1.

An important development that affects maternity

nursing is integrative health care, which:
a. Blends complementary and alternative therapies with
conventional Western treatment.
2. Healthy People 2020 has established national health
priorities that focus on a number of maternal-child
health indicators. Nurses are assuming greater roles in
assessing family health and providing care across the
perinatal continuum. Therefore, it is important for the
nurse to be aware that significant progress has been
made in:
a. The reduction of fetal deaths and use of prenatal care.
3. An expectant mother states that she reads that more
African-American infants than white infants die before
age 1. In response to her question about the reasons for
this, the nurse accurately responds that the major
reason for the high infant morality rate is:
a. Lack of prenatal care
4. At the first prenatal visit the client reports that her
LMP was November 23, 2019. The nurse determines the
estimated delivery due date to be:
a. August 30,2020
5. On a routine hematocrit screen during a prenatal visit,
the nurse notices that the client is mildly anemic. When
discussing this with the couple, the husband hints that
she might be eating unusual things. The nurse
recognizes the need for the woman to be evaluated for
which condition?
 a. Pica
6. The nurse is examining a woman who came to the clinic
because she thinks she’s pregnant. Which data collected
by the nurse are presumptive signs of her pregnancy?
Select all that apply.
a. Morning sickness ​
b. Breast changes ​
c. Amenorrhea
7. The nurse would recommend the use of which
supplement as a primary prevention strategy to prevent
neutral tube defects in the future offspring of a
pregnant woman?
a. Folic acid
8. Which statement made by the nursing student would
best indicate that her education On family centered care
was fully understood?
a. Child birth affects the entire family, and relationships
will change
9. A nurse is documenting her findings on a new patient
who increased vascularization causing the softening of
the cervix. This is known as:
a. Goodell sign
10. A nurse is instructing a client who is taking oral
contraceptives about dangers to report to the doctor.
The nurse determines that the client understands the
teaching when the client states the need to report which
of the following?
a. Shortness of breath

11. A patient is to receive Clomiphene prior to in vitro

fertilization IVF. The expected action of this medication
 is:
a. Stimulation of ovulation
12. An assisted reproductive procedure which involves
removing a woman’s eggs, mixing them with sperm and
immediately placing them in a fallopian tube is called?
a. GIFT
13. The nurse is preparing educational materials at a
family planning clinic. The patient who is an
appropriate candidate for using emergency
contraceptive would be one who reports:
a. Condom broke yesterday in the middle of her cycle
14. A 19-year-old woman comes to the gynecologist office.
The woman explains that she has never had a menstrual
period, and that she is concerned there might be
something wrong. The diagnosis that the physician is
most likely to make based on this information is:
a. Primary amenorrhea
15. A client complains of severe abdominal and
pelvic pain around the time of menstruation. This
pain has become progressively worse over the
last five years. She also complains of dyspareunia
and has tried unsuccessfully to become pregnant
for the last 18 months. To which condition are the
symptoms most likely related?
a. Endometriosis
16. When giving her obstetrical history, your client
who is currently pregnant with twins tells you that
she has had two prior pregnancies. She had a
miscarriage with the first pregnancy at eight
weeks. The second pregnancy was twins who
were born at 33 weeks, but one twin died 24 hours
 after delivery. The nurse should record that the
client is:
a. G3T0P1A1L1
17. A couple comes to the clinic today and
expresses to the nurse their concerns because
they have been on able to get pregnant after 18
months of unprotected sex, and termination of
pregnancy. The nurse is aware that this is known
as:
a. Primary infertility
18. A client with a normal pregnancy weight asks
what the appropriate amount of weight gain
during her pregnancy is, the most appropriate
response the nurse should be:
a. Gain 25-35 pounds
19. The pregnant patient cannot tolerate milk or
meat. What would the nurse recommend to the
patient to assist in meeting protein needs?
a. Eggs and tofu
20. The most dangerous effect on the fetus of a mother
who smokes cigarettes while pregnant is:
a. Intrauterine growth restriction

21. A woman complains of severe abdominal and pelvic pain around the time of menstruation
that has gotten worse over the last 5 years. She also complains of pain during intercourse
and has tried unsuccessfully to get pregnant for the past 18 months. These symptoms are
most likely related to:

a. Endometriosis
22. When evaluating a patient whose primary complaint is amenorrhea, the nurse must be
aware that lack of menstruation is most often the result of:

a. Pregnancy
23. During her gynecologic checkup, a 17-year-old girl states that recently she has been
 experiencing cramping and pain during her menstrual periods. The nurse would document
this complaint as:

a. Dysmenorrhea
24. With regard to endometriosis, nurses should be aware that:
a. It may worsen with repeated cycles or remain asymptomatic and disappear after
menopause.

