Question: A patient whose first child had a neural tube defect (NTD) wants to become pregnant again. What is the nurse’s recommendation?
Answer Options:
A. Folic acid 400 mcg/day orally for 3 months before conception
B. Folic acid 0.6 mg/day orally for 1 month before conception and throughout pregnancy
C. Folic acid 400 mcg/day started after a positive pregnancy test
D. Folic acid 0.4 mcg/day started after a positive pregnancy test
Answer: B — Folic acid 0.6 mg/day orally for 1 month before conception and throughout pregnancy
Question: A client at 20 weeks gestation has not decided how to feed her infant. Which statement shows teaching was successful?
Answer Options:
A. “Formula-feeding gives the baby protection from infections.”
B. “Breast milk cannot be stored; it has to be thrown away after pumping.”
C. “My baby will have a lower risk of food allergies if I breastfeed.”
D. “Breastfeeding is more expensive than formula-feeding.”
Answer: C — “My baby will have a lower risk of food allergies if I breastfeed.”
Question: The anesthetist is coming to the surgical admissions unit to see a client prior to surgery scheduled for tomorrow morning. What is the priority information that the nurse should provide to the anesthetist during the visit?
Answer Options:
A. Latex allergy
B. Number of pregnancies
C. Difficulty falling asleep
D. Last bowel movement
Answer: A — Latex allergy
Question: A nurse is reviewing a pregnant client’s health history at her first prenatal visit at 10 weeks’ gestation. Which of the following would indicate that the client is at risk for developing gestational diabetes during this pregnancy?
Answer Options:
A. The client has a history of delivering a 9-pound (4.1 kg) infant.
B. The client exercises regularly and maintains a normal BMI.
C. The client reports mild seasonal allergies managed with over-the-counter antihistamines.
D. The client is 22 years old and pregnant for the second time.
Answer: A — The client has a history of delivering a 9-pound (4.1 kg) infant.
Question: A 32-week pregnant client comes to the clinic and asks about fetal movement monitoring. She reports that she usually feels her baby move 10–12 times per hour in the evening but has only felt 4 movements in the past hour. Which is the nurse’s most appropriate response?
Answer Options:
A. “Fetal movement monitoring is only necessary after 36 weeks, so you can wait until then.”
B. “This is normal; fetal movements vary from day to day.”
C. “Don’t worry; as long as the baby is active in the morning, there is no concern.”
D. “Try drinking a cold beverage or lying on your left side, then count the movements again. If you do not feel at least 10 movements in 2 hours, contact your provider immediately.”
Answer: D — “Try drinking a cold beverage or lying on your left side, then count the movements again. If you do not feel at least 10 movements in 2 hours, contact your provider immediately.”
Question: An HIV-positive client has recently delivered a healthy infant at term by cesarean section for fetal distress. Which statement made by the client indicates a need for further teaching?
Answer Options:
A. “The cesarean section will prevent my baby from being infected.”
B. “My baby will need to be followed more closely than most babies.”
C. “I really wanted to breastfeed but can’t in order to protect my baby.”
D. “HIV tests on my baby may not be accurate at this time.”
Answer: A — “The cesarean section will prevent my baby from being infected.”
Question: If fertilization occurs, the corpus luteum acts as a temporary endocrine structure, releasing hormones like progesterone until the placenta fully takes over. At approximately how many weeks of gestation does the placenta assume hormone secretion?
Answer Options:
A. 10–12 weeks gestation
B. 20–22 weeks gestation
C. 48 weeks gestation
D. 8–10 weeks gestation
Answer: A — 10–12 weeks gestation
Question: Given a GTPAL scenario with pregnancies and living children detailed in the image, what is the correct GTPAL documentation?
Answer Options:
A. G-5 T-2 P-1 A-1 L-2
Answer: D — G-5 T-2 P-1 A-1 L-2
Question: A nurse is approached by a pregnant client’s husband who is upset about overhearing his wife is GBS-positive. How should the nurse respond?
Answer Options:
A. “Every female has the bacteria in her perineum, it’s just more active in some people.”
B. “We will need to have you tested as soon as possible.”
C. “It is ok we will get you treated too.”
D. “Once she gets the antibiotic, it will be gone.”
Answer: A — “Every female has the bacteria in her perineum, it’s just more active in some people.”
Question: A nurse is reviewing the signs of pregnancy with a client. Which of the following is considered a probable sign of pregnancy?
Answer Options:
A. Fetal heartbeat heard by Doppler
B. Morning sickness and fatigue
C. Fetal movement felt by the provider
D. Chadwick’s sign
Answer: D — Chadwick’s sign
Question: Which of the following, if found by the nurse, would indicate a need for delivery by cesarean section?
Answer Options:
A. Oral fever blisters at the time of delivery
B. Genital herpes lesion 1 month prior to delivery; no symptoms at the time of delivery
C. History of genital herpes lesions; at the time of delivery, prodromal symptoms present but no lesions
D. Asymptomatic history of genital warts only
Answer: C — History of genital herpes lesions; at the time of delivery, prodromal symptoms present but no lesions
Question: A 32-week pregnant client comes to the clinic and asks about fetal movement monitoring. She reports that she usually feels her baby move 10–12 times per hour in the evening but has only felt 4 movements in the past hour. Which is the nurse’s most appropriate response?
Answer Options:
A. “Fetal movement monitoring is only necessary after 36 weeks.”
B. “This is normal; fetal movements vary from day to day.”
C. “Don’t worry; as long as the baby is active in the morning, there is no concern.”
D. “Try drinking a cold beverage or lying on your left side, then count the movements again. If you do not feel at least 10 movements in 2 hours, contact your provider immediately.”
Answer: D — “Try drinking a cold beverage or lying on your left side, then count the movements again. If you do not feel at least 10 movements in 2 hours, contact your provider immediately.”
Question: A client is admitted to the hospital with pernicious anemia. The nurse should prepare to administer which of the following medications?
Answer Options:
A. Vitamin B12
B. Folic acid
C. Lactulose
D. Magnesium sulfate
Answer: A — Vitamin B12
Question: (Select All That Apply) The nurse is conducting a staff education session about preeclampsia and eclampsia complications. Which statements by the nurse are accurate about HELLP Syndrome?
Answer Options:
A. This syndrome decreases a patient’s white blood cell (WBC) count
B. This syndrome impacts the number of platelets
C. This syndrome increases the liver enzymes
D. This syndrome destroys red blood cells (RBCs)
E. This syndrome decreases a patient’s blood urea nitrogen (BUN)
Answer: B, C, D
Question: A nurse is teaching a pregnant client about warning signs to report during pregnancy. Which of the following should the nurse include as a warning sign of a possible complication in pregnancy?
Answer Options:
A. Mild headaches that go away with rest
B. Swelling of the feet after a long day
C. A small amount of spotting after intercourse
D. Unresolved vision changes and severe headache
Answer: D — Unresolved vision changes and severe headache