N326 Exam 1 Practice Questions And
Answers
The nurse understands the luteal phase of the menstrual cycle is accompanied by what
hormonal changes?
A. Low levels of estrogen and progesterone
B. Increased levels of progesterone and estrogen
C. Increased levels of estrogen and LH
D. Increased levels of FSH and estrogen - ANS C. Increased levels of estrogen and LH
ch 3
A nurse is caring for a client who is pregnant and states that their last menstrual period was
April 1st. Which of the following is the client's estimated date of delivery?
A. January 8
B. January 15
C. February 8
D. February 15 - ANS D. February 15
A nurse in a prenatal clinic is caring for a client who is in the first trimester of pregnancy. The
client's health record includes this data: G3 T1 P0 A1 L1. How should the nurse interpret this
information? (Select all that apply.)
A. Client has delivered one newborn at term
B. Client has experienced no preterm labor
C. Client has been through active labor
D. Client has had two prior pregnancies
E. Client has one living child - ANS A. Client has delivered one newborn at term
D. Client has had two prior pregnancies
E. Client has one living child
A nurse is reviewing the health record of a client who is pregnant. The provider indicated the
client exhibits probable signs of pregnancy. Which of the following findings should the nurse
expect? (Select all that apply.)
A. Montgomery's glands
B. Goodell's sign
C. Ballottement
, D. Chadwick's sign
E. Quickening - ANS B. Goodell's sign
C. Ballottement
D. Chadwick's sign
A nurse in a prenatal clinic is caring for a client who is pregnant and experiencing episodes of
maternal hypotension. The client asks the nurse what causes these episodes. Which of the
following responses should the nurse make?
A. "This is due to an increase in blood volume."
B. "This is due to the pressure from the uterus on the diaphragm."
C. "This is due to the weight of the uterus on the vena cava."
D. "This is due to increased cardiac output." - ANS C. "This is due to the weight of the
uterus on the vena cava."
Rationale: Maternal hypotension occurs when the client is lying in the supine position and the
weight of the gravid uterus places pressure on the vena cava, decreasing venous blood flow to
the heart.
A nurse in a clinic receives a phone call from a client who would like to be tested in the clinic to
confirm a pregnancy. Which of the following information should the nurse provide to the client?
A. "You should wait until 4 weeks after conception to be tested."
B. "You should be off any medications for 24 hr prior to the test."
C. "You should be NPO for at least 8 hr prior to the test."
D. "You should collect urine from the first morning void." - ANS D. "You should collect urine
from the first morning void."
ch4
A nurse is teaching a group of clients who are pregnant about measures to relieve backache
during pregnancy. Which of the following measures should the nurse include? (Select all that
apply.)
A. Avoid any lifting
B. Perform Kegel exercises twice a day
C. Perform the pelvic rock exercise every day
D. Use proper body mechanics
E. Avoid constrictive clothing - ANS C. Perform the pelvic rock exercise every day
D. Use proper body mechanics
A nurse is caring for a client who is pregnant and reviewing manifestations of complications the
client should promptly report to the provider. Which of the following complications should the
nurse include?
Answers
The nurse understands the luteal phase of the menstrual cycle is accompanied by what
hormonal changes?
A. Low levels of estrogen and progesterone
B. Increased levels of progesterone and estrogen
C. Increased levels of estrogen and LH
D. Increased levels of FSH and estrogen - ANS C. Increased levels of estrogen and LH
ch 3
A nurse is caring for a client who is pregnant and states that their last menstrual period was
April 1st. Which of the following is the client's estimated date of delivery?
A. January 8
B. January 15
C. February 8
D. February 15 - ANS D. February 15
A nurse in a prenatal clinic is caring for a client who is in the first trimester of pregnancy. The
client's health record includes this data: G3 T1 P0 A1 L1. How should the nurse interpret this
information? (Select all that apply.)
A. Client has delivered one newborn at term
B. Client has experienced no preterm labor
C. Client has been through active labor
D. Client has had two prior pregnancies
E. Client has one living child - ANS A. Client has delivered one newborn at term
D. Client has had two prior pregnancies
E. Client has one living child
A nurse is reviewing the health record of a client who is pregnant. The provider indicated the
client exhibits probable signs of pregnancy. Which of the following findings should the nurse
expect? (Select all that apply.)
A. Montgomery's glands
B. Goodell's sign
C. Ballottement
, D. Chadwick's sign
E. Quickening - ANS B. Goodell's sign
C. Ballottement
D. Chadwick's sign
A nurse in a prenatal clinic is caring for a client who is pregnant and experiencing episodes of
maternal hypotension. The client asks the nurse what causes these episodes. Which of the
following responses should the nurse make?
A. "This is due to an increase in blood volume."
B. "This is due to the pressure from the uterus on the diaphragm."
C. "This is due to the weight of the uterus on the vena cava."
D. "This is due to increased cardiac output." - ANS C. "This is due to the weight of the
uterus on the vena cava."
Rationale: Maternal hypotension occurs when the client is lying in the supine position and the
weight of the gravid uterus places pressure on the vena cava, decreasing venous blood flow to
the heart.
A nurse in a clinic receives a phone call from a client who would like to be tested in the clinic to
confirm a pregnancy. Which of the following information should the nurse provide to the client?
A. "You should wait until 4 weeks after conception to be tested."
B. "You should be off any medications for 24 hr prior to the test."
C. "You should be NPO for at least 8 hr prior to the test."
D. "You should collect urine from the first morning void." - ANS D. "You should collect urine
from the first morning void."
ch4
A nurse is teaching a group of clients who are pregnant about measures to relieve backache
during pregnancy. Which of the following measures should the nurse include? (Select all that
apply.)
A. Avoid any lifting
B. Perform Kegel exercises twice a day
C. Perform the pelvic rock exercise every day
D. Use proper body mechanics
E. Avoid constrictive clothing - ANS C. Perform the pelvic rock exercise every day
D. Use proper body mechanics
A nurse is caring for a client who is pregnant and reviewing manifestations of complications the
client should promptly report to the provider. Which of the following complications should the
nurse include?
