CMCA II EXAM REVIEWER
1. A prenatal client who is 6 weeks’ gestation calls the clinic to report vaginal bleeding. For
what concern will the nurse further assess the client?
-Spontaneous Abortion (Miscarriage)
2. A nurse is preparing a nursing care plan for a client who is admitted at 22 weeks’
gestation with advanced cervical dilation (dilatation) to 5cm, cervical insufficiency, and a
visible amniotic sac at the cervical opening. Which primary goal should the nurse
prioritize at this point?
-Bed rest to maintain pregnancy as long as possible
3. A client who is 16 weeks’ pregnant is passing pieces of body tissue along with blood
clots and dark red blood from the vagina. What should the nurse direct the client to do at
this time?
-Seek immediate medical attention and bring the expressed vaginal material
4. After teaching a woman who has had an evacuation for gestational trophoblastic disease
(hydatidiform mole or molar pregnancy) about her condition, which statement indicates
that the nurse’s teaching was successful?
-”I will be sure to avoid getting pregnant for at least 1 year.”
5. A woman at 34 weeks’ gestation presents to labor and delivery with vaginal bleeding.
Which finding from the obstetric examination would lead to a diagnosis of placental
abruption ( abruptio placentae)?
-Onset of vaginal bleeding was sudden and painful.
6. A client is admitted with a diagnosis of ruptured ectopic pregnancy. For what should the
nurse anticipate preparing the client?
-Immediate surgery
7. At 37 weeks’ gestation, a woman presents to labor and delivery complaining of intense,
knife-like abdominal pain that started suddenly about 1 hour ago and has not subsided.
On palpation, the abdomen is rigid and board-like and no vaginal bleeding is evident.
What should the nurse do next?
-Assess fetal heart rate
, 8. A client suffering a miscarriage at 12 weeks’ gestation is very upset that the health care
provider has ordered a dilatation and curettage (D&C), How should the nurse respond
after the client states she didn’t a D&C the time she lost a previous baby at 5 weeks’
gestation?
-”This procedure is needed to adequately remove all the fetal tissue.”
9. A pregnant woman is admitted to the hospital with a diagnosis of placenta previa. Which
action would be the priority for this woman on admission?
-Assessing fetal heart tones by use of an external monitor
10. A woman at 8 weeks’ gestation is admitted for ectopic pregnancy. She is asking why this
has occurred. The nurse knows which factor is known risk factor for ectopic pregnancy?
-History of Endometriosis
11. The nurse is appraising the medical record of a pregnant client who is resting in a
darkened room and receiving betamethasone and magnesium sulfate. The nurse
recognizes the client is being treated for which condition?
-Severe preeclampsia
12. A client at 27 weeks’ gestation is admitted to the obstetric unit after reporting headaches
and edema of her hands. Review of the prenatal notes reveals blood pressure
consistently above 136/90mmHg. The nurse anticipates the healthcare provider will
prescribe magnesium sulfate to accomplish which primary goal?
-Prevent maternal seizures
13. A primipara at 36 weeks’ gestation is being monitored in the prenatal clinic for risk of
preeclampsia. Which sign or symptom should the nurse prioritize?
-A dipstick value of 2+ for protein
14. A woman at 35 weeks’ gestation with severe polyhydramnios is admitted to the hospital.
The nurse recognizes which concern is greatest regarding this client?
-Preterm rupture of membranes followed by preterm birth
15. What is the common reason for oligohydramnios?
-Bladder or renal disorder in the fetus that interferes with voiding
1. A prenatal client who is 6 weeks’ gestation calls the clinic to report vaginal bleeding. For
what concern will the nurse further assess the client?
-Spontaneous Abortion (Miscarriage)
2. A nurse is preparing a nursing care plan for a client who is admitted at 22 weeks’
gestation with advanced cervical dilation (dilatation) to 5cm, cervical insufficiency, and a
visible amniotic sac at the cervical opening. Which primary goal should the nurse
prioritize at this point?
-Bed rest to maintain pregnancy as long as possible
3. A client who is 16 weeks’ pregnant is passing pieces of body tissue along with blood
clots and dark red blood from the vagina. What should the nurse direct the client to do at
this time?
-Seek immediate medical attention and bring the expressed vaginal material
4. After teaching a woman who has had an evacuation for gestational trophoblastic disease
(hydatidiform mole or molar pregnancy) about her condition, which statement indicates
that the nurse’s teaching was successful?
-”I will be sure to avoid getting pregnant for at least 1 year.”
5. A woman at 34 weeks’ gestation presents to labor and delivery with vaginal bleeding.
Which finding from the obstetric examination would lead to a diagnosis of placental
abruption ( abruptio placentae)?
-Onset of vaginal bleeding was sudden and painful.
6. A client is admitted with a diagnosis of ruptured ectopic pregnancy. For what should the
nurse anticipate preparing the client?
-Immediate surgery
7. At 37 weeks’ gestation, a woman presents to labor and delivery complaining of intense,
knife-like abdominal pain that started suddenly about 1 hour ago and has not subsided.
On palpation, the abdomen is rigid and board-like and no vaginal bleeding is evident.
What should the nurse do next?
-Assess fetal heart rate
, 8. A client suffering a miscarriage at 12 weeks’ gestation is very upset that the health care
provider has ordered a dilatation and curettage (D&C), How should the nurse respond
after the client states she didn’t a D&C the time she lost a previous baby at 5 weeks’
gestation?
-”This procedure is needed to adequately remove all the fetal tissue.”
9. A pregnant woman is admitted to the hospital with a diagnosis of placenta previa. Which
action would be the priority for this woman on admission?
-Assessing fetal heart tones by use of an external monitor
10. A woman at 8 weeks’ gestation is admitted for ectopic pregnancy. She is asking why this
has occurred. The nurse knows which factor is known risk factor for ectopic pregnancy?
-History of Endometriosis
11. The nurse is appraising the medical record of a pregnant client who is resting in a
darkened room and receiving betamethasone and magnesium sulfate. The nurse
recognizes the client is being treated for which condition?
-Severe preeclampsia
12. A client at 27 weeks’ gestation is admitted to the obstetric unit after reporting headaches
and edema of her hands. Review of the prenatal notes reveals blood pressure
consistently above 136/90mmHg. The nurse anticipates the healthcare provider will
prescribe magnesium sulfate to accomplish which primary goal?
-Prevent maternal seizures
13. A primipara at 36 weeks’ gestation is being monitored in the prenatal clinic for risk of
preeclampsia. Which sign or symptom should the nurse prioritize?
-A dipstick value of 2+ for protein
14. A woman at 35 weeks’ gestation with severe polyhydramnios is admitted to the hospital.
The nurse recognizes which concern is greatest regarding this client?
-Preterm rupture of membranes followed by preterm birth
15. What is the common reason for oligohydramnios?
-Bladder or renal disorder in the fetus that interferes with voiding
