Question: Lightening occurs about 2 weeks before labor. What will the mother likely experience?

Answer Choices:
A. Urinary frequency
B. Constipation
C. Dysuria
D. Dyspnea

Answer: A. Urinary frequency

 

Question: A client states, “I think my water broke! I felt this gush of fluid between my legs.” The nurse tests the fluid with nitrazine paper and confirms membrane rupture if the swab turns:

Answer Choices:
A. Yellow
B. Olive green
C. Blue
D. Pink

Answer: C. Blue

 

Question: A 16-year-old, G1P0000, is 10 weeks pregnant. She tells the nurse she felt the baby move that morning. Which of the following responses by the nurse is appropriate?

Answer Choices:
A. Can you describe what you felt?
B. That is impossible. The baby is not big enough yet.
C. Would you please let me see if I can feel the baby?
D. That is very exciting. The baby must be very healthy.

Answer: B. That is impossible. The baby is not big enough yet.

 

Question: After delivery, placenta appears torn and irregular with vessels to the edge. What’s the most appropriate conclusion?

Answer Choices:
A. Remove all blood from placenta
B. Placenta is intact
C. Send to lab
D. Findings suggest possible retained placental fragments

Answer: D. Findings suggest possible retained placental fragments

 

Question: 75-gram OGTT at 28 weeks. Which hormone is responsible for altering glucose metabolism?

Answer Choices:
A. Estrogen
B. Progesterone
C. hCG
D. Human Placental Lactogen

Answer: D. Human Placental Lactogen

 

Question: A 35-year-old client at 12 weeks with twins and one prior term delivery at 38 weeks. Document using GTPAL.

Answer Choices:
A. G1 T1 P1 A0 L1
B. G2 T0 P0 A0 L1
C. G3 T2 P0 A0 L1
D. G2 T1 P0 A0 L1

Answer: D. G2 T1 P0 A0 L1

 

Question: A 30-year-old woman and her husband present to the fertility clinic after 1 year of unprotected intercourse without conception. “Why does my husband have to be tested first?” she asks.

Answer Choices:
A. Semen analysis is a simple, noninvasive test and helps rule out male factors before complex tests.
B. Your husband’s test will determine whether you need hormone therapy.
C. The doctor just prefers to start with men first for convenience.
D. Because men are usually the cause of infertility.

Answer: A. Semen analysis is a simple, noninvasive test and helps rule out male factors before complex tests.

 

Question: A 32-year-old gravida 2 para 0 with sharp lower abdominal pain, shoulder pain, BP 88/54, HR 118, no intrauterine pregnancy on ultrasound. Priority action?

Answer Choices:
A. Prepare for emergency surgery
B. Administer methotrexate
C. Place in Trendelenburg position
D. Start oxygen at 2 L/min

Answer: A. Prepare the client for emergency surgery

 

Question: At 39 weeks, a client reports belly tightening every 4 minutes, each lasting 60 seconds. What does each contraction represent?

Answer Choices:
A. Tightening only when the fetus moves
B. Rhythmic tightening that helps thin and open cervix
C. Period of rest between contractions
D. Tightening caused by gas

Answer: B. Rhythmic tightening and relaxing that helps thin and open the cervix

 

Question: A woman telephones the prenatal clinic and reports her water just broke. Which suggestion is most appropriate?

Answer Choices:
A. Come in as soon as you feel urge to push
B. Drink 3–4 glasses of water and lie down
C. Call back when you start contractions
D. Come to clinic or ER for evaluation

Answer: D. Come to the clinic or emergency department for evaluation

 

Question: Client in Scenario A has irregular contractions every 12–15 min easing with walking; Scenario B has regular contractions every 5 min and gush of fluid. What should nurse do?

Answer Choices:
A. Scenario A monitor at home, Scenario B come immediately
B. Both go immediately
C. Both wait until unbearable
D. Scenario A come, Scenario B wait

Answer: A. Scenario A monitor at home, Scenario B come immediately

 

Question: A 30-year-old gravida 2 para 1 client in labor asks, “Will this medication affect my baby?” (IV narcotics ordered.)

Answer Choices:
A. Most effective in second stage
B. Permanently sedate the baby
C. Should be given early in labor or not within 2–4 hours of delivery
D. Can be given anytime

Answer: C. Should be administered early in labor or not within 2–4 hours of expected delivery

 

Question: A 26-year-old gravida 1 para 0 client comes to the prenatal clinic for her first visit at 8 weeks’ gestation. During the interview, she reports several changes she has noticed since her last menstrual period. Which of the findings reported by the client would the nurse classify as presumptive signs of pregnancy?

