Maternity and Pediatric Nursing
The normal volume of amniotic fluid is approximately _______ mL at 37 weeks of
gestation - ANSWER -1,000
What will the prenatal visit schedule for a woman with an uncomplicated pregnancy? -
ANSWER -Every 4 weeks until 28 weeks, then every 2 weeks until 36 weeks, then
weekly until delivery
The usual location of fertilization is? - ANSWER -the fallopian tube
Twins that share the same placenta in the uterus are? - ANSWER -monozygotic
A nurse in a prenatal clinic overhears a newly licensed nurse discussing conception with
a client. Which of the following statements by the newly licensed nurse requires
intervention by the nurse? - ANSWER -Sperm remain viable in the woman's
reproductive tract for 4 to 5 days
A nurse is caring for a patient who tells the nurse that she thinks she might be pregnant
because she is able to feel the baby move. Which of the following statements should
the nurse make? - ANSWER -This is a probable sign of pregnancy
A nurse is caring for a client who has just learned she is pregnant. The nurse should
reinforce with the client to call her provider if she experiences which of the following
manifestations? - ANSWER -Facial edema
The three phases of pregnancy are - ANSWER -antepartum, intrapartum and
postpartum
The muscular layer of the uterus that is the functional unit in pregnancy and labor is
the ? - ANSWER -myometrium
A client who is at 8 weeks of gestation tells the nurse that she isn't sure she is happy
about being pregnant. Which of the following responses should the nurse make? -
ANSWER -It is normal to have these feelings during the first few months of pregnancy
,Maternity and Pediatric Nursing
Which one of the following is a fetal shunt that aids in fetal circulation? - ANSWER -
Foramen ovale
The ovaries secrete the following hormones during the menstrual cycle? - ANSWER -
Progesterone and Estrogen
What hormone initiates the maturation of the ovarian follicle? - ANSWER -FSH
A nurse in a prenatal clinic is reviewing the medical record of a client who is at 28
weeks of gestation. The client's history reveals on pregnancy terminated by elective
abortion at 9 weeks; the birth of twins at 36 weeks; and a spontaneous abortion at 15
weeks gestation. According to the GTPAL system, which of the following decreases her
present party? - ANSWER -G4 T0 P1 A2 L2
Most fetal blood bypasses circulation to the lungs by way of the - ANSWER -foramen
ovale
The hormone first detected by a blood test about 11 days after conception and in urine
tests about 12-14 days after conception is? - ANSWER -hCG
A decrease in estrogen and progesterone during the menstrual cycle results in what? -
ANSWER -Shedding of the endometrium
A pregnant woman states, "My husband hopes I will give him a boy because we have
three girls". What will the nurse explain to this woman? - ANSWER -If a sperm carrying
a Y chromosome fertilizes an ovum, then a boy is produced
During the physical examination for the first prenatal visit, it is noted that Chadwick's
sign is present. What is Chadwick's sign? - ANSWER -Bluish or purplish discoloration of
the vulva, vagina, and cervix
A nurse is preparing to measure the uterine funds of a client who is at 32 weeks of
gestation. The nurse can expect to find that the measurement will be at ____ cm -
ANSWER -32
,Maternity and Pediatric Nursing
What organ does the ducts venous shunt blood away from in fetal circulation? -
ANSWER -Liver
A woman reports that her last menstrual period began on August 5, 2019. What is the
woman's expected delivery date using Naegele's rule? - ANSWER -May 12, 2020
A woman's emotional reaction during the second trimester of pregnancy may be
characterized by? - ANSWER -fantasies about the baby's appearance
The functions of the placenta are to: - ANSWER -1. Supply oxygen to the fetus
2. produce hormones
3. provide protection from infection
A nurse is reinforcing teaching with a client about how to reduce the risk of giving birth
to a newborn who has a neutral tube defect. Which of the following instructions should
the nurse include in the teaching? - ANSWER -Eat foods fortified with folic acid
The substance that provides support and protection for the vessels inside the umbilical
cord is? - ANSWER -Wharton's Jelly
