NURS MISC OB HESI
Questions
1. A nursing instructor is conducting lecture and is reviewing the functions of the female
reproductive system. She asks Mark to describe the follicle-stimulating hormone (FSH)
and the luteinizing hormone (LH). Mark accurately responds by stating that:
1. FSH and LH are released from the anterior pituitary gland.
2. FSH and LH are secreted by the corpus luteum of the ovary
3. FSH and LH are secreted by the adrenal glands
4. FSH and LH stimulate the formation of milk during pregnancy.
2. A nurse is describing the process of fetal circulation to a client during a prenatal visit.
The nurse accurately tells the client that fetal circulation consists of:
1. Two umbilical veins and one umbilical artery
2. Two umbilical arteries and one umbilical vein
3. Arteries carrying oxygenated blood to the fetus
4. Veins carrying deoxygenated blood to the fetus
3. During a prenatal visit at 38 weeks, a nurse assesses the fetal heart rate. The nurse
determines that the fetal heart rate is normal if which of the following is noted?
1. 80 BPM
2. 100 BPM
3. 150 BPM
4. 180 BPM
4. A client arrives at a prenatal clinic for the first prenatal assessment. The client tells
a nurse that the first day of her last menstrual period was September 19th, 2005. Using
Naegele’s
rule, the nurse determines the estimated date of confinement as:
July 26, 2006
2. June 12, 2007
3. June 26, 2006
4. July 12, 2007
5. A nurse is collecting data during an admission assessment of a client who is pregnant
with twins. The client has a healthy 5-year old child that was delivered at 37 weeks and tells
the nurse that she
doesn’t have any history of abortion or fetal demise. The nurse would document the GTPAL
for this client as:
1. G = 3, T = 2, P = 0, A = 0, L =1
2. G = 2, T = 0, P = 1, A = 0, L =1
3. G = 1, T = 1. P = 1, A = 0, L = 1
4. G = 2, T = 0, P = 0, A = 0, L = 1
6. A nurse is performing an assessment of a primipara who is being evaluated in a clinic
during her second trimester of pregnancy. Which of the following indicates an abnormal
physical finding necessitating further testing?
1. Consistent increase in fundal height
2. Fetal heart rate of 180 BPM
3. Braxton hicks contractions
,NURS MISC OB HESI
4. Quickening
7. A nurse is reviewing the record of a client who has just been told that a pregnancy test
is positive. The physician has documented the presence of a Goodell’s sign. The
nurse determines this sign indicates:
1. A softening of the cervix
2. A soft blowing sound that corresponds to the maternal pulse during auscultation of the uterus.
3. The presence of hCG in the urine
4. The presence of fetal movement
8. A nursing instructor asks a nursing student who is preparing to assist with the
assessment of a pregnant client to describe the process of quickening. Which of
the following statements if made by the student indicates an understanding of this term?
1. ―It is the irregular, painless contractions that occur throughout pregnancy.
2. ―It is the soft blowing sound that can be heard when the uterus is auscultated.
3. ―It is the fetal movement that is felt by the mother.
4. ―It is the thinning of the lower uterine segment.
9. A nurse midwife is performing an assessment of a pregnant client and is assessing the
client for the presence of ballottement. Which of the following would the nurse implement
to test for the presence of ballottement?
1. Auscultating for fetal heart sounds
2. Palpating the abdomen for fetal movement
3. Assessing the cervix for thinning
4. Initiating a gentle upward tap on the cervix
10. A nurse is assisting in performing an assessment on a client who suspects that she is
pregnant and is checking the client for probable signs of pregnancy.
Select all
probable signs of pregnancy.
