N144 EXAM 3 MATERNITY O/B -SAMUEL MERRIT
UNIVERSITY |ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
A 41-week pregnant multigravida presents in the labor and delivery unit after a nonstress
test indicated that her fetus could be experiencing some difficulties in utero. Which
diagnostic tool would yield more detailed information about the fetus?
a. Ultrasound for fetal anomalies
b. Biophysical profile (BPP)
c. Maternal serum alpha-fetoprotein (MSAFP) screening
d. Percutaneous umbilical blood sampling (PUBS)
CORRECT ANSWER
b. Biophysical profile (BPP)
Real-time ultrasound permits detailed assessment of the physical and physiologic
characteristics of the developing fetus and cataloging of normal and abnormal
biophysical responses to stimuli. BPP is a noninvasive, dynamic assessment of a fetus
that is based on acute and chronic markers of fetal disease. An ultrasound for fetal
anomalies would most likely have been performed earlier in the pregnancy. It is too late
in the pregnancy to perform MSAFP screening. Also, MSAFP screening does not provide
information related to fetal well-being. Indications for PUBS include prenatal diagnosis or
inherited blood disorders, karyotyping of malformed fetuses, detection of fetal infection,
determination of the acid-base status of a fetus with IUGR, and assessment and
treatment of isoimmunization and thrombocytopenia in the fetus.
1
,Question 2
When nurses help their expectant mothers assess the daily fetal movement counts, they
should be aware that:
a. Alcohol or cigarette smoke can irritate the fetus into greater activity.
b. Kick counts should be taken every half hour and averaged every 6 hours, with every other
6-hour stretch off.
c. The fetal alarm signal should go off when fetal movements stop entirely for 12 hours.
d. Obese mothers familiar with their bodies can assess fetal movement as well as average-
size women.
CORRECT ANSWER
c. The fetal alarm signal should go off when fetal movements stop entirely for 12 hours.
No movement in a 12-hour period is cause for investigation and possibly intervention.
Alcohol and cigarette smoke temporarily reduce fetal movement. The mother should
count fetal activity (kick counts) two or three times daily for 60 minutes each time.
Obese women have a harder time assessing fetal movement.
Question 3
Nurses should be aware that the biophysical profile (BPP):
a. Is an accurate indicator of impending fetal death.
b. Is a compilation of health risk factors of the mother during the later stages of pregnancy.
2
,c. Consists of a Doppler blood flow analysis and an amniotic fluid index.
d. Involves an invasive form of ultrasound examination.
CORRECT ANSWER
a. Is an accurate indicator of impending fetal death.
An abnormal BPP score is an indication that labor should be induced. The BPP evaluates
the health of the fetus, requires many different measures, and is a noninvasive
procedure.
Question 4
Risk factors tend to be interrelated and cumulative in their effect. While planning the care
for a laboring client with diabetes mellitus, the nurse is aware that she is at a greater risk
for:
a. Oligohydramnios.
b. Polyhydramnios.
c. Postterm pregnancy.
d. Chromosomal abnormalities.
CORRECT ANSWER
b. Polyhydramnios.
Polyhydramnios (amniotic fluid >2000 mL) is 10 times more likely to occur in diabetic
compared with nondiabetic pregnancies. Polyhydramnios puts the mother at risk for
3
, premature rupture of membranes, premature labor, and postpartum hemorrhage.
Prolonged rupture of membranes, intrauterine growth restriction, intrauterine fetal
death, and renal agenesis (Potter syndrome) all put the client at risk for developing
oligohydramnios. Anencephaly, placental insufficiency, and perinatal hypoxia all
contribute to the risk for postterm pregnancy. Maternal age older than 35 and balanced
translocation (maternal and paternal) are risk factors for chromosome abnormalities.
Question 5
In assessing the knowledge of a pregestational woman with type 1 diabetes concerning
changing insulin needs during pregnancy, the nurse recognizes that further teaching is
warranted when the client states:
a. "I will need to increase my insulin dosage during the first 3 months of pregnancy."
b. "Insulin dosage will likely need to be increased during the second and third trimesters."
c. "Episodes of hypoglycemia are more likely to occur during the first 3 months."
d. "Insulin needs should return to normal within 7 to 10 days after birth if I am bottle-
feeding."
CORRECT ANSWER
a. "I will need to increase my insulin dosage during the first 3 months of pregnancy."
Insulin needs are reduced in the first trimester because of increased insulin production
by the pancreas and increased peripheral sensitivity to insulin. "Insulin dosage will likely
need to be increased during the second and third trimesters," "Episodes of hypoglycemia
are more likely to occur during the first 3 months," and "Insulin needs should return to
normal within 7 to 10 days after birth if I am bottle-feeding" are accurate statements and
signify that the woman has understood the teachings regarding control of her diabetes
during pregnancy.
