1. Myrna, who’s 4 months pregnant asks the nurse how much and what type of exercise she should get during pregnancy. How should nurse Maricel counsel her?
a. “Try high-intensity aerobics, but limit sessions to 15 minutes daily.”
b. “Perform gentle back-lying exercises for 30 minutes daily.”
c. “Walk briskly for 10 to 15 minutes daily, and gradually increase this time.”
d. “Exercise to raise the heart rate above 140 beats/minute for 20 minutes daily.”
2. Linda, who’s 37 weeks pregnant comes to the clinic for a prenatal checkup. To assess the client’s preparation for parenting, nurse Kim might ask which question?
a. “Are you planning to have epidural anesthesia?”
b. “Have you begun prenatal classes?”
c. “What changes have you made at home to get ready for the baby?”
d. “Can you tell me about the meals you typically eat each day?”
3. Nurse Tanya is aware that the best place to detect fetal heart sounds for a client in the first trimester of pregnancy?
a. Above the symphysis pubis
b. Below the symphysis pubis
c. Above the umbilicus
d. At the umbilicus
4. Lovelyn, asks the nurse whether she can take castor oil for her constipation. How should the nurse respond?
a. “Yes, it produces no adverse effects.”
b. “No, it can initiate premature uterine contractions.”
c. “No, it can promote sodium retention.”
d. “No, it can lead to increased absorption of fat-soluble vitamins.”
5. A client at 35 weeks’ gestation complains of severe abdominal pain and passing clots. The client’s vital signs are blood pressure 150/100 mm Hg, heart rate 95 beats/minute, respiratory rate 25 breaths/minute, and fetal heart tones 160 beats/minute. Nurse Nikki must determine the cause of the bleeding and respond appropriately to this emergency. Which of the following should the nurse do first?
a. Examine the vagina to determine whether her client is in labor
b. Assess the location and consistency of the uterus
c. Perform an ultrasound to determine placental placement
d. Prepare for immediate delivery
6. When assessing a client during her first prenatal visit, nurse Lucy discovers that the client had a reduction mammoplasty. The mother indicates she wants to breast-feed. What information should the nurse give to this mother regarding breast-feeding success?
a. “It’s contraindicated for you to breast-feed following this type of surgery.”
b. “I support your commitment; however, you may have to supplement each feeding with formula.”
c. “You should check with your surgeon to determine whether breast-feeding would be possible.”
d. “You should be able to breast-feed without difficulty.”
7. When questioned, Alma admits she sometimes has several glasses of wine with dinner. Her alcohol consumption puts her fetus at risk for which condition?
a. Alcohol addiction
c. Down syndrome
d. Learning disability
8. Nurse Helen has a client at 30 weeks’ gestation who has tested positive for the human immunodeficiency virus (HIV). What should the nurse tell the client when she says that she wants to breast-feed her baby?
a. Encourage breast-feeding so that she can get her rest and get healthier
b. Encourage breast-feeding because it’s healthier for the baby
c. Encourage breast-feeding to facilitate bonding
d. Discourage breast-feeding because HIV can be transmitted through breast milk
9. During each prenatal checkup, nurse Paul obtains the client’s weight and blood pressure and measures fundal height. What is another essential part of each prenatal checkup?
a. Evaluating the client for edema
b. Measuring the client’s hemoglobin (Hb) level
c. Obtaining pelvic measurements
d. Determining the client’s Rh factor
10. Which of the following instructions should nurse Dan give to a client who’s 26 weeks pregnant and complains of constipation?
a. Encourage her to increase her intake of roughage and to drink at least six glasses of water per day.
b. Tell her to ask her caregiver for a mild laxative.
c. Suggest the use of an over-the-counter stool softener.
d. Tell her to go to the evaluation unit because constipation may cause contractions.
