FA Davis Maternity Final (2025) Actual
Exam Questions and Answers A+ Graded
While .assisting .the .physician .with .a .physical .examination, .the .nurse .notes
.which .sign .or .symptom .as .most .definitive .of .a .diagnosis .of .pregnancy? .-
.CORRECT .ANSWER-Auscultation .of .fetal .heart .sounds
Which .nursing .assessment .finding .indicates .the .need .for .further .testing .before
.a .diagnosis .of .pregnancy .can .be .confirmed? .- .CORRECT .ANSWER-
Amenorrhea
The .nurse .caring .for .a .woman .who .is .beginning .the .second .trimester .of
.pregnancy .recognizes .the .need .for .further .assessment .when .the .woman
.reports .which .change .in .her .body? .- .CORRECT .ANSWER-Nasal .congestion
The .nurse .caring .for .a .woman .who .is .in .the .third .trimester .of .pregnancy
.suspects .a .urinary .tract .infection .on .the .basis .of .which .reported .symptom? .-
.CORRECT .ANSWER-Burning .on .urination
A .pregnant .woman .tells .the .nurse .how .clumsy .she .feels. .Which .teaching .will
.the .nurse .provide? .- .CORRECT .ANSWER-Wearing .low-heeled .shoes .and .using
.good .body .mechanics
When .talking .with .the .nurse, .a .pregnant .patient .points .out .her .darkened
.areolas, .the .linea .nigra .on .her .abdomen, .and .the .brown .patches .on .her
.forehead .and .nose .and .says, ."I'm .never .going .to .be .able .to .wear .a .bikini
.again." .Which .is .the .nurse's .best .response? .- .CORRECT .ANSWER-"These
.changes .normally .go .away .after .you .have .the .baby."
The .nurse .reviews .a .pregnant .patient's .laboratory .values .and .notes .a .reduced
.red .blood .cell .count .and .hemoglobin .level. .Which .symptom .reported .by .the
.patient .results .from .these .findings? .- .CORRECT .ANSWER-Fatigue
After .assessing .the .cardiovascular .system .of .a .pregnant .woman, .the .nurse
.recognizes .the .need .to .report .which .finding .to .the .provider? .- .CORRECT
.ANSWER-Blood .pressure .of .152/94 .mm .Hg
Which .symptom .reported .to .the .nurse .by .the .patient .needs .to .be .brought .to
.the .attention .of .the .health-care .provider? .- .CORRECT .ANSWER-Vaginal .itching
The .nurse .reviews .the .patient's .laboratory .findings .and .suspects .anemia .when
.noting .which .result? .- .CORRECT .ANSWER-Red .blood .cell .count .4.1
,Which .finding .does .the .nurse .recognize .as .a .normal .result .of .pregnancy? .-
.CORRECT .ANSWER-Reduced .platelet .count
The .nurse .reviews .the .patient's .laboratory .values .and .sees .the .following:
.
Hemoglobin .12.2 .g/dL .
Hematocrit .42.8% .
Serum .blood .urea .nitrogen .(BUN) .18 .mg/dL .
Serum .creatinine .0.68 .mg/dL .
Alanine .transaminase .(ALT) .8 .units/L .
Aspartate .aminotransferase .(AST) .12 .units/L .
Alkaline .phosphatase .(ALP) .108 .ImU/mL .
Lactate .dehydrogenase .(LDH) .635 .units/L .
Which .conclusion .does .the .nurse .draw .on .the .basis .of .these .findings? .-
.CORRECT .ANSWER-The .patient .is .dehydrated.
