Brand New!!
Situation: The goals of perinatal education are to help parents become knowledgeable
consumers take active role in maintaining health during pregnancy. Anna a 25 year old
Gravida 3 Para 2 seeks prenatal consultation.
1. Nurse Yolly discusses Teratogens with a client during pre-conceptual counseling.
The client demonstrates understanding by stating:
A. "I should stop taking all my medications while I am pregnant."
B. "The fetus is at greatest risk for developing anomalies during the first 16 weeks of
pregnancy."
C. "After 12 weeks, the placenta protects the fetus from teratogens."
D. "Exposure to teratogens poses the greatest risk during the first eight weeks." -
Answer- D. "Exposure to teratogens poses the greatest risk during the first eight
weeks."
2. Anna had her menstruation last April 12, 2014. She has a 27-day cycle. Given the
scenario, the expected date of next ovulation is:
A. April 25, 2014
B. April 26, 2014
C. May 25, 2014
D. May 26, 2014 - Answer- A. April 25, 2014
3. Following an ultrasound at 6 weeks gestation, the client comments, "The embryo
doesn't look human." She asks, "When will it begin to look like a baby?" The nurse's
best response is:
A. "In one more week the embryo will take on a human appearance."
B. "The embryo looks like a baby already. Let me show you again."
C. "The embryo becomes a fetus and looks human after 8 weeks gestation."
D. "You are right, the embryo doesn't look human. Is this important to you?" - Answer-
C. "The embryo becomes a fetus and looks human after 8 weeks gestation."
4. Carla another patient in the clinic just found out that she is pregnant. She asks when
would be her delivery date. What is the expected date of confinement (EDC) of a
pregnant woman whose menstruation was from April 10 to April 13?
A. January 17
B. January 20
C. July 17
D. July 20 - Answer- A. January 17
,5. The nurse noted the Fundic height of Anna is at the level of the umbilicus. In
documenting the data using Bartholomew's rule, the most probable age of gestation
(AOG) in week is :
A. 12 weeks
B. 16 weeks
C. 20 weeks
D. 32 weeks - Answer- C. 20 weeks
Situation: A pregnant woman is monitored continuously for a range of signs and
symptoms that indicate potential complication. Nurse Carol attends to different
discomforts and problems of pregnant women.
6. Carol an O.P.D nurse admitted Mrs. Felia to the antepartum unit with a diagnosis of
severe Hyperemesis Gravidarum. When the nurse reviews the laboratory tests, she
would expect which of these findings?
A. Increased hematocrit
B. Decreased blood urea nitrogen
C. Increased potassium
D. Low urine specific gravity - Answer- A. Increased hematocrit
7. Nurse Carol suspects presence of sexually transmitted infection to Mrs. Felia
specifically Syphilis to a pregnant client. Which of the following tests will be
recommended to the client to confirm diagnosis?
A. Complete blood count
B. Urinalysis
C. Benedict's test
D. VDRL - Answer- D. VDRL
8. Mrs. Ibrado a 26 year old Primigravida is being prepared for a nonstress test. This is
an assessment test based on what phenomenon?
A. Braxton-Hicks contractions cause fetal heart rate alterations.
B. Fetal heart rate slows in response to a uterine contraction.
C. Fetal movement causes an increase in maternal heart rate.
D. Fetal heart sounds increase in connection with fetal movement. - Answer- D. Fetal
heart sounds increase in connection with fetal movement.
9. After a non-stress test is completed, Nurse Ibrado observes on a monitor of the fetal
strip results that the fetal heart rate accelerated 15 BPM with each fetal movement. The
acceleration lasted for 20 seconds and occurred 3 times during the 20 minute test. The
Nurse is correct in interpreting the test as a:
, A. Reactive test
B. Non- reactive test
C. Positive test
D. Negative test - Answer- A. Reactive test
10. Another client is also scheduled for Amniocentesis. Nurse Carol explains to the
client that one of the risks of amniocentesis is:
A. Rupture of membranes
B. Premature labor
C. Fetal death
D. Malformation - Answer- B. Premature labor
Situation: The client in active labor is admitted in the labor room.
11. The nurse is assessing the fetal heart monitor strip of a client having a contraction
stress test. Which of the following, if noted by the nurse, would indicate a negative test?
a. No late decelerations after any contractions on a strip with three contractions within a
10-minute time frame.
B. Late decelerations after at least 2 contractions on a strip with three contractions
within a 10-minute time frame.
C. Late decelerations after one contraction on a strip with three contractions within a 10-
minute time frame.
D. An increase in fetal heart rate after three contractions within a 10-minute time frame.
- Answer- a. No late decelerations after any contractions on a strip with three
contractions within a 10-minute time frame.
12. The client complains of feeling tired and thirsty. The nurse evaluates that the mother
understand the reason for taking only small sips of water and ice chips during labor.
Which of the following statement expressed by the mother would reflect she
understands the situation? When:
A. the body normally has a sufficient store of energy
B. the digestive process is normally slower during labor
C. the intestinal tract should be completely empty before delivery in order to avoid
infecting the baby
D. Cesarian section is always a possibility even in normal labor - Answer- B. the
digestive process is normally slower during labor
13. Kim, a 27 year old, multigravida client, has been transferred to the delivery room
after spontaneous rupture of membrane and crowning was noted by the nurse in
charge. You know that your teaching has been effective when the laboring client's
partner shouts, "She's crowning!" as:
A. You first start to see a little of the baby's head.