Maternity EXAM LATEST 120 QUESTIONS AND 100%
Verified ANSWERS JUST RELEASED
Which biophysical profile finding indicates poor oxygenation to the fetus?
a. Two pockets of amniotic fluid
b. Well-flexed arms and legs
c. Nonreactive fetal heart rate
d. Fetal breathing movements noted - answer>>The correct response is C. A nonreactive fetal heart
rate is one of the biophysical profile findings that indicate poor oxygenation to the fetus.
The nurse teaches the pregnant client how to perform Kegel exercises as a way to accomplish which
action?
a. Prevent perineal lacerations
b. Stimulate labor contractions
c. Increase pelvic muscle tone
d. Lose pregnancy weight quickly - answer>>The correct response is C. Pelvic floor muscle (PFM)
exercises help to tighten and strengthen pelvic floor muscles to improve tone. They can help prevent
stress incontinence in women after childbirth. These exercises don't strengthen the perineal area on
the outside to prevent lacerations, but rather the internal pelvic floor muscles. PFM exercises have
nothing to do with the start of labor for postdate infants. A drop in progesterone levels and an increase
in prostaglandins, not exercise, augment labor. PFM exercises don't burn calories
During a clinic visit, a pregnant client at 30 weeks' gestation tells the nurse, "I've had some mild
cramps that are pretty irregular. What does this mean?" The cramps are probably
a. the beginning of labor in the very early stages.
b. an ominous finding indicating that the client is about to have a miscarriage.
c. related to overhydration of the woman.
d. Braxton Hicks contractions, which occur throughout pregnancy - answer>>The correct response is D.
The uterus is constantly contracting throughout pregnancy, but the contractions are irregular and not
usually felt by the woman, nor do they cause dilation of the cervix. Braxton Hicks contractions are not
the start of early labor, since there aren't any measurable cervical changes. They are normal
,throughout the pregnancy, not an ominous sign of an impending abortion. A woman's hydration status
is not related to Braxton Hicks contractions; they occur regardless of her fluid status.
The nurse is preparing her teaching plan for a woman who has just had her pregnancy confirmed.
Which information should be included in it? Select all that apply.
a. Prevent constipation by taking a daily laxative.
b. Balance your dietary intake by increasing your calories by 300 daily.
c. Continue your daily walking routine just as you did before this pregnancy.
d. Tetanus, measles, mumps, and rubella vaccines will be given to you now.
e. Avoid tub baths now that you are pregnant to prevent vaginal infections.
f. Sexual activity is permitted as long as your membranes are intact.
g. Increase your consumption of milk to meet your iron needs. - answer>>The correct responses to this
question are B, C, E, and F because all of these are sound recommendations for a healthy pregnancy.
Pregnant women are to avoid taking medications so the nurse would not recommend a daily laxative.
Increasing fluids, exercise and fiber in the diet are better choices to prevent
constipation. The vaccinations shown are contraindicated for pregnant women bythe CDC. Adverse
outcomes could result if given while pregnant. Milk does not provide a good source of iron. Typically,
iron and folic acid are supplemented in prenatal vitamins and good food sources to prevent anemia
include meats, cereals, cooked beans, spinach, broccoli, and wheat germ.
A pregnant client's LMP was on August 10. Using Nagele's rule, the nurse calculates that her EDD
will be when?
a. June 23
b. July 10
c. July 30
d. May 17 - answer>>The correct response is D. Using Nagele rule, 3 months are subtracted and 7 days
are added, plus 1 year from the date of the last menstrual period.
Which is not true about breastfeeding?
a. Breastfed infants experience more obesity and allergies.
,b. Breast milk is perfectly suited to the infant's nutritional needs.
c. Breast milk contains maternal antibodies to stimulate infant's immunity.
d. Breastfeeding enhances maternal bonding and attachment. - answer>>The correct response to this
question is A because based on research, breast-feeding prevents childhood and adult obesity and
infants who are breast-fed experience fewer allergies versus those that are bottle-fed. Responses B, C,
and D are all true statements about breast-feeding. These responses represent the advantages of
breast-feeding.
Practicing good oral hygiene is important for all women throughout pregnancy. As a nurse providing
anticipatory guidance for pregnant women, what condition can result from periodontal disease if
good dental care isn't practiced?
a. Postdated pregnancy
b. Large-for-gestational-age infant
c. Advanced reproductive cancer
d. Preterm or low-birth-weight infant - answer>>The correct response for this question is D because
infections within the mouth caused by poor oral hygiene spread into the maternal circulatory system
and cross into the fetal circulation which inhibits growth and development of the fetus. Their uterine
environment is compromised and early birth is a risk. Response A is incorrect due to maternal
infections which tend to create a hostile environment resulting in an early birth, not a prolonged
gestation. Response B is incorrect because just the opposite happens with the fetal growth becoming
compromised due to infections. Response C is incorrect because research has not established an
association between periodontal disease and the etiology of any reproductive cancer yet.
