maternity exam test 1 questions and answers.
a woman gave birth to an infant boy 10 hours ago. Where does the nurse expect to locate this
B B B B B B B B B B B B B B B B B B
Bwoman's fundus? B
a. 1 centimeter above the umbilicus
B B B B B
b. 2 centimeter below the umbilicus
B B B B B
c. midway between the umbilicus and the symphysis pubis
B B B B B B B B
d. non-palpable abdominally - ANS >> a. 1 centimeter above the umbilicus
B B B B B B B B B B B
what are the most common causes for subinvolution of the uterus?
B B B B B B B B B B
a. postpartum hemorrhage and infection
B B B B
b. multiple gestation and postpartum hemorrhage
B B B B B
c. uterine tetany and overproduction of oxytocin
B B B B B B
d. retained placental fragments and infection - ANS >> d. retained placental fragments and infection
B B B B B B B B B B B B B B
which client is momst likely to experience strong and uncomfortable afterpain?
B B B B B B B B B B
a. a woman who experienced oligohydramnios
B B B B B
b. a woman who is a gravidia 4, para 4-0-0-4
B B B B B B B B B
c. a woman who is bottle-feeding her infant
B B B B B B B
d.a woman whose infant weighed 5 pounds, 3 ounces - ANS >> b. a woman who is a gravidia 4, para
B B B B B B B B B B B B B B B B B B B B
B4-0-0-4
a woman gave birth to a healthy infant boy 5 days ago. what type of lochia does the nurse expect to
B B B B B B B B B B B B B B B B B B B B
Bfind when evaluating this client?
B B B B
a. lochia rubra
B B
b. lochia sangra
B B
c. lochia alba
B B
d. lochia serosa - ANS >> d. lochia serosa
B B B B B B B B
which hormone remains elevated in the immediate postpartum period of the breastfeeding woman?
B B B B B B B B B B B B
a. estrogen
B
b. progesterone
B
c. prolactin
B
d. human placental lactogen - ANS >> c. prolactin
B B B B B B B B
two days ago a woman gave birth to a full-term infant. Last night she awakened several times to
B B B B B B B B B B B B B B B B B
Burinate and noted that her gown and bedding were wet from profuse diaphoresis. which physiologic
B B B B B B B B B B B B B B
Balteration is the cause for the diaphoresis and diuresis that this client is experiencing?
B B B B B B B B B B B B B
a. elevated temperature caused by postpartum infection
B B B B B B
b. increased basal metabolic rate after giving birth
B B B B B B B
c. loss of increased blood volume associated with pregnancy
B B B B B B B B
d. increased venous pressure in the lower extremities - ANS >> c. loss of increased blood volume
B B B B B B B B B B B B B B B B
Bassociated with pregnancy B B
which term best describes the interval between the birth of the newborn and the return of the
B B B B B B B B B B B B B B B B
Breproductive organs to their normal nonpregnant state? B B B B B B
a. involuntary period because of what happens to the uterus
B B B B B B B B B
b. lochia period because of the nature of the vaginal discharge
B B B B B B B B B B
c. mini-tri period because it lasts only 3 to 6 weeks
B B B B B B B B B B
d. puerperium, or fourth trimester of pregnancy - ANS >> d. puerperium or fourth trimester of
B B B B B B B B B B B B B B B
Bpregnancy
,a woman who gave birth to a 7 pound, 6 ounce infant girl 1 hour ago. the birth was vaginal and the
B B B B B B B B B B B B B B B B B B B B B
estimated blood loss (EBL) was 1500mL. when evaluating the woman's vital signs, which finding would
B B B B B B B B B B B B B B B
be of greatest concern to the nurse?
B B B B B B B
a. temperature 37.9C, heart rate 120 beats per minute (bpm), respiration 20 breaths per minute, and
B B B B B B B B B B B B B B B
blood pressure 90/50. mmHg
B B B B
b.temperature 37.4C, heart rate 88 bpm, respirations 36 breaths per minute, and blood pressure
B B B B B B B B B B B B B
126/68mmHg
B
c. temperature 38C, heart rate 80 bpm, respirations 16 breaths per minute, and blood pressure
B B B B B B B B B B B B B B
110/80 mmHg
B B
d. temperature 36.8C, heart rate 60 bpm, respirations 18 breaths per minute, and blood pressure
B B B B B B B B B B B B B B
140/90 mmHg - ANS >> a. temperature 37.9C, heart rate 120 beats per minute (bpm), respiration 20
B B B B B B B B B B B B B B B B B
breaths per minute, and blood pressure 90/50. mmHg
B B B B B B B B
A client is concerned that her breasts are engorged and uncomfortable. What is the nurse's
B B B B B B B B B B B B B B
explanation for this physiologic change?
