NSG 3500 PRACTICE EXAMINATION 2026
QUESTIONS WITH ANSWERS GRADED A+
◍ What are nursing considerations with the Hep B vax?.
Answer: •Requires consent from mother •First vaccination can be given after
birth•Second vaccination given at one month•Third dose given after 5
months
◍ What are the four interrelated components that make up the process of labor
and birth?.
Answer: Powers, passage, passenger, and psyche
◍ The nurse notes the post-partum patient is bleeding profusely, but has a firm
uterus in midline. The priority interventions is:.
Answer: Call for any OB in house to help
◍ Why do we use erythromycin drops in the neonate?.
Answer: To prevent ophthalmia neonatorum from gonorrhea infection. You
can apply it immediately or 1 hr after birth.
◍ What do we do to enhance growth and development in the neonate?.
Answer: - low stimulation to increase rest for the newborn and to imitate an
intrauterine environment- care is done in clusters (the nurse tries to schedule
procedures needed on baby during the assessment period, ~every 1-3hrs)
◍ No petroleum ointment is used after which type of circumcision sx?.
Answer: PlastiBell device
◍ How do newborns respond to cold?.
Answer: They burn brown adipose tissue since they cannot shiver to
maintain warmth
◍ What are S/S of respiratory distress?.
Answer: - expiratory grunting- retractions- nasal flaring- cyanosis-
, tachypnea- labored breathing with rales
◍ The fetal skull is:.
Answer: Made of five seperate bones
◍ How is PKU managed?.
Answer: Phenylalanine-free diet with elimination of proteins (including
breast milk and formula)
◍ What are the 4 factors that influence initiation of the first breath?.
Answer: Chemical factors: hypercarbia, acidosis, and hypoxia Sensory
factors: overwhelming stimuli aids in transitionThermal factors: drastic
change in temp aids in transitionMechanical factors: thoracic squeeze
through birth causes fluid release and replacement with air
◍ How do we treat congenital hypothyroidism?.
Answer: Lifelong Levothyroxine tx starting at 10-15mcg/kg/day
◍ Your laboring patient's contractions are beginning to become more
infrequent and shorter. Your priority assessment is:.
Answer: Perform a cervical check
◍ What should we do if we hear bowel sounds when assessing breath sounds?.
Answer: 1. make them NPO2. call provider3. put NG tube in per order *do it
in this order
◍ How do we treat cold stress?.
Answer: Use a radiant warmer warmer and continuously monitor temp with
a skin probe and are applied on the abdomen.
◍ How do we measure head circumference?.
Answer: - place tape measure immediately above eyebrows and pinna of the
ear and wrap around the occipital prominence at the back of the head-
measure 3x and record the largest finding
◍ Your patient has been at 6 cm for over three hours. You tell the patient that
her provider is ordering:.
Answer: Augmentation with oxytocin
, ◍ A patient comes to L&D at 37 weeks in false labor. During the admission it
is discovered the fetus is in breech position. An external cephalic version
(ECV) is planned. What drug might be given?.
Answer: Terbutaline
◍ Cold stress causes acidosis which causes decreased albumin-binding
sites/powers which causes....
Answer: elevated bilirubin levels
◍ When is the APGAR score assigned?.
Answer: At 1 and 5 minutes after birth
◍ A 16 year old primigravida comes into the unit in active labor. While taking
her history the nurse understands:.
Answer: That she is going through two developmental transitions at the
same time
◍ How is Maple Syrup Urine Disease (Branched-Chain Ketoaciduria)
managed?.
Answer: Low-protein diet with thiamine supplements given.*more common
in Old Order Mennonites
◍ What interventions are needed for late decelerations?.
Answer: Turn patient on side (POOF)
◍ The patient presents for induction of labor due to oligohydramnios. The
nurse knows to carefully monitor for:.
Answer: Late decelerations (because of placental insufficiency)
◍ What are S/S of hypoglycemia in the neonate?.
Answer: - BS <30mg/dL- jittery - lethargy- poor feeding- cyanosis- apnea-
tachypnea- high pitch or weak cry- seizures and long-term neurological
issues
◍ What is encephalocele and how do we treat it?.
