1. The nursing student is preparing to teach a prenatal class about fetal circulation. Which
statement should be included in the teaching plan?
1. "One artery carries oxygenated blood from the placenta to the fetus."
2. "Two arteries carry oxygenated blood from the placenta to the fetus."
3. "Two arteries carry deoxygenated blood and waste products away from the fetus to the
placenta."
4. "Two veins carry blood that is high in carbon dioxide and other waste products away from the
fetus to the placenta."
3. "Two arteries carry deoxygenated blood and waste products away from the fetus to the
placenta."
2. A pregnant client tells the clinic nurse that she wants to know the gender of her baby as soon as
it can be determined. The nurse understands that the client should be able to find out the gender
at 12 weeks' gestation because of which factor?
1. The appearance of the fetal external genitalia
2. The beginning of differentiation in the fetal groin
3. The fetal testes are descended into the scrotal sac
4. The internal differences in males and females become apparent
1. The appearance of the fetal external genitalia
3. The nurse is performing an assessment on a client who is at 38 weeks' gestation and notes that
the fetal heart rate is 174 beats/minute. On the basis of this finding, what is the priority nursing
action?
1. Document the finding.
2. Check the mother's heart rate.
3. Notify the health care provider (HCP).
4. Tell the client that the fetal heart rate is normal.
3. Notify the health care provider (HCP).
4. The nurse is conducting a prenatal class on the female reproductive system. When a client in the
class asks why the fertilized ovum stays in the fallopian tube for 3 days, what is the
nurse's best response?
1. "It promotes the fertilized ovum's chances of survival."
2. "It promotes the fertilized ovum's exposure to estrogen and progesterone."
3. "It promotes the fertilized ovum's normal implantation in the top portion of the uterus."
4. "It promotes the fertilized ovum's exposure to luteinizing hormone and follicle-stimulating
hormone."
3. "It promotes the fertilized ovum's normal implantation in the top portion of the uterus."
5. The nursing instructor asks a nursing student to list the characteristics of the amniotic fluid. The
student responds correctly by listing which as characteristics of amniotic fluid? Select all that
apply.
1. Allows for fetal movement
, 2. Surrounds, cushions, and protects the fetus
3. Maintains the body temperature of the fetus
4. Can be used to measure fetal kidney function
5. Prevents large particles such as bacteria from passing to the fetus
6. Provides an exchange of nutrients and waste products between the mother and the fetus
o 1. Allows for fetal movement
o 2. Surrounds, cushions, and protects the fetus
o 3. Maintains the body temperature of the fetus
o 4. Can be used to measure fetal kidney function
6. A couple comes to the family planning clinic and asks about sterilization procedures. Which
question by the nurse would determine whether this method of family planning would be most
appropriate?
1. "Has either of you ever had surgery?"
2. "Do you plan to have any other children?"
3. "Do either of you have diabetes mellitus?"
4. "Do either of you have problems with high blood pressure?"
2. "Do you plan to have any other children?"
7. The nurse should include which statement to a pregnant client found to have a gynecoid pelvis?
1. "Your type of pelvis has a narrow pubic arch."
2. "Your type of pelvis is the most favorable for labor and birth."
3. "Your type of pelvis is a wide pelvis, but has a short diameter."
4. "You will need a cesarean section because this type of pelvis is not favorable for a vaginal
delivery."
2. "Your type of pelvis is the most favorable for labor and birth."
8. Which explanation should the nurse provide to the prenatal client about the purpose of the
placenta?
1. It cushions and protects the baby.
2. It maintains the temperature of the baby.
3. It is the way the baby gets food and oxygen.
4. It prevents all antibodies and viruses from passing to the baby.
3. It is the way the baby gets food and oxygen.
9. The nurse is performing an assessment of a pregnant client who is at 28 weeks of gestation. The
nurse measures the fundal height in centimeters and expects which finding?
1. 22 cm
2. 30 cm
3. 36 cm
4. 40 cm
, 2. 30 cm
10. The nurse is assisting in performing an assessment on a client who suspects that she is pregnant
and is checking the client for probable signs of pregnancy. Which are probable signs of
pregnancy? Select all that apply.
1. Ballottement
2. Chadwick's sign
3. Uterine enlargement
4. Braxton Hicks contractions
5. Fetal heart rate detected by a nonelectronic device
6. Outline of fetus via radiography or ultrasonography
o 1. Ballottement
o 2. Chadwick's sign
o 3. Uterine enlargement
o 4. Braxton Hicks contractions
11. A pregnant client is seen for a regular prenatal visit and tells the nurse that she is experiencing
irregular contractions. The nurse determines that she is experiencing Braxton Hicks contractions.
On the basis of this finding, which nursing action is most appropriate?
1. Contact the health care provider.
2. Instruct the client to maintain bed rest for the remainder of the pregnancy.
3. Inform the client that these contractions are common and may occur throughout the
pregnancy.
4. Call the maternity unit and inform them that the client will be admitted in a prelabor
condition.
3. Inform the client that these contractions are common and may occur throughout the
pregnancy.
