NUR 418 EXAM 2 (CONCORDIA) NEWEST 2026
ACTUAL EXAM| NUR 418 PEDS/OB EXAM 2 REVIEW
WITH COMPLETE 250 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED A+
(BRAND NEW!!)
1. A pregnant patient at 12 weeks gestation reports nausea and
vomiting in the morning. The nurse recommends:
A) Eating a large meal before bed
B) Eating dry crackers before getting out of bed
C) Avoiding all fluids until noon
D) Taking iron supplements on an empty stomach
Correct Answer: B) Eating dry crackers before getting out of
bed
Rationale: Morning sickness (nausea/vomiting in early
pregnancy) is managed by eating small, frequent, bland meals,
especially dry crackers before rising to prevent an empty
stomach.
2. A patient at 16 weeks gestation has a fundal height measured
at 16 cm. The nurse interprets this as:
1
, A) Intrauterine growth restriction
B) Normal gestational age (fundal height in cm = weeks ±2
cm)
C) Multiple gestation
D) Hydramnios
Correct Answer: B) Normal gestational age (fundal height in cm
= weeks ±2 cm)
Rationale: Fundal height in centimeters corresponds to weeks of
gestation between 18-32 weeks, ±2 cm. At 16 weeks, the fundus
is halfway between symphysis and umbilicus.
3. A patient at 28 weeks gestation presents with painless, bright
red vaginal bleeding. The nurse suspects:
A) Placenta previa
B) Placental abruption
C) Labor
D) Cervical insufficiency
Correct Answer: A) Placenta previa
Rationale: Painless bright red bleeding in the second half of
2
,pregnancy is the hallmark of placenta previa. A digital exam is
contraindicated; ultrasound confirms.
4. A patient at 34 weeks gestation with hypertension and
proteinuria is diagnosed with preeclampsia. The nurse monitors
for:
A) Hyperreflexia and clonus
B) Bradycardia
C) Hypotension
D) Hypoglycemia
Correct Answer: A) Hyperreflexia and clonus
Rationale: Preeclampsia with severe features includes
hyperreflexia and clonus, indicating CNS irritability and risk of
eclampsia (seizures). Magnesium sulfate is given for seizure
prophylaxis.
5. A pregnant patient reports a gush of fluid from the vagina.
The nurse tests the fluid with nitrazine paper, which turns blue.
This indicates:
A) Urine (acidic)
B) Amniotic fluid (alkaline, pH >7.0)
3
, C) Blood
D) Normal vaginal discharge
Correct Answer: B) Amniotic fluid (alkaline, pH >7.0)
Rationale: Amniotic fluid has a pH of 7.0-7.5 and turns nitrazine
paper blue. Urine is acidic (pH 5.5-6.5). Rupture of membranes
increases infection risk.
6. A patient at 24 weeks gestation has a positive glucose
screening test (1-hour glucose >140 mg/dL). Next step is:
A) Diagnosis of gestational diabetes
B) 3-hour oral glucose tolerance test (OGTT)
C) Start insulin
D) Repeat 1-hour test
Correct Answer: B) 3-hour oral glucose tolerance test (OGTT)
Rationale: Positive 1-hour glucose screen (≥140 mg/dL) requires
diagnostic 3-hour OGTT. Gestational diabetes diagnosed if ≥2
values are elevated.
7. The nurse teaches a pregnant patient to take folic acid 400-
800 mcg daily to prevent:
A) Gestational hypertension
4
ACTUAL EXAM| NUR 418 PEDS/OB EXAM 2 REVIEW
WITH COMPLETE 250 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED A+
(BRAND NEW!!)
1. A pregnant patient at 12 weeks gestation reports nausea and
vomiting in the morning. The nurse recommends:
A) Eating a large meal before bed
B) Eating dry crackers before getting out of bed
C) Avoiding all fluids until noon
D) Taking iron supplements on an empty stomach
Correct Answer: B) Eating dry crackers before getting out of
bed
Rationale: Morning sickness (nausea/vomiting in early
pregnancy) is managed by eating small, frequent, bland meals,
especially dry crackers before rising to prevent an empty
stomach.
2. A patient at 16 weeks gestation has a fundal height measured
at 16 cm. The nurse interprets this as:
1
, A) Intrauterine growth restriction
B) Normal gestational age (fundal height in cm = weeks ±2
cm)
C) Multiple gestation
D) Hydramnios
Correct Answer: B) Normal gestational age (fundal height in cm
= weeks ±2 cm)
Rationale: Fundal height in centimeters corresponds to weeks of
gestation between 18-32 weeks, ±2 cm. At 16 weeks, the fundus
is halfway between symphysis and umbilicus.
3. A patient at 28 weeks gestation presents with painless, bright
red vaginal bleeding. The nurse suspects:
A) Placenta previa
B) Placental abruption
C) Labor
D) Cervical insufficiency
Correct Answer: A) Placenta previa
Rationale: Painless bright red bleeding in the second half of
2
,pregnancy is the hallmark of placenta previa. A digital exam is
contraindicated; ultrasound confirms.
4. A patient at 34 weeks gestation with hypertension and
proteinuria is diagnosed with preeclampsia. The nurse monitors
for:
A) Hyperreflexia and clonus
B) Bradycardia
C) Hypotension
D) Hypoglycemia
Correct Answer: A) Hyperreflexia and clonus
Rationale: Preeclampsia with severe features includes
hyperreflexia and clonus, indicating CNS irritability and risk of
eclampsia (seizures). Magnesium sulfate is given for seizure
prophylaxis.
5. A pregnant patient reports a gush of fluid from the vagina.
The nurse tests the fluid with nitrazine paper, which turns blue.
This indicates:
A) Urine (acidic)
B) Amniotic fluid (alkaline, pH >7.0)
3
, C) Blood
D) Normal vaginal discharge
Correct Answer: B) Amniotic fluid (alkaline, pH >7.0)
Rationale: Amniotic fluid has a pH of 7.0-7.5 and turns nitrazine
paper blue. Urine is acidic (pH 5.5-6.5). Rupture of membranes
increases infection risk.
6. A patient at 24 weeks gestation has a positive glucose
screening test (1-hour glucose >140 mg/dL). Next step is:
A) Diagnosis of gestational diabetes
B) 3-hour oral glucose tolerance test (OGTT)
C) Start insulin
D) Repeat 1-hour test
Correct Answer: B) 3-hour oral glucose tolerance test (OGTT)
Rationale: Positive 1-hour glucose screen (≥140 mg/dL) requires
diagnostic 3-hour OGTT. Gestational diabetes diagnosed if ≥2
values are elevated.
7. The nurse teaches a pregnant patient to take folic acid 400-
800 mcg daily to prevent:
A) Gestational hypertension
4
