NUR 230 Exam 1 Clicker Questions and
Answers
The nurse is talking with a 28-year-old client after her normal, annual gynecological
exam. The nurse recognizes the client understands when she states:
A.I will have another annual exam in 1 year and a pap smear at that time.
B.I will have another annual exam in 1 year and a pap smear in 5 years.
C.I will return for an annual exam in 1 year and a pap smear in 3 years. ✅C. I will
return for an annual exam in 1 year and a pap smear in 3 years.
A nurse is educating a client about some of the physiologic changes that occur with
pregnancy. The nurse recognizes the client's need for more teaching when she states
A."Urinary tract infections are more common in pregnancy, and sometimes they have no
symptoms at all."
B."It is normal for my blood pressure to be lower in the second trimester."
C."If my pubic bone joint starts to hurt, it may be an early sign of labor and I should call
my provider."
D."Anemia is more common in the second trimester compared to the first trimester."
✅C. "If my pubic bone joint starts to hurt, it may be an early sign of labor and I should
call my provider."
A nurse overhears a client describing the current development of their 8-week fetus to
her partner. The nurse recognizes the client has a good understanding fetal
development at this gestation when she describes the fetus as
A.resembling a human with internal and external sex organs that have developed.
B.having a fairly well-formed body; arms, legs, and digits that are well-formed; and
eyes, ears, nose, and mouth that are recognizable.
C.having skin that is smooth, scant vernix caseosa, moderate to profuse hair; lanugo on
shoulders and upper body only.
D.having alveolar ducts and sacs are present in the lungs ✅B. having a fairly well-
formed body; arms, legs, and digits that are well-formed; and eyes, ears, nose, and
mouth that are recognizable.
,A client gives her LMP as 12/1. Her partner was home from the Army from 12/4-12/14.
She had unprotected intercourse, did a lot of binge drinking and smoking marijuana
during that time. She has not had any alcohol or smoked marijuana since he left. It is
now 1/15 and the client has had a positive pregnancy test. She states "I have always
wanted to be a mother but I am scared to death I hurt the baby when I did all that
partying in December". The BEST response by the nurse is:
A.I will ask your provider to refer you to a geneticist for testing to see if that can ease
your mind.
B.In about 2.5 months you will have an ultrasound to determine whether the baby has
structural abnormalities; I will see if we can move that up a week or two for you.
C.You have reason to be concerned. I will ask the doctor to talk with you about the next
steps to take.
D.If you are sure about your LMP, there is minimal risk that your baby w ✅D. If you are
sure about your LMP, there is minimal risk that your baby was harmed at that time.
Activities that promote healthy mothers and babies are ideally initiated before the period
of critical fetal development. This period occurs between
A.3-42 days after fertilization
B.17-56 days after fertilization
C.39-71 days after fertilization
D.48-84 days after fertilization ✅B.17-56 days after fertilization
The blood pressure of a pregnant client at 32 weeks becomes low when the client lies
on the back. What would be the best nursing intervention to maintain normal blood
pressure in the client?
A.Have the client sit on the side of the bed for 5 minutes before rising.
B.Start and IV bolus of 500 cc of D5LR
C.Encourage the client to turn onto her left side.
D.Encourage the client to use extra pillows or a wedge pillow to elevate her upper body
when sleeping on her back. ✅C.Encourage the client to turn onto her left side.
The client (42 year old mother reports being pregnant for the 5th time. She states that
her 1st and 2nd babies were born at 39 weeks gestation. Her 3rd pregnancy ended in a
miscarriage at 12 weeks. With her 4th pregnancy, she delivered twins at 32 weeks) now
delivers at 41 weeks. How does this change her GTPAL? SATA
A.G6P5
B.G5P4116
, C.G5P4
D.G5P2115
E.G5 P5
F.G5P3115 ✅C. G5P4
F. G5P3115
In the first trimester, which practice by the mother is most concerning?
A.Smoking ½ pack of cigarettes every 2-3 days
B.Vegan diet and lifestyle
C.Occasional consumption of beer and wine on the weekends
Sedentary lifestyle ✅C. Occasional consumption of beer and wine on the weekends
Fetal circulation is different from newborn circulation. The most accurate statement
related to the function of fetal circulation is
A.Premature shunts allow mixing of oxygenated and deoxygenated blood to enter the
lungs for oxygenation and then to be circulated to the peripheral tissues.
B.There is direct mixing of maternal and fetal blood which allows the fetus to receive
adequate oxygenation and perfusion.
C.Most blood bypasses the lungs via the ductus vensosus.
D.By diffusion, the placenta allows for perfusion and adequate nutrients to be supplied
to the developing fetus. ✅D.By diffusion, the placenta allows for perfusion and
adequate nutrients to be supplied to the developing fetus.
The nurse is teaching a group of women about home pregnancy tests. Which
instructions are most important to convey to the client for accuracy? Select all that
apply.
A.Timing of the test is not important.
B.Make sure to follow the manufacturer's instructions.
C.If the test is positive, then contact your health care provider for follow-up.
D.If the test is negative, then contact your health care provider for follow-up.
E.If the test is negative and you continue to experience amenorrhea, then repeat the
test in one week. ✅B.Make sure to follow the manufacturer's instructions.
C.If the test is positive, then contact your health care provider for follow-up.
E.If the test is negative and you continue to experience amenorrhea, then repeat the
test in one week.
***A nurse teaches a pregnant woman about the presumptive, probable, and positive
signs of pregnancy. The woman demonstrates understanding of the nurse's instructions
if she states that a positive sign of pregnancy is what?