B B B B B
a. Overproduction of colostrum
B B B
b. Accumulation of milk in the lactiferous ducts and glands
B B B B B B B B B
c. Hyperplasia of mammary tissue
B B B B
d. Congestion of veins and lymphatic vessels - ANS >> d.Congestion of veins and lymphatic vessels
B B B B B B B B B B B B B B B
After delivery, excess hypertrophied tissue in the uterus undergoes a period of self-destruction. What
B B B B B B B B B B B B B
is the correct term for this process?
B B B B B B B
a.Autolysis
b.Subinvolution
c.Afterpains
d. Diastasis - ANS >> a.Autolysis
B B B B B
Which statement regarding the postpartum uterus is correct?
B B B B B B B
a.At the end of the third stage of labor, the postpartum uterus weighs approximately 500 g.
B B B B B B B B B B B B B B B
b.After 2 weeks postpartum, it should be abdominally nonpalpable.
B B B B B B B B
c.After 2 weeks postpartum, it weighs 100 g.
B B B B B B B
d.Postpartum uterus returns to its original (prepregnancy) size by 6 weeks postpartum. - ANS >>
B B B B B B B B B B B B B B
b.After 2 weeks postpartum, it should be abdominally nonpalpable
B B B B B B B B B
A client asks the nurse when her ovaries will begin working again. Which explanation by the nurse is
B B B B B B B B B B B B B B B B B
most accurate?
B B
a.Almost 75% of women who do not breastfeed resume menstruating within 1 month after birth.
B B B B B B B B B B B B B B
b.Ovulation occurs slightly earlier for breastfeeding women.B B B B B B
c.Because of menstruation and ovulation schedules, contraception considerations can be postponed
B B B B B B B B B B
until after the puerperium.
B B B B
d.The first menstrual flow after childbirth usually is heavier than normal. - ANS >> d.The first
B B B B B B B B B B B B B B B
menstrual flow after childbirth usually is heavier than normal.
B B B B B B B B B
The nurse should be cognizant of which postpartum physiologic alteration?
B B B B B B B B B
a.Cardiac output, pulse rate, and stroke volume all return to prepregnancy normal values within a few
B B B B B B B B B B B B B B B
hours of childbirth.
B B B
b.Respiratory function returns to nonpregnant levels by 6 to 8 weeks after childbirth.
B B B B B B B B B B B B
c.Lowered white blood cell count after pregnancy can lead to false-positive results on tests for
B B B B B B B B B B B B B B
infections.
B
d.Hypercoagulable state protects the new mother from thromboembolism, especially after a cesarean B B B B B B B B B B B
birth. - ANS >> b.Respiratory function returns to nonpregnant levels by 6 to 8 weeks after childbirth.
B B B B B B B B B B B B B B B B B
Which condition, not uncommon in pregnancy, is likely to require careful medical assessment during
B B B B B B B B B B B B B
the puerperium?
B B
, a.Varicosities of the legs B B B
b.Carpal tunnel syndrome B B
c.Periodic numbness and tingling of the fingers B B B B B B
d.Headaches - ANS >> d.Headaches B B B B
Several delivery changes in the integumentary system that appear during pregnancy disappear after
B B B B B B B B B B B B
birth, although not always completely. What change is almost certain to be completely reversed?
B B B B B B B B B B B B B B
a.Nail brittleness B
b.Darker pigmentation of the areolae and linea nigra
B B B B B B B
c.Striae gravidarum on the breasts, abdomen, and thighs
B B B B B B B
d.Spider nevi - ANS >> a.Nail brittleness
B B B B B B
Pelvic floor exercises, also known as Kegel exercises, will help to strengthen the perineal muscles and
B B B B B B B B B B B B B B B
encourage healing after childbirth. The nurse requests the client to repeat back instructions for this
B B B B B B B B B B B B B B B
exercise. Which response by the client indicates successful learning?
B B B B B B B B B
a."I contract my thighs, buttocks, and abdomen."
B B B B B B
b."I perform 10 of these exercises every day."
B B B B B B B
c."I stand while practicing this new exercise routine."
B B B B B B B
d."I pretend that I am trying to stop the flow of urine in midstream." - ANS >> d."I pretend that I am
B B B B B B B B B B B B B B B B B B B B B
trying to stop the flow of urine in midstream."
B B B B B B B B B
Which statement by a newly delivered woman indicates that she knows what to expect regarding her
B B B B B B B B B B B B B B B
menstrual activity after childbirth?
