What is the most common physiologic change observed during the first trimester of pregnancy?
A) Increased blood volume
B) Increased glomerular filtration rate (GFR)
C) Decreased progesterone levels
D) Decreased renal perfusion
Answer: B) Increased glomerular filtration rate (GFR)
Which of the following is a key sign of preeclampsia?
A) Severe headache and visual disturbances
B) Increased fetal movement
C) Decreased urine output
D) Abdominal cramping
Answer: A) Severe headache and visual disturbances
What is the primary purpose of antenatal corticosteroid therapy in preterm labor?
A) To delay labor until 34 weeks
B) To promote fetal lung maturity
C) To reduce maternal blood pressure
D) To prevent gestational diabetes
Answer: B) To promote fetal lung maturity
Which of the following is the best management approach for a woman with hyperemesis gravidarum?
A) Immediate initiation of IV antibiotics
B) Administration of antihistamines and IV fluids
,C) Bed rest and restriction of fluid intake
D) Oral glucose supplements
Answer: B) Administration of antihistamines and IV fluids
What is the preferred first-line treatment for uncomplicated gestational diabetes?
A) Insulin therapy
B) Oral hypoglycemic agents
C) Lifestyle changes, including diet and exercise
D) Immediate delivery of the baby
Answer: C) Lifestyle changes, including diet and exercise
What is the most common cause of postpartum hemorrhage?
A) Uterine atony
B) Placenta previa
C) Infection
D) Cervical laceration
Answer: A) Uterine atony
What is the hallmark symptom of eclampsia?
A) Severe nausea and vomiting
B) Seizures
C) Severe abdominal pain
D) Increased fetal movement
Answer: B) Seizures
,During pregnancy, the hormone responsible for the relaxation of smooth muscles, including the uterus, is:
A) Estrogen
B) Progesterone
C) Oxytocin
D) Human placental lactogen
Answer: B) Progesterone
A pregnant woman in her third trimester presents with a headache, blurred vision, and swelling of the face. What is the most
appropriate next step?
A) Schedule an elective cesarean section
B) Administer an antihypertensive
C) Perform a urine test for proteinuria
D) Monitor fetal heart rate
Answer: C) Perform a urine test for proteinuria
The appropriate timing for the administration of the Rh immunoglobulin (RhIg) to an Rh-negative pregnant woman is:
A) During the first trimester
B) At 20 weeks gestation
C) At 28 weeks gestation
D) Immediately after delivery
Answer: C) At 28 weeks gestation
Which of the following is a typical physiologic change in the cardiovascular system during pregnancy?
A) Decreased heart rate
B) Decreased cardiac output
, C) Increased blood volume
D) Decreased stroke volume
Answer: C) Increased blood volume
A patient in labor is experiencing persistent late decelerations on the fetal heart rate monitor. The nurse should:
A) Prepare for immediate cesarean delivery
B) Perform vaginal examination to check for cervical dilation
C) Administer IV fluids and reposition the patient
D) Increase the administration of oxytocin
Answer: C) Administer IV fluids and reposition the patient
What is the primary goal of prenatal care during the first trimester?
A) Screen for fetal abnormalities
B) Prevent gestational diabetes
C) Monitor for signs of early pregnancy complications
D) Educate on infant care
Answer: C) Monitor for signs of early pregnancy complications
Which of the following is a characteristic of a healthy postpartum recovery?
A) Increased lochia rubra for the first 4 weeks
B) Soft and non-tender breasts
C) Increased energy and no emotional changes
D) Absence of uterine involution
Answer: B) Soft and non-tender breasts
A) Increased blood volume
B) Increased glomerular filtration rate (GFR)
C) Decreased progesterone levels
D) Decreased renal perfusion
Answer: B) Increased glomerular filtration rate (GFR)
Which of the following is a key sign of preeclampsia?
A) Severe headache and visual disturbances
B) Increased fetal movement
C) Decreased urine output
D) Abdominal cramping
Answer: A) Severe headache and visual disturbances
What is the primary purpose of antenatal corticosteroid therapy in preterm labor?
A) To delay labor until 34 weeks
B) To promote fetal lung maturity
C) To reduce maternal blood pressure
D) To prevent gestational diabetes
Answer: B) To promote fetal lung maturity
Which of the following is the best management approach for a woman with hyperemesis gravidarum?
A) Immediate initiation of IV antibiotics
B) Administration of antihistamines and IV fluids
,C) Bed rest and restriction of fluid intake
D) Oral glucose supplements
Answer: B) Administration of antihistamines and IV fluids
What is the preferred first-line treatment for uncomplicated gestational diabetes?
A) Insulin therapy
B) Oral hypoglycemic agents
C) Lifestyle changes, including diet and exercise
D) Immediate delivery of the baby
Answer: C) Lifestyle changes, including diet and exercise
What is the most common cause of postpartum hemorrhage?
A) Uterine atony
B) Placenta previa
C) Infection
D) Cervical laceration
Answer: A) Uterine atony
What is the hallmark symptom of eclampsia?
A) Severe nausea and vomiting
B) Seizures
C) Severe abdominal pain
D) Increased fetal movement
Answer: B) Seizures
,During pregnancy, the hormone responsible for the relaxation of smooth muscles, including the uterus, is:
A) Estrogen
B) Progesterone
C) Oxytocin
D) Human placental lactogen
Answer: B) Progesterone
A pregnant woman in her third trimester presents with a headache, blurred vision, and swelling of the face. What is the most
appropriate next step?
A) Schedule an elective cesarean section
B) Administer an antihypertensive
C) Perform a urine test for proteinuria
D) Monitor fetal heart rate
Answer: C) Perform a urine test for proteinuria
The appropriate timing for the administration of the Rh immunoglobulin (RhIg) to an Rh-negative pregnant woman is:
A) During the first trimester
B) At 20 weeks gestation
C) At 28 weeks gestation
D) Immediately after delivery
Answer: C) At 28 weeks gestation
Which of the following is a typical physiologic change in the cardiovascular system during pregnancy?
A) Decreased heart rate
B) Decreased cardiac output
, C) Increased blood volume
D) Decreased stroke volume
Answer: C) Increased blood volume
A patient in labor is experiencing persistent late decelerations on the fetal heart rate monitor. The nurse should:
A) Prepare for immediate cesarean delivery
B) Perform vaginal examination to check for cervical dilation
C) Administer IV fluids and reposition the patient
D) Increase the administration of oxytocin
Answer: C) Administer IV fluids and reposition the patient
What is the primary goal of prenatal care during the first trimester?
A) Screen for fetal abnormalities
B) Prevent gestational diabetes
C) Monitor for signs of early pregnancy complications
D) Educate on infant care
Answer: C) Monitor for signs of early pregnancy complications
Which of the following is a characteristic of a healthy postpartum recovery?
A) Increased lochia rubra for the first 4 weeks
B) Soft and non-tender breasts
C) Increased energy and no emotional changes
D) Absence of uterine involution
Answer: B) Soft and non-tender breasts
