Question 1

1 / 1 pts
Susan is a newly wed woman who desires to get pregnant. On your examination, Susan has
been found of having a cystocele. A cystocele is:

Correct!
Herniation at the bladder into the vaginal wall
Prolapse of the uterus into the vagina
Protrusion of intestines into the vagina
A sebaceous cyst arising from the vulvar fold

Question 2
1 / 1 pts
Diagnostic examinations perform in pregnant client are useful in determining the health of the
unborn child. The following questions refer to this:

Instruction to the mother prior to amniocentesis includes:

Tell her that 30 ml of amniotic fluid will be taken

Instruct to lie in left lateral position
Correct!
Ask the woman to void
Answer: Amniocentesis is the withdrawal of amniotic fluid thru the abdominal wall for analysis. It
is done during the 14th to 16th week of pregnancy about 5cc. The client is ask to void to
reduce bladder size prior to the procedure; Fetal monitor applied and BP taken; Needle used 3-
4 inches at 20-22 gauge; the client is advised NOT to do DEEP BREATHING to prevent
lowering of diaphragm. After the procedure the client is allowed to rest for 30 minutes and
assessed for FHT and uterine contraction. If the mother is Rh (-) RhoGam is given.

Ask the woman to drink

Question 3
0 / 1 pts
A public health nurse would instruct a pregnant woman to notify the physician immediately if
which of the following symptoms occur during pregnancy?

Increased vaginal discharge

You Answered
Presence of dark color in the neck
Correct Answer
Swelling of the face
Breast tenderness

Question 4
1 / 1 pts
Jelly relates that her husband Paolo is experiencing Couvade Syndrome. Which of the following
statement of Jelly indicates that she fully understands this condition of her husband?

“Paolo sings nursery rhymes to my tummy every night”

Correct!
“Paolo is experiencing nausea, vomiting and fatigue just like me”
Answer: Sympathetic pregnancy (Couvade syndrome) describes a situation in which an
otherwise healthy man — whose partner is expecting a baby — experiences pregnancy-related
symptoms.

“My husband is fond of taking care of our nephew.”

“He enjoys buying baby dresses and books on newborn care

Question 5
1 / 1 pts
Upon assessment, which of the following findings would normally findings will normally be
achieved at 5 months of gestation?

FHT can be heard using Doppler

Cephalic presentation & Leopold’s M II
Braxton Hicks contraction
Correct!
Fetal movements can be felt by Julia
Answer: Quickening usually occurs between 16 - 20 weeks of pregnancy. Quickening starts
from week 16 but becomes more pronounced by week 18 - 20. Option A In some woman the
fetal heart can be detected by a Doppler as early as 8-12 weeks. The fetal heartbeat should be
audible 95% of the time in 12-week pregnancies, and nearly 100% of the time after 14 weeks.
Option C Braxton Hicks contractions start as early as 6 weeks, but are usually felt sometime
around 20 weeks. Women who have had previous pregnancies may notice them sooner, and
some women may not even notice them at all. Option D Leopold’s Maneuver is preferably
performed after 24 weeks gestation when fetal outline can be already palpated; cephalic fetal
position simply means the baby's head is in the pelvis. A cephalic presentation is the most
common position for a fetus at the end of pregnancy; around 97 percent of babies are born
headfirst, according to Medline Plus.

Question 6
1 / 1 pts
Low back pain is a common complained during the course of the pregnancy. The nurse is
reinforcing instructions to the patient in the event that she experience low back pain. The nurse
tells the client to:

to wear abdominal support

 to relax abdominal muscle when standing
Correct!
using the technique of pelvic tilt
Answer: Pelvic tilt exercises are designed to help with lower back pain caused by an increased
curve in the lower spine, as well as strengthening the abdominal muscles. A quick way to relieve
lower backache is to lean back up against a wall, feet slightly apart, weight on heels and knees
slightly bent. Take a deep breath in, and on the 'out' breath tighten the belly muscles and
buttocks. By flattening the hollow of the lower back and pushing it up against the wall, tilt pelvis
forward and upwards. Try to hold this position for a few seconds. A pelvic tilt can also be done
whilst lying on back, with knees bent, and feet flat on the floor. Tilt pelvis up towards the belly,
keeping shoulders and buttocks on the floor. Try to hold this for 3 seconds, and then relax.

to wear at least 2 inch heel on her shoes

Question 7
1 / 1 pts
The nurse knows that the occurrence of shoulder dystocia during labor is most likely related to:

Maternal age
Preterm birth
Correct!
Macrosomia
Answer: Macrosomia is a condition in which a baby is abnormally large before birth. The
average birth weight for babies is about 7 pounds. Babies with macrosomia have a birth weight
of at least 8 pounds, 13 ounces or more. It may lead to pregnancy complications such as a
greater risk of cesarean deliveryLinks to an external site., damage to the birth canal, and injury
to the baby during a vaginal delivery. Babies born with macrosomia are more likely to have low
blood sugar, respiratory distress, and jaundiceLinks to an external site..

Polyhydramnios

Question 8
1 / 1 pts
The nurse would anticipate a cesarian birth for a client who has which infection present at onset
of labor?

Human Papilloma virus

Taxoplasmosis
Correct!
Herpes – simplex virus
Answer: Infections in babies - a pregnant woman who has genital herpes at the time of delivery
can transmit the virus to her baby as it passes through the birth canal and touches the affected
area. The baby can die or suffer severe damage, particularly mental retardationLinks to an
external site.. Women who know that they have had genital herpes or think they might have it
during pregnancyLinks to an external site. should tell their physician so preventive measures
can be taken.

A Cesarian sectionLinks to an external site. is indicated for some patients. It is estimated that
only half of all infants delivered through an infected vaginaLinks to an external site. acquire the
disease, but the ones that do are at risk for having a severe infection.

