Question: Cervical dilation 6 cm, effacement 80%, fetal station −2. Which statement best explains fetal station?
Answer Choices:
A. Head engaged and ready for delivery
B. Head 2 cm below ischial spines
C. Head 2 cm above ischial spines
D. Labor progressing too quickly
Answer: C. Head is still about 2 cm above the ischial spines
Question: Difficulty conceiving — which statement distinguishes primary from secondary infertility?
Answer Choices:
A. Only in women under 30
B. Never achieved pregnancy after 12 months of unprotected intercourse
C. Only after age 35
Answer: B. Primary infertility occurs when a couple has never achieved a pregnancy after 12 months of unprotected intercourse
Question: A client who is 4 months pregnant mentions fostering stray cats. Which explanation best helps her understand the risk?
Answer Choices:
A. Fostering cats is safe during pregnancy.
B. There is no risk from cats.
C. You should stop fostering cats immediately.
D. Cats can carry a parasite called Toxoplasma that can harm your baby.
Answer: D. Cats can carry a parasite called Toxoplasma that can harm your baby.
Question: A 29-year-old gravida 2 para 1 reports her last menstrual period began on March 15, 2025. What is her estimated due date using Naegele’s Rule?
Answer Choices:
A. December 25, 2026
B. December 22, 2025
C. December 28, 2026
D. December 15, 2025
Answer: B. December 22, 2025
Question: A 28-year-old at 6 weeks pregnant reports morning nausea. Which intervention should the nurse recommend first?
Answer Choices:
A. Drink large amounts of water during meals
B. Eat small, frequent snacks and keep crackers bedside before getting up
C. Avoid protein-rich foods
D. Take antiemetic immediately upon waking
Answer: B. Eat small, frequent snacks and keep crackers bedside before getting up
Question: Cesarean delivery scheduled; which finding report immediately?
Answer Choices:
A. WBC 12,000
B. FHR 180
C. Maternal pulse 85
D. Hgb 11
Answer: B. Fetal heart rate of 180 beats/minute
Question: A pregnant client is found to be non-immune to rubella during her first prenatal visit. Which statement by the nurse is most appropriate?
Answer Choices:
A. The vaccine is safe to give during the second trimester.
B. The vaccine will be given immediately to protect your baby.
C. Vaccination is not necessary if you practice good hygiene.
D. You should receive the vaccine after delivery, not during pregnancy.
Answer: D. You should receive the vaccine after delivery, not during pregnancy.
Question: A pregnant woman reports craving and eating ice. How should the nurse document this finding?
Answer Choices:
A. Pica
B. Ballottement
C. Linea nigra
D. Quickening
Answer: A. Pica
Question: Fundus at umbilicus. About how far along is the pregnancy?
Answer Choices:
A. 38 weeks
B. 20 weeks
C. 32 weeks
D. 12 weeks
Answer: B. 20 weeks
Question: Third stage of labor, continued bleeding, tissue protruding from cervix. Interpretation?
Answer Choices:
A. Retained placental fragments
B. Remove blood
C. Placenta intact
D. Send to lab
Answer: A. Findings suggest possible retained placental fragments
Question: Ms. N, a 20-year-old gravida 1 para 0 woman, begins prenatal care at 24 weeks. She smokes and eats poorly. What would be priority teaching topics?
Answer Choices:
A. Live vaccines
B. Smoking cessation methods
C. Danger signs during pregnancy
D. Pain relief options in labor
E. Basics of nutrition
Answer: B, C, E