MCN Lec

1 / 1 point
A primigravida patient is admitted to the labor delivery area. Assessment reveals that
she is in the early part of the first stage of labor. Her pain is likely to be most intense:

Question options:

Around the pelvic girdle and at the perineum

Around the pelvic girdle

Around the pelvic girdle and in the upper arms

At the perineum

Question 2
The nurse is developing a teaching plan for a patient who is 8 weeks pregnant. The nurse
should tell the patient that she can expect to feel the fetus move at which time?

Question options:

Between 24 and 26 weeks' gestation.

Between 10 and 12 weeks' gestation

Between 21 and 23 weeks' gestation.

Between 16 and 20 weeks' gestation.

Question 3
Increased vascularity causes cervix to be soft: Hegar's sign

Question options:

True
False
Question 4
Immediately after delivery, the nurse-midwife assesses the neonate's head for signs of
molding. Which factors determine the type of molding?

Question options:
 Fetal body flexion or extension

Maternal age, body frame, and weight

Maternal and paternal ethnic backgrounds

Maternal parity and gravidity

Question 5 - mali
After 3 days of breastfeeding, a postpartum patient reports nipple soreness. To relieve
her discomfort, the nurse should suggest that she:

Question options:

Apply warm compresses to her nipples just before feeding.

Dry her nipples with a soft towel after feeding.

Lubricate her nipples with expressed milk before feeding.

Apply soap directly to her nipples, and then rinse.

Question 6 - mali
A patient is in the second stage of labor. During this stage, how frequently should the
nurse in charge assess her uterine contractions?

Question options:

Every 5 minutes.

Every 15 minutes.

Every 60 minutes.

Every 30 minutes.

Question 7
After completing a second vaginal examination of a client in labor, the nurse-midwife
determines that the fetus is in the right occiput anterior position and at (–1) station.
Based on these findings, the nurse-midwife knows that the fetal presenting part is:

Question options:

Directly in line with the ischial spines.

In no relationship to the ischial spines.

1 cm below the ischial spines.

1 cm above the ischial spines.

Question 8
A 31-year-old multipara is admitted to the birthing room after initial examination
reveals her cervix to be at 8 cm, completely effaced (100 %), and at 0 station. What
phase of labor is she in?

Question options:

Expulsive phase

Transitional phase

Latent phase

Active phase

Question 9
Chorion of placenta secretes HCG which functions to:

Question options:

Maintain the corpus luteum

Found elevated in excessive vomiting

Induces labor
 Aid in diagnosing pregnancy by its detection in maternal serum and urine

Question 10
Known as stretch marks; silvery streaks on the abdomen, upper thighs and lower breast
due to adrenal hypertrophy

Question options:

Linea Nigra

Chloasma

Striae Gravidarum

Palmar Erythema

Question 11
A client at 36 weeks gestation is scheduled for a routine ultrasound prior to
amniocentesis. After teaching the client about the purpose of the ultrasound, which of
the following client statements would indicate to the nurse in charge that the client
needs further instruction?

Question options:

The ultrasound locates a pool of amniotic fluid.

The test will determine where to insert the needle.

The ultrasound identifies blood flow through the umbilical cord.

The ultrasound will help to locate the placenta.

Question 12
While assessing a primipara during the immediate postpartum period, the nurse in
charge plans to use both hands to assess the client's fundus to:

Question options:

Promote uterine involution.

 Prevent uterine inversion.

Hasten the puerperium period.

Determine the size of the fundus.

Question 13
This softening of lowering uterine segment.

Question options:

Goodell's sign

Chadwick's

Hegar's sign

Ballotement

Question 14
A client who's admitted to labor and delivery has the following assessment findings:
gravida 2 para 1, estimated 40 weeks gestation, contractions 2 minutes apart, lasting 45
seconds, vertex +4 station. Which of the following would be the priority at this time?

Question options:

Placing the client in bed to begin fetal monitoring.

Checking for ruptured membranes.

Preparing for immediate delivery.

Providing comfort measures.

Question 15
When evaluating a client's knowledge of symptoms to report during her pregnancy,
which statement would indicate to the nurse in charge that the client understands the
information given to her?

Question options:
 "If I have blurred or double vision, I should call the clinic immediately."

"I'll report increased frequency of urination."

"Nausea should be reported immediately."

"If I feel tired after resting, I should report it immediately."

Question 16
During pregnancy, uterine shape changes from Oval to globular.

Question options:

True
False
Question 17
Because cervical effacement and dilation are not progressing in a patient in labor, the
doctor orders I.V. administration of oxytocin (Pitocin). Why should the nurse monitor
the patient's fluid intake and output closely during oxytocin administration?