Hepatitis

Question 9
1 / 1 pts
After a vaginal examination, the nurse determines that the client’s fetus is in an occiput posterior
position. The nurse would anticipate that the client will have:

Nausea and vomiting

Frequent leg cramps
A precipitous birth
Correct!
Intense back pain
Answer: “Back labor” refers to the pain and discomforts that laboring women experience in their
lower back. Although most women will feel a degree of achiness or slight crampingLinks to an
external site. in the back at some point during labor, about a quarter of all women report
experiencing severe discomfort in the lower back that is most intense during contractions and
often painful between contractions. A frequent cause of back labor is the position of the baby.
Positions such as occiput posterior (when baby is facing the mother’s abdomen) can cause
pressure from the baby’s head to be applied to the mother’s sacrum (the tailbone). The result
can be intense discomfort during labor.

Question 10
1 / 1 pts
The client calls the clinic one day and tells the nurse that she has some vaginal discharge and
local itching. Which among the following courses of action is best for the nurse to take in this
situation?

Explain to the client that she should avoid sexual intercourse as long as the symptoms persists
Advise the patient to take a vinegar douche under low pressure
Correct!
 Ask the client to come to the clinic for an examination
Answer: Ask the client to come to the clinic for an examination

Vaginal discharge may be a subjective complaint or an objective finding. Patients may complain
of excessive secretions, abnormally colored or textured secretions, or malodorous secretions. In
the absence of a complaint, the examiner may note abnormal secretions (asymptomatic to the
patient). The complaint must be verified by physical and laboratory examination to differentiate
abnormal from physiologic discharge and to determine diagnosis and treatment.

Tell the patient that her symptoms are normal during pregnancy

Question 11
0 / 1 pts
The client asks the nurse about regaining her pre-pregnant weight. The nurse explains that the
physiologic changes that results to weight loss during the first six weeks postpartum is due to
the following EXCEPT:

Correct Answer
Increase urine output
You Answered
Uterine bleeding
Increase perspiration
Lochial discharge

Question 12
1 / 1 pts
Susan typically has menstrual cycle of 34 days. She told you she had coitus on days 8, 10, 15,
and 20 of her menstrual cycle. Which is the day on which she is most likely to conceive?

8th day
day 15
Correct!
day 20
Day 20. Calculating the ovulation day where the ovum will be available for fertilization which is
14th day before the next menstrual period, 34 days minus 14 equals 20.

10th day

Question 13
1 / 1 pts
The nurse is taking the vital signs of a woman who delivered a healthy newborn infant 4 hours
ago. The nurse notes that the mother’s temperature is 37.8C. Which of the following actions
would be most appropriate?

Increased hydration by encouraging oral fluids

Document the findings
Notify the physician
Correct!
Retake the temperature in 15 minutes
Answer: Retake the temperature in 15 minutes A temperature up to 100.4 F (38) is normal
within the first 24 hours. If fever is present after that, notify clinician. Immediately after delivery,
the woman's temperature often increases. A temperature of 101° F (38.3° C) or higher during
the first 12 hours after delivery could indicate an infection but may not. A postpartum infection is
usually diagnosed after 24 hours have passed since delivery and the woman has had a
temperature of 100.4° F (38° C) or higher on two occasions at least 6 hours apart.

Question 14
1 / 1 pts
A fully dilated woman was rushed in the delivery unit. As the head is being delivered, which
action should the nurse do next?

Correct!
Check the neonate’s neck for umbilical cord
Answer: Check the neonate’s neck for umbilical cord.. As the fetal chest passes through the
birth canal it is compressed, squeezing excess fluid out of the lungs prior to the baby taking its'
first breath. This is noticed most often after the fetal head is delivered but prior to delivery of the
shoulders. After several seconds in this "partly delivered" position, fluid can be seen streaming
out of the baby's nose and mouth. Suctioning can be done after

Deliver the posterior shoulder of the neonate

Suction the mouth of the neonate
Place a slight pressure on the fundus

Question 15
1 / 1 pts
LAM is only effective during the first:

3 months
Correct!
6 months
Year
 Month

Question 16
0 / 1 pts
If Ruby will have a record of the following length of the menstrual cycle: cycle 1-26, cycle 3-26,
cycle 4-29, cycle 6-29. When should she abstain sexual intercourse is she will use the calendar
method?

6th to 17th day of menstrual cycle

Correct Answer
8th to 18th of the menstrual cycle
9th to 19th day of menstrual cycle
You Answered
7th to 18 day of the menstrual cycl

Question 17
1 / 1 pts
Vicky, a 28 year old post hysterectomy client has come to the health center. She inquired about
BSE and asked when BSE should be performed. You answered her that BSE is best performed.

Before menstruation
During menstruation
Correct!
At the same day each month
Answer: At the same day each month. Post hysterectomy client no longer menstruate. Option A
is the best time for client who has a menstrual period.

7 days after menstruation

Question 18
1 / 1 pts
A client says she heard from a friend that you stop having periods once you are on “the pill”.
The most appropriate response will be:

“Missed periods can be very dangerous and may lead to the formation of precancerous cells.”
“If your friend has missed her period, she should stop taking the pills and get a pregnancy test
as soon as possible”
“The pill prevents the uterus from making such endometrial lining: that is why periods may
often be scant or skipped occasionally”
Correct!
“The pill should cause a normal menstrual period every month. It sounds like your friend has
not taking the pills properly.”
Answer: The pill contains hormones estrogen and progesterone which is normally release
during a menstrual cycle. . It prevents the release of FSH preventing occurrence of ovulation but
it will stimulates the growth of the endometrial lining. Stopping the intake of pills will initiate the
shredding of the endometrial lining.

Question 19
1 / 1 pts
One of the participants asks “When does ovulation take place? “

as soon as menstruation stops

Correct!
on the 14th day before the next menstruation
Answer: Ovulation day occurs on the 14th day before the next menstruation.

on the 14th day of her cycle

at the time her basal body temperature drops steadily

Question 20
1 / 1 pts
Melissa one of the participants asks how many days in her menstrual cycle if she has previous
menstrual flow last March 26 – 30 and her last menstrual period was April 24. The nurse’s
response will likely be:

31
30
28
Correct!
29
Answer: Calculating the menstrual cycle = March 26 minus 31 days in March equals 5 days plus
April 24 equals 29.

