MARGOT-DESEVO MATERNAL AND CHILD NURSING
CHAPTER 4
1. An antenatal client is informing the nurse of her
prenatal signs and symptoms. Which of the
following findings would the nurse determine are
presumptive signs of pregnancy? Select all that
apply.
1. Amenorrhea.
2. Breast tenderness.
3. Quickening.
4. Frequent urination.
5. Uterine growth.
2. The nurse is assessing the laboratory report of
a 40-week gestation client. Which of the following
values would the nurse expect to find elevated
above prepregnancy levels?
1. Glucose.
2. Fibrinogen.
3. Hematocrit.
4. Bilirubin.
3. When analyzing the need for health teaching of
a prenatal multigravida, the nurse should ask
which of the following questions?
1. “What are the ages of your children?”
2. “What is your marital status?”
3. “Do you ever drink alcohol?”
4. “Do you have any allergies?”
4. A woman whose prenatal weight was 105 lb
weighs 109 lb at her 12-week visit. Which of the
following comments by the nurse is appropriate at
this time?
1. “We expect you to gain 1 lb per week, so your
weight is a little low at this time.”
2. “Most women gain no weight during the first
trimester, so I would suggest you eat fewer
desserts for the next few weeks.”
3. “You entered the pregnancy well underweight,
so we should check your diet to make sure you
are getting the nutrients you need.”
4. “Your weight gain is exactly what we would
expect it to be at this time.”
5. Because nausea and vomiting are such
common complaints of pregnant women, the
nurse provides anticipatory guidance to a 6-week
gestation client by telling her to do which of the
following?
1. Avoid eating greasy foods.
2. Drink orange juice before rising.
3. Drink 2 glasses of water with each meal.
4. Eat 3 large meals plus a bedtime snack.
6. A client enters the prenatal clinic. She states
that she missed her period yesterday and used a
home pregnancy test this morning. She states that
the results were negative, but “I still think I am
pregnant.” Which of the following statements
would be appropriate for the nurse to make at this
time?
1. “Your period is probably just irregular.”
2. “We could do a blood test to check.”
3. “Home pregnancy test results are very
accurate.”
4. “My recommendation would be to repeat the
test in one week.”
7. A gravida, G1 P0000, is having her first prenatal
physical examination. Which of the following
assessments should the nurse inform the client
that she will have that day?
1. Pap smear.
2. Mammogram.
3. Glucose challenge test.
4. Biophysical profile.
8. A 10-week gravid client is being seen in the
prenatal clinic. For the nurse caring for this
patient, providing anticipatory guidance for which
of the following should be a priority?
1. Pain management during labor.
2. Methods to relieve backaches.
3. Breastfeeding positions.
4. Characteristics of the newborn.
9. A client asks the nurse what was meant when
the physician told her she had a positive
Chadwick’s sign. Which of the following
information about the finding would be appropriate
for the nurse to convey at this time?
1. “It is a purplish stretch mark on your abdomen.”
2. “It means that you are having heart
palpitations.”
3. “It is a bluish coloration of your cervix and
vagina.”
4. “It means the doctor heard abnormal sounds
when you breathed in.”
10. A client enters the prenatal clinic. She states
that she believes she is pregnant.
Which of the following hormone elevations will
indicate a high probability that the client is
pregnant?
1. Chorionic gonadotropin.
2. Oxytocin.
3. Prolactin.
4. Luteinizing hormone.
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11. A 16-year-old, G1 P0000, is being seen at her
10-week gestation visit. She tells the nurse that
she felt the baby move that morning. Which of the
following responses by the nurse is appropriate?
1. “That is very exciting. The baby must be very
healthy.”
2. “Would you please describe what you felt for
me?”
3. “That is impossible. The baby is not big enough
yet.”
4. “Would you please let me see if I can feel the
baby?”
12. A 20-year-old client states that the at-home
pregnancy test that she took this morning was
positive. Which of the following comments by the
nurse is appropriate at this time?
1. “Congratulations, you and your family must be
so happy.”
2. “Have you told the baby’s father yet?”
3. “How do you feel about the results?”
4. “Please tell me when your last menstrual period
was.”
13. A client is in the 10th week of her pregnancy.
Which of the following symptoms would the nurse
expect the client to exhibit?
1. Backache.
2. Dyspnea.
3. Fatigue.
4. Diarrhea.
14. The midwife has just palpated the fundal
height at the location noted on the picture below.
