Chapter 12: Nursing Management During
Pregnancy (PrepU)
questions and answers with explanations
2026 update
1. AU.pregnantU.adolescentU.asksU.theU.nurseU.whichU.sportU.wouldU.beU.safeU.forU.herU.toU.learnU.during U.pregna
ncy.U.WhichU.activityU.wouldU.theU.nurseU.suggestU.asU.safe?
skiingU.bicycli
ngU.swimmin
g
joggingU.ANS>>U.swimming
SportsU.thatU.requireU.balanceU.(bicycling, U.skiing)U.becomeU.difficultU.duringU.pregnancy.U.JoggingU.canU.beU.di
fficultU.becauseU.ofU.laxU.kneeU.cartilage.U.Swimming U.wouldU.beU.aU.safeU.activityU.toU.partakeU.inU.duringU.pregn
ancy.
2. WhichU.twoU.testsU.areU.generallyU.performedU.onU.urineU.atU.aU.prenatal U.vis
it?U.proteinU.andU.glucose
occultU.bloodU.andU.proteinU.
pHU.andU.glucose
proteinU.andU.sodiumU.ANS>>U.proteinU.andU.glucose
ProteinU.isU.assessedU.toU.helpU.detectU.hypertensionU.ofU.pregnancy; U.glucoseU.isU.assessedU.toU.helpU.detectU.ge
stationalU.diabetes.
3. TheU.nurseU.isU.preparing U.aU.teaching U.planU.forU.aU.pregnantU.womanU.aboutU.theU.signs U.andU.symptomsU.toU.
beU.reportedU.immediatelyU.toU.herU.healthU.careU.provider.U.WhichU.signsU.andU.symptomsU.wouldU.theU.nurseU.in
clude?U.SelectU.allU.thatU.apply.
urinaryU.frequencyU.inU.theU.third U.trimester
headacheU.withU.visualU.changesU.inU.theU.thirdU.trimester
lowerU.abdominalU.painU.withU.shoulderU.painU.inU.theU.firstU.trimester
U. nauseaU.withU.vomitingU.duringU.theU.firstU.trimester
suddenU.leakageU.ofU.fluidU.duringU.theU.secondU.trimester
,backacheU.duringU.theU.secondU.trimesterU.ANS>>U.headacheU.withU.visualU.changesU.inU.theU.thirdU.trimesterU.s
uddenU.leakageU.ofU.fluidU.during U.theU.secondU.trimester
lowerU.abdominalU.painU.withU.shoulderU.painU.inU.theU.firstU.trimester
DangerU.signsU.andU.symptomsU.thatU.needU.toU.beU.reportedU.immediatelyU.includeU.headacheU.withU.visualU . ch
angesU.inU.theU.thirdU.trimester;U.suddenU.leakageU.ofU.fluidU.inU.theU.secondU.trimester;U.and U.lowerU.abdominalU.p
ainU.accompaniedU.byU.shoulderU.painU.inU.theU.firstU.trimester.U.UrinaryU.frequencyU.inU.theU.thirdU.trimester,U.naus
eaU.andU.vomitingU.during U.theU.firstU.trimester,U.and U.backacheU.during U.theU.secondU.trimesterU.areU.commonU.di
scomfortsU.ofU.pregnancy.
4. WhenU.describingU.theU.roleU.ofU.aU.doulaU.toU.aU.groupU.ofU.pregnantU.women,U.theU.nurseU.wouldU.includeU.w
hichU.information?
TheU.doulaU.primarilyU.focusesU.onU.providingU.continuousU.laborU.support.
TheU.doulaU.isU.aU.professionallyU.trained U.nurseU.hired U.toU.provideU.physicalU.andU.emotionalU.support.
U. TheU.doulaU.canU.performU.anyU.necessaryU.clinicalU.procedures.
TheU.doulaU.isU.capableU.ofU.handling U.high-
riskU.birthsU.and U.emergenciesU.ANS>>U.TheU.doulaU.primarilyU.focusesU.onU.providing U.continuousU.laborU.sup
port.