Question options:

Oxytocin causes excessive thirst.

Oxytocin is toxic to the kidneys.

Oxytocin causes water intoxication.

Oxytocin has a diuretic effect.

Question 18
A client who is 36 weeks pregnant comes to the clinic for a prenatal checkup. To assess
the client's preparation for parenting, the nurse might ask which question?

Question options:

"What changes have you made at home to get ready for the baby?"

"Can you tell me about the meals you typically eat each day?"
 "Are you planning to have epidural anesthesia?"

"Have you begun prenatal classes?"

Question 19
Term used for women who has had two or more deliveries that were carried to viability

Question options:

Multigravida

Nulliparous

Primigravida

Multiparous

Question 20
During Pregnancy, circulating volume increase from the end of the first trimester (30%)
up to the period just before labor (50%). Physiologic Anemia of pregnancy results from
the disproportionate increase between the circulating blood volume and the red blood
cells.

Question options:

True
False
Question 21
The nurse in-charge is reviewing a patient's prenatal history. Which finding indicates a
genetic risk factor?

Question options:

The patient has a child with cystic fibrosis

The patient has a history of preterm labor at 32 weeks' gestation.

The patient is 25 years old.

 The patient was exposed to rubella at 36 weeks' gestation.

Question 22
A patient is in her last trimester of pregnancy. Nurse Marites should instruct her to
notify her primary health care provider immediately if she notices:

Question options:

Hemorrhoids

Blurred vision

Increased vaginal mucus

Shortness of breath on exertion

Question 23
The nurse plans to instruct the postpartum client about methods to prevent breast
engorgement. Which of the following measures would the nurse include in the teaching
plan?

Question options:

Wearing a supportive brassiere with nipple shields.

Breastfeeding the neonate at frequent intervals.

Decreasing fluid intake for the first 24 to 48 hours.

Feeding the neonate a maximum of 5 minutes per side on the first day.

Question 24
These intermittent irregular, painless, abdominal and false labor contractions felt as
abdominal muscle tightening by about 4 months; more pronounced at 8 months

Question options:

Braxton-Hick's Contractions

Signs that the baby is ready for delivery

 True Labor

True Contractions

Question 25
Which of the following would be inappropriate to assess in a mother who's
breastfeeding?

Question options:

The baby's lips smacking.

The attachment of the baby to the breast.

The mother's comfort level with positioning the baby.

Audible swallowing.

Question 26 - mali
The nurse in charge is caring for a patient who is in the first stage of labor. What is the
shortest but most difficult part of this stage?

Question options:

Latent phase

Transitional phase

Complete phase

Active phase

Question 27
After teaching a pregnant woman who is in labor about the purpose of the episiotomy,
which of the following purposes stated by the client would indicate to the nurse that the
teaching was effective?

Question options:

Prevents perineal edema.

 Ensures quick placenta delivery.

Shortens the second stage of labor.

Enlarges the pelvic inlet.

Question 28
One of the changes of the integumentary system during pregnancy Diastasis is due to
increased activity of the sweat and sebaceous glands from pregnancy's increased
metabolic rate.

Question options:

True
False
Question 29 - mali
A primigravida client at 25 weeks gestation visits the clinic and tells the nurse that her
lower back aches when she arrives home from work. The nurse should suggest that the
client perform:

Question options:

Leg lifting

Shoulder circling

Tailor sitting

Squatting exercises

Question 30 - mali
A woman who has given birth to one child past age of viability

Question options:

Multipara

Primigravida
 Primipara

Nulligravida

Question 31
Which change would the nurse identify as a progressive physiological change in the
postpartum period?

Question options:

Uterine involution

Lochia

Diuresis

Lactation

Question 32
A postpartum patient was in labor for 30 hours and had ruptured membranes for 24
hours. For which of the following would the nurse be alert?

Question options:

Salpingitis

Endometritis

Endometriosis

Pelvic thrombophlebitis

Question 33
Edema of lower extremities is common in the last 6 weeks of pregnancy because of the
pressure on the pelvic girdle.

Question options:

True
False
Question 34
These are dark patches on the cheeks, nose and neck; 'mask' of pregnancy due to
increased melanocyte-stimulating hormones of pregnancy

Question options:

Chloasma

Striae Gravidarum

Linea Nigra

Palmar Erythema

Question 35
Decreased free hydrochloric acid plus decreased motility and digestion contribute to
morning sickness and heartburn/pyrosis.