It is likely that the client is how many weeks
pregnant?
1. 12.
2. 20.
3. 28.
4. 36.
15. When assessing the psychological adjustment
of an 8-week gravida, which of the following would
the nurse expect to see signs of?
1. Ambivalence.
2. Depression.
3. Anxiety.
4. Ecstasy.
16. A client makes the following statement after
finding out that her pregnancy test is positive,
“This is not a good time. I am in college and the
baby will be due during final exams!” Which of the
following responses by the nurse would be most
appropriate at this time?
1. “I’m absolutely positive that everything will turn
out all right.”
2. “I suggest that you e-mail your professors to set
up an alternate plan.”
3. “It sounds like you’re feeling a little
overwhelmed right now.”
4. “You and the baby’s father will find a way to get
through the pregnancy.”
17. The nurse notes each of the following findings
in a 12-week gestation client. Which of the
findings would enable the nurse to tell the client
that she is positively pregnant?
1. Fetal heart rate via Doppler.
2. Positive pregnancy test.
3. Positive Chadwick’s sign.
4. Montgomery gland enlargements.
18. The nurse takes the history of a client, G2
P1001, at her first prenatal visit. Which of the
following statements would indicate that the client
should be referred to a genetic counselor?
1. “My first child has cerebral palsy.”
2. “My first child has hypertension.”
3. “My first child has asthma.”
4. “My first child has cystic fibrosis.”
19. The nurse has taken a health history on four
primigravid clients at their first prenatal visits. It is
high priority that which of the clients receives
nutrition counseling?
1. The woman diagnosed with phenylketonuria.
2. The woman who has Graves’ disease.
3. The woman with Cushing’s syndrome.
4. The woman diagnosed with myasthenia gravis.
20. Which of the following findings in an 8-week
gestation client, G2 P1001, should the nurse
highlight for the nurse midwife?
1. Body mass index of 17.
2. Blood pressure of 100/60.
3. Hematocrit of 36%.
4. Hemoglobin of 13.2.
21. A woman, 6 weeks pregnant, is having a
vaginal examination. Which of the following would
the practitioner expect to find?
1. Thin cervical muscle.
2. An enlarged ovary.
3. Thick cervical mucus.
4. Pale pink vaginal wall.
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22. A pregnant woman must have a glucose
challenge test (GCT). Which of the following
should be included in the preprocedure teaching?
1. Fast for 12 hours before the test.
2. Bring a urine specimen to the laboratory on the
day of the test.
3. Be prepared to have 4 blood specimens taken
on the day of the test.
4. The test should take one hour to complete.
23. The nurse working in an outpatient obstetric
office assesses four primigravid clients. Which of
the client findings would the nurse highlight for the
physician?
1. 17 weeks’ gestation; denies feeling fetal
movement.
2. 24 weeks’ gestation; fundal height at the
umbilicus.
3. 27 weeks’ gestation; complains of excess
salivation.
4. 34 weeks’ gestation; complains of hemorrhoidal
pain.
24. The following four changes occur during
pregnancy. Which of them usually increases the
father’s interest and involvement in the
pregnancy?
1. Learning the results of the pregnancy test.
2. Attending childbirth education classes.
3. Hearing the fetal heartbeat.
4. Meeting the obstetrician or midwife.
25. The nurse midwife tells a client that the baby
is growing and that ballottement was evident
during the vaginal examination. How should the
nurse explain what the nurse midwife means by
ballottement?
1. The nurse midwife saw that the mucus plug was
intact.
2. The nurse midwife felt the baby rebound after
being pushed.
3. The nurse midwife palpated the fetal parts
through the uterine wall.
4. The nurse midwife assessed that the baby is
head down.
26. A multigravid client is 22 weeks pregnant.
Which of the following symptoms would the nurse
expect the client to exhibit?
1. Nausea.
2. Dyspnea.
3. Urinary frequency.
4. Leg cramping.
27. The glucose challenge screening test is
performed at or after 24 weeks’ gestation to
assess for the maternal physiological response to
which of the following pregnancy hormones?
1. Estrogen.
2. Progesterone.
3. Human placental lactogen.
4. Human chorionic gonadotropin.
28. A client is 15 weeks pregnant. She calls the
obstetric office to request a medication for a
headache. The nurse answers the telephone.
Which of the following is the nurse’s best
response?
