MATERNITY 1: REPRODUCTIVE 1;
ANTEPARTUM 47;LABOR/DELIVERY
25 /2025/2026 EXAMINATION WITH
ANSWERS
The nurse in the operating room is preparing for an emergency dilation and
curettage post vaginal delivery for placenta accreta. What information is most
important when reviewing this client's chart?
1. Client has been NPO and has no metal on the body
2. Client has stable vital signs and has signed consent
3. Client has type and crossmatch on file and at least 2 patent large-bore IV sites
4. Client is on oxygen and has a patent IV site - ANSWER-3
A 37-weeks-pregnant woman comes to the emergency department with a fractured
ankle. Which assessment finding is most concerning and requires the nurse to
follow up?
1. Fetal heart rate remains 206/min
2. Fetus kicked 4 times in the past hour
3. Mother reports feeling 2 contractions every hour
4. Mother's hemoglobin is 11 g/dL (110 g/L) - ANSWER-1
,Four clients in labor are requesting pain medication from the nurse. Which client
can safely receive an opioid agonist-antagonist analgesic intravenous (IV) push at
this time?
1. Gravida 1, 2 cm dilated, 50% effaced, contractions 7-10 minutes apart, crying
2. Gravida 1, 6 cm dilated, 75% effaced, contractions 2-4 minutes apart, has
history of heroin use
3. Gravida 2, 5 cm dilated, 100% effaced, contractions 3-4 minutes apart, moaning
and shaking
4. Gravida 4, 10 cm dilated, 100% effaced, contractions 2-3 minutes apart, wants
to push - ANSWER-3
A client is at 24 weeks gestation and preeclampsia-eclampsia syndrome is
suspected. Which of the following are significant signs/symptoms criteria related
to this syndrome? Select all that apply.
1. 2+ pitting pedal edema
2. 300 mg/24 hr (0.3 g/day) protein in urine
3. Frequent urination
4. Headache, blurry vision
5. Hemoglobin 10 g/dL (100 g/L) - ANSWER-2,4
A diabetic woman has a precipitous delivery in the emergency department. Which
initial neonate assessment finding is the priority and requires a nursing response?
1. Apgar score of 7 at 1 minute
2. Apical heart rate of 160/min
3. Circumoral duskiness
4. Jitteriness - ANSWER-4
, A pregnant client in the third trimester completes an intake form for a clinic visit.
Which signs and symptoms are priority problems for the nurse to evaluate? Select
all that apply.
1. Frequent urination with dysuria and nocturia
2. Fullness in both ears and nasal stuffiness
3. Headache and blurred vision
4. Nonmalodorous, copious, clear vaginal discharge
5. Yellowish discharge from both nipples - ANSWER-1,3,4
A pregnant client comes for a routine first prenatal examination. According to the
last menstrual period, the estimated gestational age is 14 weeks. Where would the
nurse expect to palpate the uterine fundus in this client?
1. 14 cm above the symphysis pubis
2. 14 cm above the umbilicus
3. Just above the symphysis pubis
4. Just below the umbilicus - ANSWER-3
A 27-year-old client at 10 weeks gestation comes to the prenatal clinic. Which
vaccines can be safely given to this client during the pregnancy? Select all that
apply.
1. Influenza inactivated vaccine
2. Influenza nasal spray vaccine
3. Measles-mumps-rubella vaccine (MMR)
4. Tetanus, diphtheria, and pertussis (Tdap) immunization
5. Varicella vaccine - ANSWER-1,4
ANTEPARTUM 47;LABOR/DELIVERY
25 /2025/2026 EXAMINATION WITH
ANSWERS
The nurse in the operating room is preparing for an emergency dilation and
curettage post vaginal delivery for placenta accreta. What information is most
important when reviewing this client's chart?
1. Client has been NPO and has no metal on the body
2. Client has stable vital signs and has signed consent
3. Client has type and crossmatch on file and at least 2 patent large-bore IV sites
4. Client is on oxygen and has a patent IV site - ANSWER-3
A 37-weeks-pregnant woman comes to the emergency department with a fractured
ankle. Which assessment finding is most concerning and requires the nurse to
follow up?
1. Fetal heart rate remains 206/min
2. Fetus kicked 4 times in the past hour
3. Mother reports feeling 2 contractions every hour
4. Mother's hemoglobin is 11 g/dL (110 g/L) - ANSWER-1
,Four clients in labor are requesting pain medication from the nurse. Which client
can safely receive an opioid agonist-antagonist analgesic intravenous (IV) push at
this time?
1. Gravida 1, 2 cm dilated, 50% effaced, contractions 7-10 minutes apart, crying
2. Gravida 1, 6 cm dilated, 75% effaced, contractions 2-4 minutes apart, has
history of heroin use
3. Gravida 2, 5 cm dilated, 100% effaced, contractions 3-4 minutes apart, moaning
and shaking
4. Gravida 4, 10 cm dilated, 100% effaced, contractions 2-3 minutes apart, wants
to push - ANSWER-3
A client is at 24 weeks gestation and preeclampsia-eclampsia syndrome is
suspected. Which of the following are significant signs/symptoms criteria related
to this syndrome? Select all that apply.
1. 2+ pitting pedal edema
2. 300 mg/24 hr (0.3 g/day) protein in urine
3. Frequent urination
4. Headache, blurry vision
5. Hemoglobin 10 g/dL (100 g/L) - ANSWER-2,4
A diabetic woman has a precipitous delivery in the emergency department. Which
initial neonate assessment finding is the priority and requires a nursing response?
1. Apgar score of 7 at 1 minute
2. Apical heart rate of 160/min
3. Circumoral duskiness
4. Jitteriness - ANSWER-4
, A pregnant client in the third trimester completes an intake form for a clinic visit.
Which signs and symptoms are priority problems for the nurse to evaluate? Select
all that apply.
1. Frequent urination with dysuria and nocturia
2. Fullness in both ears and nasal stuffiness
3. Headache and blurred vision
4. Nonmalodorous, copious, clear vaginal discharge
5. Yellowish discharge from both nipples - ANSWER-1,3,4
A pregnant client comes for a routine first prenatal examination. According to the
last menstrual period, the estimated gestational age is 14 weeks. Where would the
nurse expect to palpate the uterine fundus in this client?
1. 14 cm above the symphysis pubis
2. 14 cm above the umbilicus
3. Just above the symphysis pubis
4. Just below the umbilicus - ANSWER-3
A 27-year-old client at 10 weeks gestation comes to the prenatal clinic. Which
vaccines can be safely given to this client during the pregnancy? Select all that
apply.
1. Influenza inactivated vaccine
2. Influenza nasal spray vaccine
3. Measles-mumps-rubella vaccine (MMR)
4. Tetanus, diphtheria, and pertussis (Tdap) immunization
5. Varicella vaccine - ANSWER-1,4
