Maternity Practice Test PASSED Exam
Questions and CORRECT Answers
The perinatal nurse is caring for a woman in the immediate postbirth period. Assessment
reveals that the woman isexperiencing profuse bleeding. The most likely etiology for the
bleeding is:
Select one:
a. Uterine atony.
b. Uterine inversion.
c. Vaginal hematoma.
d. Vaginal laceration. - Correct Answer- A
The nurse is performing an assessment on a client diagnosed with placenta previa. Which
assessment findings should the nurse expect to note? Select all that apply.
Select one or more:
a. Bright red vaginal bleeding
b. Soft, relaxed, nontender uterus
c. Fundal height may be greater than expected for gestational age
d. Severe abdominal pain
e. Uterine rigidity
f. Uterine tenderness - Correct Answer- A, B, C,
The nurse is performing an assessment on a client who suspects that she is pregnant and is
checking the client for probable signs of pregnancy. The nurse should assess for which
probable signs of pregnancy? Select all that apply.
Select one or more:
a. Outline of fetus via radiography or ultrasonography
b. Uterine enlargement
c. Fetal heart rate detected by a nonelectronic device
d. Chadwick's sign
e. Ballottement
f. Positive pregnancy test - Correct Answer- E, D, B, F
,The nurse admits the client in active labor to the birthing center. In order to monitor the
client's uterine contractions electronically, the nurse places the tocodynamometer (pressure
transducer) in which location?
Select one:
a. Over the uterine fundus.
b. Over the back of the fetus.
c. Where contractions are felt to be strong.
d. Over the lower uterine segment. - Correct Answer- A
A pregnant woman presents in labor at term, having had no prenatal care. After birth her
infant is noted to be small for gestational age with small eyes and a thin upper lip. The infant
also is microcephalic. On the basis of her infant's physical findings, this woman should be
questioned about her use of which substance during pregnancy?
Select one:
a. Heroin
b. Marijuana
c. Alcohol
d. Cocaine - Correct Answer- C
The nurse finds a 6-hour postpartum client sitting in a pool of blood. The client's skin is cool
and clammy. Blood pressure is 88/55 mm Hg, pulse is 120 bpm, and respirations are 40
breaths per minute. Which action does the nurse take first?
Select one:
a. Gently massages the client's uterus with two hands, and verbally calls for help.
b. Inserts an indwelling urinary catheter and increases the client's IV fluid rate.
c. Places the client in high Fowler's position and applies oxygen by nasal cannula.
d. Runs to the nurse's station to get help and notifies the health care provider. - Correct
Answer- A
The perinatal nurse is giving discharge instructions to a woman after suction curettage
secondary to a hydatidiform mole.The woman asks why she must take oral contraceptives for
the next 12 months. The best response from the nurse would be:
Select one:
, a. "The major risk to you after a molar pregnancy is a type of cancer that can be diagnosed
only by measuring the same hormone that your body produces during pregnancy. If you were
to get pregnant, it would make the diagnosis of this cancer more difficult."
b. "Oral contraceptives are the only form of birth control that will prevent a recurrence of a
molar pregnancy."
c. "If you get pregnant within 1 year, the chance of a successful pregnancy is very small.
Therefore, if you desire a future pregnancy, it would be better for you to use the most reliable
method of contraception available."
d. "If you can avoid a pregnancy for the next year, the chance of developing - Correct
Answer- A
Excessive blood loss after childbirth can have several causes; the most common is:
Select one:
a. Retained placental fragments.
b. Failure of the uterine muscle to contract firmly.
c. Vaginal or vulvar hematomas.
d. Unrepaired lacerations of the vagina or cervix. - Correct Answer- B
At 35 weeks of pregnancy a woman experiences preterm labor. Tocolytics are administered
and she is placed on bed rest, but she continues to experience regular uterine contractions,
and her cervix is beginning to dilate and efface. What would bean important test for fetal
well-being at this time?
Select one:
a. Amniocentesis for fetal lung maturity
b. Ultrasound for fetal size
c. Percutaneous umbilical blood sampling (PUBS)
d. Nonstress test (NST) - Correct Answer- A
The nurse is providing postpartum instructions to a client who will be breast-feeding her
newborn. The nurse determines that the client has understood the instructions if she makes
which statements? Select all that apply.
Select one or more:
a. "Drinking alcohol can affect my milk supply."
b. "I should wear a bra that provides support."