1. Uterine enlargement
2. Fetal heart rate detected by nonelectric device
3. Outline of the fetus via radiography or ultrasound
4. Chadwick‘s sign
5. Braxton Hicks contractions
6. Ballottement
11. A pregnant client calls the clinic and tells a nurse that she is experiencing leg cramps
and is awakened by the cramps at night. To provide relief from the leg cramps, the nurse
tells the client to:
1. Dorsiflex the foot while extending the knee when the cramps occur
2. Dorsiflex the foot while flexing the knee when the cramps occur
, NURS MISC OB HESI
3. Plantar flex the foot while flexing the knee when the cramps occur
4. Plantar flex the foot while extending the knee when the cramps occur.
12. A nurse is providing instructions to a client in the first trimester of pregnancy regarding
measures to assist in reducing breast tenderness. The nurse tells the client to:
1. Avoid wearing a bra
2. Wash the nipples and areola area daily with soap and massage the breasts with lotion.
3. Wear tight-fitting blouses or dresses to provide support
4. Wash the breasts with warm water and keep them dry
13. A pregnant client in the last trimester has been admitted to the hospital with a diagnosis
of severe preeclampsia. A nurse monitors for complications associated with the diagnosis
and assesses the client for:
1. Any bleeding, such as in the gums, petechiae, and purpura.
2. Enlargement of the breasts
3. Periods of fetal movement followed by quiet periods
4. Complaints of feeling hot when the room is cool
14. A client in the first trimester of pregnancy arrives at a health care clinic and reports
that she has been experiencing vaginal bleeding. A threatened abortion is suspected, and
the nurse instructs the client regarding management of care. Which statement, if made by
the client, indicates a need for further education?
1. ―I will maintain strict bedrest throughout the remainder of pregnancy.
2. ―I will avoid sexual intercourse until the bleeding has stopped, and for 2 weeks following the
last evidence of bleeding.
3. ―I will count the number of perineal pads used on a daily basis and note the amount and color
of blood on the pad.
4. ―I will watch for the evidence of the passage of tissue.
15. A prenatal nurse is providing instructions to a group of pregnant clients regarding
measures to prevent toxoplasmosis. Which statement if made by one of the clients indicates
a need for further instructions?
1. ―I need to cook meat thoroughly.
2. ―I need to avoid touching mucous membranes of the mouth or eyes while handling raw meat.
3. ―I need to drink unpasteurized milk only.
4. ―I need to avoid contact with materials that are possibly contaminated with cat feces.
Questions
1. A nursing instructor is conducting lecture and is reviewing the functions of the female
reproductive system. She asks Mark to describe the follicle-stimulating hormone (FSH)
and the luteinizing hormone (LH). Mark accurately responds by stating that:
1. FSH and LH are released from the anterior pituitary gland.
2. FSH and LH are secreted by the corpus luteum of the ovary
3. FSH and LH are secreted by the adrenal glands
4. FSH and LH stimulate the formation of milk during pregnancy.
2. A nurse is describing the process of fetal circulation to a client during a prenatal visit.
The nurse accurately tells the client that fetal circulation consists of:
1. Two umbilical veins and one umbilical artery
2. Two umbilical arteries and one umbilical vein
3. Arteries carrying oxygenated blood to the fetus
4. Veins carrying deoxygenated blood to the fetus
3. During a prenatal visit at 38 weeks, a nurse assesses the fetal heart rate. The nurse
determines that the fetal heart rate is normal if which of the following is noted?
1. 80 BPM
2. 100 BPM
3. 150 BPM
4. 180 BPM
4. A client arrives at a prenatal clinic for the first prenatal assessment. The client tells
a nurse that the first day of her last menstrual period was September 19th, 2005. Using
Naegele’s
rule, the nurse determines the estimated date of confinement as:
July 26, 2006
2. June 12, 2007
3. June 26, 2006
4. July 12, 2007
5. A nurse is collecting data during an admission assessment of a client who is pregnant
with twins. The client has a healthy 5-year old child that was delivered at 37 weeks and tells
the nurse that she
doesn’t have any history of abortion or fetal demise. The nurse would document the GTPAL
for this client as:
1. G = 3, T = 2, P = 0, A = 0, L =1
2. G = 2, T = 0, P = 1, A = 0, L =1
3. G = 1, T = 1. P = 1, A = 0, L = 1
4. G = 2, T = 0, P = 0, A = 0, L = 1
6. A nurse is performing an assessment of a primipara who is being evaluated in a clinic
during her second trimester of pregnancy. Which of the following indicates an abnormal
physical finding necessitating further testing?
