Maternal and Child Health Nursing
[Prelims - Samplex] Questions and
Answers A+ Guide
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:
A.FSH and LH are released from the anterior pituitary gland.
B.FSH and LH are secreted by the corpus luteum of the ovary
C.FSH and LH are secreted by the adrenal glands
D.FSH and LH stimulate the formation of milk during pregnancy. - correct
answers✅✅A. FSH and LH, when stimulated by gonadotropin-releasing
hormone from the hypothalamus, are released from the anterior pituitary
gland to stimulate follicular growth and development, growth of the graafian
follicle, and production of progesterone.
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 - correct answers✅✅2.
Blood pumped by the embryo's heart leaves the embryo through two
umbilical arteries. Once oxygenated, the blood then is returned by one
umbilical vein. Arteries carry deoxygenated blood and waste products from
the fetus, and veins carry oxygenated blood and provide oxygen and
nutrients to the fetus.
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
,Maternal and Child Health Nursing
[Prelims - Samplex] Questions and
Answers A+ Guide
2.100 BPM
3.150 BPM
4.180 BPM - correct answers✅✅.3. The fetal heart rate depends in
gestational age and ranges from 160-170 BPM in the first trimester but slows
with fetal growth to 120-160 BPM near or at term. At or near term, if the fetal
heart rate is less than 120 or more than 160 BPM with the uterus at rest, the
fetus may be in distress.
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 Nagele's rule, the nurse determines the
estimated date of confinement as:
1.July 26, 2006
2.June 12, 2007
3.June 26, 2006
4.July 12, 2007 - correct answers✅✅3. Accurate use of Nagele's rule
requires that the woman have a regular 28-day menstrual cycle. Add 7 days
to the first day of the last menstrual period, subtract three months, and then
add one year to that date.
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
,Maternal and Child Health Nursing
[Prelims - Samplex] Questions and
Answers A+ Guide
4.G = 2, T = 0, P = 0, A = 0, L = 1 - correct answers✅✅2. Pregnancy
outcomes can be described with the acronym GTPAL. G is gravidity, the
number of pregnancies. T is term births, the number born at term (38-41
weeks). P is preterm births, the number born before 38 weeks gestation. A is
abortions or miscarriages (included in gravida if before 20 weeks gestation;
included in parity if past 20 weeks gestation). L is live births, the number of
live births or living children. Therefore, a woman who is pregnant with twins
and has a child has a gravida of 2. Because the child was delivered at 37
weeks, the number of preterm births is 1, and the number of term births is 0.
The number of abortions is 0, and the number of live births is 1.
A nurse is performing an assessment of a primapira 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
4.Quickening - correct answers✅✅2. The normal range of the fetal heart
rate depends on gestational age. The heart rate is usually 160-170 BPM in
the first trimester and slows with fetal growth, near and at term, the fetal
heart rate ranges from 120-160 BPM. The other options are expected.
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
, Maternal and Child Health Nursing
[Prelims - Samplex] Questions and
Answers A+ Guide
4.The presence of fetal movement - correct answers✅✅1. In the early
weeks of pregnancy the cervix becomes softer as a result of increased
vascularity and hyperplasia, which causes the Goodell's sign
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." - correct
answers✅✅3. Quickening is fetal movement and may occur as early as the
16th and 18th week of gestation, and the mother first notices subtle fetal
movements that gradually increase in intensity. Braxton Hicks contractions
are irregular, painless contractions that may occur throughout the pregnancy.
A thinning of the lower uterine segment occurs about the 6th week of
pregnancy and is called Hegar's sign.
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 - correct answers✅✅4.
Ballottement is a technique of palpating a floating structure by bouncing it
gently and feeling it rebound. In the technique used to palpate the fetus, the
examiner places a finger in the vagina and taps gently upward, causing the
[Prelims - Samplex] Questions and
Answers A+ Guide
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:
A.FSH and LH are released from the anterior pituitary gland.
B.FSH and LH are secreted by the corpus luteum of the ovary
C.FSH and LH are secreted by the adrenal glands
D.FSH and LH stimulate the formation of milk during pregnancy. - correct
answers✅✅A. FSH and LH, when stimulated by gonadotropin-releasing
hormone from the hypothalamus, are released from the anterior pituitary
gland to stimulate follicular growth and development, growth of the graafian
follicle, and production of progesterone.
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 - correct answers✅✅2.
Blood pumped by the embryo's heart leaves the embryo through two
umbilical arteries. Once oxygenated, the blood then is returned by one
umbilical vein. Arteries carry deoxygenated blood and waste products from
the fetus, and veins carry oxygenated blood and provide oxygen and
nutrients to the fetus.
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
,Maternal and Child Health Nursing
[Prelims - Samplex] Questions and
Answers A+ Guide
2.100 BPM
3.150 BPM
4.180 BPM - correct answers✅✅.3. The fetal heart rate depends in
gestational age and ranges from 160-170 BPM in the first trimester but slows
with fetal growth to 120-160 BPM near or at term. At or near term, if the fetal
heart rate is less than 120 or more than 160 BPM with the uterus at rest, the
fetus may be in distress.
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 Nagele's rule, the nurse determines the
estimated date of confinement as:
1.July 26, 2006
2.June 12, 2007
3.June 26, 2006
4.July 12, 2007 - correct answers✅✅3. Accurate use of Nagele's rule
requires that the woman have a regular 28-day menstrual cycle. Add 7 days
to the first day of the last menstrual period, subtract three months, and then
add one year to that date.
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
,Maternal and Child Health Nursing
[Prelims - Samplex] Questions and
Answers A+ Guide
4.G = 2, T = 0, P = 0, A = 0, L = 1 - correct answers✅✅2. Pregnancy
outcomes can be described with the acronym GTPAL. G is gravidity, the
number of pregnancies. T is term births, the number born at term (38-41
weeks). P is preterm births, the number born before 38 weeks gestation. A is
abortions or miscarriages (included in gravida if before 20 weeks gestation;
included in parity if past 20 weeks gestation). L is live births, the number of
live births or living children. Therefore, a woman who is pregnant with twins
and has a child has a gravida of 2. Because the child was delivered at 37
weeks, the number of preterm births is 1, and the number of term births is 0.
The number of abortions is 0, and the number of live births is 1.
A nurse is performing an assessment of a primapira 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
4.Quickening - correct answers✅✅2. The normal range of the fetal heart
rate depends on gestational age. The heart rate is usually 160-170 BPM in
the first trimester and slows with fetal growth, near and at term, the fetal
heart rate ranges from 120-160 BPM. The other options are expected.
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
, Maternal and Child Health Nursing
[Prelims - Samplex] Questions and
Answers A+ Guide
4.The presence of fetal movement - correct answers✅✅1. In the early
weeks of pregnancy the cervix becomes softer as a result of increased
vascularity and hyperplasia, which causes the Goodell's sign
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." - correct
answers✅✅3. Quickening is fetal movement and may occur as early as the
16th and 18th week of gestation, and the mother first notices subtle fetal
movements that gradually increase in intensity. Braxton Hicks contractions
are irregular, painless contractions that may occur throughout the pregnancy.
A thinning of the lower uterine segment occurs about the 6th week of
pregnancy and is called Hegar's sign.
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 - correct answers✅✅4.
Ballottement is a technique of palpating a floating structure by bouncing it
gently and feeling it rebound. In the technique used to palpate the fetus, the
examiner places a finger in the vagina and taps gently upward, causing the
