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Maternity Exam #1 for 2025

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  • Maternity
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  • Maternity

Maternity Exam #1 1. The OB-GYN nurse teaches a first time pregnant patient about the significance of amniotic fluid which would include (select all that apply) a. Allowing fetal movement b. Produce heat to control fetal temperature c. Cushions the fetus from injury d. Providing a water so...

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  • February 3, 2025
  • 39
  • 2024/2025
  • Exam (elaborations)
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  • Maternity
  • Maternity

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Maternity Exam #1
1. The OB-GYN nurse teaches a first time pregnant patient about the significance of
amniotic fluid which would include (select all that apply)
a. Allowing fetal movement
b. Produce heat to control fetal temperature
c. Cushions the fetus from injury
d. Providing a water source for the fetus to swallow
e. Facilitates symmetrical growth
2. The primigravida patient presents to the clinic with cramping at 11 weeks gestation. The
nurse would expect to assess the following lab finding?
a. Hemoglobin of 16
b. HCG in the normal range
c. Less than 400 mcg of folic acid
d. A low progesterone level
3. The nurse is to schedule a patient for chronic villi test. Which time would be most
appropriate?
a. 2nd week
b. 10th week
c. 20th week
d. 24th week
4. The nurse educator is presenting a program to college students about factors that can
cause congenital malformations. Which of the following will the educator teach?
a. The most damage is done to the fetus when insult occurs during the second
trimester
b. Spontaneous abortion always occurs if the fetus is affected by a toxin
c. The embryo is most vulnerable to toxic agents during the first eight weeks
of pregnancy
d. Toxic substances are primarily drugs
5. The physician is examining a newborn and notes a murmur in the area of the Ductus
Arteriosus. After the physician leaves the room the mother asks the student what is the
Ductus Arteriosus? The student’s teaching would include which of the following?
a. It shunts blood from the right atria to the left atria, bypassing the ventricles and
lungs.
b. It shunts umbilical blood to the inferior vena cava, bypassing the liver & GI
organs.
c. It shunts blood from the pulmonary artery to the aorta, bypassing the
lungs.
d. It delivered the oxygenated blood from the placenta through 2 arteries.
6. A patient at 24 weeks’ gestation has a hematocrit of 35% Her pre-pregnancy hematocrit
was 40%. Which statement by the nurse best explain this change?
a. “With pregnancy you are not able to make enough red blood cells.”

, b. “Your blood volume increases with pregnancy, and therefore the RBCs
appear lower.”
c. “This change could indicate a serious problem. I’ll call your physician.”
d. “You are not eating enough iron-rich foods like meats. I will consult a dietician.”
7. A newly pregnant patient states that the first day of her last menstrual period was March
20. The nurse informs the patient that her estimated date of delivery will be which of the
following?
a. November 7
b. December 27
c. January 23
d. October 23
8. Which of the following lab work would the nurse inform the new primigravida will be
drawn during the initial visit?
a. CBC, Rubella, Blood type and Rh factor
b. HIV, Three hour glucose, and L/S Ratio
c. Follow up H&H, glucose, Rh factor
d. Three hour glucose, Serology - syphilis
9. Which of the following would the nurse be responsible for on the first trimester checklist?
(select all that apply)
a. Diagnosing the pregnancy
b. Teaching the patient about nutrition
c. Going over a list of danger signs with the patient
d. Teaching the patient about exercise and rest
e. Teaching the patient about self-care
10. A pregnant woman comes to the clinic for her initial visit. She states has had 3
miscarriages. What is this patient’s GTPAL?
a. 3-0-0-3-0
b. 4-1-0-3-0
c. 4-0-0-3-0
11. The clinic is collecting data on pregnant woman who have been pregnant one time and
carried the pregnancy beyond 20 weeks gestation. Which client would fit this
classification?
a. A primigravida at 18 weeks gestation
b. A primipara who delivered one child at term
c. A woman who has had a miscarriage
d. A multipara with one living child
12. A primigravida is approximately 7 weeks gestation and is seeing the physician for her
first prenatal visit. Which of the following procedures would be completed during this
visit?
a. Assessment of fetal movement
b. Gestational Diabetic Screening
c. Measurement of fundal height
d. Pelvic and Vaginal examination

