Maternal Exam 1 Review Questions
with Answers
A nurse is instructing a woman who is contemplating pregnancy about
nutritional needs. To reduce the risk of giving birth to a newborn who has a
neural tube defect, which of the following information should the nurse
include in the teaching?
A) Limit alcohol consumption.
B) Increase intake of iron-rich foods.
C) Consume foods fortified with folic acid.
D) Avoid foods containing aspartame. - -C) Consume foods fortified with folic
acid.
Increased consumption of folic acid in the 3 months prior to conception, as
well as throughout the pregnancy, reduces the incidence of neural tube
defects in the developing fetus.
- A nurse is caring for a client at the first prenatal visit who has a BMI of
26.5. The client asks how much weight she should gain during pregnancy.
Which of the following responses should the nurse make?
A) "It would be best if you gained about 11 to 20 pounds."
B) "The recommendation for you is about 15 to 25 pounds."
C) "A gain of about 25 to 35 pounds is recommended for you."
D) "A gain of about 1 pound per week is the best pattern for you." - -B) "The
recommendation for you is about 15 to 25 pounds."'
Clients who are overweight, having a BMI of 25 to 29.9, should be advised
that the recommended weight gain is 7 to 11.5 kg (15 to 25 lb). The pattern
of weight gain is also important, with minimal gain in the first trimester.
- A nurse in a prenatal clinic is caring for a client who is at 12 weeks
gestation. The client asks about the cause of her heartburn. Which of the
following responses should the nurse make?
A) Retained bile in the liver results in delayed digestion.
B) Increased estrogen production causes increased secretion of hydrochloric
acid.
C) Pressure from the growing uterus displaces the stomach.
D) Increased progesterone production causes decreased motility of smooth
muscle. - -D) Increased progesterone production causes decreased motility
of smooth muscle.
Increased progesterone production causes a relaxation of the cardiac
sphincter of the stomach and delayed gastric emptying, which can result in
heartburn.
- A nurse at a prenatal clinic is caring for a client who is in her first trimester
of pregnancy. The client tells the nurse that she is upset because, although
, she and her husband planned this pregnancy, she has been having many
doubts and second thoughts about the upcoming changes in her life. Which
of the following is an appropriate response by the nurse?
A) "Ambivalent feelings are quite common for women early in pregnancy."
B) "Perhaps you should see a counselor to discuss these feelings further."
C) "Have you spoken to your mother about these feelings?"
D) "Don't worry. You will be fine once the baby is born." - -A) "Ambivalent
feelings are quite common for women early in pregnancy."
This response uses the therapeutic communication technique of providing
information while addressing the client's concerns and feelings. This
statement is true and gives the client the information she needs; many
antepartum women experience similar feelings in early pregnancy.
- A nurse in a clinic is reviewing the medical records of a group of clients
who are pregnant. The nurse should anticipate the provider will order a
maternal serum alpha-fetoprotein (MSAFP) screening for which of the
following clients?
A) A client who has mitral valve prolapse
B) A client who has been exposed to AIDS
C) All of the clients
D) A client who has a history of preterm labor - -C) All of the clients
MSAFP is a screening tool to detect open spinal and abdominal wall defects
in the fetus. This maternal blood test is recommended for all pregnant
woman.
- A nurse is caring for a client who is in her first trimester of pregnancy and
asks the nurse if she can continue to exercise during pregnancy. Which of
the following responses by the nurse is appropriate?
A) "Exercising during pregnancy is not recommended."
B) "Daily jogging for up to 30 minutes is fine throughout the pregnancy."
C) "Activities that raise the body temperature, such as saunas and hot tubs,
are safe until the third trimester."
D) "It is recommended that pregnant clients limit their exercise routine to
stretching activities on a mat several times a week." - -B) "Daily jogging for
up to 30 minutes is fine throughout the pregnancy."
While weight-bearing exercises might become uncomfortable in the last
trimester, they are generally not contraindicated, providing the client stays
hydrated and avoids becoming overheated for extended periods.
- A nurse is providing teaching about expected gestational changes to a
client who is at 12 weeks of gestation. Which of the following statements by
the client indicates a need for further teaching?
A) "I will reduce my stress level."
B) "I will tell my doctor before using home remedies for nausea."
