NUR 230 Maternal Exam 2 | Galen
College of Nursing
1. A pregnant client asks which sign is considered a positive sign of pregnancy.
A. Amenorrhea
B. Fetal heartbeat heard by Doppler
C. Nausea and vomiting
D. Breast tenderness
Correct answer: B
2. Which food is best for a client with iron-deficiency anemia in pregnancy?
A. White rice
B. Apple juice
C. Red meat
D. Plain toast
Correct answer: C
3. Which finding is most concerning in the first trimester?
A. Mild fatigue
B. Frequent urination
C. Vaginal bleeding with cramping
D. Breast tenderness
Correct answer: C
4. A client at 32 weeks asks about warning signs to report immediately. Which
is most important?
A. Increased appetite
B. Swelling of the feet after standing
C. Severe headache and blurred vision
D. Heartburn after meals
Correct answer: C
5. Which condition increases risk for preeclampsia?
A. Low body temperature
B. Multifetal pregnancy
C. Seasonal allergies
D. Myopia
Correct answer: B
6. A pregnant client with preeclampsia should be monitored for which
complication first?
A. Hypothermia
, B. Seizures
C. Hyperglycemia
D. Jaundice
Correct answer: B
7. Which assessment finding is expected in placenta previa?
A. Painful vaginal bleeding
B. Painless vaginal bleeding
C. Foul-smelling discharge
D. Abdominal rigidity with contractions
Correct answer: B
8. Which symptom is most consistent with placental abruption?
A. Painless bright red bleeding
B. Sudden severe abdominal pain
C. Increased fetal movement
D. Slow maternal pulse only
Correct answer: B
9. The nurse teaches that a prenatal vitamin should contain which supplement?
A. Calcium only
B. Vitamin C only
C. Folic acid
D. Vitamin K only
Correct answer: C
10.Which instruction is appropriate for a pregnant client experiencing
constipation?
A. Limit fluids
B. Increase fiber and fluids
C. Avoid all exercise
D. Take stimulant laxatives daily
Correct answer: B
11.Which finding is a probable sign of pregnancy?
A. Fetal movement felt by the nurse
B. Positive pregnancy test
C. Visualization of fetus by ultrasound
D. Maternal report of nausea
Correct answer: B
12.A client at 38 weeks is admitted with contractions. Which phase of labor
comes first?
A. Second stage
B. Fourth stage
C. First stage
, D. Third stage
Correct answer: C
13.During labor, which fetal heart rate pattern is most reassuring?
A. Late decelerations
B. Variable decelerations
C. Baseline 110–160 bpm with moderate variability
D. Bradycardia below 90 bpm
Correct answer: C
14.A client in labor says, “I feel a strong urge to push.” What stage of labor is
likely?
A. First stage
B. Second stage
C. Third stage
D. Fourth stage
Correct answer: B
15.Which maternal position is often used to improve blood flow and comfort in
labor?
A. Flat supine
B. Trendelenburg
C. Side-lying
D. High Fowler’s only
Correct answer: C
16.The nurse notes a woman in labor has clear fluid leaking from the vagina.
What should the nurse assess next?
A. Maternal temperature
B. Fetal heart rate
C. Fundal height
D. Deep tendon reflexes
Correct answer: B
17.Which contraction pattern suggests true labor?
A. Irregular contractions that stop with rest
B. Contractions that become stronger and closer together
C. Mild contractions every hour
D. Contractions only after eating
Correct answer: B
18.Which pain relief method is nonpharmacologic?
A. Epidural anesthesia
B. IV opioid
C. Breathing and relaxation
, D. Spinal block
Correct answer: C
19.Which medication is commonly used to induce labor?
A. Oxytocin
B. Methotrexate
C. Magnesium sulfate
D. Rho(D) immune globulin
Correct answer: A
20.After delivery of the placenta, the nurse should first assess for which
maternal complication?
A. Hypoglycemia
B. Postpartum hemorrhage
C. Hyperemesis
D. Placental insufficiency
Correct answer: B
21.Which finding indicates uterine atony?
A. Firm fundus
B. Boggy uterus
C. Absent lochia
D. Bradycardia
Correct answer: B
22.The nurse massages a boggy uterus because it helps prevent:
A. Mastitis
B. Hemorrhage
C. Jaundice
D. Endometriosis
Correct answer: B
23.Which lochia is expected during the first few days after birth?
A. Lochia alba
B. Lochia serosa
C. Lochia rubra
D. No lochia
Correct answer: C
24.Which postpartum assessment is best for checking uterine involution?
