Maternity Practice Questions with Detailed Verified
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The perinatal nurse is caring for a woman in the immediate postbirth
period. Assessment reveals that the woman isexperiencing profuse bleeding.
The most likely etiology for the bleeding is:
Select one:
a. Uterine atony.
b. Uterine inversion.
c. Vaginal hematoma.
d. Vaginal laceration.
Ans: A
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The nurse is performing an assessment on a client diagnosed with placenta
previa. Which assessment findings should the nurse expect to note? Select
all that apply.
Select one or more:
a. Bright red vaginal bleeding
b. Soft, relaxed, nontender uterus
c. Fundal height may be greater than expected for gestational age
d. Severe abdominal pain
e. Uterine rigidity
f. Uterine tenderness
Ans: A, B, C,
The nurse is performing an assessment on a client who suspects that she is
pregnant and is checking the client for probable signs of pregnancy. The
nurse should assess for which probable signs of pregnancy? Select all that
apply.
Select one or more:
a. Outline of fetus via radiography or ultrasonography
b. Uterine enlargement
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c. Fetal heart rate detected by a nonelectronic device
d. Chadwick's sign
e. Ballottement
f. Positive pregnancy test
Ans: E, D, B, F
The nurse admits the client in active labor to the birthing center. In order to
monitor the client's uterine contractions electronically, the nurse places the
tocodynamometer (pressure transducer) in which location?
Select one:
a. Over the uterine fundus.
b. Over the back of the fetus.
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c. Where contractions are felt to be strong.
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d. Over the lower uterine segment.
Ans: A
A pregnant woman presents in labor at term, having had no prenatal care.
After birth her infant is noted to be small for gestational age with small eyes
and a thin upper lip. The infant also is microcephalic. On the basis of her
infant's physical findings, this woman should be questioned about her use of
which substance during pregnancy?
Select one:
a. Heroin
b. Marijuana
c. Alcohol
d. Cocaine
Ans: C
The nurse finds a 6-hour postpartum client sitting in a pool of blood. The
client's skin is cool and clammy. Blood pressure is 88/55 mm Hg, pulse is
120 bpm, and respirations are 40 breaths per minute. Which action does the
nurse take first?
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Select one:
a. Gently massages the client's uterus with two hands, and verbally calls for
help.
b. Inserts an indwelling urinary catheter and increases the client's IV fluid
rate.
c. Places the client in high Fowler's position and applies oxygen by nasal
cannula.
d. Runs to the nurse's station to get help and notifies the health care
provider.
Ans: A
The perinatal nurse is giving discharge instructions to a woman after suction
curettage secondary to a hydatidiform mole.The woman asks why she must
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take oral contraceptives for the next 12 months. The best response from the
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nurse would be:
Select one:
a. "The major risk to you after a molar pregnancy is a type of cancer that
can be diagnosed only by measuring the same hormone that your body
produces during pregnancy. If you were to get pregnant, it would make the
diagnosis of this cancer more difficult."
b. "Oral contraceptives are the only form of birth control that will prevent a
recurrence of a molar pregnancy."
c. "If you get pregnant within 1 year, the chance of a successful pregnancy
is very small. Therefore, if you desire a future pregnancy, it would be better
for you to use the most reliable method of contraception available."
d. "If you can avoid a pregnancy for the next year, the chance of developing
Ans: A
Excessive blood loss after childbirth can have several causes; the most
common is:
Select one:
a. Retained placental fragments.
b. Failure of the uterine muscle to contract firmly.