25. The two primary areas of risk for sexually transmitted infections (STIs) are:
a. Risky sexual behaviors and inadequate preventive health behaviors
26. Which viral sexually transmitted infection is characterized by a primary infection
followed by recurrent episodes?

a. HSV2
27. The _____ is/are responsible for oxygen and carbon dioxide transport to and from the
maternal bloodstream.

a. Chorionic villi
28. How does my baby get air inside my uterus? The correct response is:
a. The placenta provides oxygen to the baby and excretes carbon dioxide into your
bloodstream.

29. A maternity nurse should be aware of which fact about the amniotic fluid?
a. It serves as a source of oral fluid and a repository for waste from the fetus.
30. The placenta allows exchange of oxygen, nutrients, and waste products between the
mother and fetus by:

a. Contact between maternal blood and fetal capillaries within the chorionic villi.
31. Along with gas exchange and nutrient transfer, the placenta produces many hormones
necessary for normal pregnancy. These include (select all that apply)

a. hcG
b. Estrogen
c. Progesterone
32. A womans obstetric history indicates that she is pregnant for the fourth time and all of her
children from previous pregnancies are living. One was born at 39 weeks of gestation, twins
were born at 34 weeks of gestation, and another child was born at 35 weeks of gestation.
What is her gravidity and parity using the GTPAL system?

a. 4-1-2-0-4
33. The nurse teaches a pregnant woman about the presumptive, probable, and positive signs
 of pregnancy. The woman demonstrates understanding of the nurse’s instructions if she
states that a positive sign of pregnancy is

a. Fetal movement palpated by the nurse-midwife

34. The diagnosis of pregnancy is based on which positive signs of pregnancy (Select all that
apply)?

a. Identification of fetal heartbeat

b. Visualization of the fetus
c. Verification of fetal movement
35. Which symptom is considered a first-trimester warning sign and should be reported
immediately by the pregnant woman to her health care provider? ??????

a. Vaginal bleeding
36. A woman is 3 months pregnant. At her prenatal visit, she tells the nurse that she doesn’t
know what is happening; one-minute she’s happy that she is pregnant, and the next minute
she cries for no reason. Which response by the nurse is most appropriate?

a. Hormonal changes during pregnancy commonly result in mood swings

37. Three servings of milk, yogurt, or cheese plus two servings of meat, poultry, or fish
adequately supply the recommended amount of protein for a pregnant woman. Many
patients are concerned about the increased levels of mercury in fish and may be afraid to
include this source of nutrients in their diet. Sound advice by the nurse to assist the client in
determining which fish is safe to consume would include:

a. Avoid shark, swordfish, and mackerel.

38. The nurse providing care for the antepartum woman should understand that contraction
stress test (CST):

a. Is considered negative if no late decelerations are observed with the contractions.

39. A pregnant woman’s biophysical profile score is 8. She asks the nurse to explain the
results. The nurse’s best response is:

a. Test results are within normal limits

40. When assessing a woman in labor, the nurse is aware that the relationship of the fetal
body parts to one another is called fetal:

a. Attitude
41. To care for a laboring woman adequately, the nurse understands that the __________
stage of labor varies the most in length?

a. First
42. The nurse would expect which maternal cardiovascular finding during labor?
 a. Increased cardiac output
43. The factors that affect the process of labor and birth, known commonly as the five Ps,
include all except:

a. Pressure (she switched up the answer choices for this

one but its pressure)
44. While providing care to a patient in active labor, the nurse should instruct the woman
that:

a. Frequent changes in position will help relieve her fatigue and increase her comfort.
45. The maternity nurse understands that as the uterus contracts during labor, maternal-fetal
exchange of oxygen and waster products:

a. diminishes as the spiral arteries are compressed

46. To teach patients about the process of labor adequately, the nurse knows that which event
is the best indicator of true labor?

a. Cervical dilation and effacement ​

47. Cervical dilation is 1 to 2 cm and uneffaced (unchanged from admission). Membranes are
intact. The nurse should expect the woman to be:

a. Discharged home to await the onset of true labor.

48. Which nursing assessment indicates that a woman who is in second-stage labor is almost
ready to give birth?

a. The vulva bulges and encircles the fetal head.

49. While evaluating an external monitor tracing of a woman in active labor, the nurse notes
that the fetal heart rate (FHR) for five sequential contractions begins to decelerate late in
the contraction, with the nadir of the decelerations occurring after the peak of the
contraction. The nurses first priority is to:

a. Change the woman’s position.

50. The nurse providing care for the laboring woman comprehends that accelerations with
fetal movement:

a. Are reassuring
51. The nurse providing care for the laboring woman should understand that amnioinfusion
is used to treat:

a. Variable decelerations
52. Perinatal nurses are legally responsible for:
a. Correctly interpreting fetal heart rate (FHR) patterns, initiating appropriate nursing
interventions, and documenting the outcomes.
53. When planning care for a laboring woman whose membranes have ruptured, the nurse
recognizes that the woman’s risk for _________________________ has increased.

a. Hemorrhage
54. The priority nursing intervention after an amniotomy should be to:
a. Assess the fetal heart rate.
55.