Maternal Newborn OB Final Exam
Questions and Answers
b. Correct. Pregnant women and women who are attempting pregnancy should avoid
contact with cat feces. Exposure occurs when the protozoan parasite found in cat feces
and uncooked or rare beef and lamb is ingested. Wearing a mask will not decrease the
risk through ingestion of the parasite. - ANSWER Which of the following statements by
a pregnant woman indicates she needs additional teaching on ways to reduce risks to
her unborn child from the potential effects of exposure to toxoplasmosis?a. "I will avoid
rare lamb."b. "I will wear a mask when cleaning my cat's litter box."c. "I understand that
exposure to toxoplasmosis can cause blindness in the baby."d. "I will avoid rare beef."
c. Correct. - ANSWER The fetal circulatory structure that connects the pulmonary artery
with the descending aorta is known as which of the following?a. Ductus venosusb.
Foramen ovalec. Ductus arteriosusd. Internal iliac artery
d. Correct. Oligohydramnios refers to a decreased amount of amniotic fluid of less than
500 mL at term or 50% reduction of normal amounts. - ANSWER A woman at 40 weeks'
gestation has a diagnosis of oligohydramnios. Which of the following statements related
to oligohydramnios is correct?a. It indicates that there is a 25% increase in amniotic
fluid.b. It indicates that there is a 25% reduction of amniotic fluid.c. It indicates that there
is a 50% increase in amniotic fluid.d. It indicates that there is a 50% reduction of
amniotic fluid
C - ANSWER The nurse takes the history of a client, G2 P1, at her first prenatal visit.
The client is referred to a genetic counselor, due to her previous child having a
diagnosis of __________.
a. Unilateral amblyopia
b. Subdural hematoma
c. Sickle cell anemia
d. Glomerular nephritis
D - ANSWER A nurse is teaching a woman about her menstrual cycle. The nurse states
that __________ is the most important change that happens during the secretory phase
of the menstrual cycle.
a. Maturation of the graafian follicle
b. Multiplication of the fimbriae
c. Secretion of human chorionic gonadotropin
d. Proliferation of the endometrium
A - ANSWER An ultrasound of a fetus' heart shows that "normal fetal circulation is
occurring." Which of the following statements is consistent with the finding?
a. A right to left shunt is seen between the atria.
b. Blood is returning to the placenta via the umbilical vein.
c. Blood is returning to the right atrium from the pulmonary system.
d. A right to left shunt is seen between the umbilical arteries.
,Maternal Newborn OB Final Exam
Questions and Answers
C - ANSWER The clinic nurse knows that the part of the endometrial cycle occurring
from ovulation to just prior to menses is known as the:
a. Menstrual phase
b. Proliferative phase
c. Secretory phase
d. Ischemic phase
C - ANSWER A clinic nurse explains to the pregnant woman that the amount of
amniotic fluid present at 24 weeks' gestation is approximately:
a. 500 mL
b. 750 mL
c. 800 mL
d. 1000 mL
B - ANSWER Information provided by the nurse that addresses the function of the
amniotic fluid is that the amniotic fluid helps the fetus to maintain a normal body
temperature and also:
a. Facilitates asymmetrical growth of the fetal limbs
b. Cushions the fetus from mechanical injury
c. Promotes development of muscle tone
d. Promotes adherence of fetal lung tissue
A - ANSWER During preconception counseling, the clinic nurse explains that the time
period when the fetus is most vulnerable to the effects of teratogens occurs from:
a. 2 to 8 weeks
b. 4 to12 weeks
c. 5 to 10 weeks
d. 6 to 15 weeks
D - ANSWER A major fetal development characteristic at 16 weeks' gestation is:
a. The average fetal weight is 450 grams
b. Lanugo covers entire body
c. Brown fat begins to develop
d. Teeth begin to form
A - ANSWER A couple who has sought infertility counseling has been told that the
man's sperm count is very low. The nurse advises the couple that spermatogenesis is
impaired when which of the following occur?
a. The testes are overheated.
b. The vas deferens is ligated.
c. The prostate gland is enlarged.
d. The flagella are segmented.
,Maternal Newborn OB Final Exam
Questions and Answers
True - ANSWER The perinatal nurse explains to the student nurse that in the fetal
circulation, the lowest level of oxygen concentration is found in the umbilical arteries.