1. “Because the organ systems in the baby are
developing right now, it is risky to take medicine.”
2. “You can take any of the over-the-counter
medications because they are all safe in
pregnancy.”
3. “The physician will prescribe a category “X”
medication for you.”
4. “You can take acetaminophen because it is a
category “B” medicine.”
29. A 20-week gestation client is being seen in the
prenatal clinic. Place an “X” on the place on the
abdomen where the nurse would expect the
fundal height to be felt.
30. A client who was seen in the prenatal clinic at
20 weeks’ gestation weighed 128 lb at that time.
Approximately how many pounds would the nurse
expect the client to weigh at her next visit at 24
weeks’ gestation?
1. 129 lb.
2. 130 lb.
3. 131 lb.
4. 132 lb.
31. An 18-week gestation client telephones the
obstetrician’s office stating, “I’m really scared. I
think I have breast cancer. My breasts are filled
with tumors.” The nurse should base the response
on which of the following?
1. Breast cancer is often triggered by pregnancy.
2. Nodular breast tissue is normal during
pregnancy.
3. The woman is exhibiting signs of a psychotic
break.
4. Anxiety attacks are especially common in the
second trimester.
32. A woman states that she frequently awakens
with “painful leg cramps” during the night. Which
MARGOT-DESEVO MATERNAL AND CHILD NURSING
CHAPTER 4
of the following assessments should the nurse
make?
1. Dietary evaluation.
2. Goodell’s sign.
3. Hegar’s sign.
4. Posture evaluation.
33. Which of the following exercises should be
taught to a pregnant woman who complains of
backaches?
1. Kegeling.
2. Pelvic tilting.
3. Leg lifting.
4. Crunching.
34. A woman in her third trimester advises the
nurse that she wishes to breastfeed her baby, “but
I don’t think my nipples are right.” Upon
examination, the nurse notes that the client has
inverted nipples. Which of the following actions
should the nurse take at this time?
1. Advise the client that it is unlikely that she will
be able to breastfeed.
2. Refer the client to a lactation consultant for
advice.
3. Call the labor room and notify them that a client
with inverted nipples will be admitted.
4. Teach the woman exercises in order to evert
her nipples.
35. Which of the following vital sign changes
should the nurse highlight for a pregnant woman’s
obstetrician?
1. Prepregnancy blood pressure (BP) 100/60 and
third trimester BP 140/90.
2. Prepregnancy respiratory rate (RR) 16 rpm and
third trimester RR 22 rpm.
3. Prepregnancy heart rate (HR) 76 bpm and third
trimester HR 88 bpm.
4. Prepregnancy temperature (T) 98.6oF and third
trimester T 99.2oF.
36. A nurse midwife has advised a 39-week
gestation gravid to take evening primrose oil 2500
mg daily as a complementary therapy. This
suggestion was made because evening primrose
has been shown to perform which of the following
actions?
1. Relieve back strain.
2. Improve development of colostrum.
3. Ripen the cervix.
4. Reduce the incidence of hemorrhoids.
37. A 38-week gestation client, Bishop Score 1, is
advised by her nurse midwife to take evening
primrose daily. The office nurse advises the client
to report which of the following side effects that
has been attributed to the oil?
1. Skin rash.
2. Pedal edema.
3. Blurred vision.
4. Tinnitus.
38. A 37-week gravid client states that she noticed
a “white liquid” leaking from her breasts during a
recent shower. Which of the following nursing
responses is appropriate at this time?
1. Advise the woman that she may have a
galactocele.
2. Encourage the woman to pump her breasts to
stimulate an adequate milk supply.
3. Assess the liquid because a breast discharge is
diagnostic of a mammary infection.
4. Reassure the mother that this is normal in the
third trimester.
39. A 36-week gestation gravid client is
complaining of dyspnea when lying flat. Which of
the following is the likely clinical reason for this
complaint?
1. Maternal hypertension.
2. Fundal height.
3. Hydramnios.
4. Congestive heart failure.
40. The nurse is providing anticipatory guidance
to a woman in her second trimester regarding
signs/symptoms that she might experience in the
coming weeks. Which of the following comments
by the client indicates that further teaching is
needed?
1. “During the third trimester I may experience
frequent urination.”
2. “During the third trimester I may experience
heartburn.”
3. “During the third trimester I may experience
back pain.”
4. “During the third trimester I may experience
persistent headache.”