Question options:

This is a sign that labor might occur soon

This should alert the nurse that mother needs to be monitored closely

This is normal in pregnancy

This is a warning sign that the baby is in distress

Question 36
When assessing a client during her first prenatal visit, the nurse discovers that the client
had a reduction mammoplasty. The mother indicates she wants to breast-feed. What
information should the nurse give to this mother regarding breastfeeding success?

Question options:

"It's contraindicated for you to breastfeed following this type of surgery."

"You should check with your surgeon to determine whether breast-feeding would be possibl

"I support your commitment; however, you may have to supplement each feeding with formu
 "You should be able to breastfeed without difficulty."

Question 37
While the client is in active labor with twins and the cervix is 5 cm dilated, the nurse
observes contractions occurring at a rate of every 7 to 8 minutes in a 30-minute period.
Which of the following would be the nurse's most appropriate action?

Question options:

Have the client pant-blow during the contractions.

Note the fetal heart rate patterns.

Administer oxygen at 6 liters by mask.

Notify the physician immediately.

Question 38
Following a precipitous delivery, examination of the client's vagina reveals a fourth -
degree laceration. Which of the following would be contraindicated when caring for this
client?

Question options:

Instructing the client to use two or more peri pads to cushion the area.

Applying cold to limit edema during the first 12 to 24 hours.

Instructing the client on the use of sitz baths if ordered.

Instructing the client about the importance of perineal (Kegel) exercises.

Question 39
A primigravida client at 25 weeks gestation visits the clinic and tells the nurse that her
lower back aches when she arrives home from work. The nurse should suggest that the
client perform:

Question options:

Shoulder circling
 Tailor sitting

Squatting exercises

Leg lifting

Question 40
A primigravida client at about 35 weeks gestation in active labor has had no prenatal
care and admitted to cocaine use during the pregnancy. Which of the following persons
must the nurse notify

Question options:

Head of the hospital's security department.

Chaplain in case the fetus dies in utero.

Physician who will attend the delivery of the infant.

Nursing unit manager so appropriate agencies can be notified.

Question 41
The nurse in charge is caring for a postpartum client who had a vaginal delivery with a
midline episiotomy. Which nursing diagnosis takes priority for this client?

Question options:

Risk for deficient fluid volume related to hemorrhage.

Risk for infection related to the type of delivery.

Pain related to the type of incision.

Urinary retention related to periurethral edema.

Question 42
This is the period of rapid organogenesis; teratogens like alcohol, drugs, virus, and
radiation are highly damaging.

Question options:

SECOND TRIMESTER
 FAMILY PLANNING

FIRST TRIMESTER

THIRD TRIMESTER

Question 43
The nurse is caring for a primigravida at about 2 months and 1-week gestation. After
explaining self-care measures for common discomforts of pregnancy, the nurse
determines that the client understands the instructions when she says:

Question options:

Nausea and vomiting can be decreased if I eat a few crackers before rising.

Leg cramps can be alleviated if I put an ice pack on the area.

If I have a vaginal discharge, I should wear nylon underwear

If I start to leak colostrum, I should cleanse my nipples with soap and water.

Question 44
Uterine size is increased due to hypertrophy of existing muscles and connective tissues.
This is where formation of new muscle fibers happens in pregnancy.
Question options:

True
False
Question 45
The whitish, mucoid, non-foul, nonpruritic vaginal secretions increases as estrogen level
increases; provides increased vaginal acidity, an added protection from bacterial
invasion

Question options:

Lochia

sign of the start of menstruation after pregnancy

Increased WBC

Leukorrhea
Question 46
The multigravida mother with a history of rapid labor who is in active labor calls out to
the nurse, "The baby is coming!" Which of the following would be the
nurse's first action?

Question options:

Contact the birth attendant.

Time the contractions.

Inspect the perineum.

Auscultate the fetal heart rate.

Question 47 - mali
What is the approximate time that the blastocyst spends traveling to the uterus for
implantation?

Question options:

7 days

14 weeks

10 days

2 days

Question 48
Forty-eight hours after delivery, the nurse in charge plans discharge teaching for the
client about infant care. By this time, the nurse expects that the phase of postpartum
psychological adaptation that the client would be in would be termed which of the
following?

Question options:

Taking in

Taking hold
 Letting go

Resolution

Question 49
Which behaviors would be exhibited during the letting-go phase of maternal role
adaptation. Select all that apply.

Question options:

Dependent behaviors.

Being talkative and excited about becoming a mother.

Sexual intimacy continues.

Defining one's individual roles.

Emergence of the family unit.

