NUR 270 MIDTERM EXAM NEWEST ACTUAL EXAM COMPLETE 150
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
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Charlene, who is 4 months pregnant, is at the prenatal clinic for her initial visit.
Her history reveals she has 7-year-old twins who were born at 34 weeks'
gestation, a 2-year-old son born at 39 weeks' gestation, and a spontaneous
abortion 1 year ago at 6 weeks gestation. Using the GTPAL method, the nurse
would document her obstetric history as:
A. 3-2-1-0-3
B. 3-1-2-2-3
C. 4-1-1-1-3
D. 4-2-1-3-1 - Correct Answer-C. 4-1-1-1-3
During a vaginal exam, the nurse notes that the lower uterine segment is
softened. She documents this finding as:
A. Ortolani sign
B. Chadwich sign
C. Goodell sign
D. Hegar sign - Correct Answer-D. Hegar sign
Which time based description of a stage of development in pregnancy is correct?
A. Viability - 22-37 weeks of gestation since the last menstrual period (assuming
fetal weight greater than 500g)
B. Term - pregnancy from the beginning of 37 weeks of gestation to the end of 42
weeks gestation
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, NUR 270 Midterm Exam NEWEST ACTUAL EXAM
C. Postdate - pregnancy that extends beyond 38 weeks of gestation
D. Preterm- Pregnancy form 20-28 weeks of gestation - Correct Answer-B. Term-
pregnancy from the beginning of 37 weeks of gestation to the end of 42 weeks
gestation
Which statement regarding the development of the respiratory system is a high
priority for the nurse to understand?
A. Maternal hypertension can reduce maternal-placental blood flow, accelerating
lung maturity.
B. Fetal respiratory movements are not visible on US scans until at least 16 weeks
gestation.
C. The infants lungs are considered mature when the L/S ratio is at 1:1, at approx.
32 weeks gestation.
D. The respiratory system does not begin developing until after the embryonic
stage. - Correct Answer-A. Maternal hypertension can reduce maternal - placental
blood flow, accelerating lung maturity.
Emma is concerned because her healthcare provider wants her to take additional
iron. As a nurse, you know that iron:
A. is best absorbed when taken with meals.
B. is best absorbed when taken with milk.
C. is best absorbed on an empty stomach
D. is already in her prenatal vitamins - Correct Answer-C. is best absorbed on an
empty stomach
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, NUR 270 Midterm Exam NEWEST ACTUAL EXAM
A pregnant client calls the clinic and tells a nurse that she is experiencing leg
cramps and is awakened by the cramps at night. To provide relief from the leg
cramps, the nurse tells the client to:
A. Plantar flex the foot while stretching the leg.
B. Dorsiflex the foot and apply a heating pad.
C. Dorsiflex the foot while bending the knee.
D. Dorsiflex the foot with the knee extended. - Correct Answer-D. Dorsiflex the
foot with the knee extended
Parents have been asked by the neonatologist to provide breast milk for their
newborn son, who was born prematurely at 32 weeks gestation. The nurse who
instructs them regarding pumping, storing, and transporting the milk needs to
assess their knowledge of lactation. Which statement is a valid basis for the
instructions?
A. The mother should pump every 2-3 hours, including during the night.
B. A glass of wine just before pumping will help reduce stress and anxiety.
C. Premature infants more easily digest breast milk than formula.
D. The mother should only pump as much milk as the infant can drink. - Correct
Answer-C. Premature infants mor easily digest breast milk than formula.
Apgar scores were performed on a newborn. The mother asks you why the baby
received a score of 8 and 9. You know the most likely reason the baby lost points is
this:
A. Tone
B. Respiration
C. Color
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, NUR 270 Midterm Exam NEWEST ACTUAL EXAM
D. Heart Rate - Correct Answer-C. Color
A one-day old newborn has developed symptoms of severe respiratory distress
and is diagnosed with Group B Streptococcus. As the nursery nurse, you anticipate
orders for which medication?
A. Ampicillin
B. Cipro
C. Erythromycin
D. Amoxicillin - Correct Answer-A. Ampicillin
The nurse is reviewing the medical record of a newborn who was born 2 hours
ago. The nurse notes that the newborn was born at 35 weeks gestation. How
would the nurse classify this newborn?
A. Post Term
B. Full Term
C. Very Preterm
D. Late Preterm - Correct Answer-D. Late Preterm
An infant boy was delivered minutes ago. The nurse is conducting the initial
assessment. Part of the assessment includes the Apgar score. When should the
Apgar assessment be performed?
A. Once by the obstetrician, just after the birth.
B. At least twice, 1 minute and 5 minutes after birth.
C. Every 15 minutes during the newborns first hour after birth.
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