During .the .woman's .first .prenatal .visit, .she .makes .many .statements .about .the
.recommendations .she .has .received .from .her .friends .about .maintaining .her
.health .and .the .health .of .the .growing .fetus. .According .to .Reva .Rubin, .which
.maternal .task .is .this .woman .demonstrating? .- .CORRECT .ANSWER-Seeking
.safe .passage .for .herself .and .her .fetus
The .nurse .learns .that .a .pregnant .patient .lost .her .mother .when .she .was .a
.teenager .and .recognizes .that .the .absence .of .a .mother .figure .will .cause .this
.patient .to .have .difficulty .with .which .of .Reva .Rubin's .four .maternal .tasks? .-
.CORRECT .ANSWER-Securing .acceptance .for .herself .as .a .mother .and .for .her
.fetus
Upon .examining .a .woman .in .the .late .second .trimester .of .pregnancy, .the .nurse
.notes .circular .bruises .around .each .wrist .and .circular .bruises .above .the
.umbilicus. .What .should .the .nurse .suspect? .- .CORRECT .ANSWER-Physical
.abuse .from .the .father .of .the .baby
A .pregnant .woman .is .telling .the .nurse .about .her .other .children's .reaction .to
.news .of .the .pregnancy .but .says .she .is .waiting .to .tell .her .toddler .until .she's
.further .along. .Which .is .the .nurse's .best .response? .- .CORRECT .ANSWER-
"That's .a .wise .decision .because .toddlers .have .no .concept .of .time."
When .the .nurse .cares .for .a .pregnant .adolescent, .which .psychosocial
.assessment .takes .priority .before .teaching .self-care? .- .CORRECT .ANSWER-
Developmental .level
The .emergency .department .nurse .admits .an .adolescent .who .is .complaining .of
.abdominal .pain .and .denies .pregnancy. .Assessment .findings .include .a
.distended, .pregnant-appearing .abdomen .and .fetal .heart .tones. .How .does .the
.nurse .interpret .these .contradictory .findings? .- .CORRECT .ANSWER-Denial .of
.pregnancy .until .late .in .gestation .is .not .uncommon .in .adolescence.
,The .nurses .is .caring .for .a .pregnant .Indian .woman. .Which .observations .does
.the .nurse .attribute .to .the .woman's .cultural .beliefs? .(Select .all .that .apply.) .-
.CORRECT .ANSWER--The .woman .believes .it .is .her .husband's .responsibility .to
.satisfy .her .food .cravings. .
-The .woman .continues .to .carry .heavy .loads. .
-The .woman .does .not .believe .doctors .are .necessary .during .pregnancy.
The .nurse .working .with .a .culturally .diverse .obstetric .patient .population
.recognizes .which .common .cultural .practices? .(Select .all .that .apply.) .-
.CORRECT .ANSWER--Hispanic .and .Indian .women .tend .to .remain .physically
.active. .
-Japanese .women .do .not .freely .discuss .problems .with .morning .sickness. .
.
-Hispanic .women .rely .on .older .women .in .the .family .for .advice. .
-Indian .women .expect .others .to .satisfy .food .cravings.
At .a .prenatal .visit, .a .primigravida .asks .the .nurse .how .she .will .know .her .labor
.has .started. .The .nurse .knows .that .what .indicates .the .beginning .of .true .labor? .
a. .Contractions .that .are .relieved .by .walking. .
b. .Discomfort .in .the .abdomen .and .groin. .
c. .A .decrease .in .vaginal .discharge. .
d. .Regular .contractions .becoming .more .frequent .and .intense. .- .CORRECT
.ANSWER-Answer: .d. .Regular .contractions .becoming .more .frequent .and
.intense.
Rationale: .In .true .labor, .contractions .gradually .develop .a .regular .pattern .and
.become .more .frequent, .longer, .and .more .intense.
The .nurse .is .caring .for .a .woman .in .the .first .stage .of .labor. .What .will .the .nurse
.remind .the .patient .about .contractions .during .this .stage .of .labor? .
a. .They .get .the .infant .positioned .for .delivery. .
b. .They .push .the .infant .into .the .vagina. .
c. .They .dilate .and .efface .the .cervix. .
d. .They .get .the .mother .prepared .for .true .labor. .- .CORRECT .ANSWER-Answer:
.c. .They .dilate .and .efface .the .cervix. .
Rationale: .The .first .stage .of .labor .describes .the .time .from .the .onset .of .labor
.until .full .dilation .of .the .cervix.