DoulasU.provideU.theU.womanU.withU.continuous U.supportU.throughoutU.labor.U.TheU.doulaU.isU.aU.laywomanU.trai
nedU.toU.provideU.womenU.andU.familiesU.withU.encouragement,U.emotionalU.and U.physicalU.support,U.andU.infor
mationU.throughU.lateU.pregnancy,U.labor,U.andU.birth.U.AU.doulaU.doesU.notU.performU.anyU.clinicalU.proceduresU.
andU.isU.notU.trainedU.toU.handleU.high-riskU.birthsU.andU.emergencies.
5. AU.client U.inU.theU.firstU.trimesterU.reportsU.havingU.nausea U.andU.vomiting,U.especiallyU.inU.theU.morning.U.W
hichU.instructionU.wouldU.beU.mostU.appropriateU.toU.helpU.prevent U.orU.reduceU.theU.client'sU.compliant?
EatU.dryU.crackersU.orU.toastU.beforeU.rising.U.A
voidU.eatingU.spicyU.food.
AvoidU.foodsU.suchU.asU.cheese.
DrinkU.plentyU.ofU.fluidsU.atU.bedtime.U.ANS>>U.EatU.dryU.crackersU.orU.toastU.beforeU.rising.
TheU.nurseU.shouldU.recommendU.theU.clientU.eatU.dryU.crackersU.orU.toastU.beforeU.risingU.toU.preventU.nauseaU.an
dU.vomiting U.inU.theU.morning.U.Drinking U.plentyU.ofU.fluidsU.atU.bedtimeU.couldU.causeU.nocturia.U.FoodsU.suchU.as
U.cheeseU.should U.beU.avoided U.toU.preventU.constipation.U.SpicyU.foodsU.could U.causeU.heartburn.
6. WhenU.preparingU.aU.classU.forU.aU.groupU.ofU.pregnantU.womenU.aboutU.nicotineU.useU.during U.pregnancy,
U. theU.nurseU.describesU.theU.majorU.risksU.associatedU.withU.nicotineU.use,U.including:
increasedU.riskU.ofU.placentalU.abruptionU.(abruptioU.placentae).U.inc
reasedU.riskU.ofU.spontaneousU.abortionU.(miscarriage).U.increased
U. riskU.ofU.stillbirth.
decreasedU.birthU.weightU.inU.neonates.U.ANS>>U.decreasedU.birthU.weightU.inU.neonates.
TheU.nurseU.should U.informU.theU.clientU.that U.childrenU.bornU.ofU.mothersU.who U.useU.nicotineU.willU.haveU.aU.decrea
sedU.birthU.weight.U.Spontaneous U.abortionU.(miscarriage)U.isU.associatedU.withU.caffeineU.use.U.IncreasedU.risks
U.ofU.stillbirthU.and U.placentalU.abruptionU.(abruptio U.placentae) U.areU.associated U.withU.mothers U.addicted U.toU.co
caine.
7. WhileU.assessingU.aU.client'sU.breastU.duringU.theU.third U.trimester,U.whichU.finding U.wouldU.theU.nurseU.expect?
, breastsU.becomingU.soft
U. pink-
coloredU.nipplesU.painU.i
nU.theU.nippleU.area
colostrumU.fromU.theU.nipplesU.ANS>>U.colostrumU.fromU.theU.nipples
DuringU.theU.third U.trimester,U.theU.nipplesU.expressU.colostrum.U.AreolaeU.and U.nipplesU.appearU.enlargedU.withU.
darkerU.pigmentationU.during U.theU.thirdU.trimester.U.TheU.nurseU.assessesU.forU.theU.softnessU.ofU.theU.breast,U.col
or,U.andU.painU.inU.theU.nippleU.areaU.inU.nursingU.mothers.
8. AU.client U.inU.herU.secondU.trimesterU.ofU.pregnancyU.hasU.developedU.varicoseU.veinsU.andU.experiences
U. legU.cramps.U.WhichU.suggestionU.wouldU.beU.mostU.appropriate?
IncreaseU.intakeU.ofU.folicU.acid.U.In
creaseU.intakeU.ofU.calcium.U.Eleva
teU.legsU.whileU.sitting.
PerformU.aerobicU.exercises.U.ANS>>U.ElevateU.legsU.whileU.sitting.
