1. A nurse in a prenatal clinic is assessing a client who is at 10 weeks of gestation and reports experiencing persistent nausea
and vomiting that prevents her from keeping food or fluids down. The client has lost 5 pounds in the past 2 weeks and appears
dehydrated. Which condition should the nurse suspect?
A. Preeclampsia
B. Hyperemesis gravidarum
C. Placenta previa
D. Gestational diabetes
Answer: B
2. A client at 32 weeks of gestation presents to the emergency department reporting sudden painless vaginal bleeding that is
bright red. The uterus is soft and non-tender upon palpation. Which condition should the nurse suspect?
A. Abruptio placentae
B. Placenta previa
C. Uterine rupture
D. Preterm labor
Answer: B
3. A nurse is caring for a client at 30 weeks of gestation who reports severe abdominal pain and dark red vaginal bleeding. The
uterus is firm and tender to palpation. Which complication should the nurse anticipate?
A. Placenta previa
B. Abruptio placentae
C. Ectopic pregnancy
D. Hyperemesis gravidarum
Answer: B
4. A client at 28 weeks of gestation reports facial swelling, persistent headache, and visual disturbances. Her blood pressure is
160/100 mm Hg and urine dipstick shows 3+ protein. Which condition should the nurse identify?
A. Gestational hypertension
B. Mild preeclampsia
C. Severe preeclampsia
D. Chronic hypertension
Answer: C
5. A nurse is reinforcing teaching to a client who is in her third trimester about fetal movement monitoring. Which statement
by the client indicates understanding?
A. “I should feel at least 10 movements in 2 hours.”
B. “I only need to count movements once per week.”
C. “Decreased movement is normal in late pregnancy.”
D. “I should count movements immediately after exercise.”
Answer: A
,6. A client at 39 weeks of gestation reports a sudden gush of clear fluid from her vagina but denies contractions. Which action
should the nurse take first?
A. Perform a sterile vaginal exam
B. Assess fetal heart rate
C. Encourage ambulation
D. Administer oxytocin
Answer: B
7. A nurse is caring for a client in active labor whose fetal monitor tracing shows variable decelerations. Which intervention
should the nurse implement first?
A. Increase oxytocin
B. Reposition the client
C. Prepare for cesarean birth
D. Administer pain medication
Answer: B
8. A client who is 1 hour postpartum has a boggy uterus and moderate lochia rubra. Which action should the nurse take first?
A. Notify the provider
B. Massage the fundus
C. Administer analgesics
D. Increase IV fluids
Answer: B
9. A nurse is assessing a postpartum client and notes foul-smelling lochia and a temperature of 38.5°C (101.3°F). Which
complication should the nurse suspect?
A. Endometritis
B. Mastitis
C. Urinary tract infection
D. Hemorrhage
Answer: A
10. A client who delivered vaginally 2 days ago reports breast tenderness and warmth in one breast with flu-like symptoms.
Which condition should the nurse suspect?
A. Engorgement
B. Mastitis
C. Plugged duct
D. Galactocele
Answer: B
11. A nurse is reinforcing teaching about Rh incompatibility. Which statement indicates understanding?
A. “I will receive Rho(D) immune globulin if I am Rh negative.”
and vomiting that prevents her from keeping food or fluids down. The client has lost 5 pounds in the past 2 weeks and appears
dehydrated. Which condition should the nurse suspect?
A. Preeclampsia
B. Hyperemesis gravidarum
C. Placenta previa
D. Gestational diabetes
Answer: B
2. A client at 32 weeks of gestation presents to the emergency department reporting sudden painless vaginal bleeding that is
bright red. The uterus is soft and non-tender upon palpation. Which condition should the nurse suspect?
A. Abruptio placentae
B. Placenta previa
C. Uterine rupture
D. Preterm labor
Answer: B
3. A nurse is caring for a client at 30 weeks of gestation who reports severe abdominal pain and dark red vaginal bleeding. The
uterus is firm and tender to palpation. Which complication should the nurse anticipate?
A. Placenta previa
B. Abruptio placentae
C. Ectopic pregnancy
D. Hyperemesis gravidarum
Answer: B
4. A client at 28 weeks of gestation reports facial swelling, persistent headache, and visual disturbances. Her blood pressure is
160/100 mm Hg and urine dipstick shows 3+ protein. Which condition should the nurse identify?
A. Gestational hypertension
B. Mild preeclampsia
C. Severe preeclampsia
D. Chronic hypertension
Answer: C
5. A nurse is reinforcing teaching to a client who is in her third trimester about fetal movement monitoring. Which statement
by the client indicates understanding?
A. “I should feel at least 10 movements in 2 hours.”
B. “I only need to count movements once per week.”
C. “Decreased movement is normal in late pregnancy.”
D. “I should count movements immediately after exercise.”
Answer: A
,6. A client at 39 weeks of gestation reports a sudden gush of clear fluid from her vagina but denies contractions. Which action
should the nurse take first?
A. Perform a sterile vaginal exam
B. Assess fetal heart rate
C. Encourage ambulation
D. Administer oxytocin
Answer: B
7. A nurse is caring for a client in active labor whose fetal monitor tracing shows variable decelerations. Which intervention
should the nurse implement first?
A. Increase oxytocin
B. Reposition the client
C. Prepare for cesarean birth
D. Administer pain medication
Answer: B
8. A client who is 1 hour postpartum has a boggy uterus and moderate lochia rubra. Which action should the nurse take first?
A. Notify the provider
B. Massage the fundus
C. Administer analgesics
D. Increase IV fluids
Answer: B
9. A nurse is assessing a postpartum client and notes foul-smelling lochia and a temperature of 38.5°C (101.3°F). Which
complication should the nurse suspect?
A. Endometritis
B. Mastitis
C. Urinary tract infection
D. Hemorrhage
Answer: A
10. A client who delivered vaginally 2 days ago reports breast tenderness and warmth in one breast with flu-like symptoms.
Which condition should the nurse suspect?
A. Engorgement
B. Mastitis
C. Plugged duct
D. Galactocele
Answer: B
11. A nurse is reinforcing teaching about Rh incompatibility. Which statement indicates understanding?
A. “I will receive Rho(D) immune globulin if I am Rh negative.”
