NURS MIDWIVES NURSE EXAM
QUESTIONS WITH ANSWERS
A couple is undergoing an infertility workup. The semen
analysis indicates a decreased number of sperm and
immature sperm. Which of the following factors can have
a potential effect on sperm maturity? (Select all that
apply.)
a.The man rides a bike to and from work each day.
b.The man takes a calcium channel blocker for the treatment of hypertension.
c. The man drinks 6 cups of coffee a day.
d. The man was treated for prostatitis 12 months ago and has been symptom-
free since treatment.
• The clinic nurse recognizes that pregnant women who are in particular
need of support are those who (select all that apply):
a. Are experiencing a second pregnancy
b. Are awaiting genetic testing results
c. Are experiencing a first pregnancy
d. Are trying to conceal this pregnancy as long as possible
• Folic acid supplementation during pregnancy is to:
a. Improve the bone density of pregnant women
b. Decrease the incidence of neural tube defects in the fetus
c. Decrease the incidence of Down syndrome in the fetus
d. Improve calcium uptake in pregnant women
• The positive signs of pregnancy are:
, a. All physiological and anatomical changes of pregnancy
b. All subjective signs of pregnancy
c. All those physiological changes perceived by the woman herself
d. The objective signs of pregnancy that can only be attributed to the fetus
• 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.
a. Report this abnormal finding immediately to her care provider.
b. Teach the woman to avoid lying on her back and to rise slowly because of
supine hypotension.
c. Order a nonstress test to assess fetal well-being.
• Blood volume expansion during pregnancy leads to:
a. Iron-deficiency anemia
b. Maternal iron stores are insufficient to meet the demands for iron in fetal
development
c. Plasma fibrin increase of 40% and fibrinogen increase of 50%
d. Physiological anemia of pregnancy
Intimate partner violence (IPV) against women consists of actual or threatened
physical or sexual violence and psychological and emotional abuse. Screening
for IPV during pregnancy is recommended for:
a. Pregnant women with a history of domestic violence
b. All pregnant women
c. All low-income pregnant women
d. Pregnant adolescents
• 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.
e.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 the woman/couple of normal response
a. Suggest alternative positions for sexual intercourse and
alternative sexual activity to sexual intercourse
b. Recommend cessation of intercourse until after delivery due to advanced
gestation
c. Suggest woman discuss this with her care provider at her next appointment
d.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:
e. “This is abnormal; you must describe this problem to the doctor.”
f. “This is normal, and many women have this same problem during
pregnancy; try napping for several hours each morning and afternoon.”
g.“This is abnormal; tell the doctor about this problem because diagnostic
testing may be necessary.”
h. “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 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
• 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
a. Normal pregnancy values for the third trimester
b. Increased adult values
c. Increased values for 33 weeks gestation
• The clinic nurse is aware that the pregnant woman’s blood volume increases
by a.
a. 20% to 25%
b. b. 30% to 35%
c. c. 40% to 45%
d. d. 50% to 55%
a. The clinic nurse uses Leopold's maneuvers to determine the fetal lie,
presentation, and position. The nurse’s hands are placed on the maternal
abdomen to gently palpate the fundal region of the uterus. This action is
best described as the: a. First maneuver
b. Second maneuver
c. Third maneuver
d. Fourth maneuver
• The clinic nurse talks with Kathy about her possible pregnancy. Kathy
has experienced amenorrhea for 2 months, nausea during the day with
vomiting every other morning, and breast tenderness. These symptoms are
best described as a. Positive signs of pregnancy
a. Presumptive signs of pregnancy
b. Probable signs of pregnancy
QUESTIONS WITH ANSWERS
A couple is undergoing an infertility workup. The semen
analysis indicates a decreased number of sperm and
immature sperm. Which of the following factors can have
a potential effect on sperm maturity? (Select all that
apply.)
a.The man rides a bike to and from work each day.
b.The man takes a calcium channel blocker for the treatment of hypertension.
c. The man drinks 6 cups of coffee a day.
d. The man was treated for prostatitis 12 months ago and has been symptom-
free since treatment.
• The clinic nurse recognizes that pregnant women who are in particular
need of support are those who (select all that apply):
a. Are experiencing a second pregnancy
b. Are awaiting genetic testing results
c. Are experiencing a first pregnancy
d. Are trying to conceal this pregnancy as long as possible
• Folic acid supplementation during pregnancy is to:
a. Improve the bone density of pregnant women
b. Decrease the incidence of neural tube defects in the fetus
c. Decrease the incidence of Down syndrome in the fetus
d. Improve calcium uptake in pregnant women
• The positive signs of pregnancy are:
, a. All physiological and anatomical changes of pregnancy
b. All subjective signs of pregnancy
c. All those physiological changes perceived by the woman herself
d. The objective signs of pregnancy that can only be attributed to the fetus
• 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.
a. Report this abnormal finding immediately to her care provider.
b. Teach the woman to avoid lying on her back and to rise slowly because of
supine hypotension.
c. Order a nonstress test to assess fetal well-being.
• Blood volume expansion during pregnancy leads to:
a. Iron-deficiency anemia
b. Maternal iron stores are insufficient to meet the demands for iron in fetal
development
c. Plasma fibrin increase of 40% and fibrinogen increase of 50%
d. Physiological anemia of pregnancy
Intimate partner violence (IPV) against women consists of actual or threatened
physical or sexual violence and psychological and emotional abuse. Screening
for IPV during pregnancy is recommended for:
a. Pregnant women with a history of domestic violence
b. All pregnant women
c. All low-income pregnant women
d. Pregnant adolescents
• 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.
e.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 the woman/couple of normal response
a. Suggest alternative positions for sexual intercourse and
alternative sexual activity to sexual intercourse
b. Recommend cessation of intercourse until after delivery due to advanced
gestation
c. Suggest woman discuss this with her care provider at her next appointment
d.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:
e. “This is abnormal; you must describe this problem to the doctor.”
f. “This is normal, and many women have this same problem during
pregnancy; try napping for several hours each morning and afternoon.”
g.“This is abnormal; tell the doctor about this problem because diagnostic
testing may be necessary.”
h. “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 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
• 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
a. Normal pregnancy values for the third trimester
b. Increased adult values
c. Increased values for 33 weeks gestation
• The clinic nurse is aware that the pregnant woman’s blood volume increases
by a.
a. 20% to 25%
b. b. 30% to 35%
c. c. 40% to 45%
d. d. 50% to 55%
a. The clinic nurse uses Leopold's maneuvers to determine the fetal lie,
presentation, and position. The nurse’s hands are placed on the maternal
abdomen to gently palpate the fundal region of the uterus. This action is
best described as the: a. First maneuver
b. Second maneuver
c. Third maneuver
d. Fourth maneuver
• The clinic nurse talks with Kathy about her possible pregnancy. Kathy
has experienced amenorrhea for 2 months, nausea during the day with
vomiting every other morning, and breast tenderness. These symptoms are
best described as a. Positive signs of pregnancy
a. Presumptive signs of pregnancy
b. Probable signs of pregnancy
