MCN – ANTEPARTUM
The nurse is conducting a prenatal class
1. The nursing student is preparing to teach
a prenatal class about fetal circulation.
Which statement should be included in the
teaching plan?
1. "One artery carries oxygenated blood
from the placenta to the fetus."
2. "Two arteries carry oxygenated blood
from the placenta to the fetus."
3. "Two arteries carry deoxygenated blood
and waste products away from the fetus to
the placenta."
4. "Two veins carry blood that is high in
carbon dioxide and other waste products
away from the fetus to the placenta."
3. "Two arteries carry deoxygenated blood
and waste products away from the fetus to the
placenta."
2. A pregnant client tells the clinic nurse that
she wants to know the gender of her baby
as soon as it can be determined. The
nurse understands that the client should
be able to find out the gender at 12
weeks' gestation because of which factor?
1. The appearance of the fetal external
genitalia
2. The beginning of differentiation in the
fetal groin
3. The fetal testes are descended into the
scrotal sac
4. The internal differences in males and
females become apparent
1. The appearance of the fetal external
genitalia
3. The nurse is performing an assessment
on a client who is at 38 weeks' gestation
and notes that the fetal heart rate is 174
beats/minute. On the basis of this finding,
what is the priority nursing action?
1. Document the finding.
2. Check the mother's heart rate.
3. Notify the health care provider (HCP).
4. Tell the client that the fetal heart rate is
normal.
3. Notify the health care provider (HCP).
4.
on the female reproductive system. When
a client in the class asks why the fertilized
ovum stays in the fallopian tube for 3
days, what is the nurse's best response?
1. "It promotes the fertilized ovum's
chances of survival."
2. "It promotes the fertilized ovum's
exposure to estrogen and progesterone."
3. "It promotes the fertilized ovum's
normal implantation in the top portion of
the uterus."
4. "It promotes the fertilized ovum's
exposure to luteinizing hormone and
follicle-stimulating hormone."
3. "It promotes the fertilized ovum's normal
implantation in the top portion of the uterus."
5. The nursing instructor asks a nursing
student to list the characteristics of the
amniotic fluid. The student responds
correctly by listing which as characteristics
of amniotic fluid? Select all that apply.
1. Allows for fetal movement
2. Surrounds, cushions, and protects the
fetus
3. Maintains the body temperature of the
fetus
4. Can be used to measure fetal kidney
function
5. Prevents large particles such as
bacteria from passing to the fetus
6. Provides an exchange of nutrients and
waste products between the mother and
the fetus
o 1. Allows for fetal movement
o 2. Surrounds, cushions, and protects
the fetus
o 3. Maintains the body temperature of
the fetus
o 4. Can be used to measure fetal
kidney function
6. A couple comes to the family planning
clinic and asks about sterilization
procedures. Which question by the nurse
would determine whether this method of
family planning would be most
appropriate?
1. "Has either of you ever had surgery?"
2. "Do you plan to have any other
children?"
3. "Do either of you have diabetes
mellitus?"
 4. "Do either of you have problems with
high blood pressure?"
2. "Do you plan to have any other children?"
7. The nurse should include which statement
to a pregnant client found to have a
gynecoid pelvis?
1. "Your type of pelvis has a narrow pubic
arch."
2. "Your type of pelvis is the most
favorable for labor and birth."
3. "Your type of pelvis is a wide pelvis, but
has a short diameter."
4. "You will need a cesarean section
because this type of pelvis is not favorable
for a vaginal delivery."
2. "Your type of pelvis is the most favorable
for labor and birth."
8. Which explanation should the nurse
provide to the prenatal client about the
purpose of the placenta?
1. It cushions and protects the baby.
2. It maintains the temperature of the
baby.
3. It is the way the baby gets food and
oxygen.
4. It prevents all antibodies and viruses
from passing to the baby.
3. It is the way the baby gets food and
oxygen.
9. The nurse is performing an assessment of
a pregnant client who is at 28 weeks of
gestation. The nurse measures the fundal
height in centimeters and expects which
finding?
1. 22 cm
2. 30 cm
3. 36 cm
4. 40 cm
2. 30 cm
10. The nurse is assisting in performing an
assessment on a client who suspects that
she is pregnant and is checking the client
for probable signs of pregnancy. Which
are probable signs of pregnancy? Select
all that apply.
1. Ballottement
2. Chadwick's sign
3. Uterine enlargement
4. Braxton Hicks contractions
5. Fetal heart rate detected by a
nonelectronic device
6. Outline of fetus via radiography or
ultrasonography
o 1. Ballottement
o 2. Chadwick's sign
o 3. Uterine enlargement
o 4. Braxton Hicks contractions
11. A pregnant client is seen for a regular
prenatal visit and tells the nurse that she
is experiencing irregular contractions. The
nurse determines that she is experiencing
Braxton Hicks contractions. On the basis
of this finding, which nursing action
is most appropriate?
1. Contact the health care provider.
2. Instruct the client to maintain bed rest
for the remainder of the pregnancy.
3. Inform the client that these contractions
are common and may occur throughout
the pregnancy.
4. Call the maternity unit and inform them
that the client will be admitted in a
prelabor condition.
3. Inform the client that these contractions are
common and may occur throughout the
pregnancy.
12. The nurse is providing instructions to a
pregnant client with genital herpes about
the measures that are needed to protect
the fetus. Which instruction should the
nurse provide to the client?
1. Total abstinence from sexual
intercourse is necessary during the entire
pregnancy.
2. Sitz baths need to be taken every 4
hours while awake if vaginal lesions are
present.
3. Daily administration of acyclovir
(Zovirax) is necessary during the entire
pregnancy.
4. A cesarean section will be necessary if
vaginal lesions are present at the time of
labor.
4. A cesarean section will be necessary if
vaginal lesions are present at the time of
labor.
13. The nurse is reviewing the record of a
client who has just been told that a
pregnancy test is positive. The health care
provider has documented the presence of
Goodell's sign. This finding is most closely
associated with which characteristic?
1. A softening of the cervix
2. The presence of fetal movement
3. The presence of human chorionic
gonadotropin in the urine
4. A soft blowing sound that corresponds
to the maternal pulse during auscultation
of the uterus
1. A softening of the cervix
14. A client arrives at the clinic for the first
prenatal assessment. She tells the nurse
that the first day of her last menstrual
period was October 19, 2014. Using
Nägele's rule, which expected date of
delivery should the nurse document in the
client's chart?
1. July 12, 2014
2. July 26, 2015
3. August 12, 2015
4. August 26, 2015
2. July 26, 2015
15. The health care provider (HCP) is
assessing the client for the presence of
ballottement. To make this determination,
the HCP should take which action?
1. Auscultate for fetal heart sounds.
2. Assess the cervix for compressibility.
3. Palpate the abdomen for fetal
movement.
4. Initiate a gentle upward tap on the
cervix.
4. Initiate a gentle upward tap on the cervix.
16. A pregnant client asks the nurse in the
clinic when she will be able to begin to
feel the fetus move. The nurse responds
by telling the mother that fetal movements
will be noted between which weeks of
gestation?
1. 6 and 8
2. 8 and 10
3. 10 and 12
4. 14 and 18
4. 14 and 18
17. The nurse is performing an assessment of
a primigravida who is being evaluated in a
clinic during her second trimester of
pregnancy. Which finding concerns the
nurse and indicates the need for follow-
up?
1. Quickening
2. Braxton Hicks contractions
3. Fetal heart rate of 180 beats/minute
4. Consistent increase in fundal height
3. Fetal heart rate of 180 beats/minute
18. The nurse is collecting data during an
admission assessment of a client who is
pregnant with twins. The client has a
healthy 5-year-old child who was
delivered at 38 weeks and tells the nurse
that she does not have a history of any
type of abortion or fetal demise. Using
GTPAL, what should the nurse document
in the client's chart?
1. G = 3, T = 2, P = 0, A = 0, L = 1
2. G = 2, T = 1, P = 0, A = 0, L = 1
3. G = 1, T = 1, P = 1, A = 0, L = 1
4. G = 2, T = 0, P = 0, A = 0, L = 1
2. G = 2, T = 1, P = 0, A = 0, L = 1
19. The nurse is providing instructions to a
pregnant client who is scheduled for an
amniocentesis. What instruction should
the nurse provide?
1. Strict bed rest is required after the
procedure.
2. Hospitalization is necessary for 24
hours after the procedure.
3. An informed consent needs to be
signed before the procedure.
4. A fever is expected after the procedure
because of the trauma to the abdomen.
3. An informed consent needs to be signed
before the procedure.
20. A pregnant client in the first trimester calls
the nurse at a health care clinic and
reports that she has noticed a thin,
colorless vaginal drainage. The nurse
should make which statement to the
client?
1. "Come to the clinic immediately."
 2. "The vaginal discharge may be
bothersome, but is a normal occurrence."
3. "Report to the emergency department
at the maternity center immediately."
4. "Use tampons if the discharge is
bothersome, but to be sure to change the
tampons every 2 hours."
2. "The vaginal discharge may be
bothersome, but is a normal occurrence."
21. The nurse has performed a nonstress test
on a pregnant client and is reviewing the
fetal monitor strip. The nurse interprets
the test as reactive. How should the nurse
document this finding?
1. Normal
2. Abnormal
3. The need for further evaluation
4. That findings were difficult to interpret
1. Normal
22. A nonstress test is performed on a client
who is pregnant, and the results of the
test indicate nonreactive findings. The
health care provider prescribes a
contraction stress test, and the results are
documented as negative. How should the
nurse document this finding?
1. A normal test result
2. An abnormal test result
3. A high risk for fetal demise
4. The need for a cesarean delivery
1. A normal test result
23. A pregnant client tells the nurse that she
has been craving "unusual foods." The
nurse gathers additional assessment data
and discovers that the client has been
ingesting daily amounts of white clay dirt
from her backyard. Laboratory studies are
performed and the nurse determines that
which finding indicates a physiological
consequence of the client's practice?
