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During a prenatal visit of a near term woman, a nurse assesses the fetal heart rate. She finds
it within normal range if she notes that the FHT is:
A. 143 BPM
B. 104 BPM
C. 89 BPM
D. 181 BPM
A young pregnant woman came to the clinic and remarks that she forgot when her expected
date of confinement (EDC) is. She said that the first day of her last menstrual period was on
June 20, 2008 and she has a regular 28-day cycle. The nurse computes for her EDC and
gives an accurate answer when she says that the woman’s EDC is on:
A. 23-Mar-09
B. 23-Feb-09
C. 27-Mar-09
D. 27-Feb-09
A 40 years old woman, who is pregnant with her 5th child, she had 2 miscarriages and her
last child was born on the 35th week. What is her GTPAL?
A. G7T3P1A2L4
B. G5T4P0A2L4
C. G7T3P0A1L3
D. G5T3P1A2L4
A 35 years old woman who is pregnant with her 4th child. She is expecting twins just like
her previous set. She opted for an abortion when she got pregnant for the first time at the age
of 16. All her children were born withing 38-39 weeks of pregnancy. What is her GTPAL?
A. G4T4P0A1L3
B. G3T3P0A2L2
C. G5T3P0A1L3
D. G4T3P0A1L3
A pregnant client asks a nurse about some physiologic changes happening to her. She states
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that she noticed a slight change in the color of her mucous membrane in her vaginal area
around her second month of pregnancy. The nurse knows that this is normal and is called:
A. Hegar's sign
B. Goodell's sign
C. Chadwick's sign
D. quickening
A head nurse is assessing the skills of newly hired nurses in the OB ward in taking the
fundic height. Which among the following nurses needs further teaching and close
guidance:
A. Amy, who places the client on a supine position
B. Julie, who places the end of the tape measure below the xiphoid process
C. Sam, who stretches the tape to the top of the uterine fundus
D. Jill, who notes and records the measurement accurately.
A group of student nurses conducted a health education class on the Maternity clinic about
maternal risk factors and infection. The clinical instructor needs to correct her students when
she remarks:
A. German measles during the first 8 weeks of gestation carries the highest rate of maternal
and fetal infection
B. Syphilis infection may cross the placenta and usually leads to spontaneous abortion,
mental subnormality and physical deformities
C. mothers with genital herpes may transmit the infection through the placenta and also
contaminate the neonate after the rupture of the membranes or with vaginal delivery.
D. Mothers with Gonorrhea can pass the infection through the placenta and may result in a
postpartum infection of the neonate.
A mother in the community approaches a nurse in the health center, she remarks that she is
worried about her daughter who is now pregnant with her first child but still goes to bars and
drink alcohol. The nurse recalls that Fetal Alcohol Syndrome may lead to :
A. fetal growth retardation, abruptio placenta, and fetal bradycardia
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B. dilated/contracted pupils, fatigue, inflamed nasal mucosa, and inappropriate behavior
C. jitteriness, physical abnormalities, congenital abnormalities and growth deficits
D. low birth weight, birth defects and still births
A 9 weeks pregnant woman who is having nausea and vomiting for 3 days approached a
nurse and asked him if this is normal. His best reply would be:
A. It is not normal for a woman in her 9th week to have nausea and vomiting, this is called
Hyperemesis Gravidarum and she must be prescribed an anti-emetic by her obstetrician.
B. This is normal, she should just psych herself that she doesn't feel these things and they
will pass naturally.
C. This is normal, she can eat dry toast before arising, have small frequent feedings, and
alternate dry carbohydrates with warm liquids till feeling subsides.
D. This is normal, she should eat more and be always full because this feeling is caused by
low blood sugar level.
A 14 weeks pregnant woman approaches a nurse and says "I noticed that most of the days i
have a whitish discharge that looks like what i used to have before my menstruation. Is it
normal?". The nurse is giving the appropriate response when he says:
A. Yes, it is normal. It is due to the hormonal changes that you are going through. I
recommend that you use perineal pads and that you maintain good hygiene
B. Yes, it is normal. I recommend that you take Iron supplements as prescribed by your
doctor
C. No, it is not normal. It may be a sign of infection so you must contact your obstetrician.
D. No, It is not normal. It is a sign of threatened abortion.
A nurse sees a pregnant client who tried to stand up immediately after waking up. She
falters, places her hands by her head and asks for help. The nurse is correct when he does
which of the following.
A. Rushes to the client's side and asks the woman what she ate before sleeping
B. Calls for other nurses because they will need to carry the client
C. Activate the EMS and scan the scene while preparing to start for CPR
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D. Assist the client to her lying position and help her change to sitting position gradually
The doctor records in his assessment sheet (+) ballotement. The nurse recalls that this is an
assessment that false under the category of:
A. presumptive signs
B. probable signs
C. positive signs
D. negative signs
What is the exercise that can be used by pregnant women to help strengthen the pubo-
cocygeal muscles?
A. kegel's maneuver
B. Ritgen's maneuver
C. Richardson's maneuver
D. kagen's maneuver
Which arteries direct blood supply to the uterus and the growing fetus?
A. epigastric arteries
B. femoral arteries
C. hypogastric arteries
D. mesenteric arteries
A pregnant woman came to the clinic and remarks about Placenta soaps currently
circulating in the market and asks the nurse what exactly is the placenta. The nurse is
lacking in knowledge when she responds:
A. The placenta provides for exchange of nutrients and waste products between the fetus and
the mother
B. the placenta develops on the third month of pregnancy and depends on the maternal
circulation
C. the placenta produces hormones to maintain pregnancy and assumes full responsibility
for the production of these hormones by the twelfth week of gestation
D. The placenta filters viruses and protects the baby by providing needed nutrients and