Answer: - protrusion of brain through the skull- nurse should immediately
cover defect with warm sterile gauze to decrease infection risk- sx repair is
QUESTIONS WITH ANSWERS GRADED A+
◍ What are nursing considerations with the Hep B vax?.
Answer: •Requires consent from mother •First vaccination can be given after
birth•Second vaccination given at one month•Third dose given after 5
months
◍ What are the four interrelated components that make up the process of labor
and birth?.
Answer: Powers, passage, passenger, and psyche
◍ The nurse notes the post-partum patient is bleeding profusely, but has a firm
uterus in midline. The priority interventions is:.
Answer: Call for any OB in house to help
◍ Why do we use erythromycin drops in the neonate?.
Answer: To prevent ophthalmia neonatorum from gonorrhea infection. You
can apply it immediately or 1 hr after birth.
◍ What do we do to enhance growth and development in the neonate?.
Answer: - low stimulation to increase rest for the newborn and to imitate an
intrauterine environment- care is done in clusters (the nurse tries to schedule
procedures needed on baby during the assessment period, ~every 1-3hrs)
◍ No petroleum ointment is used after which type of circumcision sx?.
Answer: PlastiBell device
◍ How do newborns respond to cold?.
Answer: They burn brown adipose tissue since they cannot shiver to
maintain warmth
◍ What are S/S of respiratory distress?.
Answer: - expiratory grunting- retractions- nasal flaring- cyanosis-
, tachypnea- labored breathing with rales
◍ The fetal skull is:.
Answer: Made of five seperate bones
◍ How is PKU managed?.
Answer: Phenylalanine-free diet with elimination of proteins (including
breast milk and formula)
◍ What are the 4 factors that influence initiation of the first breath?.
Answer: Chemical factors: hypercarbia, acidosis, and hypoxia Sensory
factors: overwhelming stimuli aids in transitionThermal factors: drastic
change in temp aids in transitionMechanical factors: thoracic squeeze
through birth causes fluid release and replacement with air
◍ How do we treat congenital hypothyroidism?.
Answer: Lifelong Levothyroxine tx starting at 10-15mcg/kg/day
◍ Your laboring patient's contractions are beginning to become more
infrequent and shorter. Your priority assessment is:.
Answer: Perform a cervical check
◍ What should we do if we hear bowel sounds when assessing breath sounds?.
Answer: 1. make them NPO2. call provider3. put NG tube in per order *do it
in this order
◍ How do we treat cold stress?.
Answer: Use a radiant warmer warmer and continuously monitor temp with
a skin probe and are applied on the abdomen.
◍ How do we measure head circumference?.
Answer: - place tape measure immediately above eyebrows and pinna of the
ear and wrap around the occipital prominence at the back of the head-
measure 3x and record the largest finding
◍ Your patient has been at 6 cm for over three hours. You tell the patient that
her provider is ordering:.
Answer: Augmentation with oxytocin
, ◍ A patient comes to L&D at 37 weeks in false labor. During the admission it
is discovered the fetus is in breech position. An external cephalic version
(ECV) is planned. What drug might be given?.
Answer: Terbutaline
◍ Cold stress causes acidosis which causes decreased albumin-binding
sites/powers which causes....
Answer: elevated bilirubin levels
◍ When is the APGAR score assigned?.
Answer: At 1 and 5 minutes after birth
◍ A 16 year old primigravida comes into the unit in active labor. While taking
her history the nurse understands:.
Answer: That she is going through two developmental transitions at the
same time
◍ How is Maple Syrup Urine Disease (Branched-Chain Ketoaciduria)
managed?.
Answer: Low-protein diet with thiamine supplements given.*more common
in Old Order Mennonites
◍ What interventions are needed for late decelerations?.
Answer: Turn patient on side (POOF)
◍ The patient presents for induction of labor due to oligohydramnios. The
nurse knows to carefully monitor for:.
Answer: Late decelerations (because of placental insufficiency)
◍ What are S/S of hypoglycemia in the neonate?.
Answer: - BS <30mg/dL- jittery - lethargy- poor feeding- cyanosis- apnea-
tachypnea- high pitch or weak cry- seizures and long-term neurological
issues
◍ What is encephalocele and how do we treat it?.
Answer: - protrusion of brain through the skull- nurse should immediately
cover defect with warm sterile gauze to decrease infection risk- sx repair is