41. A client, in her third trimester, is concerned
that she will not know the difference between labor
contractions and normal aches and pains of
pregnancy. How should the nurse respond?
1. “Don’t worry. You’ll know the difference when
the contractions start.”
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2. “The contractions may feel just like a backache, 47. The nurse is interviewing a 38-week gestation
but they will come and go.” Muslim woman. Which of the following questions
3. “Contractions are a lot worse than your would be inappropriate for the nurse to ask?
pregnancy aches and pains.” 1. “Do you plan to breastfeed your baby?”
4. “I understand. You don’t want to come to the 2. “What do you plan to name the baby?”
hospital before you are in labor.” 3. “Which pediatrician do you plan to use?”
4. “How do you feel about having an episiotomy?”
42. Which finding would the nurse view as normal
when evaluating the laboratory reports of a 34- 48. A woman is 36-weeks’ gestation. Which of the
week gestation client? following tests will be done during her prenatal
1. Anemia. visit?
2. Thrombocytopenia. 1. Glucose challenge test.
3. Polycythemia. 2. Amniotic fluid volume assessment.
4. Hyperbilirubinemia. 3. Vaginal and rectal cultures.
4. Karyotype analysis.
43. The nurse asks a 31-week gestation client to
lie on the examining table during a 49. A 34-week gestation woman calls the obstetric
prenatal examination. In which of the following office stating, “Since last night I have had three
positions should the client be nosebleeds.” Which of the following responses by
placed? the nurse is appropriate?
1. Orthopneic. 1. “You should see the doctor to make sure you
2. Lateral-recumbent. are not becoming severely anemic.”
3. Sims’. 2. “Do you have a temperature?”
4. Semi-Fowler’s. 3. “One of the hormones of pregnancy makes the
nasal passages prone to bleeds.”
44. A third-trimester client is being seen for routine 4. “Do you use any inhaled drugs?”
prenatal care. Which of the following assessments
will the nurse perform during the visit? Select all 50. The nurse asks a woman about how the
that apply. woman’s husband is dealing with the pregnancy.
1. Blood glucose. The nurse concludes that counseling is needed
2. Blood pressure. when the woman makes which of the following
3. Fetal heart rate. statements?
4. Urine protein. 1. “My husband is ready for the pregnancy to end
5. Pelvic ultrasound. so that we can have sex again.”
2. “My husband has gained quite a bit of weight
45. A nurse is working in the prenatal clinic. Which during this pregnancy.”
of the following findings seen in third-trimester 3. “My husband seems more worried about our
pregnant women would the nurse consider to be finances now than before the pregnancy.”
within normal limits? Select all that apply. 4. “My husband plays his favorite music for my
1. Leg cramps. belly so the baby will learn to like it.”
2. Varicose veins.
3. Hemorrhoids. 51. The blood of a pregnant client was initially
4. Fainting spells. assessed at 10 weeks’ gestation and reassessed
5. Lordosis. at 38 weeks’ gestation. Which of the following
results would the nurse expect to see?
46. A 36-week gestation gravid lies flat on her 1. Rise in hematocrit from 34% to 38%.
back. Which of the following maternal 2. Rise in white blood cells from 5,000 cells/mm3
signs/symptoms would the nurse expect to to 15,000 cells/mm3.
observe? 3. Rise in potassium from 3.9 mEq/ L to 5.2 mEq/
1. Hypertension. L.
2. Dizziness. 4. Rise in sodium from 137 mEq/ L to 150 mEq/ L.
3. Rales.
4. Chloasma. 52. A client is 35 weeks’ gestation. Which of the
following findings would the nurse expect to see?
MARGOT-DESEVO MATERNAL AND CHILD NURSING
CHAPTER 4
1. Nausea and vomiting.
2. Maternal ambivalence.
3. Fundal height 10 cm above the umbilicus.
4. Use of three pillows for sleep comfort.
53. A woman, 26-weeks’ gestation, calls the triage
nurse stating, “I’m really scared. I tried not to but I
had an orgasm when we were making love. I just
know that I will go into preterm labor now.” Which
of the following responses by the nurse is
appropriate?
1. “Lie down and drink a quart of water. If you feel
any back pressure at all call me back right away.”
2. “Although oxytocin was responsible for your
orgasm, it is very unlikely that it will stimulate
preterm labor.”
