Ch 4 Davis Advantage
Maternal Nursing EXAM 100%
Verified Nursing Questions and
Answers 2025–2026
Which of the following statements best describes Naegele's rule?
It determines the due date based on ultrasound findings and is the most accurate dating
method.
It determines the due date based on maternal approximation of sexual activity and is correct
within a week before or after.
It is based on the date of the last menstrual period (LMP) and should be used with caution in
women with irregular menses or who were on hormonal contraception.
It is based on HCG levels assessed through a blood or urine sample at the beginning of
pregnancy. HCG levels spike at a specific time and then decline, determining the gestational age
of the pregnancy. - It is based on the date of the last menstrual period (LMP) and should be
used with caution in women with irregular menses or who were on hormonal contraception.
A transvaginal ultrasound can be used for which of the following? Select all that apply.
To diagnose pregnancy.
To perform a PAP smear.
To obtain an estimated due date (EDD).
To rule out abnormalities in the pregnancy.
,To identify STIs or other infections. - To diagnose pregnancy.
To obtain an estimated due date (EDD).
To rule out abnormalities in the pregnancy.
When discussing personal comfort with pregnant patients, which of the following should be
discouraged?
Douching
External genital cleansing
Wearing loose, cotton clothing
Resting in a side-lying position - Douching
Maria is 32 weeks pregnant and complaining of varicosities in her legs. What should be included
in her routine assessments due to this complication?
Nothing should change with her assessments; this is a normal part of pregnancy.
A recommendation to the provider for physical therapy.
Education on prevention and checking peripheral pulses.
Assessments for pregnancy-induced hypertension. - Education on prevention and checking
peripheral pulses.
Krystin is 38 weeks pregnant and in the office today complaining of shortness of breath. What is
the first nursing action you should take as her nurse today?
Reassure her this is a normal part of pregnancy, and she should simply raise her arms over her
head and breathe slow and deep when it happens.
Call 911 and have her transferred to the emergency room.
Put her on a rebreather mask with oxygen running at 10 L/min.
Obtain a full set of vital signs and ask Krystin to tell you more about the shortness of breath she
is having. - Obtain a full set of vital signs and ask Krystin to tell you more about the shortness
of breath she is having.
, Since discovering she was pregnant 6 weeks ago, Martina has called her OB office several times
a week for numerous complaints and concerns, all of which were normal or unfounded. Now in
her 15th week of pregnancy, she insists on being seen for an ultrasound because she is worried
the baby has something wrong with it. What is Martina suffering from?
This is a normal response to pregnancy in some women and is not concerning.
She is suffering from post-traumatic stress disorder (PTSD) and should be referred to counseling.
She is experiencing pregnancy-related anxiety and should be referred to counseling.
She is at increased risk for postpartum depression and may harm herself. - She is
experiencing pregnancy-related anxiety and should be referred to counseling.
Juanita is 11 weeks pregnant with an unintended pregnancy with her life partner Joel. They've
begun discussing where the baby will sleep and are making plans for Juanita to stay home for
the first few years and not work. What maternal process of pregnancy is Juanita displaying?
Binding-in
Fetal embodiment
Seeking safe passage
Nesting - Binding-in
Tina is 6 weeks pregnant and at the OB office for her initial OB visit. She is in a committed
relationship and the pregnancy is not unwelcome though it was unplanned. She states, "I'm just
not sure how I feel about being pregnant, it's not real to me yet." What is your best therapeutic
response to Tina?
"We need to get you to a counselor as soon as possible to make sure you don't harm yourself or
your baby."
"Have you talked to your partner about your feelings so you can decide if you'd rather terminate
the pregnancy?"
"Being ambivalent to your pregnancy is a normal response. Do you have any questions or
concerns I can answer for you about your pregnancy?"
Maternal Nursing EXAM 100%
Verified Nursing Questions and
Answers 2025–2026
Which of the following statements best describes Naegele's rule?
It determines the due date based on ultrasound findings and is the most accurate dating
method.
It determines the due date based on maternal approximation of sexual activity and is correct
within a week before or after.
It is based on the date of the last menstrual period (LMP) and should be used with caution in
women with irregular menses or who were on hormonal contraception.
It is based on HCG levels assessed through a blood or urine sample at the beginning of
pregnancy. HCG levels spike at a specific time and then decline, determining the gestational age
of the pregnancy. - It is based on the date of the last menstrual period (LMP) and should be
used with caution in women with irregular menses or who were on hormonal contraception.
A transvaginal ultrasound can be used for which of the following? Select all that apply.
To diagnose pregnancy.
To perform a PAP smear.
To obtain an estimated due date (EDD).
To rule out abnormalities in the pregnancy.
,To identify STIs or other infections. - To diagnose pregnancy.
To obtain an estimated due date (EDD).
To rule out abnormalities in the pregnancy.
When discussing personal comfort with pregnant patients, which of the following should be
discouraged?
Douching
External genital cleansing
Wearing loose, cotton clothing
Resting in a side-lying position - Douching
Maria is 32 weeks pregnant and complaining of varicosities in her legs. What should be included
in her routine assessments due to this complication?
Nothing should change with her assessments; this is a normal part of pregnancy.
A recommendation to the provider for physical therapy.
Education on prevention and checking peripheral pulses.
Assessments for pregnancy-induced hypertension. - Education on prevention and checking
peripheral pulses.
Krystin is 38 weeks pregnant and in the office today complaining of shortness of breath. What is
the first nursing action you should take as her nurse today?
Reassure her this is a normal part of pregnancy, and she should simply raise her arms over her
head and breathe slow and deep when it happens.
Call 911 and have her transferred to the emergency room.
Put her on a rebreather mask with oxygen running at 10 L/min.
Obtain a full set of vital signs and ask Krystin to tell you more about the shortness of breath she
is having. - Obtain a full set of vital signs and ask Krystin to tell you more about the shortness
of breath she is having.
, Since discovering she was pregnant 6 weeks ago, Martina has called her OB office several times
a week for numerous complaints and concerns, all of which were normal or unfounded. Now in
her 15th week of pregnancy, she insists on being seen for an ultrasound because she is worried
the baby has something wrong with it. What is Martina suffering from?
This is a normal response to pregnancy in some women and is not concerning.
She is suffering from post-traumatic stress disorder (PTSD) and should be referred to counseling.
She is experiencing pregnancy-related anxiety and should be referred to counseling.
She is at increased risk for postpartum depression and may harm herself. - She is
experiencing pregnancy-related anxiety and should be referred to counseling.
Juanita is 11 weeks pregnant with an unintended pregnancy with her life partner Joel. They've
begun discussing where the baby will sleep and are making plans for Juanita to stay home for
the first few years and not work. What maternal process of pregnancy is Juanita displaying?
Binding-in
Fetal embodiment
Seeking safe passage
Nesting - Binding-in
Tina is 6 weeks pregnant and at the OB office for her initial OB visit. She is in a committed
relationship and the pregnancy is not unwelcome though it was unplanned. She states, "I'm just
not sure how I feel about being pregnant, it's not real to me yet." What is your best therapeutic
response to Tina?
"We need to get you to a counselor as soon as possible to make sure you don't harm yourself or
your baby."
"Have you talked to your partner about your feelings so you can decide if you'd rather terminate
the pregnancy?"
"Being ambivalent to your pregnancy is a normal response. Do you have any questions or
concerns I can answer for you about your pregnancy?"
