Maternal Nursing – Practice Questions & Study Guide
Jessica's last menstrual period was January 27th. Based on Naegele's rule, you would estimate
her expected date of birth to be: - correct answer ✔✔A. October 20
B. October 27
C. November 3
D. November 10
c
According to McDonald's Rule, at 20 weeks of pregnancy, the distance from Jessica's symphysis
pubis to the fundus of her uterus should be: - correct answer ✔✔A. Under 16cm
B. 20cm
C. Over 25cm
D. 16cm
b
Jessica reports she smokes two packs of cigarettes per day. What is the most common effect of
smoking cigarettes on fetal development? - correct answer ✔✔A. Nicotine causes low bone
density
B. Smoking results in decreased fetal growth
C. Cigarettes cause abdominal bloating and increased amniotic fluid viscosity
D. Cigarette smoke causes fetal hyperglycemia
b
,Jessica doesn't take prenatal vitamins. Establishing QSEN guidelines to stress teamwork, you
would want to teach your colleagues that the effect on the fetus of not receiving enough folic
acid because of lack of prenatal vitamins can be: - correct answer ✔✔A. A neural tube anomaly
B. Congenital talipes disorders
C. A blood disorder such as anemia
D. Decreased blood clotting ability
A
Jessica says she knows her baby's body parts are still forming. In fact, basic organogenesis is
generally complete by what time during pregnancy? - correct answer ✔✔A. 4 weeks
B. 8 weeks
C. 12 weeks
D. 16 weeks
b
. To determine if there is blood in the amniotic fluid from her accident, Jessica has an
amniocentesis procedure performed. What is an instruction you would give Jessica prior to this?
- correct answer ✔✔A. She should void just before the procedure to reduce bladder size
B. The dye inserted with the procedure will still be present at birth
C. She will be given a lead shield to protect herself from X-ray
D. She can expect labor to start within 24 hours of the procedure
A
,Jessica has a fetal sonogram (ultrasound) scheduled to assess fetal health. Before this procedure
you would instruct her to do which of the following: - correct answer ✔✔A. To void just before
the procedure
B. To drink nothing for 2 hours beforehand
C. To lie on her stomach for the procedure
D. To drink 3 to 4 glasses of liquid beforehand
d
Accompanied by her husband, a patient seeks admission to the labor and delivery area. The
client states that she is in labor and says she attended the hospital clinic for prenatal care.
Which question should the nurse ask her first? - correct answer ✔✔A. "Do you have any chronic
illness?"
B. "Do you have any allergies?"
C."What is your expected due date?"
D. "Who will be with you during labor
c
A patient is in the second stage of labor. During this stage, how frequently should the nurse in
charge assess her uterine contractions? - correct answer ✔✔A. Every 5 minutes
B. Every 15 minutes
C. Every 30 minutes
D. Every 60 minutes
b
, After completing a second vaginal examination of a client in labor, the nurse-midwife
determines that the fetus is in the right occiput anterior position and at (-1) station. Based on
these findings, the nurse-midwife knows that the fetal presenting part is: - correct answer
✔✔A. 1 cm below the ischial spines.
B. directly in line with the ischial spines.
C. 1 cm above the ischial spines.
D. in no relationship to the ischial spines
During a prenatal visit at 4 months gestation, a pregnant client asks whether tests can be done
to identify fetal abnormalities. Between 18 and 40 weeks gestation, which procedure is used to
detect fetal anomalies? - correct answer ✔✔A.Amniocentesis
B. Chorionic villi sampling
C. Fetoscopy
D. Ultrasound
D
A client, 30 weeks pregnant, is scheduled for a biophysical profile (BPP) to evaluate the health of
her fetus. Her BPP score is 8. What does this score indicate? - correct answer ✔✔A. The fetus
should be delivered within 24 hours.