B B B B
a."My first menstrual cycle will be lighter than normal and then will get heavier every month
B B B B B B B B B B B B B B B
thereafter."
B
b."My first menstrual cycle will be heavier than normal and will return to my prepregnant volume
B B B B B B B B B B B B B B B
within three or four cycles."
B B B B B
c."I will not have a menstrual cycle for 6 months after childbirth."
B B B B B B B B B B B
d."My first menstrual cycle will be heavier than normal and then will be light for several months
B B B B B B B B B B B B B B B B
after." - ANS >> b."My first menstrual cycle will be heavier than normal and will return to my
B B B B B B B B B B B B B B B B B B
prepregnant volume within three or four cycles."
B B B B B B B
The nurse is providing instruction to the newly delivered client regarding postbirth uterine and vaginal
B B B B B B B B B B B B B B
discharge, called lochia. Which statement is the most appropriate?
B B B B B B B B B
a.Lochia is similar to a light menstrual period for the first 6 to 12 hours.
B B B B B B B B B B B B B B
b.It is usually greater after cesarean births.
B B B B B B
c.Lochia will usually decrease with ambulation and breastfeeding.
B B B B B B B
d.It should smell like normal menstrual flow unless an infection is present. - ANS >> d.It should smell
B B B B B B B B B B B B B B B B B
like normal menstrual flow unless an infection is present.
B B B B B B B B B
Which description of postpartum restoration or healing times is accurate?
B B B B B B B B B
a.The cervix shortens, becomes firm, and returns to form within a month postpartum.
B B B B B B B B B B B B
b.Vaginal rugae reappear by 3 weeks postpartum. B B B B B B
c.Most episiotomies heal within a week.
B B B B B
d.Hemorrhoids usually decrease in size within 2 weeks of childbirth. - ANS >> b.Vaginal rugae reappear
B B B B B B B B B B B B B B B
by 3 weeks postpartum.
B B B B
Which statement, related to the reconditioning of the urinary system after childbirth, should the nurse
B B B B B B B B B B B B B B
understand?
B
a.Kidney function returns to normal a few days after birth.
B B B B B B B B B
b.Diastasis recti abdominis is a common condition that alters the voiding reflex.
B B B B B B B B B B B
c.Fluid loss through perspiration and increased urinary output accounts for a weight loss of more than
B B B B B B B B B B B B B B B
2 kg during the puerperium.
B B B B B
a woman gave birth to an infant boy 10 hours ago. Where does the nurse expect to locate this
B B B B B B B B B B B B B B B B B B
Bwoman's fundus? B
a. 1 centimeter above the umbilicus
B B B B B
b. 2 centimeter below the umbilicus
B B B B B
c. midway between the umbilicus and the symphysis pubis
B B B B B B B B
d. non-palpable abdominally - ANS >> a. 1 centimeter above the umbilicus
B B B B B B B B B B B
what are the most common causes for subinvolution of the uterus?
B B B B B B B B B B
a. postpartum hemorrhage and infection
B B B B
b. multiple gestation and postpartum hemorrhage
B B B B B
c. uterine tetany and overproduction of oxytocin
B B B B B B
d. retained placental fragments and infection - ANS >> d. retained placental fragments and infection
B B B B B B B B B B B B B B
which client is momst likely to experience strong and uncomfortable afterpain?
B B B B B B B B B B
a. a woman who experienced oligohydramnios
B B B B B
b. a woman who is a gravidia 4, para 4-0-0-4
B B B B B B B B B
c. a woman who is bottle-feeding her infant
B B B B B B B
d.a woman whose infant weighed 5 pounds, 3 ounces - ANS >> b. a woman who is a gravidia 4, para
B B B B B B B B B B B B B B B B B B B B
B4-0-0-4
a woman gave birth to a healthy infant boy 5 days ago. what type of lochia does the nurse expect to
B B B B B B B B B B B B B B B B B B B B
Bfind when evaluating this client?
B B B B
a. lochia rubra
B B
b. lochia sangra
B B
c. lochia alba
B B
d. lochia serosa - ANS >> d. lochia serosa
B B B B B B B B
which hormone remains elevated in the immediate postpartum period of the breastfeeding woman?
B B B B B B B B B B B B
a. estrogen
B
b. progesterone
B
c. prolactin
B
d. human placental lactogen - ANS >> c. prolactin
B B B B B B B B
two days ago a woman gave birth to a full-term infant. Last night she awakened several times to
B B B B B B B B B B B B B B B B B
Burinate and noted that her gown and bedding were wet from profuse diaphoresis. which physiologic
B B B B B B B B B B B B B B
Balteration is the cause for the diaphoresis and diuresis that this client is experiencing?
