Maternal-Newborn Comprehensive
Study Exam Questions and Answers
A nurse in a prenatal clinic is caring for a client who believes that she might be pregnant
because she feels the baby moving. Which of the following statements should the nurse make?
a. "This is a presumptive sign of pregnancy."
b. "This is a probable sign of pregnancy."
c. "This is a possible sign of pregnancy."
d. "This is a positive sign of pregnancy. - correct answer: a
A nurse in a prenatal clinic is caring for a client who is at 7 weeks of gestation. The client reports
urinary frequency and asks if this will continue until delivery. Which of the following responses
should the nurse make?
a. "It's a minor inconvenience, which you should ignore."
b. "In most cases it only lasts until the 12th week, but it will continue if you have poor bladder
tone."
c. "There is no way to predict how long it will last in each individual client."
d. "It occurs during the first trimester and near the end of the pregnancy." - correct answer: d
A nurse is taking a woman's obstetric history. The patient indicates that she is pregnant for the
fourth time and all of her children from previous pregnancies are living. One was born at 39
weeks of gestation, twins were born at 34 weeks of gestation, and another child was born at 35
weeks of gestation. How would the nurse document this using the GTPAL system?
a. 3-1-1-1-3
b. 4-1-2-0-4
,c. 3-0-3-0-3
d. 4-2-1-0-3 - correct answer: b
What important, immediate postoperative care practice should the nurse remember when
caring for a woman who has had a mastectomy?
a. The blood pressure (BP) cuff should not be applied to the affected arm.
b. Venipuncture for blood work should be performed on the affected arm.
c. The affected arm should be used for intravenous (IV) therapy.
d. The affected arm should be held down close to the woman's side. - correct answer: a
A nurse is providing teaching about Kegel exercises to a group of clients who are in the third
trimester of pregnancy. Which of the following statements by a client indicates understanding of
the teaching?
a. "These exercises help prevent constipation."
b. "These exercises help pelvic muscles to stretch during birth."
c. "They can help reduce back aches."
d. "They can prevent further stretch marks." - correct answer: b
As part of their participation in the gynecologic portion of the physical examination, nurses
should:
a. Take a firm approach that encourages the client to facilitate the examination by following the
physician's instructions exactly.
b. Explain the procedure as it unfolds and continue to question the client to get information in a
timely manner.
, c. Take the opportunity to explain that vulvar self-examination is only for women at risk for
cancer.
d. Help the woman relax through proper placement of her hands and proper breathing during
the examination. - correct answer: d
Management of primary dysmenorrhea often requires a multifaceted approach. The nurse who
provides care for a client with this condition should be aware that the optimal pharmacologic
therapy for pain relief is:
a. Acetaminophen.
b. Oral contraceptives (OCPs).
c. Nonsteroidal antiinflammatory drugs (NSAIDs).
d. Aspirin. - correct answer: c
A patient pregnant with monochorionic/diamniotic twins has been given instruction regarding
risks to the fetuses. Which of these statements, if made by the patient, would indicate that the
patient has the correct understanding of the instruction?
a. My twins might get tangled in each other's umbilical cords.
b. My twins each have their own amniotic sac; there is no risk of complications.
c. My twins will be born conjoined and therefore will not live more than one year.
d. My twins may have a fused placenta and be at risk for twin to twin transfusion. - correct
answer: d
A nurse is teaching a group of newly licensed nurses on effective techniques for counseling
clients about sexually transmitted infections (STIs). Which of the following statements should
the nurse include in the teaching?
Study Exam Questions and Answers
A nurse in a prenatal clinic is caring for a client who believes that she might be pregnant
because she feels the baby moving. Which of the following statements should the nurse make?
a. "This is a presumptive sign of pregnancy."
b. "This is a probable sign of pregnancy."
c. "This is a possible sign of pregnancy."
d. "This is a positive sign of pregnancy. - correct answer: a
A nurse in a prenatal clinic is caring for a client who is at 7 weeks of gestation. The client reports
urinary frequency and asks if this will continue until delivery. Which of the following responses
should the nurse make?
a. "It's a minor inconvenience, which you should ignore."
b. "In most cases it only lasts until the 12th week, but it will continue if you have poor bladder
tone."
c. "There is no way to predict how long it will last in each individual client."
d. "It occurs during the first trimester and near the end of the pregnancy." - correct answer: d
A nurse is taking a woman's obstetric history. The patient indicates that she is pregnant for the
fourth time and all of her children from previous pregnancies are living. One was born at 39
weeks of gestation, twins were born at 34 weeks of gestation, and another child was born at 35
weeks of gestation. How would the nurse document this using the GTPAL system?
a. 3-1-1-1-3
b. 4-1-2-0-4
,c. 3-0-3-0-3
d. 4-2-1-0-3 - correct answer: b
What important, immediate postoperative care practice should the nurse remember when
caring for a woman who has had a mastectomy?
a. The blood pressure (BP) cuff should not be applied to the affected arm.
b. Venipuncture for blood work should be performed on the affected arm.
c. The affected arm should be used for intravenous (IV) therapy.
d. The affected arm should be held down close to the woman's side. - correct answer: a
A nurse is providing teaching about Kegel exercises to a group of clients who are in the third
trimester of pregnancy. Which of the following statements by a client indicates understanding of
the teaching?
a. "These exercises help prevent constipation."
b. "These exercises help pelvic muscles to stretch during birth."
c. "They can help reduce back aches."
d. "They can prevent further stretch marks." - correct answer: b
As part of their participation in the gynecologic portion of the physical examination, nurses
should:
a. Take a firm approach that encourages the client to facilitate the examination by following the
physician's instructions exactly.
b. Explain the procedure as it unfolds and continue to question the client to get information in a
timely manner.
, c. Take the opportunity to explain that vulvar self-examination is only for women at risk for
cancer.
d. Help the woman relax through proper placement of her hands and proper breathing during
the examination. - correct answer: d
Management of primary dysmenorrhea often requires a multifaceted approach. The nurse who
provides care for a client with this condition should be aware that the optimal pharmacologic
therapy for pain relief is:
a. Acetaminophen.
b. Oral contraceptives (OCPs).
c. Nonsteroidal antiinflammatory drugs (NSAIDs).
d. Aspirin. - correct answer: c
A patient pregnant with monochorionic/diamniotic twins has been given instruction regarding
risks to the fetuses. Which of these statements, if made by the patient, would indicate that the
patient has the correct understanding of the instruction?
a. My twins might get tangled in each other's umbilical cords.
b. My twins each have their own amniotic sac; there is no risk of complications.
c. My twins will be born conjoined and therefore will not live more than one year.
d. My twins may have a fused placenta and be at risk for twin to twin transfusion. - correct
answer: d
A nurse is teaching a group of newly licensed nurses on effective techniques for counseling
clients about sexually transmitted infections (STIs). Which of the following statements should
the nurse include in the teaching?
