Maternity Nursing Quiz 1 With Verified Solutions 2023-2024, Exams of Nursing
QUIZ 1
MATERNITY NURSING
1. Among the pregnant patients you encounter at the emergency room, who is experiencing true
labor?
a. A 19-year old primigravid whose contractions have been continuous even when she lay
down on bed
b. A 30-year old multigravid who felt pain on the abdomen
c. A 24-year old primigravid whose abdominal pain disappeared upon sleep
d. A 35-year old multigravida whose cervix remain closed
Rationale: a. True labor contractions are continuous even with changes in activity, radiating
from the back to the abdomen, and happens in conjunction with cervical dilatation.
2. A pregnant woman verbalized the desire to practice birthing pain control methods. which
among the following methods involve health education to break the cycle of fear, tension, and
pain?
a. Bradley method
b. Lamaze Philosophy
c. Dick-read method
d. Psychosexual method
Rationale: c. Dick-read method works on the premise that fear causes tension, which leads
to pain during child delivery.
3. The chief function of progesterone is the:
a. Development of the female reproductive system.
b. Stimulation of the follicles for ovulation to occur.
c. Preparation of the uterus to receive a fertilized egg.
d. Establishment of secondary male sex characteristics.
Rationale: c. Progesterone stimulates differentiation of the endometrium into a secretory
type of tissue. Progesterone is an endogenous steroid hormone that is commonly produced
by the adrenal cortex as well as the gonads, which consist of the ovaries and the testes.
4. A client in the first trimester of pregnancy arrives at a health care clinic and reports that she has
been experiencing vaginal bleeding. A threatened abortion is suspected, and the nurse instructs
the client regarding management of care. Which statement, if made by the client, indicates a
need for further education?
a. “I will maintain strict bedrest throughout the remainder of the pregnancy.”
b. “I will avoid sexual intercourse until the bleeding has stopped, and for 2 weeks following the
last evidence of bleeding.”
c. “I will count the number of perineal pads used on a daily basis and note the amount and
color of blood on the pad.”
, Maternity Nursing Quiz 1 With Verified Solutions 2023-2024, Exams of Nursing
d. “I will watch for the evidence of the passage of tissue.”
Rationale: a. Strict bed rest throughout the remainder of pregnancy is not required. Bedrest
and other activity restrictions have not been found to be efficacious in the prevention of a
threatened abortion progressing to spontaneous abortion and have been shown to increase
the risk of other complications including deep vein thrombosis and/or pulmonary embolism
and therefore should not be recommended
5. A 28-year-old patient who is pregnant with her first child reports increased dental caries
(cavities) since becoming pregnant. How should the nurse explain the likely cause for this
change?
a. "When a woman is pregnant, her teeth lose calcium and she is more susceptible to getting
cavities."
b. "It may be necessary to pay extra attention to dental care while you're pregnant, especially
if you're vomiting frequently."
c. "Each woman experiences changes that affect her teeth while she's pregnant."
d. "During pregnancy, tooth enamel softens and the woman is more susceptible to getting
cavities."
Rationale: B. The dental caries that sometimes accompany pregnancy are probably caused
by inadequate oral hygiene and dental care, especially if the woman has problems with
bleeding gums or nausea and vomiting. No demonstrable changes occur in the teeth of
pregnant women
6. You are assigned to a primagravid woman in labor. If, upon performing Leopald’s maneuver, you
palpated a hard and round surface on the superior fundus, what likely is the fetal presentation?
a. Cephalic presentation
b. Breech presentation
c. Shoulder presentation
d. Facial presentation
Rationale: b. Palpating a hard round surface on the superior fundus suggests that the head is
not the presenting part, but the buttocks hence, this child is in breech presentation.
7. A 21-year old client, 6 weeks pregnant is diagnosed with hyperemesis gravidarum. This excessive
vomiting during pregnancy will often result in which of the following conditions?
a. Bowel perforation
b. Electrolyte imbalance
c. Miscarriage
d. Pregnancy induced hypertension (PIH)
Rationale: b. Excessive vomiting in clients with hyperemesis gravidarum often causes weight
loss and fluid, electrolyte, and acid-base imbalances. Severe hyperemesis requiring hospital
admission occurs in 0.3-2% of pregnancies.
