NUR 220 (OB - FINAL EXAM) Questions with Correct Answers
(Grade A+)
Question 1: A pregnant woman's last menstrual period began on April 8, 2009, and ended on April 13.
Using Nägele's rule, her estimated date of birth would be ________________? **CHAPTER 8**
Answer: January 15, 2010
Question 2: A pregnant woman at 32 weeks of gestation complains of feeling dizzy and light-headed
while her fundal height is being measured. Her skin is pale and moist. The nurse's initial response
would be to:
A. Assess the woman's blood pressure and pulse
B. Have the woman breathe into a paper bag
C. Raise the woman's legs
D. Turn the woman on her side **CHAPTER 8**
Answer: D (Turn the woman on her side)
Question 3: A woman who is 32 weeks pregnant is informed by the nurse that a danger sign of
pregnancy could be:
A. Constipation
B. Alteration in the pattern of fetal movement
C. Heart palpitations
D. Edema in the ankles and feet at the end of the day **CHAPTER 8**
Answer: B (Alteration in the pattern of fetal movement)
Question 4: A woman who is 14 weeks pregnant tells the nurse that she always had a glass of wine with
dinner before she became pregnant. She has abstained during her first trimester and would like to
know if it is safe for her to have a drink with dinner now. The nurse tells her:
A. "Because you are in your second trimester, there is no problem with having one drink with dinner"
B. "One drink every night is too much. One drink 3 times a week should be fine"
C. "Because you are in your second trimester, you can drink as much as you like"
D. "Because no one knows how much or how little alcohol it takes to cause fetal problems, the best course is to
abstain throughout your pregnancy" **CHAPTER 8**
Answer: D ("Because no one knows how much or how little alcohol it takes to cause fetal problems, the best
course is to abstain throughout your pregnancy")
Page 1
,Question 5: If exhibited by an expectant father, what would be a warning sign of ineffective adaptation
to his partner's first pregnancy?
A. Views pregnancy with pride as a confirmation of his virility
B. Consistently changes the subject when the topic of the fetus/newborn is raised
C. Expresses concern that he might faint at the birth of his baby
D. Experiences nausea and fatigue, along with his partner, during the first trimester **CHAPTER 8**
Answer: B (Consistently changes the subject when the topic of the fetus/newborn is raised)
Question 6: An expectant father confides in the nurse that his pregnant wife, 10 weeks of gestation, is
driving him crazy. "One minute she seems happy, and the next minute she is crying over nothing at all.
Is there something wrong with her?" The nurse's BEST response would be:
A. "This is normal behavior and should begin to subside by the second trimester."
B. "She may be having difficulty adjusting to pregnancy; I will refer her to a counselor that I know."
C. "This is called emotional lability and is related to hormone changes and anxiety during pregnancy. The
mood swings will eventually subside as she adjusts to being pregnant."
D. "You seem impatient with her. Perhaps this is precipitating her behavior." **CHAPTER 8**
Answer: C ("This is called emotional lability and is related to hormone changes and anxiety during
pregnancy. The mood swings will eventually subside as she adjusts to being pregnant.")