What anticipatory guidance regarding sexual activity during pregnancy will be included in client
teaching? Select all that apply.
a. Sexual activity is contraindicated throughout pregnancy.
b. Most women don't desire intimacy after the first trimester.
c. Sexual activity may continue up until the end of the second trimester.
d. Sexual intercourse is prohibited if a history of preterm labor exists.
e. Women's sexual desire may change throughout the pregnancy.
f. Couples can try a variety of positions of comfort during pregnancy. - answer>>The correct responses
to this question are E and F since sexual desire changes throughout pregnancy based on hormones,
, energy levels, relationship, body image, fears of hurting the fetus, and cultural beliefs. Various
positions of comfort for the woman are usually tried for most couples desiring intimacy. Responses A
through D are incorrect because unless there is a medical reason why sexual intercourse isn't
permitted, sexual activity may be continued throughout a healthy pregnancy.
Which would be considered risk factors for psychological well-being during pregnancy? Select all
that apply.
a. Limited support system and network of friends and family
b. Introverted personality at any point in the pregnancy
c. Ambivalence any time during the pregnancy
d. High levels of stress due to family discord
e. History of previous high-risk pregnancy with complications
f. Depression prior to pregnancy and on medication - answer>>The correct responses for this question
are A, D, E, and F because all of these factors will influence the pregnancy outcome in a negative way
and the ability to cope with them might become challenging. These factors would be "red flags" in a
client's history and counseling and education might be needed during this pregnancy. Responses B and
C are both normal emotions that are universally experienced by most pregnant women. They would
not indicate a problem.
Which is the best time for the genetic assessment of an alpha-fetoprotein (AFP) screening test?
a. 12 to 14 weeks' gestation
b. 16 to 18 weeks' gestation
c. 22 to 24 weeks' gestation
d. 28 to 30 weeks' gestation - answer>>B. The best time to get the most accurate reading of an AFP
test is at 16-18 weeks gestation. Alpha-Fetoprotein is produced by the fetal liver and can be tested for
via the maternal blood. It is a screening test to assess the risk for Neural Tube Defects (NTD) in each
pregnancy. This test is best performed between 16 and 18 weeks gestation for increased reliability. If
the test is abnormal, follow-up procedures to rule out NTD include genetic counseling for families with
history of NTD, repeated AFP, high resolution ultrasound, and potentially an amniocentesis.
A 25-year-old woman presents to the clinic with complaints of nausea, vomiting, and urinary
frequency. Based on this information, the nurse knows these are most indicative of what type of
Verified ANSWERS JUST RELEASED
Which biophysical profile finding indicates poor oxygenation to the fetus?
a. Two pockets of amniotic fluid
b. Well-flexed arms and legs
c. Nonreactive fetal heart rate
d. Fetal breathing movements noted - answer>>The correct response is C. A nonreactive fetal heart
rate is one of the biophysical profile findings that indicate poor oxygenation to the fetus.
The nurse teaches the pregnant client how to perform Kegel exercises as a way to accomplish which
action?
a. Prevent perineal lacerations
b. Stimulate labor contractions
c. Increase pelvic muscle tone
d. Lose pregnancy weight quickly - answer>>The correct response is C. Pelvic floor muscle (PFM)
exercises help to tighten and strengthen pelvic floor muscles to improve tone. They can help prevent
stress incontinence in women after childbirth. These exercises don't strengthen the perineal area on
the outside to prevent lacerations, but rather the internal pelvic floor muscles. PFM exercises have
nothing to do with the start of labor for postdate infants. A drop in progesterone levels and an increase
in prostaglandins, not exercise, augment labor. PFM exercises don't burn calories
During a clinic visit, a pregnant client at 30 weeks' gestation tells the nurse, "I've had some mild
cramps that are pretty irregular. What does this mean?" The cramps are probably
a. the beginning of labor in the very early stages.
b. an ominous finding indicating that the client is about to have a miscarriage.
c. related to overhydration of the woman.
d. Braxton Hicks contractions, which occur throughout pregnancy - answer>>The correct response is D.
The uterus is constantly contracting throughout pregnancy, but the contractions are irregular and not
usually felt by the woman, nor do they cause dilation of the cervix. Braxton Hicks contractions are not
the start of early labor, since there aren't any measurable cervical changes. They are normal
,throughout the pregnancy, not an ominous sign of an impending abortion. A woman's hydration status
is not related to Braxton Hicks contractions; they occur regardless of her fluid status.
The nurse is preparing her teaching plan for a woman who has just had her pregnancy confirmed.
Which information should be included in it? Select all that apply.
a. Prevent constipation by taking a daily laxative.
b. Balance your dietary intake by increasing your calories by 300 daily.
c. Continue your daily walking routine just as you did before this pregnancy.
d. Tetanus, measles, mumps, and rubella vaccines will be given to you now.
e. Avoid tub baths now that you are pregnant to prevent vaginal infections.
f. Sexual activity is permitted as long as your membranes are intact.
g. Increase your consumption of milk to meet your iron needs. - answer>>The correct responses to this
question are B, C, E, and F because all of these are sound recommendations for a healthy pregnancy.