1. Consistent increase in fundal height
2. Fetal heart rate of 180 BPM
3. Braxton hicks contractions
,NURS MISC OB HESI
4. Quickening
7. A nurse is reviewing the record of a client who has just been told that a pregnancy test
is positive. The physician has documented the presence of a Goodell’s sign. The
nurse determines this sign indicates:
1. A softening of the cervix
2. A soft blowing sound that corresponds to the maternal pulse during auscultation of the uterus.
3. The presence of hCG in the urine
4. The presence of fetal movement
8. A nursing instructor asks a nursing student who is preparing to assist with the
assessment of a pregnant client to describe the process of quickening. Which of
the following statements if made by the student indicates an understanding of this term?
1. ―It is the irregular, painless contractions that occur throughout pregnancy.
2. ―It is the soft blowing sound that can be heard when the uterus is auscultated.
3. ―It is the fetal movement that is felt by the mother.
4. ―It is the thinning of the lower uterine segment.
9. A nurse midwife is performing an assessment of a pregnant client and is assessing the
client for the presence of ballottement. Which of the following would the nurse implement
to test for the presence of ballottement?
1. Auscultating for fetal heart sounds
2. Palpating the abdomen for fetal movement
3. Assessing the cervix for thinning
4. Initiating a gentle upward tap on the cervix
10. A nurse is assisting in performing an assessment on a client who suspects that she is
pregnant and is checking the client for probable signs of pregnancy.
Select all
probable signs of pregnancy.
1. Uterine enlargement
2. Fetal heart rate detected by nonelectric device
3. Outline of the fetus via radiography or ultrasound
4. Chadwick‘s sign
5. Braxton Hicks contractions
6. Ballottement
11. A pregnant client calls the clinic and tells a nurse that she is experiencing leg cramps
and is awakened by the cramps at night. To provide relief from the leg cramps, the nurse
tells the client to:
1. Dorsiflex the foot while extending the knee when the cramps occur
2. Dorsiflex the foot while flexing the knee when the cramps occur
, NURS MISC OB HESI
3. Plantar flex the foot while flexing the knee when the cramps occur
4. Plantar flex the foot while extending the knee when the cramps occur.
12. A nurse is providing instructions to a client in the first trimester of pregnancy regarding
measures to assist in reducing breast tenderness. The nurse tells the client to:
1. Avoid wearing a bra
2. Wash the nipples and areola area daily with soap and massage the breasts with lotion.
3. Wear tight-fitting blouses or dresses to provide support
4. Wash the breasts with warm water and keep them dry
13. A pregnant client in the last trimester has been admitted to the hospital with a diagnosis
of severe preeclampsia. A nurse monitors for complications associated with the diagnosis
and assesses the client for:
1. Any bleeding, such as in the gums, petechiae, and purpura.
2. Enlargement of the breasts
3. Periods of fetal movement followed by quiet periods
4. Complaints of feeling hot when the room is cool
14. A client in the first trimester of pregnancy arrives at a health care clinic and reports
that she has been experiencing vaginal bleeding. A threatened abortion is suspected, and
the nurse instructs the client regarding management of care. Which statement, if made by
the client, indicates a need for further education?
1. ―I will maintain strict bedrest throughout the remainder of pregnancy.
2. ―I will avoid sexual intercourse until the bleeding has stopped, and for 2 weeks following the
last evidence of bleeding.
3. ―I will count the number of perineal pads used on a daily basis and note the amount and color
of blood on the pad.
4. ―I will watch for the evidence of the passage of tissue.
15. A prenatal nurse is providing instructions to a group of pregnant clients regarding
measures to prevent toxoplasmosis. Which statement if made by one of the clients indicates
a need for further instructions?
1. ―I need to cook meat thoroughly.
2. ―I need to avoid touching mucous membranes of the mouth or eyes while handling raw meat.
3. ―I need to drink unpasteurized milk only.
4. ―I need to avoid contact with materials that are possibly contaminated with cat feces.