Question 50
Normal lochial findings in the first 24 hours post-delivery include:

Question options:

The complete absence of lochia

Bright red blood

Large clots or tissue fragments

A foul odor

Question 1 1 / 1 poi
The nurse is reviewing Sandra's electronic health record. While doing so, the nurse asks Sandra to
Sandra about past surgery during a pregnancy health history?
 Previous use of general anesthetics is a risk factor for preterm labor

Abdominal incisions are associated with potential uterine rupture

Previous experience with surgery means that she will likely be comfortable in a hospital

Adhesions from surgery could potentially limit uterine growth.

Question 2
A client who's admitted to labor and delivery has the following assessment findings: gravida 2 par
45 seconds, vertex +4 station. Which of the following would be the priority at this time?

Preparing for immediate delivery.

Checking for ruptured membranes.

Providing comfort measures.

Placing the client in bed to begin fetal monitoring.

Question 3
Marites did a urine pregnancy test but was surprised to learn a positive result is not a sure sign of
record, she asks what a positive sign would be. The nurse should cite what finding?

A serum tests reveals hCG.

She has noticed consistent abdominal and uterine growth.

A fetal heartbeat can be seen during an ultrasound exam.

She can feel her fetus move more than once per hour.

Question 4
The multigravida mother with a history of rapid labor who is in active labor calls out to the nurse,
nurse's first action?

Time the contractions.

 Contact the birth attendant.

Inspect the perineum.

Auscultate the fetal heart rate.

Question 5
What event occurring in the second trimester helps the expectant mother to accept the pregnancy

Ballotment

Pseudocyesis

Quickening

Lightening

Question 6
Marieta is having a painful labor. She asks the nurse if she should have hired a doula. The nurse ide

"Maybe. Doulas are good at telling you if you are doing everything correctly."

"No. A second person giving advice is apt to cause conflict."

"That's an individual choice, but a doula can serve as an important support person."

"Definitely. Doulas time contractions and perform many tasks, taking the burden off you.

Question 7
Following a precipitous delivery, examination of the client's vagina reveals a fourth -degree lacerat
this client?

Instructing the client on the use of sitz baths if ordered.

Instructing the client to use two or more peri pads to cushion the area.
 Applying cold to limit edema during the first 12 to 24 hours.

Instructing the client about the importance of perineal (Kegel) exercises.

Question 8
Sandra has not had a pelvic examination since she was in high school. Consequently, the nurse has
pelvic examination. What action should the nurse take?

Tell her to bear down slightly as the speculum is inserted

Have her take a deep breath and hold it as long as she can during the examination.

Encourage her to moan in a low-pitched tone because this will push down the diaphragm

Teach her to breathe slowly and evenly while being examined.

Question 9
A patient is in her last trimester of pregnancy. Nurse Marites should instruct her to notify her prim

Hemorrhoids

Increased vaginal mucus

Blurred vision

Shortness of breath on exertion

Question 10
When a pregnant woman experiences leg cramps, the correct nursing intervention to relieve the m

Let the woman lie down and dorsiflex the foot towards the knees.

Let the woman walk for a while.

Allow the woman to exercise.

 Ask the woman to raise her legs.

Question 11
Jonny has chosen to have epidural anesthesia, and the nurse has consequently informed the anesth
form of anesthesia?

Maternal hypertension and a reduced red blood cell count can occur

Hypotension and a prolonged second stage of labor can occur.

Severe headache and peripheral cyanosis can occur

Women have increased back pain and abrupt transitions between stages of labor.

Question 12
A new mother is having trouble breastfeeding her newborn. The child is making frantic rooting mo
implement?

Encourage frequent use of a pacifier so that the infant becomes accustomed to sucking.

Hold the infant's head firmly against the breast until he latches onto the nipple.

Provide a formula for the infant until he becomes calm, and then offer the breast again.

Encourage the mother to stop feeding for a few minutes and comfort the infant.

Question 13
Kegel's exercise is done in pregnancy in order to:

Prevent leg varicosities and edema.

Prevent leg varicosities and edema.

Relieve backache.

Strengthen abdominal muscles.

Question 14
Which statement by patient would make the nurse believe she's having a typical reaction to her se

"I'm really looking forward to watching my two children play together in the future."

"I think having a second child is going to be totally wonderful. I'm sure it will be so muc

"I'd rather my husband had this one; knowing what it all involves makes it even harder.

"I'm feeling good about having a second baby, but a bit worried at the same time."

Question 15
Sandra reports that the palms of her hands are always itchy, and the nurse notices scratches on the
should specify that this problem is most likely due to what factor in women who are pregnant?

