NURN 218 COMPREHENSIVE
EXAMINATION TEST 2026 QUESTIONS AND
SOLUTIONS COMPLETE PASS GUIDE
●● Primagravida.
Answer: first birth
●● Multigravida.
Answer: woman who has been pregnant more than once
●● Primipara.
Answer: Giving birth for the first time
●● Multipara.
Answer: woman who has given birth to two or more children
●● Gestation.
Answer: growth process from conception to birth
●● Stillbirth.
Answer: Fetus has died in utero
,●● Preterm.
Answer: <37 weeks
●● Early Term 37 weeks -38 6/7 weeks.
Answer: 37 weeks -38 6/7 weeks
●● Full Term.
Answer: 39 0/7 weeks -40 6/7 weeks
●● Late Term.
Answer: 41 0/7 weeks -41 6/7 weeks
●● Post Term.
Answer: 42 0/7 weeks and beyond
●● GTPAL.
Answer: Gravida (# of pregnancies including current)
Term (any infant born after 37 weeks)
Preterm (20-36.6 weeks)
Abortions (spontaneous/medically induced abortion <20wk)
Living (# of living children)
,●● Estrogen.
Answer: Secreted by corpus luteum, then placenta
-Stimulates uterine/breast development
●● Progesterone.
Answer: Secreted by corpus luteum, then placenta
-Relaxes smooth muscle, prevents spontaneous abortion
●● hPL (human placental lactogen).
Answer: An antagonist of insulin
-Decreases metabolism of glucose
●● Relaxin.
Answer: Inhibits uterine activity
-Relaxes pelvic joints
●● Chadwick's Sign.
Answer: Bluish-purple coloration of the vaginal mucosa and cervix
●● Goodall's Sign.
Answer: softening of the cervical tip
, ●● Hegar's Sign.
Answer: Softening of the lower uterine segment
●● Perfusion- Maternal Physiologic Changes.
Answer: -Increased blood plasma, increased BP in 1st trimester
-Decreased RBC, vascular resistance, decreased BP in 2nd trimester
●● Oxygenation- Maternal Physiologic Changes.
Answer: -Increased tidal volume, RR
-Decreased airway resistance
-HR can increase by 10-15 in 3rd trimester, experience SOB
●● Elimination - Maternal Physiologic Changes.
Answer: Urinary stasis can increase the risk of a UTI
-Constipation, possibly hemorrhoids
-Estrogen/progesterone levels can increase risk of n/v
●● Mobility - Maternal Physiologic Changes.
Answer: Change in gait because of pressure/compression/shift in weight
Nursing intervention - support pillows
EXAMINATION TEST 2026 QUESTIONS AND
SOLUTIONS COMPLETE PASS GUIDE
●● Primagravida.
Answer: first birth
●● Multigravida.
Answer: woman who has been pregnant more than once
●● Primipara.
Answer: Giving birth for the first time
●● Multipara.
Answer: woman who has given birth to two or more children
●● Gestation.
Answer: growth process from conception to birth
●● Stillbirth.
Answer: Fetus has died in utero
,●● Preterm.
Answer: <37 weeks
●● Early Term 37 weeks -38 6/7 weeks.
Answer: 37 weeks -38 6/7 weeks
●● Full Term.
Answer: 39 0/7 weeks -40 6/7 weeks
●● Late Term.
Answer: 41 0/7 weeks -41 6/7 weeks
●● Post Term.
Answer: 42 0/7 weeks and beyond
●● GTPAL.
Answer: Gravida (# of pregnancies including current)
Term (any infant born after 37 weeks)
Preterm (20-36.6 weeks)
Abortions (spontaneous/medically induced abortion <20wk)
Living (# of living children)
,●● Estrogen.
Answer: Secreted by corpus luteum, then placenta
-Stimulates uterine/breast development
●● Progesterone.
Answer: Secreted by corpus luteum, then placenta
-Relaxes smooth muscle, prevents spontaneous abortion
●● hPL (human placental lactogen).
Answer: An antagonist of insulin
-Decreases metabolism of glucose
●● Relaxin.
Answer: Inhibits uterine activity
-Relaxes pelvic joints
●● Chadwick's Sign.
Answer: Bluish-purple coloration of the vaginal mucosa and cervix
●● Goodall's Sign.
Answer: softening of the cervical tip
, ●● Hegar's Sign.
Answer: Softening of the lower uterine segment
●● Perfusion- Maternal Physiologic Changes.
Answer: -Increased blood plasma, increased BP in 1st trimester
-Decreased RBC, vascular resistance, decreased BP in 2nd trimester
●● Oxygenation- Maternal Physiologic Changes.
Answer: -Increased tidal volume, RR
-Decreased airway resistance
-HR can increase by 10-15 in 3rd trimester, experience SOB
●● Elimination - Maternal Physiologic Changes.
Answer: Urinary stasis can increase the risk of a UTI
-Constipation, possibly hemorrhoids
-Estrogen/progesterone levels can increase risk of n/v
●● Mobility - Maternal Physiologic Changes.
Answer: Change in gait because of pressure/compression/shift in weight
Nursing intervention - support pillows