, Maternity Nursing Quiz 1 With Verified Solutions 2023-2024, Exams of Nursing
8. A nurse is caring for a client in labor. The nurse determines that the client is beginning in the
second stage of labor when which of the following assessments is noted?
a. The client begins to expel clear vaginal fluid.
b. The contractions are regular.
c. The membranes have ruptured
d. The cervix is dilated completely.
Rationale: d. The second stage of labor begins when the cervix is dilated completely and
ends with the birth of the neonate. After cervical dilation is complete, the fetus descends
into the vaginal canal with or without maternal pushing efforts. The fetus passes through
the birth canal via 7 movements known as the cardinal movements.
9. The developing cells are called a fetus from the:
a. Time the fetal heart is heard
b. Eighth week to the time of birth.
c. Implantation of the fertilized ovum.
d. End of the send week to the onset of labor.
Rationale: b. In the first 7-14 days, the ovum is known as a blastocyst; it is called an embryo
until the eighth week; the developing cells are then called a fetus until birth.
10. A woman is delivering her child. Whenever she “pushes” the child, you notice a decrease in fetal
heart rate in the partograph. What type of fetal heart rate change was exhibited?
a. Acceleration
b. Variable deceleration
c. Late deceleration
d. Early deceleration
Rationale: d. Upon “pushing” the child, its head is being compressed as it exits, causing
parasymphatic stimulation with decrease in fetal heart rate as sign.
11. The adolescent patient reports to the clinic nurse that her period is late but that her home
pregnancy test is negative. Which response is most appropriate?
a. "This means you are not pregnant."
b. "You might be pregnant, but it might be too early for your home test to be accurate."
c. "We don't trust home tests. Come to the clinic for a blood test."
d. "Most people don't use the tests correctly. Did you read the instructions?"
Rationale: B. This is an accurate and appropriate response. Most home pregnancy tests
have low false positive rates, but the false negative rate is slightly higher. Repeating the test
in one week is recommended. Although Choice A might be true, this is not the best response
because the pregnancy may not yet be detectable through use of a urine pregnancy test.
Choice C is not therapeutically worded. Additionally, this statement is not true because
, Maternity Nursing Quiz 1 With Verified Solutions 2023-2024, Exams of Nursing
home pregnancy tests are quite simple to use and quite accurate. A clinic pregnancy test is
usually a urine test. Blood tests are more invasive and more expensive. Choice D does not
address the issues presented in the patient's statement.
12. Clients with gestational diabetes are usually managed by which of the following therapies?
a. Diet
b. NPH insulin (long-acting)
c. Oral hypoglycemic drugs
d. Oral hypoglycemic drugs and insulin
Rationale: a. Clients with gestational diabetes are usually managed by diet alone to control
their glucose intolerance. The initial treatment in these patients with Type 2 diabetes and
gestational diabetes is by diet modification and in the event of failure of control with diet,
the treatment is shifted to insulin to achieve tight glucose control with no risk of placental
transfer.
13. At what phase of the menstrual cycle does implantation of fertilized egg occur best?
a. Progestational
b. Estrogenic
c. Ischemic
d. Menses
Rationale: a. Due to the thickness and corkscrew appearance of the endometrial lining
during the progestational phase, it is the best time for an implanted egg to implant.
14. Gravida refers to which of the following descriptions?
a. A serious pregnancy.
b. Number of times a female has been pregnant.
c. Number of children a female has delivered.
d. Number of term pregnancies a female has had.
Rationale: b. Gravida refers to the number of times a female has been pregnant, regardless
of pregnancy outcome or the number of neonates delivered.
15. A pregnant client in the last trimester has been admitted to the hospital with a diagnosis of
severe preeclampsia. A nurse monitors for complications associated with the diagnosis and
assesses the client for:
a. Any bleeding, such as in the gums, petechiae, and purpura.
b. Enlargement of the breasts.
c. Periods of fetal movement followed by quiet periods.
d. Complaints of feeling hot when the room is cool.
