Maternal and Pedia Test Banks Compilation 1
lOMoARcPSD| 4253337
MATERNAL (WELL CLIENT)
MIDTERM
1. Nutritional counseling is a priority topic during an adolescent pregnancy. Which of the following topics
would you expect to include in the teaching plan?
Ways to remember to take an iron supplement daily
2. A 16-year-old girl is 5 months pregnant when she first comes for prenatal care. She says she had no idea
that she was pregnant. You would assess her reply as a manifestation of which of the following?
Denial of Pregnancy
3. Mrs. Levs at 35 weeks9 gestation tells the nurse that she gets an occasional cramp in her legs. The nurse
should assess the patient9s intake of:
Calcium
4. Mrs. Virgie returns to the clinic several weeks later for prenatal visit. She tells the nurse that she has
had nausea and vomiting every morning for the last week. The nurse should instruct the patient to:
Eat dry crackers before arising
5. During which of the following stages of labor would you assess <crowning=?
Second Stage
6. Which assessing a post term newborn, which of the following would Nurse Kiks expect?
Meconium-Stained Skin
7. Which of the following actions demonstrates Nurse Gora9s understanding about newborn9s
thermoregulating ability?
Placing the baby in the radiant warmer
8. Which of the following characteristics is most commonly associated with LGA?
Risk for birth injury
9. Mrs. Cruz is in the second stage of labor. During this stage, how frequently should the nurse in charge
assess her uterine contractions?
Each contraction
10. The nurse is teaching a pregnant client how to distinguish false labor contractions from true labor
contractions. Which statement about false labor contraction is accurate?
They’re usually felt in the abdomen
11. As Mrs. Yu enters the second stage immediately after delivery, the nurse would expect to assess Dolly9s
fundus to be:
Firm and contracted
12. Angel is in labor, the nurse observes that her amniotic membranes rupture spontaneously. Which of
the following would be the nurse9s priority action?
, Maternal and Pedia Test Banks Compilation 1
lOMoARcPSD| 42533379
Assess the FHR
13. The client has been in true labor for 12 hours and is diagnosed with borderline pelvic measurement?
The nurse would anticipate which of the following?
Cesarean delivery
14. When taking an obstetrical history on a pregnant client who states, <I had son born at 38 weeks
gestation, a daughter born at 30 weeks9 gestation, and I lost a baby at about 8 week gestation,= the nurse
should record her obstetrical history as which of the following?
G4 T1 P1 A1 L2
15. A 28-year-old multigravida tells the nurse that she9s scheduled for non-stress test (NST). The nurse
anticipates that the purpose of this procedure is to:
Assess fetal activity well being
16. Vine is in labor. Your CI tell you to do leopolds maneuver and assessed that the fetus is in breech
presentation. Where will you auscultate for the fetal heart sounds?
High in the abdomen
17. A nurse is performing an assessment on a client who is at 38 weeks gestation and notes that the fetal
heart rate (FHR) is 180 beats per minute. On the basis of this finding, the appropriate nursing action is to:
Notify the physician
18. Nurse Caree explains some of the purposes of the placenta to a client during a prenatal visit. The nurse
determines that the client understands some of these purposes when she states that the placenta:
Is the way baby gets food and oxygen
19. Nurse Abakada is collecting data during an admission assessment of a client who is pregnant with
twins. The client has healthy 5 year old child that was delivered at 38 weeks and tells the nurse that she
does not have any history of any type of abortion or fetal demise. The nurse would document the GTPAL
for this client as:
G2, T1, P0, A0, L1
20. The nurse checks for the FHT of the pregnant client. The nurse accurately checks the FHT of a breech
presentation by placing the bell of the stethoscope in what site of the abdomen?
RUQ
21. Before administering Oxytocin to a client after delivery, what should the nurse do initially?
Check the blood pressure
22. Mrs. Reyal was admitted to the OB ward in active labor. During contraction, the nurse observes a 15
beats per minute deceleration of the FHR below the baseline rate. What would be the most appropriate
action?