1. Hematocrit 38%
2. Glucose 86 mg/dL
3. Hemoglobin 9.1 g/dL
4. White blood cell count 12,400 cells/mm3
3. Hemoglobin 9.1 g/dL
24. A pregnant client asks the nurse about the
types of exercises that are allowable
during pregnancy. The nurse should tell
that client that which exercise is safest?
1. Swimming
2. Scuba diving
3. Low-impact gymnastics
4. Bicycling with the legs in the air
1. Swimming
25. A health care provider has prescribed
transvaginal ultrasonography for a client in
the first trimester of pregnancy and the
client asks the nurse about the procedure.
How should the nurse respond to the
client?
1. "The procedure takes about 2 hours."
2. "It will be necessary to drink 1 to 2
quarts of water before the examination."
3. "The probe that will be inserted into the
vagina will be covered with a disposable
cover and coated with a gel."
4. "Gel is spread over the abdomen, and a
round disk transducer will be moved over
the abdomen to obtain the picture."
3. "The probe that will be inserted into the
vagina will be covered with a disposable cover
and coated with a gel."
26. The nurse has instructed a pregnant client
in measures to prevent varicose veins
during pregnancy. Which statement by the
client indicates a need for further
instructions?
1. "I should wear panty hose."
2. "I should wear support hose."
3. "I should wear flat nonslip shoes that
have good support."
4. "I should wear knee-high hose, but I
should not leave them on longer than 8
hours."
4. "I should wear knee-high hose, but I should
not leave them on longer than 8 hours."
27. A pregnant client calls a clinic and tells the
nurse that she is experiencing leg cramps
that awaken her at night. What should the
nurse tell the client to provide relief from
the leg cramps?
1. "Bend your foot toward your body while
flexing the knee when the cramps occur."
 2. "Bend your foot toward your body while
extending the knee when the cramps
occur."
3. "Point your foot away from your body
while flexing the knee when the cramps
occur."
4. "Point your foot away from your body
while extending the knee when the
cramps occur."
2. "Bend your foot toward your body while
extending the knee when the cramps occur."
28. The nurse in a health care clinic is
instructing a pregnant client how to
perform "kick counts." Which statement by
the client indicates a need for further
instructions?
1. "I will record the number of movements
or kicks."
2. "I need to lie flat on my back to perform
the procedure."
3. "If I count fewer than 10 kicks in a 2-
hour period I should count the kicks again
over the next 2 hours."
4. "I should place my hands on the largest
part of my abdomen and concentrate on
the fetal movements to count the kicks."
2. "I need to lie flat on my back to perform the
procedure."
29. The nurse is providing instructions
regarding treatment of hemorrhoids to a
client who is in the second trimester of
pregnancy. Which statement by the client
indicates a need for further instruction?
1. "I should avoid straining during bowel
movements."
2. "I can gently replace the hemorrhoids
into the rectum."
3. "I can apply ice packs to the
hemorrhoids to reduce the swelling."
4. "I should apply heat packs to the
hemorrhoids to help the hemorrhoids
shrink."
4. "I should apply heat packs to the
hemorrhoids to help the hemorrhoids shrink."
30. The nurse is providing instructions to a
client in the first trimester of pregnancy
regarding measures to assist in reducing
breast tenderness. Which instruction
should the nurse provide?
1. Avoid wearing a bra.
2. Wash the breasts with warm water and
keep them dry.
3. Wear tight-fitting blouses or dresses to
provide support.
4. Wash the nipples and areolar area daily
with soap, and massage the breasts with
lotion.
2. Wash the breasts with warm water and
keep them dry.
31. The nurse is describing cardiovascular
system changes that occur during
pregnancy to a client and understands
that which finding would be normal for a
client in the second trimester?
1. Increase in pulse rate
2. Increase in blood pressure
3. Frequent bowel elimination
4. Decrease in red blood cell production
1. Increase in pulse rate
32. The clinic nurse is providing instructions to
a pregnant client regarding measures that
assist in alleviating heartburn. Which
statement by the client indicates an
understanding of the instructions?
1. "I should avoid between-meal snacks."
2. "I should lie down for an hour after
eating."
3. "I should use spices for cooking rather
than using salt."
4. "I should avoid eating foods that
produce gas and fatty foods."
4. "I should avoid eating foods that produce
gas and fatty foods."
33. The home care nurse visits a pregnant
client who has a diagnosis of mild
preeclampsia. Which assessment finding
indicates a worsening of the preeclampsia
and the need to notify the health care
provider?
1. Urinary output has increased.
2. Dependent edema has resolved.
3. Blood pressure reading is at the
prenatal baseline.
4. The client complains of a headache and
blurred vision.
 4. The client complains of a headache and
blurred vision.
34. The nurse implements a teaching plan for
a pregnant client who is newly diagnosed
with gestational diabetes mellitus. Which
statement made by the client indicates
a need for further teaching?
1. "I should stay on the diabetic diet."
2. "I should perform glucose monitoring at
home."
3. "I should avoid exercise because of the
negative effects on insulin production."
4. "I should be aware of any infections
and report signs of infection immediately
to my health care provider."
3. "I should avoid exercise because of the
negative effects on insulin production."
35. The nurse is performing an assessment
on a pregnant client with a diagnosis of
severe preeclampsia. The nurse reviews
the assessment findings and determines
that which finding is most closely
associated with a complication of this
diagnosis?
1. Enlargement of the breasts
2. Complaints of feeling hot when the
room is cool
3. Periods of fetal movement followed by
quiet periods
4. Evidence of bleeding, such as in the
gums, petechiae, and purpura
4. Evidence of bleeding, such as in the gums,
petechiae, and purpura
36. The home care nurse is monitoring a
pregnant client with gestational
hypertension who is at risk for
preeclampsia. At each home care visit,
the nurse assesses the client for which
classic signs of preeclampsia? Select all
that apply.
1. Proteinuria
2. Hypertension
3. Low-grade fever
4. Generalized edema
5. Increased pulse rate
6. Increased respiratory rate
o 1. Proteinuria
o 2. Hypertension
o 4. Generalized edema
37. The nurse is assessing a pregnant client
with type 1 diabetes mellitus about her
understanding regarding changing insulin
needs during pregnancy. The nurse
determines that further teaching is
needed if the client makes which
statement?
1. "I will need to increase my insulin
dosage during the first 3 months of
pregnancy."
2. "My insulin dose will likely need to be
increased during the second and third
trimesters."
3. "Episodes of hypoglycemia are more
likely to occur during the first 3 months of
pregnancy."
4. "My insulin needs should return to
normal within 7 to 10 days after birth if I
am bottle-feeding."
1. "I will need to increase my insulin dosage
during the first 3 months of pregnancy."
38. A pregnant client reports to a health care
clinic, complaining of loss of appetite,
weight loss, and fatigue. After assessment
of the client, tuberculosis is suspected. A
sputum culture is obtained and
identifies Mycobacterium tuberculosis.
Which instruction should the nurse include
in the client's teaching plan?
1. Therapeutic abortion is required.
2. She will have to stay at home until
treatment is completed.
3. Medication will not be started until after
delivery of the fetus.
4. Isoniazid plus rifampin (Rifadin) will be
required for 9 months.
4. Isoniazid plus rifampin (Rifadin) will be
required for 9 months.
39. The nurse is providing instructions to a
maternity client with a history of cardiac
disease regarding appropriate dietary
measures. Which statement, if made by
the client, indicates an understanding of
the information provided by the nurse?
1. "I should increase my sodium intake
during pregnancy."
2. "I should lower my blood volume by
limiting my fluids."
3. "I should maintain a low-calorie diet to
prevent any weight gain."
 4. "I should drink adequate fluids and
increase my intake of high-fiber foods."
4. "I should drink adequate fluids and increase
my intake of high-fiber foods."
40. The clinic nurse is performing a
psychosocial assessment of a client who
has been told that she is pregnant. Which
assessment finding indicates to the nurse
that the client is at risk for contracting
human immunodeficiency virus (HIV)?
1. A client who has a history of
intravenous drug use
2. A client who has a significant other who
is heterosexual
3. A client who has a history of sexually
transmitted infections
4. A client who has had one sexual
partner for the past 10 years
1. A client who has a history of intravenous
drug use
41. A client in the first trimester of pregnancy
arrives at a health care clinic and reports
that she has been experiencing vaginal
bleeding. A threatened abortion is
suspected, and the nurse instructs the
client regarding management of care.
Which statement made by the client
indicates a need for further instruction?
1. "I will watch for the evidence of the
passage of tissue."
2. "I will maintain strict bed rest throughout
the remainder of the pregnancy."
3. "I will count the number of perineal
pads used on a daily basis and note the
amount and color of blood on the pad."
4. "I will avoid sexual intercourse until the
bleeding has stopped, and for 2 weeks
following the last evidence of bleeding."
2. "I will maintain strict bed rest throughout the
remainder of the pregnancy."
42. The nurse is performing an initial
assessment on a client who has just been
told that a pregnancy test is positive.
Which assessment finding indicates that
the client is at risk for preterm labor?
1. The client is a 35-year-old primigravida
2. The client has a history of cardiac
disease
3. The client's hemoglobin level is 13.5
g/dL
4. The client is a 20-year-old primigravida
of average weight and height
2. The client has a history of cardiac disease
43. The nurse provides instructions to a
malnourished pregnant client regarding
iron supplementation. Which client
statement indicates an understanding of
the instructions?
1. "Iron supplements will give me
diarrhea."
2. "Meat does not provide iron and should
be avoided."
3. "The iron is best absorbed if taken on
an empty stomach."
4. "On the days that I eat green leafy
vegetables or calf liver I can omit taking
the iron supplement."
3. "The iron is best absorbed if taken on an
empty stomach."
44. A pregnant client at 10 weeks' gestation
calls the prenatal clinic to report a recent
exposure to a child with rubella. The nurse
reviews the client's chart. What is the
nurse's best response to the client?Refer
to chart.
