©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
NURS 444 Final Exam Practice Questions
and Answers
what is an abortion? - Ans:✔✔-loss of fetus before viability or capable of living outside of the uterus
what is considered a nonviable fetus? - Ans:✔✔-fetus <20 weeks or <500 grams
what are the different types of abortions? - Ans:✔✔-1. *spontaneous*: loss of a woman's pregnancy
before the 20th week of pregnancy
2. *threatened*: symptoms are present that indicate a miscarriage is possible
3. *inevitable*: vaginal bleeding with progressive dilation of the cervix, but no expulsion of conception
products
4. *incomplete*: partial loss of the products of conception within the first 20 weeks
5. *missed*: unrecognized intrauterine death of an embryo without expulsion of the products of
conception
about __% of spontaneous abortions are related to vaginal bleeding in the __trimester - Ans:✔✔-50%;
1st
Page 1/58
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
what is the 1st signs of a threatened abortion? - Ans:✔✔-vaginal bleeding
what is done to determine if fetus/embryo is present and alive? - Ans:✔✔-US or quantitative beta-hCG
test
What device is used to clear the uterus if the natural process is ineffective or incomplete in expulsion of
uterine contents? - Ans:✔✔-vacuum curettage
if the pregnancy is more advanced or if bleeding is excessive, a ____ and ____ may be needed - Ans:✔✔-
dilation and curettage (D&C)
what interventions are needed for an incomplete abortion? - Ans:✔✔--stabilizing woman's CV state
-Fluid replacement & drug administration of Pitocin
-Dilation & evacuation
what is a recurrent spontaneous abortion? - Ans:✔✔-3 or more consecutive spontaneous abortions
thought to be genetic/chromosomal anomalies, such as incompetent uterus or bicornuate uterus (has 2
horns)
What is an ectopic pregnancy? - Ans:✔✔-Tubal pregnancy, when a fertilized egg develops outside the
uterus *(usually in the fallopian tube)*. High risk for rupture/hemorrhage and death.
Page 2/58
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
what causes ectopic pregnancies - Ans:✔✔-1. pelvic infection/inflammation/surgery
2.delayed or premature ovulation
3.Multiple induced abortions
What are clinical manifestations of ectopic pregnancies? - Ans:✔✔-1. missed menstrual period
2. positive pregnancy test
3. UNILATERAL Abdominal pain
4. vaginal "spotting"
T or F. If the implantation of an ectopic pregnancy occurs in the proximal end of the tube, rupture of the
tube may occur w/in 2-3 weeks of the missed period. - Ans:✔✔-true
T or F If the implantation occurs in the distal end of the fallopian tube, the woman will not exhibit any
usual signs of early pregnancy. - Ans:✔✔-false; she will exhibit signs of pregnancy but will notice
intermittent abdominal pain/vaginal spotting
how is an ectopic pregnancy diagnosed - Ans:✔✔-1. transvaginal US (determine presence of gestational
sac)
2. beta-hCG test (present but @ lower levels)
Page 3/58
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
what is the therapeutic management of an ectopic pregnancy? - Ans:✔✔-*depends on if tube is intact or
ruptured*
-Methotrexate administration (if tube is unruptured) to stop fetal growth in tube
-Surgery (linear salpingostomy or salpingectomy)
What is the difference between a linear salpingostomy and salpingectomy? - Ans:✔✔-ostomy: removal
of ectopic pregnancy with effort to salvage the tube
ectomy: removal of the tube
nursing considerations for ectopic pregnancies - Ans:✔✔--monitor for sxs of tubal rupture/bleeding
(pelvic, shoulder, or neck pain; increased vag bleeding)
-administer RhoGAM for Rh - woman
-Remind woman that any fluids from her are toxic if on methotrexate & teach s/e of medications
-Provide psychological support (possible tube removal)
what is another term used for gestational trophoblastic disease? - Ans:✔✔-molar pregnancy
What is a gestational trophoblastic disease (molar pregnancy)? - Ans:✔✔--When trophoblasts develop
abnormally and create a hydatidiform mole
