NURS 320 MATERNITY EXAM 3
QUESTIONS WITH COMPLETE
ANSWERS
Polyhydramnios can happen without a known cause. However, maternal diabetes
can also lead to polyhydramnios. Because the fetus creates amniotic fluid, the
condition is considered both maternal and fetal.f
Which methods can all women use to reduce risk in the preconception period?
(SATA)
a. Increasing saturated fats in their diet
b. Abstaining from alcohol
c. Taking a folic acid supplement
d. Learning about inherited conditions that can affect pregnancy
e. Achieving a healthy weight
f. Waiting to update vaccines until after pregnancy to prevent exposure to teratogens
- ANSWER-B, C, D, E
An Rh-negative woman needs an amniocentesis. The nurse understands which
statement to be true based upon the information provided?
a. The amniocentesis will determine if the mother needs a blood transfusion.
b. A shot of Rho(D) immune globulin will be required for this procedure.
c. A Coombs test should be performed immediately after the procedure.
d. The fetus is likely Rh-positive, so delivery should be expedited. - ANSWER-B
As a result of the potential for maternal fetal hemorrhage, Rho(D) immune globulin
should be given after an amniocentesis when a woman is Rh-negative.
Which method would the nurse recognize as a low-tech assessment of fetal well-
being?
a. Fetal aneuploidy screening
b. Fetal kick counts
c. Ultrasonography
d. Biophysical profile assessment - ANSWER-B
Fetal kick counts are an inexpensive, noninvasive method of fetal assessment.
Which assessments may be performed using ultrasonography? (SATA)
a. Fetal anatomy
b. Fetal Rh status
, c. Gestational age
d. Chromosomal disorders
e. Fetal heart activity
f. Amniotic fluid index - ANSWER-A, C, D, E, F
***CHAPTER 12*** - ANSWER-
A patient with a suspected ectopic pregnancy presents with intermittent abdominal
pain and small amounts of vaginal bleeding. The nurse would suspect the pregnancy
is in which location?
a. The cervix
b. The distal end of the fallopian tube
c. The ovary
d. The abdominal cavity - ANSWER-B
A pregnancy in the distal fallopian tube is closer to the uterus, and therefore the
symptoms resemble those of spontaneous abortion.
The nurse understands that which factors increase a woman's risk for having an
ectopic pregnancy? (SATA)
a. History of placental abruption
b. Smoking
c. History of gonorrhea
d. Presence of an intrauterine device
e. History of induced abortions
f. Use of oral contraceptives - ANSWER-B, C, D, E
Smoking increases a woman's risk for many adverse health outcomes, including
ectopic pregnancy.
History of sexually transmitted infections increases a woman's risk for ectopic
pregnancy.
If pregnancy occurs, having an intrauterine device in place increases a woman's risk
for ectopic pregnancy.
A history of induced abortions increases a woman's risk for ectopic pregnancy.
Which patient is most at risk for placental abruption (abruptio placentae)?
a. A patient who is a primipara
b. A 35-year-old Asian woman
c. A patient whose first child was delivered by cesarean birth
d. A patient with a blood pressure reading of 160/90 mm Hg - ANSWER-D
Hypertension places pregnant women at higher risk for abruptio placentae.
Which patient history places the woman at the highest risk for placenta previa?
QUESTIONS WITH COMPLETE
ANSWERS
Polyhydramnios can happen without a known cause. However, maternal diabetes
can also lead to polyhydramnios. Because the fetus creates amniotic fluid, the
condition is considered both maternal and fetal.f
Which methods can all women use to reduce risk in the preconception period?
(SATA)
a. Increasing saturated fats in their diet
b. Abstaining from alcohol
c. Taking a folic acid supplement
d. Learning about inherited conditions that can affect pregnancy
e. Achieving a healthy weight
f. Waiting to update vaccines until after pregnancy to prevent exposure to teratogens
- ANSWER-B, C, D, E
An Rh-negative woman needs an amniocentesis. The nurse understands which
statement to be true based upon the information provided?
a. The amniocentesis will determine if the mother needs a blood transfusion.
b. A shot of Rho(D) immune globulin will be required for this procedure.
c. A Coombs test should be performed immediately after the procedure.
d. The fetus is likely Rh-positive, so delivery should be expedited. - ANSWER-B
As a result of the potential for maternal fetal hemorrhage, Rho(D) immune globulin
should be given after an amniocentesis when a woman is Rh-negative.
Which method would the nurse recognize as a low-tech assessment of fetal well-
being?
a. Fetal aneuploidy screening
b. Fetal kick counts
c. Ultrasonography
d. Biophysical profile assessment - ANSWER-B
Fetal kick counts are an inexpensive, noninvasive method of fetal assessment.
Which assessments may be performed using ultrasonography? (SATA)
a. Fetal anatomy
b. Fetal Rh status
, c. Gestational age
d. Chromosomal disorders
e. Fetal heart activity
f. Amniotic fluid index - ANSWER-A, C, D, E, F
***CHAPTER 12*** - ANSWER-
A patient with a suspected ectopic pregnancy presents with intermittent abdominal
pain and small amounts of vaginal bleeding. The nurse would suspect the pregnancy
is in which location?
a. The cervix
b. The distal end of the fallopian tube
c. The ovary
d. The abdominal cavity - ANSWER-B
A pregnancy in the distal fallopian tube is closer to the uterus, and therefore the
symptoms resemble those of spontaneous abortion.
The nurse understands that which factors increase a woman's risk for having an
ectopic pregnancy? (SATA)
a. History of placental abruption
b. Smoking
c. History of gonorrhea
d. Presence of an intrauterine device
e. History of induced abortions
f. Use of oral contraceptives - ANSWER-B, C, D, E
Smoking increases a woman's risk for many adverse health outcomes, including
ectopic pregnancy.
History of sexually transmitted infections increases a woman's risk for ectopic
pregnancy.
If pregnancy occurs, having an intrauterine device in place increases a woman's risk
for ectopic pregnancy.
A history of induced abortions increases a woman's risk for ectopic pregnancy.
Which patient is most at risk for placental abruption (abruptio placentae)?
a. A patient who is a primipara
b. A 35-year-old Asian woman
c. A patient whose first child was delivered by cesarean birth
d. A patient with a blood pressure reading of 160/90 mm Hg - ANSWER-D
Hypertension places pregnant women at higher risk for abruptio placentae.
Which patient history places the woman at the highest risk for placenta previa?