1. "You should avoid all school-age
children during pregnancy."
2. "There is no need to be concerned if
you don't have a fever or rash within the
next 2 days."
3. "You were wise to call. Your rubella titer
indicates that you are immune and your
baby is not at risk."
4. "Be sure to tell the health care provider
in 2 weeks as additional screening will be
prescribed during your second trimester."
3. "You were wise to call. Your rubella titer
indicates that you are immune and your baby
is not at risk."
45. During a routine prenatal visit, a client
complains of gums that bleed easily with
brushing. The nurse performs an
assessment and teaches the client about
 proper nutrition to minimize this problem.
Which client statement indicates an
understanding of the proper nutrition to
minimize this problem?
1. "I will drink 8 oz of water with each
meal."
2. "I will eat three servings of cracked
wheat bread each day."
3. "I will eat two saltine crackers before I
get up each morning."
4. "I will eat fresh fruits and vegetables for
snacks and for dessert each day."
4. "I will eat fresh fruits and vegetables for
snacks and for dessert each day."
46. The nursing instructor asks the nursing
student about the physiology related to
the cessation of ovulation that occurs
during pregnancy. Which response, if
made by the student, indicates an
understanding of this physiological
process?
1. "Ovulation ceases during pregnancy
because the circulating levels of estrogen
and progesterone are high."
2. "Ovulation ceases during pregnancy
because the circulating levels of estrogen
and progesterone are low."
3. "The low levels of estrogen and
progesterone increase the release of the
follicle-stimulating hormone and luteinizing
hormone."
4. "The high levels of estrogen and
progesterone promote the release of the
follicle-stimulating hormone and luteinizing
hormone."
1. "Ovulation ceases during pregnancy
because the circulating levels of estrogen and
progesterone are high."
47. The nurse encourages a pregnant human
immunodeficiency virus (HIV)–positive
client to report any early signs of vaginal
discharge or perineal tenderness to the
health care provider immediately. The
client asks the nurse about the importance
of this action, and the nurse responds by
telling the client which accurate
statement?
1. "This is necessary to relieve anxiety for
the pregnant client."
2. "This is necessary to eliminate the need
for further uncomfortable screenings."
3. "This is necessary to minimize the
financial cost of caring for an HIV-positive
client."
4. "This is necessary to assist in
identifying potential infections that may
need to be treated."
4. "This is necessary to assist in identifying
potential infections that may need to be
treated."
48. A pregnant client who is anemic tells the
nurse that she is concerned about her
infant's condition after delivery. Which
nursing response would best support the
client?
1. "You should not worry about your
baby's condition after the delivery
because complications are rare."
2. "Your baby will probably need to spend
a few days in the neonatal intensive care
unit after delivery."
3. "You will not have any problems if you
follow all the advice the health care
provider has given you."
4. "The effects of anemia on your baby
are difficult to predict, but let's review your
plan of care to ensure you are providing
the best nutrition and growth potential."
4. "The effects of anemia on your baby are
difficult to predict, but let's review your plan of
care to ensure you are providing the best
nutrition and growth potential."
49. The nurse is performing an assessment
on a pregnant client at 16 weeks of
gestation. On assessment, the nurse
expects the fundus of the uterus to be
located at which area?
1. At the umbilicus
2. Just above the symphysis pubis
3. At the level of the xiphoid process
4. Midway between the symphysis pubis
and the umbilicus
4. Midway between the symphysis pubis and
the umbilicus
50. The clinic nurse is performing a prenatal
assessment on a pregnant client. The
nurse should plan to implement teaching
related to the risk of abruptio placentae if
 which information is obtained on
assessment?
1. The client is 28 years of age.
2. This is the second pregnancy.
3. The client has a history of hypertension.
4. The client performs moderate exercise
on a regular daily schedule.
3. The client has a history of hypertension.
51. During a prenatal visit, a nurse is
explaining dietary management to a client
with pre-existing diabetes mellitus. The
nurse determines that teaching has
been effective if the client makes which
statement?
1. "Diet and insulin needs change during
pregnancy."
2. "I will plan my diet based on the results
of urine glucose testing."
3. "I will need to eat 600 more calories
every day because I am pregnant."
4. "I can continue with the same diet as
before pregnancy, as long as it is well
balanced."
1. "Diet and insulin needs change during
pregnancy."
52. The clinic nurse has provided home care
instructions to a client with a history of
cardiac disease who has just been told
that she is pregnant. Which statement, if
made by the client, indicates a need for
further instructions?
1. "It is best that I rest lying on my side to
promote blood return to the heart."
2. "I need to avoid excessive weight gain
to prevent increased demands on my
heart."
3. "I need to try to avoid stressful
situations because stress increases the
workload on the heart."
4. "During the pregnancy, I need to avoid
contact with other individuals as much as
possible to prevent infection."
4. "During the pregnancy, I need to avoid
contact with other individuals as much as
possible to prevent infection."
53. The nurse assists a pregnant client with
cardiac disease to identify resources to
help her care for her 18-month-old child
during the last trimester of pregnancy. The
nurse encourages the pregnant client to
use these resources primarily for which
reason?
1. Reduce excessive maternal stress and
fatigue.
2. Help the mother prepare for labor and
delivery.
3. Avoid exposure to potential pathogens
and resulting infections.
4. Prepare the 18-month-old child for
maternal separation during hospitalization.
1. Reduce excessive maternal stress and
fatigue.
54. The nurse is instructing a pregnant client
regarding measures to increase iron in the
diet. The nurse should tell the client to
consume which food that contains the
highest source of dietary iron?
1. Milk
2. Potatoes
3. Cantaloupe
4. Whole-grain cereal
4. Whole-grain cereal
55. The nurse is reviewing a nutritional plan of
care with a pregnant client and is
identifying the food items highest in folic
acid. The nurse determines that the client
understands the foods that supply the
highest amounts of folic acid if the client
states that she will include which item in
the daily diet?
1. Milk
2. Yogurt
3. Bananas
4. Leafy green vegetables
4. Leafy green vegetables
56. A pregnant client who is at 30 weeks'
gestation comes to the clinic for a routine
visit, and the nurse performs an
assessment on her. Which observation
made by the nurse during the assessment
indicates a need for further teaching?
1. The client is wearing sneakers.
2. The client is wearing knee-high hose.
3. The client is wearing flat shoes with
rubber soles.
 4. The client is wearing pants with an
elastic waistband.
2. The client is wearing knee-high hose.
57. A pregnant client visits a clinic for a
scheduled prenatal appointment. The
client tells the nurse that she frequently
has a backache, and the nurse provides
instructions regarding measures that will
assist in relieving the backache. Which
statement by the client indicates a need
for further instructions?
1. "I should wear flat-heeled shoes."
2. "I should sleep on a firm mattress."
3. "I should try to maintain good posture."
4. "I should do more exercises to
strengthen my back muscles."
4. "I should do more exercises to strengthen
my back muscles."
58. A nonstress test is prescribed for a
pregnant client, and she asks the nurse
about the procedure. How should the
nurse respond?
1. "The test is a procedure that will require
an informed consent to be signed."
2. "The test will take about 2 hours and
will require close monitoring for 2 hours
after the procedure is completed."
3. "The test is done to see if the baby can
handle the stress of labor, and that
medicine is given to make the uterus
contract."
4. "A round, hard plastic disk called an
ultrasound transducer picks up and marks
the fetal heart activity on the recording
paper and is secured over the abdomen."
4. "A round, hard plastic disk called an
ultrasound transducer picks up and marks the
fetal heart activity on the recording paper and
is secured over the abdomen."
59. The nurse is developing a plan of care for
a pregnant client who is complaining of
intermittent episodes of constipation. To
help alleviate this problem, the nurse
should instruct the client to take which
measure?
1. Consume a low-fiber diet.
2. Drink 8 glasses of water per day.
3. Use a Fleet enema when the episodes
occur.
4. Take a mild stool softener daily in the
evening.
2. Drink 8 glasses of water per day.
60. A pregnant client in the prenatal clinic is
scheduled for a biophysical profile. The
client asks the nurse what this test
involves. The nurse should make which
appropriate response?
1. "This test measures your ability to
tolerate the pregnancy."
2. "This test measures amniotic fluid
volume and fetal activity."
3. "This test measures your cardiac status
and ability to tolerate labor."
4. "This test only measures the amount of
amniotic fluid present in the uterus."
2. "This test measures amniotic fluid volume
and fetal activity."
61. The nurse in the prenatal clinic is taking a
nutritional history from a 16-year-old
pregnant adolescent. Which statement, if
made by the adolescent, would alert the
nurse to a potential psychosocial
problem?
1. "I don't like dairy products."
2. "I will continue drinking my afternoon
milkshake."
3. "I'm not used to eating so much food,
but I will try."
4. "I only want to gain 10 pounds because
I want to have a small, petite baby."
4. "I only want to gain 10 pounds because I
want to have a small, petite baby."
62. The nurse in the prenatal clinic is
conducting a session about nutrition to a
group of adolescents who are pregnant.
Which measure is most appropriate to
teach these adolescents?
1. Eat only when hungry.
2. Eliminate snacks during the day.
3. Avoid meals in fast-food restaurants.
4. Monitor for appropriate weight gain
patterns.
4. Monitor for appropriate weight gain
patterns.
63. The clinic nurse is discussing nutrition
with a pregnant client who has lactose
intolerance. The nurse should instruct the
client to supplement the dietary source of
calcium by eating which food?
1. Hard cheese
2. Dried fruits
3. Creamed spinach
4. Fresh-squeezed orange juice
2. Dried fruits
64. The nurse has provided instructions to a
pregnant client who is preparing to take
iron supplements. The nurse determines
that the client understands the instructions
if she states that she will take the
supplements with which item?
1. Milk
2. Tea
3. Coffee
4. Orange juice
4. Orange juice
65. A client arrives at the health care clinic
and tells the nurse that her last menstrual
period was 9 weeks ago. The client tells
the nurse that a home pregnancy test was
positive but that she began to have mild
cramps and is now having moderate
vaginal bleeding. On physical examination
of the client, it is noted that she has a
dilated cervix. The nurse determines that
the client is experiencing which type of
abortion?
