9/8/25, 8:51 PM NUR136 EXAM 4
NURS 132 TEST BANK EXAM 4 QUESTIONS WITH VERIFIED
ANSWERS (DETAILED AND ELABORATED) A+ GRADED LATEST
UPDATE 2025-2026 ||ACTUAL EXAM 4 NURS 132
CAUSES:
- can be Spontaneous or Indicated
- Spontaneous: infection, congenital structural
abnormalities of the uterus, placental causes,
maternal/fetal stress, decrease in progesterone
- Indicated: pre-existing or gestational diabetes, chronic
hypertension, preeclampsia, placental abruption,
placenta previa abnormal NST or BPP results, fetal
compromise
RISK FACTORS for spontaneous preterm birth:
Preterm Birth: Causes & Risk • History of genital tract colonization, infection, or instrumentation
Factors
• African-American race
• Bleeding of uncertain origin in pregnancy
• History of a previous spontaneous preterm birth
between 16 and 36 weeks of gestation a
• Uterine anomaly
• Use of assisted reproductive technology
• Multifetal gestation
• Cigarette smoking, substance abuse
• Pre Pregnancy underweight (BMI < 19.6) and prepregnancy
obesity (BMI > 30)
• Periodontal disease
• Limited education and low socioeconomic status
• Late entry into prenatal care
• High levels of personal stress in one or more domains of life
/ 1/46
,9/8/25, 9:40 PM NURS 132 - Exam 4
S/S:
• Change in type of vaginal discharge (watery, mucus, or bloody)
• Increase in amount of vaginal discharge
• Pelvic or lower abdominal pressure
• Constant low, dull backache
• Mild abdominal cramps, with or without diarrhea
• Regular or frequent contractions or uterine tightening, often
painless
• Ruptured membranes
Preterm Birth: S/S, Teaching
for Self- Management TEACHING FOR SELF MANAGEMENT:
• Stop what you are doing.
• Lie down on your side.
• Drink two to three glasses of water or juice.
• Wait 1 hr.
• If symptoms get worse, call your healthcare provider or go to
the birthing facility.
• If symptoms go away, tell your health care provider
what happened at your next prenatal visit.
• If symptoms come back, call your healthcare provider.
- immature body systems
- hypotonia
- few creases of skin
- low temperature
- apneic episodes, possible respiratory distress
- weight <2700 grams
- dark red skin color
Preterm Birth: Expected - skin is thin, smooth, superficial peeling, rash, vessels visible on
Findings in a Preterm abdomen
- minimal subq fat, cartilage, & breast tissue
Newborn
- abundant vernix caseosa
- abundant lanugo
- fine/wooly hair
- macroglossia (big tongue)
- absent rooting, sucking and tongue extrusion reflexes
- possible undescended testes/scrotum
/ 2/46
,9/8/25, 9:40 PM NURS 132 - Exam 4
ACTION: CNS depressant; relaxes smooth muscle, including
uterus
DOSAGE: LOADING: 4-6 g over 20-30 min, MAINTENANCE: 1-4
g/hr; 40 g in 1000
mL of IV fluid total
Magnesium Sulfate (action,
ROUTE: IV piggyback to primary infusion via
dosage, route, A/E for
controller pump; IM A/E:
mom/baby)
- maternal: Hot flushes, sweating, burning at the IV
insertion site, nausea and vomiting, dry mouth,
drowsiness, blurred vision, diplopia, headache,
ileus, generalized muscle weakness, lethargy,
dizziness
- Fetal (uncommon): Decreased breathing
movement, reduced FHR variability, nonreactive
NST
- Use for stabilization only
- Discontinue within 24-48 hr at the maintenance
dose or if intolerable adverse effects occur
- obtain baseline for mom and baby before beginning
therapy and then before and after each incremental
Nursing Considerations of
change
Mag Sulfate
- most commonly given IV but can be IM
- Monitor serum magnesium (therapeutic range is 4-7.5 mEq/L or