B, C, D - ANSWER A woman seeks care at an infertility clinic. Which of the following
tests may this woman undergo to determine what, if any, infertility problem she may
have? (Select all that apply.)
a. Chorionic villus sampling
b. Endometrial biopsy
c. Hysterosalpingogram
d. Serum FSH analysis
A, B - ANSWER Which of the following places a couple at higher risk for conceiving a
child with a genetic abnormality? (Select all that apply.)
a. Maternal age over 35 years
b. Partner who has a genetic disorder
c. Maternal type 1 diabetes
d. Paternal heart disease
C - ANSWER During a routine prenatal visit in the third trimester, a woman reports she
is dizzy and lightheaded when she is lying on her back. The most appropriate nursing
action would be to:a. Order an EKG.
b. Report this abnormal finding immediately to her care provider.
c. Teach the woman to avoid lying on her back and to rise slowly because of supine
hypotension.
d. Order a nonstress test to assess fetal well-being.
D - ANSWER Blood volume expansion during pregnancy leads to: a. Iron-deficiency
anemiab. Maternal iron stores being insufficient to meet the demands for iron in fetal
developmentc. Plasma fibrin increase of 40% and fibrinogen increase of 50%d.
Physiological anemia of pregnancy
A - ANSWER A woman presents to the prenatal clinic at 30 weeks' gestation reporting
dysuria, frequency, and urgency with urination. Appropriate nursing actions include:a.
Obtain clean-catch urine to assess for a possible urinary tract infection.b. Reassure the
woman that the signs are normal urinary changes in the third trimester.c. Teach the
woman to decrease fluid intake to manage these symptoms.d. Perform a Leopold's
maneuver to assess fetal position and station.
B - ANSWER At the end of her 32-week prenatal visit, a woman reports discomfort with
intercourse and tells you shyly that she wants to maintain a sexual relationship with her
partner. The best response is to: a. Reassure woman/couple of normalcy of responseb.
Suggest alternative positions for sexual intercourse and alternative sexual activity to
sexual intercoursec. Recommend cessation of intercourse until after delivery due to
, Maternal Newborn OB Final Exam
Questions and Answers
advanced gestationd. Suggest woman discuss this with her care provider at her next
appointment
D - ANSWER The clinic nurse talks to a 30-year-old woman at 34 weeks' gestation who
complains of having difficulty sleeping. Jayne has noticed that getting back to sleep
after she has been up at night is difficult. The nurse's best response is:
a. "This is abnormal; it is important that you describe this problem to the doctor."
b. "This is normal, and many women have this same problem during pregnancy; try
napping for several hours each morning and afternoon."
c. "This is abnormal; tell the doctor about this problem because diagnostic testing may
be necessary."
d. "This is normal in pregnancy, particularly during the third trimester when you also feel
fetal movement at night; try napping once a day."
A. a. The progesterone-induced prolonged emptying time of bile from the gallbladder,
combined with elevated blood cholesterol levels, may predispose the pregnant woman
to gallstone formation (cholelithiasis). Pain in the epigastric region following ingestion of
a high-fat meal constitutes the major symptom of these conditions. The pain is self-
limiting and usually resolves within 2 hours. - ANSWER A 26-year-old woman at 29
weeks' gestation experienced epigastric pain following the consumption of a large meal
of fried fish and onion rings. The pain resolved a few hours later. The most likely
diagnosis for this symptom is:
a. Cholelithiasis
b. Influenza
c. Urinary tract infection
d. Indigestion
B. During pregnancy the woman's hematocrit values may appear low due to the
increase in total plasma volume (on average, 50%). Because the plasma volume is
greater than the increase in erythrocytes (30%), the hematocrit decreases by about 7%.
This alteration is termed "physiologic anemia of pregnancy," or "pseudo-anemia." The
hemodilution effect is most apparent at 32 to 34 weeks. The mean acceptable
hemoglobin level in pregnancy is 11 to 12 g/dL of blood. - ANSWER The clinic nurse
reviews the complete blood count results for a 30-year-old woman who is now 33
weeks' gestation. Tamara's hemoglobin value is 11.2 g/dL, and her hematocrit is 38%.
