Exam 1 Practice Qs
1. A pregnant woman with a BMI of 22 asks the nurse how she should be gaining weight during
pregnancy. The nurse's best response would be to tell the woman that she should gain
approximately
a. 1 lb per week throughout the pregnancy.
b. 3.5 lb during the first trimester, then 1 lb each week until the end of the pregnancy.
c. 1 lb a week during the first two trimesters, then 2 lb per week during the third
trimester.
d. a total of 25 to 35 lb.
2. nurse is caring for client w/ BMI of 22.6 & expresses concern about weight gain during
pregnancy. Which response should nurse make?
a) you’re eating for 2, so you should double your caloric intake
b) you’ll lose weight easily after the birth of your baby
c) plan to gain a total of 15-20 lbs during pregnancy
d) gaining weight will promote a healthy pregnancy
3. nurse is teaching at 10 weeks gestation about self-care management for common
discomforts during pregnancy. Which instruction should nurse include?
a) Douche every other day to minimize leukorrhea
b) Consume frequent snacks to decrease episodes of nausea
c) Refrain from scheduling dental procedures until third trimester
d) Decrease fluid intake to reduce urinary frequency
4. nurse is teaching client at 30 weeks gestation about warning signs of complications that she
should report to provider.
a) Mild constipation
b) Nasal congestion
c) Vaginal bleeding
d) 10 fetal movements per hour
5. nurse is teaching new nurse about teratogens that affect fetal development. Nurses should
recognize which is teratogen?
a) Consuming caffeine during pregnancy
b) Family history of genetic disorder
c) Gum disease in pregnant client
d) Drinking alcohol during pregnancy
6. nurse is caring for client who is pregnant & asking about non-pharm therapies for nausea &
vomiting. Which option should nurse recommend?
a) Be sure to eat at least 3 large meals a day
b) If you’re expecting nausea when you wake up, wait to eat until lunch
c) You may need to take additional supplements to alleviate nausea
d) Ginger is effective in treating nausea & vomiting
,7. nurse at prenatal clinic is caring for client who suspects she may be pregnant & asks nurse
how provider will confirm her pregnancy. Which lab test will be used?
a) Blood test for presence of estrogen
b) Blood test for amount of circulating progesterone
c) Urine test for presence of human chorionic somatomammotropin
d) Urine test for presence of human chorionic gonadotropin
8. nurse is caring for client who says “I think I’m pregnant.” Which finding should nurse identify
as a positive sign of pregnancy?
a) Positive serum pregnancy test
b) Amenorrhea
c) Fetal tones auscultated by doppler
d) Chadwick sign
9. nurse is assessing client who missed 2 menstrual cycles & reports she might be pregnant.
Which is a positive sign of pregnancy?
a) Quickening
b) Breast tenderness
c) Uterine enlargement
d) Auscultation of fetal heart rate
10. nurse is evaluating how a pregnant client is responding to a medication. Which physiological
effects of pregnancy should nurse take into consideration?
a) Increased intestinal transit
b) Accelerated excretion of fluids
c) Reduced renal blood flow
d) Decreased hepatic metabolism
11. nurse is caring for client in third trimester who reports difficulty sleeping. Which instruction
should nurse provide?
a) Eat high-fat snack before bed
b) Exercise in the evening before bed
c) Sleep in supine position
d) Use additional pillows to support extremities and abdomen
12. nurse is caring for client during first prenatal visit and notes she is lactose-intolerant. Which
food should nurse include on a list of calcium sources for the client?
a) Collard greens
b) Cottage cheese
c) Orange juice
d) Broccoli
, 13. client at routine prenatal visit asks nurse if developing vaginal yeast infections is common
during pregnancy. Which response should nurse make?
a) Have you discussed this with your doc yet
b) The hormonal changes of pregnancy alter the acidity of the vagina, making yeast
infections more common
c) Women who are already prone to vaginal yeast infections get them during pregnancy
d) Why are you concerned about yeast infections during pregnancy
14. nurse is providing nutritional counseling for client who is pregnant. Which nutrients should
nurse instruct client to increase in her daily diet?
a) Iron
b) Calcium
c) Vitamin E
d) Vitamin K
15. nurse is caring for client who is 24 y/o & @ 13 weeks gestation. Client’s history includes BMI
of 31 prior to pregnancy, prior post-term delivery, and newborn birth weight of 9 lb 3 oz/ which
lab value should nurse expect to collect?
a) Maternal serum alpha-fetoprotein
b) Pregnancy-associated plasma protein A
c) Chorionic villus sampling
d) HbA1c
16. nurse is caring for client who recently found out she is pregnant. Client says “I don’t think I
should tell my partner about the pregnancy.” Which response should nurse make
a) Why wouldn’t you want to tell your partner
b) You seem uncertain about telling your partner
c) I am sure he will be happy when you tell him
d) You are in disbelief. You should be thrilled
17. nurse is caring for pregnant adolescent @ 12 weeks gestation & verbalizes fear of gaining
weight. Which action should nurse take
a) Have client watch a video on fetal growth & development during pregnancy
b) Supply pamphlets that discuss the importance of nutrition during pregnancy
c) Explain how poor nutrition can prevent the baby from growing properly
d) Provide examples of how eating well will help maintain a healthy weight during
pregnancy
18. nurse in antepartum clinic is caring for client @ 24 weeks gestation. Which finding should
nurse report to provider?
a) Frequent headaches
b) Leukorrhea
c) Epistaxis
d) Periodic numbness of fingers
1. A pregnant woman with a BMI of 22 asks the nurse how she should be gaining weight during
pregnancy. The nurse's best response would be to tell the woman that she should gain
approximately
a. 1 lb per week throughout the pregnancy.
b. 3.5 lb during the first trimester, then 1 lb each week until the end of the pregnancy.
c. 1 lb a week during the first two trimesters, then 2 lb per week during the third
trimester.
d. a total of 25 to 35 lb.