Peripheral edema related to changes in fluid and electrolyte levels

A common reaction to increasing estrogen levels

Anxiety or fear about the pregnancy

A potential Rh incompatibility

Question 16
What is the approximate time that the blastocyst spends traveling to the uterus for impl antation?

14 weeks

10 days

7 days

2 days

Question 17
When assessing a client during her first prenatal visit, the nurse discovers that the client had a red
What information should the nurse give to this mother regarding breastfeeding success?
 "You should check with your surgeon to determine whether breast-feeding would be po

"You should be able to breastfeed without difficulty."

"It's contraindicated for you to breastfeed following this type of surgery."

"I support your commitment; however, you may have to supplement each feeding with

Question 18
After teaching a pregnant woman who is in labor about the purpose of the episiotomy, which of th
the teaching was effective?

Enlarges the pelvic inlet.

Prevents perineal edema.

Shortens the second stage of labor.

Ensures quick placenta delivery.

Question 19
The most common normal position of the fetus in utero is:

Transverse position

Oblique position

Vertical position

None of the above

Question 20
Marites, being chismosa, overheard her doctor say insulin is not as effective during pregnancy as u
safeguards the health of her fetus?

Because insulin is ineffective, it cannot cross the placenta and harm the fetus
 It is the mother, not the fetus, who is guarded by this decreased insulin action

Decreased effectiveness of insulin prevents the fetus from having low blood sugar.

The lessened action of insulin prevents the fetus from gaining too much weight.

Question 21
The nurse in charge is caring for a postpartum client who had a vaginal delivery with a midline epi

Urinary retention related to periurethral edema.

Risk for deficient fluid volume related to hemorrhage.

Pain related to the type of incision.

Risk for infection related to the type of delivery.

Question 22
While making a visit to the home of a postpartum woman 1 week after birth, the nurse should reco

Express a strong need to review the events and her behavior during the process of labo

Exhibit a reduced attention span, limiting readiness to learn.

Vacillate between the desire to have her own nurturing needs met and the need to take

Have reestablished her role as a spouse or partner.

Question 23
Marisa feels healthy, so she asks the nurse why she needs to bother coming for prenatal care. Wha

It provides important time to interact with a prenatal group

It provides time for education about pregnancy and birth.

It allows for the collection of accurate epidemiologic and demographic data.

 Discovering any allergies can reduce the risk of preterm labor

Question 24
Which of the following findings in a woman would be consistent with a pregnancy of two months d

Weight gain of 6-10 lbs. And the presence of striae gravidarum.

Increased respiratory rate and ballottement.

Fullness of the breast and urinary frequency.

Braxton Hicks contractions and quickening.

Question 25
Marites is aware she's been showing some narcissism since becoming pregnant. How would the nu

She often feels emotionally "numb."

Her thoughts tend to be mainly about herself.

She feels a need to sleep more than usual.

She feels pulled in multiple directions

Question 26
From the 33rd week of gestation till full term, a healthy mother should have a prenatal check-up e

4 weeks

2 weeks

3 weeks

Week

Question 27
Which of the following would be inappropriate to assess in a mother who's breastfeeding?
 Audible swallowing.

The attachment of the baby to the breast.

The baby's lips smacking.

The mother's comfort level with positioning the baby.

Question 28
Nurse Barry is performing Leopold's maneuver and found the following: breech presentation, feta
can hear the fetal heartbeat (PMI) best in which location?

Left lower quadrant

Right upper quadrant

Right lower quadrant

Left upper quadrant

Question 29
The nurse instructs a laboring client to use accelerated blow breathing. The client begins to compl

Have the client breathe into her cupped hands.

Administer oxygen by face mask.

Check the client's blood pressure and fetal heart rate.

Notify the health care provider of the client's symptoms.

Question 30
Which of the following signs will require a mother to seek immediate medical attention?

Mild uterine contraction.

 When the first fetal movement is felt.

Slight dyspnea on the last month of gestation.

No fetal movement is felt on the 6th month.

Question 31
After completing a second vaginal examination of a client in labor, the nurse-midwife determines t
Based on these findings, the nurse-midwife knows that the fetal presenting part is:

1 cm below the ischial spines.

Directly in line with the ischial spines.

In no relationship to the ischial spines.

1 cm above the ischial spines.

Question 32
Marites wasn't totally happy about learning that she was pregnant. What psychological task is imp
pregnancy?

