AntepArtum CAre & prenAtAl
Assessment questions with
Answers new edition
1. A client at 10 weeks' gestation reports nausea and vomiting. Which instruction should
the nurse include?
A) Drink fluids with meals
B) Eat dry crackers before rising
C) Skip breakfast to settle the stomach
D) Increase fatty foods for energy
Answer: B. 晨起前吃干饼干有助于减轻晨吐。液体应在两餐之间摄入，而非随餐。油
腻食物会加重恶心 。
2. A client's GTPAL is documented as G4 T2 P1 A1 L3. What does this mean?
A) 4 pregnancies, 2 term, 1 preterm, 1 abortion, 3 living children
B) 4 pregnancies, 2 preterm, 1 term, 1 abortion, 3 living
C) 4 deliveries, 2 term, 1 preterm, 1 abortion, 3 living
D) 4 pregnancies, 2 term, 1 preterm, 1 abortion, 3 losses
Answer: A. G=总妊娠次数；T=足月产；P=早产；A=流产；L=存活子女数 。
3. Which instruction should the nurse give a client about folic acid?
A) Start at 12 weeks' gestation
B) Take 400 mcg daily before conception
C) Only needed if anemic
D) Take with a calcium supplement
Answer: B. 孕前及孕早期每日补充 400 mcg 叶酸可预防神经管缺陷 。
4. A client at 20 weeks reports no fetal movement yet. What is the appropriate response?
A) "You should feel movement by 16 weeks."
B) "Fetal movement is typically felt between 18–20 weeks; this can be normal."
C) "This indicates fetal distress."
D) "You need an immediate C-section."
Answer: B. 初产妇通常在 18–20 周首次感受到胎动（quickening），此时尚未感知可能
属于正常 。
,5. Which immunization is contraindicated during pregnancy?
A) Tdap
B) Influenza (inactivated)
C) MMR
D) COVID-19
Answer: C. MMR 是减毒活疫苗，孕期禁用。Tdap 和灭活流感疫苗是推荐接种的 。
6. Which lab value indicates a client needs Rh immune globulin?
A) Rh-positive mother, Rh-negative fetus
B) Rh-negative mother, Rh-positive fetus
C) Rh-negative mother, Rh-negative fetus
D) Rh-positive mother, Rh-positive fetus
Answer: B. Rh 阴性母亲怀 Rh 阳性胎儿时需注射 RhoGAM 以预防致敏 。
7. A client at 28 weeks reports decreased fetal movement. What should the nurse do first?
A) Perform a nonstress test
B) Ask the client to drink orange juice and lie on her left side
C) Notify the provider
D) Prepare for cesarean delivery
Answer: B. 第一步是刺激胎动：让客户喝果汁并左侧卧位。若无改善，再进行进一步
检查 。
8. A client at 26 weeks reports dizziness after lying on her back. Which action should the
nurse take?
A) Request preeclampsia laboratory studies
B) Advise the client to lie on her side
C) Request an ultrasound
D) Advise calcium supplementation
Answer: B. 仰卧位低血压综合征由妊娠子宫压迫下腔静脉引起，左侧卧位可缓解 。
9. A nurse is teaching a client about a nonstress test. Which statement indicates
understanding?
A) "I know not to eat anything after midnight"
B) "I will have medication given to me to cause contractions"
C) "I should press the button on the handheld marker when my baby moves"
D) "I will have to stimulate my breast to cause contractions"
Answer: C. 无应激试验中，客户在感知胎动时按按钮，以评估胎心率加速情况 。
, 10. A client reports continued nausea and vomiting and scant, prune-colored discharge at
16 weeks. Fundal height is larger than expected. Which complication should the nurse
suspect?
A) Ectopic pregnancy
B) Hydatidiform mole
C) Placenta previa
D) Abruptio placentae
Answer: B. 葡萄胎表现为子宫大于孕周、剧烈恶心呕吐、暗褐色分泌物及 HCG 显著升
高。
11. Which finding is a probable sign of pregnancy?
A) Positive urine hCG
B) Ballottement and Chadwick's sign
C) Fetal heart tones
D) Ultrasound visualization of fetus
Answer: B. 可能征象（probable signs）包括 Ballottement、Chadwick 征、Hegar 征等，
但非确诊依据 。
12. A client reports constipation at 26 weeks. Which response is appropriate?
A) "Drink 1 oz of mineral oil every morning"
B) "Walk for at least 30 minutes every day"
C) "Eat at least 3 oz of red meat per day"
D) "Stop taking your prenatal vitamin"
Answer: B. 每日步行有助于促进肠蠕动，缓解孕期便秘 。
13. A nurse is reviewing a BPP. Which variables should the test include?
A) Fetal breathing movement, fetal tone, amniotic fluid volume
B) Fetal heart rate, maternal blood pressure, amniotic fluid
C) Contractions, fetal movement, placental grade
D) Maternal weight, fetal weight, amniotic fluid
Answer: A. 生物物理评分（BPP）包括胎儿呼吸运动、胎动、胎儿肌张力、羊水量及
NST 。
14. A nurse is teaching about the amniocentesis procedure. Which statement should the
nurse include?
A) "You should empty your bladder prior to the procedure."
B) "You need a full bladder for the procedure."
C) "You will be sedated during the procedure."