12. The nurse is providing instructions to a pregnant client with genital herpes about the measures
that are needed to protect the fetus. Which instruction should the nurse provide to the client?
1. Total abstinence from sexual intercourse is necessary during the entire pregnancy.
2. Sitz baths need to be taken every 4 hours while awake if vaginal lesions are present.
3. Daily administration of acyclovir (Zovirax) is necessary during the entire pregnancy.
4. A cesarean section will be necessary if vaginal lesions are present at the time of labor.
4. A cesarean section will be necessary if vaginal lesions are present at the time of labor.
13. The nurse is reviewing the record of a client who has just been told that a pregnancy test is
positive. The health care provider has documented the presence of Goodell's sign. This finding is
most closely associated with which characteristic?
1. A softening of the cervix
2. The presence of fetal movement
, 3. The presence of human chorionic gonadotropin in the urine
4. A soft blowing sound that corresponds to the maternal pulse during auscultation of the uterus
1. A softening of the cervix
14. A client arrives at the clinic for the first prenatal assessment. She tells the nurse that the first day
of her last menstrual period was October 19, 2014. Using Nägele's rule, which expected date of
delivery should the nurse document in the client's chart?
1. July 12, 2014
2. July 26, 2015
3. August 12, 2015
4. August 26, 2015
2. July 26, 2015
15. The health care provider (HCP) is assessing the client for the presence of ballottement. To make
this determination, the HCP should take which action?
1. Auscultate for fetal heart sounds.
2. Assess the cervix for compressibility.
3. Palpate the abdomen for fetal movement.
4. Initiate a gentle upward tap on the cervix.
4. Initiate a gentle upward tap on the cervix.
16. A pregnant client asks the nurse in the clinic when she will be able to begin to feel the fetus
move. The nurse responds by telling the mother that fetal movements will be noted between
which weeks of gestation?
1. 6 and 8
2. 8 and 10
3. 10 and 12
4. 14 and 18
4. 14 and 18
17. The nurse is performing an assessment of a primigravida who is being evaluated in a clinic
during her second trimester of pregnancy. Which finding concerns the nurse and indicates
the need for follow-up?
1. Quickening
2. Braxton Hicks contractions
3. Fetal heart rate of 180 beats/minute
4. Consistent increase in fundal height
3. Fetal heart rate of 180 beats/minute
18. The nurse is collecting data during an admission assessment of a client who is pregnant with
twins. The client has a healthy 5-year-old child who was delivered at 38 weeks and tells the
nurse that she does not have a history of any type of abortion or fetal demise. Using GTPAL,
what should the nurse document in the client's chart?
statement should be included in the teaching plan?
1. "One artery carries oxygenated blood from the placenta to the fetus."
2. "Two arteries carry oxygenated blood from the placenta to the fetus."
3. "Two arteries carry deoxygenated blood and waste products away from the fetus to the
placenta."
4. "Two veins carry blood that is high in carbon dioxide and other waste products away from the
fetus to the placenta."
3. "Two arteries carry deoxygenated blood and waste products away from the fetus to the
placenta."
2. A pregnant client tells the clinic nurse that she wants to know the gender of her baby as soon as
it can be determined. The nurse understands that the client should be able to find out the gender
at 12 weeks' gestation because of which factor?
1. The appearance of the fetal external genitalia
2. The beginning of differentiation in the fetal groin
3. The fetal testes are descended into the scrotal sac
4. The internal differences in males and females become apparent
1. The appearance of the fetal external genitalia
3. The nurse is performing an assessment on a client who is at 38 weeks' gestation and notes that
the fetal heart rate is 174 beats/minute. On the basis of this finding, what is the priority nursing
action?
1. Document the finding.
2. Check the mother's heart rate.
3. Notify the health care provider (HCP).
4. Tell the client that the fetal heart rate is normal.
3. Notify the health care provider (HCP).
4. The nurse is conducting a prenatal class on the female reproductive system. When a client in the
class asks why the fertilized ovum stays in the fallopian tube for 3 days, what is the
nurse's best response?
1. "It promotes the fertilized ovum's chances of survival."
2. "It promotes the fertilized ovum's exposure to estrogen and progesterone."
3. "It promotes the fertilized ovum's normal implantation in the top portion of the uterus."
4. "It promotes the fertilized ovum's exposure to luteinizing hormone and follicle-stimulating
hormone."
3. "It promotes the fertilized ovum's normal implantation in the top portion of the uterus."
5. The nursing instructor asks a nursing student to list the characteristics of the amniotic fluid. The
student responds correctly by listing which as characteristics of amniotic fluid? Select all that
apply.
1. Allows for fetal movement
, 2. Surrounds, cushions, and protects the fetus
3. Maintains the body temperature of the fetus
4. Can be used to measure fetal kidney function
5. Prevents large particles such as bacteria from passing to the fetus
6. Provides an exchange of nutrients and waste products between the mother and the fetus
o 1. Allows for fetal movement
o 2. Surrounds, cushions, and protects the fetus
o 3. Maintains the body temperature of the fetus
o 4. Can be used to measure fetal kidney function
6. A couple comes to the family planning clinic and asks about sterilization procedures. Which
question by the nurse would determine whether this method of family planning would be most
appropriate?
