MATERNITY MIDTERM
10.A woman is in her seventh month of pregnancy. She has been complaining of nasal
congestion and occasional epistaxis. The nurse suspects that: - ANS-This is a normal
respiratory change in pregnancy caused by elevated levels of estrogen.
\11.The nurse caring for the pregnant client must understand that the hormone essential for
maintaining pregnancy and feed the baby is - ANS-Progesterone
\12.During pregnancy, many changes occur as a direct result of the presence of the fetus.
Which of these adaptations meet these criteria? - ANS--Quickening
-Ballottement
-Lightening
\13.The nurse caring for a newly pregnant woman would advise her that ideally prenatal care
should begin: - ANS-After the first missed menstrual period.
\14.Which symptom is considered a first-trimester warning sign and should be reported
immediately by the pregnant woman to her health care provider? - ANS-Vaginal bleeding
\15.A pregnant woman at 10 weeks of gestation jogs three or four times per week. She is
concerned about the effect of exercise on the fetus. The nurse should inform her: -
ANS-"You may find that you need to modify your exercise to walking later in your pregnancy,
around the seventh month."
\16.A pregnant woman at 18 weeks of gestation calls the clinic to report that she has been
experiencing occasional backaches of mild-to-moderate intensity. The nurse would
recommend that she: - ANS-Do pelvic rock exercises.
\17.With regard to the initial physical examination of a woman beginning prenatal care,
maternity nurses should be cognizant of: - ANS-The woman should empty her bladder
before the pelvic examination is performed.
\18. While you are assessing the vital signs of a pregnant woman in her third trimester, the
patient complains of feeling faint, dizzy, and agitated. Which nursing intervention is
appropriate?. - ANS-Have the patient turn to her left side and recheck her blood pressure in
5 minutes.
\19.A 22-year-old woman pregnant with a single fetus has a preconception body mass index
(BMI) of 24. When she was seen in the clinic at 14 weeks of gestation, she had gained 1.8
kg (4 lb) since conception. How would the nurse interpret this? - ANS-The woman's weight
gain is appropriate for this stage of pregnancy.
\2.On vaginal examination of a 30-year-old woman, the nurse documents the following
findings: profuse, thin, grayish white vaginal discharge with a "fishy" odor; complaint of
pruritus. On the basis of these findings, the nurse suspects that this woman has: -
ANS-Bacterial vaginosis (BV).
\20. Which meal would provide the most absorbable iron? - ANS-Black bean soup, wheat
crackers, orange sections, and prunes
\21. A pregnant woman's diet consists almost entirely of whole grain breads and cereals,
fruits, and vegetables. The nurse would be most concerned about this woman's intake of: -
ANS-Vitamin B12.
\22.A woman has come to the clinic for preconception counseling because she wants to start
trying to get pregnant in 3 months. She can expect the following advice: - ANS-"Make sure
that you include adequate folic acid in your diet."
, \23.Women with an inadequate weight gain during pregnancy are at higher risk of giving
birth to an infant with: - ANS-Intrauterine growth restriction.
\24.While taking a diet history, the nurse might be told that the expectant mother has
cravings for ice chips, cornstarch, and baking soda. This represents a nutritional problem
known as: - ANS-Pica.
\25.A 41-week pregnant multigravida presents in the labor and delivery unit after a
non-stress test indicated that her fetus could be experiencing some difficulties in utero.
Which diagnostic tool would yield more detailed information about the fetus? -
ANS-Biophysical profile (BPP)
\26.At 35 weeks of pregnancy a woman experiences preterm labor. Although tocolytics are
administered and she is placed on bed rest, she continues to experience regular uterine
contractions, and her cervix is beginning to dilate and efface. What would be an important
test for fetal well-being at this time? - ANS-Amniocentesis for fetal lung maturity L/S ratio 2:1
\27.A maternal serum alpha-fetoprotein (AFP) 16 test indicates an elevated level. It is
repeated and again is reported as higher than normal. What would be the next step in the
assessment sequence to determine the well-being of the fetus? - ANS-Ultrasound for fetal
anomalies
\28.A woman is undergoing a nipple-stimulated contraction stress test (CST). She is having
contractions that occur every 3 minutes. The fetal heart rate (FHR) has a baseline of
approximately 120 beats/min without any decelerations. The interpretation of this test is said
to be: - ANS-Negative.