Accepting morning sickness nausea

Choosing a name for her baby

Accepting the fact that she is pregnant

Appreciating the responsibility of having a baby

Question 33
Which behaviors would be exhibited during the letting-go phase of maternal role adaptation. Sele

Dependent behaviors.

Being talkative and excited about becoming a mother.

 Defining one's individual roles.

Sexual intimacy continues.

Emergence of the family unit.

Question 34
In the later part of the 3rd trimester, the mother may experience shortness of breath. This complai

The woman may be experiencing complications of pregnancy.

A normal occurrence in pregnancy because the fetus is using more oxygen.

The fundus of the uterus is high pushing the diaphragm upwards.

The woman is having an allergic reaction to the pregnancy and its hormones.

Question 35
A primigravida client at about 35 weeks gestation in active labor has had no prenatal care and adm
persons must the nurse notify

Chaplain in case the fetus dies in utero.

Nursing unit manager so appropriate agencies can be notified.

Physician who will attend the delivery of the infant.

Head of the hospital's security department.

Question 36
A client who delivered by cesarean section 24 hours ago is using a patient-controlled analgesia (PC
surgery. She is now complaining of nausea and bloating, and states that because she had nothing t
has the highest priority?

Fatigue related to cesarean delivery and physical care demands of infant.

Impaired bowel motility related to pain medication and immobility.

 Altered nutrition, less than body requirements for lactation.

Alteration in comfort related to nausea and abdominal distention.

Question 37
Shoes with low, broad heels, plus a good posture will prevent which prenatal discomfort?

Backache

Vertigo

Leg cramps

Nausea

Question 38
A client who is 36 weeks pregnant comes to the clinic for a prenatal checkup. To assess the client's

"Have you begun prenatal classes?"

"What changes have you made at home to get ready for the baby?"

"Are you planning to have epidural anesthesia?"

"Can you tell me about the meals you typically eat each day?"

Question 39
The following are ways of determining the expected date of delivery (EDD) when the LMP is unkno

Batholomew's rule of 4

Quickening

McDonald's rule

Naegele's rule
Question 40
While assessing a primipara during the immediate postpartum period, the nurse in charge plans to

Determine the size of the fundus.

Promote uterine involution.

Hasten the puerperium period.

Prevent uterine inversion.

Question 41
From an obstetrical point of view the fetal skull is the most important part of the fetus because it i

least compressible of all parts

it is always the first part to appear

largest part of the body

most frequent presenting part

Question 42
The main reason for an expected increased need for iron in pregnancy is:

The mother may have a problem with digestion because of pica.

The fetus has an increased need for RBC which the mother must supply.

The mother may suffer anemia because of poor appetite.

The mother may have physiologic anemia due to the increased need for red blood cell m

Question 43
The hormone responsible for a positive pregnancy test is:

Follicle Stimulating Hormone

 Progesterone

Estrogen

Human Chorionic Gonadotropin

Question 44
Marites' doctor told her she had a positive Chadwick's sign. When she asks the nurse what this me

"Your cervical mucus feels sticky, just as it should feel."

"Your uterus has tipped forward, a potential complication."

"Your vagina looks dark in color, a typical pregnancy sign."

"Your abdomen feels soft and tender, a normal finding."

Question 45
When evaluating a client's knowledge of symptoms to report during her pregnancy, which stateme
information given to her?

"Nausea should be reported immediately."

"If I feel tired after resting, I should report it immediately."

"If I have blurred or double vision, I should call the clinic immediately."

"I'll report increased frequency of urination."

Question 46
The nurse is reviewing danger signs of pregnancy of a patient. In the interests of safety, which of t

Blue veins appear and can be readily observed on both of her breasts.

She tends to lose her balance when she wears high-heeled shoes
 Her uterus becomes palpable over the symphysis pubis before 12 weeks.

She gains more than 3 lb a week beginning at 20 weeks.

Question 47
Which change would the nurse identify as a progressive physiological change in the postpartum pe

Lactation

Uterine involution

Diuresis

Lochia

Question 48
The nurse in-charge is reviewing a patient's prenatal history. Which finding indicates a genetic risk

The patient was exposed to rubella at 36 weeks' gestation.

The patient is 25 years old.

The patient has a history of preterm labor at 32 weeks' gestation.

The patient has a child with cystic fibrosis

Question 49
Which of the following is a positive sign of pregnancy?

(+) pregnancy test

Enlargement of the uterus

Fetal movement felt by mother

(+) ultrasound
Question 50
The expected weight gain in a normal pregnancy during the 3rd trimester is:

10 lbs a month

10 lbs total weight gain in the 3rd trimester

1 pound a week

2 pounds a week

Question 1
The frenulum and prepuce of the clitoris are formed by the?