The clinic nurse interprets these findings as:
a. Normal adult values
b. Normal pregnancy values for the third trimester
c. Increased adult values
d. Increased values for 33 weeks' gestation
C - ANSWER The clinic nurse is aware that the pregnant woman's blood volume
increases by:
a. 20% to 25%
Questions and Answers
b. Correct. Pregnant women and women who are attempting pregnancy should avoid
contact with cat feces. Exposure occurs when the protozoan parasite found in cat feces
and uncooked or rare beef and lamb is ingested. Wearing a mask will not decrease the
risk through ingestion of the parasite. - ANSWER Which of the following statements by
a pregnant woman indicates she needs additional teaching on ways to reduce risks to
her unborn child from the potential effects of exposure to toxoplasmosis?a. "I will avoid
rare lamb."b. "I will wear a mask when cleaning my cat's litter box."c. "I understand that
exposure to toxoplasmosis can cause blindness in the baby."d. "I will avoid rare beef."
c. Correct. - ANSWER The fetal circulatory structure that connects the pulmonary artery
with the descending aorta is known as which of the following?a. Ductus venosusb.
Foramen ovalec. Ductus arteriosusd. Internal iliac artery
d. Correct. Oligohydramnios refers to a decreased amount of amniotic fluid of less than
500 mL at term or 50% reduction of normal amounts. - ANSWER A woman at 40 weeks'
gestation has a diagnosis of oligohydramnios. Which of the following statements related
to oligohydramnios is correct?a. It indicates that there is a 25% increase in amniotic
fluid.b. It indicates that there is a 25% reduction of amniotic fluid.c. It indicates that there
is a 50% increase in amniotic fluid.d. It indicates that there is a 50% reduction of
amniotic fluid
C - ANSWER The nurse takes the history of a client, G2 P1, at her first prenatal visit.
The client is referred to a genetic counselor, due to her previous child having a
diagnosis of __________.
a. Unilateral amblyopia
b. Subdural hematoma
c. Sickle cell anemia
d. Glomerular nephritis
D - ANSWER A nurse is teaching a woman about her menstrual cycle. The nurse states
that __________ is the most important change that happens during the secretory phase
of the menstrual cycle.
a. Maturation of the graafian follicle
b. Multiplication of the fimbriae
c. Secretion of human chorionic gonadotropin
d. Proliferation of the endometrium
A - ANSWER An ultrasound of a fetus' heart shows that "normal fetal circulation is
occurring." Which of the following statements is consistent with the finding?
a. A right to left shunt is seen between the atria.
b. Blood is returning to the placenta via the umbilical vein.
c. Blood is returning to the right atrium from the pulmonary system.
d. A right to left shunt is seen between the umbilical arteries.
,Maternal Newborn OB Final Exam
Questions and Answers
C - ANSWER The clinic nurse knows that the part of the endometrial cycle occurring
from ovulation to just prior to menses is known as the:
a. Menstrual phase
b. Proliferative phase
c. Secretory phase
d. Ischemic phase
C - ANSWER A clinic nurse explains to the pregnant woman that the amount of
amniotic fluid present at 24 weeks' gestation is approximately:
a. 500 mL
b. 750 mL
c. 800 mL
d. 1000 mL
B - ANSWER Information provided by the nurse that addresses the function of the
amniotic fluid is that the amniotic fluid helps the fetus to maintain a normal body
temperature and also:
a. Facilitates asymmetrical growth of the fetal limbs
b. Cushions the fetus from mechanical injury
c. Promotes development of muscle tone
d. Promotes adherence of fetal lung tissue
A - ANSWER During preconception counseling, the clinic nurse explains that the time
period when the fetus is most vulnerable to the effects of teratogens occurs from:
a. 2 to 8 weeks
b. 4 to12 weeks
c. 5 to 10 weeks
d. 6 to 15 weeks
D - ANSWER A major fetal development characteristic at 16 weeks' gestation is:
a. The average fetal weight is 450 grams
b. Lanugo covers entire body
c. Brown fat begins to develop
d. Teeth begin to form
A - ANSWER A couple who has sought infertility counseling has been told that the
man's sperm count is very low. The nurse advises the couple that spermatogenesis is
impaired when which of the following occur?
a. The testes are overheated.
b. The vas deferens is ligated.
c. The prostate gland is enlarged.
d. The flagella are segmented.
,Maternal Newborn OB Final Exam
Questions and Answers
True - ANSWER The perinatal nurse explains to the student nurse that in the fetal
circulation, the lowest level of oxygen concentration is found in the umbilical arteries.