TheU.nurseU.should U.encourage U.theU.client U.toU.elevateU.herU.legsU.whileU.sitting;U.thisU.willU.prevent U.poolingU.
andU.engorgement U.ofU.veinsU.inU.theU.lowerU.extremities.U.AerobicU.exercisesU.doU.notU.help U.inU.preventingU.
varicoseU.veins.U.FolicU.acidU.intakeU.isU.recommendedU.inU.theU.firstU.trimesterU.toU.preventU.congenitalU.ab
normalities.
IncreasingU.theU.intakeU.ofU.calciumU.helpsU.inU.strengtheningU.bones.
9. WhatU.anatomicU.areaU.should U.beU.examined U.whenU.assessing U.MontgomeryU.glandsU.(Montgom
eryU.tubercles)?
abdomenU.bre
astsU.perineu
m
thoraxU.ANS>>U.breasts
MontgomeryU.glandsU.(MontgomeryU.tubercles)U.areU.sebaceousU.glandsU.onU.theU.areolaU.ofU.theU.breastsU.andU.a
reU.prominent U.during U.pregnancy.
10. AU.client U.comesU.toU.theU.clinicU.forU.herU.usualU.prenatalU.checkU.up.U.TheU.nurseU.measures U.theU.fundalU.heig
htU.atU.24U.cm.U.WhatU.isU.theU.estimatedU.lengthU.ofU.herU.gestation?
24U.weeks
20U.weeks
28U.weeks
32U.weeksU.ANS>>U.24U.weeks
FundalU.heightU.isU.anU.approximationU.ofU.theU.numberU.ofU.weeksU.ofU.gestation.U.BetweenU.20U.toU.32U.weeks,U.SF
HU.=U.gestationU.inU.weeksU.+U.orU.-U.2U.cm.
11. TheU.nurseU.isU.describingU.pregnancyU.dangerU.signsU.toU.aU.pregnantU.womanU.whoU.isU.inU.herU.firstU.trime
ster.U.WhichU.dangerU.signU.mightU.occurU.atU.thisU.pointU.inU.herU.pregnancy?
Pregnancy (PrepU)
questions and answers with explanations
2026 update
1. AU.pregnantU.adolescentU.asksU.theU.nurseU.whichU.sportU.wouldU.beU.safeU.forU.herU.toU.learnU.during U.pregna
ncy.U.WhichU.activityU.wouldU.theU.nurseU.suggestU.asU.safe?
skiingU.bicycli
ngU.swimmin
g
joggingU.ANS>>U.swimming
SportsU.thatU.requireU.balanceU.(bicycling, U.skiing)U.becomeU.difficultU.duringU.pregnancy.U.JoggingU.canU.beU.di
fficultU.becauseU.ofU.laxU.kneeU.cartilage.U.Swimming U.wouldU.beU.aU.safeU.activityU.toU.partakeU.inU.duringU.pregn
ancy.
2. WhichU.twoU.testsU.areU.generallyU.performedU.onU.urineU.atU.aU.prenatal U.vis
it?U.proteinU.andU.glucose
occultU.bloodU.andU.proteinU.
pHU.andU.glucose
proteinU.andU.sodiumU.ANS>>U.proteinU.andU.glucose
ProteinU.isU.assessedU.toU.helpU.detectU.hypertensionU.ofU.pregnancy; U.glucoseU.isU.assessedU.toU.helpU.detectU.ge
stationalU.diabetes.
3. TheU.nurseU.isU.preparing U.aU.teaching U.planU.forU.aU.pregnantU.womanU.aboutU.theU.signs U.andU.symptomsU.toU.
beU.reportedU.immediatelyU.toU.herU.healthU.careU.provider.U.WhichU.signsU.andU.symptomsU.wouldU.theU.nurseU.in
clude?U.SelectU.allU.thatU.apply.
