NUR 114 Exam 1 Practice Questions And Answers
With Verified Study Solutions
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 ANS B
2. Signs of pre-eclampsia include hypertension, generalized edema, and __________.
a. Blurred vision
b. Proteinuria
c. +2 reflexes
d. Increased urinary output ANS 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 ANS 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 ANS 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 ANS A
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 ANS 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 ANS 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 ANS B
11. The laboring patient is having strong contractions every one to two minutes that are lasting 60-70 seconds.
She notifies the nurse she is having intense sensations of pressure on the perineal area. The nurse's priority
action is to
a. Perform sterile vaginal exam for cervical dilation, effacement, and station
b. Notify the healthcare provider that the patient will be delivering soon
c. Offer the patient a bed pan
With Verified Study Solutions
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 ANS B
2. Signs of pre-eclampsia include hypertension, generalized edema, and __________.
a. Blurred vision
b. Proteinuria
c. +2 reflexes
d. Increased urinary output ANS 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 ANS 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 ANS 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 ANS A
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 ANS 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 ANS 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 ANS B
11. The laboring patient is having strong contractions every one to two minutes that are lasting 60-70 seconds.
She notifies the nurse she is having intense sensations of pressure on the perineal area. The nurse's priority
action is to
a. Perform sterile vaginal exam for cervical dilation, effacement, and station
b. Notify the healthcare provider that the patient will be delivering soon
c. Offer the patient a bed pan