Question 7: Which statements about multifetal pregnancy are most appropriate? (Select all that apply)
A. The expectant mother often develops anemia because the fetuses have a greater demand for iron
B. Twin pregnancies come to term with the same frequency as single pregnancies
C. The mother should be counseled to increase her nutritional intake and gain more weight
D. Backache and varicose veins are often more pronounced
E. Spontaneous rupture of membranes before term is uncommon **CHAPTER 8**
Answer: A, C, & D (The expectant mother often develops anemia because the fetuses have a greater
demand for iron) (The mother should be counseled to increase her nutritional intake and gain more weight)
(Backache and varicose veins are often more pronounced)
Question 8: With regard to medications, herbs, immunizations, and other substances normally
encountered, the maternity nurse should be aware that:
A. Prescription and over-the-counter (OTC) drugs that otherwise are harmless can be made hazardous by
metabolic deficiencies of the fetus
B. The greatest danger of drug-caused developmental deficits in the fetus is seen in the final trimester
C. Killed-virus vaccines (e.g., tetanus) should not be given during pregnancy, but live-virus vaccines (e.g.,
measles) are permissible
D. No convincing evidence exists that secondhand smoke is potentially dangerous to the fetus **CHAPTER
8**
Answer: A (Prescription and over-the-counter (OTC) drugs that otherwise are harmless can be made
hazardous by metabolic deficiencies of the fetus)
Page 2
,Question 9: During the first trimester the pregnant woman would be most motivated to learn about:
A. Fetal development
B. Impact of a new baby on family members
C. Measures to reduce nausea and fatigue so she can feel better
D. Location of childbirth preparation and breastfeeding classes **CHAPTER 8**
Answer: C (Measures to reduce nausea and fatigue so she can feel better)
Question 10: A pregnant woman demonstrates understanding of the nurse's instructions regarding
relief of leg cramps if she:
A. Wiggles and points her toes during the cramp
B. Applies cold compresses to the affected leg
C. Extends her leg and dorsiflexes her foot during the cramp
D. Avoids weight bearing on the affected leg during the cramp **CHAPTER 8**
Answer: C (Extends her leg and dorsiflexes her foot during the cramp)
Question 11: An expectant couple asks the nurse about intercourse during pregnancy and if it is safe
for the baby. The nurse should tell the couple that:
A. Intercourse should be avoided if any spotting from the vagina occurs afterward
B. Intercourse is safe until the third trimester
C. Safer-sex practices should be used once the membranes rupture
D. Intercourse and orgasm are often contraindicated if a history or signs of preterm labor are present
**CHAPTER 8**
Answer: D (Intercourse and orgasm are often contraindicated if a history or signs of preterm labor are
present)
Question 12: A pregnant woman at 10 weeks of gestation jogs 3 or 4 times per week. She is concerned
about the effect of exercise on the fetus. The nurse should inform her:
A. "You do not need to modify your exercising any time during your pregnancy."
B. "Stop exercising, because it will harm the fetus."
C. "You may find that you need to modify your exercise to walking later in your pregnancy, around the seventh
month."
D. "Jogging is too hard on your joints; switch to walking now." **CHAPTER 8**
Answer: C ("You may find that you need to modify your exercise to walking later in your pregnancy,
around the seventh month.")
Page 3
, Question 13: The nurse advises the woman who wants to have a nurse-midwife provide obstetric care
that:
A. She will have to give birth at home
B. She must see an obstetrician as well as the midwife during pregnancy
C. She will not be able to have epidural analgesia for labor pain
D. She must be having a low risk pregnancy **CHAPTER 8**
Answer: D (She must be having a low risk pregnancy)
Question 14: A maternal serum alpha-fetoprotein (MSAFP) test is performed at 16 to 18 weeks of
gestation. An elevated level has been associated with:
A. Down syndrome
B. Sickle cell anemia
C. Cardiac defects
D. Open neural tube defects such as spina bifida **CHAPTER 8**
Answer: D (Open neural tube defects such as spina bifida)
Question 15: What laboratory results would be a cause for concern if exhibited by a woman at her first
prenatal visit during the second month of her pregnancy?
A. Hematocrit 38%, hemoglobin 13 g/dL
B. White blood cell count 6000/mm3
C. Platelets 300,000/mm3
D. Rubella titer 1:6 **CHAPTER 8**
Answer: D (Rubella titer 1:6)
Question 16: A pregnant woman experiencing nausea and vomiting should:
A. Drink a glass of water with a fat-free carbohydrate before getting out of bed in the morning
B. Eat small, frequent meals (every 2 to 3 hours)
C. Increase her intake of high-fat foods to keep the stomach full and coated
D. Limit fluid intake throughout the day **CHAPTER 9**
Answer: B (Eat small, frequent meals (every 2 to 3 hours)
Question 17: The nurse is developing a dietary teaching plan for a patient on a vegetarian diet. The
nurse should provide the patient with which examples of protein containing foods? (Select all that
apply)
A. Dried beans
B. Seeds
C. Peanut butter
D. Bagel
E. Eggs **CHAPTER 9**
Answer: A, B, C, & E (Dried beans) (Seeds) (Peanut butter) (Eggs)
Page 4
(Grade A+)
Question 1: A pregnant woman's last menstrual period began on April 8, 2009, and ended on April 13.
