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Nur 114 Exam 1 Practice Questions and Answers: Maternal-Newborn Nursing, Exams of Nursing

A comprehensive set of practice questions and answers for nur 114 exam 1, focusing on maternal-newborn nursing. it covers key concepts such as pre-eclampsia, fetal development, postpartum care, and various pregnancy-related complications. the questions are designed to test understanding of important clinical scenarios and assessments, making it a valuable study resource for nursing students.

Typology: Exams

2024/2025

Available from 04/24/2025

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Nur 114 - Exam 1 Practice Questions With
Correct Answers
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 |- |VERIFIED |ANSWER✔✔-B
2. |Signs |of |pre-eclampsia |include |hypertension, |generalized |edema, |and |__________.
a. |Blurred |vision
b. |Proteinuria
c. |+2 |reflexes
d. |Increased |urinary |output |- |VERIFIED |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 |- |VERIFIED |
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
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Nur 114 - Exam 1 Practice Questions With

Correct Answers

  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 |- |VERIFIED |ANSWER✔✔-B
  2. |Signs |of |pre-eclampsia |include |hypertension, |generalized |edema, |and |__________. a. |Blurred |vision b. |Proteinuria c. |+2 |reflexes d. |Increased |urinary |output |- |VERIFIED |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 |- |VERIFIED | ANSWER✔✔-A
  4. |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- b. |3-1-1-1- c. |2-1-0-1-

d. |4-2-1-0-2 |- |VERIFIED |ANSWER✔✔-A

  1. |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 |- |VERIFIED |ANSWER✔✔-A
  2. |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 |- | VERIFIED |ANSWER✔✔-C
  3. |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 |- |VERIFIED |ANSWER✔✔-C
  4. |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 |- |VERIFIED |ANSWER✔✔-B

