Prenatal and Antepartum Management Practice
questions and answers 2026/27
Graded A+
A. Potassium
B. Calcium
C. Folic acid
D. Sodium
A. Potassium is important in preventing leg cramps during pregnancy, but this is
usually not an issue during the first four weeks of gestation.
B. Calcium is important for fetal development of bones, teeth, heart, nerves, and
muscles, but the fetus will take calcium from the mother. Calcium is more
important to maternal health than fetal development.
C. The nurse should educate the client about the need for adequate folic acid intake.
Folic acid is important in preventing neural tube defects, especially during the
first four weeks of fetal development.
D. Sodium is important for maintaining optimal electrolyte balance but is typically
ingested in more than adequate amounts in a typical diet.
A. “Stop taking isotretinoin now! It can cause serious birth defects if you become pregnant.”
B. “You need to be on some type of birth control right now. Getting pregnant is not an
option.”
C. “Talk with your HCP about changing isotretinoin before you consider becoming
pregnant.”
D. “Once you are off of isotretinoin for treating acne, you can then safely become pregnant.”
A. Responding to the client emphatically can create anxiety and fear.
,B. Telling the client that getting pregnant is not an option is a paternal response and
, does not facilitate open communication.
C. The best response is to have the client consult her HCP so another medication
can be prescribed. This response indicates that isotretinoin (Accutane) is not
safe but that alternative medications can be prescribed.
D. Clients must wait one month after cessation of isotretinoin before becoming
pregnant.
A. “It is best to plan for your pregnancy when you have been in remission for 6 months.”
B. “Having systemic lupus erythematosus will not impact your pregnancy in any way.”
C. “Your chances of having an infant with congenital malformations are increased with SLE.”
D. “You will need to be scheduled for a cesarean delivery to prevent disease transmission.”
A. Planning for pregnancy with SLE when in remission for 6 months is correct.
Pregnancy planned during periods of inactive or stable disease often results in
giving birth to a healthy full-term baby without increased risks of pregnancy
complications.
B. Exacerbations of SLE can occur during pregnancy and impact pregnancy
outcomes.
C. There is no risk of congenital malformations associated with maternal SLE.
However, the risk for spontaneous abortion, preterm labor and birth, and neonatal
death is increased.
D. SLE is not a transmissible disease, and there is no reason for a cesarean delivery.
A. August 28
B. January 28
C. August 15
, D. January 15
A. Naegele’s rule is a common method to determine the EDC. To calculate the EDC,
subtract 3 months and add 7 days. This makes the EDC August 28.
B. An EDC of January 28 was calculated by adding 2 months and 7 days.
C. An EDC of August 15 was calculated by subtracting 3 months and 6 days.
D. An EDC of January 15 was calculated by adding 2 months and subtracting 6 days.
A. “Tell me how you perceive dairy products in your culture.”
B. “Try having a glass of soy milk at each meal and at bedtime.”
C. “Tell me about your intake of fortified tom and leafy green vegetables.”
D. “Rice milk fortified with calcium and nettle tea are good calcium choices.”
A. Although asking about the client’s perception of dairy products shows cultural
sensitivity, the client has already stated she does not consume these. This
statement is not the most helpful regarding helping the client to increase calcium
intake in her diet.
B. The nurse is making a recommendation without further assessing the client’s
dietary preferences. Soy milk should be calcium fortified; yet, according to
research the calcium content can be as much as 85 percent less than the
amount indicated on the product label.
C. Assessing the client’s intake of calcium-rich foods is the best response. Both
fortified tofu and leafy green vegetables are high in calcium and are common
foods conSumed in the Chinese American diet.
D. Both rice milk fortified with calcium and nettle tea are sources of calcium;
however, the nurse is making an assumption that the client consumes these
beverages.
questions and answers 2026/27
Graded A+
A. Potassium
B. Calcium
C. Folic acid
D. Sodium
A. Potassium is important in preventing leg cramps during pregnancy, but this is
usually not an issue during the first four weeks of gestation.
B. Calcium is important for fetal development of bones, teeth, heart, nerves, and
muscles, but the fetus will take calcium from the mother. Calcium is more
important to maternal health than fetal development.
C. The nurse should educate the client about the need for adequate folic acid intake.
Folic acid is important in preventing neural tube defects, especially during the
first four weeks of fetal development.
D. Sodium is important for maintaining optimal electrolyte balance but is typically
ingested in more than adequate amounts in a typical diet.
A. “Stop taking isotretinoin now! It can cause serious birth defects if you become pregnant.”
B. “You need to be on some type of birth control right now. Getting pregnant is not an
option.”
C. “Talk with your HCP about changing isotretinoin before you consider becoming
pregnant.”
D. “Once you are off of isotretinoin for treating acne, you can then safely become pregnant.”
A. Responding to the client emphatically can create anxiety and fear.
,B. Telling the client that getting pregnant is not an option is a paternal response and
, does not facilitate open communication.
C. The best response is to have the client consult her HCP so another medication
can be prescribed. This response indicates that isotretinoin (Accutane) is not
safe but that alternative medications can be prescribed.
D. Clients must wait one month after cessation of isotretinoin before becoming
pregnant.
A. “It is best to plan for your pregnancy when you have been in remission for 6 months.”
B. “Having systemic lupus erythematosus will not impact your pregnancy in any way.”
C. “Your chances of having an infant with congenital malformations are increased with SLE.”
D. “You will need to be scheduled for a cesarean delivery to prevent disease transmission.”
A. Planning for pregnancy with SLE when in remission for 6 months is correct.
Pregnancy planned during periods of inactive or stable disease often results in
giving birth to a healthy full-term baby without increased risks of pregnancy
complications.
B. Exacerbations of SLE can occur during pregnancy and impact pregnancy
outcomes.
C. There is no risk of congenital malformations associated with maternal SLE.
However, the risk for spontaneous abortion, preterm labor and birth, and neonatal
death is increased.
D. SLE is not a transmissible disease, and there is no reason for a cesarean delivery.
A. August 28
B. January 28
C. August 15
, D. January 15
A. Naegele’s rule is a common method to determine the EDC. To calculate the EDC,
subtract 3 months and add 7 days. This makes the EDC August 28.
B. An EDC of January 28 was calculated by adding 2 months and 7 days.
C. An EDC of August 15 was calculated by subtracting 3 months and 6 days.
D. An EDC of January 15 was calculated by adding 2 months and subtracting 6 days.
A. “Tell me how you perceive dairy products in your culture.”
B. “Try having a glass of soy milk at each meal and at bedtime.”
C. “Tell me about your intake of fortified tom and leafy green vegetables.”
D. “Rice milk fortified with calcium and nettle tea are good calcium choices.”
A. Although asking about the client’s perception of dairy products shows cultural
sensitivity, the client has already stated she does not consume these. This
statement is not the most helpful regarding helping the client to increase calcium
intake in her diet.
B. The nurse is making a recommendation without further assessing the client’s
dietary preferences. Soy milk should be calcium fortified; yet, according to
research the calcium content can be as much as 85 percent less than the
amount indicated on the product label.
C. Assessing the client’s intake of calcium-rich foods is the best response. Both
fortified tofu and leafy green vegetables are high in calcium and are common
foods conSumed in the Chinese American diet.
D. Both rice milk fortified with calcium and nettle tea are sources of calcium;
however, the nurse is making an assumption that the client consumes these
beverages.
