Maternity Exam 1 Practice UPDATED ACTUAL
QUESTIONS WITH CORRECT ANSWERS
Question 1.
A woman is in her seventh month of pregnancy. She has been complaining of nasal congestion and
occasional epistaxis. The nurse suspects that:
A. This is a normal respiratory change in pregnancy caused by elevated levels of estrogen.
B. This is an abnormal cardiovascular change, and the nosebleeds are an ominous sign.
C. The woman is a victim of domestic violence and is being hit in the face by her partner.
D. The woman has been using cocaine intranasally.
ANSWER
A
Question 2.
Which factors would change during pregnancy if the hormone progesterone were withdrawn or
reduced? A. Insulin resistance would be increased
B. Sweat and sebaceous glands would increase production
C. Pyrosis would increase in frequency
D. Peristalsis and uterine contractility would increase
ANSWER
D
Question 3.
A pregnant patient tells the prenatal nurse she has been having some "unusual food cravings." After
further assessment, the nurse discovers the patient has been ingesting white clay dirt from her
backyard. Which laboratory study indicates a physiological consequence of the patient's action?
A. WBC 12,300
B. Glucose 96
C. Hemoglobin 9.1
D. Platelets of 250,000
ANSWER
C
1/9
, Question 4.
A pregnant patient tells the nurse that the first day of her last menstrual period was September 21,
2014. Using Nägele's rule, what is the estimated date of delivery (EDD)?
A. June 21, 2015
B. July 28, 2015
C. June 28, 2015
D. April 21, 2015
ANSWER
C
Question 5.
M.M. is pregnant for the 4th time. She has 2 children at home; one was born at 34 weeks gestation and
the other was born at 41 weeks. She reports one miscarriage when she was 11 weeks. What is her
GTPAL?
ANSWER
421112
Question 6.
L.C. is pregnant for the 3rd time. Her first child was born at 38 weeks gestation. She then gave birth to
twins at 35 weeks gestation. What is her GTPAL?
ANSWER
321103
Question 7.
A primigravida client presents to the office for a prenatal visit at 10 weeks gestation. The client
complains of breast tenderness, urinary frequency, nausea, and nasal stuffiness. Which of the
following actions would be appropriate for the nurse to implement?
A. Assess for signs of sepsis
B. Schedule the client for a CBC
C. Notify the obstetrician immediately
D. Provide education on infection management
ANSWER
B
2/9
QUESTIONS WITH CORRECT ANSWERS
Question 1.
A woman is in her seventh month of pregnancy. She has been complaining of nasal congestion and
occasional epistaxis. The nurse suspects that:
A. This is a normal respiratory change in pregnancy caused by elevated levels of estrogen.
B. This is an abnormal cardiovascular change, and the nosebleeds are an ominous sign.
C. The woman is a victim of domestic violence and is being hit in the face by her partner.
D. The woman has been using cocaine intranasally.
ANSWER
A
Question 2.
Which factors would change during pregnancy if the hormone progesterone were withdrawn or
reduced? A. Insulin resistance would be increased
B. Sweat and sebaceous glands would increase production
C. Pyrosis would increase in frequency
D. Peristalsis and uterine contractility would increase
ANSWER
D
Question 3.
A pregnant patient tells the prenatal nurse she has been having some "unusual food cravings." After
further assessment, the nurse discovers the patient has been ingesting white clay dirt from her
backyard. Which laboratory study indicates a physiological consequence of the patient's action?
A. WBC 12,300
B. Glucose 96
C. Hemoglobin 9.1
D. Platelets of 250,000
ANSWER
C
1/9
, Question 4.
A pregnant patient tells the nurse that the first day of her last menstrual period was September 21,
2014. Using Nägele's rule, what is the estimated date of delivery (EDD)?
A. June 21, 2015
B. July 28, 2015
C. June 28, 2015
D. April 21, 2015
ANSWER
C
Question 5.
M.M. is pregnant for the 4th time. She has 2 children at home; one was born at 34 weeks gestation and
the other was born at 41 weeks. She reports one miscarriage when she was 11 weeks. What is her
GTPAL?
ANSWER
421112
Question 6.
L.C. is pregnant for the 3rd time. Her first child was born at 38 weeks gestation. She then gave birth to
twins at 35 weeks gestation. What is her GTPAL?
ANSWER
321103
Question 7.
A primigravida client presents to the office for a prenatal visit at 10 weeks gestation. The client
complains of breast tenderness, urinary frequency, nausea, and nasal stuffiness. Which of the
following actions would be appropriate for the nurse to implement?
A. Assess for signs of sepsis
B. Schedule the client for a CBC
C. Notify the obstetrician immediately
D. Provide education on infection management
ANSWER
B
2/9