B B B B B B B B B B B B B
a. elevated temperature caused by postpartum infection
B B B B B B
b. increased basal metabolic rate after giving birth
B B B B B B B
c. loss of increased blood volume associated with pregnancy
B B B B B B B B
d. increased venous pressure in the lower extremities - ANS >> c. loss of increased blood volume
B B B B B B B B B B B B B B B B
Bassociated with pregnancy B B
which term best describes the interval between the birth of the newborn and the return of the
B B B B B B B B B B B B B B B B
Breproductive organs to their normal nonpregnant state? B B B B B B
a. involuntary period because of what happens to the uterus
B B B B B B B B B
b. lochia period because of the nature of the vaginal discharge
B B B B B B B B B B
c. mini-tri period because it lasts only 3 to 6 weeks
B B B B B B B B B B
d. puerperium, or fourth trimester of pregnancy - ANS >> d. puerperium or fourth trimester of
B B B B B B B B B B B B B B B
Bpregnancy
,a woman who gave birth to a 7 pound, 6 ounce infant girl 1 hour ago. the birth was vaginal and the
B B B B B B B B B B B B B B B B B B B B B
estimated blood loss (EBL) was 1500mL. when evaluating the woman's vital signs, which finding would
B B B B B B B B B B B B B B B
be of greatest concern to the nurse?
B B B B B B B
a. temperature 37.9C, heart rate 120 beats per minute (bpm), respiration 20 breaths per minute, and
B B B B B B B B B B B B B B B
blood pressure 90/50. mmHg
B B B B
b.temperature 37.4C, heart rate 88 bpm, respirations 36 breaths per minute, and blood pressure
B B B B B B B B B B B B B
126/68mmHg
B
c. temperature 38C, heart rate 80 bpm, respirations 16 breaths per minute, and blood pressure
B B B B B B B B B B B B B B
110/80 mmHg
B B
d. temperature 36.8C, heart rate 60 bpm, respirations 18 breaths per minute, and blood pressure
B B B B B B B B B B B B B B
140/90 mmHg - ANS >> a. temperature 37.9C, heart rate 120 beats per minute (bpm), respiration 20
B B B B B B B B B B B B B B B B B
breaths per minute, and blood pressure 90/50. mmHg
B B B B B B B B
A client is concerned that her breasts are engorged and uncomfortable. What is the nurse's
B B B B B B B B B B B B B B
explanation for this physiologic change?
B B B B B
a. Overproduction of colostrum
B B B
b. Accumulation of milk in the lactiferous ducts and glands
B B B B B B B B B
c. Hyperplasia of mammary tissue
B B B B
d. Congestion of veins and lymphatic vessels - ANS >> d.Congestion of veins and lymphatic vessels
B B B B B B B B B B B B B B B
After delivery, excess hypertrophied tissue in the uterus undergoes a period of self-destruction. What
B B B B B B B B B B B B B
is the correct term for this process?
B B B B B B B
a.Autolysis
b.Subinvolution
c.Afterpains
d. Diastasis - ANS >> a.Autolysis
B B B B B
Which statement regarding the postpartum uterus is correct?
B B B B B B B
a.At the end of the third stage of labor, the postpartum uterus weighs approximately 500 g.
B B B B B B B B B B B B B B B
b.After 2 weeks postpartum, it should be abdominally nonpalpable.
B B B B B B B B
c.After 2 weeks postpartum, it weighs 100 g.
B B B B B B B
d.Postpartum uterus returns to its original (prepregnancy) size by 6 weeks postpartum. - ANS >>
B B B B B B B B B B B B B B
b.After 2 weeks postpartum, it should be abdominally nonpalpable
B B B B B B B B B
A client asks the nurse when her ovaries will begin working again. Which explanation by the nurse is
B B B B B B B B B B B B B B B B B
most accurate?
B B
a.Almost 75% of women who do not breastfeed resume menstruating within 1 month after birth.
B B B B B B B B B B B B B B
b.Ovulation occurs slightly earlier for breastfeeding women.B B B B B B
c.Because of menstruation and ovulation schedules, contraception considerations can be postponed
B B B B B B B B B B
until after the puerperium.
B B B B
d.The first menstrual flow after childbirth usually is heavier than normal. - ANS >> d.The first
B B B B B B B B B B B B B B B
menstrual flow after childbirth usually is heavier than normal.
B B B B B B B B B
The nurse should be cognizant of which postpartum physiologic alteration?
B B B B B B B B B
a.Cardiac output, pulse rate, and stroke volume all return to prepregnancy normal values within a few
B B B B B B B B B B B B B B B
hours of childbirth.