Fossa Navicularis
Mons veneris
Labia majora
Labia minora
Question 2
Urinary excretion of HCG is maximal between which days of gestation?

50-60
40-50
60-70
30-40
Question 3
The hormone that maintains a corpus luteum following implantation is

LH
FSH
HCG
Progesterone
Question 4
This is a body organ that produces the cells necessary for reproduction (the ovary in females, the t

Hypothalamus
 Gonads
Cerebrum
Urethra
Question 5
A woman using diaphragm for contraception should be instructed to leave it in place for at least ho

1 hour
6 hours
12 hours
28 hours
Question 6
Which hormone is not responsible for differentiation of male reproductive organs during fetal life?

Mullerian duct inhibitor (MDI)

Dyhydrotestosterone
Dehydroepiandosterone sulfate
Testosterone
Question 7
Which of the following would be the nurse's best response to a client who asks the nurse to explain

The test provides information about the size of the baby.

The test helps to give an accurate estimate of the gestational age.
The test demonstrates the fetus's response to oxytocin.
It determines how the baby's heart responds to uterine contractions.
Question 8
Beginning of Menstruation is known as:

Menarche
Adrenarche
Thelarche
Menopause
Question 9
The time between uterine contractions is:

intensity
 interval
Duration
Frequency
Question 10
Mr. and Mrs. Cremasteric arrive at the clinic for their first pre natal visit. Mr. Crema tells the nurse
why some women always have girls. The nurse correct response is:

The sex of the baby is determined by the sperm

Some women are just more fertile with females
Nature determines whether the baby will be a girl or a boy.
The sex of the baby is determined by the egg.
Question 11
Fertilization takes place in the:

Vagina
fallopian tube
Cervix
Uterus
Question 12
A couple with one child had been trying, without success for several years to have another child. W

Primary Infertility
Secondary Infertility
Irreversible infertility
Sterility
Question 13
Review of concepts of parturition was made by the clinical instructor to a group of nursing studen
plays an important role in the initiation of labor?

maternal adrenal cortex

fetal adrenal cortex
fetal adrenal medulla
maternal adrenal medulla
Question 14
During which of the following phase of the menstrual cycle is it ideal for implantation of a fertilize
 Ischemic phase
Menstrual phase
Proliferative phase
Secretory phase
Question 15
Which of the following structures arise from the mesoderm?

Muscle
Epidermis
lining of the mouth
lining of the respiratory tract
Question 16
What functions as conduit for urine from the bladder, semen from the reproductive system throug

URETHRA
SCROTUM
EPIDIDYMIS
DUCTUS DEFERENS
Question 17
49.Marites, 13 y/o had her fist menstruation. Which among the characteristics described should th

Average flow, 4–6 days

Dark red blood
Smells like marigold
Change soaked sanitary pad every hour
Question 18
Which principal factor causes vaginal pH to be acidic?

Cervical mucus changes

Secretion of the Skene's gland
The action of the doderlein bacillus
Secretion of the bartholins gland
Question 19
Diane is pregnant with her first baby. She went to the clinic for check up. To determin e the clients
 first
Last
Third
second
Question 20
When assessing the adequacy of sperm for conception to occur, which of the following is the most

sperm count
sperm motility
sperm maturity
Semen volume
Question 21
The temporary cessation of menstruation is:

Amenorrhea
Menopause
Hypomenorrhea
Oligomenorrhea
Question 22
Which of the following is not a part of conceptus?

deciduas
amniotic fluid
fetus
membranes
Question 23
The layer of the embryonic disk that gives rise to hair, skin, and nails is

Ectoderm
both mesoderm and endoderm
endoderm
mesoderm
Question 24
She complained of leg cramps, which usually occurs at night. To provide relief, the nurse tells Dian
 Dorsiflex the foot while extending the knee when the cramps occur
Dorsiflex the foot while flexing the knee when the cramps occurs
Plantar flex the foot while flexing the knee when the cramps occur
Plantar flex the foot while extending the knee when the cramp occur
Question 25
Which is not considered an uteroronin?

