Test Bank Pregnancy, Labor,
Birth & Postpartum Nursing
PRACTICE QUESTIONS
|ORIGINAL QUESTIONS &
ANSWERS |DETAILED
RATIONALES |HINTED
COMPLETE EXAM PREP
GRADED A+*INSTANT
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Pregnancy: Antepartum Nursing Care
1. Which finding is considered a presumptive sign of pregnancy?
A. Positive pregnancy test
B. Fetal heart tones
C. Amenorrhea
D. Ultrasound visualization of the fetus
Answer: C. Amenorrhea
Amenorrhea is a presumptive sign because it is experienced by the
woman but can have causes other than pregnancy.
2. Which finding is a positive sign of pregnancy?
A. Nausea and vomiting
,B. Breast tenderness
C. Fetal heart activity detected by ultrasound
D. Increased urinary frequency
Answer: C. Fetal heart activity detected by ultrasound
Positive signs are findings that can be attributed only to the fetus,
such as fetal cardiac activity.
3. A pregnant client asks when fetal movement is commonly first
perceived by a woman who has previously been pregnant. What is
the best response?
A. 6–8 weeks
B. 10–12 weeks
C. 14–18 weeks
D. 24–28 weeks
Answer: C. 14–18 weeks
Multiparous clients commonly perceive fetal movement, or
quickening, earlier than first-time mothers, often around 14–18
weeks.
4. Which hormone maintains the endometrium during early
pregnancy?
A. Oxytocin
B. Progesterone
C. Follicle-stimulating hormone
D. Prolactin
Answer: B. Progesterone
Progesterone supports the endometrium and helps maintain
pregnancy.
5. Which hormone is detected by most pregnancy tests?
A. Estrogen
B. Progesterone
,C. Human chorionic gonadotropin
D. Oxytocin
Answer: C. Human chorionic gonadotropin
hCG is produced by trophoblastic tissue and is the hormone detected
by pregnancy tests.
6. A client has a last menstrual period of June 10. Using Nägele's
rule, what is the estimated date of delivery?
A. March 3
B. March 17
C. April 17
D. February 17
Answer: B. March 17
Add 7 days to the first day of the LMP, subtract 3 months, and add 1
year.
7. Which cardiovascular change is expected during pregnancy?
A. Decreased cardiac output
B. Increased blood volume
C. Decreased heart rate
D. Increased systemic vascular resistance
Answer: B. Increased blood volume
Maternal blood volume increases substantially during pregnancy to
support uteroplacental circulation and prepare for blood loss at birth.
8. Which respiratory change normally occurs during pregnancy?
A. Decreased oxygen consumption
B. Increased functional residual capacity
C. Increased tidal volume
D. Decreased minute ventilation
Answer: C. Increased tidal volume
Tidal volume and minute ventilation increase during pregnancy to
meet increased maternal and fetal oxygen demands.
, 9. Which instruction is most appropriate for a pregnant client
experiencing constipation?
A. Limit fluid intake
B. Increase dietary fiber and fluids
C. Use stimulant laxatives daily
D. Avoid physical activity
Answer: B. Increase dietary fiber and fluids
Fiber, adequate hydration, and regular activity help prevent
pregnancy-related constipation.
10. Which intervention is appropriate for a client experiencing
nausea and vomiting during early pregnancy?
A. Eat three large meals daily
B. Drink large amounts of fluid with meals
C. Eat dry crackers before getting out of bed
D. Avoid carbohydrates
Answer: C. Eat dry crackers before getting out of bed
Small, frequent meals and dry foods before rising can reduce morning
nausea.
11. Which nutrient is particularly important before conception and
during early pregnancy to reduce the risk of neural tube defects?
A. Vitamin C
B. Folic acid
C. Vitamin K
D. Calcium
Answer: B. Folic acid
Adequate folic acid before conception and during early pregnancy
reduces the risk of neural tube defects.