B, C, D - ANSWER A woman seeks care at an infertility clinic. Which of the following
tests may this woman undergo to determine what, if any, infertility problem she may
have? (Select all that apply.)
a. Chorionic villus sampling
b. Endometrial biopsy
c. Hysterosalpingogram
d. Serum FSH analysis
A, B - ANSWER Which of the following places a couple at higher risk for conceiving a
child with a genetic abnormality? (Select all that apply.)
a. Maternal age over 35 years
b. Partner who has a genetic disorder
c. Maternal type 1 diabetes
d. Paternal heart disease
C - ANSWER During a routine prenatal visit in the third trimester, a woman reports she
is dizzy and lightheaded when she is lying on her back. The most appropriate nursing
action would be to:a. Order an EKG.
b. Report this abnormal finding immediately to her care provider.
c. Teach the woman to avoid lying on her back and to rise slowly because of supine
hypotension.
d. Order a nonstress test to assess fetal well-being.
D - ANSWER Blood volume expansion during pregnancy leads to: a. Iron-deficiency
anemiab. Maternal iron stores being insufficient to meet the demands for iron in fetal
developmentc. Plasma fibrin increase of 40% and fibrinogen increase of 50%d.
Physiological anemia of pregnancy
A - ANSWER A woman presents to the prenatal clinic at 30 weeks' gestation reporting
dysuria, frequency, and urgency with urination. Appropriate nursing actions include:a.
Obtain clean-catch urine to assess for a possible urinary tract infection.b. Reassure the
woman that the signs are normal urinary changes in the third trimester.c. Teach the
woman to decrease fluid intake to manage these symptoms.d. Perform a Leopold's
maneuver to assess fetal position and station.
B - ANSWER At the end of her 32-week prenatal visit, a woman reports discomfort with
intercourse and tells you shyly that she wants to maintain a sexual relationship with her
partner. The best response is to: a. Reassure woman/couple of normalcy of responseb.
Suggest alternative positions for sexual intercourse and alternative sexual activity to
sexual intercoursec. Recommend cessation of intercourse until after delivery due to
, Maternal Newborn OB Final Exam
Questions and Answers
advanced gestationd. Suggest woman discuss this with her care provider at her next
appointment
D - ANSWER The clinic nurse talks to a 30-year-old woman at 34 weeks' gestation who
complains of having difficulty sleeping. Jayne has noticed that getting back to sleep
after she has been up at night is difficult. The nurse's best response is:
a. "This is abnormal; it is important that you describe this problem to the doctor."
b. "This is normal, and many women have this same problem during pregnancy; try
napping for several hours each morning and afternoon."
c. "This is abnormal; tell the doctor about this problem because diagnostic testing may
be necessary."
d. "This is normal in pregnancy, particularly during the third trimester when you also feel
fetal movement at night; try napping once a day."
A. a. The progesterone-induced prolonged emptying time of bile from the gallbladder,
combined with elevated blood cholesterol levels, may predispose the pregnant woman
to gallstone formation (cholelithiasis). Pain in the epigastric region following ingestion of
a high-fat meal constitutes the major symptom of these conditions. The pain is self-
limiting and usually resolves within 2 hours. - ANSWER A 26-year-old woman at 29
weeks' gestation experienced epigastric pain following the consumption of a large meal
of fried fish and onion rings. The pain resolved a few hours later. The most likely
diagnosis for this symptom is:
a. Cholelithiasis
b. Influenza
c. Urinary tract infection
d. Indigestion
B. During pregnancy the woman's hematocrit values may appear low due to the
increase in total plasma volume (on average, 50%). Because the plasma volume is
greater than the increase in erythrocytes (30%), the hematocrit decreases by about 7%.
This alteration is termed "physiologic anemia of pregnancy," or "pseudo-anemia." The
hemodilution effect is most apparent at 32 to 34 weeks. The mean acceptable
hemoglobin level in pregnancy is 11 to 12 g/dL of blood. - ANSWER The clinic nurse
reviews the complete blood count results for a 30-year-old woman who is now 33
weeks' gestation. Tamara's hemoglobin value is 11.2 g/dL, and her hematocrit is 38%.
The clinic nurse interprets these findings as:
a. Normal adult values
b. Normal pregnancy values for the third trimester
c. Increased adult values
d. Increased values for 33 weeks' gestation
C - ANSWER The clinic nurse is aware that the pregnant woman's blood volume
increases by:
a. 20% to 25%