A.Positive urine pregnancy test
Answers
The nurse is talking with a 28-year-old client after her normal, annual gynecological
exam. The nurse recognizes the client understands when she states:
A.I will have another annual exam in 1 year and a pap smear at that time.
B.I will have another annual exam in 1 year and a pap smear in 5 years.
C.I will return for an annual exam in 1 year and a pap smear in 3 years. ✅C. I will
return for an annual exam in 1 year and a pap smear in 3 years.
A nurse is educating a client about some of the physiologic changes that occur with
pregnancy. The nurse recognizes the client's need for more teaching when she states
A."Urinary tract infections are more common in pregnancy, and sometimes they have no
symptoms at all."
B."It is normal for my blood pressure to be lower in the second trimester."
C."If my pubic bone joint starts to hurt, it may be an early sign of labor and I should call
my provider."
D."Anemia is more common in the second trimester compared to the first trimester."
✅C. "If my pubic bone joint starts to hurt, it may be an early sign of labor and I should
call my provider."
A nurse overhears a client describing the current development of their 8-week fetus to
her partner. The nurse recognizes the client has a good understanding fetal
development at this gestation when she describes the fetus as
A.resembling a human with internal and external sex organs that have developed.
B.having a fairly well-formed body; arms, legs, and digits that are well-formed; and
eyes, ears, nose, and mouth that are recognizable.
C.having skin that is smooth, scant vernix caseosa, moderate to profuse hair; lanugo on
shoulders and upper body only.
D.having alveolar ducts and sacs are present in the lungs ✅B. having a fairly well-
formed body; arms, legs, and digits that are well-formed; and eyes, ears, nose, and
mouth that are recognizable.
,A client gives her LMP as 12/1. Her partner was home from the Army from 12/4-12/14.
She had unprotected intercourse, did a lot of binge drinking and smoking marijuana
during that time. She has not had any alcohol or smoked marijuana since he left. It is
now 1/15 and the client has had a positive pregnancy test. She states "I have always
wanted to be a mother but I am scared to death I hurt the baby when I did all that
partying in December". The BEST response by the nurse is:
A.I will ask your provider to refer you to a geneticist for testing to see if that can ease
your mind.
B.In about 2.5 months you will have an ultrasound to determine whether the baby has
structural abnormalities; I will see if we can move that up a week or two for you.
C.You have reason to be concerned. I will ask the doctor to talk with you about the next
steps to take.
D.If you are sure about your LMP, there is minimal risk that your baby w ✅D. If you are
sure about your LMP, there is minimal risk that your baby was harmed at that time.
Activities that promote healthy mothers and babies are ideally initiated before the period
of critical fetal development. This period occurs between
A.3-42 days after fertilization
B.17-56 days after fertilization
C.39-71 days after fertilization
D.48-84 days after fertilization ✅B.17-56 days after fertilization
The blood pressure of a pregnant client at 32 weeks becomes low when the client lies
on the back. What would be the best nursing intervention to maintain normal blood
pressure in the client?
A.Have the client sit on the side of the bed for 5 minutes before rising.
B.Start and IV bolus of 500 cc of D5LR
C.Encourage the client to turn onto her left side.
D.Encourage the client to use extra pillows or a wedge pillow to elevate her upper body
when sleeping on her back. ✅C.Encourage the client to turn onto her left side.
The client (42 year old mother reports being pregnant for the 5th time. She states that
her 1st and 2nd babies were born at 39 weeks gestation. Her 3rd pregnancy ended in a
miscarriage at 12 weeks. With her 4th pregnancy, she delivered twins at 32 weeks) now
delivers at 41 weeks. How does this change her GTPAL? SATA
A.G6P5
B.G5P4116
, C.G5P4
D.G5P2115
E.G5 P5
F.G5P3115 ✅C. G5P4
F. G5P3115
In the first trimester, which practice by the mother is most concerning?
A.Smoking ½ pack of cigarettes every 2-3 days
B.Vegan diet and lifestyle
C.Occasional consumption of beer and wine on the weekends
Sedentary lifestyle ✅C. Occasional consumption of beer and wine on the weekends
Fetal circulation is different from newborn circulation. The most accurate statement
related to the function of fetal circulation is
A.Premature shunts allow mixing of oxygenated and deoxygenated blood to enter the
lungs for oxygenation and then to be circulated to the peripheral tissues.
B.There is direct mixing of maternal and fetal blood which allows the fetus to receive
adequate oxygenation and perfusion.
C.Most blood bypasses the lungs via the ductus vensosus.
D.By diffusion, the placenta allows for perfusion and adequate nutrients to be supplied
to the developing fetus. ✅D.By diffusion, the placenta allows for perfusion and
adequate nutrients to be supplied to the developing fetus.
The nurse is teaching a group of women about home pregnancy tests. Which
instructions are most important to convey to the client for accuracy? Select all that
apply.
A.Timing of the test is not important.
B.Make sure to follow the manufacturer's instructions.
C.If the test is positive, then contact your health care provider for follow-up.
D.If the test is negative, then contact your health care provider for follow-up.
E.If the test is negative and you continue to experience amenorrhea, then repeat the
test in one week. ✅B.Make sure to follow the manufacturer's instructions.
C.If the test is positive, then contact your health care provider for follow-up.
E.If the test is negative and you continue to experience amenorrhea, then repeat the
test in one week.
***A nurse teaches a pregnant woman about the presumptive, probable, and positive
signs of pregnancy. The woman demonstrates understanding of the nurse's instructions
if she states that a positive sign of pregnancy is what?
A.Positive urine pregnancy test