2. nurse is caring for client w/ BMI of 22.6 & expresses concern about weight gain during
pregnancy. Which response should nurse make?
a) you’re eating for 2, so you should double your caloric intake
b) you’ll lose weight easily after the birth of your baby
c) plan to gain a total of 15-20 lbs during pregnancy
d) gaining weight will promote a healthy pregnancy
3. nurse is teaching at 10 weeks gestation about self-care management for common
discomforts during pregnancy. Which instruction should nurse include?
a) Douche every other day to minimize leukorrhea
b) Consume frequent snacks to decrease episodes of nausea
c) Refrain from scheduling dental procedures until third trimester
d) Decrease fluid intake to reduce urinary frequency
4. nurse is teaching client at 30 weeks gestation about warning signs of complications that she
should report to provider.
a) Mild constipation
b) Nasal congestion
c) Vaginal bleeding
d) 10 fetal movements per hour
5. nurse is teaching new nurse about teratogens that affect fetal development. Nurses should
recognize which is teratogen?
a) Consuming caffeine during pregnancy
b) Family history of genetic disorder
c) Gum disease in pregnant client
d) Drinking alcohol during pregnancy
6. nurse is caring for client who is pregnant & asking about non-pharm therapies for nausea &
vomiting. Which option should nurse recommend?
a) Be sure to eat at least 3 large meals a day
b) If you’re expecting nausea when you wake up, wait to eat until lunch
c) You may need to take additional supplements to alleviate nausea
d) Ginger is effective in treating nausea & vomiting
,7. nurse at prenatal clinic is caring for client who suspects she may be pregnant & asks nurse
how provider will confirm her pregnancy. Which lab test will be used?
a) Blood test for presence of estrogen
b) Blood test for amount of circulating progesterone
c) Urine test for presence of human chorionic somatomammotropin
d) Urine test for presence of human chorionic gonadotropin
8. nurse is caring for client who says “I think I’m pregnant.” Which finding should nurse identify
as a positive sign of pregnancy?
a) Positive serum pregnancy test
b) Amenorrhea
c) Fetal tones auscultated by doppler
d) Chadwick sign
9. nurse is assessing client who missed 2 menstrual cycles & reports she might be pregnant.
Which is a positive sign of pregnancy?
a) Quickening
b) Breast tenderness
c) Uterine enlargement
d) Auscultation of fetal heart rate
10. nurse is evaluating how a pregnant client is responding to a medication. Which physiological
effects of pregnancy should nurse take into consideration?
a) Increased intestinal transit
b) Accelerated excretion of fluids
c) Reduced renal blood flow
d) Decreased hepatic metabolism
11. nurse is caring for client in third trimester who reports difficulty sleeping. Which instruction
should nurse provide?
a) Eat high-fat snack before bed
b) Exercise in the evening before bed
c) Sleep in supine position
d) Use additional pillows to support extremities and abdomen
12. nurse is caring for client during first prenatal visit and notes she is lactose-intolerant. Which
food should nurse include on a list of calcium sources for the client?
a) Collard greens
b) Cottage cheese
c) Orange juice
d) Broccoli
, 13. client at routine prenatal visit asks nurse if developing vaginal yeast infections is common
during pregnancy. Which response should nurse make?
a) Have you discussed this with your doc yet
b) The hormonal changes of pregnancy alter the acidity of the vagina, making yeast
infections more common
c) Women who are already prone to vaginal yeast infections get them during pregnancy
d) Why are you concerned about yeast infections during pregnancy
14. nurse is providing nutritional counseling for client who is pregnant. Which nutrients should
nurse instruct client to increase in her daily diet?
a) Iron
b) Calcium
c) Vitamin E
d) Vitamin K
15. nurse is caring for client who is 24 y/o & @ 13 weeks gestation. Client’s history includes BMI
of 31 prior to pregnancy, prior post-term delivery, and newborn birth weight of 9 lb 3 oz/ which
lab value should nurse expect to collect?
a) Maternal serum alpha-fetoprotein
b) Pregnancy-associated plasma protein A
c) Chorionic villus sampling
d) HbA1c
16. nurse is caring for client who recently found out she is pregnant. Client says “I don’t think I
should tell my partner about the pregnancy.” Which response should nurse make
a) Why wouldn’t you want to tell your partner
b) You seem uncertain about telling your partner
c) I am sure he will be happy when you tell him
d) You are in disbelief. You should be thrilled
17. nurse is caring for pregnant adolescent @ 12 weeks gestation & verbalizes fear of gaining
weight. Which action should nurse take
a) Have client watch a video on fetal growth & development during pregnancy
b) Supply pamphlets that discuss the importance of nutrition during pregnancy
c) Explain how poor nutrition can prevent the baby from growing properly
d) Provide examples of how eating well will help maintain a healthy weight during
pregnancy
18. nurse in antepartum clinic is caring for client @ 24 weeks gestation. Which finding should
nurse report to provider?
a) Frequent headaches
b) Leukorrhea
c) Epistaxis
d) Periodic numbness of fingers