Question 21
1 / 1 pts
Jelly Ocampo a 28 year-old bank teller consults the company nurse due to missed menstrual
period for two months. She feels nauseated especially in the morning and suspects that she is
pregnant.

The nurse learns that Jelly’s LMP was August 1. How many weeks is her AOG on her initial visit
which is on October 20?
 12 – 13 weeks
10 – 11 weeks
13 – 14 weeks
Correct!
11 – 12 weeks
Answer: 11 – 12 weeks. LMP August 1 minus 31 equals 30 remaining days in August plus
September 30 plus October 20 equals 80 days /7 days a week = 11 weeks and 3 days.

Question 22
1 / 1 pts
Rod is a 17 year old male client interested in sexual health. The process of sperm production is
known as:

Ejaculation
Spermatolysis
Sex
Correct!
Spermatogenesis
Sperrmatogenesis is the process in which spermatozoa are produced from male primordial
germ cells by way of mitosisLinks to an external site. andmeiosisLinks to an external site.. The
initial cells in this pathway are called spermatogoniaLinks to an external site., which yield
primary spermatocytesLinks to an external site. by mitosis. The primary spermatocyte divides
meiotically into two secondary spermatocytes; each secondary spermatocyte then completes
meiosis as it divides into two spermatidsLinks to an external site.. These develop into mature
spermatozoa, also known as spermLinks to an external site. cells. Thus, the primary
spermatocyte gives rise to two cells, the secondary spermatocytes, and the two secondary
spermatocytes by their subdivision produce four spermatozoa.

Question 23
1 / 1 pts
Kevin, Susan’s husband tells you that he is considering vasectomy after the birth of their new
child. Vasectomy involves the incision of which organ?

The epididymis
Correct!
The vas deferens
Vasectomy is a permanent and irreversible type of family planning method by ligation of the vas
deferens which is a muscular tube that forms part of the spermatic cord. It serves as the
storage and passage way of the sperms to the urethra; option A testes is where the
seminiferous tubules are located and where sperm production occurs; Option C epididymis
stores and nourishes immature sperm cells and promote their maturation and option D Scrotum
which contains and supports the testes. It consists of subcutaneous tissue & smooth muscles
(dartos layer) which contracts / relaxes during changes in temperature

The scrotum
The testes

Question 24
1 / 1 pts
Dina, 17 year old, asks you how a tubal ligation prevents pregnancy. Which would be the best
answer?

Prostaglandin released from the cut fallopian tubes can kill sperm
Correct!
Sperm can no longer reach the ova, because the fallopian tubes are blocked
Tubal ligation is a permanent, irreversible method of family planning wherein the fallopian tubes
are cut, severed, clamped or blocked preventing the sperm from reaching the ova.

The ovary no longer releases ova as there is nowhere for them to go.
Sperm cannot enter the uterus because the cervical entrance is blocked

Question 25
1 / 1 pts
Which of the menstrual cycle promotes the uterine lining to grow and thicken to an eight to ten
fold rate?

Menstruation
Ischemic
Secretory
Correct!
Proliferative
Proliferative Phase commences day 6 to 14 of the menstrual cycle. The follicle stimulating
hormone (FSH) released by the anterior pituitary stimulates the development of the graafian
follicle; As graafian follicle develops, it produces increasing amounts of follicular fluid containing
a hormone called estrogen; Estrogen stimulates thickening of the endometrium to an eight to
ten fold in thickness.

Question 26
1 / 1 pts
Amniocentesis reveal a low value, the physician might suspect genetic or chromosomal
abnormality such as Down syndrome. Genetic testing is another viable option for the family. The
nurse should know that genetic testing should be done only if:

Both parents want it performed

Correct!
It is in the best interest of the child
No one object
If it is necessary for the child to survive

Question 27
1 / 1 pts
Bonnie, 3 months pregnant, has reported for her first prenatal visit. The nurse should instruct
her to do which of the following?

Correct!
Eat more dairy products and green leafy vegetables to provide additional 300 calories each
day
Eat whenever she feels hungry because her body will let her know when she needs nutrients
and extra calories
Limit intake of amino acids to prevent development of diabetic ketoacidosis
B. Increase her intake of carbohydrates – breads and sweets to prevent protein metabolism

Question 28
1 / 1 pts
The nurse discusses the importance of Vitamin C during her pregnancy. Her health teaching is
effective when jelly states that Vitamin C:

helps in fetal bone formation

Correct!
Is required to promote blood clot and collagen fibers
Vitamin C is important in the development and maintenance of the connective tissues of the
body. Vitamin C is also a potent antioxidantLinks to an external site.. Some studies show that
vitamin C may help reduce the symptoms and length of the common cold.Vitamin C plays many
roles in the chemistry of the human body. It is essential for the production of collagen, a critical
constituent of the body's connective tissue. It is also necessary for the production of
hemoglobin, the oxygen-carrying pigment inside red blood cells, and it helps increase the
absorption of ironLinks to an external site. from the intestines.

Prevents the fetus from neural tube defects

helps metabolize fats

Question 29
1 / 1 pts
The nurse plans to do Leopold’s Maneuver to Julia. Which of the following instructions will help
make her comfortable and measure results?

“Lie on your left side”

Correct!
 “Empty your bladder before the procedure”
Leopold’s Maneuver is preferably performed after 24 weeks gestation when fetal outline can be
already palpated. Preparation includes instructions to a woman to empty her bladder first, then
lace woman in dorsal recumbent position, supine with knees flexed to relax abdominal muscles.
Place a small pillow under the head for comfort.

“Drink one glass of water”

“Do deep breathing during the procedure”

Question 30
1 / 1 pts
Julie expresses concern about having heartburn. Which of the following measures will the nurse
advice MOST likely?

