1. A nurse in a prenatal clinic is assessing a client who is at 14 weeks of gestation and reports persistent lower abdominal
cramping accompanied by moderate vaginal bleeding with clots. The client states she passed tissue earlier in the day. Which
complication should the nurse suspect?
A. Placenta previa
B. Inevitable abortion
C. Ectopic pregnancy
D. Preterm labor
Answer: B
2. A client at 38 weeks of gestation arrives reporting regular contractions every 4 minutes lasting 60 seconds. On assessment,
the cervix is 6 cm dilated and 80% effaced. In which stage of labor is this client?
A. First stage, latent phase
B. First stage, active phase
C. Second stage
D. Third stage
Answer: B
3. A nurse is monitoring a client receiving magnesium sulfate for severe preeclampsia. Which finding requires immediate
intervention?
A. Respiratory rate 10/min
B. Urine output 45 mL/hr
C. Blood pressure 148/92 mm Hg
D. Deep tendon reflexes 2+
Answer: A
4. A postpartum client reports soaking two perineal pads within one hour and feeling lightheaded when sitting up. The uterus
feels boggy on palpation. What is the priority nursing action?
A. Apply an ice pack
B. Massage the fundus
C. Administer analgesics
D. Encourage oral fluids
Answer: B
5. A client at 34 weeks of gestation reports sudden severe back pain and vaginal bleeding after a minor motor vehicle collision.
The uterus is firm and tender. Which condition should the nurse anticipate?
A. Placenta previa
B. Abruptio placentae
C. Uterine prolapse
D. Hyperemesis gravidarum
Answer: B
,6. A nurse is teaching a pregnant client about warning signs to report immediately. Which statement indicates understanding?
A. “Mild ankle swelling is an emergency.”
B. “Blurred vision and severe headache should be reported.”
C. “Nausea in the morning is dangerous.”
D. “Frequent urination means infection.”
Answer: B
7. A client in labor has late decelerations noted on the fetal monitor. Which intervention should the nurse implement first?
A. Increase oxytocin infusion
B. Reposition the client to left lateral position
C. Perform vaginal exam
D. Prepare for discharge
Answer: B
8. A nurse is assessing a newborn 1 minute after birth. The infant has a heart rate of 110/min, irregular respirations, some
flexion, grimaces with stimulation, and is pink with blue extremities. What is the Apgar score?
A. 6
B. 7
C. 8
D. 9
Answer: B
9. A client at 10 weeks gestation reports unilateral pelvic pain and light spotting. She appears pale and dizzy. Which
complication is most concerning?
A. Preterm labor
B. Ectopic pregnancy
C. Placenta previa
D. Gestational hypertension
Answer: B
10. A nurse reinforces teaching to a postpartum client about breastfeeding. Which statement indicates correct understanding?
A. “I should wash my breasts with soap before each feeding.”
B. “Frequent feeding helps establish milk supply.”
C. “Formula supplementation is required daily.”
D. “I should limit feeding to 5 minutes per side.”
Answer: B
11. A client with gestational diabetes asks why blood glucose control is important. Which complication is the newborn at risk
for if glucose is poorly controlled?
A. Hypoglycemia
B. Hypercalcemia
cramping accompanied by moderate vaginal bleeding with clots. The client states she passed tissue earlier in the day. Which
complication should the nurse suspect?
A. Placenta previa
B. Inevitable abortion
C. Ectopic pregnancy
D. Preterm labor
Answer: B
2. A client at 38 weeks of gestation arrives reporting regular contractions every 4 minutes lasting 60 seconds. On assessment,
the cervix is 6 cm dilated and 80% effaced. In which stage of labor is this client?
A. First stage, latent phase
B. First stage, active phase
C. Second stage
D. Third stage
Answer: B
3. A nurse is monitoring a client receiving magnesium sulfate for severe preeclampsia. Which finding requires immediate
intervention?
A. Respiratory rate 10/min
B. Urine output 45 mL/hr
C. Blood pressure 148/92 mm Hg
D. Deep tendon reflexes 2+
Answer: A
4. A postpartum client reports soaking two perineal pads within one hour and feeling lightheaded when sitting up. The uterus
feels boggy on palpation. What is the priority nursing action?
A. Apply an ice pack
B. Massage the fundus
C. Administer analgesics
D. Encourage oral fluids
Answer: B
5. A client at 34 weeks of gestation reports sudden severe back pain and vaginal bleeding after a minor motor vehicle collision.
The uterus is firm and tender. Which condition should the nurse anticipate?
A. Placenta previa
B. Abruptio placentae
C. Uterine prolapse
D. Hyperemesis gravidarum
Answer: B
,6. A nurse is teaching a pregnant client about warning signs to report immediately. Which statement indicates understanding?
A. “Mild ankle swelling is an emergency.”
B. “Blurred vision and severe headache should be reported.”
C. “Nausea in the morning is dangerous.”
D. “Frequent urination means infection.”
Answer: B
7. A client in labor has late decelerations noted on the fetal monitor. Which intervention should the nurse implement first?
A. Increase oxytocin infusion
B. Reposition the client to left lateral position
C. Perform vaginal exam
D. Prepare for discharge
Answer: B
8. A nurse is assessing a newborn 1 minute after birth. The infant has a heart rate of 110/min, irregular respirations, some
flexion, grimaces with stimulation, and is pink with blue extremities. What is the Apgar score?
A. 6
B. 7
C. 8
D. 9
Answer: B
9. A client at 10 weeks gestation reports unilateral pelvic pain and light spotting. She appears pale and dizzy. Which
complication is most concerning?
A. Preterm labor
B. Ectopic pregnancy
C. Placenta previa
D. Gestational hypertension
Answer: B
10. A nurse reinforces teaching to a postpartum client about breastfeeding. Which statement indicates correct understanding?
A. “I should wash my breasts with soap before each feeding.”
B. “Frequent feeding helps establish milk supply.”
C. “Formula supplementation is required daily.”
D. “I should limit feeding to 5 minutes per side.”
Answer: B
11. A client with gestational diabetes asks why blood glucose control is important. Which complication is the newborn at risk
for if glucose is poorly controlled?
A. Hypoglycemia
B. Hypercalcemia
