1. Which of the following is the most appropriate first step in preconception
counseling for a woman with a history of diabetes?
A. Initiate insulin therapy
B. Recommend folic acid supplementation
C. Perform a hemoglobin A1C test
D. Advise weight loss
Answer: C. Perform a hemoglobin A1C test
Rationale: Before beginning preconception counseling, it is important to assess the current
metabolic control of diabetes. A hemoglobin A1C test provides an indication of blood glucose
levels over time, helping to assess whether diabetes is well-controlled.
2. Which vitamin supplementation is most commonly recommended for women
who are planning to conceive?
A. Vitamin D
B. Folic acid
C. Iron
D. Calcium
Answer: B. Folic acid
Rationale: Folic acid supplementation is crucial for women planning to conceive to reduce the
risk of neural tube defects in the developing fetus.
3. A nurse is counseling a woman with a history of hypertension. What is the
most appropriate intervention in preconception counseling?
A. Recommend lifestyle changes to manage blood pressure
B. Increase her intake of sodium
C. Advise her to stop taking antihypertensive medications
D. Recommend immediate pregnancy
Answer: A. Recommend lifestyle changes to manage blood pressure
Rationale: Managing hypertension before conception is important for reducing the risk of
complications such as preeclampsia. Lifestyle changes such as exercise and dietary modifications
should be encouraged.
,4. A woman with a history of mental health disorders is planning to conceive.
Which of the following is the most appropriate nursing action?
A. Discontinue her psychiatric medications
B. Counsel her about the risks of untreated mental health disorders during pregnancy
C. Advise her to avoid all psychotropic medications during pregnancy
D. Recommend in vitro fertilization as the best option
Answer: B. Counsel her about the risks of untreated mental health disorders during pregnancy
Rationale: Untreated mental health conditions can negatively affect both the mother and the
fetus. The nurse should provide counseling on the risks and discuss the management options with
her healthcare provider.
5. Which of the following lifestyle modifications is most recommended for women
who are planning pregnancy?
A. Smoking cessation
B. Increased caffeine intake
C. Weight gain
D. High-fat diet
Answer: A. Smoking cessation
Rationale: Smoking cessation is a crucial lifestyle modification to reduce the risk of
complications such as low birth weight, preterm birth, and congenital anomalies.
6. Which of the following is an appropriate recommendation for women planning
pregnancy who are over the age of 35?
A. Delay conception until they are over 40
B. Increase folic acid intake to 4 mg daily
C. Perform genetic counseling
D. Avoid physical activity during pregnancy
Answer: C. Perform genetic counseling
Rationale: Women over 35 are at an increased risk for chromosomal abnormalities, so genetic
counseling is recommended for preconception planning.
7. A woman with a history of recurrent miscarriages is planning to conceive.
Which of the following would be an appropriate recommendation?
, A. Consider genetic counseling
B. Discontinue all prenatal vitamins
C. Avoid conception for 6 months
D. Start progesterone therapy immediately
Answer: A. Consider genetic counseling
Rationale: Women with a history of recurrent miscarriages may benefit from genetic counseling
to assess any underlying genetic causes of pregnancy loss.
8. Which of the following is the best advice for a woman with a BMI of 30 who is
planning to conceive?
A. Lose weight through extreme dieting
B. Maintain a healthy weight and engage in regular exercise
C. Start a high-protein diet
D. Avoid all physical activity until conception
Answer: B. Maintain a healthy weight and engage in regular exercise
Rationale: A BMI of 30 is considered overweight and can increase the risk of complications
during pregnancy. It is recommended that women aim for a healthy weight through balanced diet
and exercise.
9. Preconception counseling should include a discussion of:
A. Environmental exposures and workplace hazards
B. Birth control methods only
C. Financial planning
D. Only the health of the mother
Answer: A. Environmental exposures and workplace hazards
Rationale: Preconception counseling includes addressing environmental exposures and
workplace hazards that may affect the health of the woman and fetus.
10. What is the recommended daily dosage of folic acid for women planning to
conceive?
A. 0.4 mg
B. 1.0 mg
C. 3.0 mg
D. 5.0 mg
counseling for a woman with a history of diabetes?
