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Prenatal Care I: Foundations of Prenatal Care Quizzes with Accurate Answers

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A 35-year-old pregnant person presents to clinic for an initial prenatal visit at 14 weeks' gestation. When discussing genetic screening options, it is most appropriate to offer which test? ( correct answer Quad screen (Not Ultrasound, Chorionic villi sampling, Nuchal translucency and maternal serum b-PAPP-A measurement) A client at 32 weeks' gestation reports sensations of uncomfortable jumpy and itching leg for the last 2 weeks, usually during the night. Which of the following tests is beneficial to obtain? correct answer Serum ferritin A client at 33 weeks' gestation calls you with a report of heartburn of two days' duration. They have tried Maalox without relief. Essential data to gather next is: ___ correct answer Blood pressure A new client at 8 weeks' gestation calls you reporting extreme nausea that has lasted for 1 week. She has initiated diet changes and measures such as avoiding food odors, started a vitamin B6 supplement, and is drinking ginger tea throughout the day. It would be appropriate to first try which of the following medications? correct answer Doxylamine A new client presents for their first prenatal care visit with an unknown last menstrual period and a fundal height measurement of 30 cm. An ultrasound for dating this pregnancy will have an error rate of plus or minus ___ correct answer 3 weeks (See VAR6, p. 703)

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Prenatal Care I: Foundations of
Prenatal Care Quizzes with
Accurate Answers
A 35-year-old pregnant person presents to clinic for an initial prenatal visit at 14
weeks' gestation. When discussing genetic screening options, it is most
appropriate to offer which test? ( correct answer Quad screen
(Not Ultrasound, Chorionic villi sampling, Nuchal translucency and maternal
serum b-PAPP-A measurement)


A client at 32 weeks' gestation reports sensations of uncomfortable jumpy and
itching leg for the last 2 weeks, usually during the night. Which of the following
tests is beneficial to obtain? correct answer Serum ferritin


A client at 33 weeks' gestation calls you with a report of heartburn of two days'
duration. They have tried Maalox without relief. Essential data to gather next is:
___ correct answer Blood pressure


A new client at 8 weeks' gestation calls you reporting extreme nausea that has
lasted for 1 week. She has initiated diet changes and measures such as avoiding
food odors, started a vitamin B6 supplement, and is drinking ginger tea
throughout the day. It would be appropriate to first try which of the following
medications? correct answer Doxylamine


A new client presents for their first prenatal care visit with an unknown last
menstrual period and a fundal height measurement of 30 cm. An ultrasound for
dating this pregnancy will have an error rate of plus or minus ___ correct answer
3 weeks
(See VAR6, p. 703)

,A new client reports asthma symptoms occurring approximately twice a week
during the daytime and rarely at night. What is the classification of their asthma?
correct answer Mild intermittent (VAR6, pp 190-191)


A person presents to the office for a pregnancy test. They missed their last
menstrual period and report nausea, fatigue, and chest tenderness. These
symptoms are considered ________ for pregnancy. correct answer Presumptive
(See P&PC2, p. 133)


A pregnant person at their 39-week prenatal visit reports occasional shortness of
breath. Their physical exam and vital signs are normal. What is the best
explanation to share with this client? correct answer You are having normal
shortness of breath due to late pregnancy changes


According to Varney's Midwifery, the last week of the first trimester is Week # __.
correct answer 12
(VAR6 p699; VAR5, p. 659 both state 12, but ACOG says the 1st trimester ends at
13w 6d gestation - https://www.acog.org/Patients/FAQs/How-Your-Fetus-Grows-
During-PregnancyLinks to an external site.)


According to Varney's Midwifery, what is the final history question that you
should ask? (see the section on Family History) correct answer The final questions
should be a leading question to get any other history that I haven't already asked
for or the client would like me to know. It should be something like "Is there
anything else I should know or that you want to share with me?" (See VAR6,
p114)

, Attitude correct answer Relationship of fetal parts to each other. The basic
attitudes are flexion and extension.
See VAR6 p 656; VAR5 pp 623-624


Calculate G TPAL for the following client who has come to you for an initial
prenatal visit.
Alex conceived via IVF then miscarried at 5 weeks. She conceived again via IVF
and miscarried triplets at 7 weeks. She is currently 21 weeks pregnant with a
singleton pregnancy. correct answer G3 T0 P0 A2 L0 M1


Calculate G TPAL for the following client who has come to you for an initial
prenatal visit.
Ava states that her first baby was born at 41 weeks, then she had a miscarriage,
then she had a baby at 40 weeks. correct answer G4 T2 P0 A1 L2


Calculate G TPAL for the following client who has come to you for an initial
prenatal visit.
Destiny had two abortions at 6 weeks and 7 weeks, respectively. She then had a
miscarriage at 11 weeks. correct answer G4 T0 P0 A3 L0


Calculate G TPAL for the following client who has come to you for an initial
prenatal visit.
Emilee reports this is her first pregnancy ever. correct answer G1 T0 P0 A0 L0


Calculate G TPAL for the following client who has come to you for an initial
prenatal visit.

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