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MATERNITY AND WOMENS HEALTH NURSING
Final Exam Newest Exam Preparation With Complete
Questions And Correct Answers With Rationales |
Already Graded A+||Brand New Version!!
1. A patient at 10 weeks gestation reports frequent episodes of nausea
and vomiting. Which of the following is the most appropriate initial
nursing intervention?
A. Administer antiemetic medication.
B. Encourage the patient to eat small, frequent, dry meals.
C. Instruct the patient to increase fluid intake with meals.
D. Recommend complete bed rest.
Answer: B
Rationale: Nausea and vomiting in early pregnancy, often termed
morning sickness, are common. The recommended first-line non-
pharmacological management includes eating small, frequent meals
that are low in fat and easy to digest, such as dry crackers or toast, and
avoiding an empty stomach. Increasing fluids with meals can
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exacerbate the feeling of fullness and nausea. Antiemetics are
considered if conservative measures fail.
2. A nurse is reviewing the laboratory results of a client who is at 8
weeks gestation. Which of the following findings would be considered a
normal physiological change of pregnancy?
A. Decreased erythrocyte sedimentation rate.
B. Increased serum creatinine level.
C. Decreased hemoglobin and hematocrit.
D. Increased serum albumin.
Answer: C
Rationale: During pregnancy, plasma volume increases by
approximately 40-50%, which exceeds the increase in red blood cell
mass, leading to a physiological dilutional anemia. This results in
decreased hemoglobin and hematocrit values. Erythrocyte
sedimentation rate is increased, serum creatinine decreases due to
increased glomerular filtration, and serum albumin decreases due to
hemodilution.
3. A primigravida at 36 weeks gestation presents with a blood pressure
of 150/94 mmHg and 2+ proteinuria. Which of the following additional
findings would most concern the nurse for severe preeclampsia?
A. Deep tendon reflexes 1+.
B. Platelet count of 180,000/mm3.
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C. Epigastric pain.
D. Fetal heart rate of 140 bpm.
Answer: C
Rationale: Epigastric or right upper quadrant pain is a sign of hepatic
involvement, specifically liver capsule distension, and is a symptom of
severe preeclampsia. Other features of severe disease include severe
hypertension, thrombocytopenia (platelets <100,000), elevated liver
enzymes, headache, and visual disturbances. Reflexes are typically
hyperreflexic (3-4+) in preeclampsia.
4. A nurse is providing teaching to a client about the purpose of the
alpha-fetoprotein (AFP) screening test. Which statement by the client
indicates a correct understanding?
A. This test will tell me the gender of my baby.
B. This test screens for neural tube defects.
C. This test diagnoses gestational diabetes.
D. This test confirms maternal Rh status.
Answer: B
Rationale: Maternal serum alpha-fetoprotein screening is a biochemical
marker used to assess the risk of neural tube defects such as spina
bifida and anencephaly, as well as abdominal wall defects. It is also
used in combination with other markers (triple or quad screen) to assess
for chromosomal anomalies like Down syndrome, but its primary
specific screening is for neural tube defects. It does not determine fetal
sex, diagnose diabetes, or confirm Rh status.
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5. A client at 14 weeks gestation asks the nurse when she can expect to
feel fetal movement. What is the most accurate response?
A. Between 18 and 22 weeks.
B. Between 10 and 12 weeks.
C. Between 28 and 32 weeks.
D. Between 24 and 26 weeks.
Answer: A
Rationale: Quickening, the first perception of fetal movement by the
mother, typically occurs between 18 and 22 weeks of gestation in a
primigravida. In multigravidas, it may be felt as early as 16 weeks.
Sensations before this are usually due to maternal bowel activity. Fetal
movements are not typically perceived at 10-12 weeks.
6. A nurse is assessing a pregnant client at a routine prenatal visit.
Which of the following findings is considered a presumptive sign of
pregnancy?
A. Fetal heart rate audible by Doppler.
B. Positive pregnancy test.
C. Breast tenderness and darkening of the areolae.
D. Palpation of fetal outline.
Answer: C
MATERNITY AND WOMENS HEALTH NURSING
Final Exam Newest Exam Preparation With Complete
Questions And Correct Answers With Rationales |
Already Graded A+||Brand New Version!!
