with FULL ANSWERS Latest update 2026 Exam
prep
1. Describe the significance of fetal heart rate accelerations during a nonstress
test and what their absence may indicate.
The absence of fetal heart rate accelerations suggests the fetus is
sleeping.
The absence of fetal heart rate accelerations indicates the need for
immediate delivery.
The absence of fetal heart rate accelerations may indicate fetal
distress or inadequate oxygenation.
The absence of fetal heart rate accelerations is normal and requires no
action.
2. Describe the significance of a reassuring fetal heart rate tracing in the
context of meconium-stained amniotic fluid.
A reassuring fetal heart rate tracing means that meconium is not
present.
A reassuring fetal heart rate tracing indicates that the fetus is not
currently in distress despite the presence of meconium.
A reassuring fetal heart rate tracing is irrelevant to the labor process.
A reassuring fetal heart rate tracing suggests the need for immediate
intervention.
3. What is one key aspect of home safety that parents should be aware of for a
newborn?
Keeping the baby's sleeping area free of soft bedding.
, Using a crib with a bumper pad.
Allowing pets to sleep in the same room as the baby.
Placing the baby on their stomach to sleep.
4. What is the primary treatment for a newborn with elevated bilirubin levels?
Phototherapy
Blood transfusion
Antibiotics
Surgery
5. Which medications does the nurse expect to be prescribed for a patient in
the 33rd week of gestation with placenta previa?
Clomiphene (Clomid)
Betamethasone (Celestone)
Methotrexate (MTX)
Ampicillin (Totacillin)
6. What is the primary purpose of an abdominal ultrasound during the first
trimester of pregnancy?
To assess fetal development and confirm gestational age.
To evaluate the mother's nutritional status.
To determine the baby's gender.
To monitor maternal blood pressure.
7. What is the prescribed dose of morphine for a newborn per kilogram of body
weight?
0.04 mg/kg
, 2.5 kg
0.4 mg/ml
0.1 mg/kg
8. A nurse is assessing a client at 35 weeks gestation who is receiving
magnesium sulfate via continuous IV infusion for severe pre-eclampsia. Which
of the following findings should the nurse report to the provider?
Blood pressure 150/96 mmHg
Urinary output 20 mL/hr
Respiratory rate 16/min
Deep tendon reflexes 2+
9. A client reports that her last menstrual period started on February 15. Using
Nageles rule, what is her estimated date of birth?
November 22
November 15
December 1
October 8
10. A patient with HIV is taking zidovudine and becomes pregnant. What does
the nurse anticipate that the instructions will be for this patient?
The patient will be advised to discontinue the use of the drug until
the second trimester of pregnancy.
The patient will be advised to discontinue the drug immediately.
The patient will be advised to continue taking the zidovudine.
The patient will be advised to discontinue the drug until after the
delivery of the neonate.
, 11. Describe the significance of assessing a newborn's gestational age at 39
weeks in relation to their physical development.
A newborn at 39 weeks typically has a high risk of respiratory distress.
A newborn at 39 weeks is usually underweight for their age.
A newborn at 39 weeks is expected to have well-developed
features, indicating full-term development.
A newborn at 39 weeks may show signs of prematurity.
12. Why is it important for a nurse to address constipation in a pregnant client?
Constipation has no impact on the health of the mother or fetus.
Constipation can lead to discomfort and complications during
pregnancy.
Constipation indicates a serious underlying condition.
Constipation is a normal part of pregnancy and requires no
intervention.
13. A nurse is reviewing the medical record of a client who is at 39 weeks of
gestation and has polyhydramnios. Which of the following findings should
the nurse expect?
Gestational hypertension
Total pregnancy weight gain of 3.6 kg (8 lb)
Fundal height of 34 cm (13.4 in)
Fetal gastrointestinal anomaly
14. A pregnant client tells the nurse she has constipation. What is the
appropriate nursing recommendation for this client?
Maintenance of good posture
Regular use of glycerine suppositories