QUIZ 1
MATERNITY NURSING
1. Among the pregnant patients you encounter at the emergency room, who is experiencing true
labor?
a. A 19-year old primigravid whose contractions have been continuous even when she lay
down on bed
b. A 30-year old multigravid who felt pain on the abdomen
c. A 24-year old primigravid whose abdominal pain disappeared upon sleep
d. A 35-year old multigravida whose cervix remain closed
Rationale: a. True labor contractions are continuous even with changes in activity, radiating
from the back to the abdomen, and happens in conjunction with cervical dilatation.
2. A pregnant woman verbalized the desire to practice birthing pain control methods. which
among the following methods involve health education to break the cycle of fear, tension, and
pain?
a. Bradley method
b. Lamaze Philosophy
c. Dick-read method
d. Psychosexual method
Rationale: c. Dick-read method works on the premise that fear causes tension, which leads
to pain during child delivery.
3. The chief function of progesterone is the:
a. Development of the female reproductive system.
b. Stimulation of the follicles for ovulation to occur.
c. Preparation of the uterus to receive a fertilized egg.
d. Establishment of secondary male sex characteristics.
Rationale: c. Progesterone stimulates differentiation of the endometrium into a secretory
type of tissue. Progesterone is an endogenous steroid hormone that is commonly produced
by the adrenal cortex as well as the gonads, which consist of the ovaries and the testes.
4. A client in the first trimester of pregnancy arrives at a health care clinic and reports that she has
been experiencing vaginal bleeding. A threatened abortion is suspected, and the nurse instructs
the client regarding management of care. Which statement, if made by the client, indicates a
need for further education?
a. “I will maintain strict bedrest throughout the remainder of the pregnancy.”
b. “I will avoid sexual intercourse until the bleeding has stopped, and for 2 weeks following the
last evidence of bleeding.”
c. “I will count the number of perineal pads used on a daily basis and note the amount and
color of blood on the pad.”
, Maternity Nursing Quiz 1 With Verified Solutions 2023-2024, Exams of Nursing
d. “I will watch for the evidence of the passage of tissue.”
Rationale: a. Strict bed rest throughout the remainder of pregnancy is not required. Bedrest
and other activity restrictions have not been found to be efficacious in the prevention of a
threatened abortion progressing to spontaneous abortion and have been shown to increase
the risk of other complications including deep vein thrombosis and/or pulmonary embolism
and therefore should not be recommended
5. A 28-year-old patient who is pregnant with her first child reports increased dental caries
(cavities) since becoming pregnant. How should the nurse explain the likely cause for this
change?
a. "When a woman is pregnant, her teeth lose calcium and she is more susceptible to getting
cavities."
b. "It may be necessary to pay extra attention to dental care while you're pregnant, especially
if you're vomiting frequently."
c. "Each woman experiences changes that affect her teeth while she's pregnant."
d. "During pregnancy, tooth enamel softens and the woman is more susceptible to getting
cavities."
Rationale: B. The dental caries that sometimes accompany pregnancy are probably caused
by inadequate oral hygiene and dental care, especially if the woman has problems with
bleeding gums or nausea and vomiting. No demonstrable changes occur in the teeth of
pregnant women
6. You are assigned to a primagravid woman in labor. If, upon performing Leopald’s maneuver, you
palpated a hard and round surface on the superior fundus, what likely is the fetal presentation?
a. Cephalic presentation
b. Breech presentation
c. Shoulder presentation
d. Facial presentation
Rationale: b. Palpating a hard round surface on the superior fundus suggests that the head is
not the presenting part, but the buttocks hence, this child is in breech presentation.
7. A 21-year old client, 6 weeks pregnant is diagnosed with hyperemesis gravidarum. This excessive
vomiting during pregnancy will often result in which of the following conditions?
a. Bowel perforation
b. Electrolyte imbalance
c. Miscarriage
d. Pregnancy induced hypertension (PIH)
Rationale: b. Excessive vomiting in clients with hyperemesis gravidarum often causes weight
loss and fluid, electrolyte, and acid-base imbalances. Severe hyperemesis requiring hospital
admission occurs in 0.3-2% of pregnancies.
