NUR 253 Obstetrics Exam 1 Galen College 2026 | Real
Exam Questions & Verified Answers | Complete Nursing
Prep
1. A patient presents with a GTPAL score of 3-1-0-1-2. Based on this information,
what can you infer about her reproductive history regarding living children?
She has 3 living children.
She has 1 living child.
She has 2 living children.
She has no living children.
2. Describe the importance of antibiotic prophylaxis in pregnant patients with a
history of Rheumatic Heart Disease.
Antibiotic prophylaxis helps prevent bacterial endocarditis in
pregnant patients with Rheumatic Heart Disease.
Antibiotic prophylaxis is unnecessary for pregnant patients.
Antibiotic prophylaxis is only needed after delivery.
Antibiotic prophylaxis is used to treat existing heart conditions.
3. Probable signs of pregnancy include:
positive pregnancy test, Goodell's sign, and Chadwick's sign
Braxton Hicks contractions
continued menstrual period
30 lb weight gain in 20 months
4. If a pregnant woman classified as Class I begins to experience shortness of
breath during normal activities, what should be the next step in her care?
, Re-evaluate her cardiac status
Advise her to rest and avoid all activities
Increase her physical activity
Prescribe medication for heart disease
5. Describe the significance of quickening in the context of prenatal care.
Quickening indicates the first fetal movements, which can reassure
the mother about fetal health and development.
Quickening refers to the process of childbirth.
Quickening is a term used for the final stage of labor.
Quickening is a medical term for pregnancy complications.
6. Describe the difference between probable signs and positive signs of
pregnancy.
Probable signs include only physical changes, while positive signs
include emotional changes.
Probable signs are always accurate, while positive signs can be
misleading.
Probable signs are only detected by medical professionals, while
positive signs can be self-diagnosed.
Probable signs are indicators that suggest pregnancy but are not
definitive, while positive signs confirm pregnancy.
7. Describe how chronic hypertension can impact pregnancy outcomes.
Chronic hypertension can lead to complications such as preterm
birth, placental abruption, and increased risk of preeclampsia.
Chronic hypertension has no effect on pregnancy outcomes.
, Chronic hypertension is beneficial for pregnancy outcomes.
Chronic hypertension only affects the mother's health, not the fetus.
8. If a pregnant patient presents with symptoms of HELLP syndrome, what
immediate action should be taken to ensure the safety of both mother and
child?
Increase fluid intake and schedule a follow-up appointment.
Immediate medical evaluation and potential delivery of the baby.
Administer over-the-counter pain relief and advise on diet changes.
Prescribe bed rest and monitor symptoms.
9. Describe the implications of Class III cardiac classification for a pregnant
patient.
A pregnant patient with Class III cardiac classification has no
limitations and can engage in all activities.
A pregnant patient with Class III cardiac classification experiences
marked limitation of physical activity, which can affect her overall
health and pregnancy management.
A pregnant patient with Class III cardiac classification is advised to
avoid all physical activity.
A pregnant patient with Class III cardiac classification has only slight
limitations and can continue normal activities.
10. If a pregnant woman exhibits signs of severe preeclampsia, what immediate
action should be taken to ensure her safety and that of her baby?
She should consult a nutritionist for dietary changes only.
She should continue her regular activities without concern.
, She should take over-the-counter pain relief and wait for symptoms
to improve.
She should be hospitalized for monitoring and treatment.
11. What is a common complication that patients with cystic fibrosis may face
during pregnancy?
Preeclampsia
Gestational diabetes
Respiratory complications
Anemia
12. Gestational Hypertension is...
Pregnancy specific hypertension with proteinuria
Hypertension present before pregnancy (before 20 wks)
Women with chronic hypertension develop preeclampsia
Onset of seizure/coma in a women with preeclampsia
Onset of hypertension without proteinuria after 20 wks
13. The first trimester includes the:
entire embryonic period only.
entire fetal period.
entire embryonic period and fetal period.
entire embryonic period and part of the fetal period.