Page 4/58
FIRST PUBLISH OCTOBER 2024
NURS 444 Final Exam Practice Questions
and Answers
what is an abortion? - Ans:✔✔-loss of fetus before viability or capable of living outside of the uterus
what is considered a nonviable fetus? - Ans:✔✔-fetus <20 weeks or <500 grams
what are the different types of abortions? - Ans:✔✔-1. *spontaneous*: loss of a woman's pregnancy
before the 20th week of pregnancy
2. *threatened*: symptoms are present that indicate a miscarriage is possible
3. *inevitable*: vaginal bleeding with progressive dilation of the cervix, but no expulsion of conception
products
4. *incomplete*: partial loss of the products of conception within the first 20 weeks
5. *missed*: unrecognized intrauterine death of an embryo without expulsion of the products of
conception
about __% of spontaneous abortions are related to vaginal bleeding in the __trimester - Ans:✔✔-50%;
1st
Page 1/58
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
what is the 1st signs of a threatened abortion? - Ans:✔✔-vaginal bleeding
what is done to determine if fetus/embryo is present and alive? - Ans:✔✔-US or quantitative beta-hCG
test
What device is used to clear the uterus if the natural process is ineffective or incomplete in expulsion of
uterine contents? - Ans:✔✔-vacuum curettage
if the pregnancy is more advanced or if bleeding is excessive, a ____ and ____ may be needed - Ans:✔✔-
dilation and curettage (D&C)
what interventions are needed for an incomplete abortion? - Ans:✔✔--stabilizing woman's CV state
-Fluid replacement & drug administration of Pitocin
-Dilation & evacuation
what is a recurrent spontaneous abortion? - Ans:✔✔-3 or more consecutive spontaneous abortions
thought to be genetic/chromosomal anomalies, such as incompetent uterus or bicornuate uterus (has 2
horns)
What is an ectopic pregnancy? - Ans:✔✔-Tubal pregnancy, when a fertilized egg develops outside the
uterus *(usually in the fallopian tube)*. High risk for rupture/hemorrhage and death.
Page 2/58
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
what causes ectopic pregnancies - Ans:✔✔-1. pelvic infection/inflammation/surgery
2.delayed or premature ovulation
3.Multiple induced abortions
What are clinical manifestations of ectopic pregnancies? - Ans:✔✔-1. missed menstrual period
2. positive pregnancy test
3. UNILATERAL Abdominal pain
4. vaginal "spotting"
T or F. If the implantation of an ectopic pregnancy occurs in the proximal end of the tube, rupture of the
tube may occur w/in 2-3 weeks of the missed period. - Ans:✔✔-true
T or F If the implantation occurs in the distal end of the fallopian tube, the woman will not exhibit any
usual signs of early pregnancy. - Ans:✔✔-false; she will exhibit signs of pregnancy but will notice
intermittent abdominal pain/vaginal spotting
how is an ectopic pregnancy diagnosed - Ans:✔✔-1. transvaginal US (determine presence of gestational
sac)
2. beta-hCG test (present but @ lower levels)
Page 3/58
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
what is the therapeutic management of an ectopic pregnancy? - Ans:✔✔-*depends on if tube is intact or
ruptured*
-Methotrexate administration (if tube is unruptured) to stop fetal growth in tube
-Surgery (linear salpingostomy or salpingectomy)
What is the difference between a linear salpingostomy and salpingectomy? - Ans:✔✔-ostomy: removal
of ectopic pregnancy with effort to salvage the tube
ectomy: removal of the tube
nursing considerations for ectopic pregnancies - Ans:✔✔--monitor for sxs of tubal rupture/bleeding
(pelvic, shoulder, or neck pain; increased vag bleeding)
-administer RhoGAM for Rh - woman
-Remind woman that any fluids from her are toxic if on methotrexate & teach s/e of medications
-Provide psychological support (possible tube removal)
what is another term used for gestational trophoblastic disease? - Ans:✔✔-molar pregnancy
What is a gestational trophoblastic disease (molar pregnancy)? - Ans:✔✔--When trophoblasts develop
abnormally and create a hydatidiform mole
Page 4/58
