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OB-GYN 1500 Midterm Exam | Verified
Questions with 100% Correct Answers |
Updated Test Bank 2025/2026 | Assured
Success
➢ A nurse in a clinic is reviewing the medical records of a
group of clients who are pregnant. The nurse should
anticipate the provider will order a maternal serum alpha-
fetoprotein (MSAFP) screening for which of the following
clients?
o A client who has mitral valve prolapse
o A client who has been
exposed to AIDS c. All
of the clients
▪ MSAFP is a screening tool to detect open spinal
and abdominal wall defects in the fetus. This
maternal blood test is recommended for all
pregnant woman
o d. A client who has a history of preterm labor.
➢ A nurse in a prenatal clinic is teaching a group of clients
about nutrition requirements during lactation. Which of
the following statements should the nurse make?
o "Calcium intake should be at least 2,000 mg per day."
▪ The calcium requirement during lactation for
women over age 19 is 1,000 mg, which is the
same as during pregnancy and for nonpregnant
pg. 1
, 2
female clients of the same age.
o "Zinc intake should be at least 12 mg per day."
▪ Zinc intake should be increased to 12 mg per day
during lactation, which is above the
recommended levels for pregnancy and
nonpregnant female clients over age 19.
o "The recommended intake of folic acid remains the same
as for pregnant women."
▪ Folic acid requirements are 500 mcg per day
during lactation, as compared to a recommended
intake of 600 mcg during pregnancy.
o "The recommended intake of iron increases."
▪ Iron requirements do not increase during
lactation. They remain 9 mg per day for female
clients over age 19.
➢ A nurse on the labor and delivery unit is caring for a client
who is having a difficult, prolonged labor with severe
backache. Which of the following contributing causes should
the nurse identify?
o Fetal attitude is in general flexion.
▪ Flexion permits the smallest part of the fetal head
to present to the outlet. It is not a contributing
cause of back labor.
o Fetal lie is longitudinal.
▪ A longitudinal fetal lie is the most common
position for vaginal birth and is not a contributing
cause of back labor.
o Maternal pelvis is gynecoid.
pg. 2
, 3
▪ A gynecoid maternal pelvis is the most common
type (50%) for women and is not a contributing
cause of back labor.
o Fetal position is persistent occiput posterior.
▪ The persistent occiput posterior position of the
fetus is a common cause of prolonged, difficult
labor with severe back pain as spinal nerves are
being compressed. Counterpressure or a hands-
and-knees position can offer pain relief.
➢ A nurse is instructing a woman who is contemplating
pregnancy about nutritional needs. To reduce the risk of
giving birth to a newborn who has a neural tube defect, which
of the following information should the nurse include in the
teaching?
o Limit alcohol consumption.
▪ Alcohol consumption has no effect on the
incidence of neural tube defects. It is related to
the incidence of other congenital defects and
fetal alcohol syndrome (FAS) in newborns of
clients who consume alcohol during pregnancy.
o Increase intake of iron-rich foods.
▪ Iron intake has no effect on the incidence of neural
tube defects. A diet low in iron places a client who
is pregnant at risk for preterm labor and
postpartum hemorrhage.
o Consume foods fortified with folic acid.
▪ Increased consumption of folic acid in the 3 months
prior to conception, as well as throughout the
pg. 3
, 4
pregnancy, reduces the incidence of neural tube
defects in the developing fetus.
o Avoid foods containing aspartame.
▪ Aspartame in the diet has no effect on the
incidence of neural tube defects in a fetus.
Clients who have phenylketonuria should be
advised to avoid aspartame since it contains
phenylalanine.
➢ A nurse is teaching a group of patients who are in their
first trimester about exercise during pregnancy. Which of
the following statements should the nurse include in the
teaching?
o "Refrain from exercises that include stretching."
pg. 4
OB-GYN 1500 Midterm Exam | Verified
Questions with 100% Correct Answers |
Updated Test Bank 2025/2026 | Assured
Success
➢ A nurse in a clinic is reviewing the medical records of a
group of clients who are pregnant. The nurse should
anticipate the provider will order a maternal serum alpha-
fetoprotein (MSAFP) screening for which of the following
clients?
o A client who has mitral valve prolapse
o A client who has been
exposed to AIDS c. All
of the clients
▪ MSAFP is a screening tool to detect open spinal
and abdominal wall defects in the fetus. This
maternal blood test is recommended for all
pregnant woman
o d. A client who has a history of preterm labor.
➢ A nurse in a prenatal clinic is teaching a group of clients
about nutrition requirements during lactation. Which of
the following statements should the nurse make?
o "Calcium intake should be at least 2,000 mg per day."
▪ The calcium requirement during lactation for
women over age 19 is 1,000 mg, which is the
same as during pregnancy and for nonpregnant
pg. 1
, 2
female clients of the same age.
o "Zinc intake should be at least 12 mg per day."
▪ Zinc intake should be increased to 12 mg per day
during lactation, which is above the
recommended levels for pregnancy and
nonpregnant female clients over age 19.
o "The recommended intake of folic acid remains the same
as for pregnant women."
▪ Folic acid requirements are 500 mcg per day
during lactation, as compared to a recommended
intake of 600 mcg during pregnancy.
o "The recommended intake of iron increases."
▪ Iron requirements do not increase during
lactation. They remain 9 mg per day for female
clients over age 19.
➢ A nurse on the labor and delivery unit is caring for a client
who is having a difficult, prolonged labor with severe
backache. Which of the following contributing causes should
the nurse identify?
o Fetal attitude is in general flexion.
▪ Flexion permits the smallest part of the fetal head
to present to the outlet. It is not a contributing
cause of back labor.
o Fetal lie is longitudinal.
▪ A longitudinal fetal lie is the most common
position for vaginal birth and is not a contributing
cause of back labor.
o Maternal pelvis is gynecoid.
pg. 2
, 3
▪ A gynecoid maternal pelvis is the most common
type (50%) for women and is not a contributing
cause of back labor.
o Fetal position is persistent occiput posterior.
▪ The persistent occiput posterior position of the
fetus is a common cause of prolonged, difficult
labor with severe back pain as spinal nerves are
being compressed. Counterpressure or a hands-
and-knees position can offer pain relief.
➢ A nurse is instructing a woman who is contemplating
pregnancy about nutritional needs. To reduce the risk of
giving birth to a newborn who has a neural tube defect, which
of the following information should the nurse include in the
teaching?
o Limit alcohol consumption.
▪ Alcohol consumption has no effect on the
incidence of neural tube defects. It is related to
the incidence of other congenital defects and
fetal alcohol syndrome (FAS) in newborns of
clients who consume alcohol during pregnancy.
o Increase intake of iron-rich foods.
▪ Iron intake has no effect on the incidence of neural
tube defects. A diet low in iron places a client who
is pregnant at risk for preterm labor and
postpartum hemorrhage.
o Consume foods fortified with folic acid.
▪ Increased consumption of folic acid in the 3 months
prior to conception, as well as throughout the
pg. 3
, 4
pregnancy, reduces the incidence of neural tube
defects in the developing fetus.
o Avoid foods containing aspartame.
▪ Aspartame in the diet has no effect on the
incidence of neural tube defects in a fetus.
Clients who have phenylketonuria should be
advised to avoid aspartame since it contains
phenylalanine.
➢ A nurse is teaching a group of patients who are in their
first trimester about exercise during pregnancy. Which of
the following statements should the nurse include in the
teaching?
o "Refrain from exercises that include stretching."
pg. 4
