Maternity Exam 2 Problems and their solutions
Guaranteed pass 100%
A 41-week pregnant multigravida presents in the labor and delivery unit after a nonstress test
indicated that her fetus could be experiencing some difficulties in utero. Which diagnostic tool
would yield more detailed information about the fetus?
Ultrasound for fetal anomalies
Percutaneous umbilical blood sampling (PUBS)
Maternal serum alpha-fetoprotein screening (MSAFP)
Biophysical profile (BPP) - CORRECT ANSWER ✔️✔️ -Biophysical profile (BPP)
A client asks her nurse, "My doctor told me that he is concerned with the grade of my placenta
because I am overdue. What does that mean?" The best response by the nurse is:
A. "Your placenta isn't working properly, and your baby is in danger."
B. "Your placenta changes as your pregnancy progresses, and it is given a score that indicates the
amount of calcium deposits it has. The more calcium deposits, the higher the grade, or number,
that is assigned to the placenta. It also means that less blood and oxygen can be delivered to your
baby."
C. "Don't worry about it. Everything is fine."
,D. "This means that we will need to perform an amniocentesis to detect if you have any placental
damage." - CORRECT ANSWER ✔️✔️ -B. "Your placenta changes as your pregnancy
progresses, and it is given a score that indicates the amount of calcium deposits it has. The more
calcium deposits, the higher the grade, or number, that is assigned to the placenta. It also means
that less blood and oxygen can be delivered to your baby."
A father and mother are carriers of phenylketonuria (PKU). Their 2-year-old daughter has PKU.
The couple tells the nurse that they are planning to have a second baby. Because their daughter
has PKU, they are sure that their next baby won't be affected. What response by the nurse is most
accurate?
A. "The ultrasound indicates a boy, and boys are not affected by PKU."
B. "You are both carriers, so each baby has a 25% chance of being affected."
C. "I think you'd better check with your doctor first."
D. "Good planning; you need to take advantage of the odds in your favor." - CORRECT
ANSWER ✔️✔️ -B. "You are both carriers, so each baby has a 25% chance of being affected."
A new mother with which of these disorders would be strongly discouraged from breastfeeding?
Hyperthyroidism
Phenylketonuria (PKU)
Hypothyroidism
, Thyroid storm - CORRECT ANSWER ✔️✔️ -Phenylketonuria (PKU)
A pregnant woman at 25 weeks' gestation tells the nurse that she dropped a pan last week and her
baby jumped at the noise. Which response by the nurse is most accurate?
A. "Babies respond to sound starting at about 24 weeks of gestation."
B. "Let me know if it happens again; we need to report that to your midwife."
C. "The fetus is demonstrating the aural reflex."
D. "That must have been a coincidence; babies can't respond like that." - CORRECT ANSWER
✔️✔️ -A. "Babies respond to sound starting at about 24 weeks of gestation."
A pregnant woman's amniotic membranes rupture. Prolapsed cord is suspected. What
intervention would be the top priority?
Starting oxygen by face mask
Placing the woman in the knee-chest position
Covering the cord in sterile gauze soaked in saline
Preparing the woman for a cesarean birth - CORRECT ANSWER ✔️✔️ -Placing the woman in
the knee-chest position
A primary nursing responsibility when caring for a woman experiencing an obstetric hemorrhage
associated with uterine atony is to:
Guaranteed pass 100%
A 41-week pregnant multigravida presents in the labor and delivery unit after a nonstress test
indicated that her fetus could be experiencing some difficulties in utero. Which diagnostic tool
would yield more detailed information about the fetus?
Ultrasound for fetal anomalies
Percutaneous umbilical blood sampling (PUBS)
Maternal serum alpha-fetoprotein screening (MSAFP)
Biophysical profile (BPP) - CORRECT ANSWER ✔️✔️ -Biophysical profile (BPP)
A client asks her nurse, "My doctor told me that he is concerned with the grade of my placenta
because I am overdue. What does that mean?" The best response by the nurse is:
A. "Your placenta isn't working properly, and your baby is in danger."
B. "Your placenta changes as your pregnancy progresses, and it is given a score that indicates the
amount of calcium deposits it has. The more calcium deposits, the higher the grade, or number,
that is assigned to the placenta. It also means that less blood and oxygen can be delivered to your
baby."
C. "Don't worry about it. Everything is fine."
,D. "This means that we will need to perform an amniocentesis to detect if you have any placental
damage." - CORRECT ANSWER ✔️✔️ -B. "Your placenta changes as your pregnancy
progresses, and it is given a score that indicates the amount of calcium deposits it has. The more
calcium deposits, the higher the grade, or number, that is assigned to the placenta. It also means
that less blood and oxygen can be delivered to your baby."
A father and mother are carriers of phenylketonuria (PKU). Their 2-year-old daughter has PKU.
The couple tells the nurse that they are planning to have a second baby. Because their daughter
has PKU, they are sure that their next baby won't be affected. What response by the nurse is most
accurate?
A. "The ultrasound indicates a boy, and boys are not affected by PKU."
B. "You are both carriers, so each baby has a 25% chance of being affected."
C. "I think you'd better check with your doctor first."
D. "Good planning; you need to take advantage of the odds in your favor." - CORRECT
ANSWER ✔️✔️ -B. "You are both carriers, so each baby has a 25% chance of being affected."
A new mother with which of these disorders would be strongly discouraged from breastfeeding?
Hyperthyroidism
Phenylketonuria (PKU)
Hypothyroidism
, Thyroid storm - CORRECT ANSWER ✔️✔️ -Phenylketonuria (PKU)
A pregnant woman at 25 weeks' gestation tells the nurse that she dropped a pan last week and her
baby jumped at the noise. Which response by the nurse is most accurate?
A. "Babies respond to sound starting at about 24 weeks of gestation."
B. "Let me know if it happens again; we need to report that to your midwife."
C. "The fetus is demonstrating the aural reflex."
D. "That must have been a coincidence; babies can't respond like that." - CORRECT ANSWER
✔️✔️ -A. "Babies respond to sound starting at about 24 weeks of gestation."
A pregnant woman's amniotic membranes rupture. Prolapsed cord is suspected. What
intervention would be the top priority?
Starting oxygen by face mask
Placing the woman in the knee-chest position
Covering the cord in sterile gauze soaked in saline
Preparing the woman for a cesarean birth - CORRECT ANSWER ✔️✔️ -Placing the woman in
the knee-chest position
A primary nursing responsibility when caring for a woman experiencing an obstetric hemorrhage
associated with uterine atony is to:
