Maternal-Newborn &
Women’s Health Nursing
Comprehensive PRACTICE
QUESTIONS |ORIGINAL
QUESTIONS & ANSWERS
|DETAILED RATIONALES
|HINTED COMPLETE EXAM
PREP GRADED A+*INSTANT
DOWNLOAD PDF
1. A pregnant client asks when the fetal heart begins to develop.
Which response by the nurse is most accurate?
A. At conception
B. During the third week
C. During the eighth week
D. During the twelfth week
Answer: B. During the third week
Rationale: The primitive cardiovascular system begins developing
early in the third week of embryonic development, with cardiac
activity beginning shortly afterward.
,2. Which finding is considered a positive sign of pregnancy?
A. Amenorrhea
B. Positive pregnancy test
C. Chadwick sign
D. Fetal heart activity detected by Doppler
Answer: D. Fetal heart activity detected by Doppler
Rationale: Positive signs are findings that can be attributed only to
pregnancy, such as fetal heart activity, fetal movement palpated by
an examiner, and visualization of the fetus.
3. A client is 12 weeks pregnant. Which uterine location should the
nurse expect?
A. At the symphysis pubis
B. Halfway between the symphysis and umbilicus
C. At approximately the level of the umbilicus
D. At the xiphoid process
Answer: B. Halfway between the symphysis and umbilicus
Rationale: At approximately 12 weeks, the uterus becomes palpable
above the symphysis pubis and is located midway between the
symphysis and umbilicus.
4. Which hormone is primarily responsible for maintaining the
uterine lining during early pregnancy?
A. Oxytocin
B. Progesterone
C. Prolactin
D. Follicle-stimulating hormone
,Answer: B. Progesterone
Rationale: Progesterone maintains the endometrium, supports
implantation, and decreases uterine contractility during pregnancy.
5. A pregnant client reports nausea primarily in the morning. Which
nursing intervention is appropriate?
A. Encourage large meals three times daily
B. Recommend crackers before getting out of bed
C. Restrict fluid intake
D. Encourage fasting until nausea resolves
Answer: B. Recommend crackers before getting out of bed
Rationale: Eating dry crackers or another bland food before rising
may reduce pregnancy-related nausea. Small, frequent meals are
also helpful.
6. Which nutrient is particularly important before conception and
during early pregnancy to reduce neural tube defects?
A. Vitamin C
B. Calcium
C. Folic acid
D. Vitamin D
Answer: C. Folic acid
Rationale: Adequate folic acid before conception and during early
pregnancy significantly reduces the risk of neural tube defects.
7. A pregnant client has a hematocrit of 32%. Which explanation
should the nurse provide?
, A. This always indicates severe hemorrhage
B. Hemodilution commonly occurs during pregnancy
C. Pregnancy normally causes red blood cell destruction
D. The finding indicates dehydration
Answer: B. Hemodilution commonly occurs during pregnancy
Rationale: Plasma volume increases substantially during pregnancy,
producing physiologic hemodilution and a modest decrease in
hemoglobin and hematocrit.
8. Which vaccine is generally contraindicated during pregnancy
because it contains live attenuated virus?
A. Inactivated influenza vaccine
B. Tetanus-diphtheria vaccine
C. Measles-mumps-rubella vaccine
D. Hepatitis B vaccine
Answer: C. Measles-mumps-rubella vaccine
Rationale: MMR is a live attenuated vaccine and is generally avoided
during pregnancy. It may be administered postpartum when
indicated.
9. Which assessment finding in a pregnant client requires
immediate follow-up?
A. Mild urinary frequency
B. Increased breast tenderness
C. Vaginal bleeding accompanied by abdominal pain
D. Mild fatigue during the first trimester
Answer: C. Vaginal bleeding accompanied by abdominal pain
Women’s Health Nursing
Comprehensive PRACTICE
QUESTIONS |ORIGINAL
QUESTIONS & ANSWERS
|DETAILED RATIONALES
|HINTED COMPLETE EXAM
PREP GRADED A+*INSTANT
DOWNLOAD PDF
1. A pregnant client asks when the fetal heart begins to develop.
Which response by the nurse is most accurate?
A. At conception
B. During the third week
C. During the eighth week
D. During the twelfth week
Answer: B. During the third week
Rationale: The primitive cardiovascular system begins developing
early in the third week of embryonic development, with cardiac
activity beginning shortly afterward.
,2. Which finding is considered a positive sign of pregnancy?
A. Amenorrhea
B. Positive pregnancy test
C. Chadwick sign
D. Fetal heart activity detected by Doppler
Answer: D. Fetal heart activity detected by Doppler
Rationale: Positive signs are findings that can be attributed only to
pregnancy, such as fetal heart activity, fetal movement palpated by
an examiner, and visualization of the fetus.
3. A client is 12 weeks pregnant. Which uterine location should the
nurse expect?
A. At the symphysis pubis
B. Halfway between the symphysis and umbilicus
C. At approximately the level of the umbilicus
D. At the xiphoid process
Answer: B. Halfway between the symphysis and umbilicus
Rationale: At approximately 12 weeks, the uterus becomes palpable
above the symphysis pubis and is located midway between the
symphysis and umbilicus.
4. Which hormone is primarily responsible for maintaining the
uterine lining during early pregnancy?
A. Oxytocin
B. Progesterone
C. Prolactin
D. Follicle-stimulating hormone
,Answer: B. Progesterone
Rationale: Progesterone maintains the endometrium, supports
implantation, and decreases uterine contractility during pregnancy.
5. A pregnant client reports nausea primarily in the morning. Which
nursing intervention is appropriate?
A. Encourage large meals three times daily
B. Recommend crackers before getting out of bed
C. Restrict fluid intake
D. Encourage fasting until nausea resolves
Answer: B. Recommend crackers before getting out of bed
Rationale: Eating dry crackers or another bland food before rising
may reduce pregnancy-related nausea. Small, frequent meals are
also helpful.
6. Which nutrient is particularly important before conception and
during early pregnancy to reduce neural tube defects?
A. Vitamin C
B. Calcium
C. Folic acid
D. Vitamin D
Answer: C. Folic acid
Rationale: Adequate folic acid before conception and during early
pregnancy significantly reduces the risk of neural tube defects.
7. A pregnant client has a hematocrit of 32%. Which explanation
should the nurse provide?
, A. This always indicates severe hemorrhage
B. Hemodilution commonly occurs during pregnancy
C. Pregnancy normally causes red blood cell destruction
D. The finding indicates dehydration
Answer: B. Hemodilution commonly occurs during pregnancy
Rationale: Plasma volume increases substantially during pregnancy,
producing physiologic hemodilution and a modest decrease in
hemoglobin and hematocrit.
8. Which vaccine is generally contraindicated during pregnancy
because it contains live attenuated virus?
A. Inactivated influenza vaccine
B. Tetanus-diphtheria vaccine
C. Measles-mumps-rubella vaccine
D. Hepatitis B vaccine
Answer: C. Measles-mumps-rubella vaccine
Rationale: MMR is a live attenuated vaccine and is generally avoided
during pregnancy. It may be administered postpartum when
indicated.
9. Which assessment finding in a pregnant client requires
immediate follow-up?
A. Mild urinary frequency
B. Increased breast tenderness
C. Vaginal bleeding accompanied by abdominal pain
D. Mild fatigue during the first trimester
Answer: C. Vaginal bleeding accompanied by abdominal pain