3. “I will inform the doctor for you. What I want you
to do is to come to the hospital right now to be
checked.”
4. “The best thing for you to do right now is to take
a warm shower, and then do a fetal kick count
assessment.”
54. A couple is preparing to interview obstetric
primary care providers in order to determine who
they will go to for care during their pregnancy and
delivery. In order to make the best choice, which
of the following actions should the couple perform
first?
1. Take a tour of hospital delivery areas.
2. Develop a preliminary birth plan.
3. Make appointments with three or four obstetric
care providers.
4. Search the internet for the malpractice histories
of the providers.
55. During a preconception counseling session,
the nurse encourages a couple to prepare a birth
plan. Which of the following is the most important
goal for this action?
1. Promote communication between the couple
and health care professionals.
2. Enable the couple to learn about the types of
medicine used in labor.
3. Provide the couple with a list of items that they
should put in a bag for labor.
4. Give the high-risk couple a sense of control
over having to have a cesarean.
56. The nurse is assisting a couple to develop
decisions for their birth plan. Which of
the following decisions should be considered non-
negotiable by the parents?
1. Whether or not the father will be present during
labor.
2. Whether or not the woman will have an
episiotomy.
3. Whether or not the woman will be able to have
an epidural.
4. Whether or not the father will be able to take
pictures of the delivery.
57. During a prenatal visit, a gravid client is
complaining of ptyalism. Which of the following
nursing interventions is appropriate?
1. Encourage the woman to brush her teeth
carefully.
2. Advise the woman to have her blood pressure
checked regularly.
3. Encourage the woman to wear supportive
hosiery.
4. Advise the woman to avoid eating rare meat.
58. A gravid woman who recently emigrated from
mainland China is being seen at her first prenatal
visit. She was never vaccinated in her home
country. An injection to prevent which of the
following communicable diseases should be
administered to the woman during her
pregnancy?
1. Influenza.
2. Mumps.
3. Rubella.
4. Varicella.
59. A gravid woman and her husband inform the
nurse that they have just moved into a three-story
home that was built in the 1930s. Which of the
following is critical for the nurse to advise the
woman in order to protect the unborn child?
1. Stay out of any rooms that are being renovated.
2. Drink water only from the hot water tap.
3. Refrain from entering the basement.
4. Climb the stairs only once per day.
60. After nutrition counseling, a woman, G3
P1101, proclaims that she certainly can’t eat any
strawberries during her pregnancy. Which of the
following is the likely reason for this statement?
1. The woman is allergic to strawberries.
2. Strawberries have been shown to cause birth
defects.
3. The woman believes in old wives’ tales.
4. The premature baby died because the woman
ate strawberries.
61. A woman is planning to become pregnant.
Which of the following actions should she be
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counseled to take before stopping birth control?
Select all that apply.
1. Take a daily multivitamin.
2. See a medical doctor.
3. Drink beer instead of vodka.
4. Stop all over-the-counter medications.
5. Stop smoking cigarettes.
62. The nurse discusses sexual intimacy with a
pregnant couple. Which of the following should be
included in the teaching plan?
1. Vaginal intercourse should cease by the
beginning of the third trimester.
2. Breast fondling should be discouraged because
of the potential for preterm labor.
3. The couple may find it necessary to experiment
with alternate positions.
4. Vaginal lubricant should be used sparingly
throughout the pregnancy.
63. Which of the following skin changes should the
nurse highlight for a pregnant woman’s health
care practitioner?
1. Linea nigra.
2. Melasma.
3. Petechiae.
4. Spider nevi.
64. A pregnant woman informs the nurse that her
last normal menstrual period was on
September 20, 2006. Using Nagele’s rule, the
nurse calculates the client’s estimated
date of delivery as:
1. May 30, 2007.
2. June 20, 2007.
3. June 27, 2007.
4. July 3, 2007.
65. A father experiencing couvade syndrome is
likely to exhibit which of the following
symptoms/behaviors?
1. Heartburn.
2. Promiscuity.
3. Hypertension.
4. Indifference.
66. A nurse is advising a pregnant woman about
the danger signs of pregnancy. The nurse should
teach the mother that she should notify the
physician immediately if she experiences which of
the following signs/symptoms? Select all that
apply.