1. "Has either of you ever had surgery?"
2. "Do you plan to have any other children?"
3. "Do either of you have diabetes mellitus?"
4. "Do either of you have problems with high blood pressure?"
2. "Do you plan to have any other children?"
7. The nurse should include which statement to a pregnant client found to have a gynecoid pelvis?
1. "Your type of pelvis has a narrow pubic arch."
2. "Your type of pelvis is the most favorable for labor and birth."
3. "Your type of pelvis is a wide pelvis, but has a short diameter."
4. "You will need a cesarean section because this type of pelvis is not favorable for a vaginal
delivery."
2. "Your type of pelvis is the most favorable for labor and birth."
8. Which explanation should the nurse provide to the prenatal client about the purpose of the
placenta?
1. It cushions and protects the baby.
2. It maintains the temperature of the baby.
3. It is the way the baby gets food and oxygen.
4. It prevents all antibodies and viruses from passing to the baby.
3. It is the way the baby gets food and oxygen.
9. The nurse is performing an assessment of a pregnant client who is at 28 weeks of gestation. The
nurse measures the fundal height in centimeters and expects which finding?
1. 22 cm
2. 30 cm
3. 36 cm
4. 40 cm
, 2. 30 cm
10. The nurse is assisting in performing an assessment on a client who suspects that she is pregnant
and is checking the client for probable signs of pregnancy. Which are probable signs of
pregnancy? Select all that apply.
1. Ballottement
2. Chadwick's sign
3. Uterine enlargement
4. Braxton Hicks contractions
5. Fetal heart rate detected by a nonelectronic device
6. Outline of fetus via radiography or ultrasonography
o 1. Ballottement
o 2. Chadwick's sign
o 3. Uterine enlargement
o 4. Braxton Hicks contractions
11. A pregnant client is seen for a regular prenatal visit and tells the nurse that she is experiencing
irregular contractions. The nurse determines that she is experiencing Braxton Hicks contractions.
On the basis of this finding, which nursing action is most appropriate?
1. Contact the health care provider.
2. Instruct the client to maintain bed rest for the remainder of the pregnancy.
3. Inform the client that these contractions are common and may occur throughout the
pregnancy.
4. Call the maternity unit and inform them that the client will be admitted in a prelabor
condition.
3. Inform the client that these contractions are common and may occur throughout the
pregnancy.
12. The nurse is providing instructions to a pregnant client with genital herpes about the measures
that are needed to protect the fetus. Which instruction should the nurse provide to the client?
1. Total abstinence from sexual intercourse is necessary during the entire pregnancy.
2. Sitz baths need to be taken every 4 hours while awake if vaginal lesions are present.
3. Daily administration of acyclovir (Zovirax) is necessary during the entire pregnancy.
4. A cesarean section will be necessary if vaginal lesions are present at the time of labor.
4. A cesarean section will be necessary if vaginal lesions are present at the time of labor.
13. The nurse is reviewing the record of a client who has just been told that a pregnancy test is
positive. The health care provider has documented the presence of Goodell's sign. This finding is
most closely associated with which characteristic?
1. A softening of the cervix
2. The presence of fetal movement
, 3. The presence of human chorionic gonadotropin in the urine
4. A soft blowing sound that corresponds to the maternal pulse during auscultation of the uterus
1. A softening of the cervix
14. A client arrives at the clinic for the first prenatal assessment. She tells the nurse that the first day
of her last menstrual period was October 19, 2014. Using Nägele's rule, which expected date of
delivery should the nurse document in the client's chart?
1. July 12, 2014
2. July 26, 2015
3. August 12, 2015
4. August 26, 2015
2. July 26, 2015
15. The health care provider (HCP) is assessing the client for the presence of ballottement. To make
this determination, the HCP should take which action?
1. Auscultate for fetal heart sounds.
2. Assess the cervix for compressibility.
3. Palpate the abdomen for fetal movement.
4. Initiate a gentle upward tap on the cervix.
4. Initiate a gentle upward tap on the cervix.
16. A pregnant client asks the nurse in the clinic when she will be able to begin to feel the fetus
move. The nurse responds by telling the mother that fetal movements will be noted between
which weeks of gestation?
1. 6 and 8
2. 8 and 10
3. 10 and 12
4. 14 and 18
4. 14 and 18
17. The nurse is performing an assessment of a primigravida who is being evaluated in a clinic
during her second trimester of pregnancy. Which finding concerns the nurse and indicates
the need for follow-up?
1. Quickening
2. Braxton Hicks contractions
3. Fetal heart rate of 180 beats/minute
4. Consistent increase in fundal height
3. Fetal heart rate of 180 beats/minute
18. The nurse is collecting data during an admission assessment of a client who is pregnant with
twins. The client has a healthy 5-year-old child who was delivered at 38 weeks and tells the
nurse that she does not have a history of any type of abortion or fetal demise. Using GTPAL,
what should the nurse document in the client's chart?