1. Septic
2. Inevitable
3. Incomplete
4. Threatened
2. Inevitable
66. The nurse is reviewing the record of a
pregnant client seen in the health care
clinic for the first prenatal visit. Which
data, if noted on the client's record, would
alert the nurse that the client is at risk for
a spontaneous abortion?
1. Age of 35 years
2. History of syphilis
3. History of genital herpes
4. History of diabetes mellitus
2. History of syphilis
67. The nurse is preparing to care for a client
who is being admitted to the hospital with
a possible diagnosis of ectopic pregnancy.
The nurse develops a plan of care for the
client and determines that which nursing
action is the priority?
1. Checking for edema
2. Monitoring daily weight
3. Monitoring the apical pulse
4. Monitoring the temperature
3. Monitoring the apical pulse
68. The nurse reviews the laboratory results
for a client with a suspected ectopic
pregnancy. The nurse would expect which
result of the beta subunit of human
chorionic gonadotropin (β-hCG) if the
client had an ectopic pregnancy?
1. Not present
2. Present in low levels
3. Present in high levels
4. Within normal limits
2. Present in low levels
69. The nurse is reviewing the record of a
pregnant client seen in the health care
clinic for the first prenatal visit. Which data
if noted on the client's record would alert
the nurse that the client is at risk for
developing gestational diabetes during
this pregnancy?
1. The client's last baby weighed 10
pounds at birth.
2. The client's previous deliveries were by
cesarean birth.
3. The client has a family history of
cardiovascular disease.
4. The client is 5 feet 3 inches in height
and weighs 165 pounds.
1. The client's last baby weighed 10 pounds at
birth.
70. The nurse is teaching a diabetic pregnant
client about nutrition and insulin needs
during pregnancy. The nurse determines
that the client understands dietary and
insulin needs if the client states that the
second half of pregnancy may require
which treatment?
 1. Increased insulin
2. Increased caloric intake
3. Decreased protein intake
4. Decreased insulin
1. Increased insulin
71. The nurse is assessing a client with a
diagnosis of gestational trophoblastic
disease (hydatidiform mole). The nurse
understands that which findings are
associated with this condition? Select all
that apply.
1. Vaginal bleeding
2. Excessive fetal activity
3. Excessive nausea and vomiting
4. Larger-than-normal uterus for
gestational age
5. Elevated levels of human chorionic
gonadotropin (hCG)
o 1. Vaginal bleeding
o 3. Excessive nausea and vomiting
o 4. Larger-than-normal uterus for
gestational age
o 5. Elevated levels of human chorionic
gonadotropin (hCG)
72. The nurse in the prenatal clinic is
providing nutritional counseling to a
pregnant client. The nurse instructs the
client to increase the intake of folic acid
and tells the client that which food item is
highest in folic acid?
1. Pork
2. Cheese
3. Chicken
4. Green leafy vegetables
4. Green leafy vegetables
73. A client reports to the health care clinic
and says that it has been 6 weeks since
her last menstrual period. The nurse
performs a pregnancy test and should
expect to note the presence of which
hormone in the blood test results if the
client is pregnant?
1. Estrogen
2. Progesterone
3. Follicle-stimulating hormone (FSH)
4. Human chorionic gonadotropin (hCG)
4. Human chorionic gonadotropin (hCG)
74. A client in the prenatal clinic asks the
nurse about the delivery date. The nurse
notes that the client's record indicates that
the client began her last menses on
March 7, 2015, and ended the menses on
March 14, 2015. Using Nägele's rule, the
nurse should tell the client that the
estimated date of delivery is which date?
1. January 14, 2014
2. January 21, 2014
3. December 21, 2015
4. December 14, 2015
4. December 14, 2015
75. The prenatal clinic nurse asks a
coassigned nursing student to identify the
physiological adaptations of the
cardiovascular system that occur during
pregnancy. The nurse determines that the
student understands these physiological
changes if he or she makes which
statement?
1. "An increase in pulse rate occurs."
2. "A decrease in blood volume occurs."
3. "A decrease in cardiac output occurs."
4. "The systolic and diastolic blood
pressures increase by 20 mm Hg."
1. "An increase in pulse rate occurs."
76. The prenatal client asks the nurse about
substances that can cross the placental
barrier and potentially affect the fetus. The
nurse most appropriately explains that
which substances can cross this
barrier? Select all that apply.
1. Viruses
2. Bacteria
3. Nutrients
4. Medications
5. Antibodies
o 1. Viruses
o 3. Nutrients
o 4. Medications
o 5. Antibodies
77. A client who is 8 weeks pregnant calls the
prenatal clinic and tells the nurse that she
is experiencing nausea and vomiting
every morning. The nurse should suggest
which measure that will best promote
relief of the symptoms?
1. Eating a high-fat diet
2. Increasing fluids with meals
 3. Eating a high-carbohydrate diet
4. Eating dry crackers before arising
4. Eating dry crackers before arising
78. The home care nurse is visiting a prenatal
client who has a history of heart disease.
The nurse provides instructions to the
client regarding home care measures to
promote a healthy pregnancy. Home care
for this client should include which
measure?
1. Increase daily calories to ensure weight
gain.
2. Maintain a supine position during rest
periods.
3. Restrict visitors who may have an
active infection.
4. Avoid becoming concerned about
placing stress on the heart.
3. Restrict visitors who may have an active
infection.
79. A home care nurse is visiting a pregnant
client with a diagnosis of mild
preeclampsia. What is the priority nursing
intervention during the home visit?
1. Monitor for fetal movement.
2. Monitor the maternal blood glucose.
3. Instruct the client to maintain complete
bed rest.
4. Instruct the client to restrict dietary
sodium and any food items that contain
sodium.
1. Monitor for fetal movement.
80. A maternity unit nurse is developing a
plan of care for a client with severe
preeclampsia who will be admitted to the
nursing unit. The nurse should include
which nursing intervention in the plan?
1. Restrict food and fluids.
2. Reduce external stimuli.
3. Monitor blood glucose levels.
4. Maintain the client in a supine position.
2. Reduce external stimuli.
81. A client with severe preeclampsia is
admitted to the maternity department.
Which room assignment would be most
appropriate for this client?
1. A private room across from the elevator
2. A semiprivate room across from the
nurses' station
3. A private room two doors away from the
nurses' station
4. A semiprivate room with another client
who enjoys watching television
3. A private room two doors away from the
nurses' station
82. A couple is seen in the fertility clinic. After
several tests, it has been determined that
the husband is not sterile and that the wife
has nonpatent fallopian tubes. The nurse
is preparing the woman and her husband
for an in vitro fertilization. Which
statement by the woman or her spouse
would indicate a need for further
information about the procedure?
1. "Ova and sperm are collected and
allowed to incubate."
2. "A fertilized ovum is transferred into the
woman's uterus."
3. "The procedure is a method of
medically assisted reproduction."
4. "The procedure is performed using
artificial insemination of sperm instilled
through the vagina."
4. "The procedure is performed using artificial
insemination of sperm instilled through the
vagina."
83. The nurse in the gynecology clinic is
reviewing the record of a pregnant client
after the first prenatal visit. The nurse
notes that the health care provider has
documented that the woman has a
platypelloid pelvis. On the basis of this
documentation, the nurse plans care,
knowing that this type of pelvis has which
characteristic?
1. Is heart-shaped
2. Has a flat shape
3. Has an oval shape
4. Is a normal female pelvis
2. Has a flat shape
84. The nurse is counseling a pregnant
woman diagnosed with gestational
diabetes at 29 weeks of gestation. Which
information should the nurse discuss with
 the client? Select all that apply.
1. Plan induction at 35 weeks.
2. Plan amniocentesis at this time.
3. Schedule biophysical profile
immediately.
4. Plan for weekly non-stress test at 32
weeks.
5. Obtain nutritional counseling with a
dietitian.
o 4. Plan for weekly non-stress test at
32 weeks.
o 5. Obtain nutritional counseling with a
dietitian.
85. A nurse provides dietary instructions to a
pregnant woman regarding food items that
contain folic acid. Which food item should
the nurse recommend as a good source of
folic acid?
1. Cheese
2. Spinach
3. Potatoes
4. Bananas
2. Spinach
86. The nurse is caring for a client with
preeclampsia. The client is receiving an
intravenous (IV) infusion of magnesium
sulfate. When gathering items to be
available for the client,
which highest priority item should the
nurse obtain?
1. Tongue blade
2. Percussion hammer
3. Potassium chloride injection
4. Calcium gluconate injection
4. Calcium gluconate injection
87. A pregnant client has been diagnosed
with a vaginal infection from the
organism Candida albicans. Which finding
should the nurse expect to note when
assessing this client?
1. Costovertebral angle pain
2. Pain, itching, and vaginal discharge
3. Absence of any signs and symptoms
4. Proteinuria, hematuria, edema, and
hypertension
2. Pain, itching, and vaginal discharge
88. The nurse is performing an assessment
on a client seen in the health care clinic
for a first prenatal visit. The client reports
February 9 as the first day of the last
menstrual period (LMP). Using Nägele's
rule, what date later that same year will
the nurse relay as the client's due date?
1. October 7
2. October 16
3. November 7
4. November 16
4. November 16
89. The nurse is performing a measurement
of fundal height in a client whose
pregnancy has reached 36 weeks of
gestation. During the measurement the
client begins to feel lightheaded. On the
basis of knowledge of the physiological
changes of pregnancy, the nurse
understands that which is the cause of the
lightheadedness?
1. A full bladder
2. Emotional instability
3. Insufficient iron intake
4. Compression of the vena cava
4. Compression of the vena cava
90. A pregnant client has been instructed on
the prevention of genital tract infections.
Which client statement indicates an
understanding of these preventive
measures?
1. "I can douche anytime I want."