Decrease intake of fluids to 1 liter per day

Take a cup of tea after meals
Take one tablet of Semico three times daily
Correct!
Eat smaller and more frequent meals
More than half of all pregnantLinks to an external site. women report symptoms of severe
heartburnLinks to an external site., particularly during their second and third trimesters.
Heartburn, also called acid indigestion, is an irritation or burning sensation of the esophagus
caused by stomach contents that reflux (comes back up) from the stomach. Heartburn in
pregnancy may occur because of changing hormone levels, which can affect the muscles of the
digestive tract and how different foods are tolerated.

To reduce heartburn during pregnancy try the following: Eat several small meals each day
instead of three large ones; Eat slowly; Avoid fried, spicy, or rich foods, or any foods that seem
to cause relaxation of the lower esophageal Msphincter and increase the risk of heartburn; Drink
less while eating. Drinking large amounts while eating may increase the risk of acid refluxLinks
to an external site. and heartburn; don’t lie down directly after eating; Keep the head of bed
higher than the foot of the bed. Or place pillows under the shoulders to help prevent stomach
acids from rising into the chest; Ask the doctor about using over-the-counter medicationsLinks
to an external site. such as Tums or Maalox, which are generally safe to use during pregnancy.
Wear loose-fitting clothing. Avoid constipation.

Question 31
1 / 1 pts
Martina develops endometritis. What would be the best activity for her?

Reading while resting in a trendelenburg position

Correct!
Walking around her room listening to music
Endometritis is the invasion of microorganisms into the placental site of the uterine wall. Nursing
Care of Puerperal Infection includes isolation, if possible, the removal of the patient from the
maternity ward; meticulous hand washing; placed in Fowler's position to facilitate drainage;
reeducation on handwashing and peri-care and emotional support since the patient may be
prevented from rooming in with her infant while her temperature is elevated.

Sitting with her feet elevated while playing cards

Lying in bed with a cold cloth on her forehead

Question 32
1 / 1 pts
Which of the following is LESS commonly noted EARLY in pregnancy?

Varicosities
Correct!
Chills and fever
It is not normal to experience chills or fever while pregnant. If one is experiencing fever
symptoms, then one may have a health problem or illness that is unrelated to pregnancy. When
pregnant, immune system is suppressed and more susceptible to various diseases. However,
some serious conditions related to pregnancy can also cause fever symptoms. It is important to
call the doctor before they become worse and harm the unborn baby.

Frequency of urination
Braxton hicks’ contractions

Question 33
1 / 1 pts
The rationales for using a prostaglandin gel for a client prior to the induction of labor is:

Prevent cervical lacerations

Correct!
Softens and efface the cervix
Prostaglandins are synthetic hormones (or medications), usually in the form of a gel or a vaginal
pessary, that are commonly used to ripen the cervix or induce labour.

The main aim of prostaglandins is to ripen the woman's cervix, so that IV oxytocin for
inductionLinks to an external site. is more likely to be successful. This is particularly the case if
the woman is less than 41 weeks pregnant. In some cases, the prostaglandins themselves,
(along with breaking the waters), induces the labour, without the need for an oxytocin drip.

Numb cervical pain receptors

Stimulate uterine contractions

Question 34
1 / 1 pts
Another client named Lila is scheduled to have hysterosalpingogram. Which of the following
would you give her regarding this procedure?

The sonogram of the uterus will reveal any tumors present

Many women experience mild bleeding as an after effect
Correct!
She may feel some cramping when the dye is inserted
A hysterosalpingogramLinks to an external site. (HSGLinks to an external site.) is an X-rayLinks
to an external site. test that looks at the inside of the uterusLinks to an external site. and
fallopian tubesLinks to an external site. and the area around them. It often is done for women
who are having a hard time becoming pregnantLinks to an external site..

During a hysterosalpingogram, a dye (contrast materialLinks to an external site.) is put through

a thin tube that is put through the vaginaLinks to an external site. and into the uterus. Because
the uterus and the fallopian tubes are hooked together, the dye will flow into the fallopian tubes.
Pictures are taken using a steady beam of X-ray (fluoroscopyLinks to an external site.) as the
dye passes through the uterus and fallopian tubes. The pictures can show problems such as an
injury or abnormal structure of the uterus or fallopian tubes, or a blockage that would prevent an
egg moving through a fallopian tube to the uterus. A blockage also could prevent spermLinks to
an external site. from moving into a fallopian tube and joining (fertilizing) an egg. A
hysterosalpingogram also may find problems on the inside of the uterus that prevent a fertilized
egg from attaching (implanting) to the uterine wall.

She will not be able to conceive for 3 months after the procedure

Question 35
0 / 1 pts
In a big government hospital. Nurse Pura is taking care of a woman with diagnosis with
abruption placenta. What complication of this condition is most concern to Nurse Pura?

You Answered
Pulmonary embolism
Hypocalcemia
Correct Answer
Disseminated Intravascular Coagulation
Urinary tract infection

Question 36
0 / 1 pts
Which of the following findings on a newly delivered woman’s chart would indicate she is at risk
of developing postpartum hemorrhage?

Premature rupture of Membranes

You Answered
Post – term delivery
Correct Answer
Grand – Multiparity
Epidural anesthesia

Question 37
1 / 1 pts
Hacienda Garcia, 35 year old ost partum client is at risk of Thrombophlebitis. Which of the
following nursing interventions decreases her chances of developing postpartum
thrombophebitis?

Administration of anticoagulant
Breastfeeding the newborn
Correct!
Early ambulation
Deep venous thrombosis, or DVT, is the development of a blood clot in a deep vein. These clots
show up most commonly in the lower extremities, particularly the thigh. Prevent clots by getting
plenty of exercise, and by getting up and stretching if been sitting for more than an hour or so. If
at high risk, wear support hose to prevent clots from developing in the legs.

Immobilization and elevation of the lower extremities

Question 38
1 / 1 pts
The nurse teaches Ms. Lei that the fertilized ovum implants itself in the uterus. Approximately
how many days after conception does the fertilized ovum normally implant in the uterine wall?