What .is .the .function .of .contractions .during .the .second .stage .of .labor? .
a. .Align .the .infant .into .the .proper .position .for .delivery. .
, b. .Dilate .and .efface .the .cervix. .
c. .Push .the .infant .out .of .the .mothers .body. .
d. .Separate .the .placenta .from .the .uterine .wall. .- .CORRECT .ANSWER-Answer: .c.
.Push .the .infant .out .of .the .mothers .body. .
Rationale: .The .contractions .push .the .infant .out .of .the .mothers .body .as .the
.second .stage .of .labor .ends .with .the .birth .of .the .infant.
What .marks .the .end .of .the .third .stage .of .labor? .
a. .Full .cervical .dilation. .
b. .Expulsion .of .the .placenta .and .membranes. .
c. .Birth .of .the .infant. .
d. .Engagement .of .the .head. .- .CORRECT .ANSWER-Answer: .b. .Expulsion .of .the
.placenta .and .membranes. .
Rationale: .The .third .stage .of .labor .extends .from .the .birth .of .the .infant .until .the
.placenta .is .detached .and .expelled.
The .nurse .observes .the .patient .bearing .down .with .contractions .and .crying .out,
.The .baby .is .coming! .What .is .the .best .nursing .intervention? .
a. .Find .the .physician. .
b. .Stay .with .the .woman .and .use .the .call .bell .to .get .help. .
c. .Send .the .womans .partner .to .locate .a .registered .nurse. .
d. .Assist .with .deep .breathing .to .slow .the .labor .process. .- .CORRECT .ANSWER-
Answer: .b. .Stay .with .the .woman .and .use .the .call .bell .to .get .help.
Rationale: .If .birth .appears .to .be .imminent, .the .nurse .should .not .leave .the
.woman .and .should .summon .help .with .the .call .bell.
What .is .the .most .important .nursing .intervention .during .the .fourth .stage .of
.labor? .
a. .Monitor .the .frequency .and .intensity .of .contractions. .
b. .Provide .comfort .measures. .
c. .Assess .for .hemorrhage. .
Exam Questions and Answers A+ Graded
While .assisting .the .physician .with .a .physical .examination, .the .nurse .notes
.which .sign .or .symptom .as .most .definitive .of .a .diagnosis .of .pregnancy? .-
.CORRECT .ANSWER-Auscultation .of .fetal .heart .sounds
Which .nursing .assessment .finding .indicates .the .need .for .further .testing .before
.a .diagnosis .of .pregnancy .can .be .confirmed? .- .CORRECT .ANSWER-
Amenorrhea
The .nurse .caring .for .a .woman .who .is .beginning .the .second .trimester .of
.pregnancy .recognizes .the .need .for .further .assessment .when .the .woman
.reports .which .change .in .her .body? .- .CORRECT .ANSWER-Nasal .congestion
The .nurse .caring .for .a .woman .who .is .in .the .third .trimester .of .pregnancy
.suspects .a .urinary .tract .infection .on .the .basis .of .which .reported .symptom? .-
.CORRECT .ANSWER-Burning .on .urination
A .pregnant .woman .tells .the .nurse .how .clumsy .she .feels. .Which .teaching .will
.the .nurse .provide? .- .CORRECT .ANSWER-Wearing .low-heeled .shoes .and .using
.good .body .mechanics
When .talking .with .the .nurse, .a .pregnant .patient .points .out .her .darkened
.areolas, .the .linea .nigra .on .her .abdomen, .and .the .brown .patches .on .her
.forehead .and .nose .and .says, ."I'm .never .going .to .be .able .to .wear .a .bikini
.again." .Which .is .the .nurse's .best .response? .- .CORRECT .ANSWER-"These
.changes .normally .go .away .after .you .have .the .baby."