2. "I can wear my tight-fitting jeans."
3. "I should avoid the use of condoms."
4. "I should wear underwear with a cotton
panel liner."
4. "I should wear underwear with a cotton
panel liner."
91. The nurse is reviewing the results of the
rubella screening (titer) with a pregnant
client. The test results are positive, and
the mother asks if it is safe for her toddler
to receive the vaccine. What is the
nurse's best response?
1. "Most children do not receive the
vaccine until they are 5 years of age."
2. "You are still susceptible to rubella, so
your toddler should receive the vaccine."
3. "It is not advised for children of
pregnant women to be vaccinated during
 their mother's pregnancy."
4. "Your titer supports your immunity to
rubella, and it is safe for your toddler to
receive the vaccine at this time."
4. "Your titer supports your immunity to
rubella, and it is safe for your toddler to
receive the vaccine at this time."
92. A clinic nurse is explaining the changes in
the integumentary system that occur
during pregnancy to a client and should
tell the client that which change may
persist after she gives birth?
1. Epulis
2. Chloasma
3. Telangiectasia
4. Striae gravidarum
4. Striae gravidarum
93. A clinic nurse is instructing a pregnant
client regarding dietary measures to
promote a healthy pregnancy. The nurse
tells the client about the importance of an
adequate daily fluid intake. Which client
statement best indicates an
understanding of the daily fluid
requirement?
1. "I should drink 12 glasses of fruit juices
and milk every day."
2. "I should drink 8 to 10 glasses of fluid a
day, and I can drink as many diet soft
drinks as I want."
3. "I should drink 12 glasses of fluid a day,
and I can include the coffee or tea that I
drink in the count."
4. "I should drink at least 8 to 10 glasses
of fluid each day, of which at least 6
glasses should be water."
4. "I should drink at least 8 to 10 glasses of
fluid each day, of which at least 6 glasses
should be water."
94. A prenatal clinic nurse is providing
instructions to a group of pregnant women
regarding measures to prevent
toxoplasmosis. Which client statement
indicates a need for further instruction?
1. "I should cook meat thoroughly."
2. "I should drink unpasteurized milk only."
3. "I should avoid contact with materials
that are possibly contaminated with cat
feces."
4. "I should avoid touching mucous
membranes of the mouth or eyes while
handling raw meat."
2. "I should drink unpasteurized milk only."
95. A home care nurse is monitoring a 16-
year-old primigravida who is at 36 weeks'
gestation and has gestational
hypertension. Her blood pressure during
the past 3 weeks has been averaging in
the 130/90 mm Hg range. She has had
some swelling in the lower extremities and
has had mild proteinuria. Which statement
by the woman should alert the nurse to
the worsening of gestational
hypertension?
1. "My vision the past 2 days has been
really fuzzy."
2. "The swelling in my hands and ankles
has gone down."
3. "I had heartburn yesterday after I ate
some spicy foods."
4. "I had a headache yesterday, but I took
some acetaminophen (Tylenol) and it
went away."
1. "My vision the past 2 days has been really
fuzzy."
96. A primigravida is receiving magnesium
sulfate for the treatment of gestational
hypertension. The nurse who is caring for
the client is performing assessments
every 30 minutes. Which finding would be
of most concern to the nurse?
1. Urinary output of 20 mL
2. Deep tendon reflexes of 2+
3. Fetal heart rate of 120 beats/min
4. Respiratory rate of 10 breaths per
minute
4. Respiratory rate of 10 breaths per minute
97. The nurse is reviewing fetal development
with a client who is at 36 weeks gestation.
Which statements describe the
characteristics that develop in a fetus at
this time? Select all that apply.
1. Eyelids begin to fuse.
2. Fetal heart begins to beat.
3. The fetal skin is transparent.
4. The fetus weighs approximately 1200 g.
 5. The fetus is approximately 42 to 48 cm
long.
6. The lecithin-sphingomyelin (L/S) ratio is
greater than 2:1
o 5. The fetus is approximately 42 to 48
cm long.
o 6. The lecithin-sphingomyelin (L/S)
ratio is greater than 2:1
98. A client who has just been told that she is
pregnant wants to know when the baby's
heart will be completely developed and
beating. The nurse reads in the client's
chart that the health care provider has
determined the client to be at 6 weeks'
gestation. What is the
nurse's best response?
1. "Your baby's heart right now consists of
two parallel tubes, so we can't hear it
today."
2. "Your baby's heart right now is
beginning to partition into four chambers
and has begun to beat, so we should be
able to hear it with a Doppler."
3. "Your baby's heart right now is
beginning to partition into four chambers
and has begun to beat, so we should be
able to hear it with a fetoscope."
4. "Your baby's heart right now has double
heart chambers and has begun to beat, so
we should be able to see it beat using an
ultrasound machine."
4. "Your baby's heart right now has double
heart chambers and has begun to beat, so we
should be able to see it beat using an
ultrasound machine."
99. During a woman's 38-week prenatal visit,
the nurse assesses the fetal heart rate.
Which finding would the nurse note as
normal?
1. 80 beats/minute
2. 100 beats/minute
3. 150 beats/minute
4. 180 beats/minute
3. 150 beats/minute
100. The clinic nurse is reviewing the
medical record of a woman scheduled for
her weekly prenatal appointment. The
nurse notes that the woman has been
diagnosed with mild preeclampsia. Of the
following interventions, which should the
nurse list as having the lowest priority in
planning nursing care for this client?
1. Assess blood pressure.
2. Discuss the need for hospitalization.
3. Assess deep tendon reflexes and
edema.
4. Teach the importance of keeping track
of a daily weight.
2. Discuss the need for hospitalization.
101. During a woman's prenatal visit,
the nurse is measuring fundal height. The
nurse knows that the woman is at 20
weeks' gestation. Based on this
information, the nurse expects the fundus
to be found at what area of the abdomen?
1. At the umbilicus
2. At the xiphoid process
3. Midway between the umbilicus and the
xiphoid process
4. Midway between the symphysis pubis
and the umbilicus
1. At the umbilicus
102. The nurse is teaching a woman in
her first trimester measures to alleviate
nausea and vomiting. Which statement by
the woman would indicate that further
teaching is required?
1. "I will avoid fried foods."
2. "I will eat five or six small meals a day."
3. "I will contact the clinic if the vomiting
does not subside."
4. "I will eat dry crackers after arising out
of bed in the morning."
4. "I will eat dry crackers after arising out of
bed in the morning."
103. The nursing instructor asks a
nursing student who is preparing to assist
with the assessment of a pregnant woman
to describe the process of quickening.
Which statement if made by the student
indicates an understanding of this term?
1. "It is the thinning of the lower uterine
segment."
2. "It is the fetal movement that is felt by
the mother."
3. "It is the irregular, painless contractions
that occur throughout pregnancy."
 4. "It is the soft blowing sound that can be
heard when the uterus is auscultated."
2. "It is the fetal movement that is felt by the
mother."
104. The nurse is interviewing a 16-
year-old client during her initial prenatal
clinic visit. The client is beginning week 18
of her first pregnancy. Which statement, if
made by the client, indicates
an immediate need for further
investigation?
1. "I don't like my figure anymore. My
clothes are all too tight."
2. "I don't like my breasts anymore. These
silver lines are ugly."
3. "I don't like my stomach anymore. That
brown line is disgusting."
4. "I don't like my face any more. I always
look like I have been crying."
4. "I don't like my face any more. I always look
like I have been crying."
105. The nurse reviews the plan of care
for a woman at 37 weeks' gestation who
has sickle cell anemia. The nurse
determines that which problem listed on
the nursing care plan will receive
the highest priority?
1. Pain
2. Disturbed body image
3. Insufficient fluid volume
4. Inability to tolerate activity
3. Insufficient fluid volume
106. The nurse provides instructions to
a malnourished client regarding iron
supplementation during pregnancy. Which
statement, if made by the client, would
indicate an understanding of the
instructions?
1. "Iron supplements will give me
diarrhea."
2. "Meat does not provide iron and should
be avoided."
3. "The iron is best absorbed if taken on
an empty stomach."
4. "My body has all the iron it needs, and I
don't need to take supplements."
3. "The iron is best absorbed if taken on an
empty stomach."
107. A pregnant woman in her second
trimester calls the prenatal clinic nurse to
report a recent exposure to a child with
rubella. Which response by the nurse
would be most appropriate and
supportive to the woman?
1. "You should avoid all school-age
children during pregnancy."
2. "There is no need to be concerned if
you don't have a fever or rash within the
next 2 days."
3. "Be sure to tell the health care provider
on your next prenatal visit, but there is
little risk in the second trimester."
4. "You were wise to call. I will check your
rubella titer screening results, and we can
immediately identify whether future
interventions are needed."
4. "You were wise to call. I will check your
rubella titer screening results, and we can
immediately identify whether future
interventions are needed."
108. A pregnant woman has a positive
history of genital herpes but has not had
lesions during this pregnancy. What
should the nurse should plan to tell the
client?
1. "You will be isolated from your newborn
infant after delivery."
2. "Vaginal deliveries can reduce neonatal
infection risks, even if you have an active
lesion at the time."
3. "There is little risk to your newborn
infant during this pregnancy, during the
birth, and after delivery."
4. "You will be evaluated at the time of
delivery for herpetic genital tract lesions,
and if any are present, a cesarean
delivery will be needed."
4. "You will be evaluated at the time of
delivery for herpetic genital tract lesions, and if
any are present, a cesarean delivery will be
needed."
109. A pregnant woman is seen in the
health care clinic and asks the nurse what
causes the breasts to change in size and
appearance during pregnancy. The nurse
plans to base the response on which
 facts?
1. The breasts become stretched because
of the weight gain.
2. The increased metabolic rate causes
the breasts to become larger.
3. The breast changes occur because of
the secretion of estrogen and
progesterone.
4. Cortisol secreted by the adrenal glands
plays a role in increasing the size and
appearance of the breasts.
3. The breast changes occur because of the
secretion of estrogen and progesterone.