Answer Choices:
A. Chadwick’s sign
B. Frequent urination
C. Quickening
D. Amenorrhea
E. Breast tenderness

Answer: B, D, E — Frequent urination, Amenorrhea, Breast tenderness

 

Question: A nurse is providing antepartum education to a client who is 16 weeks pregnant. Which instructions should the nurse include?

Answer Choices:
A. Aim for total weight gain of 25–35 lbs
B. Begin prenatal exercise or walking as tolerated
C. Take prenatal vitamins containing folic acid
D. Limit fluid intake
E. Avoid physical activity
F. Consume a balanced diet rich in protein, iron, calcium
G. Attend all prenatal visits
H. Report any vaginal bleeding or fluid leakage

Answer: A, B, C, F, G, H

 

Question: Fluid balance question — 5-hour monitoring: Intake: Oral 400 mL; IV Pitocin 24 mL/hr; IV MgSO₄ 50 mL/hr; IV LR 75 mL/hr. Output: Foley 350 mL; Emesis 50 mL.

Answer: Intake: 1,170 mL/hr × 5 hrs + 400 = 1,170 mL total Output: 400 mL Net Balance: +770 mL

 

Question: On examination of a full-term primiparous client: active labor, ROA, 10 cm dilated, +2 station. Which should be reported?

Answer Choices:
A. Head not yet engaged
B. External rotation complete
C. Vaginal delivery is imminent
D. Descent is progressing well

Answer: C. Vaginal delivery is imminent

 

Question: Pitocin order: 13 milliunits/min in 1000 mL NS with 30 units Pitocin. What is the initial infusion rate (mL/hr)?

Answer: 26 mL/hr

 

Question: Pregnant client with genital herpes lesions at time of delivery — what instruction?

Answer Choices:
A. Cesarean section will be advised
B. No precautions
C. Vaccination for baby
D. Medication after birth

Answer: A. A cesarean section will be advised

 

Question: A nurse is teaching about Rh immunoglobulin (RhoGAM). Which should be included?

Answer Choices:
A. Prevents formation of Rh antibodies in newborns
B. Destroys Rh antibodies in mothers
C. Prevents formation of Rh antibodies in mothers who are Rh negative
D. Destroys Rh antibodies in newborns

Answer: C. It prevents the formation of Rh antibodies in mothers who are Rh negative

Question: Lightening occurs about 2 weeks before labor. What will the mother likely experience?

Answer Choices:
A. Urinary frequency
B. Constipation
C. Dysuria
D. Dyspnea

Answer: A. Urinary frequency

 

Question: A client states, “I think my water broke! I felt this gush of fluid between my legs.” The nurse tests the fluid with nitrazine paper and confirms membrane rupture if the swab turns:

Answer Choices:
A. Yellow
B. Olive green
C. Blue
D. Pink

Answer: C. Blue

 

Question: A 16-year-old, G1P0000, is 10 weeks pregnant. She tells the nurse she felt the baby move that morning. Which of the following responses by the nurse is appropriate?

Answer Choices:
A. Can you describe what you felt?
B. That is impossible. The baby is not big enough yet.
C. Would you please let me see if I can feel the baby?
D. That is very exciting. The baby must be very healthy.

Answer: B. That is impossible. The baby is not big enough yet.

 

Question: After delivery, placenta appears torn and irregular with vessels to the edge. What’s the most appropriate conclusion?

Answer Choices:
A. Remove all blood from placenta
B. Placenta is intact
C. Send to lab
D. Findings suggest possible retained placental fragments

Answer: D. Findings suggest possible retained placental fragments

 

Question: 75-gram OGTT at 28 weeks. Which hormone is responsible for altering glucose metabolism?

Answer Choices:
A. Estrogen
B. Progesterone
C. hCG
D. Human Placental Lactogen

Answer: D. Human Placental Lactogen

 

Question: A 35-year-old client at 12 weeks with twins and one prior term delivery at 38 weeks. Document using GTPAL.

Answer Choices:
A. G1 T1 P1 A0 L1
B. G2 T0 P0 A0 L1
C. G3 T2 P0 A0 L1
D. G2 T1 P0 A0 L1

Answer: D. G2 T1 P0 A0 L1

 

Question: A 30-year-old woman and her husband present to the fertility clinic after 1 year of unprotected intercourse without conception. “Why does my husband have to be tested first?” she asks.

Answer Choices:
A. Semen analysis is a simple, noninvasive test and helps rule out male factors before complex tests.
B. Your husband’s test will determine whether you need hormone therapy.
C. The doctor just prefers to start with men first for convenience.
D. Because men are usually the cause of infertility.

