NR 327 FINAL EXAM QUESTIONS AND
ANSWERS/A+ GRADE ASSURED
• A nurse is caring for a patient admitted for induction of labor due to intrauterine
fetal demise at 32 weeks. What statement by the nurse would be most therapeutic at
this time?
• After you recover you can hopefully conceive again and start your family.
• My sister lost a baby too, I know how you feel and I’m here to help.
• If you want to talk about how you’re feeling, I can call a chaplain.
d. Would you like to hold your baby after he is
born?
• A G1P0 is 8 weeks gestation, and the provider does not detect a fetal heartbeat
on the ultrasound. What assessment data must be collected in order to ensure the
safety of future pregnancies?
• Chromosomal studies of the placental tissue.
• The fetus’ blood type.
• Maternal while blood cell count.
d. Maternal Rh
status.
• Following a cerclage at 14 weeks, the nurse counsels the patient to report any
cramping or contractions. What is the rational for these instructions?
,a. The patient is at risk for bleeding if she contracts with cerclage in
place
• Contractions can indicate that cerclage procedure was unsuccessful
• Fetus’ lungs are not yet developed, so preterm birth would be dangerous
• Labor is contraindicated due to the scar on the uterus
• A patient is 10 weeks and arrives at her first prenatal visit. An ultrasound reveals
implantation in the right fallopian tube. What important education should the patient
receive?
• The patient should return in two weeks to see if the pregnancy has migrated into
the uterus.
b. The patient needs to take Methotrexate and stop her prenatal
vitamins.
• The patient should be rushed to emergency surgery for the removal of her
pregnancy.
• The pregnancy could end in miscarriage so the nurse should recommend grief
counseling.
*Methotrexate will stop cell replication so the body will detect not further growth and will
then release it and it will be expelled
• The nurse is caring for a G1P0 who experienced a miscarriage at home. Which
statement is true about her future pregnancies?
• She has increased risk of future miscarriages.
, • She is a candidate for a Cerclage procedure.
• She should avoid pregnancy for at least one year.
d. It is most likely that her next pregnancy will be healthy.
*She would only be a greater risk of miscarriages if it was greater than 3 miscarriages.
The Cerclage procedure is for an incompetent cervix where it is stitched closed. Avoid
pregnancy for a year for a molar pregnancy.
• A nurse is caring for a patient on magnesium sulfate for preeclampsia. Which
finding would indicate that the magnesium level is below therapeutic range?
• minimal variability
• deep tendon reflexes +3
• shallow respirations
• arrhythmias
• The nurse is assisting with amniotomy. The nurse immediately notes the color of
amniotic fluid is port wine. What condition does this finding indicate?
• Incomplete abortion
• Placenta previa
• Uterine rupture
d. Placental abruption
• Which of the following patients would be at risk for developing s placenta previa?
• G2P1 with a history of gestational diabetes
• G1P0 Native American with chronic hypertension
• G3P1 with a placental abruption in her first pregnancy
ANSWERS/A+ GRADE ASSURED
• A nurse is caring for a patient admitted for induction of labor due to intrauterine
fetal demise at 32 weeks. What statement by the nurse would be most therapeutic at
this time?
• After you recover you can hopefully conceive again and start your family.
• My sister lost a baby too, I know how you feel and I’m here to help.
• If you want to talk about how you’re feeling, I can call a chaplain.
d. Would you like to hold your baby after he is
born?
• A G1P0 is 8 weeks gestation, and the provider does not detect a fetal heartbeat
on the ultrasound. What assessment data must be collected in order to ensure the
safety of future pregnancies?
• Chromosomal studies of the placental tissue.
• The fetus’ blood type.
• Maternal while blood cell count.
d. Maternal Rh
status.
• Following a cerclage at 14 weeks, the nurse counsels the patient to report any
cramping or contractions. What is the rational for these instructions?
,a. The patient is at risk for bleeding if she contracts with cerclage in
place
• Contractions can indicate that cerclage procedure was unsuccessful
• Fetus’ lungs are not yet developed, so preterm birth would be dangerous
• Labor is contraindicated due to the scar on the uterus
• A patient is 10 weeks and arrives at her first prenatal visit. An ultrasound reveals
implantation in the right fallopian tube. What important education should the patient
receive?
• The patient should return in two weeks to see if the pregnancy has migrated into
the uterus.
b. The patient needs to take Methotrexate and stop her prenatal
vitamins.
• The patient should be rushed to emergency surgery for the removal of her
pregnancy.
• The pregnancy could end in miscarriage so the nurse should recommend grief
counseling.
*Methotrexate will stop cell replication so the body will detect not further growth and will
then release it and it will be expelled
• The nurse is caring for a G1P0 who experienced a miscarriage at home. Which
statement is true about her future pregnancies?
• She has increased risk of future miscarriages.
, • She is a candidate for a Cerclage procedure.
• She should avoid pregnancy for at least one year.
d. It is most likely that her next pregnancy will be healthy.
*She would only be a greater risk of miscarriages if it was greater than 3 miscarriages.
The Cerclage procedure is for an incompetent cervix where it is stitched closed. Avoid
pregnancy for a year for a molar pregnancy.
• A nurse is caring for a patient on magnesium sulfate for preeclampsia. Which
finding would indicate that the magnesium level is below therapeutic range?
• minimal variability
• deep tendon reflexes +3
• shallow respirations
• arrhythmias
• The nurse is assisting with amniotomy. The nurse immediately notes the color of
amniotic fluid is port wine. What condition does this finding indicate?
• Incomplete abortion
• Placenta previa
• Uterine rupture
d. Placental abruption
• Which of the following patients would be at risk for developing s placenta previa?
• G2P1 with a history of gestational diabetes
• G1P0 Native American with chronic hypertension
• G3P1 with a placental abruption in her first pregnancy