urinaryU.frequencyU.inU.theU.third U.trimester
headacheU.withU.visualU.changesU.inU.theU.thirdU.trimester
lowerU.abdominalU.painU.withU.shoulderU.painU.inU.theU.firstU.trimester
U. nauseaU.withU.vomitingU.duringU.theU.firstU.trimester
suddenU.leakageU.ofU.fluidU.duringU.theU.secondU.trimester
,backacheU.duringU.theU.secondU.trimesterU.ANS>>U.headacheU.withU.visualU.changesU.inU.theU.thirdU.trimesterU.s
uddenU.leakageU.ofU.fluidU.during U.theU.secondU.trimester
lowerU.abdominalU.painU.withU.shoulderU.painU.inU.theU.firstU.trimester
DangerU.signsU.andU.symptomsU.thatU.needU.toU.beU.reportedU.immediatelyU.includeU.headacheU.withU.visualU . ch
angesU.inU.theU.thirdU.trimester;U.suddenU.leakageU.ofU.fluidU.inU.theU.secondU.trimester;U.and U.lowerU.abdominalU.p
ainU.accompaniedU.byU.shoulderU.painU.inU.theU.firstU.trimester.U.UrinaryU.frequencyU.inU.theU.thirdU.trimester,U.naus
eaU.andU.vomitingU.during U.theU.firstU.trimester,U.and U.backacheU.during U.theU.secondU.trimesterU.areU.commonU.di
scomfortsU.ofU.pregnancy.
4. WhenU.describingU.theU.roleU.ofU.aU.doulaU.toU.aU.groupU.ofU.pregnantU.women,U.theU.nurseU.wouldU.includeU.w
hichU.information?
TheU.doulaU.primarilyU.focusesU.onU.providingU.continuousU.laborU.support.
TheU.doulaU.isU.aU.professionallyU.trained U.nurseU.hired U.toU.provideU.physicalU.andU.emotionalU.support.
U. TheU.doulaU.canU.performU.anyU.necessaryU.clinicalU.procedures.
TheU.doulaU.isU.capableU.ofU.handling U.high-
riskU.birthsU.and U.emergenciesU.ANS>>U.TheU.doulaU.primarilyU.focusesU.onU.providing U.continuousU.laborU.sup
port.
DoulasU.provideU.theU.womanU.withU.continuous U.supportU.throughoutU.labor.U.TheU.doulaU.isU.aU.laywomanU.trai
nedU.toU.provideU.womenU.andU.familiesU.withU.encouragement,U.emotionalU.and U.physicalU.support,U.andU.infor
mationU.throughU.lateU.pregnancy,U.labor,U.andU.birth.U.AU.doulaU.doesU.notU.performU.anyU.clinicalU.proceduresU.
andU.isU.notU.trainedU.toU.handleU.high-riskU.birthsU.andU.emergencies.
5. AU.client U.inU.theU.firstU.trimesterU.reportsU.havingU.nausea U.andU.vomiting,U.especiallyU.inU.theU.morning.U.W
hichU.instructionU.wouldU.beU.mostU.appropriateU.toU.helpU.prevent U.orU.reduceU.theU.client'sU.compliant?
EatU.dryU.crackersU.orU.toastU.beforeU.rising.U.A
voidU.eatingU.spicyU.food.
AvoidU.foodsU.suchU.asU.cheese.
DrinkU.plentyU.ofU.fluidsU.atU.bedtime.U.ANS>>U.EatU.dryU.crackersU.orU.toastU.beforeU.rising.
TheU.nurseU.shouldU.recommendU.theU.clientU.eatU.dryU.crackersU.orU.toastU.beforeU.risingU.toU.preventU.nauseaU.an
dU.vomiting U.inU.theU.morning.U.Drinking U.plentyU.ofU.fluidsU.atU.bedtimeU.couldU.causeU.nocturia.U.FoodsU.suchU.as
U.cheeseU.should U.beU.avoided U.toU.preventU.constipation.U.SpicyU.foodsU.could U.causeU.heartburn.
6. WhenU.preparingU.aU.classU.forU.aU.groupU.ofU.pregnantU.womenU.aboutU.nicotineU.useU.during U.pregnancy,
U. theU.nurseU.describesU.theU.majorU.risksU.associatedU.withU.nicotineU.use,U.including:
increasedU.riskU.ofU.placentalU.abruptionU.(abruptioU.placentae).U.inc
reasedU.riskU.ofU.spontaneousU.abortionU.(miscarriage).U.increased
U. riskU.ofU.stillbirth.
decreasedU.birthU.weightU.inU.neonates.U.ANS>>U.decreasedU.birthU.weightU.inU.neonates.
