1. A nurse is assessing a newborn for possible birth trauma. Which of the following findings
are consistent with a clavicle fracture? (Select all that apply.)
A. Crepitus over the clavicle
B. Asymmetric Moro reflex
C. Wrist flexion
D. Absent palmar grasp
Correct Answers: A, B
2. A nurse is caring for a pregnant client experiencing late decelerations. Which of the
following actions should the nurse take first? (Select the 4 that apply.)
A. Administer a bolus of IV fluids
B. Reposition the client to a side-lying position
C. Apply oxygen at 10–12 L/min via nonrebreather mask
D. Elevate the client’s legs
E. Notify the provider
Correct Answers: A, B, C, D
3. A nurse is caring for a client at 36 weeks’ gestation with a positive contraction stress test.
The nurse should prepare the client for which diagnostic test?
A. Repeat contraction stress test
B. Biophysical profile
C. Fetal fibronectin test
D. Group B streptococcus culture
Correct Answer: B
4. A nurse is teaching about the 1-hour oral glucose tolerance test. Which of the following
statements should the nurse include?
A. “You must fast for 12 hours before this test.”
B. “A result greater than 140 mg/dL is considered positive.”
C. “This test will diagnose type 1 diabetes.”
D. “You will need to check your blood sugar four times a day after this test.”
Correct Answer: B
5. A laboring client reports recent cocaine use. For which of the following complications
should the nurse assess?
A. Placenta previa
B. Abruptio placentae
C. Polyhydramnios
D. Gestational hypertension
Correct Answer: B
6. A client’s last menstrual period began on November 27th. Using Naegele’s rule, what is
the expected date of birth?
A. August 27th
B. September 1st
C. September 3rd
D. September 10th
Correct Answer: C
, 7. A client with preeclampsia is receiving magnesium sulfate. Which of the following
interventions should the nurse include in the plan of care?
A. Encourage ambulation
B. Monitor the FHR continuously
C. Restrict oral fluids
D. Administer oxytocin
Correct Answer: B
8. A nurse performs a vaginal exam and notes a prolapsed umbilical cord. After calling for
assistance, which of the following actions should the nurse take next?
A. Apply fundal pressure
B. Prepare for vacuum birth
C. Insert two gloved fingers into the vagina and apply upward pressure to the presenting
part.
D. Apply a tocolytic medication
Correct Answer: C
9. A client at 10 weeks’ gestation asks about expected physiological changes. Which of the
following client statements indicates an understanding of the teaching?
A. “My blood pressure will likely decrease during the second trimester.”
B. “I should expect my heart rate to decrease.”
C. “The pigmentation on my face is abnormal and should be reported.”
D. “I will need to double my daily calorie intake immediately.”
Correct Answer: A
10. A nurse teaches a client with a prescription for a diaphragm. Which of the following
instructions should the nurse include?
A. “Replace your diaphragm every 2 years.”
B. “Apply spermicide after insertion.”
C. “Leave the diaphragm in place for at least 6 hours after intercourse.”
D. “Insert it at least 12 hours before intercourse.”
Correct Answer: C
11. A postpartum client is receiving discharge teaching. Which of the following
manifestations should be reported to the provider?
A. Light lochia rubra
B. Mild perineal edema
C. Unilateral breast pain
D. Fatigue
Correct Answer: C
12. A nurse assesses a client at 38 weeks’ gestation. Which of the following findings should
be reported?
A. Fetal movement present
B. BP 120/72 mm Hg
C. Weight gain of 2.2 kg (4.8 lb) in 1 week
D. Braxton-Hicks contractions
Correct Answer: C
13. A nurse assesses a client at 36 weeks’ gestation. Which of the following findings should
be reported immediately?
A. Leukorrhea
are consistent with a clavicle fracture? (Select all that apply.)
A. Crepitus over the clavicle
B. Asymmetric Moro reflex
C. Wrist flexion
D. Absent palmar grasp
Correct Answers: A, B
2. A nurse is caring for a pregnant client experiencing late decelerations. Which of the
following actions should the nurse take first? (Select the 4 that apply.)
A. Administer a bolus of IV fluids
B. Reposition the client to a side-lying position
C. Apply oxygen at 10–12 L/min via nonrebreather mask
D. Elevate the client’s legs
E. Notify the provider
Correct Answers: A, B, C, D
3. A nurse is caring for a client at 36 weeks’ gestation with a positive contraction stress test.
The nurse should prepare the client for which diagnostic test?
A. Repeat contraction stress test
B. Biophysical profile
C. Fetal fibronectin test
D. Group B streptococcus culture
Correct Answer: B
4. A nurse is teaching about the 1-hour oral glucose tolerance test. Which of the following
statements should the nurse include?
A. “You must fast for 12 hours before this test.”
B. “A result greater than 140 mg/dL is considered positive.”
C. “This test will diagnose type 1 diabetes.”
D. “You will need to check your blood sugar four times a day after this test.”
Correct Answer: B
5. A laboring client reports recent cocaine use. For which of the following complications
should the nurse assess?
A. Placenta previa
B. Abruptio placentae
C. Polyhydramnios
D. Gestational hypertension
Correct Answer: B
6. A client’s last menstrual period began on November 27th. Using Naegele’s rule, what is
the expected date of birth?
A. August 27th
B. September 1st
C. September 3rd
D. September 10th
Correct Answer: C
, 7. A client with preeclampsia is receiving magnesium sulfate. Which of the following
interventions should the nurse include in the plan of care?
A. Encourage ambulation
B. Monitor the FHR continuously
C. Restrict oral fluids
D. Administer oxytocin
Correct Answer: B
8. A nurse performs a vaginal exam and notes a prolapsed umbilical cord. After calling for
assistance, which of the following actions should the nurse take next?
A. Apply fundal pressure
B. Prepare for vacuum birth
C. Insert two gloved fingers into the vagina and apply upward pressure to the presenting
part.
D. Apply a tocolytic medication
Correct Answer: C
9. A client at 10 weeks’ gestation asks about expected physiological changes. Which of the
following client statements indicates an understanding of the teaching?
A. “My blood pressure will likely decrease during the second trimester.”
B. “I should expect my heart rate to decrease.”
C. “The pigmentation on my face is abnormal and should be reported.”
D. “I will need to double my daily calorie intake immediately.”
Correct Answer: A
10. A nurse teaches a client with a prescription for a diaphragm. Which of the following
instructions should the nurse include?
A. “Replace your diaphragm every 2 years.”
B. “Apply spermicide after insertion.”
C. “Leave the diaphragm in place for at least 6 hours after intercourse.”
D. “Insert it at least 12 hours before intercourse.”
Correct Answer: C
11. A postpartum client is receiving discharge teaching. Which of the following
manifestations should be reported to the provider?
A. Light lochia rubra
B. Mild perineal edema
C. Unilateral breast pain
D. Fatigue
Correct Answer: C
12. A nurse assesses a client at 38 weeks’ gestation. Which of the following findings should
be reported?
A. Fetal movement present
B. BP 120/72 mm Hg
C. Weight gain of 2.2 kg (4.8 lb) in 1 week
D. Braxton-Hicks contractions
Correct Answer: C
13. A nurse assesses a client at 36 weeks’ gestation. Which of the following findings should
be reported immediately?
A. Leukorrhea