4
UNIVERSITY |ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
A 41-week pregnant multigravida presents in the labor and delivery unit after a nonstress
test indicated that her fetus could be experiencing some difficulties in utero. Which
diagnostic tool would yield more detailed information about the fetus?
a. Ultrasound for fetal anomalies
b. Biophysical profile (BPP)
c. Maternal serum alpha-fetoprotein (MSAFP) screening
d. Percutaneous umbilical blood sampling (PUBS)
CORRECT ANSWER
b. Biophysical profile (BPP)
Real-time ultrasound permits detailed assessment of the physical and physiologic
characteristics of the developing fetus and cataloging of normal and abnormal
biophysical responses to stimuli. BPP is a noninvasive, dynamic assessment of a fetus
that is based on acute and chronic markers of fetal disease. An ultrasound for fetal
anomalies would most likely have been performed earlier in the pregnancy. It is too late
in the pregnancy to perform MSAFP screening. Also, MSAFP screening does not provide
information related to fetal well-being. Indications for PUBS include prenatal diagnosis or
inherited blood disorders, karyotyping of malformed fetuses, detection of fetal infection,
determination of the acid-base status of a fetus with IUGR, and assessment and
treatment of isoimmunization and thrombocytopenia in the fetus.
1
,Question 2
When nurses help their expectant mothers assess the daily fetal movement counts, they
should be aware that:
a. Alcohol or cigarette smoke can irritate the fetus into greater activity.
b. Kick counts should be taken every half hour and averaged every 6 hours, with every other
6-hour stretch off.
c. The fetal alarm signal should go off when fetal movements stop entirely for 12 hours.
d. Obese mothers familiar with their bodies can assess fetal movement as well as average-
size women.
CORRECT ANSWER
c. The fetal alarm signal should go off when fetal movements stop entirely for 12 hours.
No movement in a 12-hour period is cause for investigation and possibly intervention.
Alcohol and cigarette smoke temporarily reduce fetal movement. The mother should
count fetal activity (kick counts) two or three times daily for 60 minutes each time.
Obese women have a harder time assessing fetal movement.
Question 3
Nurses should be aware that the biophysical profile (BPP):
a. Is an accurate indicator of impending fetal death.
b. Is a compilation of health risk factors of the mother during the later stages of pregnancy.
2
,c. Consists of a Doppler blood flow analysis and an amniotic fluid index.
d. Involves an invasive form of ultrasound examination.
CORRECT ANSWER
a. Is an accurate indicator of impending fetal death.
An abnormal BPP score is an indication that labor should be induced. The BPP evaluates
the health of the fetus, requires many different measures, and is a noninvasive
procedure.
Question 4
Risk factors tend to be interrelated and cumulative in their effect. While planning the care
for a laboring client with diabetes mellitus, the nurse is aware that she is at a greater risk
for:
a. Oligohydramnios.
b. Polyhydramnios.
c. Postterm pregnancy.
d. Chromosomal abnormalities.
CORRECT ANSWER
b. Polyhydramnios.
Polyhydramnios (amniotic fluid >2000 mL) is 10 times more likely to occur in diabetic
compared with nondiabetic pregnancies. Polyhydramnios puts the mother at risk for
3
, premature rupture of membranes, premature labor, and postpartum hemorrhage.
Prolonged rupture of membranes, intrauterine growth restriction, intrauterine fetal
death, and renal agenesis (Potter syndrome) all put the client at risk for developing
oligohydramnios. Anencephaly, placental insufficiency, and perinatal hypoxia all
contribute to the risk for postterm pregnancy. Maternal age older than 35 and balanced
translocation (maternal and paternal) are risk factors for chromosome abnormalities.
Question 5
In assessing the knowledge of a pregestational woman with type 1 diabetes concerning
changing insulin needs during pregnancy, the nurse recognizes that further teaching is
warranted when the client states:
a. "I will need to increase my insulin dosage during the first 3 months of pregnancy."
b. "Insulin dosage will likely need to be increased during the second and third trimesters."
c. "Episodes of hypoglycemia are more likely to occur during the first 3 months."
d. "Insulin needs should return to normal within 7 to 10 days after birth if I am bottle-
feeding."
CORRECT ANSWER
a. "I will need to increase my insulin dosage during the first 3 months of pregnancy."
Insulin needs are reduced in the first trimester because of increased insulin production
by the pancreas and increased peripheral sensitivity to insulin. "Insulin dosage will likely
need to be increased during the second and third trimesters," "Episodes of hypoglycemia
are more likely to occur during the first 3 months," and "Insulin needs should return to
normal within 7 to 10 days after birth if I am bottle-feeding" are accurate statements and
signify that the woman has understood the teachings regarding control of her diabetes
during pregnancy.
4