C) "I will monitor my weight gain during the remaining months."
with Answers
A nurse is instructing a woman who is contemplating pregnancy about
nutritional needs. To reduce the risk of giving birth to a newborn who has a
neural tube defect, which of the following information should the nurse
include in the teaching?
A) Limit alcohol consumption.
B) Increase intake of iron-rich foods.
C) Consume foods fortified with folic acid.
D) Avoid foods containing aspartame. - -C) Consume foods fortified with folic
acid.
Increased consumption of folic acid in the 3 months prior to conception, as
well as throughout the pregnancy, reduces the incidence of neural tube
defects in the developing fetus.
- A nurse is caring for a client at the first prenatal visit who has a BMI of
26.5. The client asks how much weight she should gain during pregnancy.
Which of the following responses should the nurse make?
A) "It would be best if you gained about 11 to 20 pounds."
B) "The recommendation for you is about 15 to 25 pounds."
C) "A gain of about 25 to 35 pounds is recommended for you."
D) "A gain of about 1 pound per week is the best pattern for you." - -B) "The
recommendation for you is about 15 to 25 pounds."'
Clients who are overweight, having a BMI of 25 to 29.9, should be advised
that the recommended weight gain is 7 to 11.5 kg (15 to 25 lb). The pattern
of weight gain is also important, with minimal gain in the first trimester.
- A nurse in a prenatal clinic is caring for a client who is at 12 weeks
gestation. The client asks about the cause of her heartburn. Which of the
following responses should the nurse make?
A) Retained bile in the liver results in delayed digestion.
B) Increased estrogen production causes increased secretion of hydrochloric
acid.
C) Pressure from the growing uterus displaces the stomach.
D) Increased progesterone production causes decreased motility of smooth
muscle. - -D) Increased progesterone production causes decreased motility
of smooth muscle.
Increased progesterone production causes a relaxation of the cardiac
sphincter of the stomach and delayed gastric emptying, which can result in
heartburn.
- A nurse at a prenatal clinic is caring for a client who is in her first trimester
of pregnancy. The client tells the nurse that she is upset because, although
, she and her husband planned this pregnancy, she has been having many
doubts and second thoughts about the upcoming changes in her life. Which
of the following is an appropriate response by the nurse?
A) "Ambivalent feelings are quite common for women early in pregnancy."
B) "Perhaps you should see a counselor to discuss these feelings further."
C) "Have you spoken to your mother about these feelings?"
D) "Don't worry. You will be fine once the baby is born." - -A) "Ambivalent
feelings are quite common for women early in pregnancy."
This response uses the therapeutic communication technique of providing
information while addressing the client's concerns and feelings. This
statement is true and gives the client the information she needs; many
antepartum women experience similar feelings in early pregnancy.
- A nurse in a clinic is reviewing the medical records of a group of clients
who are pregnant. The nurse should anticipate the provider will order a
maternal serum alpha-fetoprotein (MSAFP) screening for which of the
following clients?
A) A client who has mitral valve prolapse
B) A client who has been exposed to AIDS
C) All of the clients
D) A client who has a history of preterm labor - -C) All of the clients
MSAFP is a screening tool to detect open spinal and abdominal wall defects
in the fetus. This maternal blood test is recommended for all pregnant
woman.
- A nurse is caring for a client who is in her first trimester of pregnancy and
asks the nurse if she can continue to exercise during pregnancy. Which of
the following responses by the nurse is appropriate?
A) "Exercising during pregnancy is not recommended."
B) "Daily jogging for up to 30 minutes is fine throughout the pregnancy."
C) "Activities that raise the body temperature, such as saunas and hot tubs,
are safe until the third trimester."
D) "It is recommended that pregnant clients limit their exercise routine to
stretching activities on a mat several times a week." - -B) "Daily jogging for
up to 30 minutes is fine throughout the pregnancy."
While weight-bearing exercises might become uncomfortable in the last
trimester, they are generally not contraindicated, providing the client stays
hydrated and avoids becoming overheated for extended periods.
- A nurse is providing teaching about expected gestational changes to a
client who is at 12 weeks of gestation. Which of the following statements by
the client indicates a need for further teaching?
A) "I will reduce my stress level."
B) "I will tell my doctor before using home remedies for nausea."
C) "I will monitor my weight gain during the remaining months."
