Women's Health Final Exam Questions and answers With Verified Solutions
B - ✅✅-On reviewing the medical history of a pregnant client, the nurse finds that the
client is taking carbamazepine. What consequence of the drug on the fetus should the
nurse be aware of?
A.) Pylectasis
B.) Spina bifida
C.) Omphalocele
D.) Lupus erythematosus
B - ✅✅-The nurse is caring for a client in the first trimester of pregnancy. The client's
laboratory reports indicate a reduction in the levels of pregnancy-associated placental
protein (PAPP-A) and an elevation in the levels of human chorionic gonadotropin (hCG)
and nuchal translucency (NT). Based on these findings, which condition does the nurse
suspect in the fetus?
A.) Spina bifida
B.) Down syndrome
C.) Potter syndrome
D.) Fetal cardiac disease
D - ✅✅-The nurse is performing a fetal acoustic stimulation test (FAST) in conjunction
with a nonstress test. The nurse observes a nonreactive baseline fetal heart rate (FHR)
after 5 minutes. What is the best nursing intervention in this situation?
A.) Performing the test after an interval of 2 hours
B.) Performing a contraction stress test immediately
C.) Administering 0.5 milliunits/min oxytocin for 20 minutes
D.) Activating a stimulator for 3 seconds on the patient's abdomen
A - ✅✅-What diagnostic test would be used by the health care team to detect
anencephaly in the fetus?
A.) Amniocentesis
B.) Doppler blood flow analysis
C.) Nonstress test
D.) Contraction stress test
,Women's Health Final Exam Questions and answers With Verified Solutions
A, B, D, E - ✅✅-In assessing a pregnant client, the nurse is aware of the four high-risk
factors when performing a health history. What are the four categories (select all that
apply):
A.) Biophysical
B.) Psychosocial
C.) Geographic
D.) Enviornmental
E.) Sociodemographic
A - ✅✅-After a woman with blood type Rh negative undergoes amniocentesis, the
most appropriate nursing intervention is to:
A.) Administer RhoD immunoglobulin
B.) Administer anticoagulant
C.) Send the patient for a computed tomography (CT) scan before the procedure
D.) Assure the mother that short-term radiation exposure is not harmful to the fetus
D - ✅✅-Nurses should be aware of the strengths and limitations of various
biochemical assessments during pregnancy, including which items?
A.) Chorionic villus sampling (CVS) is becoming more popular because it provides
earlier diagnosis
B.) Screening for maternal serum alpha-fetoprotein (MSAFP) levels is recommended
only for women at risk for neural tube defects
C.) Percutaneous umbilical blood sampling (PUBS) is one of the quad-screen tests for
Down Syndrome
D.) Maternal serum alpha-fetoprotein (MSAFP) is a screening tool only; it identified
candidates for more definitive procedures
A - ✅✅-The nurse is supervising a student nurse while performing a nonstress test.
Which action of the student nurse indicates the need for further teaching?
A.) Placing the client in the left side-lying position
B.) Instructing the client to press the handheld marker
C.) Offering glucose water prior to the test
D.) Applying a tocodynamometer with Doppler transducer
A - ✅✅-The nurse sees a primigravida at 30 weeks gestation for the first time. The
nurse notes the client has smoked throughout the pregnancy, and fundal height
measurements are suggestive of growth restriction in the fetus. In addition to ultrasound
to measure fetal size, the nurse knows which tool is useful in confirming this condition?
A.) Doppler blood flow analysis
B.) Contraction stress test (CST)
,Women's Health Final Exam Questions and answers With Verified Solutions
C.) Amniocentesis
D.) Daily fetal movement counts
B - ✅✅-The nurse knows which condition is associated with oligohydramnios?
A.) Fetal hydrops
B.) Potter syndrome
C.) Neural tube defects
D.) Fetal gastrointestinal obstruction
A - ✅✅-Which type of ultrasound is the standard medical scan used in pregnancy?
A.) Two-dimensional (2D)
B.) Three-dimensional (3D)
C.) Four-dimensional (4D)
D.) Five-dimensional (5D)
A - ✅✅-The nurse is reviewing lab values to determine Rh incompatibility between
mother and fetus. Which specific lab result should the nurse assess?
A.) Indirect Coombs test
B.) Hemoglobin level
C.) Human chorionic gonadotropin (hCG) lecel
D.) Maternal serum alpha-fetoprotein (MSAFP)
D - ✅✅-While performing a contraction stress test in a pregnant client, the nurse finds
that the client has three uterine contractions in a 10-minute period with no significant
variable decelerations. The nurse communicates the test findings to the primary health
care provider, and which instruction would the nurse expect to receive?
