NUR 3500 Final Question and answers
correctly solved 2025/2026
Pregnant person premature labor and getting terbutaline. What to monitor for adverse effects? - correct
answer ✔Tachycardia (look for increased HR) (normally used bronchodilator causing tachycardia)
Female pt telling how to check basal temp to determine when ovulating. What is time frame they should
be following to take basal temp? - correct answer ✔morning before getting up (have thermometer at
bedside)
Have someone who experienced a vag delivery 12 hrs ago, post delivery what position would you expect
her fundus to be at? - correct answer ✔Level of umbilicus
Have a 8 hr postpartum pt who is multiferous, what would alert you she needs to urinate? - correct
answer ✔Three fingers pressed above the fundus and displaced to the side
Newborn 6 hrs post delivery, mom was 30 gravida 2 para 2, c section, AFP positive, med history, surg
history none, group beta strep positive, weight 5 lb 8 oz (18.9 inches long), temp 99, HR 120, RR 50, skin
warm and dry, color consistent, mild amount of lanugo present, head circumference 34 cm, sutures,
anterior fontanel flat and soft, pupils equal reactive to light, no retractions, umbilical cord clamped, no
herniations, sac noted on lumbar area, reflexes intact, meconium stool noted. What is the diagnosis?
What are the actions to take? What parameters should be monitored? - correct answer ✔-Diagnosis:
meningocele
-Actions to take: (sterile dressing) moist compress, place prone position
-Monitor: CSF leakage, head circumference
Have group of pts on intrapartum unit, what would you report to provider immediately? - correct
answer ✔Epigastric pain and unresolved headache
, Second stage of labor of a 28 year old G2para1 39 weeks, history of insulin GDM, 4 cm into labor, -1
station, client reports needs to have bowel movement, sterile vaginal exam, 10cm, 100% effaced, FHR
130, variable decels, provider notified, 3:03 and fetal head crowning with provider there. What
condition and 2 actions and 2 monitors. - correct answer ✔-Diagnosis: Shoulder dystocia
-Actions to take: suprapubic pressure, flex clients legs against abdomen (mcroberts position)
-Monitor: movement of upper extremities, maternal perineum for trauma
Providing teaching to 30 week gestation mom to have non stress test. What would tell you pt needs
further teaching? - correct answer ✔She thinks she has to lie flat on her back during the test (needs to
be in semi fowlers position)
Teaching 23 week gestation about immunizations. What would you include in her teaching? - correct
answer ✔-Do not get rubella when pregnant
-varicella do not get pregnant 28 days
-you can receive flu shot
-you cannot get TDAP vaccine
Nurse in docs office for pregnant lady, VS at 9am temp 97.9, HR 88, RR 20, BP 179/99. HR 82, RR16, HR
81, RR 16, BP 170/101. gravida 3para2, 36 weeks gestation, 178 lbs, 6 lb weight gain last 2 weeks,
headache and Tylenol does not relieve, swelling of fingers and hands, DTR 3+, Fetal heart tones 148.
What to report? - correct answer ✔Report BP, visual disturbances, 6 lb weight, DTR
Caring for pt during NST test. At end of 30 min, note FHR 120 with minimal variability and no
accelerations. 2 decels of 15 min in FHR during period fetal movement each lasting 20 sec. Which of the
following interpretations of finding would the nurse make? - correct answer ✔Nonreactive test
Nurse caring for new mother concerned about newborns eyes being crossed/closed. Which of the
following statements is therapeutic response? - correct answer ✔This occurs because newborns lack
muscle control to regulate eye movement (last 3-6 months)
correctly solved 2025/2026
Pregnant person premature labor and getting terbutaline. What to monitor for adverse effects? - correct
answer ✔Tachycardia (look for increased HR) (normally used bronchodilator causing tachycardia)
Female pt telling how to check basal temp to determine when ovulating. What is time frame they should
be following to take basal temp? - correct answer ✔morning before getting up (have thermometer at
bedside)
Have someone who experienced a vag delivery 12 hrs ago, post delivery what position would you expect
her fundus to be at? - correct answer ✔Level of umbilicus
Have a 8 hr postpartum pt who is multiferous, what would alert you she needs to urinate? - correct
answer ✔Three fingers pressed above the fundus and displaced to the side
Newborn 6 hrs post delivery, mom was 30 gravida 2 para 2, c section, AFP positive, med history, surg
history none, group beta strep positive, weight 5 lb 8 oz (18.9 inches long), temp 99, HR 120, RR 50, skin
warm and dry, color consistent, mild amount of lanugo present, head circumference 34 cm, sutures,
anterior fontanel flat and soft, pupils equal reactive to light, no retractions, umbilical cord clamped, no
herniations, sac noted on lumbar area, reflexes intact, meconium stool noted. What is the diagnosis?
What are the actions to take? What parameters should be monitored? - correct answer ✔-Diagnosis:
meningocele
-Actions to take: (sterile dressing) moist compress, place prone position
-Monitor: CSF leakage, head circumference
Have group of pts on intrapartum unit, what would you report to provider immediately? - correct
answer ✔Epigastric pain and unresolved headache
, Second stage of labor of a 28 year old G2para1 39 weeks, history of insulin GDM, 4 cm into labor, -1
station, client reports needs to have bowel movement, sterile vaginal exam, 10cm, 100% effaced, FHR
130, variable decels, provider notified, 3:03 and fetal head crowning with provider there. What
condition and 2 actions and 2 monitors. - correct answer ✔-Diagnosis: Shoulder dystocia
-Actions to take: suprapubic pressure, flex clients legs against abdomen (mcroberts position)
-Monitor: movement of upper extremities, maternal perineum for trauma
Providing teaching to 30 week gestation mom to have non stress test. What would tell you pt needs
further teaching? - correct answer ✔She thinks she has to lie flat on her back during the test (needs to
be in semi fowlers position)
Teaching 23 week gestation about immunizations. What would you include in her teaching? - correct
answer ✔-Do not get rubella when pregnant
-varicella do not get pregnant 28 days
-you can receive flu shot
-you cannot get TDAP vaccine
Nurse in docs office for pregnant lady, VS at 9am temp 97.9, HR 88, RR 20, BP 179/99. HR 82, RR16, HR
81, RR 16, BP 170/101. gravida 3para2, 36 weeks gestation, 178 lbs, 6 lb weight gain last 2 weeks,
headache and Tylenol does not relieve, swelling of fingers and hands, DTR 3+, Fetal heart tones 148.
What to report? - correct answer ✔Report BP, visual disturbances, 6 lb weight, DTR
Caring for pt during NST test. At end of 30 min, note FHR 120 with minimal variability and no
accelerations. 2 decels of 15 min in FHR during period fetal movement each lasting 20 sec. Which of the
following interpretations of finding would the nurse make? - correct answer ✔Nonreactive test
Nurse caring for new mother concerned about newborns eyes being crossed/closed. Which of the
following statements is therapeutic response? - correct answer ✔This occurs because newborns lack
muscle control to regulate eye movement (last 3-6 months)
