1. A nurse is caring for a client who is prescribed Rho immune globulin standard dose IM
(Rhogam). The nurse should understand the action of this medication as which of the follow-
ing? - ANSWER Rhogam prevents the formation of Rh antibodies in mothers who are Rh
negative
1. Fetal movement that is noted by the mother is a very important assessment factor to de-
termine fetal well- being. If the nurse is to ask the client if she has "felt her baby move",
when is the best time for a primigravid client to note the first fetal activity? - ANSWER 18
- 20 weeks.
1. The nurse is palpating the uterus of a client who is 20 weeks pregnant to measure fundal
height. Identify where the nurse will find the uterine fundus? - ANSWER At or near the
umbilicus
1. A woman asks the nurse: "What protects my baby's umbilical cord from being pinched
while the baby's inside". The nurse's best response is? - ANSWER "Your baby's umbilical
cord is surrounded by connective tissue called Wharton's Jelly, which prevents compression
of the blood vessels and ensures continued nourishment and oxygen to your baby."
1. A 20 year -old client calls the clinic to report that she has found a lump in her breast. The
nurse's best response to her is which of the following? - ANSWER "Many women have
benign lumps and bumps in their breasts. However to make sure that it is benign, you should
come in for an examination by your physician"
Activity is an important component of prenatal teaching. Activity that is considered safe for a
client that states she does not participate in any activity or exercise program at this time
would be? - ANSWER Walking
1
, During her annual gynecologic check up a 17 year-old woman states that recently she has
been experiencing cramping and pain during her menstrual periods. The nurse would docu-
ment this complaint as? - ANSWER Dysmenorrhea
Prenatal testing is done to identify health issues that may interfere with the developing fe-
tus. Within the first trimester what lab tests are normally obtained? (select all that apply) -
ANSWER Blood type and Rh factor
Complete blood count (CBC)
HIV
The normal parameter of Fetal heart tones is 110 - 160 and can be heard by a doppler as
early as? - ANSWER 10-12 weeks gestation
A common discomfort of pregnancy can be managed by changing nutritional intake and
some OTC medications. In reviewing information with the patient after her first prenatal visit
the nurse is confident that this woman understand the management of constipation when
she makes which of the following statements? - ANSWER "In addition to increasing my
dietary fiber, I can use fiber supplements, drink more water and increase my activity if I have
no restrictions"
At 32 weeks of pregnancy a woman experiences preterm labor. Although tocolytics are ad-
ministered and she is placed on bed rest, she continues to experience regular contractions
and her cervix is beginning to dilate and efface. What additional medication should be con-
sidered to assist the development of the fetus? - ANSWER Betamethasone
A 30 week gestational age pregnant client presents to the labor suite with complaints of con-
tractions and pressure. What medications can the nurse expect the provider to order for ad-
ministration? (select all that apply) - ANSWER Magnesium sulfate
Terbutaline (Brethine)
Betamethasone
2
(Rhogam). The nurse should understand the action of this medication as which of the follow-
ing? - ANSWER Rhogam prevents the formation of Rh antibodies in mothers who are Rh
negative
1. Fetal movement that is noted by the mother is a very important assessment factor to de-
termine fetal well- being. If the nurse is to ask the client if she has "felt her baby move",
when is the best time for a primigravid client to note the first fetal activity? - ANSWER 18
- 20 weeks.
1. The nurse is palpating the uterus of a client who is 20 weeks pregnant to measure fundal
height. Identify where the nurse will find the uterine fundus? - ANSWER At or near the
umbilicus
1. A woman asks the nurse: "What protects my baby's umbilical cord from being pinched
while the baby's inside". The nurse's best response is? - ANSWER "Your baby's umbilical
cord is surrounded by connective tissue called Wharton's Jelly, which prevents compression
of the blood vessels and ensures continued nourishment and oxygen to your baby."
1. A 20 year -old client calls the clinic to report that she has found a lump in her breast. The
nurse's best response to her is which of the following? - ANSWER "Many women have
benign lumps and bumps in their breasts. However to make sure that it is benign, you should
come in for an examination by your physician"
Activity is an important component of prenatal teaching. Activity that is considered safe for a
client that states she does not participate in any activity or exercise program at this time
would be? - ANSWER Walking
1
, During her annual gynecologic check up a 17 year-old woman states that recently she has
been experiencing cramping and pain during her menstrual periods. The nurse would docu-
ment this complaint as? - ANSWER Dysmenorrhea
Prenatal testing is done to identify health issues that may interfere with the developing fe-
tus. Within the first trimester what lab tests are normally obtained? (select all that apply) -
ANSWER Blood type and Rh factor
Complete blood count (CBC)
HIV
The normal parameter of Fetal heart tones is 110 - 160 and can be heard by a doppler as
early as? - ANSWER 10-12 weeks gestation
A common discomfort of pregnancy can be managed by changing nutritional intake and
some OTC medications. In reviewing information with the patient after her first prenatal visit
the nurse is confident that this woman understand the management of constipation when
she makes which of the following statements? - ANSWER "In addition to increasing my
dietary fiber, I can use fiber supplements, drink more water and increase my activity if I have
no restrictions"
At 32 weeks of pregnancy a woman experiences preterm labor. Although tocolytics are ad-
ministered and she is placed on bed rest, she continues to experience regular contractions
and her cervix is beginning to dilate and efface. What additional medication should be con-
sidered to assist the development of the fetus? - ANSWER Betamethasone
A 30 week gestational age pregnant client presents to the labor suite with complaints of con-
tractions and pressure. What medications can the nurse expect the provider to order for ad-
ministration? (select all that apply) - ANSWER Magnesium sulfate
Terbutaline (Brethine)
Betamethasone
2