Three days
Fifteen days
Correct!
Eight days
In humans, implantation of a fertilizedLinks to an external site. ovum is most likely to occur
about 9 days after ovulation, ranging between 6 and 12 days.

Four days

Question 39
1 / 1 pts
The nurse also teaches Ms. Lei that the placenta produces all the following hormones EXCEPT:

Human chorionic gonadotrophin

Human placental lactogen
Progesterone
Correct!
Aldosterone
Aldosterone. The placenta secretes, from the syncytial layer of chorionic villi, hormonesLinks to
an external site. that are important during pregnancy.1) Human Chorionic GonadotropinLinks to
an external site. (hCG) can be found in maternal blood and urine as shortly after implantation
has occurred, and increases through to the 10-12th week of pregnancy, decreasing to a stable
level around the 16-18th week. hCG also ensures that the corpus luteumLinks to an external
site. continues to secrete progesterone and estrogen. hCG suppresses the maternal
immunologic response so that placenta is not rejected. This is the hormone analyzed by
pregnancy test; (2) Human Placental LactogenLinks to an external site. (hPL) promotes
mammary glandLinks to an external site. growth in preparation for lactation in the mother. It also
regulates maternal glucoseLinks to an external site., protein, and fat levels so that this is always
available to the fetus. hPL levels increase proportional to placenta size. (3) EstrogenLinks to an
external site. is secreted in levels up to thirty times those in non-pregnant women. Estrogen
causes the mother's breasts, uterus and external genitalia to enlarge. [15]Links to an external
site. Breast enlargement and glandular development development is in preparation for lactation
and uterine growth to accommodate growing fetus. (4) ProgesteroneLinks to an external site.
is necessary to maintain endometrial lining of the uterus during pregnancy. This hormone
prevents preterm labor by reducing myometrialLinks to an external site. contraction.

Question 40
1 / 1 pts
Ms. Luna asks how long she will be in labor. All of the following factors will influence the length
of her labor EXCEPT:

Correct!
Size of the placenta
Five factors affecting labor includes the passenger (fetal head size, presentation, lie, and
position and the placenta if adherent to uterine wall causing retention of the placenta(2)
passageway – the hard and soft passages (3) person – psychological preparation (4) powers –
uterine contraction and the bearing down effort of the mother and the psyche – preparation of
the mother.

Mental attitude of the mother

Power of uterine contraction
Position of the fetus in the utero

Question 41
0 / 1 pts
Luna has a spinal (subarachnoid) block in preparation for delivery. After Ms. Luna receives this
regional anesthesia. It is most certainly important for the nurse to monitor the client’s:

Correct Answer
 Blood pressure
You Answered
Level of consciousness
Level of anesthesia
Urinary output

Question 42
0 / 1 pts
Lovely in her early labor has intact membranes. She asks the nurse if she has to stay in bed.
Which of the following replies of the nurse reflects the most common practice concerning
ambulating during early labor?

“It is best to stay in bed and lie on your left side to promote good supply of oxygen to your
baby”
“It is best to stay in bed to help prevent the cord from prolapsing”
You Answered
“You may walk in the bathroom but it is better to stay in bed most time so I can observe your
contraction accurately.”
Correct Answer
You may walk but let me know immediately if your membranes ruptures”

Question 43
0 / 1 pts
Which of the following statement regarding physiologic changes during postpartal period is
INCORRECT?

Correct Answer
Rapid diaphoresis on 2nd to 5th day postpartum is a danger sign
There is increase in circulating fibrinogen for one week
You Answered
Hemoglobin decrease by 1 gram due to normal blood loss during NSD
. Slight increase in temperature is common during the first 24 hours postpartum

Question 44
1 / 1 pts
A client at 42 weeks gestation has a contraction stress test. The nurse understands that a
positive test might indicate that the:

Fetus is not ready to be delivered

Placenta has stopped growing
Correct!
Function of the placenta has diminished
Function of the placenta has diminished. A contraction stress test (CST) is performed near the
end of pregnancyLinks to an external site. to determine how well the fetusLinks to an external
site. will cope with the contractionsLinks to an external site. of childbirthLinks to an external
site.. The aim is to induce contractions and monitor the fetusLinks to an external site. to check
for heart rateLinks to an external site. abnormalities using a cardiotocographLinks to an external
site.. During uterine contractions, fetal oxygenation is worsened. Late decelerations in fetal
heart rateLinks to an external site. occurring are associated with increased fetal death rate,
growth retardationLinks to an external site. and neonatal depression. Early deceleration
indicates head compression, late deceleration indicates placental isufficiency. A Positive CST
indicates high risk of fetal death due to hypoxia and is a contraindication to laborLinks to an
external site.

Amniotic fluid is meconium stained

Question 45
1 / 1 pts
Which of the following hormones stimulates the ovary to produce estrogen during the menstrual
cycle?

Human Chorionic Gonadotrophin (HCG)

Luteinizing Hormone (LH)
Correct!
Follicle stimulating hormone (FSH)
Gonadotrophin releasing hormone (GnRH)

Question 46
1 / 1 pts
Day 6 through 14 of the menstrual cycle constitute which of the following phases?

Secretory
Estrogen
Correct!
Proliferative
During menstruation (usually day 1-6), the uterus is in the menstrual phase. Once menses has
finished, and as the endometrial lining begins to build up again, the uterus is in the proliferative
phase. The secretory phase occurs after ovulation occurs the 14th day of the cycle, once the
glands and blood vessels in the endometrium prepare the lining for implantation. If implantation
does not occur, progesterone and estrogen drop, causing the uterus to enter the ischemic
phase and the lining to disintegrate.

