Maternal Exam 1
1. The nurse is teaching a client about the best positions for rest during pregnancy. Which of the
following responses shows the teaching has been effective?
A. I will lay on my back with my knees bent to prevent lower back strain
B. I will lay on my stomach supported with pillows for gravity to help blood flow to
thebaby
C. I will use side-lying so the weight of the baby doesn’t trap blood in my legs and more
blood can flow through the placenta
D. I will rest in a recliner or with pillows propped in bed to breathe better so there’s
moreoxygen for the baby
2. a nurse is caring for a primiparous woman who is 7 weeks gestation and asks the nurse when she
can expect to experience quickening. How should the nurse respond to this client? A. This will
occur in the last trimester of pregnancy.
B. This will occur between the sixteenth to twentieth (16 to 20) weeks
of
pregnancy.
C. This will occur at the end of the first trimester of pregnancy.
D. This will occur when the uterus begins to rinse out of the pelvis.
3. The nurse is evaluating the fetal heart rate rhythm strip and determines the heart rate amplitude
varies with a rate 15 to 20 beats/min. What does this assessment finding indicate? The nurse
about variability?
A. Variability is absent
B. Variability is minimal
C. Variability is moderate
D. Variability is marked
4. A pregnant client is concerned her baby is going to drown in the uterus because of the fluid.
how should the nurse respond about fetal respiration?
A. Your baby receives oxygen from the amniotic fluid
B. The baby does not have breathing movements until deliveryC. The amniotic
fluid does not enter the baby’s lungs during pregnancy.
D. Oxygen is provided to the baby through the placenta.
5. Which picture depicts the ideal presentation for vaginal delivery.
A. 1
B. 2
C. 3 head downD. 4
6. The nurse is planning a prenatal education program for a community health center, which of
the following statements should the nurse include to meet the 2020 National Health Goals for
nutrition in pregnancy?
, A. Avoid foods high in fats and calories
B. Take 81mg Aspirin every day to prevent clotting.
C. Ensure a daily intake of 400mcg of folic acid.
D. Increase the intake of foods high in simple carbohydrates.
7. Frequent urination results from which of the following causes during the third trimester of
pregnancy?
A. Pressure on the bladder from the uterus.
B. Increased concentration of urine.
C. Addition of fetal urine to maternal urine.
D. Decreased glomerular selectivity.
8. A patient makes an appointment at the prenatal clinic because she thinks she might be
pregnant. which assessment is a positive sign of pregnancy?
A. Amenorrhea
B. Audible fetal heart tones with a doppler
C. nausea and vomiting
D. a positive pregnancy test
9. The nurse is planning to instruct a client who is 12 weeks pregnant on interventions to stop
smoking. What should the nurse include in these instructions? (Select All That Apply). ( not
sure)
A. Purchase nicotine chewing gum.
B. Follow a smoking cessation plan.
C. Utilize a support system while attempting smoking cessation.
D. Apply a nicotine patch when the cravings become severe.
E. Have the client switch to using an e-cigarette.
10.a nurse on the labor and delivery floor admits a client who is 38 weeks gestation and reports
heavy, red vaginal bleeding. The bleeding started spontaneously in the morning and is not
accompanied by contractions. The client is not in distress and she states that she can feel the
baby moving. An ultrasound is scheduled stat. The nurse should explain to the client that the
purpose of the ultrasound is to determine which of the following?
A. Placenta placement
B. Gestational age
C. Fetal lung maturity
D. Fetal measurement for dating
11.A 22-year-old G2PO presents to the labor and delivery unit at 33 weeks’ gestation and
reports of pressure and cramping in her lower back as well as decreased fetal movement. The
nurse in labor and delivery triage anticipates orders for which of the following tests? (select
all that apply)
A. Fetal fibronectin
B. Amniocentesis
C.
Urinalysis
D. Nonstress test
1. The nurse is teaching a client about the best positions for rest during pregnancy. Which of the
following responses shows the teaching has been effective?
A. I will lay on my back with my knees bent to prevent lower back strain
B. I will lay on my stomach supported with pillows for gravity to help blood flow to
thebaby
C. I will use side-lying so the weight of the baby doesn’t trap blood in my legs and more
blood can flow through the placenta
D. I will rest in a recliner or with pillows propped in bed to breathe better so there’s
moreoxygen for the baby
2. a nurse is caring for a primiparous woman who is 7 weeks gestation and asks the nurse when she
can expect to experience quickening. How should the nurse respond to this client? A. This will
occur in the last trimester of pregnancy.
B. This will occur between the sixteenth to twentieth (16 to 20) weeks
of
pregnancy.
C. This will occur at the end of the first trimester of pregnancy.
D. This will occur when the uterus begins to rinse out of the pelvis.
3. The nurse is evaluating the fetal heart rate rhythm strip and determines the heart rate amplitude
varies with a rate 15 to 20 beats/min. What does this assessment finding indicate? The nurse
about variability?
A. Variability is absent
B. Variability is minimal
C. Variability is moderate
D. Variability is marked
4. A pregnant client is concerned her baby is going to drown in the uterus because of the fluid.
how should the nurse respond about fetal respiration?
A. Your baby receives oxygen from the amniotic fluid
B. The baby does not have breathing movements until deliveryC. The amniotic
fluid does not enter the baby’s lungs during pregnancy.
D. Oxygen is provided to the baby through the placenta.
5. Which picture depicts the ideal presentation for vaginal delivery.
A. 1
B. 2
C. 3 head downD. 4
6. The nurse is planning a prenatal education program for a community health center, which of
the following statements should the nurse include to meet the 2020 National Health Goals for
nutrition in pregnancy?
, A. Avoid foods high in fats and calories
B. Take 81mg Aspirin every day to prevent clotting.
C. Ensure a daily intake of 400mcg of folic acid.
D. Increase the intake of foods high in simple carbohydrates.
7. Frequent urination results from which of the following causes during the third trimester of
pregnancy?
A. Pressure on the bladder from the uterus.
B. Increased concentration of urine.
C. Addition of fetal urine to maternal urine.
D. Decreased glomerular selectivity.
8. A patient makes an appointment at the prenatal clinic because she thinks she might be
pregnant. which assessment is a positive sign of pregnancy?
A. Amenorrhea
B. Audible fetal heart tones with a doppler
C. nausea and vomiting
D. a positive pregnancy test
9. The nurse is planning to instruct a client who is 12 weeks pregnant on interventions to stop
smoking. What should the nurse include in these instructions? (Select All That Apply). ( not
sure)
A. Purchase nicotine chewing gum.
B. Follow a smoking cessation plan.
C. Utilize a support system while attempting smoking cessation.
D. Apply a nicotine patch when the cravings become severe.
E. Have the client switch to using an e-cigarette.
10.a nurse on the labor and delivery floor admits a client who is 38 weeks gestation and reports
heavy, red vaginal bleeding. The bleeding started spontaneously in the morning and is not
accompanied by contractions. The client is not in distress and she states that she can feel the
baby moving. An ultrasound is scheduled stat. The nurse should explain to the client that the
purpose of the ultrasound is to determine which of the following?
A. Placenta placement
B. Gestational age
C. Fetal lung maturity
D. Fetal measurement for dating
11.A 22-year-old G2PO presents to the labor and delivery unit at 33 weeks’ gestation and
reports of pressure and cramping in her lower back as well as decreased fetal movement. The
nurse in labor and delivery triage anticipates orders for which of the following tests? (select
all that apply)
A. Fetal fibronectin
B. Amniocentesis
C.
Urinalysis
D. Nonstress test