110. The nurse is conducting a
prepared childbirth class and is instructing
pregnant women about the method of
effleurage. The nurse instructs the women
to perform the procedure by doing which
action?
1. Contracting and then consciously
relaxing different muscle groups
2. Massaging the abdomen during
contractions, using both hands in a
circular motion
3. Instructing her partner to stroke or
massage a tightened muscle by the use of
touch
4. Contracting an area of the body, such
as an arm or leg, and then concentrating
on letting tension go from the rest of the
body
2. Massaging the abdomen during
contractions, using both hands in a circular
motion
111. During a routine prenatal visit, a
client complains of gums that bleed easily
with brushing. The nurse performs an
assessment and then teaches the client
about proper nutrition to minimize this
problem. Which statement, if made by the
client, would indicate an understanding of
the proper nutritional measures to
minimize this problem?
1. "I will drink 8 ounces of water with each
meal."
2. "I will eat three servings of cracked
wheat bread each day."
3. "I will eat two saltine crackers before I
get up each morning."
4. "I will eat fresh fruits and vegetables for
snacks and for dessert each day."
4. "I will eat fresh fruits and vegetables for
snacks and for dessert each day."
112. A prenatal woman with a history of
heart disease has been instructed on care
at home. Which statement, if made by the
woman, would indicate that she
understands her needs?
1. "My weight gain is not important."
2. "I should avoid stressful situations."
3. "I should rest by lying on my back."
4. "There is no restriction on people who
visit me."
2. "I should avoid stressful situations."
113. The nurse is reviewing the record
of a pregnant woman and notes that the
health care provider has documented the
presence of Chadwick's sign. The nurse
understands that which hormone is
responsible for the development of this
sign?
1. Prolactin
2. Estrogen
3. Progesterone
4. Human chorionic gonadotropin
2. Estrogen
114. A contraction stress test is
scheduled for a pregnant woman, and she
asks the nurse to describe the test. What
should the nurse tell the woman?
1. Uterine contractions are stimulated by
Leopold's maneuvers.
2. An external fetal monitor is attached,
and the woman ambulates on a treadmill
until contractions begin.
3. The uterus is stimulated to contract by
the administration of small amounts of
oxytocin (Pitocin) or by nipple stimulation.
4. Small amounts of oxytocin (Pitocin) are
administered during internal fetal
monitoring to stimulate uterine
contractions.
3. The uterus is stimulated to contract by the
administration of small amounts of oxytocin
(Pitocin) or by nipple stimulation.
115. A nonstress test is performed on a
client who is pregnant, and the results of
the test indicate nonreactive findings. The
health care provider (HCP) prescribes a
contraction stress test. The test is
performed, and the nurse notes that the
HCP has documented the results as
negative. How should the nurse interpret
this finding?
1. A normal test result
2. An abnormal test result
3. A high risk for fetal demise
4. The need for a cesarean delivery
1. A normal test result
116. A pregnant woman seen in the
health care clinic has tested positive for
human immunodeficiency virus (HIV).
What can the nurse determine based on
this information?
1. The woman has the herpes simplex
virus (HSV).
2. This woman has contracted an airborne
disease.
3. The neonate will definitely develop this
disease after birth.
4. HIV antibodies are detected by the
enzyme-linked immunosorbent assay
(ELISA) test.
4. HIV antibodies are detected by the enzyme-
linked immunosorbent assay (ELISA) test.
117. In the prenatal clinic, the nurse is
interviewing a new client and obtaining
health history information. Which action
should the nurse plan to do to elicit
the most accurate responses to the
questions that refer to sexually transmitted
infections?
1. Establish a therapeutic relationship.
2. Use specific closed-ended questions.
3. Omit these types of questions because
they are highly personal.
4. Apologize for the embarrassment that
these questions will cause the client.
1. Establish a therapeutic relationship.
118. The clinic nurse is teaching a
pregnant woman about the warning signs
in pregnancy. Which, if identified as a
warning sign by the woman, would
indicate a need for further education?
1. Rapid weight gain
2. Visual disturbances
3. Generalized or facial edema
4. Presence of irregular painless
contractions
4. Presence of irregular painless contractions
119. The nurse is performing a physical
assessment on a client during her first
prenatal visit to the clinic. The nurse takes
the client's temperature and notes that the
temperature is 99.2° F. Based on this
finding, which nursing action is most
appropriate?
1. Document the temperature.
2. Notify the health care provider.
3. Retake the temperature by the rectal
route.
4. Inform the client that the temperature is
elevated and antibiotics may be required.
1. Document the temperature.
120. A 39-week-gestation pregnant
client calls the maternity unit stating, "My
baby has not moved very much in the past
few days. Should I be concerned?" Which
would be the best response made by the
nurse?
1. "Six to eight fetal movements in a 24-
hour period are adequate to determine
that the fetus is healthy."
2. "Fetal movement is a sign of fetal
health. Even if the amount has decreased,
the fetus is still healthy."
3. "Continue to count fetal movements for
the next 24 hours and call your health
care provider if the number of movements
continues to decrease."
4. "Fetal movements do not decrease as a
woman nears term; therefore you should
be seen by your health care provider for
further evaluation."
4. "Fetal movements do not decrease as a
woman nears term; therefore you should be
seen by your health care provider for further
evaluation."
121. A 25-year-old woman arrives on
the maternity unit on February 2. She
states that her estimated date of delivery
 (EDD) is March 22. She is verbalizing
complaints of dull lower back pain, pelvic
heaviness, and diarrhea for the past few
days. On admission for observation, the
client's blood pressure is 128/80 mm Hg,
pulse is 100 beats/minute, respirations are
16 breaths per minute, and temperature is
99° F. The nurse plans care based on
which interpretation?
1. The woman requires further evaluation
for preterm labor.
2. The woman is suffering from an
intestinal bacterial infection.
3. The woman is exhibiting signs and
symptoms of gestational hypertension.
4. The woman needs instruction on pelvic
tilts to decrease her lower back pain.
1. The woman requires further evaluation for
preterm labor.
122. The nurse in an obstetrical clinic is
reviewing current prenatal laboratory
results of a pregnant client who is being
seen for a routine prenatal visit. The nurse
discovers the client's 1-hour oral glucose
tolerance test (OGTT) result to be 163
mg/dL. Which would be the
nurse's best response to the client?
1. "Your OGTT results indicate that your
baby is at high risk for macrosomia and
special considerations may be necessary
at delivery."
2. "Your OGTT results are within normal
limits, but continuing your prenatal visits
remains essential to monitor fetal growth
and development."
3. "The OGTT is a screening tool for
gestational diabetes, and you will need
further testing to confirm a diagnosis
owing to your results being elevated."
4. "Your OGTT results indicate that you
are positive for gestational diabetes. You
will be scheduled for a dietitian
consultation to plan your daily dietary
intake."
3. "The OGTT is a screening tool for
gestational diabetes, and you will need further
testing to confirm a diagnosis owing to your
results being elevated."
123. A 35-week-gestation pregnant
woman is transferred to the maternity unit
from the emergency department, where
she was treated for minor injuries
sustained in a motor vehicle crash. The
maternal nurse's priority will be to assess
for which complication?
1. Placenta previa
2. Polyhydramnios
3. Abruptio placentae
4. Gestational hypertension
3. Abruptio placentae
124. The result of a biophysical profile
(BPP) of a 28-year-old client at 36 weeks'
gestation after the ultrasound components
is 8. Based on this result, the nurse
should take which action?
1. Notify the health care provider.
2. Prepare the client for labor induction.
3. Place the fetal heart monitor on the
client in order to do a nonstress test
(NST).
4. Provide the client with information
regarding warning signs and symptoms of
pregnancy and discharge her to home.
3. Place the fetal heart monitor on the client in
order to do a nonstress test (NST).
125. A client in week 35 of her
pregnancy is placed on the fetal heart
monitor (FHM) for a nonstress test (NST)
as a result of her complaints of decreased
fetal movement. Twenty minutes after
placing the client on the monitor, the
nurse sees the following monitor strip and
makes what conclusion regarding the
NST?
1. The fetal heart rate (FHR) is positive,
with a baseline of 130 beats/min,
moderate variability, and no decelerations.
2. The FHR is reactive, with a baseline of
130 beats/min, moderate variability, and
no decelerations.
3. The FHR is nonreactive, with a baseline
of 130 beats/min, moderate variability,
 and small episodic decelerations.
4. The FHR is negative, with a baseline of
130 beats/min, moderate variability, and
no decelerations.
2. The FHR is reactive, with a baseline of 130
beats/min, moderate variability, and no
decelerations.
126. The charge nurse on a labor and
delivery unit has numerous admissions of
laboring clients and must transfer one of
the clients to the
postpartum/gynecological unit, where the
nurse-to-client ratio will be 1:4. Which
antepartum client would be
the most appropriate one to transfer?
1. The 36-year-old, gravida I, para 0 client
who is at 24 weeks' gestation and is being
monitored for preterm labor
2. The 26-year-old, gravida I, para 0 client
who is at 10 weeks' gestation and is
experiencing vaginal bleeding
3. The 40-year-old, gravida III, para 0
client who is at 38 weeks' gestation and is
complaining of decreased fetal movement
4. The 29-year-old, gravida I, para 0 client
who is at 42 weeks' gestation and had a
biophysical profile score of 5 earlier today
2. The 26-year-old, gravida I, para 0 client
who is at 10 weeks' gestation and is
experiencing vaginal bleeding
127. A nurse working in an infertility
clinic reviews the medical history of a 35-
year-old woman who is currently taking
fertility medications and is planning a
pregnancy. Which medication, if present
in the client's history, would indicate a
need for teaching related to the woman's
potential risk for carrying a fetus with a
congenital cleft lip or cleft palate?
1. Methyldopa
2. Folic acid (Folvite)
3. Phenytoin (Dilantin)
4. Bupropion (Wellbutrin SR)
3. Phenytoin (Dilantin)
128. A nurse is caring for a client with a
diagnosis of placenta previa. The nurse
collects data knowing that which is a
characteristic of placenta previa?