d. |Administration |of |labetalol |- |VERIFIED |ANSWER✔✔-C

  1. |A |client |with |mild |preeclampsia |is |admitted |to |the |unit. |She |is |complaining |of |a |pounding | headache, |visual |changes |and |epigastric |pain. |These |findings |most |appropriately |indicate: a. |Anxiety |due |to |the |unknown b. |Worsening |condition |and |impending |seizure c. |Therapeutic |effects |of |magnesium |sulfate |therapy d. |Gallbladder |disease |- |VERIFIED |ANSWER✔✔-B
  2. |A |contraction |stress |test |has |been |ordered |by |the |health |care |provider. |Which |of |the |following | would |be |interpreted |as |a |negative |test |result? a. |No |late |deceleration |noted |after |three |contractions b. |Pain |reported |at | 5 |out |of | 10 |on |a |pain |scale c. |Duration |of |contraction | 90 |seconds |or |greater |for |three |contractions d. |Fetal |activity |noted |three |times |in | 20 |minutes |- |VERIFIED |ANSWER✔✔-A
  3. |A |pregnant |client |with |a | 42 |weeks' |gestation |has |just |completed |a |20-minute |nonstress |test | (NST). |Which |of |the |following |results |would |the |nurse |interpret |as |a |reactive |test? a. |Baseline |remained |unchanged |between |110-120 |bmp b. |Maternal |heart |rate |accelerations |up |to | 120 |bmp |with |fetal |activity c. |Two |fetal |heart |rate |accelerations |of | 15 |bmp |lasting |at |least | 15 |seconds d. |Presence |of |fetal |movement |- |VERIFIED |ANSWER✔✔-C
  4. |A |woman |beginning |pregnancy |at |a |normal |weight |would |have |which |weight |gain | recommendations? a. | 35 |to | 40 |pounds b. | 25 |to | 35 |pounds c. | 28 |to | 40 |pounds d. | 15 |to | 25 |pounds |- |VERIFIED |ANSWER✔✔-B
  1. |A |woman |is | 6 |weeks |pregnant. |She |has |had |a |previous |spontaneous |abortion |at | 14 |weeks | gestation |and |a |pregnancy |that |ended |at | 38 |weeks |with |the |birth |of |a |stillborn |girl. |What |is |her | gravidity |and |parity? a. |G | 3 |P | 0 b. |G | 4 |P | 1 c. |G | 3 |P | 1 d. |G | 3 |P | 2 |- |VERIFIED |ANSWER✔✔-C
  2. |At | 12 |weeks |gestation |a |pregnant |client |asks, |"What's |happening |with |my |baby?" |Which |of |the | following |would |be |included |in |your |response? |Select |all |that |apply. a. |External |genitalia |becomes |distinguished |to |gender | b. |Eyebrows |forming c. |Urine |is |being |produced |and |secreted d. |Digestive |system |becoming |active e. |Lanugo |present |on |head |- |VERIFIED |ANSWER✔✔-A, |C, |D
  3. |Expected |integumentary |changes |occurring |during |pregnancy |include |which |of |the |following? | Select |all |that |apply. a. |Melasma b. |Nausea c. |Linea |nigra d. |Striae |gravidarum e. |Ptyalism |- |VERIFIED |ANSWER✔✔-A, |C, |D
  4. |Which |of |the |following |hormones |are |responsible |for |maintain |the |health |of |the |released |ovum | and |preparing |the |endometrium |for |implantation? a. |Luteinizing |hormone b. |Progesterone c. |Estrogen d. |Follicle-stimulating |hormone |- |VERIFIED |ANSWER✔✔-B
  1. |Which |hormone |is |primarily |responsible |for |ovulation? | a. |Estrogen b. |Progesterone c. |Follicle-stimulating |hormone d. |Luteinizing |hormone |- |VERIFIED |ANSWER✔✔-D
  2. |A |36-year-old, |G3P2 |patient |is |being |cared |for |in |the |labor |and |delivery |unit. |Her |contractions |are | occurring |every |3-5 |minutes, |lasting |40-60 |seconds |and |moderate |intensity. |She |has |become |less | talkative |over |the |last |hour |and |has |paced |her |breathing |with |the |last |two |contractions. |Based |on |the |assessment |data |provided |the |patient |is |currently |in |which |phase |of |the |labor |process? a. |Early b. |Transition c. |Active d. |Latent |- |VERIFIED |ANSWER✔✔-C
  3. |Upon |initial |assessment |of |the |neonate, |which |finding |would |warrant |the |need |to |notify |the | health |care |provider? a. |Bluish |discoloration |of |the |hands |and |feet b. |Reddened |areas |with |a |white |palpules |in |the |center |of |the |face |and |chest c. |Bluish-black |pigmentation |of |the |buttocks d. |Bulging |anterior |fontanelles |- |VERIFIED |ANSWER✔✔-D
  4. |An |yellow |discoloration |of |the |face |and |sclera |is |noted |in |the |three-day |old |neonate. |The |neonate |was |delivered |vaginally |without |complications |and |is |breastfeeding |every |3-4 |hours. |Based |on |these | assessment |findings |the |nurse |would |most |appropriately |suspect |which |of |the |following? a. |Physiologic |jaundice b. |Early |onset |of |breastfeeding |jaundice c. |Pathologic |jaundice d. |Psychological |jaundice |- |VERIFIED |ANSWER✔✔-A
  1. |At | 1 |minute |after |birth |the |nurse |assesses |the |infant |and |notes |a |heart |rate |at | 110 |bpm, |some | flexion |of |extremities, |strong |cry, |sneezes |when |suctioned |with |the |bulb |syringe, |and |acrocyanosis | present. |The |nurse |would |assign |an |Apgar |score |of a. | 5 b. | 6 c. | 7 d. | 8 |- |VERIFIED |ANSWER✔✔-D
  2. |Early |decelerations |are |a |result |of a. |Compression |of |the |umbilical |cord b. |Decreased |uteroplacental |sufficiency c. |Fetal |head |compression d. |Rapid |progression |of |cervical |dilation |- |VERIFIED |ANSWER✔✔-C
  3. |In |providing |education |to |the |parents |of |a |neonate |with |a |cephalohematoma |the |nurse |would | most |appropriately |state a. |"This |is |a |result |of |ineffective |pushing |which |led |to |increased |pressure |of |the |baby's |head |against | the |cervix." b. |"This |defect |although |permanent |will |not |result |in |developmental |delays." c. |"This |is |a |common |finding |and |should |disappear |within |weeks |or |months." d. |"We |will |clearly |monitor |your |baby |for |signs |of |intracranial |bleeding |as |this |is |an |early |finding." |- | VERIFIED |ANSWER✔✔-C
  4. |Postpartum |patient's |lab |data | 12 |hours |after |delivery |includes |maternal |blood |type |and |Rh |factor | is |A+, |rubella |status |1:8, |hematocrit |30% |and |WBC |12,000. |What |is |the |nurse's |expected |response |to | this |information? a. |Anticipate |administration |of |antibiotics |for |treatment |of |an |infection b. |Contact |physician |for |new |orders |to |address |effects |of |postpartum |hemorrhage c. |Administer |Rhogam |as |ordered |at |time |of |discharge d. |Administer |Rubella |vaccination |prior |to |discharge |from |hospital |- |VERIFIED |ANSWER✔✔-D