,13. A nurse is talking with a primigravida in the first trimester who states “I wanted to
become pregnant but now I am scared about being a mother”. What would the nursing
intervention be for this patient?
a. Have the patient discuss her concerns with the physician.
b. Perform vital signs and continue the assessment.
c. Reassure the patient that this is a normal reaction
d. Recommend to the patient to seek counseling.
14. What would the nurse teach a primigravida in the first trimester to report to the
physician?
a. Headache and proteinuria
b. Bleeding and cramping
c. Changes in fetal movement
d. Breast tenderness
15. A woman presents to the clinic and relates she has not had a menstrual period since
January 1. What would her expected date of birth (EDB) be?
a. November 7
b. October 7
c. November 8
d. October 8
16. A women’s obstetrical history indicates that she has three living children. One was born
at 39 weeks gestation, another at 34 weeks gestation, and another at 35 weeks
gestation. What is her GTPAL?
a. 3-0-3-0-3
b. 3-1-2-0-3
c. 4-1-2-0-3
d. 4-3-1-0-2
17. Human Placental Lactogen (HPL) is a placental hormone that enhances maternal
metabolism. What purpose does HPL serve for the fetus?
a. Decreases progesterone allowing for fetal movement
b. Increases blood glucose to the fetus by insulin resistance
c. Moves the glucose out of the bloodstream into the mother’s cells
d. Increases milk production prior to delivery of the newborn
18. A newborn Pweighs P7 Ppounds Pand P15 Pounces. PHow Pmany Pkilograms Pdoes Pthe
Pinfant Pweigh? P(Round Pto Pthe Ptenth’s)
a. 3.6 Pkg
b. 4.2 Pkg
c. 16.1 Pkg
d. 17.3 Pkg
19. A P22-year-old PHispanic Ppatient Pwho Pis Ppregnant Pshows Pup P2 Phours Plate Pfor Pa
Pprenatal Pvisit. PShe Poffers Pno Pexplanation Pfor Pher Ptardiness. PHow Pshould Pthe
Pnurse Prespond?
a. Recommend Pthat Pshe Pfind Panother Pclinic Pwith Pflexible Phours.
b. Allow Pher Pto Pstay Pand Pbe Pseen Pby Pthe Pobstetrician
c. Tell Pher Pthat Pshe Pwill Pneed Pto Preschedule Pthe Pappointment

, d. Question Pher Pabout Pthe Puse Pof Pillegal Psubstances.
20. A Ppatient Pwho Pis P7 Pweeks Pgestation Pis Pexperiencing Pnausea Pand Pvomiting Pin
Pthe Pmorning. PThe Pnurse Pis Pthe Pprenatal Pclinic Pprovides Pteaching Pthat Pshould
Pinclude Pwhich Pof Pthe Pfollowing?
a. “Wake Pduring Pthe Pnight Pto Peat, Pthis Pwill Pprevent Pan Pempty Pstomach”
b. “Skip Pbreakfast Pand Peat Plunch Pafter Pthe Pnausea Phas Psubsided.”
c. “Eat Pcrackers Por Pplain Ptoast Pbefore Pgetting Pout Pof Pbed Pin Pthe
Pmorning.”
d. “Eat Pa Plarger Psupper; Pthis Pwill Phelp Pprevent Pan Pempty Pstomach Pin Pthe
PA.M.”
21. Select Pthe Pshunts Pbelow Pin Porder Pto Pthe Pfollowing:
Shunts Pumbilical Pblood Pto Pinferior Pvena Pcava, Pbypassing PLiver P& PGI
Porgans
Shunts Pblood Pfrom Pthe Pright Patria Pto Pthe Pleft Patria, Pbypassing Pthe Pventricles
Pand Plungs
Shunts Pblood Pfrom Ppulmonary Partery Pto Paorta, Pbypassing Pthe Plungs
a. Ductus PArteriosus, PForamen POvale, PDuctus PVenosus
b. Ductus PVenosus, PForamen POvale, PDuctus PArteriosus
c. Foramen POvale, PDuctus PVenosus, PDuctus PArteriosus
d. Ductus PVenosus, PDuctus PArteriosus, PForamen POvale
22. A Ppregnant Ppatient’s Pfundus Pis Pat Pthe Pumbilicus. PWhat Pmost Plikely Pis Pthe
Pgestational Page?
a. 12 Pweeks
b. 20 Pweeks
c. 28 Pweeks
d. 40 Pweeks
23. The Ppregnant Ppatient Pis Pfeeling Plightheaded Pdue Pto Psupine Phypotension. PWhich
Pof Pthe Pfollowing Pnursing Pinterventions Pwould Pbe Pbest Pfor Pthis Ppatient?
a. Monitor Pthe Ppatients Ppulse
b. Elevate Pthe Pfoot Pof Pthe Pbed
c. Have Pthe Ppatient Pturn Pto Pher Pside
d. Increase Pfiber Pin Pthe Ppatients Pdiet
24. When Pmeasuring Pthe Pfundal Pheight Pof Pa Ppostpartum Ppatient, Pthe Pnurse Pwould
Panticipate Plocating Pthe Pfundal Pheight Pat Pthe Pfollowing Ppoint?
a. Halfway Pbetween Pthe Ppatient’s Ppubis Pand Pumbilicus
b. Between Pthe Pumbilicus Pand Pthe Pxyphoid Pprocess.
c. Just Pbelow Pthe Plevel Pof Pthe Ppatient’s Pumbilicus.
d. Near Pthe Ppatient’s Pxyphoid Pprocess.
25. What Passessment Pfindings Pin Pan P8 Pweek Ppregnant Pwoman Pwould Pbe Pof
Pconcern Pto Pthe Pnurse? P(Select Pall Pthat Papply)
a. History Pof PCardiac PDisease
b. Iron Pdeficiency Panemia
c. Type P1 PDiabetic
d. Morning Psickness

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