Answer: A. Semen analysis is a simple, noninvasive test and helps rule out male factors before complex tests.

 

Question: A 32-year-old gravida 2 para 0 with sharp lower abdominal pain, shoulder pain, BP 88/54, HR 118, no intrauterine pregnancy on ultrasound. Priority action?

Answer Choices:
A. Prepare for emergency surgery
B. Administer methotrexate
C. Place in Trendelenburg position
D. Start oxygen at 2 L/min

Answer: A. Prepare the client for emergency surgery

 

Question: At 39 weeks, a client reports belly tightening every 4 minutes, each lasting 60 seconds. What does each contraction represent?

Answer Choices:
A. Tightening only when the fetus moves
B. Rhythmic tightening that helps thin and open cervix
C. Period of rest between contractions
D. Tightening caused by gas

Answer: B. Rhythmic tightening and relaxing that helps thin and open the cervix

 

Question: A woman telephones the prenatal clinic and reports her water just broke. Which suggestion is most appropriate?

Answer Choices:
A. Come in as soon as you feel urge to push
B. Drink 3–4 glasses of water and lie down
C. Call back when you start contractions
D. Come to clinic or ER for evaluation

Answer: D. Come to the clinic or emergency department for evaluation

 

Question: Client in Scenario A has irregular contractions every 12–15 min easing with walking; Scenario B has regular contractions every 5 min and gush of fluid. What should nurse do?

Answer Choices:
A. Scenario A monitor at home, Scenario B come immediately
B. Both go immediately
C. Both wait until unbearable
D. Scenario A come, Scenario B wait

Answer: A. Scenario A monitor at home, Scenario B come immediately

 

Question: A 30-year-old gravida 2 para 1 client in labor asks, “Will this medication affect my baby?” (IV narcotics ordered.)

Answer Choices:
A. Most effective in second stage
B. Permanently sedate the baby
C. Should be given early in labor or not within 2–4 hours of delivery
D. Can be given anytime

Answer: C. Should be administered early in labor or not within 2–4 hours of expected delivery

 

Question: A 26-year-old gravida 1 para 0 client comes to the prenatal clinic for her first visit at 8 weeks’ gestation. During the interview, she reports several changes she has noticed since her last menstrual period. Which of the findings reported by the client would the nurse classify as presumptive signs of pregnancy?

Answer Choices:
A. Chadwick’s sign
B. Frequent urination
C. Quickening
D. Amenorrhea
E. Breast tenderness

Answer: B, D, E — Frequent urination, Amenorrhea, Breast tenderness

 

Question: A nurse is providing antepartum education to a client who is 16 weeks pregnant. Which instructions should the nurse include?

Answer Choices:
A. Aim for total weight gain of 25–35 lbs
B. Begin prenatal exercise or walking as tolerated
C. Take prenatal vitamins containing folic acid
D. Limit fluid intake
E. Avoid physical activity
F. Consume a balanced diet rich in protein, iron, calcium
G. Attend all prenatal visits
H. Report any vaginal bleeding or fluid leakage

Answer: A, B, C, F, G, H

 

Question: Fluid balance question — 5-hour monitoring: Intake: Oral 400 mL; IV Pitocin 24 mL/hr; IV MgSO₄ 50 mL/hr; IV LR 75 mL/hr. Output: Foley 350 mL; Emesis 50 mL.

Answer: Intake: 1,170 mL/hr × 5 hrs + 400 = 1,170 mL total Output: 400 mL Net Balance: +770 mL

 

Question: On examination of a full-term primiparous client: active labor, ROA, 10 cm dilated, +2 station. Which should be reported?

Answer Choices:
A. Head not yet engaged
B. External rotation complete
C. Vaginal delivery is imminent
D. Descent is progressing well

Answer: C. Vaginal delivery is imminent

 

Question: Pitocin order: 13 milliunits/min in 1000 mL NS with 30 units Pitocin. What is the initial infusion rate (mL/hr)?

Answer: 26 mL/hr

 

Question: Pregnant client with genital herpes lesions at time of delivery — what instruction?

Answer Choices:
A. Cesarean section will be advised
B. No precautions
C. Vaccination for baby
D. Medication after birth

Answer: A. A cesarean section will be advised

 

Question: A nurse is teaching about Rh immunoglobulin (RhoGAM). Which should be included?

Answer Choices:
A. Prevents formation of Rh antibodies in newborns
B. Destroys Rh antibodies in mothers
C. Prevents formation of Rh antibodies in mothers who are Rh negative
D. Destroys Rh antibodies in newborns

Answer: C. It prevents the formation of Rh antibodies in mothers who are Rh negative