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NUR 411: Nursing Concepts for Childbearing Individuals and Families Exam 2, 457 Questions and Correct Answers, With Complete Solution, Updated 2024. Actual Exam Questions Included.

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NUR 411: Nursing Concepts for Childbearing
Individuals and Families Exam 2, 457 Questions
and Correct Answers, With Complete Solution, Updated
2024. Actual Exam Questions Included.
Abruptio placenta (placental abruption) occurs when the placenta begins to shear
away from the uterine wall. A patient with this condition typically presents with
dark red bleeding, a rigid abdomen, and ___.
A. Severe abdominal pain
B. Signs of infection
C. Mild back pain
D. Leaking amniotic fluid
A. Severe abdominal pain
At 36 weeks gestation, Jane has hypertension (since 28 weeks), hyperactive
DTRs with clonus, and proteinuria. She has a convulsion on your shift. The
correct diagnosis for Jane is:
A. Eclampsia
B. Severe preeclampsia
C. HELLP syndrome
D. Disseminated intravascular coagulopathy (DIC)
A. Eclampsia
A patient, G2P1001, at 32 weeks gestation comes to the emergency maternal
triage area stating that she has had three instances of bright red bleeding in the
past two days. She reports that she has no pain. The admission nurse suspects
that the patient is experiencing:
A. Abruptio placenta (placental abruption)
B. Placenta previa
C. Preterm labor
D. Disseminated intravascular coagulopathy (DIC)
B. Placenta previa
The definition of preterm labor is uterine contractions accompanied by cervical
change between ___ and ___ weeks gestation.
A. 28 and 36 6/7
B. 20 and 28
C. 20 and 36 6/7
D. 13 and 28
C. 20 and 36 6/7
Diagnostic criteria for hyperemesis gravidarum includes:
A. Dysuria
B. Weight loss of greater than or equal to 5% of the patient's pre-pregnancy
weight
C. Elevated estradiol and hCG levels
D. Persistant nausea and vomiting after 8 weeks gestation

,B. Weight loss of greater than or equal to 5% of the patient's pre-pregnancy weight
(True/false) Antenatal corticosteroids are given to women in preterm labor
between 24 and 34 weeks gestation to help speed up the maturation process of
the fetal central nervous system.
False
Passive and painless dilation of the cervix is often referred to as an incompetent
cervix. One treatment that often helps prevent preterm delivery in this situation is
suturing the cervix, also called ___.
Cerclage
A primigravida has a routine one-hour glucose screening test at her 28 week
prenatal visit. Her blood sugar level from this test is 150. What test should the
nurse schedule for her next?
A. Hemoglobin A1C
B. Repeat 1-hour glucose tolerance test
C. 3-hour glucose tolerance test
D.None, this test is diagnostic for gestational diabetes
C. 3-hour glucose tolerance test
Causes of early pregnancy (<20 weeks gestation) bleeding include (mark all that
apply):
A. Spontaneous abortion (miscarriage)
B. Placenta accreta
C. Hydatidiform mole
D. Gestational diabetes
A. Spontaneous abortion (miscarriage)
C. Hydatidiform mole
Fetal fibronectin (fFN) is a fetal glycoprotein that is often found in cervicovaginal
fluid up until about 22 weeks gestation. OB providers test for the presence of fFN
to find out if a woman is at increased risk for ___.
A. Preterm labor
B. Rh isoimmunization
C. Gestational diabetes
D. Preeclampsia
A. Preterm labor
One of the main suspected causes of preterm labor is:
A. Primiparous status
B. Intimate partner violence (IPV)
C. Tocolytic medication
D. Infection
D. Infection
(True/false) In gestational diabetes, maternal glucose crosses the placenta, but
insulin does not.
True
At 37 weeks gestation, Alice's blood pressure rose from a pre-pregnancy baseline
of 118/62 to 142/88. No proteinuria or other problematic signs or symptoms were
noted. What is an appropriate diagnosis for Alice?
A. Chronic hypertension

,B. Eclampsia
C. Gestational hypertension
D. Mild preeclampsia
C. Gestational hypertension
Signs of magnesium sulfate toxicity include:
A. Hyporeflexia and respiratory depression
B. Respiratory depression and hypertension
C. Tinnitus and oliguria
D. Oliguria and hyperreflexia
A. Hyporeflexia and respiratory depression
Adrian is a G1P0000 at 28 weeks and her BP has risen to 160/110 with 3+
proteinuria. She has been complaining of a headache, visual disturbances, and
upper right abdominal pain. The correct diagnosis for Adrian is:
A. Severe preeclampsia
B. Mild preeclampsia
C. Eclampsia
D. Gestational hypertension
A. Severe preeclampsia
This medication is a cervical ripening agent in the form of a tablet and is most
commonly administered intravaginally into the posterior fornix.
A. Prostaglandin gel
B. Lamicel
C. Misoprostol (Cytotec)
D. Dinoprostone (Prepidil)
C. Misoprostol (Cytotec)
This medication is an antenatal glucocorticoid - usually given IM - used to
accelerate fetal lung maturity when there is a risk of preterm birth.
A. Betamethasone
B. Cervidil
C. Nifedipine
D. Terbutaline
A. Betamethasone
Bed rest for prevention of preterm birth can result in (mark all that apply):
A. Anemia
B. Increased cardiac output
C. Emotional lability
D. Weight loss
E. Bone demineralization & calcium loss
C. Emotional lability
D. Weight loss
E. Bone demineralization & calcium loss
What is the name of this position which, along with suprapubic pressure, is
indicated in suspected shoulder dystocia deliveries?
A. Semi-Fowlers
B.Lithotomy

, C. McRoberts
D. McDonalds
C. McRoberts
The nurse performs a cervical exam on her patient before implementing labor
induction orders. The nurse charts this assessment as 1 cm dilated/ 50% effaced/
0 station, midposition with medium consistency. What is her Bishops score and,
according to this score, is this patient a good candidate for a successful
induction?
A. 8; yes
B. 5; no
C. 6; no
D. 7; yes
C. 6; no
This is a rating system used in obstetrics to evaluate the inducibility of the cervix.
A. Non-stress test
B. Biophysical profile
C. Apgar score
D. Bishops score
D. Bishops score
Which C-section uterine incision would allow a woman to attempt a vaginal birth
after c-section (VBAC) for her next pregnancy/delivery?
A. Low vertical incision
B. Low transverse
C. Pfannenstiel
D. Classic incision
B. Low transverse
Possible causes of labor dystocia (dysfunctional labor) include (mark all that
apply):
A. Abnormalities in pelvic structure
B. Macrosomia
C. Psychologic state of laboring woman
D. Hands and knees labor position
E. Ineffective uterine contraction pattern
A. Abnormalities in pelvic structure
B. Macrosomia
C. Psychologic state of laboring woman
E. Ineffective uterine contraction pattern
A woman with severe preeclampsia is receiving a magnesium sulfate infusion.
The nurse becomes concerned after assessment when the woman exhibits:
A. A sleepy, sedated affect
B. A respiratory rate of 10 breaths/min
C. Deep tendon reflexes of 2+
D. Absent ankle clonus
B. A respiratory rate of 10 breaths/min
A nurse caring for pregnant women must be aware that the most common
medical complication of pregnancy is:

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