A.) "Repeat the test in the client the next day"
B.) "Administer intravenous fluids to the client"
C.) "Immediately admit the client to the hospital"
D.) "Resume a routine weekly testing schedule for the client"
D, E - ✅✅-Which medications can cause neural tube defects in the fetus (select all that
apply):
A.) Aspirin
B.) Folic acid supplements
C.) Pyridoxine supplements
D.) Valproic acid
E.) Carbamazepine
, Women's Health Final Exam Questions and answers With Verified Solutions
A - ✅✅-After reviewing the medical history and dietary habits of a pregnant client, the
nurse suspects that the client's newborn may have risk of hyperactivity and learning
disabilities due to which factors?
A.) The client consumed alcohol during the pregnancy
B.) The client has three pregnancies in two years
C.) The client drinks 6 ounces of coffee daily
D.) The client is on valproic acid therapy
D - ✅✅-The nursing instructor is teaching nursing students about the daily fetal
movement count. Which statement by a student indicates a need for further teaching?
A.) "Fetal movements decrease in clients who consume alcohol"
B.) "Fetal movements cannot be detected during the fetus sleep cycle
C.) "Fetal movements cannot be easily detected in obese clients"
D.) "Fetal movements decrease one week before the expected date of delivery"
A, D, F - ✅✅-Which are prenatal tests used for diagnosing fetal defects in pregnancy
(select all that apply):
A.) Amniocentesis
B.) Polyhydramnios
C.) Amniotic fluid index (AFI)
D.) Chorionic villus sampling (CVS)
E.) Daily fetal movement count (DFMC)
F.) Percutaneous umbilical blood sampling (PUBS)
D - ✅✅-A woman who is at 36 weeks of gestation is having a nonstress test. Which
statement indicates her correct understanding of the test?
A.) "I will need to have a full bladder for the test to be done accurately"
B.) "I should have my husband drive me home after the test because I may be
nauseated"
C.) "This test will help to determine if the baby has Down Syndrome or a neural tube
defect"
D.) "This test observes for fetal activity and an acceleration of the fetal heart rate to
determine the well-being of the baby"
D - ✅✅-Which strengths and limitations of various biochemical assessments during
pregnancy should the nurse be aware of?
A.) Chorionic villus sampling (CVS) is becoming more popular because it provides early
diagnosis
B.) Screening for maternal serum alpha-fetoprotein (MSAFP) levels is recommended
only for women at risk for neural tube defects
B - ✅✅-On reviewing the medical history of a pregnant client, the nurse finds that the
client is taking carbamazepine. What consequence of the drug on the fetus should the
nurse be aware of?
A.) Pylectasis
B.) Spina bifida
C.) Omphalocele
D.) Lupus erythematosus
B - ✅✅-The nurse is caring for a client in the first trimester of pregnancy. The client's
laboratory reports indicate a reduction in the levels of pregnancy-associated placental
protein (PAPP-A) and an elevation in the levels of human chorionic gonadotropin (hCG)
and nuchal translucency (NT). Based on these findings, which condition does the nurse
suspect in the fetus?
A.) Spina bifida
B.) Down syndrome
C.) Potter syndrome
D.) Fetal cardiac disease
D - ✅✅-The nurse is performing a fetal acoustic stimulation test (FAST) in conjunction
with a nonstress test. The nurse observes a nonreactive baseline fetal heart rate (FHR)
after 5 minutes. What is the best nursing intervention in this situation?
A.) Performing the test after an interval of 2 hours
B.) Performing a contraction stress test immediately
C.) Administering 0.5 milliunits/min oxytocin for 20 minutes
D.) Activating a stimulator for 3 seconds on the patient's abdomen
A - ✅✅-What diagnostic test would be used by the health care team to detect
anencephaly in the fetus?
A.) Amniocentesis
B.) Doppler blood flow analysis
C.) Nonstress test
D.) Contraction stress test
,Women's Health Final Exam Questions and answers With Verified Solutions
A, B, D, E - ✅✅-In assessing a pregnant client, the nurse is aware of the four high-risk
factors when performing a health history. What are the four categories (select all that
apply):
A.) Biophysical
B.) Psychosocial
C.) Geographic
D.) Enviornmental
E.) Sociodemographic
A - ✅✅-After a woman with blood type Rh negative undergoes amniocentesis, the
most appropriate nursing intervention is to:
A.) Administer RhoD immunoglobulin
B.) Administer anticoagulant
C.) Send the patient for a computed tomography (CT) scan before the procedure
D.) Assure the mother that short-term radiation exposure is not harmful to the fetus
D - ✅✅-Nurses should be aware of the strengths and limitations of various
biochemical assessments during pregnancy, including which items?