Turn the client on her left side to increase venous return
23. The FHR drops slightly just prior to the patient9s contraction. What is the most appropriate initaila
nursing action?
Administer oxygen
, Maternal and Pedia Test Banks Compilation 1
lOMoARcPSD| 42533379
24. Marie, 41 y/o, is admitted to labor unit at 4:00 PM. While taking the history, the nurse notes the
following: G8P7, 41 weeks AOG, membranes ruptures at 10:00 AM that day, contractions occurs every 3
minutes; strong intensity with duration of 60 seconds. What nursing action would take the highest priority
at this time?
Attach monitoring device to the client
25. The nurse administers Methergine 0.2 mg parenterally to Mrs. Benson after completion of the 3 rd
stage of labor due to presence of bleeding after delivery of placenta. Which of the following would indicate
that this drug has produced its desired effect?
A firm fundus
26. Which of the following most likely indicates the 3rd stage of labor is coming to an end?
There is gush of blood from the vagina and the cord lengthen
27. During the transition phase of the first stage of labor, which of the following occurs?
Irregular short contractions; Cervical dilation of 7-8 cm
28. How long should the second stage of labor for multiparas client?
45 minutes
29. Immediately before expulsion, which of the following cardinal movements occur?
External rotation
30. Which of the following characteristics of contractions would the nurse expect to find in a client
experiencing true labor?
1. Occurring at irregular
2. Starting mainly in the abdomen
3. Gradually decreasing intervals
4. Increasing intensity with walking
3 and 4
31. The nurse performs leopolds maneuvers. When performing the third maneuvers, the nurse explains
that this is done for which of the following reasons?
To determine whether the presenting part is engaged
32. The nurse records the progress of labor of Gail. One contraction started at 8:40 and ended 8:41. Next
contraction started at 8:45 and ended 8:46. Which of the following refers to the period bet 8:41 ti 8:45?
Interval
33. Which of following intervention would the nurse do during the second stage of labor?
Coach for effective client pushing
34. Nurse D performed Ritgens maneuver during the delivery of Baby G to:
Allow controlled delivery of the fetal head
, Maternal and Pedia Test Banks Compilation 1
lOMoARcPSD| 42533379
35. A method of expressing the placenta by grasping the umbilical cord with one hand and placing the
other hand below the abdomen or symphysis pubis. This is called
Brant Andrew Maneuver
36. A pregnant client last menstrual period began on September 28, 2020. Using Naegel9s Rule, what is
her estimated due date?
July 05, 2021
37. Ms. Faith is attempting to confirm a pregnancy of approximately 8 weeks. After taking the clients
history and assessing her, Ms. Faith to find which presumptive sign of pregnancy?
Breast enlargement and increased vascularity
38. During prenatal visit, the nurse should consider which of these assessment is normal?
Fundal height palpable at the level umbilicus 20 weeks of gestation
39. How the nurse determine the frequency of uterine contractions?
Time from the beginning one contraction to the beginning of the next contraction
40. Mrs. Preg is on her eight month of pregnancy. She visits the clinic for her regular prenatal check-up.
Mrs. Preg is advised to change her schedule of consultation. How often should be her check-up on her
ninth month of pregnancy?
Every week
41. Mrs. Preg asks student Dely how she will recognize a true labor. Which of the following characteristics
of uterine contractions is the correct response?
Regular with increasing frequency and duration
42. Mrs. Perez ask the nurse, <when will my baby9s brain and heart form?=. The nurse answer:
Second month
43. Rhoda, 20 years old, consults the clinic and states that she is amenorrheic for two months. She claims
that this is her second pregnancy but her first was an abortion. Which of the following terms refer to
Rhoda?
Nullipara
44. After the first three months of pregnancy, the chief source of estrogen and progesterone is the:
Placenta
45. Heartburn and flatulence, are common in the second trimester, most likely the results of which of the
following?
Decreased intestinal motility
46. Which of the following describes the degree of flexion the fetus assumes or the relation of fetal parts
to each other?