D) "You can eat a full meal immediately before."
Assessment questions with
Answers new edition
1. A client at 10 weeks' gestation reports nausea and vomiting. Which instruction should
the nurse include?
A) Drink fluids with meals
B) Eat dry crackers before rising
C) Skip breakfast to settle the stomach
D) Increase fatty foods for energy
Answer: B. 晨起前吃干饼干有助于减轻晨吐。液体应在两餐之间摄入，而非随餐。油
腻食物会加重恶心 。
2. A client's GTPAL is documented as G4 T2 P1 A1 L3. What does this mean?
A) 4 pregnancies, 2 term, 1 preterm, 1 abortion, 3 living children
B) 4 pregnancies, 2 preterm, 1 term, 1 abortion, 3 living
C) 4 deliveries, 2 term, 1 preterm, 1 abortion, 3 living
D) 4 pregnancies, 2 term, 1 preterm, 1 abortion, 3 losses
Answer: A. G=总妊娠次数；T=足月产；P=早产；A=流产；L=存活子女数 。
3. Which instruction should the nurse give a client about folic acid?
A) Start at 12 weeks' gestation
B) Take 400 mcg daily before conception
C) Only needed if anemic
D) Take with a calcium supplement
Answer: B. 孕前及孕早期每日补充 400 mcg 叶酸可预防神经管缺陷 。
4. A client at 20 weeks reports no fetal movement yet. What is the appropriate response?
A) "You should feel movement by 16 weeks."
B) "Fetal movement is typically felt between 18–20 weeks; this can be normal."
C) "This indicates fetal distress."
D) "You need an immediate C-section."
Answer: B. 初产妇通常在 18–20 周首次感受到胎动（quickening），此时尚未感知可能
属于正常 。
,5. Which immunization is contraindicated during pregnancy?
A) Tdap
B) Influenza (inactivated)
C) MMR
D) COVID-19
Answer: C. MMR 是减毒活疫苗，孕期禁用。Tdap 和灭活流感疫苗是推荐接种的 。
6. Which lab value indicates a client needs Rh immune globulin?
A) Rh-positive mother, Rh-negative fetus
B) Rh-negative mother, Rh-positive fetus
C) Rh-negative mother, Rh-negative fetus
D) Rh-positive mother, Rh-positive fetus
Answer: B. Rh 阴性母亲怀 Rh 阳性胎儿时需注射 RhoGAM 以预防致敏 。
7. A client at 28 weeks reports decreased fetal movement. What should the nurse do first?
A) Perform a nonstress test
B) Ask the client to drink orange juice and lie on her left side
C) Notify the provider
D) Prepare for cesarean delivery
Answer: B. 第一步是刺激胎动：让客户喝果汁并左侧卧位。若无改善，再进行进一步
检查 。
8. A client at 26 weeks reports dizziness after lying on her back. Which action should the
nurse take?
A) Request preeclampsia laboratory studies
B) Advise the client to lie on her side
C) Request an ultrasound
D) Advise calcium supplementation
Answer: B. 仰卧位低血压综合征由妊娠子宫压迫下腔静脉引起，左侧卧位可缓解 。
9. A nurse is teaching a client about a nonstress test. Which statement indicates
understanding?
A) "I know not to eat anything after midnight"
B) "I will have medication given to me to cause contractions"
C) "I should press the button on the handheld marker when my baby moves"
D) "I will have to stimulate my breast to cause contractions"
Answer: C. 无应激试验中，客户在感知胎动时按按钮，以评估胎心率加速情况 。
, 10. A client reports continued nausea and vomiting and scant, prune-colored discharge at
16 weeks. Fundal height is larger than expected. Which complication should the nurse
suspect?
A) Ectopic pregnancy
B) Hydatidiform mole
C) Placenta previa
D) Abruptio placentae
Answer: B. 葡萄胎表现为子宫大于孕周、剧烈恶心呕吐、暗褐色分泌物及 HCG 显著升
高。
11. Which finding is a probable sign of pregnancy?
A) Positive urine hCG
B) Ballottement and Chadwick's sign
C) Fetal heart tones
D) Ultrasound visualization of fetus
Answer: B. 可能征象（probable signs）包括 Ballottement、Chadwick 征、Hegar 征等，
但非确诊依据 。
12. A client reports constipation at 26 weeks. Which response is appropriate?
A) "Drink 1 oz of mineral oil every morning"
B) "Walk for at least 30 minutes every day"
C) "Eat at least 3 oz of red meat per day"
D) "Stop taking your prenatal vitamin"
Answer: B. 每日步行有助于促进肠蠕动，缓解孕期便秘 。
13. A nurse is reviewing a BPP. Which variables should the test include?
A) Fetal breathing movement, fetal tone, amniotic fluid volume
B) Fetal heart rate, maternal blood pressure, amniotic fluid
C) Contractions, fetal movement, placental grade
D) Maternal weight, fetal weight, amniotic fluid
Answer: A. 生物物理评分（BPP）包括胎儿呼吸运动、胎动、胎儿肌张力、羊水量及
NST 。
14. A nurse is teaching about the amniocentesis procedure. Which statement should the
nurse include?
A) "You should empty your bladder prior to the procedure."
B) "You need a full bladder for the procedure."
C) "You will be sedated during the procedure."
D) "You can eat a full meal immediately before."