A.) Chorionic villus sampling (CVS) is becoming more popular because it provides
earlier diagnosis
B.) Screening for maternal serum alpha-fetoprotein (MSAFP) levels is recommended
only for women at risk for neural tube defects
C.) Percutaneous umbilical blood sampling (PUBS) is one of the quad-screen tests for
Down Syndrome
D.) Maternal serum alpha-fetoprotein (MSAFP) is a screening tool only; it identified
candidates for more definitive procedures
A - ✅✅-The nurse is supervising a student nurse while performing a nonstress test.
Which action of the student nurse indicates the need for further teaching?
A.) Placing the client in the left side-lying position
B.) Instructing the client to press the handheld marker
C.) Offering glucose water prior to the test
D.) Applying a tocodynamometer with Doppler transducer
A - ✅✅-The nurse sees a primigravida at 30 weeks gestation for the first time. The
nurse notes the client has smoked throughout the pregnancy, and fundal height
measurements are suggestive of growth restriction in the fetus. In addition to ultrasound
to measure fetal size, the nurse knows which tool is useful in confirming this condition?
A.) Doppler blood flow analysis
B.) Contraction stress test (CST)
,Women's Health Final Exam Questions and answers With Verified Solutions
C.) Amniocentesis
D.) Daily fetal movement counts
B - ✅✅-The nurse knows which condition is associated with oligohydramnios?
A.) Fetal hydrops
B.) Potter syndrome
C.) Neural tube defects
D.) Fetal gastrointestinal obstruction
A - ✅✅-Which type of ultrasound is the standard medical scan used in pregnancy?
A.) Two-dimensional (2D)
B.) Three-dimensional (3D)
C.) Four-dimensional (4D)
D.) Five-dimensional (5D)
A - ✅✅-The nurse is reviewing lab values to determine Rh incompatibility between
mother and fetus. Which specific lab result should the nurse assess?
A.) Indirect Coombs test
B.) Hemoglobin level
C.) Human chorionic gonadotropin (hCG) lecel
D.) Maternal serum alpha-fetoprotein (MSAFP)
D - ✅✅-While performing a contraction stress test in a pregnant client, the nurse finds
that the client has three uterine contractions in a 10-minute period with no significant
variable decelerations. The nurse communicates the test findings to the primary health
care provider, and which instruction would the nurse expect to receive?
A.) "Repeat the test in the client the next day"
B.) "Administer intravenous fluids to the client"
C.) "Immediately admit the client to the hospital"
D.) "Resume a routine weekly testing schedule for the client"
D, E - ✅✅-Which medications can cause neural tube defects in the fetus (select all that
apply):
A.) Aspirin
B.) Folic acid supplements
C.) Pyridoxine supplements
D.) Valproic acid
E.) Carbamazepine
, Women's Health Final Exam Questions and answers With Verified Solutions
A - ✅✅-After reviewing the medical history and dietary habits of a pregnant client, the
nurse suspects that the client's newborn may have risk of hyperactivity and learning
disabilities due to which factors?
A.) The client consumed alcohol during the pregnancy
B.) The client has three pregnancies in two years
C.) The client drinks 6 ounces of coffee daily
D.) The client is on valproic acid therapy
D - ✅✅-The nursing instructor is teaching nursing students about the daily fetal
movement count. Which statement by a student indicates a need for further teaching?
A.) "Fetal movements decrease in clients who consume alcohol"
B.) "Fetal movements cannot be detected during the fetus sleep cycle
C.) "Fetal movements cannot be easily detected in obese clients"
D.) "Fetal movements decrease one week before the expected date of delivery"
A, D, F - ✅✅-Which are prenatal tests used for diagnosing fetal defects in pregnancy
(select all that apply):
A.) Amniocentesis
B.) Polyhydramnios
C.) Amniotic fluid index (AFI)
D.) Chorionic villus sampling (CVS)
E.) Daily fetal movement count (DFMC)
F.) Percutaneous umbilical blood sampling (PUBS)
D - ✅✅-A woman who is at 36 weeks of gestation is having a nonstress test. Which
statement indicates her correct understanding of the test?
A.) "I will need to have a full bladder for the test to be done accurately"
B.) "I should have my husband drive me home after the test because I may be
nauseated"
C.) "This test will help to determine if the baby has Down Syndrome or a neural tube
defect"
D.) "This test observes for fetal activity and an acceleration of the fetal heart rate to
determine the well-being of the baby"
D - ✅✅-Which strengths and limitations of various biochemical assessments during
pregnancy should the nurse be aware of?
A.) Chorionic villus sampling (CVS) is becoming more popular because it provides early
diagnosis
B.) Screening for maternal serum alpha-fetoprotein (MSAFP) levels is recommended
only for women at risk for neural tube defects