Attitude
47. The bag of water of Mrs. Day ruptured spontaneously; which of the following nursing diagnosis is a
priority?
lOMoARcPSD| 4253337
MATERNAL (WELL CLIENT)
MIDTERM
1. Nutritional counseling is a priority topic during an adolescent pregnancy. Which of the following topics
would you expect to include in the teaching plan?
Ways to remember to take an iron supplement daily
2. A 16-year-old girl is 5 months pregnant when she first comes for prenatal care. She says she had no idea
that she was pregnant. You would assess her reply as a manifestation of which of the following?
Denial of Pregnancy
3. Mrs. Levs at 35 weeks9 gestation tells the nurse that she gets an occasional cramp in her legs. The nurse
should assess the patient9s intake of:
Calcium
4. Mrs. Virgie returns to the clinic several weeks later for prenatal visit. She tells the nurse that she has
had nausea and vomiting every morning for the last week. The nurse should instruct the patient to:
Eat dry crackers before arising
5. During which of the following stages of labor would you assess <crowning=?
Second Stage
6. Which assessing a post term newborn, which of the following would Nurse Kiks expect?
Meconium-Stained Skin
7. Which of the following actions demonstrates Nurse Gora9s understanding about newborn9s
thermoregulating ability?
Placing the baby in the radiant warmer
8. Which of the following characteristics is most commonly associated with LGA?
Risk for birth injury
9. Mrs. Cruz is in the second stage of labor. During this stage, how frequently should the nurse in charge
assess her uterine contractions?
Each contraction
10. The nurse is teaching a pregnant client how to distinguish false labor contractions from true labor
contractions. Which statement about false labor contraction is accurate?
They’re usually felt in the abdomen
11. As Mrs. Yu enters the second stage immediately after delivery, the nurse would expect to assess Dolly9s
fundus to be:
Firm and contracted
12. Angel is in labor, the nurse observes that her amniotic membranes rupture spontaneously. Which of
the following would be the nurse9s priority action?
, Maternal and Pedia Test Banks Compilation 1
lOMoARcPSD| 42533379
Assess the FHR
13. The client has been in true labor for 12 hours and is diagnosed with borderline pelvic measurement?
The nurse would anticipate which of the following?
Cesarean delivery
14. When taking an obstetrical history on a pregnant client who states, <I had son born at 38 weeks
gestation, a daughter born at 30 weeks9 gestation, and I lost a baby at about 8 week gestation,= the nurse
should record her obstetrical history as which of the following?
G4 T1 P1 A1 L2
15. A 28-year-old multigravida tells the nurse that she9s scheduled for non-stress test (NST). The nurse
anticipates that the purpose of this procedure is to:
Assess fetal activity well being
16. Vine is in labor. Your CI tell you to do leopolds maneuver and assessed that the fetus is in breech
presentation. Where will you auscultate for the fetal heart sounds?
High in the abdomen
17. A nurse is performing an assessment on a client who is at 38 weeks gestation and notes that the fetal
heart rate (FHR) is 180 beats per minute. On the basis of this finding, the appropriate nursing action is to:
Notify the physician
18. Nurse Caree explains some of the purposes of the placenta to a client during a prenatal visit. The nurse
determines that the client understands some of these purposes when she states that the placenta:
Is the way baby gets food and oxygen
19. Nurse Abakada is collecting data during an admission assessment of a client who is pregnant with
twins. The client has healthy 5 year old child that was delivered at 38 weeks and tells the nurse that she
does not have any history of any type of abortion or fetal demise. The nurse would document the GTPAL
for this client as:
G2, T1, P0, A0, L1
20. The nurse checks for the FHT of the pregnant client. The nurse accurately checks the FHT of a breech
presentation by placing the bell of the stethoscope in what site of the abdomen?
RUQ
21. Before administering Oxytocin to a client after delivery, what should the nurse do initially?
Check the blood pressure
22. Mrs. Reyal was admitted to the OB ward in active labor. During contraction, the nurse observes a 15
beats per minute deceleration of the FHR below the baseline rate. What would be the most appropriate
action?
