NUR 507 EXAM 2 EXAM WITH
CORRECT QUESTIONS AND ANSWERS
2025
Class I - CORRECT-ANSWERSNormal physical activity causes no discomfort -
uncompromised
Class II - CORRECT-ANSWERSNormal activity causes discomfort and slight dyspnea -
slightly compromised
Class III - CORRECT-ANSWERSLess than normal activity causes discomfort or
dyspnea - markedly compromised
Class IV - CORRECT-ANSWERSPhysical activity is impossible; dyspnea at rest -
severely compromised
Assessment and fetal monitoring - CORRECT-ANSWERSBaseline data prior to
pregnancy
Level of exercise
Presence of cough or edema
Comparison of baseline vital signs
Liver size (right-sided heart failure involvement)
ECG/echocardiogram
Fetal size (small for gestational age) and poor response to labor (FHR decelerations)
Periods of risk - CORRECT-ANSWERS28-32 weeks gestation - when blood volume
peaks
During labor
Immediate postpartum period until 6 days postpartum.
Management of cardiac issues - CORRECT-ANSWERSActivity restriction
Monitor for signs of cardiac decompensation
Diet modifications
Infection Control
Cardiac Medications
, Anticoagulant Therapy
Intrapartum - CORRECT-ANSWERSVaginal delivery at term is safest
Cesarean delivery only if needed
GOAL: Reduce strain on heart and facilitate circulatory activity
Labor & delivery
Goal: Healthy mom & healthy baby - CORRECT-ANSWERSSide lying position
Continual electronic fetal monitoring
Maternal ECG monitor
Judicious use of analgesics
Epidural anesthesia
Low forceps or vacuum extractor
NO PUSHING!
NO STIRRUPS!
Oxygen
Medications
Post partum care - CORRECT-ANSWERSCritical period right after birth
Increase in blood volume & pressure with delivery of placenta
Decreased activity
Anticoagulants
Digoxin
Antiembolic stockings or IPC
Antibiotics (prevent endocarditis)
Stool softener
Possible help at home
Signs of Decompensation - CORRECT-ANSWERSPulse rate > 100
Respirations > 25
Dyspnea
Cough with rales at base of lungs
Pallor
Sweating
Cold
, Hypertension - CORRECT-ANSWERSOne of the two most common medical
complications of pregnancy
Systolic ≥ 140 mm Hg
Diastolic ≥ 90 mm Hg
Chronic Hypertension - CORRECT-ANSWERSPrior to pregnancy or before 20th week
of gestation
R/T vascular or renal disease
Management:
Oral meds, limit sodium and caffeine intake, and avoid alcohol and tobacco
Frequent maternal/fetal assessments
Gestational Hypertension/ Pregnancy Induced Hypertension - CORRECT-
ANSWERSPreeclampsia
Eclampsia
CHTN with superimposed preeclampsia
Mild Preeclampsia - CORRECT-ANSWERSBlood Pressure: 140/90 mmHg
Proteinuria: 1 or 2+ on dipstick
Edema: mild edema in upper extremities or face
Urinary Output: Match intake
Headache: Absent/transient
Visual: Absent
Epigastric Pain: Absent
Labs: Normal Creatinine
Absent thrombocytopenia
Normal AST
Management:
Bedrest
Daily weights
Urine dip for protein
Fetal kick counts
, NSTs
Severe Preeclampsia - CORRECT-ANSWERSBlood Pressure: 160/100 mmHg
Proteinuria: 3 or 4+ on dipstick, >5g in 24 hr urine
Edema: Extensive peripheral edema
Urinary Output: < 30 mL/hr pr <40 - 500 in 24 hr
Headache: Persistent/severe
Visual: Blurred/blind spots, photophobia
Epigastric Pain: Present
Labs: Elevated creatinine
Thrombocytopenia
AST elevation
Management:
GOAL:
Prevent worsening - Eclampsia
Healthy mother/healthy infant
Health Management:
Hospitalization
Bedrest
Daily weights
I/Os - Renal status
Monitor CNS
Seizure precautions
Decreased stimuli - low lighting, quiet
Magnesium sulfate
Eclampsia - CORRECT-ANSWERSOccurrence of Seizures
#1 intervention - Maintain patent airway and oxygenation
Turn patient to side - prevent aspiration
Suction, administer O2 via face mask
Assess fetal well being and uterine activity
Cervical status
CORRECT QUESTIONS AND ANSWERS
2025
Class I - CORRECT-ANSWERSNormal physical activity causes no discomfort -
uncompromised
Class II - CORRECT-ANSWERSNormal activity causes discomfort and slight dyspnea -
slightly compromised
Class III - CORRECT-ANSWERSLess than normal activity causes discomfort or
dyspnea - markedly compromised
Class IV - CORRECT-ANSWERSPhysical activity is impossible; dyspnea at rest -
severely compromised
Assessment and fetal monitoring - CORRECT-ANSWERSBaseline data prior to
pregnancy
Level of exercise
Presence of cough or edema
Comparison of baseline vital signs
Liver size (right-sided heart failure involvement)
ECG/echocardiogram
Fetal size (small for gestational age) and poor response to labor (FHR decelerations)
Periods of risk - CORRECT-ANSWERS28-32 weeks gestation - when blood volume
peaks
During labor
Immediate postpartum period until 6 days postpartum.