Exam Questions & Verified Answers | Complete Nursing
Prep
1. A patient presents with a GTPAL score of 3-1-0-1-2. Based on this information,
what can you infer about her reproductive history regarding living children?
She has 3 living children.
She has 1 living child.
She has 2 living children.
She has no living children.
2. Describe the importance of antibiotic prophylaxis in pregnant patients with a
history of Rheumatic Heart Disease.
Antibiotic prophylaxis helps prevent bacterial endocarditis in
pregnant patients with Rheumatic Heart Disease.
Antibiotic prophylaxis is unnecessary for pregnant patients.
Antibiotic prophylaxis is only needed after delivery.
Antibiotic prophylaxis is used to treat existing heart conditions.
3. Probable signs of pregnancy include:
positive pregnancy test, Goodell's sign, and Chadwick's sign
Braxton Hicks contractions
continued menstrual period
30 lb weight gain in 20 months
4. If a pregnant woman classified as Class I begins to experience shortness of
breath during normal activities, what should be the next step in her care?
, Re-evaluate her cardiac status
Advise her to rest and avoid all activities
Increase her physical activity
Prescribe medication for heart disease
5. Describe the significance of quickening in the context of prenatal care.
Quickening indicates the first fetal movements, which can reassure
the mother about fetal health and development.
Quickening refers to the process of childbirth.
Quickening is a term used for the final stage of labor.
Quickening is a medical term for pregnancy complications.
6. Describe the difference between probable signs and positive signs of
pregnancy.
Probable signs include only physical changes, while positive signs
include emotional changes.
Probable signs are always accurate, while positive signs can be
misleading.
Probable signs are only detected by medical professionals, while
positive signs can be self-diagnosed.
Probable signs are indicators that suggest pregnancy but are not
definitive, while positive signs confirm pregnancy.
7. Describe how chronic hypertension can impact pregnancy outcomes.
Chronic hypertension can lead to complications such as preterm
birth, placental abruption, and increased risk of preeclampsia.
Chronic hypertension has no effect on pregnancy outcomes.
, Chronic hypertension is beneficial for pregnancy outcomes.
Chronic hypertension only affects the mother's health, not the fetus.
8. If a pregnant patient presents with symptoms of HELLP syndrome, what
immediate action should be taken to ensure the safety of both mother and
child?
Increase fluid intake and schedule a follow-up appointment.
Immediate medical evaluation and potential delivery of the baby.
Administer over-the-counter pain relief and advise on diet changes.
Prescribe bed rest and monitor symptoms.
9. Describe the implications of Class III cardiac classification for a pregnant
patient.
A pregnant patient with Class III cardiac classification has no
limitations and can engage in all activities.
A pregnant patient with Class III cardiac classification experiences
marked limitation of physical activity, which can affect her overall
health and pregnancy management.
A pregnant patient with Class III cardiac classification is advised to
avoid all physical activity.
A pregnant patient with Class III cardiac classification has only slight
limitations and can continue normal activities.
10. If a pregnant woman exhibits signs of severe preeclampsia, what immediate
action should be taken to ensure her safety and that of her baby?
She should consult a nutritionist for dietary changes only.
She should continue her regular activities without concern.
, She should take over-the-counter pain relief and wait for symptoms
to improve.
She should be hospitalized for monitoring and treatment.
11. What is a common complication that patients with cystic fibrosis may face
during pregnancy?
Preeclampsia
Gestational diabetes
Respiratory complications
Anemia
12. Gestational Hypertension is...
Pregnancy specific hypertension with proteinuria
Hypertension present before pregnancy (before 20 wks)
Women with chronic hypertension develop preeclampsia
Onset of seizure/coma in a women with preeclampsia
Onset of hypertension without proteinuria after 20 wks
13. The first trimester includes the:
entire embryonic period only.
entire fetal period.
entire embryonic period and fetal period.
entire embryonic period and part of the fetal period.