\29.When nurses help their expectant mothers assess the daily fetal movement counts, they
should be aware that: - ANS-The fetal alarm signal should go off when fetal movements stop
entirely for 12 hours.
\3.A physician prescribes clomiphene citrate (Clomid, Serophene) for a woman experiencing
infertility. She is very concerned about the risk of multiple births. The nurse's most
appropriate response is: - ANS-"This is a legitimate concern. Would you like to discuss this
further before your treatment begins?"
\30.Intrauterine growth restriction is associated with what pregnancy-related risk factors?
Choose all that apply. - ANS--Poor nutrition
-Maternal collagen disease
-Gestational hypertension
-Smoking
\31.During a prenatal visit, the nurse is explaining dietary management to a woman with
pregestational diabetes. The nurse evaluates that teaching has been effective when the
woman states: - ANS-"Diet and insulin needs change during pregnancy."
\32.In caring for an immediate postpartum client, you note petechiae and oozing from her IV
site. You would monitor her closely for the clotting disorder: - ANS-Disseminated
intravascular coagulation (DIC)
\33.A primigravida is being monitored in her prenatal clinic for preeclampsia. What finding
should concern her nurse? - ANS-A dipstick value of 3+ for protein in her urine
\34.A woman with preeclampsia has a seizure. The nurse's primary duty during the seizure
is to - ANS-Stay with the client and call for help.
\35.A pregnant woman has been receiving a magnesium sulfate infusion for treatment of
severe preeclampsia for 24 hours. On assessment the nurse finds the following vital signs:
temperature of 99.1 F (37.3° C) , pulse rate of 88 beats/min, respiratory rate of 10
breaths/min, blood pressure (BP) of 148/90 mm Hg, absent deep tendon reflexes, and no
10.A woman is in her seventh month of pregnancy. She has been complaining of nasal
congestion and occasional epistaxis. The nurse suspects that: - ANS-This is a normal
respiratory change in pregnancy caused by elevated levels of estrogen.
\11.The nurse caring for the pregnant client must understand that the hormone essential for
maintaining pregnancy and feed the baby is - ANS-Progesterone
\12.During pregnancy, many changes occur as a direct result of the presence of the fetus.
Which of these adaptations meet these criteria? - ANS--Quickening
-Ballottement
-Lightening
\13.The nurse caring for a newly pregnant woman would advise her that ideally prenatal care
should begin: - ANS-After the first missed menstrual period.
\14.Which symptom is considered a first-trimester warning sign and should be reported
immediately by the pregnant woman to her health care provider? - ANS-Vaginal bleeding
\15.A pregnant woman at 10 weeks of gestation jogs three or four times per week. She is
concerned about the effect of exercise on the fetus. The nurse should inform her: -
ANS-"You may find that you need to modify your exercise to walking later in your pregnancy,
around the seventh month."
\16.A pregnant woman at 18 weeks of gestation calls the clinic to report that she has been
experiencing occasional backaches of mild-to-moderate intensity. The nurse would
recommend that she: - ANS-Do pelvic rock exercises.
\17.With regard to the initial physical examination of a woman beginning prenatal care,
maternity nurses should be cognizant of: - ANS-The woman should empty her bladder
before the pelvic examination is performed.
\18. While you are assessing the vital signs of a pregnant woman in her third trimester, the
patient complains of feeling faint, dizzy, and agitated. Which nursing intervention is
appropriate?. - ANS-Have the patient turn to her left side and recheck her blood pressure in
5 minutes.
\19.A 22-year-old woman pregnant with a single fetus has a preconception body mass index
(BMI) of 24. When she was seen in the clinic at 14 weeks of gestation, she had gained 1.8
kg (4 lb) since conception. How would the nurse interpret this? - ANS-The woman's weight
gain is appropriate for this stage of pregnancy.