5-8 mg/dL)
- have calcium gluconate on hand
- avoid use in women with myasthenia gravis
- total IV intake should be limited to 125 mL/hr
/ 3/46
, 9/8/25, 9:40 PM NURS 132 - Exam 4
- Respiratory rate fewer than 12 breaths/min
- Pulmonary edema
- Absent DTRs
- Chest pain
- Severe hypotension
Intolerable adverse effects of
mag sulfate - Altered level of consciousness
- Extreme muscle weakness
- Urine output <25-30 mL/hr or <100 mL/4 hr
- Serum magnesium level of 10 mEq/L (9 mg/dL) or greater
ACTION: relaxes smooth muscle, inhibiting
uterine activity and causing bronchodilation
DOSAGE: 0.25 mg every 4 hr. Treatment should last
Terbutaline (beta- no longer than 24 hr. ROUTE: SubQ
adrenergic agonist) (action, A/E: Maternal (most are mild and of limited duration):
dosage, route, A/E, tachycardia, chest discomfort, palpitations, arrhythmias,
Intolerable A/E) tremors, dizziness, nervousness, headache, nasal
congestion, N/V, hypokalemia, hyperglycemia,
hypotension
Intolerable A/E: Tachycardia > 130 beats/min, BP <
90/60, chest pain, cardiac arrhythmias, myocardial
infarction, pulmonary edema
- monitor HR
- assess maternal glucose and potassium levels before Tx
- do not give to women with suspected heart disease,
pregestational or gestational DM, preeclampsia with
severe features/eclampsia, hyperthyroidism, with
Terbutaline (beta-adrenergic
significant hemorrhage, possible chorioamnionitis
agonist): Nursing
- notify provider for following: maternal HR >130 bpm,
Considerations
chest pain, BP <90/60, S/S of pulmonary edema, fetal
HR >180 bpm
- be aware that hyperglycemia occurs more often in
moms getting corticosteroids simultaneously
- Ensure that propranolol is available to reverse
adverse effects related to cardiovascular
function
/ 4/46
NURS 132 TEST BANK EXAM 4 QUESTIONS WITH VERIFIED
ANSWERS (DETAILED AND ELABORATED) A+ GRADED LATEST
UPDATE 2025-2026 ||ACTUAL EXAM 4 NURS 132
CAUSES:
- can be Spontaneous or Indicated
- Spontaneous: infection, congenital structural
abnormalities of the uterus, placental causes,
maternal/fetal stress, decrease in progesterone
- Indicated: pre-existing or gestational diabetes, chronic
hypertension, preeclampsia, placental abruption,
placenta previa abnormal NST or BPP results, fetal
compromise
RISK FACTORS for spontaneous preterm birth:
Preterm Birth: Causes & Risk • History of genital tract colonization, infection, or instrumentation
Factors
• African-American race
• Bleeding of uncertain origin in pregnancy
• History of a previous spontaneous preterm birth
between 16 and 36 weeks of gestation a
• Uterine anomaly
• Use of assisted reproductive technology
• Multifetal gestation
• Cigarette smoking, substance abuse
• Pre Pregnancy underweight (BMI < 19.6) and prepregnancy
obesity (BMI > 30)
• Periodontal disease
• Limited education and low socioeconomic status
• Late entry into prenatal care
• High levels of personal stress in one or more domains of life
/ 1/46
,9/8/25, 9:40 PM NURS 132 - Exam 4
S/S:
• Change in type of vaginal discharge (watery, mucus, or bloody)
• Increase in amount of vaginal discharge
• Pelvic or lower abdominal pressure
• Constant low, dull backache
• Mild abdominal cramps, with or without diarrhea
• Regular or frequent contractions or uterine tightening, often
painless
• Ruptured membranes
Preterm Birth: S/S, Teaching
for Self- Management TEACHING FOR SELF MANAGEMENT:
• Stop what you are doing.
• Lie down on your side.
• Drink two to three glasses of water or juice.
• Wait 1 hr.