The .nurse .reviews .a .pregnant .patient's .laboratory .values .and .notes .a .reduced
.red .blood .cell .count .and .hemoglobin .level. .Which .symptom .reported .by .the
.patient .results .from .these .findings? .- .CORRECT .ANSWER-Fatigue
After .assessing .the .cardiovascular .system .of .a .pregnant .woman, .the .nurse
.recognizes .the .need .to .report .which .finding .to .the .provider? .- .CORRECT
.ANSWER-Blood .pressure .of .152/94 .mm .Hg
Which .symptom .reported .to .the .nurse .by .the .patient .needs .to .be .brought .to
.the .attention .of .the .health-care .provider? .- .CORRECT .ANSWER-Vaginal .itching
The .nurse .reviews .the .patient's .laboratory .findings .and .suspects .anemia .when
.noting .which .result? .- .CORRECT .ANSWER-Red .blood .cell .count .4.1
,Which .finding .does .the .nurse .recognize .as .a .normal .result .of .pregnancy? .-
.CORRECT .ANSWER-Reduced .platelet .count
The .nurse .reviews .the .patient's .laboratory .values .and .sees .the .following:
.
Hemoglobin .12.2 .g/dL .
Hematocrit .42.8% .
Serum .blood .urea .nitrogen .(BUN) .18 .mg/dL .
Serum .creatinine .0.68 .mg/dL .
Alanine .transaminase .(ALT) .8 .units/L .
Aspartate .aminotransferase .(AST) .12 .units/L .
Alkaline .phosphatase .(ALP) .108 .ImU/mL .
Lactate .dehydrogenase .(LDH) .635 .units/L .
Which .conclusion .does .the .nurse .draw .on .the .basis .of .these .findings? .-
.CORRECT .ANSWER-The .patient .is .dehydrated.
During .the .woman's .first .prenatal .visit, .she .makes .many .statements .about .the
.recommendations .she .has .received .from .her .friends .about .maintaining .her
.health .and .the .health .of .the .growing .fetus. .According .to .Reva .Rubin, .which
.maternal .task .is .this .woman .demonstrating? .- .CORRECT .ANSWER-Seeking
.safe .passage .for .herself .and .her .fetus
The .nurse .learns .that .a .pregnant .patient .lost .her .mother .when .she .was .a
.teenager .and .recognizes .that .the .absence .of .a .mother .figure .will .cause .this
.patient .to .have .difficulty .with .which .of .Reva .Rubin's .four .maternal .tasks? .-
.CORRECT .ANSWER-Securing .acceptance .for .herself .as .a .mother .and .for .her
.fetus
Upon .examining .a .woman .in .the .late .second .trimester .of .pregnancy, .the .nurse
.notes .circular .bruises .around .each .wrist .and .circular .bruises .above .the
.umbilicus. .What .should .the .nurse .suspect? .- .CORRECT .ANSWER-Physical
.abuse .from .the .father .of .the .baby
A .pregnant .woman .is .telling .the .nurse .about .her .other .children's .reaction .to
.news .of .the .pregnancy .but .says .she .is .waiting .to .tell .her .toddler .until .she's
.further .along. .Which .is .the .nurse's .best .response? .- .CORRECT .ANSWER-
"That's .a .wise .decision .because .toddlers .have .no .concept .of .time."
When .the .nurse .cares .for .a .pregnant .adolescent, .which .psychosocial
.assessment .takes .priority .before .teaching .self-care? .- .CORRECT .ANSWER-
Developmental .level
The .emergency .department .nurse .admits .an .adolescent .who .is .complaining .of
.abdominal .pain .and .denies .pregnancy. .Assessment .findings .include .a
.distended, .pregnant-appearing .abdomen .and .fetal .heart .tones. .How .does .the
.nurse .interpret .these .contradictory .findings? .- .CORRECT .ANSWER-Denial .of
.pregnancy .until .late .in .gestation .is .not .uncommon .in .adolescence.
,The .nurses .is .caring .for .a .pregnant .Indian .woman. .Which .observations .does
.the .nurse .attribute .to .the .woman's .cultural .beliefs? .(Select .all .that .apply.) .-
.CORRECT .ANSWER--The .woman .believes .it .is .her .husband's .responsibility .to
.satisfy .her .food .cravings. .
-The .woman .continues .to .carry .heavy .loads. .
