unremarkable. The fetal heart tone is difficult to find but is located and is 150. While you give
her first trimester education, you tell her how much weight you expect her to gain.
How much weight should this patient gain during pregnancy?
A) Less than 15 pounds (less than 7 kg)
B) 15 to 25 pounds (7 to 11.5 kg)
C) 25 to 35 pounds (11.5 to 16 kg)
D) 30 to 40 pounds ( - ANSWER-C) 25 to 35 pounds (11.5 to 16 kg)
A 35-year-old bus driver comes to your office for a prenatal visit. She is approximately 28 weeks
pregnant and has had no complications. She is complaining only of heartburn and has had no
fatigue, headaches, leg swelling, contractions, leakage of fluid, or bleeding. On examination her
blood pressure is 142/92 and her urine shows no glucose, protein, or leukocytes. Her weight
gain is appropriate, with no large recent increases. Fetal tones are 140 and her uterus measures
32 cm from the pubic bone. Looking back through her chart, you see her prenatal blood
pressure was 120/70 and her blood pressures during the first 20 weeks were usually 120 to
130/70 to 80.
What type of blood pressure is this?
A) Normotensive for pregnancy
B) Chronic hypertension
C) Gestational hypertension
D) Preeclampsia - ANSWER-C) Gestational hypertension
A 24-year-old cashier comes to your clinic for her first OB visit. She had her last period 10 weeks
before, which would mean she is 12 weeks pregnant. She did a home pregnancy urine test a
month ago and it was positive. She has had some fatigue and nausea, but not in the last week.
She has had no cramping or bleeding. Her vital signs, head, eyes, ears, nose, throat, thyroid,
cardiac, pulmonary, and abdominal examinations are all unremarkable. On speculum
examination her os is closed and there is a pinkish hue to the cervix. On bimanual examination
the cervix is soft and the uterus is enlarged to the pelvic brim. Despite 20 minutes of trying, you
3|Page
, NUR-631 Advanced Health Assessment TEST BANK
cannot find heart tones. You repeat a urine pregnancy test and it is negative. A serum pregnancy
test is ordered and is positive. You send the patient for a vaginal ultrasound.
What is the most likely explanation for her presentation?
A) Earlier than 12 weeks
B) Fetal demise - ANSWER-B) Fetal demise (missed abortion)
Jeannie is a 24-year-old pregnant woman who asks you today if her frequent urination is
normal. Which of the following hormones is most likely responsible for this?
A) TSH
B) HCG
C) Oxytocin
D) Estradiol - ANSWER-B) HCG
Which of the following is the major effect of placental hormones?
A) Insulin resistance
B) Increased tidal volume
C) Relative hypercortisolism, which may trigger labor
D) Decreased lower esophageal sphincter tone - ANSWER-A) Insulin resistance
A young woman comes in for a routine wellness examination. You notice that her vaginal walls
have deep rugae and are slightly bluish in color. She also has a thicker white discharge. What
should you suspect?
A) Hypoxia
B) Varicosities
C) Pregnancy
D) Sexually transmitted infection - ANSWER-C) Pregnancy
4|Page
NUR-631 Advanced Health Assessment TEST
BANK Exam LATEST 2024/2025 D'Youville
University GRADED A + GUARANTEED PASS
(QUESTIONS AND ANSWERS WITH RATIONALES)
ACE YOUR EXAM
1|Page
, NUR-631 Advanced Health Assessment TEST BANK
A 22-year-old clerk, primigravida, comes to your office for a prenatal visit. She is in her second
trimester and has had prenatal care since she was 8 weeks pregnant. Her only complaint is that
she has a new brownish line straight down her abdomen. On examination her vital signs are
unremarkable. Her urine has no protein, glucose, or leukocytes. With a Doptone the fetal heart
rate is 140, and her uterus is palpated to the umbilicus. Today you are sending her for congenital
abnormality screening and setting up an ultrasound.
What physical finding is responsible for her new "brown line"?