B B B
b.Respiratory function returns to nonpregnant levels by 6 to 8 weeks after childbirth.
B B B B B B B B B B B B
c.Lowered white blood cell count after pregnancy can lead to false-positive results on tests for
B B B B B B B B B B B B B B
infections.
B
d.Hypercoagulable state protects the new mother from thromboembolism, especially after a cesarean B B B B B B B B B B B
birth. - ANS >> b.Respiratory function returns to nonpregnant levels by 6 to 8 weeks after childbirth.
B B B B B B B B B B B B B B B B B
Which condition, not uncommon in pregnancy, is likely to require careful medical assessment during
B B B B B B B B B B B B B
the puerperium?
B B
, a.Varicosities of the legs B B B
b.Carpal tunnel syndrome B B
c.Periodic numbness and tingling of the fingers B B B B B B
d.Headaches - ANS >> d.Headaches B B B B
Several delivery changes in the integumentary system that appear during pregnancy disappear after
B B B B B B B B B B B B
birth, although not always completely. What change is almost certain to be completely reversed?
B B B B B B B B B B B B B B
a.Nail brittleness B
b.Darker pigmentation of the areolae and linea nigra
B B B B B B B
c.Striae gravidarum on the breasts, abdomen, and thighs
B B B B B B B
d.Spider nevi - ANS >> a.Nail brittleness
B B B B B B
Pelvic floor exercises, also known as Kegel exercises, will help to strengthen the perineal muscles and
B B B B B B B B B B B B B B B
encourage healing after childbirth. The nurse requests the client to repeat back instructions for this
B B B B B B B B B B B B B B B
exercise. Which response by the client indicates successful learning?
B B B B B B B B B
a."I contract my thighs, buttocks, and abdomen."
B B B B B B
b."I perform 10 of these exercises every day."
B B B B B B B
c."I stand while practicing this new exercise routine."
B B B B B B B
d."I pretend that I am trying to stop the flow of urine in midstream." - ANS >> d."I pretend that I am
B B B B B B B B B B B B B B B B B B B B B
trying to stop the flow of urine in midstream."
B B B B B B B B B
Which statement by a newly delivered woman indicates that she knows what to expect regarding her
B B B B B B B B B B B B B B B
menstrual activity after childbirth?
B B B B
a."My first menstrual cycle will be lighter than normal and then will get heavier every month
B B B B B B B B B B B B B B B
thereafter."
B
b."My first menstrual cycle will be heavier than normal and will return to my prepregnant volume
B B B B B B B B B B B B B B B
within three or four cycles."
B B B B B
c."I will not have a menstrual cycle for 6 months after childbirth."
B B B B B B B B B B B
d."My first menstrual cycle will be heavier than normal and then will be light for several months
B B B B B B B B B B B B B B B B
after." - ANS >> b."My first menstrual cycle will be heavier than normal and will return to my
B B B B B B B B B B B B B B B B B B
prepregnant volume within three or four cycles."
B B B B B B B
The nurse is providing instruction to the newly delivered client regarding postbirth uterine and vaginal
B B B B B B B B B B B B B B
discharge, called lochia. Which statement is the most appropriate?
B B B B B B B B B
a.Lochia is similar to a light menstrual period for the first 6 to 12 hours.
B B B B B B B B B B B B B B
b.It is usually greater after cesarean births.
B B B B B B
c.Lochia will usually decrease with ambulation and breastfeeding.
B B B B B B B
d.It should smell like normal menstrual flow unless an infection is present. - ANS >> d.It should smell
B B B B B B B B B B B B B B B B B
like normal menstrual flow unless an infection is present.
B B B B B B B B B
Which description of postpartum restoration or healing times is accurate?
B B B B B B B B B
a.The cervix shortens, becomes firm, and returns to form within a month postpartum.
B B B B B B B B B B B B
b.Vaginal rugae reappear by 3 weeks postpartum. B B B B B B
c.Most episiotomies heal within a week.
B B B B B
d.Hemorrhoids usually decrease in size within 2 weeks of childbirth. - ANS >> b.Vaginal rugae reappear
B B B B B B B B B B B B B B B
by 3 weeks postpartum.
B B B B
Which statement, related to the reconditioning of the urinary system after childbirth, should the nurse
B B B B B B B B B B B B B B
understand?
B
a.Kidney function returns to normal a few days after birth.
B B B B B B B B B
b.Diastasis recti abdominis is a common condition that alters the voiding reflex.
B B B B B B B B B B B
c.Fluid loss through perspiration and increased urinary output accounts for a weight loss of more than
B B B B B B B B B B B B B B B
2 kg during the puerperium.
B B B B B