-The .woman .does .not .believe .doctors .are .necessary .during .pregnancy.
The .nurse .working .with .a .culturally .diverse .obstetric .patient .population
.recognizes .which .common .cultural .practices? .(Select .all .that .apply.) .-
.CORRECT .ANSWER--Hispanic .and .Indian .women .tend .to .remain .physically
.active. .
-Japanese .women .do .not .freely .discuss .problems .with .morning .sickness. .
.
-Hispanic .women .rely .on .older .women .in .the .family .for .advice. .
-Indian .women .expect .others .to .satisfy .food .cravings.
At .a .prenatal .visit, .a .primigravida .asks .the .nurse .how .she .will .know .her .labor
.has .started. .The .nurse .knows .that .what .indicates .the .beginning .of .true .labor? .
a. .Contractions .that .are .relieved .by .walking. .
b. .Discomfort .in .the .abdomen .and .groin. .
c. .A .decrease .in .vaginal .discharge. .
d. .Regular .contractions .becoming .more .frequent .and .intense. .- .CORRECT
.ANSWER-Answer: .d. .Regular .contractions .becoming .more .frequent .and
.intense.
Rationale: .In .true .labor, .contractions .gradually .develop .a .regular .pattern .and
.become .more .frequent, .longer, .and .more .intense.
The .nurse .is .caring .for .a .woman .in .the .first .stage .of .labor. .What .will .the .nurse
.remind .the .patient .about .contractions .during .this .stage .of .labor? .
a. .They .get .the .infant .positioned .for .delivery. .
b. .They .push .the .infant .into .the .vagina. .
c. .They .dilate .and .efface .the .cervix. .
d. .They .get .the .mother .prepared .for .true .labor. .- .CORRECT .ANSWER-Answer:
.c. .They .dilate .and .efface .the .cervix. .
Rationale: .The .first .stage .of .labor .describes .the .time .from .the .onset .of .labor
.until .full .dilation .of .the .cervix.
What .is .the .function .of .contractions .during .the .second .stage .of .labor? .
a. .Align .the .infant .into .the .proper .position .for .delivery. .
, b. .Dilate .and .efface .the .cervix. .
c. .Push .the .infant .out .of .the .mothers .body. .
d. .Separate .the .placenta .from .the .uterine .wall. .- .CORRECT .ANSWER-Answer: .c.
.Push .the .infant .out .of .the .mothers .body. .
Rationale: .The .contractions .push .the .infant .out .of .the .mothers .body .as .the
.second .stage .of .labor .ends .with .the .birth .of .the .infant.
What .marks .the .end .of .the .third .stage .of .labor? .
a. .Full .cervical .dilation. .
b. .Expulsion .of .the .placenta .and .membranes. .
c. .Birth .of .the .infant. .
d. .Engagement .of .the .head. .- .CORRECT .ANSWER-Answer: .b. .Expulsion .of .the
.placenta .and .membranes. .
Rationale: .The .third .stage .of .labor .extends .from .the .birth .of .the .infant .until .the
.placenta .is .detached .and .expelled.
The .nurse .observes .the .patient .bearing .down .with .contractions .and .crying .out,
.The .baby .is .coming! .What .is .the .best .nursing .intervention? .
a. .Find .the .physician. .
b. .Stay .with .the .woman .and .use .the .call .bell .to .get .help. .
c. .Send .the .womans .partner .to .locate .a .registered .nurse. .
d. .Assist .with .deep .breathing .to .slow .the .labor .process. .- .CORRECT .ANSWER-
Answer: .b. .Stay .with .the .woman .and .use .the .call .bell .to .get .help.
Rationale: .If .birth .appears .to .be .imminent, .the .nurse .should .not .leave .the
.woman .and .should .summon .help .with .the .call .bell.
What .is .the .most .important .nursing .intervention .during .the .fourth .stage .of
.labor? .
a. .Monitor .the .frequency .and .intensity .of .contractions. .
b. .Provide .comfort .measures. .
c. .Assess .for .hemorrhage. .
