Page 1 of 147
PERINATAL NURSING,SEXUAL AND
REPRODUCTIVE HEALTH FINAL
EXAM|COMPLETE VERSIONS 1,2 &3 EACH
200 Qs&As|ALREADY GRADED A+
1. A client at 32 weeks gestation presents with painless,
bright red vaginal bleeding. The nurse suspects:
A) Placenta previa
B) Abruptio placentae
C) Labor
D) Vasa previa
Answer: A – Painless bright red bleeding is classic for placenta
previa.
Rationale: Abruptio placentae presents with painful, dark
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bleeding. Vasa previa often presents with fetal distress after
membrane rupture.
2. A client with preeclampsia has a blood pressure of 160/100
mmHg and a urine protein of 300 mg/24 hours. Which
additional finding would indicate severe features?
A) Platelet count 150,000/mm³
B) Epigastric pain
C) Mild edema
D) Fetal heart rate 150 bpm
Answer: B – Epigastric or right upper quadrant pain indicates
liver involvement (severe preeclampsia).
Rationale: Severe features also include BP ≥160/110,
thrombocytopenia (<100,000), elevated liver enzymes, renal
insufficiency, pulmonary edema, or cerebral/visual disturbances.
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3. A pregnant client at 24 weeks gestation fails the 1-hour
glucose challenge test with a value of 160 mg/dL. The next
step is:
A) Diagnose gestational diabetes
B) Perform a 3-hour oral glucose tolerance test (GTT)
C) Initiate insulin therapy
D) Repeat the 1-hour test next week
Answer: B – Abnormal 1-hour screen (≥130-140 mg/dL
depending on facility) requires a 3-hour GTT for diagnosis.
Rationale: Gestational diabetes is diagnosed if two or more
values on the 3-hour GTT are abnormal.
4. A nurse is teaching a client with gestational diabetes about
dietary management. Which statement indicates
understanding?
A) “I should eat three large meals with no snacks.”
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B) “I will limit carbohydrates to 15 grams per day.”
C) “I should eat small, frequent meals with consistent
carbohydrate intake.”
D) “I can eat as much sugar as I want as long as I take insulin.”
Answer: C – Small, frequent meals help maintain stable blood
glucose levels.
Rationale: Carbohydrate distribution and consistent intake are
key to managing gestational diabetes.
5. A client at 38 weeks gestation has a biophysical profile
(BPP) score of 6/10. The nurse understands that:
A) This is a normal finding.
B) The client requires immediate delivery.
C) Further evaluation or intervention may be needed (equivocal).
D) The baby is in distress.
PERINATAL NURSING,SEXUAL AND
REPRODUCTIVE HEALTH FINAL
EXAM|COMPLETE VERSIONS 1,2 &3 EACH
200 Qs&As|ALREADY GRADED A+
1. A client at 32 weeks gestation presents with painless,
bright red vaginal bleeding. The nurse suspects:
A) Placenta previa
B) Abruptio placentae
C) Labor
D) Vasa previa
Answer: A – Painless bright red bleeding is classic for placenta
previa.
Rationale: Abruptio placentae presents with painful, dark
,Page 2 of 147
bleeding. Vasa previa often presents with fetal distress after
membrane rupture.
2. A client with preeclampsia has a blood pressure of 160/100
mmHg and a urine protein of 300 mg/24 hours. Which
additional finding would indicate severe features?
A) Platelet count 150,000/mm³
B) Epigastric pain
C) Mild edema
D) Fetal heart rate 150 bpm
Answer: B – Epigastric or right upper quadrant pain indicates
liver involvement (severe preeclampsia).
Rationale: Severe features also include BP ≥160/110,
thrombocytopenia (<100,000), elevated liver enzymes, renal
insufficiency, pulmonary edema, or cerebral/visual disturbances.
,Page 3 of 147
3. A pregnant client at 24 weeks gestation fails the 1-hour
glucose challenge test with a value of 160 mg/dL. The next
step is:
A) Diagnose gestational diabetes
B) Perform a 3-hour oral glucose tolerance test (GTT)
C) Initiate insulin therapy
D) Repeat the 1-hour test next week
Answer: B – Abnormal 1-hour screen (≥130-140 mg/dL
depending on facility) requires a 3-hour GTT for diagnosis.
Rationale: Gestational diabetes is diagnosed if two or more
values on the 3-hour GTT are abnormal.
4. A nurse is teaching a client with gestational diabetes about
dietary management. Which statement indicates
understanding?
A) “I should eat three large meals with no snacks.”
, Page 4 of 147
B) “I will limit carbohydrates to 15 grams per day.”
C) “I should eat small, frequent meals with consistent
carbohydrate intake.”
D) “I can eat as much sugar as I want as long as I take insulin.”
Answer: C – Small, frequent meals help maintain stable blood
glucose levels.
Rationale: Carbohydrate distribution and consistent intake are
key to managing gestational diabetes.
5. A client at 38 weeks gestation has a biophysical profile
(BPP) score of 6/10. The nurse understands that:
A) This is a normal finding.
B) The client requires immediate delivery.
C) Further evaluation or intervention may be needed (equivocal).
D) The baby is in distress.