\2.On vaginal examination of a 30-year-old woman, the nurse documents the following
findings: profuse, thin, grayish white vaginal discharge with a "fishy" odor; complaint of
pruritus. On the basis of these findings, the nurse suspects that this woman has: -
ANS-Bacterial vaginosis (BV).
\20. Which meal would provide the most absorbable iron? - ANS-Black bean soup, wheat
crackers, orange sections, and prunes
\21. A pregnant woman's diet consists almost entirely of whole grain breads and cereals,
fruits, and vegetables. The nurse would be most concerned about this woman's intake of: -
ANS-Vitamin B12.
\22.A woman has come to the clinic for preconception counseling because she wants to start
trying to get pregnant in 3 months. She can expect the following advice: - ANS-"Make sure
that you include adequate folic acid in your diet."
, \23.Women with an inadequate weight gain during pregnancy are at higher risk of giving
birth to an infant with: - ANS-Intrauterine growth restriction.
\24.While taking a diet history, the nurse might be told that the expectant mother has
cravings for ice chips, cornstarch, and baking soda. This represents a nutritional problem
known as: - ANS-Pica.
\25.A 41-week pregnant multigravida presents in the labor and delivery unit after a
non-stress test indicated that her fetus could be experiencing some difficulties in utero.
Which diagnostic tool would yield more detailed information about the fetus? -
ANS-Biophysical profile (BPP)
\26.At 35 weeks of pregnancy a woman experiences preterm labor. Although tocolytics are
administered and she is placed on bed rest, she continues to experience regular uterine
contractions, and her cervix is beginning to dilate and efface. What would be an important
test for fetal well-being at this time? - ANS-Amniocentesis for fetal lung maturity L/S ratio 2:1
\27.A maternal serum alpha-fetoprotein (AFP) 16 test indicates an elevated level. It is
repeated and again is reported as higher than normal. What would be the next step in the
assessment sequence to determine the well-being of the fetus? - ANS-Ultrasound for fetal
anomalies
\28.A woman is undergoing a nipple-stimulated contraction stress test (CST). She is having
contractions that occur every 3 minutes. The fetal heart rate (FHR) has a baseline of
approximately 120 beats/min without any decelerations. The interpretation of this test is said
to be: - ANS-Negative.
\29.When nurses help their expectant mothers assess the daily fetal movement counts, they
should be aware that: - ANS-The fetal alarm signal should go off when fetal movements stop
entirely for 12 hours.
\3.A physician prescribes clomiphene citrate (Clomid, Serophene) for a woman experiencing
infertility. She is very concerned about the risk of multiple births. The nurse's most
appropriate response is: - ANS-"This is a legitimate concern. Would you like to discuss this
further before your treatment begins?"
\30.Intrauterine growth restriction is associated with what pregnancy-related risk factors?
Choose all that apply. - ANS--Poor nutrition
-Maternal collagen disease
-Gestational hypertension
-Smoking
\31.During a prenatal visit, the nurse is explaining dietary management to a woman with
pregestational diabetes. The nurse evaluates that teaching has been effective when the
woman states: - ANS-"Diet and insulin needs change during pregnancy."
\32.In caring for an immediate postpartum client, you note petechiae and oozing from her IV
site. You would monitor her closely for the clotting disorder: - ANS-Disseminated
intravascular coagulation (DIC)
\33.A primigravida is being monitored in her prenatal clinic for preeclampsia. What finding
should concern her nurse? - ANS-A dipstick value of 3+ for protein in her urine
\34.A woman with preeclampsia has a seizure. The nurse's primary duty during the seizure
is to - ANS-Stay with the client and call for help.
\35.A pregnant woman has been receiving a magnesium sulfate infusion for treatment of
severe preeclampsia for 24 hours. On assessment the nurse finds the following vital signs:
temperature of 99.1 F (37.3° C) , pulse rate of 88 beats/min, respiratory rate of 10
breaths/min, blood pressure (BP) of 148/90 mm Hg, absent deep tendon reflexes, and no