Management of cardiac issues - CORRECT-ANSWERSActivity restriction
Monitor for signs of cardiac decompensation
Diet modifications
Infection Control
Cardiac Medications
, Anticoagulant Therapy
Intrapartum - CORRECT-ANSWERSVaginal delivery at term is safest
Cesarean delivery only if needed
GOAL: Reduce strain on heart and facilitate circulatory activity
Labor & delivery
Goal: Healthy mom & healthy baby - CORRECT-ANSWERSSide lying position
Continual electronic fetal monitoring
Maternal ECG monitor
Judicious use of analgesics
Epidural anesthesia
Low forceps or vacuum extractor
NO PUSHING!
NO STIRRUPS!
Oxygen
Medications
Post partum care - CORRECT-ANSWERSCritical period right after birth
Increase in blood volume & pressure with delivery of placenta
Decreased activity
Anticoagulants
Digoxin
Antiembolic stockings or IPC
Antibiotics (prevent endocarditis)
Stool softener
Possible help at home
Signs of Decompensation - CORRECT-ANSWERSPulse rate > 100
Respirations > 25
Dyspnea
Cough with rales at base of lungs
Pallor
Sweating
Cold
, Hypertension - CORRECT-ANSWERSOne of the two most common medical
complications of pregnancy
Systolic ≥ 140 mm Hg
Diastolic ≥ 90 mm Hg
Chronic Hypertension - CORRECT-ANSWERSPrior to pregnancy or before 20th week
of gestation
R/T vascular or renal disease
Management:
Oral meds, limit sodium and caffeine intake, and avoid alcohol and tobacco
Frequent maternal/fetal assessments
Gestational Hypertension/ Pregnancy Induced Hypertension - CORRECT-
ANSWERSPreeclampsia
Eclampsia
CHTN with superimposed preeclampsia
Mild Preeclampsia - CORRECT-ANSWERSBlood Pressure: 140/90 mmHg
Proteinuria: 1 or 2+ on dipstick
Edema: mild edema in upper extremities or face
Urinary Output: Match intake
Headache: Absent/transient
Visual: Absent
Epigastric Pain: Absent
Labs: Normal Creatinine
Absent thrombocytopenia
Normal AST
Management:
Bedrest
Daily weights
Urine dip for protein
Fetal kick counts
, NSTs
Severe Preeclampsia - CORRECT-ANSWERSBlood Pressure: 160/100 mmHg
Proteinuria: 3 or 4+ on dipstick, >5g in 24 hr urine
Edema: Extensive peripheral edema
Urinary Output: < 30 mL/hr pr <40 - 500 in 24 hr
Headache: Persistent/severe
Visual: Blurred/blind spots, photophobia
Epigastric Pain: Present
Labs: Elevated creatinine
Thrombocytopenia
AST elevation
Management:
GOAL:
Prevent worsening - Eclampsia
Healthy mother/healthy infant
Health Management:
Hospitalization
Bedrest
Daily weights
I/Os - Renal status
Monitor CNS
Seizure precautions
Decreased stimuli - low lighting, quiet
Magnesium sulfate
Eclampsia - CORRECT-ANSWERSOccurrence of Seizures
#1 intervention - Maintain patent airway and oxygenation
Turn patient to side - prevent aspiration
Suction, administer O2 via face mask
Assess fetal well being and uterine activity
Cervical status