Turn the client on her left side to increase venous return
23. The FHR drops slightly just prior to the patient9s contraction. What is the most appropriate initaila
nursing action?
Administer oxygen
, Maternal and Pedia Test Banks Compilation 1
lOMoARcPSD| 42533379
24. Marie, 41 y/o, is admitted to labor unit at 4:00 PM. While taking the history, the nurse notes the
following: G8P7, 41 weeks AOG, membranes ruptures at 10:00 AM that day, contractions occurs every 3
minutes; strong intensity with duration of 60 seconds. What nursing action would take the highest priority
at this time?
Attach monitoring device to the client
25. The nurse administers Methergine 0.2 mg parenterally to Mrs. Benson after completion of the 3 rd
stage of labor due to presence of bleeding after delivery of placenta. Which of the following would indicate
that this drug has produced its desired effect?
A firm fundus
26. Which of the following most likely indicates the 3rd stage of labor is coming to an end?
There is gush of blood from the vagina and the cord lengthen
27. During the transition phase of the first stage of labor, which of the following occurs?
Irregular short contractions; Cervical dilation of 7-8 cm
28. How long should the second stage of labor for multiparas client?
45 minutes
29. Immediately before expulsion, which of the following cardinal movements occur?
External rotation
30. Which of the following characteristics of contractions would the nurse expect to find in a client
experiencing true labor?
1. Occurring at irregular
2. Starting mainly in the abdomen
3. Gradually decreasing intervals
4. Increasing intensity with walking
3 and 4
31. The nurse performs leopolds maneuvers. When performing the third maneuvers, the nurse explains
that this is done for which of the following reasons?
To determine whether the presenting part is engaged
32. The nurse records the progress of labor of Gail. One contraction started at 8:40 and ended 8:41. Next
contraction started at 8:45 and ended 8:46. Which of the following refers to the period bet 8:41 ti 8:45?
Interval
33. Which of following intervention would the nurse do during the second stage of labor?
Coach for effective client pushing
34. Nurse D performed Ritgens maneuver during the delivery of Baby G to:
Allow controlled delivery of the fetal head
, Maternal and Pedia Test Banks Compilation 1
lOMoARcPSD| 42533379
35. A method of expressing the placenta by grasping the umbilical cord with one hand and placing the
other hand below the abdomen or symphysis pubis. This is called
Brant Andrew Maneuver
36. A pregnant client last menstrual period began on September 28, 2020. Using Naegel9s Rule, what is
her estimated due date?
July 05, 2021
37. Ms. Faith is attempting to confirm a pregnancy of approximately 8 weeks. After taking the clients
history and assessing her, Ms. Faith to find which presumptive sign of pregnancy?
Breast enlargement and increased vascularity
38. During prenatal visit, the nurse should consider which of these assessment is normal?
Fundal height palpable at the level umbilicus 20 weeks of gestation
39. How the nurse determine the frequency of uterine contractions?
Time from the beginning one contraction to the beginning of the next contraction
40. Mrs. Preg is on her eight month of pregnancy. She visits the clinic for her regular prenatal check-up.
Mrs. Preg is advised to change her schedule of consultation. How often should be her check-up on her
ninth month of pregnancy?
Every week
41. Mrs. Preg asks student Dely how she will recognize a true labor. Which of the following characteristics
of uterine contractions is the correct response?
Regular with increasing frequency and duration
42. Mrs. Perez ask the nurse, <when will my baby9s brain and heart form?=. The nurse answer:
Second month
43. Rhoda, 20 years old, consults the clinic and states that she is amenorrheic for two months. She claims
that this is her second pregnancy but her first was an abortion. Which of the following terms refer to
Rhoda?
Nullipara
44. After the first three months of pregnancy, the chief source of estrogen and progesterone is the:
Placenta
45. Heartburn and flatulence, are common in the second trimester, most likely the results of which of the
following?
Decreased intestinal motility
46. Which of the following describes the degree of flexion the fetus assumes or the relation of fetal parts
to each other?
Attitude
47. The bag of water of Mrs. Day ruptured spontaneously; which of the following nursing diagnosis is a
priority?