d. |"I |will |be |placing |your |baby |under |the |radiant |warmer |as |a |decreased |temper |- |VERIFIED | ANSWER✔✔-B

  1. |The |postpartum |patient |delivered |a |7-pound, | 11 |ounce |baby |boy |three |hours |ago. |The |fundus |is | palpated |at | 3 |cm |above |the |umbilicus |and |deviated |to |the |right |as |a |result |of |bladder |distention. |The | nurse |understands |that |the |greatest |risk |associated |with |this |assessment |finding |is: a. |Uterine |rupture b. |Postpartum |hemorrhage c. |Urinary |retention d. |Urinary |tract |infection |- |VERIFIED |ANSWER✔✔-B
  2. |The |nurse |returns |the |newborn |back |to |his |mother's |room |following |a |procedure |in |the |nursery. | The |nurse |places |the |newborn |directly |under |the |air |conditioning |vent. |The |newborn |is |at |risk |for | heat |loss |through |which |method: a. |Conduction b. |Convection c. |Radiation d. |Evaporation |- |VERIFIED |ANSWER✔✔-B
  3. |Vaginal |Delivery |of |a |healthy |8-pound, |2- |ounce |baby |girl |occurred |one |hour |ago, |and |the | physician |noted | 850 |mL |of |estimated |blood |loss |(EBL). |Which |of |the |assessment |findings |would |raise | concern |for |the |postpartum |nurse? a. |Temperature |100.2 |F, |heart |rate |120, |respirations |20, |blood |pressure |90/ b. |Temperature |99.4 |F, |heart |rate |88, |respirations |36, |blood |pressure |126/ c. |Temperature |100.4 |F, |heart |rate |80, |respirations |16, |blood |pressure |110/ d. |Temperature |98.2 |F, |heart |rate |60, |respirations |18, |blood |pressure |140/90 |- |VERIFIED |ANSWER✔✔- A
  4. |What |type |of |lochia |is |expected |in |the |patient |on |the |6th |postpartum |day? a. |Lochia |rubra b. |Lochia |serosa

