Maternity & Women's Healthcare Ch.
4,5,7,8,9,12,13,14,15 EAQ ||VERIFIED EXAM!!MOST
RECENT EXAM 2026 ACTUAL COMPLETE REAL
EXAM QUESTION AND CORRECT ANSWER (VERIFIED
ANSWERS) ALREADY GRADED A+ ||NEWEST EXAM!!!
When a client at 39 weeks' gestation arrives at the birthing
suite she says, 'I've been having contractions for 3 hours,
and I think my water broke.' Which action would the nurse
take to confirm that the membranes have ruptured?
Take the client's oral temperature.
Test the leaking fluid with nitrazine paper.
Obtain a clean-catch urine specimen.
Inspect the perineum for leaking fluid. - Answers-Ans: Test
the leaking fluid with nitrazine paper.
Nitrazine paper will turn dark blue if amniotic fluid is
present; it remains the same color in the presence of
urine. Temperature assessment is not specific to ruptured
membranes at this time; vital signs are part of the initial
assessment. Although this may be done as part of the
initial assessment, a urine test is unrelated to leakage of
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amniotic fluid. Inspecting the perineum for leaking fluid will
not confirm rupture of the membranes.
A client who is at 20 weeks' gestation visits the prenatal
clinic for the first time. Assessment reveals temperature of
98.8°F (37.1°C), pulse of 80 beats per minute, blood
pressure of 128/80 mm Hg, weight of 142 lb (64.4 kg)
(prepregnancy weight was 132 lb [59.9 kg]), fetal heart
rate (FHR) of 140 beats per minute, urine that is negative
for protein, and fasting blood glucose level of 92 mg/dL
(5.2 mmol/L). Which would the nurse do after making
these assessments?
Report the findings because the client needs immediate
intervention.
Document the results because they are expected at 20
weeks' gestation.
Record the findings in the medical record because they
are not within the norm but are not critical.
Prepare the client for an emergency admission because
these findings may represent jeopardy to the client and
fetus. - Answers-Ans: Document the results because they
are expected at 20 weeks' gestation.
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All data presented are expected for a client at 20 weeks'
gestation and should be documented. There is no need for
immediate intervention or an emergency admission
because all findings are expected.
The first day of a client's last menstrual period was July
22. Which is the estimated date of birth (EDB)?
May 7
April 29
April 22
March 6 - Answers-Ans: April 29
Her EDB is April 29. Naegeles rule is an indirect,
noninvasive method for estimating the date of birth: EDB =
last menstrual period + 1 year - 3 months + 7 days. May 7
is beyond the EDB. April 22 and March 6 are both before
the EDB.
A prenatal client's vaginal mucosa is noted to have a
purplish discoloration. Which sign would be documented in
the client's clinical record?
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Hegar
Goodell
Chadwick
Braxton-Hicks - Answers-Ans: Chadwick
A purplish coloration, called the Chadwick sign, results
from the increased vascularity and blood vessel
engorgement of the vagina. The Hegar sign is softening of
the lower uterine segment. The Goodell sign is softening
of the cervix. After the fourth month of pregnancy, irregular,
painless uterine contractions, called Braxton-Hicks
contractions, can be felt through the abdominal wall.
A nonstress test (NST) is scheduled for a client with mild
preeclampsia. During an NST, the client asks what it
means when the fetal heart rate goes up every time the
fetus moves. Which is an appropriate response?
'These accelerations are a sign of fetal well-being.'
'These accelerations indicate fetal head compression.'
'Umbilical cord compression is causing these
accelerations.' 'Uteroplacental insufficiency is causing