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NUR 254 Exam 1 Questions and Correct Answers (320+ Questions) | Pregnancy, Labor & Delivery, Prenatal Care, Fetal Monitoring & Maternal-Newborn Nursing

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Prepare confidently for NUR 254 Exam 1 with this comprehensive collection of 320+ expertly organized exam questions and verified answers covering the essential concepts of maternal-newborn nursing and obstetric care. This high-yield study guide provides an in-depth review of pregnancy assessment, prenatal care, physiological adaptations during pregnancy, fetal development, maternal nutrition, prenatal laboratory testing, fetal surveillance, labor and delivery, intrapartum nursing care, obstetric emergencies, and evidence-based nursing interventions. Organized in a structured question-and-answer format, this resource promotes active recall, strengthens clinical reasoning, reinforces obstetric nursing concepts, and prepares students for NUR 254 examinations, ATI, HESI, NCLEX-RN, and maternal-newborn clinical practice. This comprehensive review covers presumptive, probable, and positive signs of pregnancy; gravida and para documentation; Naegele's rule; maternal cardiovascular, respiratory, gastrointestinal, and endocrine adaptations during pregnancy; prenatal laboratory screening; Rh incompatibility and Rho(D) immune globulin (RhoGAM) administration; common pregnancy discomforts; maternal nutrition and weight gain recommendations; anemia during pregnancy; incompetent cervix; placenta previa; abruptio placentae; chronic hypertension; gestational hypertension; preeclampsia; HELLP syndrome; magnesium sulfate therapy and toxicity management; gestational and pregestational diabetes; preterm labor; tocolytic medications; fetal presentation, lie, position, station, and cardinal movements of labor; labor induction and augmentation; rupture of membranes (ROM); stages and phases of labor; pharmacologic pain management including epidural analgesia; cesarean birth; postpartum assessment; fetal heart rate interpretation using VEAL CHOP; early, late, and variable decelerations; prolapsed umbilical cord management; and priority nursing interventions for maternal and fetal complications. The content closely aligns with undergraduate maternal-newborn nursing curricula and serves as an excellent revision resource for nursing examinations, clinical rotations, and licensure preparation. APA References Ricci, S. S., Kyle, T., & Carman, S. (2024). Maternity and Pediatric Nursing (5th ed.). Wolters Kluwer. Perry, S. E., Hockenberry, M. J., Lowdermilk, D. L., & Wilson, D. (2023). Maternal Child Nursing Care (7th ed.). Elsevier. American College of Obstetricians and Gynecologists. (2023). Obstetric Care Consensus and Clinical Practice Guidelines. American College of Obstetricians and Gynecologists. Cunningham, F. G., Leveno, K. J., Dashe, J. S., et al. (2022). Williams Obstetrics (26th ed.). McGraw Hill. Relevant for Students NUR 254 Students Maternal-Newborn Nursing Students Obstetric Nursing Students BSN Nursing Students ADN Nursing Students Registered Nursing (RN) Students Practical Nursing (PN/LPN) Students Fundamentals of Maternity Nursing Students Women's Health Nursing Students Clinical Obstetric Nursing Students ATI Maternal-Newborn Review Students HESI Maternity Review Students NCLEX-RN Candidates NCLEX-PN Candidates Healthcare Professionals Preparing for Maternal-Newborn Nursing Examinations Keywords NUR 254, NUR 254 Exam 1, Maternal Newborn Nursing, Obstetric Nursing, Pregnancy Assessment, Prenatal Care, Prenatal Assessment, Presumptive Signs of Pregnancy, Probable Signs of Pregnancy, Positive Signs of Pregnancy, Gravida, Para, Naegele Rule, Prenatal Laboratory Tests, Rh Incompatibility, RhoGAM, Maternal Physiological Changes, Pregnancy Nutrition, Pregnancy Discomforts, Hyperemesis Gravidarum, Anemia in Pregnancy, Placenta Previa, Abruptio Placentae, Incompetent Cervix, Cerclage, Gestational Hypertension, Chronic Hypertension, Preeclampsia, Severe Preeclampsia, HELLP Syndrome, Magnesium Sulfate, Calcium Gluconate, Gestational Diabetes, Pregestational Diabetes, Preterm Labor, Tocolytics, Terbutaline, Fetal Assessment, Fetal Presentation, Fetal Lie, Fetal Position, Station, Cardinal Movements of Labor, Labor Induction, Pitocin, Rupture of Membranes, Stages of Labor, Epidural Analgesia, Cesarean Section, VBAC, Postpartum Assessment, Fundal Assessment, Lochia, Fetal Heart Rate Monitoring, VEAL CHOP, Early Decelerations, Variable Decelerations, Late Decelerations, Prolapsed Cord, Obstetric Emergencies, ATI Maternity, HESI Maternity, NCLEX Maternity, Nursing Exam Questions, Nursing Study Guide

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NUR 254 Exam 1 2026 Exam
Questions and Correct
Answers | New Update



Presumtive signs of pregnancy - ANSWER ✔✔SUBJECTIVE


-Nausea/vomiting

-amenorrhea

-breast changes

-fatigue

-urinary frequency

-quickening (fetal movement)

,Probable signs of pregnancy - ANSWER ✔✔EXAMINER

OBJECTIVE FINDING

-Hegar's sign

-Goodell's sign

-Chadwick's sign

-Positive pregnancy test

-Braxton hicks contractions

-Ballotment


Hegar's sign - ANSWER ✔✔softening of the lower uterine segment


Goodell's sign - ANSWER ✔✔softening of the cervix


Chadwick's sign - ANSWER ✔✔Bluish-purple coloration of the

vaginal mucosa and cervix


ballotment - ANSWER ✔✔Rebounding of the fetus against the

examiner's finger on palpation. When the examiner taps the cervix, the

fetus floats upward in the amniotic fluid.


Positive signs of pregnancy - ANSWER ✔✔-hearing fetal heart

sounds

-Visualization of the fetus

,-feeling of fetal movement by examiner


Gravida - ANSWER ✔✔total number of pregnancies


Para - ANSWER ✔✔number of pregnancies 20 weeks or >


Term - ANSWER ✔✔37-40+ weeks (posterm 42+ weeks)


Preterm - ANSWER ✔✔20-36 6/7 weeks


Abortion - ANSWER ✔✔prior to 20 weeks


Living - ANSWER ✔✔Number of living children


Naegle's rule - estimate due date - ANSWER ✔✔LMP - 3 months + 7

days


Fetal Assessment - ANSWER ✔✔-10-12 weeks: Fetal heart rate (

110-160)

-20 weeks: Uterine height (symphysis pubis to the top of the fundus in

cm should equal gestational age +/-2)

-20 weeks: Fetal movement (once mother feels fetal movement, should

feel fetal movement every day increasingly)


Cardiac changes in pregnancy - ANSWER ✔✔-Increased blood

volume (40-50%)



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3

, ***results in physiological anemia




-Increased cardiac output (30-50%)

***increased HR (10-20bpm)




-Blood pressure stays the same or slightly decreases




-Increased clotting factors




-Decreased venous return


Respiratory changes in pregnancy - ANSWER ✔✔-Increased

incidence of nasal congestion, voice change, and epistaxis due to

increased vascular




-Increased O2 needs due to increased metabolic rate

***Increased respiratory rate

***Increased body temp

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