c. |Lochia |alba d. |Lochia |has |concluded |- |VERIFIED |ANSWER✔✔-B

  1. |A |2-week |postpartum |patient |is |diagnosed |with |postpartum |psychosis. |The |priority |concern |with | this |form |of |postpartum |depression |is |which |of |the |following: a. |Lack |of |appetite b. |Neglecting |the |baby's |hygiene c. |Harming |her |infant d. |Intense |mood |swings |- |VERIFIED |ANSWER✔✔-C
  2. |A |nurse |is |caring |for |a |primigravida |at | 38 |weeks |gestation |who |is |having |contractions, |but |states | she |is |"not |really |sure |if |she |is |in |labor |or |not." |The |nurse |should |recognize |that |which |of |the | following |is |an |indication |of |true |labor? a. |Rupture |of |membranes b. |Changes |in |the |cervix c. |Engagement |of |the |fetal |head d. |Irregular |contraction |activity |- |VERIFIED |ANSWER✔✔-B When |providing |neonatal |discharge |instructions |to |new |parents, |which |of |the |following |would |be |an | indication |for |the |parents |to |call |the |doctor |or |return |to |the |hospital? a. |yellow |crust |formation |on |the |circumcision |site b. |infant |breastfeeding |every |2-3 |hours c. |redness |at |the |base |of |the |umbilical |cord d. |straining |when |the |baby |passes |stool |- |VERIFIED |ANSWER✔✔-C
  3. |Which |of |the |following |are |probable |signs |of |pregnancy? |Select |all |that |apply. a. |Positive |pregnancy |test b. |Brest |tenderness c. |Bluish-purple |coloration |of |the |vaginal |and |cervix d. |Softening |of |the |cervix
  1. |During |which |phase |of |the |endometrial |cycle |does |the |menstrual |flow |start? a. |Proliferative |phase b. |Secretory |phase c. |Ischemic |phase d. |Menstrual |phase |- |VERIFIED |ANSWER✔✔-C
  2. |What |event |occurs |during |the |follicular |phase |of |the |ovarian |cycle? a. |Follicles |in |the |ovary |grow |and |form |a |mature |egg | b. |Mature |follicle |ruptures |in |response |to |a |surge |of |hormones c. |The |egg |is |released d. |The |corpus |luteum |is |formed |- |VERIFIED |ANSWER✔✔-A
  3. |Which |of |the |following |discomforts |would |woman |most |likely |experience |during |the |third | trimester? a. |Breast |tenderness b. |Leukorrhea c. |Fever d. |Shortness |of |breath |- |VERIFIED |ANSWER✔✔-D
  4. |A |41-week |pregnant |patient |has |been |admitted |for |labor |induction. |The |health |care |provider |has | ordered |Oxytocin |(Pitocin) |to |be |administered. |The |nurse |understands |that |Oxytocin |(Pitocin) |is | indicated |for |labor |induction |based |on |which |of |the |following |actions? a. |Oxytocin |stimulates |uterine |contractions b. |Oxytocin |assists |in |fetal |descent c. |Oxytocin |prevents |postpartum |hemorrhage d. |Oxytocin |shortens |length |of |labor |- |VERIFIED |ANSWER✔✔-A If |a |patient |has |a |BMI |of |26, |how |much |weight |should |they |gain? |- |VERIFIED |ANSWER✔✔-15-25 | pounds

Where |does |fertilization |take |place? |- |VERIFIED |ANSWER✔✔-Fallopian |tubes Name |the | 5 |components |of |the |APGAR |assessment. |- |VERIFIED |ANSWER✔✔-Activity Pulse Grimace Appearance Respirations Regurgitation |in |the |newborn |is |most |likely |does |to |what |GI |change? |- |VERIFIED |ANSWER✔✔- Immature |cardiac |sphincter Name |the | 5 |functions |of |the |hepatic |system |in |the |newborn. |- |VERIFIED |ANSWER✔✔-Maintain |blood | glucose Conjugate |bilirubin Iron |storage Produce |clotting |factors Drug |metabolism Name |the |risk |factors |for |jaundice. |- |VERIFIED |ANSWER✔✔-Liver |immaturity Delayed |feedings Cephalohematoma ABO/Rh |incompatibilities Name |the |signs |of |respiratory |distress |- |VERIFIED |ANSWER✔✔-Grunting Flaring Retracting An |infant |has |an |extra |pinky |finger |and |wedding |of |his |toes. |What |are |these |terms? |- |VERIFIED | ANSWER✔✔-Polydactyly

q3-4 |hours Name |the | 3 |types |of |breast |milk |in |order |of |production. |- |VERIFIED |ANSWER✔✔-Colostrum Transitional |milk Mature |milk What |is |the |name |of |the |first |still |of |infants? How |long |should |it |last? |- |VERIFIED |ANSWER✔✔-Meconium 24-48 |hours Hypoglycemia |in |an |infant |of |a |diabetic |mother |is |due |to |what? |- |VERIFIED |ANSWER✔✔- Overproduction |of |insulin |in |response |to |high |glucose |levels |in |utero. An |infant |at | 50 |hours |old |has |a |bilirubin |result |of |26. |Which |type |of |jaundice |is |this? |- |VERIFIED | ANSWER✔✔-Kernicterus