11. During the 6th month of pregnancy, Gail reports intermittent earaches and a constant feeling of fullness in the ears. What is the most likely cause of these symptoms?
a. A serious neurologic disorder
b. Eustachian tube vascularization
c. Increasing progesterone levels
d. An ear infection
12. Malou, 2 months pregnant, has hyperemesis gravidarum. Which expected outcome is most appropriate for her?
a. “Client will accept the pregnancy and stop vomiting.”
b. “Client will gain weight according to the expected pattern for pregnancy.”
c. “Client will remain hospitalized for the duration of pregnancy to relieve stress.”
d. “Client will exhibit uterine growth within the expected norms for gestational age.”
13. When assessing a pregnant client with diabetes mellitus, nurse Gio stays alert for signs and symptoms of a vaginal or urinary tract infection (UTI). Which condition makes this client more susceptible to such infections?
a. Electrolyte imbalances
b. Decreased insulin needs
14. Josephine, 11 weeks pregnant, is admitted to the facility with hyperemesis gravidarum. She tells the nurse she has never known anyone who had such severe morning sickness. The nurse understands that hyperemesis gravidarum results from:
a. a neurologic disorder.
b. inadequate nutrition.
c. an unknown cause.
d. hemolysis of fetal red blood cells (RBCs).
15. A client has come to the clinic for her first prenatal visit. Nurse Alex should include which of the following statements about using drugs safely during pregnancy in her teaching?
a. “During the first 3 months, avoid all medications except ones prescribed by your caregiver.”
b. “Medications that are available over the counter are safe for you to use, even early on.”
c. “All medications are safe after you’ve reached the 5th month of pregnancy.”
d. “Consult with your health care provider before taking any medications.”
16. A pregnant client asks how she can best prepare her 3-year-old son for the upcoming birth of a sibling. Nurse Lou should make which suggestion?
a. “Tell your son about the childbirth about 1 month before your due date.”
b. “Reassure your son that nothing is going to change.”
c. “Reprimand your son if he displays immature behavior.”
d. “Involve your son in planning and preparing for a sibling.”
17. Nurse Cathy is caring for a 16-year-old pregnant client. The client is taking an iron supplement. What should this client drink to increase the absorption of iron?
a. A glass of milk
b. A cup of hot tea
c. A liquid antacid
d. A glass of orange juice
18. Nurse Rey is using Doppler ultrasound to assess a pregnant woman. When should the nurse expect to hear fetal heart tones?
a. 7 weeks
b. 11 weeks
c. 17 weeks
d. 21 weeks
19. Nurse Edith is caring for a client who’s on ritodrine therapy to halt premature labor. What condition indicates an adverse reaction to ritodrine therapy?
20. Noemi, a newly pregnant woman tells the nurse that she hasn’t been taking her prenatal vitamins because they make her nauseated. In addition to telling the client how important taking the vitamins are, the nurse should advise her to:
a. switch brands.
b. take the vitamin on a full stomach.
c. take the vitamin with orange juice for better absorption.
d. take the vitamin first thing in the morning.
21. A client is scheduled for amniocentesis. When preparing her for the procedure, nurse Vince should do which of the following?
a. Ask her to void.
b. Instruct her to drink 1 L of fluid.
c. Prepare her for I.V. anesthesia.
d. Place her on her left side.
22. After determining that a pregnant client is Rh-negative, Dr. Smith orders an indirect Coombs’ test. What is the purpose of performing this test in a pregnant client?
a. To determine the fetal blood Rh factor
b. To determine the maternal blood Rh factor
c. To detect maternal antibodies against fetal Rh-negative factor
d. To detect maternal antibodies against fetal Rh-positive factor
23. During a routine prenatal visit, a pregnant client reports heartburn. To minimize her discomfort, nurse Faith should include which suggestion in the plan of care?
a. Eat small, frequent meals.
b. Limit fluid intake sharply.
c. Drink more citrus juice.
d. Take sodium bicarbonate.
24. A pregnant client asks nurse Mary about the percentage of congenital anomalies caused by drug exposure. How should the nurse respond?
25. Sandy, age 39, visits the nurse practitioner for a regular prenatal check-up. She’s 32 weeks pregnant. When assessing her, the nurse should stay especially alert for signs and symptoms of:
a. pregnancy-induced hypertension (PIH).
b. iron deficiency anemia.
c. cephalopelvic disproportion.
d. sexually transmitted diseases (STDs).