1. Convulsions.
2. Double vision.
3. Epigastric pain.
4. Persistent vomiting.
5. Polyuria.
67. A woman provides the nurse with the following
obstetrical history: Delivered a son, now 7 years
old, at 28 weeks’ gestation; delivered a daughter,
now 5 years old, a 39 weeks’ gestation; had a
miscarriage 3 years ago, and had a first-trimester
abortion 2 years ago. She is currently pregnant.
Which of the following portrays an accurate
picture of this woman’s gravidity and parity?
1. G4 P2121.
2. G4 P1212.
3. G5 P1122.
4. G5 P2211.
68. The partner of a gravida accompanies her to
her prenatal appointment. The nurse notes that
the father of the baby has gained weight since she
last saw him. Which of the following comments is
most appropriate for the nurse to make to the
father?
1. “I see that you are gaining weight right along
with your partner.”
2. “You and your partner will be able to go on a
diet together after the baby is born.”
3. “I can see that you are a bad influence on your
partner’s eating habits.”
4. “I am so glad to see that you are taking so much
interest in your partner’s pregnancy.”
69. The nurse is caring for a pregnant client who
is a vegan. Which of the following foods should the
nurse suggest the client consume as substitutes
for restricted foods?
1. Tofu, legumes, broccoli.
2. Corn, yams, green beans.
3. Potatoes, parsnips, turnips.
4. Cheese, yogurt, fish.
70. When assessing the fruit intake of a pregnant
client, the nurse notes that the client usually eats
1 piece of fruit per day and drinks 7 to 8 servings
of fruit juice per day.
Which of the following is the most important
communication for the nurse to make?
1. “You are effectively meeting your daily fruit
requirements.”
2. “Fruit juices are excellent sources of folic acid.”
3. “It would be even better if you were to consume
more whole fruits and less fruit juice.”
4. “Your fruit intake far exceeds the recommended
daily fruit intake.”
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71. A client states that she is a strong believer in
vitamin supplements to maintain her health. The
nurse advises the woman that it is recommended
to refrain from consuming excess quantities of
which of the following vitamins during pregnancy?
1. Vitamin C.
2. Vitamin D.
3. Vitamin B2 (niacin).
4. Vitamin B12 (cobalamin).
72. A vegan is being counseled regarding vitamin
intake. It is essential that this woman supplement
which of the following B vitamins?
1. B1 (thiamine).
2. B2 (niacin).
3. B6 (pyridoxine).
4. B12 (cobalamin).
73. A client informs the nurse that she is “very
constipated.” Which of the following foods would
be best for the nurse to recommend to the client?
1. Bananas.
2. Rice.
3. Yogurt.
4. Celery.
74. A pregnant client is lactose intolerant. Which
of the following alternative calciumrich foods could
this woman consume?
1. Turnip greens.
2. Green beans.
3. Cantaloupe.
4. Nectarines.
75. A nurse, who is providing nutrition counseling
to a new gravid client, advises the woman that a
serving of meat is approximately equal in size to
which of the following items?
1. Deck of cards.
2. VCR tape.
3. CD case.
4. Video camera.
76. The nurse is evaluating the 24-hour dairy
intake of four gravid clients. Which of the following
clients consumed the highest number of dairy
servings during 1 day?
The client who consumed:
1. 4 oz whole milk, 2 oz hard cheese, 1 cup of
pudding made with milk and 2 oz cream cheese.
2. 1 cup yogurt, 8 oz chocolate milk, 1 cup cottage
cheese, and 11⁄2 oz hard cheese.
3. 1⁄2 cup cottage cheese, 8 oz whole milk, 1 cup
of buttermilk, and 1⁄2 oz hard cheese.
4. 1⁄2 cup frozen yogurt, 8 oz skim milk, 4 oz
cream cheese, and 11⁄2 cup of cottage cheese.
77. Which of the following choices can the nurse
teach a prenatal client is equivalent to one 2-oz
meat serving?
1. 4 tbsp peanut butter.
2. 2 eggs.
3. 1 cup cooked lima beans.
4. 2 ounces mixed nuts.
78. A nurse is discussing the serving sizes in the
grain food group with a new prenatal client. Which
of the following foods equals 1 serving size from
the grain group? Select all that apply.
1. 1 bagel.
2. 1 slice of bread.
3. 1 cup cooked pasta.
4. 1 tortilla.
5. 1 cup dry cereal.
79. A woman asks the nurse about consuming
herbal supplements during pregnancy.
Which of the following responses is appropriate?