, Maternity Nursing Quiz 1 With Verified Solutions 2023-2024, Exams of Nursing
8. A nurse is caring for a client in labor. The nurse determines that the client is beginning in the
second stage of labor when which of the following assessments is noted?
a. The client begins to expel clear vaginal fluid.
b. The contractions are regular.
c. The membranes have ruptured
d. The cervix is dilated completely.
Rationale: d. The second stage of labor begins when the cervix is dilated completely and
ends with the birth of the neonate. After cervical dilation is complete, the fetus descends
into the vaginal canal with or without maternal pushing efforts. The fetus passes through
the birth canal via 7 movements known as the cardinal movements.
9. The developing cells are called a fetus from the:
a. Time the fetal heart is heard
b. Eighth week to the time of birth.
c. Implantation of the fertilized ovum.
d. End of the send week to the onset of labor.
Rationale: b. In the first 7-14 days, the ovum is known as a blastocyst; it is called an embryo
until the eighth week; the developing cells are then called a fetus until birth.
10. A woman is delivering her child. Whenever she “pushes” the child, you notice a decrease in fetal
heart rate in the partograph. What type of fetal heart rate change was exhibited?
a. Acceleration
b. Variable deceleration
c. Late deceleration
d. Early deceleration
Rationale: d. Upon “pushing” the child, its head is being compressed as it exits, causing
parasymphatic stimulation with decrease in fetal heart rate as sign.
11. The adolescent patient reports to the clinic nurse that her period is late but that her home
pregnancy test is negative. Which response is most appropriate?
a. "This means you are not pregnant."
b. "You might be pregnant, but it might be too early for your home test to be accurate."
c. "We don't trust home tests. Come to the clinic for a blood test."
d. "Most people don't use the tests correctly. Did you read the instructions?"
Rationale: B. This is an accurate and appropriate response. Most home pregnancy tests
have low false positive rates, but the false negative rate is slightly higher. Repeating the test
in one week is recommended. Although Choice A might be true, this is not the best response
because the pregnancy may not yet be detectable through use of a urine pregnancy test.
Choice C is not therapeutically worded. Additionally, this statement is not true because
, Maternity Nursing Quiz 1 With Verified Solutions 2023-2024, Exams of Nursing
home pregnancy tests are quite simple to use and quite accurate. A clinic pregnancy test is
usually a urine test. Blood tests are more invasive and more expensive. Choice D does not
address the issues presented in the patient's statement.
12. Clients with gestational diabetes are usually managed by which of the following therapies?
a. Diet
b. NPH insulin (long-acting)
c. Oral hypoglycemic drugs
d. Oral hypoglycemic drugs and insulin
Rationale: a. Clients with gestational diabetes are usually managed by diet alone to control
their glucose intolerance. The initial treatment in these patients with Type 2 diabetes and
gestational diabetes is by diet modification and in the event of failure of control with diet,
the treatment is shifted to insulin to achieve tight glucose control with no risk of placental
transfer.
13. At what phase of the menstrual cycle does implantation of fertilized egg occur best?
a. Progestational
b. Estrogenic
c. Ischemic
d. Menses
Rationale: a. Due to the thickness and corkscrew appearance of the endometrial lining
during the progestational phase, it is the best time for an implanted egg to implant.
14. Gravida refers to which of the following descriptions?
a. A serious pregnancy.
b. Number of times a female has been pregnant.
c. Number of children a female has delivered.
d. Number of term pregnancies a female has had.
Rationale: b. Gravida refers to the number of times a female has been pregnant, regardless
of pregnancy outcome or the number of neonates delivered.
15. A pregnant client in the last trimester has been admitted to the hospital with a diagnosis of
severe preeclampsia. A nurse monitors for complications associated with the diagnosis and
assesses the client for:
a. Any bleeding, such as in the gums, petechiae, and purpura.
b. Enlargement of the breasts.
c. Periods of fetal movement followed by quiet periods.
d. Complaints of feeling hot when the room is cool.