1. A tender and rigid uterus
2. Painless, bright red vaginal bleeding
3. Greenish discoloration of the amniotic
fluid
4. Vaginal bleeding accompanied by
abdominal pain
2. Painless, bright red vaginal bleeding
129. A nulliparous woman asks the
nurse when she will begin to feel fetal
movements. The nurse responds by
telling the woman that the first recognition
of fetal movement will occur at
approximately how many weeks of
gestation?
1. 5 weeks
2. 9 weeks
3. 13 weeks
4. 18 weeks
4. 18 weeks
130. A nurse is assessing a woman in
the second trimester of pregnancy who
was admitted to the maternity unit with a
suspected diagnosis of abruptio
placentae. Which finding would the nurse
expect to note if abruptio placentae is
present?
1. Soft uterus
2. Abdominal pain
3. Nontender uterus
4. Painless vaginal bleeding
2. Abdominal pain
131. A woman in the third trimester of
pregnancy with a diagnosis of mild
preeclampsia is being monitored at home.
The home care nurse teaches the woman
about the signs that need to be reported
to the health care provider. The nurse
should tell the woman to call the health
care provider if which occurs?
1. Urine tests negative for protein.
2. Fetal movements are more than four
per hour.
3. Weight increases by more than 1 pound
in a week.
4. The blood pressure reading is ranging
between 122/80 and 132/88 mm Hg.
 3. Weight increases by more than 1 pound in
a week.
132. A woman in the third trimester of
pregnancy visits the clinic for a scheduled
prenatal appointment. The woman tells
the nurse that she frequently has leg
cramps, primarily when she is reclining.
Once thrombophlebitis has been ruled
out, the nurse should tell the woman to
implement which measure to alleviate the
leg cramps?
1. Apply heat to the affected area.
2. Take acetaminophen (Tylenol) every 4
hours.
3. Self-administer calcium carbonate
tablets three times daily.
4. Purchase a chewable antacid that
contains calcium and take a tablet with
each meal.
1. Apply heat to the affected area.
133. A nurse is preparing a pregnant
woman for a transvaginal ultrasound
examination. The nurse should tell the
woman that which will occur?
1. She will feel some pain during the
procedure.
2. She will be placed in a supine left side-
lying position.
3. She will feel some pressure when the
vaginal probe is moved.
4. She will need to drink 2 quarts of water
to attain a full bladder.
3. She will feel some pressure when the
vaginal probe is moved.
134. A nurse is assisting in conducting a
prenatal session with a group of expectant
parents. One of the expectant parents
asks, "How does the milk get secreted
from the breast?" What is the nurse's best
response?
1. "Prolactin stimulates the secretion of
milk, which is called lactogenesis."
2. "Oxytocin stimulates the secretion of
milk, which is called lactogenesis."
3. "Progesterone stimulates the secretion
of milk, which is called lactogenesis."
4. "Testosterone stimulates the secretion
of milk, which is called lactogenesis."
1. "Prolactin stimulates the secretion of milk,
which is called lactogenesis."
135. A nurse implements a teaching
plan for a pregnant client who is newly
diagnosed with gestational diabetes
mellitus. Which statement by the client
indicates a need for further teaching?
1. "I need to stay on the diabetic diet."
2. "I will perform glucose monitoring at
home."
3. "I cannot exercise because of the
negative effects on insulin production."
4. "I will report signs of infection
immediately to my health care provider."
3. "I cannot exercise because of the negative
effects on insulin production."
136. The nurse is caring for a client with
a diagnosis of endometriosis. The client
asks the nurse to describe this condition.
What is the best response by the nurse?
1. "It causes the cessation of
menstruation."
2. "It is pain that occurs during ovulation."
3. "It is the presence of tissue outside the
uterus that resembles the endometrium."
4. "It is also known as primary
dysmenorrhea and causes lower
abdominal discomfort."
3. "It is the presence of tissue outside the
uterus that resembles the endometrium."
137. A client calls the health care
provider's office to schedule an
appointment because a home pregnancy
test was performed and the results were
positive. The nurse should expect which
hormone to be present in the urine?
1. Estrogen
2. Progesterone
3. Follicle-stimulating hormone (FSH)
4. Human chorionic gonadotropin (hCG)
4. Human chorionic gonadotropin (hCG)
138. The nurse is teaching a pregnant
client about the physiological effects and
hormonal changes that occur during
pregnancy. The client asks the nurse
about the purpose of estrogen. Which
response should the nurse give the client
 for the purpose of estrogen?
1. It maintains and relaxes the uterine
lining for implantation.
2. It stimulates metabolism of glucose and
converts the glucose to fat.
3. It prevents the involution of the corpus
luteum and maintains the production of
progesterone until the placenta is formed.
4. It stimulates uterine development to
provide an environment for the fetus and
stimulates the breasts to prepare for
lactation.
4. It stimulates uterine development to provide
an environment for the fetus and stimulates
the breasts to prepare for lactation.
139. The nurse is collecting data from a
client during the first prenatal visit. The
client is anxious to know the gender of the
fetus and asks the nurse when she will be
able to know. The nurse should respond
to the client knowing that the gender of
the fetus is determined by which weeks?
1. 6 to 8
2. 8 to 10
3. 13 to 16
4. 20 to 22
3. 13 to 16
140. The nurse is collecting data from a
client seen in the health care clinic for a
first prenatal visit. The nurse asks the
client when the first day of her last
menstrual period was and the client
reports February 9, 2015. Using Nägele's
rule, the nurse determines what is the
estimated date of confinement (delivery)?
1. October 7, 2015
2. October 16, 2015
3. November 7, 2015
4. November 16, 2015
4. November 16, 2015
141. A pregnant client is seen in the
health care clinic. During the prenatal visit,
the client informs the nurse that she is
experiencing pain in her calf when she
walks. Which is
the most appropriate nursing action?
1. Instruct the client to avoid walking.
2. Assess for signs of venous thrombosis.
3. Instruct to elevate the legs throughout
the day.
4. Tell the client that this is normal during
pregnancy.
2. Assess for signs of venous thrombosis.
142. A client in her second trimester of
pregnancy is seen at the health care
clinic. The nurse collects data from the
client and notes that the fetal heart rate is
90 beats/min. Which nursing action is
appropriate?
1. Document the findings.
2. Notify the health care provider (HCP).
3. Inform the client that everything is
normal and fine.
4. Instruct the client to return to the clinic
in 1 week for reevaluation of the fetal
heart rate.
2. Notify the health care provider (HCP).
143. A nurse is caring for a pregnant
woman who has herpes genitalis. The
nurse provides instructions to the woman
about treatment modalities that may be
necessary for this condition. Which
statement made by the woman indicates
an understanding of these treatment
measures?
1. "I do not need to abstain from sexual
intercourse."
2. "I need to use vaginal creams after I
douche every day."
3. "I need to douche and perform a sitz
bath three times a day."
4. "It may be necessary to have a
cesarean section for delivery."
4. "It may be necessary to have a cesarean
section for delivery."
144. A pregnant woman tests positive
for the hepatitis B virus (HBV). The
woman asks the nurse if she will be able
to breast-feed the baby as planned after
delivery. Which response by the nurse
is most appropriate?
1. "You will not be able to breast-feed the
baby until 6 months after delivery."
2. "Breast-feeding is allowed after the
baby has been vaccinated with immune
globulin."
 3. "Breast-feeding is not advised, and you
should seriously consider bottle-feeding
the baby."
4. "Breast-feeding is not a problem, and
you will be able to breast-feed
immediately after delivery."
2. "Breast-feeding is allowed after the baby
has been vaccinated with immune globulin."
145. A nurse is collecting data from a
client who is at 32 weeks gestation. The
nurse measures the fundal height in
centimeters and expects the findings to be
how many centimeters (cm)?
1. 22 cm
2. 28 cm
3. 32 cm
4. 40 cm
3. 32 cm
146. A pregnant client is seen in the
health care clinic for a regular prenatal
visit. The client tells the nurse that she is
experiencing irregular contractions. The
nurse determines that the client is
experiencing Braxton Hicks contractions.
Which nursing action should the nurse
implement?
1. Contact the health care provider.
2. Instruct the client to maintain bed rest
for the remainder of the pregnancy.
3. Instruct the client that these are
common and may occur throughout the
pregnancy.
4. Call the maternity unit and inform them
that the client will be admitted in a
prelabor condition.
3. Instruct the client that these are common
and may occur throughout the pregnancy.
147. A nurse is reviewing the record of a
client who has just been told that her
pregnancy test is positive. The health care
provider has documented the presence of
Goodell's sign. What should the nurse
determine that this sign indicates?
1. A softening of the cervix
2. The presence of fetal movement
3. The presence of human chorionic
gonadotropin (hCG) in the urine
4. A soft blowing sound that corresponds
to the maternal pulse while auscultating
the uterus
1. A softening of the cervix
148. A nursing instructor asks a nursing
student to describe the process of
quickening. Which statement by the
student indicates an understanding of this
term?
1. "It is the thinning of the lower uterine
segment."
2. "It is the fetal movement that is felt by
the mother."
3. "It is irregular painless contractions that
occur throughout pregnancy."
4. "It is the soft blowing sound that can be
heard when the uterus is auscultated."
2. "It is the fetal movement that is felt by the
mother."
149. A pregnant client asks the nurse in
the clinic, "When will I begin to feel fetal
movement?" Which response should the
nurse make?
1. Between 6 and 8 weeks
2. Between 8 and 10 weeks
3. Between 12 and 14 weeks
4. Between 16 and 20 weeks
4. Between 16 and 20 weeks
150. A rubella titer is performed on a
client who has just been told that she is
pregnant. The results of the titer indicate
that the client is not immune to rubella.
Which should the nurse anticipate to be
prescribed for this client?