A. Initiate insulin therapy
B. Recommend folic acid supplementation
C. Perform a hemoglobin A1C test
D. Advise weight loss
Answer: C. Perform a hemoglobin A1C test
Rationale: Before beginning preconception counseling, it is important to assess the current
metabolic control of diabetes. A hemoglobin A1C test provides an indication of blood glucose
levels over time, helping to assess whether diabetes is well-controlled.
2. Which vitamin supplementation is most commonly recommended for women
who are planning to conceive?
A. Vitamin D
B. Folic acid
C. Iron
D. Calcium
Answer: B. Folic acid
Rationale: Folic acid supplementation is crucial for women planning to conceive to reduce the
risk of neural tube defects in the developing fetus.
3. A nurse is counseling a woman with a history of hypertension. What is the
most appropriate intervention in preconception counseling?
A. Recommend lifestyle changes to manage blood pressure
B. Increase her intake of sodium
C. Advise her to stop taking antihypertensive medications
D. Recommend immediate pregnancy
Answer: A. Recommend lifestyle changes to manage blood pressure
Rationale: Managing hypertension before conception is important for reducing the risk of
complications such as preeclampsia. Lifestyle changes such as exercise and dietary modifications
should be encouraged.
,4. A woman with a history of mental health disorders is planning to conceive.
Which of the following is the most appropriate nursing action?
A. Discontinue her psychiatric medications
B. Counsel her about the risks of untreated mental health disorders during pregnancy
C. Advise her to avoid all psychotropic medications during pregnancy
D. Recommend in vitro fertilization as the best option
Answer: B. Counsel her about the risks of untreated mental health disorders during pregnancy
Rationale: Untreated mental health conditions can negatively affect both the mother and the
fetus. The nurse should provide counseling on the risks and discuss the management options with
her healthcare provider.
5. Which of the following lifestyle modifications is most recommended for women
who are planning pregnancy?
A. Smoking cessation
B. Increased caffeine intake
C. Weight gain
D. High-fat diet
Answer: A. Smoking cessation
Rationale: Smoking cessation is a crucial lifestyle modification to reduce the risk of
complications such as low birth weight, preterm birth, and congenital anomalies.
6. Which of the following is an appropriate recommendation for women planning
pregnancy who are over the age of 35?
A. Delay conception until they are over 40
B. Increase folic acid intake to 4 mg daily
C. Perform genetic counseling
D. Avoid physical activity during pregnancy
Answer: C. Perform genetic counseling
Rationale: Women over 35 are at an increased risk for chromosomal abnormalities, so genetic
counseling is recommended for preconception planning.
7. A woman with a history of recurrent miscarriages is planning to conceive.
Which of the following would be an appropriate recommendation?
, A. Consider genetic counseling
B. Discontinue all prenatal vitamins
C. Avoid conception for 6 months
D. Start progesterone therapy immediately
Answer: A. Consider genetic counseling
Rationale: Women with a history of recurrent miscarriages may benefit from genetic counseling
to assess any underlying genetic causes of pregnancy loss.
8. Which of the following is the best advice for a woman with a BMI of 30 who is
planning to conceive?
A. Lose weight through extreme dieting
B. Maintain a healthy weight and engage in regular exercise
C. Start a high-protein diet
D. Avoid all physical activity until conception
Answer: B. Maintain a healthy weight and engage in regular exercise
Rationale: A BMI of 30 is considered overweight and can increase the risk of complications
during pregnancy. It is recommended that women aim for a healthy weight through balanced diet
and exercise.
9. Preconception counseling should include a discussion of:
A. Environmental exposures and workplace hazards
B. Birth control methods only
C. Financial planning
D. Only the health of the mother
Answer: A. Environmental exposures and workplace hazards
Rationale: Preconception counseling includes addressing environmental exposures and
workplace hazards that may affect the health of the woman and fetus.
10. What is the recommended daily dosage of folic acid for women planning to
conceive?
A. 0.4 mg
B. 1.0 mg
C. 3.0 mg
D. 5.0 mg
