Prenatal Care/Antepartum
Questions with Accurate Answers
1. An antenatal client is informing the nurse of her prenatal signs and symptoms.
Which of the following findings would the nurse determine are presumptive signs
of pregnancy? Select all that apply.
1. Amenorrhea.
2. Breast tenderness.
3. Quickening.
4. Frequent urination.
5. Uterine growth. correct answer 1, 2, 3, and 4 are correct.
1. Amenorrhea is a presumptive sign of
pregnancy.
2. Breast tenderness is a presumptive sign of
pregnancy.
3. Quickening is a presumptive sign of
pregnancy.
4. Frequent urination is a presumptive sign of
pregnancy.
TEST-TAKING TIP: There are three
classifi cations of signs of pregnancy:
presumptive, probable, and positive. Signs
that are totally subjective, or presumptive,
include amenorrhea, breast tenderness,
quickening, and frequent urination. Signs
,that are objective, but not totally absolute,
are termed probable and include alterations
in uterine shape and size and softening of
the cervix. Signs that are absolute, or
positive, include hearing the fetal heartbeat,
detecting fetal movement by a healthcare
provider, and seeing ultrasound images of
the fetal outline.
10. A client enters the prenatal clinic. She states that she believes she is pregnant.
Which of the following hormone elevations will indicate a high probability that
the client is pregnant?
1. Chorionic gonadotropin.
2. Oxytocin.
3. Prolactin.
4. Luteinizing hormone. correct answer 1. High levels of the hormone chorionic
gonadotropin in the bloodstream and
urine of the woman is a probable sign of
pregnancy.
TEST-TAKING TIP: Human chorionic
gonadotropin is produced by the fertilized
egg. Its presence in the bloodstream
signals the body to keep the corpus
luteum alive. Until the placenta takes
,over the function of producing
progesterone and estrogen, the corpus
luteum produces the hormones that are
essential to the maintenance of the
pregnancy.
100. A client is having an ultrasound assessment done at her prenatal
appointment at 8
weeks' gestation. She asks the nurse, "Can you tell what sex my baby is yet?"
Which of the following responses would be appropriate for the nurse to make at
this time?
1. "The technician did tell me the sex, but I will have to let the doctor tell you
what it is."
2. "The organs are completely formed and present, but the baby is too small for
them to be seen."
3. "The technician says that the baby has a penis. It looks like you are having a
boy."
4. "I am sorry. It will not be possible to see which sex the baby is for another
month or so." correct answer 3. The sex is not established yet.
4. This statement is true. The sex is not
visible yet.
TEST-TAKING TIP: The genitourinary
system is the last organ system to fully
develop. Before 12 weeks, both female
and male genitalia are present. The sex
, is determined genetically, but it is as yet
impossible to determine the sex visually.
If the embryo secretes testosterone, the
male sex organs mature and the female
organs recede. If the embryo does not
secrete testosterone, the male sex organs
recede and the female organs mature. At
8 weeks, it is not possible visually to
determine the sex of the fetus.
101. Which of the following developmental features would the nurse expect to be
absent in a 41-week gestation fetus?
1. Fingernails.
2. Eyelashes.
3. Lanugo.
4. Milia. correct answer 3. Because this baby is post-term, lanugo
would likely not be present.
TEST-TAKING TIP: Lanugo is a fi ne hair
that covers the body of the fetus. It
begins to disappear at about 38 weeks
and very likely has completely vanished
by 41 weeks' gestation.
102. A woman delivers a fetal demise that has lanugo covering the entire body,
nails
Questions with Accurate Answers
1. An antenatal client is informing the nurse of her prenatal signs and symptoms.
Which of the following findings would the nurse determine are presumptive signs
of pregnancy? Select all that apply.
1. Amenorrhea.
2. Breast tenderness.
3. Quickening.
4. Frequent urination.
5. Uterine growth. correct answer 1, 2, 3, and 4 are correct.
1. Amenorrhea is a presumptive sign of
pregnancy.
2. Breast tenderness is a presumptive sign of
pregnancy.
3. Quickening is a presumptive sign of
pregnancy.
4. Frequent urination is a presumptive sign of
pregnancy.
TEST-TAKING TIP: There are three
classifi cations of signs of pregnancy:
presumptive, probable, and positive. Signs
that are totally subjective, or presumptive,
include amenorrhea, breast tenderness,
quickening, and frequent urination. Signs
,that are objective, but not totally absolute,
are termed probable and include alterations
in uterine shape and size and softening of
the cervix. Signs that are absolute, or
positive, include hearing the fetal heartbeat,
detecting fetal movement by a healthcare
provider, and seeing ultrasound images of
the fetal outline.
10. A client enters the prenatal clinic. She states that she believes she is pregnant.
Which of the following hormone elevations will indicate a high probability that
the client is pregnant?
1. Chorionic gonadotropin.
2. Oxytocin.
3. Prolactin.
4. Luteinizing hormone. correct answer 1. High levels of the hormone chorionic
gonadotropin in the bloodstream and
urine of the woman is a probable sign of
pregnancy.
TEST-TAKING TIP: Human chorionic
gonadotropin is produced by the fertilized
egg. Its presence in the bloodstream
signals the body to keep the corpus
luteum alive. Until the placenta takes
,over the function of producing
progesterone and estrogen, the corpus
luteum produces the hormones that are
essential to the maintenance of the
pregnancy.
100. A client is having an ultrasound assessment done at her prenatal
appointment at 8
weeks' gestation. She asks the nurse, "Can you tell what sex my baby is yet?"
Which of the following responses would be appropriate for the nurse to make at
this time?
1. "The technician did tell me the sex, but I will have to let the doctor tell you
what it is."
2. "The organs are completely formed and present, but the baby is too small for
them to be seen."
3. "The technician says that the baby has a penis. It looks like you are having a
boy."
4. "I am sorry. It will not be possible to see which sex the baby is for another
month or so." correct answer 3. The sex is not established yet.
4. This statement is true. The sex is not
visible yet.
TEST-TAKING TIP: The genitourinary
system is the last organ system to fully
develop. Before 12 weeks, both female
and male genitalia are present. The sex
, is determined genetically, but it is as yet
impossible to determine the sex visually.
If the embryo secretes testosterone, the
male sex organs mature and the female
organs recede. If the embryo does not
secrete testosterone, the male sex organs
recede and the female organs mature. At
8 weeks, it is not possible visually to
determine the sex of the fetus.
101. Which of the following developmental features would the nurse expect to be
absent in a 41-week gestation fetus?
1. Fingernails.
2. Eyelashes.
3. Lanugo.
4. Milia. correct answer 3. Because this baby is post-term, lanugo
would likely not be present.
TEST-TAKING TIP: Lanugo is a fi ne hair
that covers the body of the fetus. It
begins to disappear at about 38 weeks
and very likely has completely vanished
by 41 weeks' gestation.
102. A woman delivers a fetal demise that has lanugo covering the entire body,
nails