• If symptoms get worse, call your healthcare provider or go to
the birthing facility.
• If symptoms go away, tell your health care provider
what happened at your next prenatal visit.
• If symptoms come back, call your healthcare provider.
- immature body systems
- hypotonia
- few creases of skin
- low temperature
- apneic episodes, possible respiratory distress
- weight <2700 grams
- dark red skin color
Preterm Birth: Expected - skin is thin, smooth, superficial peeling, rash, vessels visible on
Findings in a Preterm abdomen
- minimal subq fat, cartilage, & breast tissue
Newborn
- abundant vernix caseosa
- abundant lanugo
- fine/wooly hair
- macroglossia (big tongue)
- absent rooting, sucking and tongue extrusion reflexes
- possible undescended testes/scrotum
/ 2/46
,9/8/25, 9:40 PM NURS 132 - Exam 4
ACTION: CNS depressant; relaxes smooth muscle, including
uterus
DOSAGE: LOADING: 4-6 g over 20-30 min, MAINTENANCE: 1-4
g/hr; 40 g in 1000
mL of IV fluid total
Magnesium Sulfate (action,
ROUTE: IV piggyback to primary infusion via
dosage, route, A/E for
controller pump; IM A/E:
mom/baby)
- maternal: Hot flushes, sweating, burning at the IV
insertion site, nausea and vomiting, dry mouth,
drowsiness, blurred vision, diplopia, headache,
ileus, generalized muscle weakness, lethargy,
dizziness
- Fetal (uncommon): Decreased breathing
movement, reduced FHR variability, nonreactive
NST
- Use for stabilization only
- Discontinue within 24-48 hr at the maintenance
dose or if intolerable adverse effects occur
- obtain baseline for mom and baby before beginning
therapy and then before and after each incremental
Nursing Considerations of
change
Mag Sulfate
- most commonly given IV but can be IM
- Monitor serum magnesium (therapeutic range is 4-7.5 mEq/L or
5-8 mg/dL)
- have calcium gluconate on hand
- avoid use in women with myasthenia gravis
- total IV intake should be limited to 125 mL/hr
/ 3/46
, 9/8/25, 9:40 PM NURS 132 - Exam 4
- Respiratory rate fewer than 12 breaths/min
- Pulmonary edema
- Absent DTRs
- Chest pain
- Severe hypotension
Intolerable adverse effects of
mag sulfate - Altered level of consciousness
- Extreme muscle weakness
- Urine output <25-30 mL/hr or <100 mL/4 hr
- Serum magnesium level of 10 mEq/L (9 mg/dL) or greater
ACTION: relaxes smooth muscle, inhibiting
uterine activity and causing bronchodilation
DOSAGE: 0.25 mg every 4 hr. Treatment should last
Terbutaline (beta- no longer than 24 hr. ROUTE: SubQ
adrenergic agonist) (action, A/E: Maternal (most are mild and of limited duration):
dosage, route, A/E, tachycardia, chest discomfort, palpitations, arrhythmias,
Intolerable A/E) tremors, dizziness, nervousness, headache, nasal
congestion, N/V, hypokalemia, hyperglycemia,
hypotension
Intolerable A/E: Tachycardia > 130 beats/min, BP <
90/60, chest pain, cardiac arrhythmias, myocardial
infarction, pulmonary edema
- monitor HR
- assess maternal glucose and potassium levels before Tx
- do not give to women with suspected heart disease,
pregestational or gestational DM, preeclampsia with
severe features/eclampsia, hyperthyroidism, with
Terbutaline (beta-adrenergic
significant hemorrhage, possible chorioamnionitis
agonist): Nursing
- notify provider for following: maternal HR >130 bpm,
Considerations
chest pain, BP <90/60, S/S of pulmonary edema, fetal
HR >180 bpm
- be aware that hyperglycemia occurs more often in
moms getting corticosteroids simultaneously
- Ensure that propranolol is available to reverse
adverse effects related to cardiovascular
function
/ 4/46