1. A patient at 10 weeks gestation reports frequent episodes of nausea
and vomiting. Which of the following is the most appropriate initial
nursing intervention?
A. Administer antiemetic medication.
B. Encourage the patient to eat small, frequent, dry meals.
C. Instruct the patient to increase fluid intake with meals.
D. Recommend complete bed rest.
Answer: B
Rationale: Nausea and vomiting in early pregnancy, often termed
morning sickness, are common. The recommended first-line non-
pharmacological management includes eating small, frequent meals
that are low in fat and easy to digest, such as dry crackers or toast, and
avoiding an empty stomach. Increasing fluids with meals can
,2|Page
exacerbate the feeling of fullness and nausea. Antiemetics are
considered if conservative measures fail.
2. A nurse is reviewing the laboratory results of a client who is at 8
weeks gestation. Which of the following findings would be considered a
normal physiological change of pregnancy?
A. Decreased erythrocyte sedimentation rate.
B. Increased serum creatinine level.
C. Decreased hemoglobin and hematocrit.
D. Increased serum albumin.
Answer: C
Rationale: During pregnancy, plasma volume increases by
approximately 40-50%, which exceeds the increase in red blood cell
mass, leading to a physiological dilutional anemia. This results in
decreased hemoglobin and hematocrit values. Erythrocyte
sedimentation rate is increased, serum creatinine decreases due to
increased glomerular filtration, and serum albumin decreases due to
hemodilution.
3. A primigravida at 36 weeks gestation presents with a blood pressure
of 150/94 mmHg and 2+ proteinuria. Which of the following additional
findings would most concern the nurse for severe preeclampsia?
A. Deep tendon reflexes 1+.
B. Platelet count of 180,000/mm3.
,3|Page
C. Epigastric pain.
D. Fetal heart rate of 140 bpm.
Answer: C
Rationale: Epigastric or right upper quadrant pain is a sign of hepatic
involvement, specifically liver capsule distension, and is a symptom of
severe preeclampsia. Other features of severe disease include severe
hypertension, thrombocytopenia (platelets <100,000), elevated liver
enzymes, headache, and visual disturbances. Reflexes are typically
hyperreflexic (3-4+) in preeclampsia.
4. A nurse is providing teaching to a client about the purpose of the
alpha-fetoprotein (AFP) screening test. Which statement by the client
indicates a correct understanding?
A. This test will tell me the gender of my baby.
B. This test screens for neural tube defects.
C. This test diagnoses gestational diabetes.
D. This test confirms maternal Rh status.
Answer: B
Rationale: Maternal serum alpha-fetoprotein screening is a biochemical
marker used to assess the risk of neural tube defects such as spina
bifida and anencephaly, as well as abdominal wall defects. It is also
used in combination with other markers (triple or quad screen) to assess
for chromosomal anomalies like Down syndrome, but its primary
specific screening is for neural tube defects. It does not determine fetal
sex, diagnose diabetes, or confirm Rh status.
, 4|Page
5. A client at 14 weeks gestation asks the nurse when she can expect to
feel fetal movement. What is the most accurate response?
A. Between 18 and 22 weeks.
B. Between 10 and 12 weeks.
C. Between 28 and 32 weeks.
D. Between 24 and 26 weeks.
Answer: A
Rationale: Quickening, the first perception of fetal movement by the
mother, typically occurs between 18 and 22 weeks of gestation in a
primigravida. In multigravidas, it may be felt as early as 16 weeks.
Sensations before this are usually due to maternal bowel activity. Fetal
movements are not typically perceived at 10-12 weeks.
6. A nurse is assessing a pregnant client at a routine prenatal visit.
Which of the following findings is considered a presumptive sign of
pregnancy?
A. Fetal heart rate audible by Doppler.
B. Positive pregnancy test.
C. Breast tenderness and darkening of the areolae.
D. Palpation of fetal outline.
Answer: C