Luteal

Question 47
0 / 1 pts
When using the basal body temperature (BBT) for contraception, the nurse would instruct the
couple to abstain from intercourse during which the following times? EXCEPT:

From the first day of temperature elevation until the temperature returns to normal
You Answered
From the first days of menses to the third day of temperature elevation
Correct Answer
From the first day of menses until the woman experiences mittleschmerz
Once cervical mucus becomes thick and yellowish until it becomes slippery

Question 48
0 / 1 pts
Which of the following best characterizes the Contraction Stress Test (CST)

Three contractions within 10 minute must be evaluated ideally; each contraction should last
from 40 to 60 seconds.
Any abnormal or nonreactive stress test results require further evaluation that same day
Correct Answer
It is the least invasive test of fetal well –being that involves using an electronic fetal monitor
You Answered
The fetus typically is monitored for at least 40 minutes, then the entire monitoring strip (tracing)
is analyzed

Question 49
1 / 1 pts
Which of the following substances is measured in the maternal serum when a neural tube defect
is suspected?

Luteinizing hormone
Progesterone
Estrogen
Correct!
Alpha fetoprotein
The most widely used biochemical blood test is alpha-fetoprotein (AFP), which is a protein
normally made by the immature liver cells in the fetus. At birth, infants have relatively high levels
of AFP, which fall to normal adult levels by the first year of life. Also, pregnant women carrying
babies with neural tube defects may have high levels of AFP. (A neural tube defect is an
abnormal fetal brain or spinal cord that is caused by folic acid deficiency during pregnancyLinks
to an external site..)

Question 50
1 / 1 pts
Cervical opening and uterine soufflé are classified as which of the following?
 Presumptive signs
Probable signs
Positive signs
Correct!
Diagnostic signs
Opening of the cervix occurring in a non pregnant woman indicates ovulation and menstrual
time to allow flow of uterine and cervical secretions. If occurring during pregnancy 1st tri
indicates impending abortion and during 2nd and 3d tri indicates labor. .Uterine soufflé is a
blowing sound, synchronous with the cardiac systole of the mother, heard on auscultation of the
pregnant uterus usually heard when taking the fetal heart tones.

Question 51
1 / 1 pts
The age of viability is the earliest age at which the fetus can sure if they were born at this time.
This is generally accepted at:

18 weeks
20 weeks
16 weeks
Correct!
24 weeks
The period of viability refers to the period after the twenty-eighth week, or more recently the
twenty-fourth week, of gestationLinks to an external site. when a humanLinks to an external site.
fetusLinks to an external site. is capable of living outside of the wombLinks to an external site..

Question 52
1 / 1 pts
The nurse is caring for a client in the fourth stage of labor. The initial priority nursing
assessment in this stage of labor is:

Correct!
Assessing the vital signs and the uterine fundus
Fourth stage of labor: The hour or two after delivery when the tone of the uterus is reestablished
as the uterus contracts again, expelling any remaining contents. These contractions are
hastened by breastfeeding, which stimulates production of the hormone oxytocin..

Providing privacy for the parents with their newborn

Encouraging food and fluid intake
Assisting the client to breastfeed

Question 53
1 / 1 pts
A series of 2 Tetanus Toxoid vaccinations must be received by a pregnant woman.

On their 2nd trimester

Correct!
One month before delivery
A series of 2 doses of Tetanus Toxoid vaccination must be received by a woman one month
before delivery to protect the baby from neonatal tetanus.

Two months before delivery

On first visit of the pregnant woman

Question 54
1 / 1 pts
The hormone responsible for sperm production is:

Androgen
Progesterone
Estrogen
Correct!
Testosterone
Testosterone: A "male hormone" -- a sex hormone produced by the testes that encourages the
development of male sexual characteristics, stimulates the activity of the male secondary sex
characteristics, and prevents changes in them following castration

Question 55
1 / 1 pts
The rationale of voiding prior to amniocentesis is to:

Prevent puncture to the vagina

Promote comfort during the procedure
Correct!
Prevent puncture to the bladder
Prevent vena cava syndrome

Question 56
0 / 1 pts
A public health nurse would instruct a pregnant woman to notify the physician immediately if
which of the following symptoms occur during pregnancy?

Breast tenderness
Increased vaginal discharge
You Answered
 Presence of dark color in the neck
Correct Answer
Swelling of the face

Question 57
1 / 1 pts
Jelly relates that her husband Paolo is experiencing Couvade Syndrome. Which of the following
statement of Jelly indicates that she fully understands this condition of her husband?

Correct!
“Paolo is experiencing nausea, vomiting and fatigue just like me”
Sympathetic pregnancy (Couvade syndrome) describes a situation in which an otherwise
healthy man — whose partner is expecting a baby — experiences pregnancy-related
symptoms.

“Paolo sings nursery rhymes to my tummy every night”

He enjoys buying baby dresses and books on newborn care
“My husband is fond of taking care of our nephew.”

Question 58
1 / 1 pts
Upon assessment, which of the following findings would normally findings will normally be
achieved at 5 months of gestation?

FHT can be heard using Doppler

Correct!
Fetal movements can be felt by Julia
Quickening usually occurs between 16 - 20 weeks of pregnancy. Quickening starts from week
16 but becomes more pronounced by week 18 - 20. Option A In some woman the fetal heart
can be detected by a Doppler as early as 8-12 weeks. The fetal heartbeat should be audible
95% of the time in 12-week pregnancies, and nearly 100% of the time after 14 weeks. Option C
Braxton Hicks contractions start as early as 6 weeks, but are usually felt sometime around 20
weeks. Women who have had previous pregnancies may notice them sooner, and some women
may not even notice them at all. Option D Leopold’s Maneuver is preferably performed after 24
weeks gestation when fetal outline can be already palpated; cephalic fetal position simply
means the baby's head is in the pelvis. A cephalic presentation is the most common position for
a fetus at the end of pregnancy; around 97 percent of babies are born headfirst, according to
Medline Plus.