Using Nägele's rule, her estimated date of birth would be ________________? **CHAPTER 8**
Answer: January 15, 2010
Question 2: A pregnant woman at 32 weeks of gestation complains of feeling dizzy and light-headed
while her fundal height is being measured. Her skin is pale and moist. The nurse's initial response
would be to:
A. Assess the woman's blood pressure and pulse
B. Have the woman breathe into a paper bag
C. Raise the woman's legs
D. Turn the woman on her side **CHAPTER 8**
Answer: D (Turn the woman on her side)
Question 3: A woman who is 32 weeks pregnant is informed by the nurse that a danger sign of
pregnancy could be:
A. Constipation
B. Alteration in the pattern of fetal movement
C. Heart palpitations
D. Edema in the ankles and feet at the end of the day **CHAPTER 8**
Answer: B (Alteration in the pattern of fetal movement)
Question 4: A woman who is 14 weeks pregnant tells the nurse that she always had a glass of wine with
dinner before she became pregnant. She has abstained during her first trimester and would like to
know if it is safe for her to have a drink with dinner now. The nurse tells her:
A. "Because you are in your second trimester, there is no problem with having one drink with dinner"
B. "One drink every night is too much. One drink 3 times a week should be fine"
C. "Because you are in your second trimester, you can drink as much as you like"
D. "Because no one knows how much or how little alcohol it takes to cause fetal problems, the best course is to
abstain throughout your pregnancy" **CHAPTER 8**
Answer: D ("Because no one knows how much or how little alcohol it takes to cause fetal problems, the best
course is to abstain throughout your pregnancy")
Page 1
,Question 5: If exhibited by an expectant father, what would be a warning sign of ineffective adaptation
to his partner's first pregnancy?
A. Views pregnancy with pride as a confirmation of his virility
B. Consistently changes the subject when the topic of the fetus/newborn is raised
C. Expresses concern that he might faint at the birth of his baby
D. Experiences nausea and fatigue, along with his partner, during the first trimester **CHAPTER 8**
Answer: B (Consistently changes the subject when the topic of the fetus/newborn is raised)
Question 6: An expectant father confides in the nurse that his pregnant wife, 10 weeks of gestation, is
driving him crazy. "One minute she seems happy, and the next minute she is crying over nothing at all.
Is there something wrong with her?" The nurse's BEST response would be:
A. "This is normal behavior and should begin to subside by the second trimester."
B. "She may be having difficulty adjusting to pregnancy; I will refer her to a counselor that I know."
C. "This is called emotional lability and is related to hormone changes and anxiety during pregnancy. The
mood swings will eventually subside as she adjusts to being pregnant."
D. "You seem impatient with her. Perhaps this is precipitating her behavior." **CHAPTER 8**
Answer: C ("This is called emotional lability and is related to hormone changes and anxiety during
pregnancy. The mood swings will eventually subside as she adjusts to being pregnant.")