Pregnant women are to avoid taking medications so the nurse would not recommend a daily laxative.
Increasing fluids, exercise and fiber in the diet are better choices to prevent
constipation. The vaccinations shown are contraindicated for pregnant women bythe CDC. Adverse
outcomes could result if given while pregnant. Milk does not provide a good source of iron. Typically,
iron and folic acid are supplemented in prenatal vitamins and good food sources to prevent anemia
include meats, cereals, cooked beans, spinach, broccoli, and wheat germ.
A pregnant client's LMP was on August 10. Using Nagele's rule, the nurse calculates that her EDD
will be when?
a. June 23
b. July 10
c. July 30
d. May 17 - answer>>The correct response is D. Using Nagele rule, 3 months are subtracted and 7 days
are added, plus 1 year from the date of the last menstrual period.
Which is not true about breastfeeding?
a. Breastfed infants experience more obesity and allergies.
,b. Breast milk is perfectly suited to the infant's nutritional needs.
c. Breast milk contains maternal antibodies to stimulate infant's immunity.
d. Breastfeeding enhances maternal bonding and attachment. - answer>>The correct response to this
question is A because based on research, breast-feeding prevents childhood and adult obesity and
infants who are breast-fed experience fewer allergies versus those that are bottle-fed. Responses B, C,
and D are all true statements about breast-feeding. These responses represent the advantages of
breast-feeding.
Practicing good oral hygiene is important for all women throughout pregnancy. As a nurse providing
anticipatory guidance for pregnant women, what condition can result from periodontal disease if
good dental care isn't practiced?
a. Postdated pregnancy
b. Large-for-gestational-age infant
c. Advanced reproductive cancer
d. Preterm or low-birth-weight infant - answer>>The correct response for this question is D because
infections within the mouth caused by poor oral hygiene spread into the maternal circulatory system
and cross into the fetal circulation which inhibits growth and development of the fetus. Their uterine
environment is compromised and early birth is a risk. Response A is incorrect due to maternal
infections which tend to create a hostile environment resulting in an early birth, not a prolonged
gestation. Response B is incorrect because just the opposite happens with the fetal growth becoming
compromised due to infections. Response C is incorrect because research has not established an
association between periodontal disease and the etiology of any reproductive cancer yet.
What anticipatory guidance regarding sexual activity during pregnancy will be included in client
teaching? Select all that apply.
a. Sexual activity is contraindicated throughout pregnancy.
b. Most women don't desire intimacy after the first trimester.
c. Sexual activity may continue up until the end of the second trimester.
d. Sexual intercourse is prohibited if a history of preterm labor exists.
e. Women's sexual desire may change throughout the pregnancy.
f. Couples can try a variety of positions of comfort during pregnancy. - answer>>The correct responses
to this question are E and F since sexual desire changes throughout pregnancy based on hormones,
, energy levels, relationship, body image, fears of hurting the fetus, and cultural beliefs. Various
positions of comfort for the woman are usually tried for most couples desiring intimacy. Responses A
through D are incorrect because unless there is a medical reason why sexual intercourse isn't
permitted, sexual activity may be continued throughout a healthy pregnancy.
Which would be considered risk factors for psychological well-being during pregnancy? Select all
that apply.
a. Limited support system and network of friends and family
b. Introverted personality at any point in the pregnancy
c. Ambivalence any time during the pregnancy
d. High levels of stress due to family discord
e. History of previous high-risk pregnancy with complications
f. Depression prior to pregnancy and on medication - answer>>The correct responses for this question
are A, D, E, and F because all of these factors will influence the pregnancy outcome in a negative way
and the ability to cope with them might become challenging. These factors would be "red flags" in a
client's history and counseling and education might be needed during this pregnancy. Responses B and
C are both normal emotions that are universally experienced by most pregnant women. They would
not indicate a problem.
Which is the best time for the genetic assessment of an alpha-fetoprotein (AFP) screening test?
a. 12 to 14 weeks' gestation
b. 16 to 18 weeks' gestation
c. 22 to 24 weeks' gestation
d. 28 to 30 weeks' gestation - answer>>B. The best time to get the most accurate reading of an AFP
test is at 16-18 weeks gestation. Alpha-Fetoprotein is produced by the fetal liver and can be tested for
via the maternal blood. It is a screening test to assess the risk for Neural Tube Defects (NTD) in each
pregnancy. This test is best performed between 16 and 18 weeks gestation for increased reliability. If
the test is abnormal, follow-up procedures to rule out NTD include genetic counseling for families with
history of NTD, repeated AFP, high resolution ultrasound, and potentially an amniocentesis.
A 25-year-old woman presents to the clinic with complaints of nausea, vomiting, and urinary
frequency. Based on this information, the nurse knows these are most indicative of what type of