A) Corpus luteum
B) Linea nigra
C) Linea alba
D) Diastasis recti - ANSWER-B) Linea nigra
A 20-year-old college student comes in with symptoms of fatigue, nausea, and an increase in
urination. Her last period was 3 months ago (June 20, 2008). She is sexually active and always
uses condoms. Her past medical history is unremarkable. On examination you see a young,
anxious-appearing woman. Her vital signs are unremarkable. Her head, eyes, ears, throat, neck,
thyroid, cardiac, pulmonary, and abdominal examinations are unremarkable. On pelvic
examination a soft cervix is palpated and a 14-week-sized uterus is palpated. A urine pregnancy
test is positive. You then inform the patient that she is expecting and, using Naegele's rule, give
her the estimated date of confinement (EDC, or due date).
What was the due date you gave her?
A) March 27, 2009
B) March 13, 2009
C) September 27, 2009
D) March 20, 2009 - ANSWER-A) March 27, 2009
A 32-year-old attorney comes to your office for her second prenatal visit. She has had two
previous pregnancies with uneventful prenatal care and vaginal deliveries. Her only problem
was that with each pregnancy she gained 50 lbs (23 kg) and had difficulty losing the weight
afterward. She has no complaints today. Looking at her chart, you see she is currently 10 weeks
pregnant and that her prenatal weight was 130 lbs (59 kg). Her weight today is 134 lbs (60.9 kg).
2|Page
, NUR-631 Advanced Health Assessment TEST BANK
Her height is 5'4", giving her a BMI of 22. Her blood pressure, pulse, and urine tests are
unremarkable. The fetal heart tone is difficult to find but is located and is 150. While you give
her first trimester education, you tell her how much weight you expect her to gain.
How much weight should this patient gain during pregnancy?
A) Less than 15 pounds (less than 7 kg)
B) 15 to 25 pounds (7 to 11.5 kg)
C) 25 to 35 pounds (11.5 to 16 kg)
D) 30 to 40 pounds ( - ANSWER-C) 25 to 35 pounds (11.5 to 16 kg)
A 35-year-old bus driver comes to your office for a prenatal visit. She is approximately 28 weeks
pregnant and has had no complications. She is complaining only of heartburn and has had no
fatigue, headaches, leg swelling, contractions, leakage of fluid, or bleeding. On examination her
blood pressure is 142/92 and her urine shows no glucose, protein, or leukocytes. Her weight
gain is appropriate, with no large recent increases. Fetal tones are 140 and her uterus measures
32 cm from the pubic bone. Looking back through her chart, you see her prenatal blood
pressure was 120/70 and her blood pressures during the first 20 weeks were usually 120 to
130/70 to 80.
What type of blood pressure is this?
A) Normotensive for pregnancy
B) Chronic hypertension
C) Gestational hypertension
D) Preeclampsia - ANSWER-C) Gestational hypertension
A 24-year-old cashier comes to your clinic for her first OB visit. She had her last period 10 weeks
before, which would mean she is 12 weeks pregnant. She did a home pregnancy urine test a
month ago and it was positive. She has had some fatigue and nausea, but not in the last week.
She has had no cramping or bleeding. Her vital signs, head, eyes, ears, nose, throat, thyroid,
cardiac, pulmonary, and abdominal examinations are all unremarkable. On speculum
examination her os is closed and there is a pinkish hue to the cervix. On bimanual examination
the cervix is soft and the uterus is enlarged to the pelvic brim. Despite 20 minutes of trying, you
3|Page
, NUR-631 Advanced Health Assessment TEST BANK
cannot find heart tones. You repeat a urine pregnancy test and it is negative. A serum pregnancy
test is ordered and is positive. You send the patient for a vaginal ultrasound.
What is the most likely explanation for her presentation?
A) Earlier than 12 weeks
B) Fetal demise - ANSWER-B) Fetal demise (missed abortion)
Jeannie is a 24-year-old pregnant woman who asks you today if her frequent urination is
normal. Which of the following hormones is most likely responsible for this?
A) TSH
B) HCG
C) Oxytocin
D) Estradiol - ANSWER-B) HCG
Which of the following is the major effect of placental hormones?
A) Insulin resistance
B) Increased tidal volume
C) Relative hypercortisolism, which may trigger labor
D) Decreased lower esophageal sphincter tone - ANSWER-A) Insulin resistance
A young woman comes in for a routine wellness examination. You notice that her vaginal walls
have deep rugae and are slightly bluish in color. She also has a thicker white discharge. What
should you suspect?
A) Hypoxia
B) Varicosities
C) Pregnancy
D) Sexually transmitted infection - ANSWER-C) Pregnancy
4|Page
