1. A nurse is caring for a client who is pregnant and states that her last menstrual period was
April 1, 2013. Which of the following is the client's estimated date of delivery?
A. Jan. 8, 2014
B. Jan. 15, 2014
C. Feb. 8, 2014
D. Feb. 15, 2014 correct answers A
2. A nurse in a prenatal clinic is caring for a client who is in the first trimester of pregnancy. The
client's health record includes this data: G3 T1 P0 A1 L1. How should the nurse interpret this
information? (Select all that apply)
A. Client has delivered one newborn at terms.
B. Client has experienced no preterm labor.
C. Client has been through active labor.
D. Client has had two prior pregnancies.
E. Client has one living child. correct answers A B D E
3. A nurse is reviewing the health record of a client who is pregnant. The provider indicated the
client exhibits probable signs of pregnancy. Which of the following would be included? (Select
all that apply)
A. Montgomery's glands
B. Goodall's sign
C. Ballottement
D. Chadwick's sign
E. Quickening correct answers B C D
4. A nurse in a prenatal clinic is caring for client who is pregnant and experiencing episodes of
maternal hypotension. The client asks the nurse what causes these episodes. Which of the
following is an appropriate response by the nurse?
,A. "This is due to an increase in blood volume."
B. "This is due to pressure from the uterus on the diaphragm"
C. "This is due to the weight of the uterus on the vena cava."
D. "This is due to increased cardiac output." correct answers C
5. A nurse in a clinic receives a phone call from a client who believes she is pregnant and would
like to be tested in the clinic to confirm her pregnancy. Which of the following information
should the nurse provide to the client?
A. "You should wait until 4 weeks after conception to be tested."
B. "You should be off any medication for 24 hours prior to the test."
C. "You should be NPO for at least 8 hours prior to the test."
D. "You should collect urine from the first morning void." correct answers D
6. A nurse is teaching a group of women who are pregnant about measures to relieve backache
during pregnancy. The nurse should should teach the women which of the following? (Select all
that apply)
A. Avoid any lifting
B. Perform Kegel exercises twice a day.
C. Perform the pelvic rock exercise every day.
D. Use proper body mechanics.
E. Avoid constrictive clothing. correct answers C D
7. A client who is at 8 weeks of gestation tells the nurse that she isn't sure she is happy about
being pregnant. Which of the following is an appropriate response by the nurse to the client's
statement?
A. "I will inform the provider that you are having these feelings."
B. "It is normal to have these feelings during the first few months of pregnancy."
C. "You should be happy that you are going to bring new life into the world."
,D. "I am going to make an appointment with the counselor for you to discuss these thoughts."
correct answers B
8. A nurse is caring for a client who is pregnant and reviewing signs of complications that should
be promptly reported to the provider. Which of the following should be included?
A. Vaginal bleeding
B. Swelling
C. Heartburn after eating
D. Lightheadedness when lying on back correct answers A
9. A client who is at 7 weeks of gestation is experiencing nausea and vomiting in the morning.
The nurse in the prenatal clinic provides teaching that should include which of the following?
A. Eat crackers or plain toast before getting out of bed.
B. Awaken during the night to eat a snack
C. Skip breakfast and eat lunch after nausea has subsided
D. Eat a large evening meal. correct answers A
10. A nurse is teaching a group of clients who are pregnant about behaviors to avoid during
pregnancy. Which of the following statements by a client indicates a need for further instruction?
A. "I can have a glass of wine with dinner."
B. "Smoking is a cause of low birth weight in babies."
C. "Signs of infection should be reported to my doctor."
D. "I should not take over-the-counter medications without checking with my obstetrician."
correct answers A
11. A nurse in a prenatal clinic is providing education to a client who is in the 8th week of
gestation, The client states that she does not like milk. What is a good source of calcium that the
nurse can recommend to the client?
A. Dark green, leafy vegetables
, B. Deep red or orange vegetables
C. White bread and rice
D. Meat, poultry, and fish correct answers A
12. A nurse in a prenatal clinic is caring for a group of clients. Which of the following clients
should the nurse be concerned about regarding weight gain?
A. 1.8kg (4lb) weight gain and is in her first trimester
B. 3.6kg (8lb) weight gain and is in her first trimester
C. 6.8kg (15lb) weight gain and is in her second trimester
D. 11.3kg (25lb) weight gain and is in her third trimester correct answers B
13. A nurse in clinic is teaching a client of childbearing age about recommended folic acid
supplements. Which of the following defects can occur in the fetus or neonate as a result of folic
acid deficiency?
A. Iron deficiency anemia
B. Poor bone formation
C. Macrosomic fetus
D. Neural tube defects correct answers D
14. A nurse is reviewing a new prescription for iron supplements with a client who is in the 8th
week of gestation and has iron deficiency anemia. The nurse should advise the client to take the
iron supplements with which of the following?
A. Ice water
B. Low-fat or whole milk
C. Tea or coffee
D. Orange juice correct answers D