Cephalic presentation & Leopold’s M II

Braxton Hicks contraction
Question 59
1 / 1 pts
Susan is a patient in the clinic where you work. She is inquiring about pregnancy. Susan tells
you she is worried because she develops breast later than most of her friends. Breast
development is termed as:

Adrenarche
Correct!
Thelarche
Thelarche is age of beginning breast development; option A adrenarche refers to muscular
development, appearance of secondary sex characteristics; option B is not a medical term;
option D menarche age of first menstruation

Menarche
Mamarche

Question 60
1 / 1 pts
Mrs. Sang schedules an appointment at the prenatal clinic because she has missed two
menstrual periods.From the initial interview, the nurse learns that Mrs. Sang last menstrual
period begun June 13.According to Naegele’s Rule, her estimated date of confinement is:

Correct!
March 20
Naegele’s Rule: Count back three months and add seven days = from June – May, April, March
13 plus 7 is March 20.

January 10
November 16
September 20

Question 61
0 / 1 pts
Which of the following increases the risk for hypotonic uterine contractions?

early epidural anesthesia

You Answered
over infusion of oxytocin
previous vaginal delivery
Correct Answer
previous twin delivery
Question 62
1 / 1 pts
Positive Cullen’s sign, unilateral lower abdominal pain, presence of blood during culdocentesis
and amenorrhea are signs indicating:

H- Mole
Abortion
Placenta Previa
Correct!
Ectopic Pregnancy

Question 63
1 / 1 pts
History of painless bleeding, passage of bright red blood per vagina and absence of hardening
of the uterus are signs indicating:

H- Mole
Abruptio Placenta
Ectopic Pregnancy
Correct!
Placenta Previa

Question 64
1 / 1 pts
Pregnancy Induced Hypertension (PIH), Chronic Hypertensive Vascular Disease (CHVD, and
Short umbilical cord are predisposing factors to:

Placenta Previa
Correct!
Abruptio Placenta
H- Mole
Ectopic Pregnancy

Question 65
0 / 1 pts
Which of the following ectopic pregnancy outcomes can result to peritoneal pregnancy?

You Answered
Tubal Mole
Tubal Perforation
Tubal Rupture
Correct Answer
 Tubal Abortion

Question 66
1 / 1 pts
The following are the medical and surgical management of H-Mole EXCEPT:

Correct!
Salpingotomy and Salpingectomy
Dilatation and Curettage
Hysterotomy and Hysterectomy
Contraceptive Use to prevent pregnancy for 6 months to 1 year.

Question 67
0 / 1 pts
A positive Cullens signs indicates:

You Answered
Choriocarcinoma
Cervical pregnancy
Correct Answer
Internal hemorrhage
Abortion

Question 68
1 / 1 pts
Choriocarcinoma is a complication that arises in:

Placenta Previa
Correct!
H- Mole
Ectopic Pregnancy
Abruptio Placenta

Question 69
1 / 1 pts
A condition that occurs during pregnancy is associated with anencephaly, spina bifida and
imperforate anus. This condition is called as:

PIH
Correct!
Hydramnios
Cardiac Diseases
Diabetes Mellitus
Question 70
1 / 1 pts
Dystocia secondary to passenger are seen in all of the following except:

twin pregnancy
Correct!
uterine inversion
breech presentation
infant of diabetic mother

Question 71
1 / 1 pts
Which of the following signs is an objective sign of Magnesium Sulfate excess?

Cold Clammy skin

Hypereflexia +3 +4
Correct!
RR of 11 cycles per minute
Hypertension 140/100

Question 72
1 / 1 pts
All of the following postpartum complications causes early hemorrhage except:

Correct!
retained products of conception
. stage 4 episiotomy
soft, boggy uterus
cervical laceration

Question 73
1 / 1 pts
The nurse is caring for a woman 12 hours postpartum, VS: BP 80/50, CR 120/min, RR: 22/min
UO: 20 cc/hr, temp: 38.3 C, priority nursing intervention is:

Correct!
fluid resuscitation
pain management
infection control
airway provision

Question 74
1 / 1 pts
A placental abnormality which presents with an accessory lobe:

placenta circumvallata
Correct!
placenta succenturiata
placenta abruption
placenta accreta

Question 75
1 / 1 pts
Pregnant women with venous thromboembolic disease:

must have oral fluids restricted throughout the pregnancy.

should be managed with antibiotics
Correct!
are at risk for death from pulmonary embolism.
encouraged to cross the knees when sitting.

Question 76
1 / 1 pts
Toxic shock syndrome, Septicemia, kidney failure and even death is associated with what type
of abortion?

Septic Abortion
Correct!
Incomplete Abortion
Spontaneous Abortion
Missed Abortion

Question 77
1 / 1 pts
Which of the following is a sign of gestational hypertension?

Weight gain of 1 pound per week

Generalized edma 1+2+
Correct!
BP 140/90 mm/Hg
Presence of convulsions

Question 78
1 / 1 pts
Which of the following best describes subinvolution?
 Bleeding with an onset in the first 24 hours after delivery
Inflammation of the vascular endothelium with clot formation
Inability to form an effective clot structure, leading to continued bleeding
Correct!
Delayed return of the enlarged uterus to normal size and function

Question 79
1 / 1 pts
A non-stress test to assess that the fetus is well inside the utero is to count the number of
movements within an hour . The normal fetal movements in an hour is:

Correct!
10 movements/hour
20 movements/hour
15 movements/hour
5 movements/hour

Question 80
1 / 1 pts
A nurse is monitoring a client who is receiving oxytocin (Pitocin) by intravenous infusion to
augment labor pains. Which assessment finding would indicate that the infusion needs to be
discontinued:

An increase in urinary output of 120 ml in 24 hours

A decrease in blood pressure of 30 mm/Hg
Correct!
Six contractions in a 10 minute period
B. A fetal heart rate of 150 beats per minute

Question 81
0 / 1 pts
A nurse is taking the vital signs of a postpartum client who had just delivered a healthy newborn
6 hours ago. The client’s temperature is 38 degrees centigrade. Which of the following actions
would be appropriate?

Inform the physician immediately

You Answered
Retake the temperature within 15 minutes
Administer antibiotics intravenously
Correct Answer
Encourage client to increase fluid intake

Question 82
1 / 1 pts
The nurse knows that the occurrence of shoulder dystocia during labor is most likely related to:

Preterm birth
Maternal age
Correct!
Macrosomia
Polyhydramnios

Question 83
0 / 1 pts
For different intrapartum patients present at the labor room unit. Which of these clients requires
a cesarian section?