B. The client should repeat the test in 24 hours.
C. The fetus isn't in distress at this time.
D. The client should repeat the test in 1 week
C
Jessica's last menstrual period was January 27th. Based on Naegele's rule, you would estimate
her expected date of birth to be: - correct answer ✔✔A. October 20
B. October 27
C. November 3
D. November 10
c
According to McDonald's Rule, at 20 weeks of pregnancy, the distance from Jessica's symphysis
pubis to the fundus of her uterus should be: - correct answer ✔✔A. Under 16cm
B. 20cm
C. Over 25cm
D. 16cm
b
Jessica reports she smokes two packs of cigarettes per day. What is the most common effect of
smoking cigarettes on fetal development? - correct answer ✔✔A. Nicotine causes low bone
density
B. Smoking results in decreased fetal growth
C. Cigarettes cause abdominal bloating and increased amniotic fluid viscosity
D. Cigarette smoke causes fetal hyperglycemia
b
,Jessica doesn't take prenatal vitamins. Establishing QSEN guidelines to stress teamwork, you
would want to teach your colleagues that the effect on the fetus of not receiving enough folic
acid because of lack of prenatal vitamins can be: - correct answer ✔✔A. A neural tube anomaly
B. Congenital talipes disorders
C. A blood disorder such as anemia
D. Decreased blood clotting ability
A
Jessica says she knows her baby's body parts are still forming. In fact, basic organogenesis is
generally complete by what time during pregnancy? - correct answer ✔✔A. 4 weeks
B. 8 weeks
C. 12 weeks
D. 16 weeks
b
. To determine if there is blood in the amniotic fluid from her accident, Jessica has an
amniocentesis procedure performed. What is an instruction you would give Jessica prior to this?
- correct answer ✔✔A. She should void just before the procedure to reduce bladder size
B. The dye inserted with the procedure will still be present at birth
C. She will be given a lead shield to protect herself from X-ray
D. She can expect labor to start within 24 hours of the procedure
A
,Jessica has a fetal sonogram (ultrasound) scheduled to assess fetal health. Before this procedure
you would instruct her to do which of the following: - correct answer ✔✔A. To void just before
the procedure
B. To drink nothing for 2 hours beforehand
C. To lie on her stomach for the procedure
D. To drink 3 to 4 glasses of liquid beforehand
d
Accompanied by her husband, a patient seeks admission to the labor and delivery area. The
client states that she is in labor and says she attended the hospital clinic for prenatal care.
Which question should the nurse ask her first? - correct answer ✔✔A. "Do you have any chronic
illness?"
B. "Do you have any allergies?"
C."What is your expected due date?"
D. "Who will be with you during labor
c
A patient is in the second stage of labor. During this stage, how frequently should the nurse in
charge assess her uterine contractions? - correct answer ✔✔A. Every 5 minutes
B. Every 15 minutes
C. Every 30 minutes
D. Every 60 minutes
b
, After completing a second vaginal examination of a client in labor, the nurse-midwife
determines that the fetus is in the right occiput anterior position and at (-1) station. Based on
these findings, the nurse-midwife knows that the fetal presenting part is: - correct answer
✔✔A. 1 cm below the ischial spines.
B. directly in line with the ischial spines.
C. 1 cm above the ischial spines.
D. in no relationship to the ischial spines
During a prenatal visit at 4 months gestation, a pregnant client asks whether tests can be done
to identify fetal abnormalities. Between 18 and 40 weeks gestation, which procedure is used to
detect fetal anomalies? - correct answer ✔✔A.Amniocentesis
B. Chorionic villi sampling
C. Fetoscopy
D. Ultrasound
D
A client, 30 weeks pregnant, is scheduled for a biophysical profile (BPP) to evaluate the health of
her fetus. Her BPP score is 8. What does this score indicate? - correct answer ✔✔A. The fetus
should be delivered within 24 hours.
B. The client should repeat the test in 24 hours.
C. The fetus isn't in distress at this time.
D. The client should repeat the test in 1 week
C