Prostaglandin
Endothelin-1
Oxytocin
Relaxin

Question 26 1
Which of the following methods would be avoided for a woman who is 38 years old, has 3 chi

Oral contraceptives
Cervical cap
Diaphragm
IUD (Intra-uterine device)
Question 27
Viability is the ability of the fetus to live, growth, and develop on the outside environment. Th

21 – 24 weeks
25 – 27 weeks
38 – 40 weeks
28 – 30 weeks
Question 28
Getting the obstetrical history of the mother is part of the prenatal assessment. Which of the f
pregnant 3 times already and is currently at 5 weeks gestation, has a son born at 36 weeks, d

G3 T1 P2 AO L3
G4 T2 P1 AD L3
G3 T2 P1 AD L4
G4 T2 P1 AO L4
Question 29
Mr. Cremasteric visits the clinic and is told that his sperm count is normal. A normal sperm co

20 to 100/ml
100, 000 to 200, 000/ml
100 to 200/ml
20 to 100 million/ml
Question 30
Family centered nursing care for women and newborn focuses on which of the following?

Assisting individuals and families achieve their optimal health

Diagnosing and treating problems promptly
Preventing further complications from developing
Conducting nursing research to evaluate clinical skills
Question 31
The vas deferens is a:

storage for spermatozoa

Site of spermatozoa production
Conduit of spermatozoa
Passageway of sperm
Question 32
The average length of the umbilical cord in human is:

35 cm
55 cm
65 cm
45 cm
Question 33
Which of the following is recommended for all women during the childbearing age?

Additional B Vitamins
Vitamin C supplement
Additional vitamin A
Folic acid supplement
Question 34
Marites, 15 years old, comes to the prenatal clinic because she has missed three menstrual pe
problem is, but I can't be pregnant." The nurse's most therapeutic response to this would be:

What brought you to the prenatal clinic?

Many young women are irregular at your age.
The doctor will let you know shortly.
If you have had intercourse, you are probably pregnant.
Question 35
The beginning of breast development is termed:

Menarche
Adrenarche
Thelarche
Menopause
Question 36
What is the obstetrical history of the mother who is 4 months pregnant, with twin daughters
before term?

G4 T1 P1 A1 L3
G4 T2 P1 A1 L3
G4 T2 P1 A1 L2
G3 T1 P1 AD L3
Question 37
The nurse is caring for a primigravida at about 2 months and 1 week gestation. After explaini
determines that the client understands the instructions when she says:

Nausea and vomiting can be decreased if I eat a few crackers before arising
Leg cramps can be alleviated if I put an ice pack on the area
If I start to leak colostrum, I should cleanse my nipples with soap and water
If I have a vaginal discharge, I should wear nylon underwear"
Question 38
According to Diane, her LMP is November 15, 2021, using the Naegle's rule what is her EDC?

August 22, 2022

August 18, 2022
July 22, 2022
 February 22, 2022
Question 39
Variation on the length of menstrual cycle is due to variations in the number of days in which

Proliferative phase
Luteal phase
Ischemic phase
Secretory phase
Question 40
Which of the following are the functions of amniotic fluid? 1. Serves as the fluid for the fetus 2
external temperature 5. Facilitates fetal movement

1,2,3
1,3,4,5
1,2,3,5
1,2,3,4,5
Question 41
A Client, who is 8 weeks pregnant, tells the nurse. "We wanted a baby, but I'm not sure this is
feelings of which of the following?

Acceptance
Attachment
Ambivalence
Apathy
Question 42
What sac-like pouch, suspended from the groin, divided by a septum into two chambers, each

URETHRA
SCROTUM
EPIDIDYMIS
DUCTUS DEFERENS
Question 43
What is the tube which conducts sperm and associated fluids from the testes?

URETHRA
SCROTUM
 EPIDIDYMIS
DUCTUS DEFERENS
Question 44
The hormone responsible for the development of the ovum during the menstrual cycle is?

Estrogen
Progesterone
Follicle Stimulating hormone (FSH)
Luteneizing hormone (LH)
Question 45
The vessels in the umbilical cord are

2 arteries and 2 veins

1 artery and 2 veins
artery and 1 vein
2 arteries and 1 vein
Question 46
Which of the following questions has the highest priority when obtaining a client's prenatal h

Are your immunizations up to date?

Have you ever had a sexually transmitted disease?
What is your usual prepregnant weight?
Do you regularly take any medication?
Question 47
When reviewing the ethical dilemmas facing maternal and newborn nurses today, which of th

Limitation of available options

Support for one viable action
Advancement in technology
Consistent desirable standards
Question 48
The lower uterine segment is formed from the:

Cervix
isthmus and cervix
 body of the uterus
isthmus
Question 49
Protection of the fetus against syphilis during the 1st trimester is attributed to:

amniotic fluid
langhan's layer
Syncitiothrophoblast
placenta
Question 50
Which of the following is derived form mesoderm?

lining of the GI tract

liver
brain
skeletal system