You Answered
A primigravida client with hydramnios
A multigravida client with a fetal station as floating
A primigravida client with an active phase of 1.2 cm / hr
Correct Answer
A multigravida with a latent phase of 20 hours

Question 84
0 / 1 pts
Which of the following findings on a newly delivered woman’s chart would indicate she is at risk
of developing postpartum hemorrhage?

Correct Answer
Grand – Multiparity
Premature rupture of Membranes
You Answered
Post – term delivery
Epidural anesthesia

Question 85
1 / 1 pts
When augmenting labor with oxytocin, which of the following would be the priority assessment:

Urinary output
Fetal heart rate
Correct!
Contraction characteristics
Maternal vital signs

Question 86
1 / 1 pts
What method of delivery is based on the theory of stimulus – response conditioning to reduce
pain sensation during labor?

Natural childbirth
Bradley
Correct!
Lamaze
Leboyer

Question 87
1 / 1 pts
The nurse is performing an assessment on a pregnant client to see whether she is already in
labor. Which of the following findings is a sign of true labor contractions?

Contractions are irregular in rhythm and duration

Cervical changes are not apparent
Uterus is soft with indentable contractions
Correct!
Contractions begin in the lower back then radiates over the entire abdomen

Question 88
0 / 1 pts
Nurse Jane is caring for a client in the first four weeks of pregnancy. The nurse should expect to
collect which assessment findings?

Fetal heart tones

Correct Answer
Breast sensitivity
Presence of menses
You Answered
Uterine enlargement

Question 89
1 / 1 pts
Rachel, a client in labor is dilated to 10 cm. At the point of the labor process, the nurse would
plan to assess and document the fetal heart rate at least:

Correct!
Every 15 minutes
Every 30 minutes
Hourly
Before each contraction
Question 90
0 / 1 pts
Nurse Mariel is conducting a prenatal class on the female reproductive system. When a client in
class asks why the fertilized ovum stays in the fallopian tube for 3 days, the nurse responds that
the reason for this is that it:

Promotes the fertilized ovum’s exposure to estrogen and progesterone

Correct Answer
Promotes the fertilized ovum’s normal implantation in the top portion of the uterus
Promotes the fertilized ovum’s exposure to luteinizing hormone (LH) and follicle-stimulating
hormone (FSH)
You Answered
Promotes the fertilized ovum’s chances of survival

Question 91
1 / 1 pts
While on the OB ward, Nurse Ara is assessing a client who delivered vaginally 24 hours ago.
The client’s fundus is slightly boggy. The nurse should initially:

Assess the client’s BP

Correct!
Gently massage the fundus until firm
Document this expected finding
Notify the physician

Question 92
1 / 1 pts
While making a home visit to a postpartum client on day 10, the community health nurse would
anticipate the client’s lochia would be which of the following colors?

Brown
Dark red
Correct!
White
Pink

Question 93
1 / 1 pts
A nurse in a labor room is performing a vaginal assessment on a pregnant client in labor. The
nurse notes the presence of umbilical cord protruding from the vagina. Which of the following is
the initial nursing action?

Gently push the cord into the vagina

Correct!
Place the client in a Trendelenburg’s position
Call the delivery room to notify the staff that the client will be transported immediately
Find the closest telephone and page the physician stat

Question 94
1 / 1 pts
A 20-year-old nulligravida client expresses a desire to learn more about the symptothermal
method of family planning. Which of the following would the nurse include in the teaching plan?

Correct!
Cervical mucus is carefully monitored for changes
Fertile period is determined using a set of formula
Couples should abstain from coitus for 5days after the menses
The male partner uses condoms for significant effectiveness

Question 95
0 / 1 pts
The client’s uterine fundus is palpated at the level of umbilicus. The Nurse Cindy would expect
the woman to be how many weeks pregnant?

24
12
You Answered
16
Correct Answer
20

Question 96
1 / 1 pts
A woman in labor was being monitored closely by NOD. During the contraction stress test, the
nurse notes the presence of late deceleration. The nurse is aware that the results is:
 Negative and it indicates placental insufficiency
Positive and it indicates cord compression
Negative and it indicates normal findings
Correct!
Positive and it indicates placental insufficiency

Question 97
1 / 1 pts
A woman who is 9 weeks pregnant comes to the Health Center with moderate bright red vaginal
bleeding. On physical examination, the physician finds the client’s cervix 2cm dilated. Which
term best describes the client’s condition?

Threatened abortion
Incomplete abortion
Correct!
Inevitable abortion
Missed abortion

Question 98
1 / 1 pts
The following are abdominal findings for abruptio placenta EXCEPT:

Correct!
Uterus is soft and non- painful to touch
Fetal heart tone is not heard
Fetal parts cannot be outlined
Abdomen is tense and palpation is tender

Question 99
0 / 1 pts
Partial type of Mole arises from

Union of an empty ovum and a sperm

Correct Answer
Union of two sperm and an ovum
Union of a normal ovum and an abnormal sperm
You Answered
. Union of both abnormal ovum and sperm
Question 100
0 / 1 pts
The most dangerous time for a pregnant woman with cardiac disease is during:

You Answered
28 to 32 weeks weeks gestation
Correct Answer
32 to 36 weeks gestation
more than 40 weeks gestation
36 to 40 weeks gestation

Question 101
1 / 1 pts
Which of the following signs is an objective sign of Magnesium Sulfate excess?

Hypotension 90/60
Correct!
RR of 11 cycles per minute
Hypereflexia +3 +4
. Cold Clammy skin

Question 102
1 / 1 pts
The following are hormones present during pregnancy that predisposes the woman to manifests
signs and symptoms of Diabetes EXCEPT:

Human placental Lactogen

Placental Insulinase
Progesterone
Correct!
Relaxin
Quiz Score: 80 out of 102