12. Which finding should a pregnant client report immediately?
A. Mild urinary frequency
B. Occasional fatigue
Birth & Postpartum Nursing
PRACTICE QUESTIONS
|ORIGINAL QUESTIONS &
ANSWERS |DETAILED
RATIONALES |HINTED
COMPLETE EXAM PREP
GRADED A+*INSTANT
DOWNLOAD PDF
Pregnancy: Antepartum Nursing Care
1. Which finding is considered a presumptive sign of pregnancy?
A. Positive pregnancy test
B. Fetal heart tones
C. Amenorrhea
D. Ultrasound visualization of the fetus
Answer: C. Amenorrhea
Amenorrhea is a presumptive sign because it is experienced by the
woman but can have causes other than pregnancy.
2. Which finding is a positive sign of pregnancy?
A. Nausea and vomiting
,B. Breast tenderness
C. Fetal heart activity detected by ultrasound
D. Increased urinary frequency
Answer: C. Fetal heart activity detected by ultrasound
Positive signs are findings that can be attributed only to the fetus,
such as fetal cardiac activity.
3. A pregnant client asks when fetal movement is commonly first
perceived by a woman who has previously been pregnant. What is
the best response?
A. 6–8 weeks
B. 10–12 weeks
C. 14–18 weeks
D. 24–28 weeks
Answer: C. 14–18 weeks
Multiparous clients commonly perceive fetal movement, or
quickening, earlier than first-time mothers, often around 14–18
weeks.
4. Which hormone maintains the endometrium during early
pregnancy?
A. Oxytocin
B. Progesterone
C. Follicle-stimulating hormone
D. Prolactin
Answer: B. Progesterone
Progesterone supports the endometrium and helps maintain
pregnancy.
5. Which hormone is detected by most pregnancy tests?
A. Estrogen
B. Progesterone
,C. Human chorionic gonadotropin
D. Oxytocin
Answer: C. Human chorionic gonadotropin
hCG is produced by trophoblastic tissue and is the hormone detected
by pregnancy tests.
6. A client has a last menstrual period of June 10. Using Nägele's
rule, what is the estimated date of delivery?
A. March 3
B. March 17
C. April 17
D. February 17
Answer: B. March 17
Add 7 days to the first day of the LMP, subtract 3 months, and add 1
year.
7. Which cardiovascular change is expected during pregnancy?
A. Decreased cardiac output
B. Increased blood volume
C. Decreased heart rate
D. Increased systemic vascular resistance
Answer: B. Increased blood volume
Maternal blood volume increases substantially during pregnancy to
support uteroplacental circulation and prepare for blood loss at birth.
8. Which respiratory change normally occurs during pregnancy?
A. Decreased oxygen consumption
B. Increased functional residual capacity
C. Increased tidal volume
D. Decreased minute ventilation
Answer: C. Increased tidal volume
Tidal volume and minute ventilation increase during pregnancy to
meet increased maternal and fetal oxygen demands.
, 9. Which instruction is most appropriate for a pregnant client
experiencing constipation?
A. Limit fluid intake
B. Increase dietary fiber and fluids
C. Use stimulant laxatives daily
D. Avoid physical activity
Answer: B. Increase dietary fiber and fluids
Fiber, adequate hydration, and regular activity help prevent
pregnancy-related constipation.
10. Which intervention is appropriate for a client experiencing
nausea and vomiting during early pregnancy?
A. Eat three large meals daily
B. Drink large amounts of fluid with meals
C. Eat dry crackers before getting out of bed
D. Avoid carbohydrates
Answer: C. Eat dry crackers before getting out of bed
Small, frequent meals and dry foods before rising can reduce morning
nausea.
11. Which nutrient is particularly important before conception and
during early pregnancy to reduce the risk of neural tube defects?
A. Vitamin C
B. Folic acid
C. Vitamin K
D. Calcium
Answer: B. Folic acid
Adequate folic acid before conception and during early pregnancy
reduces the risk of neural tube defects.
12. Which finding should a pregnant client report immediately?
A. Mild urinary frequency
B. Occasional fatigue
