Maternal and Child Health Exam Practice
Questions with Answers.
1. The nurse sees a woman for the first time when she is 30 weeks pregnant. The
woman has smoked throughout the pregnancy, and fundal height
measurements now are suggestive of growth restriction in the fetus. In
addition to ultrasound to measure fetal size, what other tool would be useful
in confirming the diagnosis?
A. Doppler blood flow analysis
B. Contraction stress test (CST)
C. Amniocentesis
D. Daily fetal movement counts
A. Doppler blood flow analysis
2. A 41-week pregnant multigravida presents in the labor and delivery unit after a
non-stress test indicated that her fetus could be experiencing some difficulties
in utero. Which diagnostic tool would yield more detailed information about
the fetus?
A. Ultrasound for fetal anomalies
B. Biophysical profile (BPP)
C. Maternal serum alpha-fetoprotein (MSAFP) screening
D. Percutaneous umbilical blood sampling (PUBS)
B. Biophysical profile (BPP)
,3. At 35 weeks of pregnancy a woman experiences preterm labor. Tocolytics are
administered and she is placed on bed rest, but she continues to experience
regular uterine contractions, and her cervix is beginning to dilate and efface.
What would be an important test for fetal well-being at this time?
A. Percutaneous umbilical blood sampling (PUBS)
B. Ultrasound for fetal size
C. Amniocentesis for fetal lung maturity
D. Nonstress test (NST)
C. Amniocentesis for fetal lung maturity
4. A 40-year-old woman is 10 weeks pregnant. Which diagnostic tools would be
appropriate to suggest to her at this time?
A. Biophysical profile (BPP)
B. Amniocentesis
C. Maternal serum alpha-fetoprotein (MSAFP) screening
D. Transvaginal ultrasound
D. Transvaginal ultrasound
, 5. Maternal serum alpha-fetoprotein (MSAFP) screening indicates an elevated
level. MSAFP screening is repeated and again is reported as higher than
normal. What would be the next step in the assessment sequence to
determine the well-being of the fetus?
A. Percutaneous umbilical blood sampling (PUBS)
B. Ultrasound for fetal anomalies
C. Biophysical profile (BPP) for fetal well-being
D. Amniocentesis for genetic anomalies
B. Ultrasound for fetal anomalies
6. 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 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."
B. "Your placenta isn't working properly, and your baby is in danger."
C. "This means that we will need to perform an amniocentesis to detect if you
have any placental damage."
D. "Don't worry about it. Everything is fine."
A. "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."
Questions with Answers.
1. The nurse sees a woman for the first time when she is 30 weeks pregnant. The
woman has smoked throughout the pregnancy, and fundal height
measurements now are suggestive of growth restriction in the fetus. In
addition to ultrasound to measure fetal size, what other tool would be useful
in confirming the diagnosis?
A. Doppler blood flow analysis
B. Contraction stress test (CST)
C. Amniocentesis
D. Daily fetal movement counts
A. Doppler blood flow analysis
2. A 41-week pregnant multigravida presents in the labor and delivery unit after a
non-stress test indicated that her fetus could be experiencing some difficulties
in utero. Which diagnostic tool would yield more detailed information about
the fetus?
A. Ultrasound for fetal anomalies
B. Biophysical profile (BPP)
C. Maternal serum alpha-fetoprotein (MSAFP) screening
D. Percutaneous umbilical blood sampling (PUBS)
B. Biophysical profile (BPP)
,3. At 35 weeks of pregnancy a woman experiences preterm labor. Tocolytics are
administered and she is placed on bed rest, but she continues to experience
regular uterine contractions, and her cervix is beginning to dilate and efface.
What would be an important test for fetal well-being at this time?
A. Percutaneous umbilical blood sampling (PUBS)
B. Ultrasound for fetal size
C. Amniocentesis for fetal lung maturity
D. Nonstress test (NST)
C. Amniocentesis for fetal lung maturity
4. A 40-year-old woman is 10 weeks pregnant. Which diagnostic tools would be
appropriate to suggest to her at this time?
A. Biophysical profile (BPP)
B. Amniocentesis
C. Maternal serum alpha-fetoprotein (MSAFP) screening
D. Transvaginal ultrasound
D. Transvaginal ultrasound
, 5. Maternal serum alpha-fetoprotein (MSAFP) screening indicates an elevated
level. MSAFP screening is repeated and again is reported as higher than
normal. What would be the next step in the assessment sequence to
determine the well-being of the fetus?
A. Percutaneous umbilical blood sampling (PUBS)
B. Ultrasound for fetal anomalies
C. Biophysical profile (BPP) for fetal well-being
D. Amniocentesis for genetic anomalies
B. Ultrasound for fetal anomalies
6. 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 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."
B. "Your placenta isn't working properly, and your baby is in danger."
C. "This means that we will need to perform an amniocentesis to detect if you
have any placental damage."
D. "Don't worry about it. Everything is fine."
A. "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."