1. Immunization with rubella
2. Retesting rubella titer during pregnancy
3. Antibiotics to be taken throughout the
pregnancy
4. Counseling the mother regarding
therapeutic abortion
2. Retesting rubella titer during pregnancy
151. A nursing student is preparing to
instruct a pregnant client in performing
Kegel exercises. The nursing instructor
asks the student the purpose of Kegel
exercises. Which response made by the
student indicates an understanding of the
 purpose?
1. "The exercises will help reduce
backaches."
2. "The exercises will help prevent ankle
edema."
3. "The exercises will help prevent urinary
tract infections."
4. "The exercises will help strengthen the
pelvic floor in preparation for delivery."
4. "The exercises will help strengthen the
pelvic floor in preparation for delivery."
152. The nurse in a health care clinic is
instructing a client how to perform kick
counts. Which statement made by the
client indicates a need for further
teaching?
1. "I should lie on my back to perform the
procedure."
2. "I will use a clock or a timer and record
the number of movements or kicks."
3. "I should count the fetal movements for
30 to 60 minutes three times a day."
4. "I should place my hands on the largest
part of my abdomen and concentrate on
the fetal movements to count the kicks."
1. "I should lie on my back to perform the
procedure."
153. A pregnant client asks the nurse,
"What should I expect during a nonstress
test?" Which information should the nurse
provide to the client?
1. "The test is an invasive procedure and
requires that you sign an informed
consent."
2. "The fetus is challenged by uterine
contractions to obtain the necessary
information."
3. "The test will take about 2 hours and
will require close monitoring for 2 hours
after the procedure is completed."
4. "An ultrasound transducer that records
fetal heart activity is secured over the
abdomen where the fetal heart is heard
most clearly."
4. "An ultrasound transducer that records fetal
heart activity is secured over the abdomen
where the fetal heart is heard most clearly."
154. A nurse provides teaching
regarding how to relieve discomfort to a
client in her second trimester of
pregnancy that is having frequent low
back pain and ankle edema at the end of
the day. Which statement made by the
client indicates an understanding of the
teaching?
1. "When I get home I should lie on my left
side, with my feet in a dorsiflexed
position."
2. "I should soak in a tub bath of hot water
when I get home and then perform pelvic
tilt exercises."
3. "When I get home I should lie on my
right side, with my feet elevated on a
pillow, and put a heating pad on my back."
4. "When I get home I should lie on the
floor, with my legs elevated onto a couch,
and turn my hips and knees at right
angles."
4. "When I get home I should lie on the floor,
with my legs elevated onto a couch, and turn
my hips and knees at right angles."
155. A pregnant client calls the nurse at
the health care provider's office and
reports that she has noticed a thin,
colorless, vaginal drainage. Which
information is most appropriate for the
nurse to provide to the client?
1. Come to the clinic immediately.
2. The vaginal discharge may be
bothersome, but is a normal occurrence.
3. Report to the emergency department at
the maternity center immediately.
4. Use tampons if the discharge is
bothersome but be sure to change the
tampons every 2 hours.
2. The vaginal discharge may be bothersome,
but is a normal occurrence.
156. The nurse has assisted in
performing a nonstress test on a pregnant
client and is reviewing the documentation
related to the results of the test. The nurse
notes that the health care provider has
documented the test results as reactive.
How should the nurse interpret this result?
1. Normal findings
2. Abnormal findings
3. The need for further evaluation
 4. That the findings on the monitor were
difficult to interpret
1. Normal findings
157. A pregnant client calls the clinic
and tells the nurse that she is
experiencing leg cramps and is awakened
by the cramps at night. Which activity
should the nurse tell the client to perform
when the cramps occur?
1. Dorsiflex the foot while flexing
2. Dorsiflex the foot while extending
3. Plantar flex the foot while flexing
4. Plantar flex the foot while extending
2. Dorsiflex the foot while extending
158. The nurse is providing instructions
about treatment for hemorrhoids to a
client in the second trimester of
pregnancy. Which statement made by the
client indicates a need for further
teaching?
1. "Cool sitz baths will help in relieving the
discomfort."
2. "I should perform Kegel exercises as
you have instructed."
3. "I should apply heat packs to the
hemorrhoids to help them shrink."
4. "I can apply ice packs to the
hemorrhoids to assist in relieving
discomfort."
3. "I should apply heat packs to the
hemorrhoids to help them shrink."
159. The clinic nurse is discussing
nutrition with a pregnant client who has
lactose intolerance. Which food should the
nurse instruct the client to eat to
supplement the dietary source of calcium?
1. Dried fruits
2. Hard cheese
3. Creamed spinach
4. Fresh squeezed orange juice
1. Dried fruits
160. A nurse is providing instructions to
a pregnant client visiting the antenatal
clinic about foods that are rich in folic acid.
Which food should the nurse encourage
the client to consume because it is highest
in folic acid?
1. Rice
2. Cheese
3. Chicken
4. Green leafy vegetables
4. Green leafy vegetables
161. A pregnant client asks the nurse
about the type of exercises that are
allowable during pregnancy. Which
exercise should the nurse instruct the
client to engage in?
1. Swimming
2. Water skiing
3. Downhill skiing
4. Aerobic exercising
1. Swimming
162. A pregnant client reports to the
health care clinic complaining of loss of
appetite, weight loss, and fatigue. A
sputum culture is obtained,
andMycobacterium tuberculosis is
identified in the sputum. Which instruction
should the nurse provide to the client
regarding therapeutic management of
tuberculosis?
1. The need for therapeutic abortion is
required.
2. Medication will not be started until after
delivery of the fetus.
3. Isoniazid plus rifampin (Rifadin) will be
required for a total of 9 months.
4. The newborn must receive medication
therapy immediately following birth.
3. Isoniazid plus rifampin (Rifadin) will be
required for a total of 9 months.
163. The nurse provides home care
instructions to a pregnant client with a
history of cardiac disease. Which
statement made by the client indicates
a need for further teaching?
1. "It is best that I rest on my left side to
promote blood return to the heart."
2. "I need to avoid excessive weight gain
to prevent increased demands on my
heart."
3. "I need to try to avoid stressful
situations because stress increases the
workload on the heart."
 4. "During the pregnancy, I need to avoid
contact with other individuals as much as
possible to prevent infection."
4. "During the pregnancy, I need to avoid
contact with other individuals as much as
possible to prevent infection."
164. A nurse is collecting data on a
pregnant client in the first trimester of
pregnancy diagnosed with iron deficiency
anemia. The nurse should monitor the
client to detect which sign/symptom
indicating that this problem has not yet
resolved?
1. Pink mucous membranes
2. Increased vaginal secretions
3. Complaints of daily headaches and
fatigue
4. Complaints of increased frequency of
voiding
3. Complaints of daily headaches and fatigue
165. The nurse is conducting a routine
screening to detect a client's risk for
toxoplasmosis parasite infection during
pregnancy. Which factor should the nurse
ask the client about to determine this risk?
1. Presence of cats in the home
2. Number of sexual partners during
pregnancy
3. Exposure to children with rashes or
gastrointestinal symptoms
4. History of high fevers or unusual rashes
during the first 6 weeks of pregnancy
1. Presence of cats in the home
166. A nurse is preparing to care for a
client being admitted to the hospital with a
possible diagnosis of ectopic pregnancy.
The nurse develops a plan of care for the
client and determines that which is
the priority nursing action?
1. Assessing for edema
2. Monitoring daily weight
3. Monitoring the apical pulse
4. Monitoring the temperature
3. Monitoring the apical pulse
167. A nurse is reviewing the record of a
pregnant client seen in the health care
clinic for the first prenatal visit. Which data
should alert the nurse that the client is at
risk for developing gestational diabetes
during this pregnancy?
1. The client's last baby weighed 10 lb at
birth.
2. The client has a family history of type 1
diabetes.
3. The client is 5 feet, 3 inches tall and
weighs 165 lb.
4. The client's previous deliveries were by
cesarean section.
1. The client's last baby weighed 10 lb at birth.
168. A nurse is teaching a diabetic
pregnant client about nutrition and insulin
needs during pregnancy. The nurse
determines that the client understands
dietary and insulin needs if the client
states that which may be required during
the second half of pregnancy?
1. Increased insulin
2. Decreased insulin
3. Increased caloric intake
4. Decreased caloric intake
1. Increased insulin
169. A nurse is providing instructions
about taking iron supplements to a
pregnant client. The nurse determines that
the client understands the instructions if
the client states she will take the
supplements with which drink?
1. Tea
2. Milk
3. Coffee
4. Orange juice
4. Orange juice
170. A nurse is assisting the health care
provider to perform Leopold's maneuvers
on a pregnant client. Which action should
the nurse perform before the procedure?
1. Ask the client to urinate.
2. Ask the client to drink 8 oz of water.
3. Locate the fetal heart tones with a
fetoscope.
4. Warm the sonogram gel before placing
it on the client's abdomen.
1. Ask the client to urinate.
171. A nurse is collecting data on clients
who are in their first trimester of
pregnancy. The nurse is concerned with
identifying clients who may be at risk for
the development of postpartum
complications. Which client would
be least likely at risk for the development
of thrombophlebitis in the postpartum
period?
1. A 35-year-old client who reports that
she smokes
2. A 26-year-old client with a family history
of thrombophlebitis
3. A 37-year-old client in her fourth
pregnancy who is overweight
4. A 22-year-old client in her first
pregnancy who states that oral
contraceptives taken in the past have
caused thrombophlebitis

2. A 26-year-old client with a family history of

thrombophlebitis

172. The clinic nurse is instructing a

pregnant client in her first trimester about
nutrition. The nurse should determine that
the client needs further teaching if the
client believes which is true about nutrition
during pregnancy?
1. Iron supplements should be taken
throughout pregnancy.
2. Calcium intake should be increased for
the duration of the pregnancy.
3. Pregnancy greatly increases the risk of
malnourishment for the mother.
4. The maternal diet significantly
influences fetal growth and development.

3. Pregnancy greatly increases the risk of

malnourishment for the mother.