Question 7: Which statements about multifetal pregnancy are most appropriate? (Select all that apply)
A. The expectant mother often develops anemia because the fetuses have a greater demand for iron
B. Twin pregnancies come to term with the same frequency as single pregnancies
C. The mother should be counseled to increase her nutritional intake and gain more weight
D. Backache and varicose veins are often more pronounced
E. Spontaneous rupture of membranes before term is uncommon **CHAPTER 8**
Answer: A, C, & D (The expectant mother often develops anemia because the fetuses have a greater
demand for iron) (The mother should be counseled to increase her nutritional intake and gain more weight)
(Backache and varicose veins are often more pronounced)
Question 8: With regard to medications, herbs, immunizations, and other substances normally
encountered, the maternity nurse should be aware that:
A. Prescription and over-the-counter (OTC) drugs that otherwise are harmless can be made hazardous by
metabolic deficiencies of the fetus
B. The greatest danger of drug-caused developmental deficits in the fetus is seen in the final trimester
C. Killed-virus vaccines (e.g., tetanus) should not be given during pregnancy, but live-virus vaccines (e.g.,
measles) are permissible
D. No convincing evidence exists that secondhand smoke is potentially dangerous to the fetus **CHAPTER
8**
Answer: A (Prescription and over-the-counter (OTC) drugs that otherwise are harmless can be made
hazardous by metabolic deficiencies of the fetus)
Page 2
,Question 9: During the first trimester the pregnant woman would be most motivated to learn about:
A. Fetal development
B. Impact of a new baby on family members
C. Measures to reduce nausea and fatigue so she can feel better
D. Location of childbirth preparation and breastfeeding classes **CHAPTER 8**
Answer: C (Measures to reduce nausea and fatigue so she can feel better)
Question 10: A pregnant woman demonstrates understanding of the nurse's instructions regarding
relief of leg cramps if she:
A. Wiggles and points her toes during the cramp
B. Applies cold compresses to the affected leg
C. Extends her leg and dorsiflexes her foot during the cramp
D. Avoids weight bearing on the affected leg during the cramp **CHAPTER 8**
Answer: C (Extends her leg and dorsiflexes her foot during the cramp)
Question 11: An expectant couple asks the nurse about intercourse during pregnancy and if it is safe
for the baby. The nurse should tell the couple that:
A. Intercourse should be avoided if any spotting from the vagina occurs afterward
B. Intercourse is safe until the third trimester
C. Safer-sex practices should be used once the membranes rupture
D. Intercourse and orgasm are often contraindicated if a history or signs of preterm labor are present
**CHAPTER 8**
Answer: D (Intercourse and orgasm are often contraindicated if a history or signs of preterm labor are
present)
Question 12: A pregnant woman at 10 weeks of gestation jogs 3 or 4 times per week. She is concerned
about the effect of exercise on the fetus. The nurse should inform her:
A. "You do not need to modify your exercising any time during your pregnancy."
B. "Stop exercising, because it will harm the fetus."
C. "You may find that you need to modify your exercise to walking later in your pregnancy, around the seventh
month."
D. "Jogging is too hard on your joints; switch to walking now." **CHAPTER 8**
Answer: C ("You may find that you need to modify your exercise to walking later in your pregnancy,
around the seventh month.")
Page 3
, Question 13: The nurse advises the woman who wants to have a nurse-midwife provide obstetric care
that:
A. She will have to give birth at home
B. She must see an obstetrician as well as the midwife during pregnancy
C. She will not be able to have epidural analgesia for labor pain
D. She must be having a low risk pregnancy **CHAPTER 8**
Answer: D (She must be having a low risk pregnancy)
Question 14: A maternal serum alpha-fetoprotein (MSAFP) test is performed at 16 to 18 weeks of
gestation. An elevated level has been associated with:
A. Down syndrome
B. Sickle cell anemia
C. Cardiac defects
D. Open neural tube defects such as spina bifida **CHAPTER 8**
Answer: D (Open neural tube defects such as spina bifida)
Question 15: What laboratory results would be a cause for concern if exhibited by a woman at her first
prenatal visit during the second month of her pregnancy?
A. Hematocrit 38%, hemoglobin 13 g/dL
B. White blood cell count 6000/mm3
C. Platelets 300,000/mm3
D. Rubella titer 1:6 **CHAPTER 8**
Answer: D (Rubella titer 1:6)
Question 16: A pregnant woman experiencing nausea and vomiting should:
A. Drink a glass of water with a fat-free carbohydrate before getting out of bed in the morning
B. Eat small, frequent meals (every 2 to 3 hours)
C. Increase her intake of high-fat foods to keep the stomach full and coated
D. Limit fluid intake throughout the day **CHAPTER 9**
Answer: B (Eat small, frequent meals (every 2 to 3 hours)
Question 17: The nurse is developing a dietary teaching plan for a patient on a vegetarian diet. The
nurse should provide the patient with which examples of protein containing foods? (Select all that
apply)
A. Dried beans
B. Seeds
C. Peanut butter
D. Bagel
E. Eggs **CHAPTER 9**
Answer: A, B, C, & E (Dried beans) (Seeds) (Peanut butter) (Eggs)
Page 4