TheU.nurseU.should U.informU.theU.clientU.that U.childrenU.bornU.ofU.mothersU.who U.useU.nicotineU.willU.haveU.aU.decrea
sedU.birthU.weight.U.Spontaneous U.abortionU.(miscarriage)U.isU.associatedU.withU.caffeineU.use.U.IncreasedU.risks
U.ofU.stillbirthU.and U.placentalU.abruptionU.(abruptio U.placentae) U.areU.associated U.withU.mothers U.addicted U.toU.co
caine.
7. WhileU.assessingU.aU.client'sU.breastU.duringU.theU.third U.trimester,U.whichU.finding U.wouldU.theU.nurseU.expect?
, breastsU.becomingU.soft
U. pink-
coloredU.nipplesU.painU.i
nU.theU.nippleU.area
colostrumU.fromU.theU.nipplesU.ANS>>U.colostrumU.fromU.theU.nipples
DuringU.theU.third U.trimester,U.theU.nipplesU.expressU.colostrum.U.AreolaeU.and U.nipplesU.appearU.enlargedU.withU.
darkerU.pigmentationU.during U.theU.thirdU.trimester.U.TheU.nurseU.assessesU.forU.theU.softnessU.ofU.theU.breast,U.col
or,U.andU.painU.inU.theU.nippleU.areaU.inU.nursingU.mothers.
8. AU.client U.inU.herU.secondU.trimesterU.ofU.pregnancyU.hasU.developedU.varicoseU.veinsU.andU.experiences
U. legU.cramps.U.WhichU.suggestionU.wouldU.beU.mostU.appropriate?
IncreaseU.intakeU.ofU.folicU.acid.U.In
creaseU.intakeU.ofU.calcium.U.Eleva
teU.legsU.whileU.sitting.
PerformU.aerobicU.exercises.U.ANS>>U.ElevateU.legsU.whileU.sitting.
TheU.nurseU.should U.encourage U.theU.client U.toU.elevateU.herU.legsU.whileU.sitting;U.thisU.willU.prevent U.poolingU.
andU.engorgement U.ofU.veinsU.inU.theU.lowerU.extremities.U.AerobicU.exercisesU.doU.notU.help U.inU.preventingU.
varicoseU.veins.U.FolicU.acidU.intakeU.isU.recommendedU.inU.theU.firstU.trimesterU.toU.preventU.congenitalU.ab
normalities.
IncreasingU.theU.intakeU.ofU.calciumU.helpsU.inU.strengtheningU.bones.
9. WhatU.anatomicU.areaU.should U.beU.examined U.whenU.assessing U.MontgomeryU.glandsU.(Montgom
eryU.tubercles)?
abdomenU.bre
astsU.perineu
m
thoraxU.ANS>>U.breasts
MontgomeryU.glandsU.(MontgomeryU.tubercles)U.areU.sebaceousU.glandsU.onU.theU.areolaU.ofU.theU.breastsU.andU.a
reU.prominent U.during U.pregnancy.
10. AU.client U.comesU.toU.theU.clinicU.forU.herU.usualU.prenatalU.checkU.up.U.TheU.nurseU.measures U.theU.fundalU.heig
htU.atU.24U.cm.U.WhatU.isU.theU.estimatedU.lengthU.ofU.herU.gestation?
24U.weeks
20U.weeks
28U.weeks
32U.weeksU.ANS>>U.24U.weeks
FundalU.heightU.isU.anU.approximationU.ofU.theU.numberU.ofU.weeksU.ofU.gestation.U.BetweenU.20U.toU.32U.weeks,U.SF
HU.=U.gestationU.inU.weeksU.+U.orU.-U.2U.cm.
11. TheU.nurseU.isU.describingU.pregnancyU.dangerU.signsU.toU.aU.pregnantU.womanU.whoU.isU.inU.herU.firstU.trime
ster.U.WhichU.dangerU.signU.mightU.occurU.atU.thisU.pointU.inU.herU.pregnancy?