The major male hormone of reproduction, testosterone, is produced in the ? - ANSWER
-adrenal glands
A woman comes into the clinic for her first prenatal visit. Her obstetrical history is
recorded. She has a 10-month-old son delivered five days before his due date, a five-
year-old son that was born at 36 weeks of age, and a seven-year-old daughter born at
38 weeks. She has also lost a pregnancy at 12 weeks. Using GTPAL what is her history
- ANSWER -G4 T2 P1 A1 L3
What is the total number of chromosomes in a mature sperm or mature ovum? -
ANSWER -23
At how many weeks gestational does the fetal lungs start to produce surfactant -
ANSWER -25 weeks
, Maternity and Pediatric Nursing
The primary purpose of amniotic fluid is to - ANSWER -protect the fetus during
development
The fertilized ovum usually implants in the - ANSWER -upper portion of the fallopian
tube
Woman have all their ova at the time they are born - ANSWER -true
The nurse reminds the prenatal patient that she should add ___ kcal to her daily intake
to nourish the fetus in the first trimester - ANSWER -300
A nurse in a prenatal clinic is determining a clients estimated date of delivery using
Naegele's rule. The first day of her last menstrual period was May 4, 2020. Which of the
following dates should the nurse tell the client is her estimated date of delivery? -
ANSWER -February 11, 2021
A nurse is reinforcing nutritional teaching with a client who is 8 weeks of gestation.
Which of the following statements should the nurse include? - ANSWER -You should
increase your folic acid intake during your pregnancy
During which time frame does the embryonic stage last? - ANSWER -Two through 8
weeks after conception
A nurse is reinforcing teaching about common discomfort of pregnancy during the first
trimester with a client who is pregnant. Which of the following manifestations should the
nurse include in the teaching? - ANSWER -urinary frequency
The nurse assesses the progress from the announcement stage of fatherhood to the
acceptance stage when the patient reports which actions by the father? - ANSWER -1.
Have revised his financial plan
2. Helped select a crib
3. Traded his sports car for a sedian
The normal volume of amniotic fluid is approximately _______ mL at 37 weeks of
gestation - ANSWER -1,000
What will the prenatal visit schedule for a woman with an uncomplicated pregnancy? -
ANSWER -Every 4 weeks until 28 weeks, then every 2 weeks until 36 weeks, then
weekly until delivery
The usual location of fertilization is? - ANSWER -the fallopian tube
Twins that share the same placenta in the uterus are? - ANSWER -monozygotic
A nurse in a prenatal clinic overhears a newly licensed nurse discussing conception with
a client. Which of the following statements by the newly licensed nurse requires
intervention by the nurse? - ANSWER -Sperm remain viable in the woman's
reproductive tract for 4 to 5 days
A nurse is caring for a patient who tells the nurse that she thinks she might be pregnant
because she is able to feel the baby move. Which of the following statements should
the nurse make? - ANSWER -This is a probable sign of pregnancy
A nurse is caring for a client who has just learned she is pregnant. The nurse should
reinforce with the client to call her provider if she experiences which of the following
manifestations? - ANSWER -Facial edema
The three phases of pregnancy are - ANSWER -antepartum, intrapartum and
postpartum
The muscular layer of the uterus that is the functional unit in pregnancy and labor is
the ? - ANSWER -myometrium
A client who is at 8 weeks of gestation tells the nurse that she isn't sure she is happy
about being pregnant. Which of the following responses should the nurse make? -
ANSWER -It is normal to have these feelings during the first few months of pregnancy
,Maternity and Pediatric Nursing
Which one of the following is a fetal shunt that aids in fetal circulation? - ANSWER -
Foramen ovale
The ovaries secrete the following hormones during the menstrual cycle? - ANSWER -
Progesterone and Estrogen
What hormone initiates the maturation of the ovarian follicle? - ANSWER -FSH
A nurse in a prenatal clinic is reviewing the medical record of a client who is at 28
weeks of gestation. The client's history reveals on pregnancy terminated by elective