A. Respiratory rate
B. Fundal height and firmness
C. Nail bed color
D. Pupil reaction
Correct answer: B
College of Nursing
1. A pregnant client asks which sign is considered a positive sign of pregnancy.
A. Amenorrhea
B. Fetal heartbeat heard by Doppler
C. Nausea and vomiting
D. Breast tenderness
Correct answer: B
2. Which food is best for a client with iron-deficiency anemia in pregnancy?
A. White rice
B. Apple juice
C. Red meat
D. Plain toast
Correct answer: C
3. Which finding is most concerning in the first trimester?
A. Mild fatigue
B. Frequent urination
C. Vaginal bleeding with cramping
D. Breast tenderness
Correct answer: C
4. A client at 32 weeks asks about warning signs to report immediately. Which
is most important?
A. Increased appetite
B. Swelling of the feet after standing
C. Severe headache and blurred vision
D. Heartburn after meals
Correct answer: C
5. Which condition increases risk for preeclampsia?
A. Low body temperature
B. Multifetal pregnancy
C. Seasonal allergies
D. Myopia
Correct answer: B
6. A pregnant client with preeclampsia should be monitored for which
complication first?
A. Hypothermia
, B. Seizures
C. Hyperglycemia
D. Jaundice
Correct answer: B
7. Which assessment finding is expected in placenta previa?
A. Painful vaginal bleeding
B. Painless vaginal bleeding
C. Foul-smelling discharge
D. Abdominal rigidity with contractions
Correct answer: B
8. Which symptom is most consistent with placental abruption?
A. Painless bright red bleeding
B. Sudden severe abdominal pain
C. Increased fetal movement
D. Slow maternal pulse only
Correct answer: B
9. The nurse teaches that a prenatal vitamin should contain which supplement?
A. Calcium only
B. Vitamin C only
C. Folic acid
D. Vitamin K only
Correct answer: C
10.Which instruction is appropriate for a pregnant client experiencing
constipation?
A. Limit fluids
B. Increase fiber and fluids
C. Avoid all exercise
D. Take stimulant laxatives daily
Correct answer: B
11.Which finding is a probable sign of pregnancy?
A. Fetal movement felt by the nurse
B. Positive pregnancy test
C. Visualization of fetus by ultrasound
D. Maternal report of nausea
Correct answer: B
12.A client at 38 weeks is admitted with contractions. Which phase of labor
comes first?
A. Second stage
B. Fourth stage
C. First stage
, D. Third stage
Correct answer: C
13.During labor, which fetal heart rate pattern is most reassuring?
A. Late decelerations
B. Variable decelerations
C. Baseline 110–160 bpm with moderate variability
D. Bradycardia below 90 bpm
Correct answer: C
14.A client in labor says, “I feel a strong urge to push.” What stage of labor is
likely?
A. First stage
B. Second stage
C. Third stage
D. Fourth stage
Correct answer: B
15.Which maternal position is often used to improve blood flow and comfort in
labor?
A. Flat supine
B. Trendelenburg
C. Side-lying
D. High Fowler’s only
Correct answer: C
16.The nurse notes a woman in labor has clear fluid leaking from the vagina.
What should the nurse assess next?
A. Maternal temperature
B. Fetal heart rate
C. Fundal height
D. Deep tendon reflexes
Correct answer: B
17.Which contraction pattern suggests true labor?
A. Irregular contractions that stop with rest
B. Contractions that become stronger and closer together
C. Mild contractions every hour
D. Contractions only after eating
Correct answer: B
18.Which pain relief method is nonpharmacologic?
A. Epidural anesthesia
B. IV opioid
C. Breathing and relaxation
, D. Spinal block
Correct answer: C
19.Which medication is commonly used to induce labor?
A. Oxytocin
B. Methotrexate
C. Magnesium sulfate
D. Rho(D) immune globulin
Correct answer: A
20.After delivery of the placenta, the nurse should first assess for which
maternal complication?
A. Hypoglycemia
B. Postpartum hemorrhage
C. Hyperemesis
D. Placental insufficiency
Correct answer: B
21.Which finding indicates uterine atony?
A. Firm fundus
B. Boggy uterus
C. Absent lochia
D. Bradycardia
Correct answer: B
22.The nurse massages a boggy uterus because it helps prevent:
A. Mastitis
B. Hemorrhage
C. Jaundice
D. Endometriosis
Correct answer: B
23.Which lochia is expected during the first few days after birth?
A. Lochia alba
B. Lochia serosa
C. Lochia rubra
D. No lochia
Correct answer: C
24.Which postpartum assessment is best for checking uterine involution?
A. Respiratory rate
B. Fundal height and firmness
C. Nail bed color
D. Pupil reaction
Correct answer: B