1. Herbals are natural substances, so they are
safely ingested during pregnancy.
2. It is safe to take licorice and cat’s claw, but no
other herbs are safe.
3. A federal commission has established the
safety of herbals during pregnancy.
4. The woman should discuss everything she eats
with a health care practitioner.
80. A Chinese immigrant is being seen in the
prenatal clinic. When providing nutrition
counseling, which of the following factors should
the nurse keep in mind?
1. Many Chinese eat very little protein.
2. Many Chinese believe pregnant women should
eat cold foods.
3. Many Chinese are prone to anemia.
4. Many Chinese believe strawberries can cause
birth defects.
81. A nurse has identified the following nursing
diagnosis for a prenatal client: Altered nutrition:
less than body requirements related to poor folic
acid intake. Which of the following foods should
the nurse suggest the client consume?
1. Potatoes and grapes.
2. Cranberries and squash.
3. Apples and corn.
4. Oranges and spinach.
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82. A nurse is discussing diet with a pregnant
woman. Which of the following foods should the
nurse advise the client to avoid consuming during
her pregnancy?
1. Bologna.
2. Cantaloupe.
3. Asparagus.
4. Popcorn.
83. A 12-week gestation client tells the nurse that
she and her husband eat sushi at least once per
week. She states, “I know that fish is good for me,
so I make sure we eat it regularly.” Which of the
following responses by the nurse is appropriate?
1. “You are correct. Fish is very healthy for you.”
2. “You can eat fish, but sushi is too salty to eat
during pregnancy.”
3. “Sushi is raw. Raw fish is especially high in
mercury.”
4. “It is recommended that fish be cooked to
destroy harmful bacteria.”
84. The nurse is caring for a prenatal client who
states she is prone to developing anemia. Which
of the following foods should the nurse advise the
gravida is the best source of iron?
1. Raisins.
2. Hamburger.
3. Broccoli.
4. Molasses.
85. It is discovered that a pregnant woman
practices pica. Which of the following
complications is most often associated with this
behavior?
1. Hypothyroidism.
2. Iron deficiency anemia.
3. Hypercalcemia.
4. Overexposure to zinc.
86. A woman confides in the nurse that she
practices pica. Which of the following alternatives
could the nurse suggest to the woman?
1. Replace laundry starch with salt.
2. Replace ice with frozen fruit juice.
3. Replace soap with cream cheese.
4. Replace soil with uncooked pie crust.
87. A mother is experiencing nausea and vomiting
every afternoon. The ingestion of which of the
following spices has been shown to be a safe
complementary therapy for this complaint?
1. Ginger.
2. Sage.
3. Cloves.
4. Nutmeg.
88. A woman tells the nurse that she would like
suggestions for alternate vitamin C sources
because she isn’t very fond of citrus fruits. Which
of the following suggestions is appropriate?
1. Barley and brown rice.
2. Strawberries and potatoes.
3. Buckwheat and lentils.
4. Wheat flour and figs.
89. A nurse is providing diet counseling to a new
prenatal client. Which of the following dairy
products should the client be advised to avoid
eating during the pregnancy?
1. Vanilla yogurt.
2. Parmesan cheese.
3. Gorgonzola cheese.
4. Chocolate milk.
90. A woman asks the nurse about the function of
amniotic fluid. Which of the following statements
by the woman indicates that additional teaching is
needed?
1. The fluid provides fetal nutrition.
2. The fluid cushions the fetus from injury.
3. The fluid enables the fetus to grow.
4. The fluid provides a stable thermal
environment.
91. Why is it essential that women of childbearing
age be counseled to plan their pregnancies?
1. Much of the organogenesis occurs before the
missed menstrual period.
2. Insurance companies must preapprove many
prenatal care expenditures.
3. It is recommended that women be pregnant no
more than 3 times during their lifetime.
4. The cardiovascular system is stressed when
pregnancies are less than 2 years apart.
92. A woman has just completed her first
trimester. Which of the following fetal structures
can the nurse tell the woman are well formed at
this time? Select all that apply.
1. Genitals.
2. Heart.
3. Fingers.
4. Alveoli.
5. Kidneys.
93. An ultrasound of a fetus’ heart shows that
normal fetal circulation is occurring.
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Which of the following statements should the
nurse interpret as correct in relation to the fetal
circulation?
1. The foramen ovale is a hole between the
ventricles.