Questions and CORRECT Answers
The perinatal nurse is caring for a woman in the immediate postbirth period. Assessment
reveals that the woman isexperiencing profuse bleeding. The most likely etiology for the
bleeding is:
Select one:
a. Uterine atony.
b. Uterine inversion.
c. Vaginal hematoma.
d. Vaginal laceration. - Correct Answer- A
The nurse is performing an assessment on a client diagnosed with placenta previa. Which
assessment findings should the nurse expect to note? Select all that apply.
Select one or more:
a. Bright red vaginal bleeding
b. Soft, relaxed, nontender uterus
c. Fundal height may be greater than expected for gestational age
d. Severe abdominal pain
e. Uterine rigidity
f. Uterine tenderness - Correct Answer- A, B, C,
The nurse is performing an assessment on a client who suspects that she is pregnant and is
checking the client for probable signs of pregnancy. The nurse should assess for which
probable signs of pregnancy? Select all that apply.
Select one or more:
a. Outline of fetus via radiography or ultrasonography
b. Uterine enlargement
c. Fetal heart rate detected by a nonelectronic device
d. Chadwick's sign
e. Ballottement
f. Positive pregnancy test - Correct Answer- E, D, B, F
,The nurse admits the client in active labor to the birthing center. In order to monitor the
client's uterine contractions electronically, the nurse places the tocodynamometer (pressure
transducer) in which location?
Select one:
a. Over the uterine fundus.
b. Over the back of the fetus.
c. Where contractions are felt to be strong.
d. Over the lower uterine segment. - Correct Answer- A
A pregnant woman presents in labor at term, having had no prenatal care. After birth her
infant is noted to be small for gestational age with small eyes and a thin upper lip. The infant
also is microcephalic. On the basis of her infant's physical findings, this woman should be
questioned about her use of which substance during pregnancy?
Select one:
a. Heroin
b. Marijuana
c. Alcohol
d. Cocaine - Correct Answer- C
The nurse finds a 6-hour postpartum client sitting in a pool of blood. The client's skin is cool
and clammy. Blood pressure is 88/55 mm Hg, pulse is 120 bpm, and respirations are 40
breaths per minute. Which action does the nurse take first?
Select one:
a. Gently massages the client's uterus with two hands, and verbally calls for help.
b. Inserts an indwelling urinary catheter and increases the client's IV fluid rate.
c. Places the client in high Fowler's position and applies oxygen by nasal cannula.
d. Runs to the nurse's station to get help and notifies the health care provider. - Correct
Answer- A
The perinatal nurse is giving discharge instructions to a woman after suction curettage
secondary to a hydatidiform mole.The woman asks why she must take oral contraceptives for
the next 12 months. The best response from the nurse would be:
Select one:
, a. "The major risk to you after a molar pregnancy is a type of cancer that can be diagnosed
only by measuring the same hormone that your body produces during pregnancy. If you were
to get pregnant, it would make the diagnosis of this cancer more difficult."
b. "Oral contraceptives are the only form of birth control that will prevent a recurrence of a
molar pregnancy."
c. "If you get pregnant within 1 year, the chance of a successful pregnancy is very small.
Therefore, if you desire a future pregnancy, it would be better for you to use the most reliable
method of contraception available."
d. "If you can avoid a pregnancy for the next year, the chance of developing - Correct
Answer- A
Excessive blood loss after childbirth can have several causes; the most common is:
Select one:
a. Retained placental fragments.
b. Failure of the uterine muscle to contract firmly.
c. Vaginal or vulvar hematomas.
d. Unrepaired lacerations of the vagina or cervix. - Correct Answer- B
At 35 weeks of pregnancy a woman experiences preterm labor. Tocolytics are administered
and she is placed on bed rest, but she continues to experience regular uterine contractions,
and her cervix is beginning to dilate and efface. What would bean important test for fetal
well-being at this time?
Select one:
a. Amniocentesis for fetal lung maturity
b. Ultrasound for fetal size
c. Percutaneous umbilical blood sampling (PUBS)
d. Nonstress test (NST) - Correct Answer- A
The nurse is providing postpartum instructions to a client who will be breast-feeding her
newborn. The nurse determines that the client has understood the instructions if she makes
which statements? Select all that apply.
Select one or more:
a. "Drinking alcohol can affect my milk supply."
b. "I should wear a bra that provides support."
