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Study Guide for High Scores With 100 Ǫuestions
1. Pregnancy Confirmation Test
A caregiver in a clinic receives a phone call from a patient who believes she is pregnant and
would like to be tested in the clinic to confirm her pregnancy. Which of the following
information should the caregiver provide to the patient?
A) "You should wait until 4 weeks after conception to be tested"
B) "You should be off any medications for 24 hours prior to the test"
C) "You should be NPO for at least 8 hours prior to the test"
D) "You should collect urine from the first morning void"
_•†n Rationale: The first-morning urine specimen contains the highest concentration of
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human chorionic gonadotropin (hCG), making it the most accurate for pregnancy testing.
2. Relieving Backache During Pregnancy
A caregiver is teaching a group of pregnant women about measures to relieve backache.
Which of the following measures should the caregiver include in the teaching? (Select all
that apply.)
A) Avoid lifting heavy objects
B) Perform Kegel exercises twice a day
C) Perform pelvic rock exercises daily
D) Use proper body mechanics
E) Avoid constrictive clothing
n Rationale: Pelvic rock exercises help strengthen the lower back muscles and alleviate
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discomfort, while proper body mechanics prevent strain on the lower back.
3. Pregnancy Complications to Report
A caregiver is educating a pregnant patient about signs and symptoms that require
immediate reporting to the provider. Which of the following should be included?
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,A) Vaginal bleeding
B) Swelling of the ankles
C) Heartburn after eating
D) Lightheadedness when lying on the back
†_•n.Rationale: Vaginal bleeding can indicate serious complications such as placenta previa
or placental abruption and should be reported immediately.
4. Managing Morning Sickness
A patient who is at 7 weeks of gestation is experiencing nausea and vomiting. Which of the
following instructions should the caregiver provide?
A) Eat crackers or plain toast before getting out of bed
B) Awaken during the night to eat a snack
C) Skip breakfast and eat lunch after nausea subsides
D) Eat a large evening meal
†•n_Rationale: Eating dry crackers or toast before getting out of bed helps absorb stomach
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acid and reduce morning sickness.
5. Common Discomforts of Pregnancy
A caregiver is teaching a patient who is at 6 weeks of gestation about common pregnancy
discomforts. Which of the following should be included? (Select all that apply.)
A) Breast tenderness
B) Urinary frequency
C) Epistaxis (nosebleeds)
D) Dysuria
E) Epigastric pain
†n Rationale: Increased hormones cause breast tenderness, while increased blood flow
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and hormonal changes lead to frequent urination and nosebleeds.
6. Emotional Responses in Early Pregnancy
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,A patient who is at 8 weeks of gestation expresses uncertainty about her pregnancy. How
should the caregiver respond?
A) "I will inform the provider that you are having these feelings."
B) "It is normal to have these feelings during the first few months of pregnancy."
C) "You should be happy that you are going to bring new life into the world."
D) "I am going to make an appointment with the counselor for you to discuss these
thoughts."
_ Rationale: Mixed emotions in early pregnancy are common due to hormonal changes
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and adjustments to the idea of parenthood.
7. Calcium-Rich Foods for Pregnancy
A caregiver is providing nutritional counseling for a patient who does not like milk. Which of
the following foods should the caregiver recommend as a good source of calcium?
A) Dark green leafy vegetables
B) Deep red or orange vegetables
C) White bread and rice
D) Meat, poultry, and fish
_ Rationale: Dark green leafy vegetables (such as spinach and kale) are excellent sources
†•n.
of calcium for individuals who do not consume dairy.
8. Abnormal Pregnancy Weight Gain
A caregiver is reviewing weight gain in pregnancy. Which of the following patient's weight
gain should the caregiver report to the provider?
A) 1.8 kg (4 lb) weight gain in the first trimester
B) 3.6 kg (8 lb) weight gain in the first trimester
C) 6.8 kg (15 lb) weight gain in the second trimester
D) 11.3 kg (25 lb) weight gain in the third trimester
†_•n.Rationale: The recommended weight gain in the first trimester is 1-2 kg (2.2-4.4 lb). A
gain of 8 lb is excessive and may indicate fluid retention or gestational complications.
9. Folic Acid Deficiency Risks
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, A caregiver is teaching a patient about the importance of folic acid supplementation. A
deficiency in folic acid during pregnancy increases the risk of which of the following fetal
complications?
A) Iron deficiency anemia
B) Poor bone formation
C) Macrosomic fetus
D) Neural tube defects
_ Rationale: Folic acid is crucial for neural tube development. A deficiency can result in
†•n.
spina bifida or anencephaly in the fetus.
10. Taking Iron Supplements in Pregnancy
A caregiver is reviewing a new prescription for an iron supplement with a pregnant patient
who has iron deficiency anemia. Which of the following beverages should the caregiver
instruct the patient to take the iron supplement with?
A) Ice water
B) Low-fat or whole milk
C) Tea or coffee
D) Orange juice
n.Rationale: Vitamin C (found in orange juice) enhances iron absorption, whereas
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calcium (milk) and tannins (tea/coffee) can inhibit absorption.
11. Breastfeeding Nutrition
A caregiver is reviewing postpartum nutrition with a group of new mothers who are
breastfeeding. Which of the following statements indicates an understanding of the
teaching?
A) "I am glad I can have my morning coffee."
B) "I should take folic acid to increase my milk supply."
C) "I will continue adding 330 calories per day to my diet."
D) "I will continue my calcium supplements because I don’t like milk."
_•n†.Rationale: Lactating women should continue calcium supplementation if they do not
consume enough dairy to support bone health and milk production.
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