2. The umbilical vein contains oxygen-poor blood.
3. The right atrium contains both oxygen-rich and
oxygen-poor blood.
4. The ductus venosus lies between the aorta and
pulmonary artery.
94. The nurse is teaching a couple about fetal
development. Which statement by the nurse is
correct about the morula stage of development?
1. “The fertilized egg has yet to implant into the
uterus.”
2. “The lung fields are finally completely formed.”
3. “The sex of the fetus can be clearly identified.”
4. “The eye lids are unfused and begin to open
and close.”
95. A woman is carrying dizygotic twins. She asks
the nurse about the babies. Which of the following
explanations is accurate?
1. During a period of rapid growth, the fertilized
egg divided completely.
2. When the woman ovulated, she expelled two
mature ova.
3. The babies share one placenta and a common
chorion.
4. The babies will definitely be the same sex and
have the same blood type.
96. A mother has just experienced quickening.
Which of the following developmental changes
would the nurse expect to occur at the same time
in the woman’s pregnancy?
1. Fetal heart begins to beat.
2. Lanugo covers the fetal body.
3. Kidneys secrete urine.
4. Fingernails begin to form.
97. A woman who is seen in the prenatal clinic is
found to be 8 weeks pregnant. She confides to the
nurse that she is afraid her baby may be
“permanently damaged because I had at least 5
beers the night I had sex.” Which of the following
responses by the nurse would be appropriate?
1. “I would let the doctor know that if I were you.”
2. “It is unlikely that the baby was affected.”
3. “Abortions during the first trimester are very
safe.”
4. “An ultrasound will tell you if the baby was
affected.”
98. A gravida’s fundal height is noted to be at the
xiphoid process. The nurse is aware that which of
the following fetal changes is likely to be occurring
at the same time in the pregnancy?
1. Surfactant is formed in the fetal lungs.
2. Eyes begin to open and close.
3. Respiratory movements begin.
4. The spinal column is completely formed.
99. Below are four important landmarks of fetal
development. Please place them in chronological
order:
1. Four-chambered heart is formed.
2. Vernix caseosa is present.
3. Blastocyst development is complete.
4. Testes have descended into the scrotal sac.
100. A client is having an ultrasound assessment
done at her prenatal appointment at 8 weeks’
gestation. She asks the nurse, “Can you tell what
sex my baby is yet?” Which of the following
responses would be appropriate for the nurse to
make at this time?
1. “The technician did tell me the sex, but I will
have to let the doctor tell you what it is.”
2. “The organs are completely formed and
present, but the baby is too small for any to be
seen.”
3. “The technician says that the baby has a penis.
It looks like you are having a boy.”
4. “I am sorry. It will not be possible to see which
sex the baby is for another month or so.”
101. Which of the following developmental
features would the nurse expect to be absent in a
41-week gestation fetus?
1. Fingernails.
2. Eye lashes.
3. Lanugo.
4. Milia.
102. A woman delivers a fetal demise that has
lanugo covering the entire body, nails that are
present on the fingers and toes, but eyes that are
still fused. Prior to the death, the mother stated
that she had felt quickening. Based on this
information, the nurse knows that the baby is
about how many weeks’ gestation?
1. 15 weeks.
2. 22 weeks.
3. 29 weeks.
4. 36 weeks.
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103. A client asks the nurse, “Could you explain

how the baby’s blood and my blood separate at
delivery?” Which of the following responses is
appropriate for the nurse to make?
1. “When the placenta is born, the circulatory
systems separate.”
2. “When the doctor clamps the cord, the blood
stops mixing.”
3. “The separation happens after the baby takes
the first breath. The baby’s oxygen no longer has
to come from you.”
4. “The blood actually never mixes. Your blood
supply and the baby’s blood supply are
completely separate.”

104. Please place an “X” on the drawing of the

cross section of a placenta at the site of gas
exchange.

105. The nurse is reading an article that states

that the maternal mortality rate in the United
States in the year 2000 was 17. Which of the
following statements would be an accurate
interpretation of the statement?
1. There were 17 maternal deaths in the United
States in 2000 per 100,000 live births.
2. There were 17 maternal deaths in the United
States in 2000 per 100,000 women of childbearing
age.
3. There were 17 maternal deaths in the United
States in 2000 per 100,000 pregnancies.
4. There were 17 maternal deaths in the United
States in 2000 per 100,000 women in the country.