abortion at 9 weeks; the birth of twins at 36 weeks; and a spontaneous abortion at 15
weeks gestation. According to the GTPAL system, which of the following decreases her
present party? - ANSWER -G4 T0 P1 A2 L2
Most fetal blood bypasses circulation to the lungs by way of the - ANSWER -foramen
ovale
The hormone first detected by a blood test about 11 days after conception and in urine
tests about 12-14 days after conception is? - ANSWER -hCG
A decrease in estrogen and progesterone during the menstrual cycle results in what? -
ANSWER -Shedding of the endometrium
A pregnant woman states, "My husband hopes I will give him a boy because we have
three girls". What will the nurse explain to this woman? - ANSWER -If a sperm carrying
a Y chromosome fertilizes an ovum, then a boy is produced
During the physical examination for the first prenatal visit, it is noted that Chadwick's
sign is present. What is Chadwick's sign? - ANSWER -Bluish or purplish discoloration of
the vulva, vagina, and cervix
A nurse is preparing to measure the uterine funds of a client who is at 32 weeks of
gestation. The nurse can expect to find that the measurement will be at ____ cm -
ANSWER -32
,Maternity and Pediatric Nursing
What organ does the ducts venous shunt blood away from in fetal circulation? -
ANSWER -Liver
A woman reports that her last menstrual period began on August 5, 2019. What is the
woman's expected delivery date using Naegele's rule? - ANSWER -May 12, 2020
A woman's emotional reaction during the second trimester of pregnancy may be
characterized by? - ANSWER -fantasies about the baby's appearance
The functions of the placenta are to: - ANSWER -1. Supply oxygen to the fetus
2. produce hormones
3. provide protection from infection
A nurse is reinforcing teaching with a client about how to reduce the risk of giving birth
to a newborn who has a neutral tube defect. Which of the following instructions should
the nurse include in the teaching? - ANSWER -Eat foods fortified with folic acid
The substance that provides support and protection for the vessels inside the umbilical
cord is? - ANSWER -Wharton's Jelly
The major male hormone of reproduction, testosterone, is produced in the ? - ANSWER
-adrenal glands
A woman comes into the clinic for her first prenatal visit. Her obstetrical history is
recorded. She has a 10-month-old son delivered five days before his due date, a five-
year-old son that was born at 36 weeks of age, and a seven-year-old daughter born at
38 weeks. She has also lost a pregnancy at 12 weeks. Using GTPAL what is her history
- ANSWER -G4 T2 P1 A1 L3
What is the total number of chromosomes in a mature sperm or mature ovum? -
ANSWER -23
At how many weeks gestational does the fetal lungs start to produce surfactant -
ANSWER -25 weeks
, Maternity and Pediatric Nursing
The primary purpose of amniotic fluid is to - ANSWER -protect the fetus during
development
The fertilized ovum usually implants in the - ANSWER -upper portion of the fallopian
tube
Woman have all their ova at the time they are born - ANSWER -true
The nurse reminds the prenatal patient that she should add ___ kcal to her daily intake
to nourish the fetus in the first trimester - ANSWER -300
A nurse in a prenatal clinic is determining a clients estimated date of delivery using
Naegele's rule. The first day of her last menstrual period was May 4, 2020. Which of the
following dates should the nurse tell the client is her estimated date of delivery? -
ANSWER -February 11, 2021
A nurse is reinforcing nutritional teaching with a client who is 8 weeks of gestation.
Which of the following statements should the nurse include? - ANSWER -You should
increase your folic acid intake during your pregnancy
During which time frame does the embryonic stage last? - ANSWER -Two through 8
weeks after conception
A nurse is reinforcing teaching about common discomfort of pregnancy during the first
trimester with a client who is pregnant. Which of the following manifestations should the
nurse include in the teaching? - ANSWER -urinary frequency
The nurse assesses the progress from the announcement stage of fatherhood to the
acceptance stage when the patient reports which actions by the father? - ANSWER -1.
Have revised his financial plan
2. Helped select a crib
3. Traded his sports car for a sedian
