maternity exam practice questions

After the initial prenatal visit, subsequent visits include what assessment pieces? Select all that apply

listening to fetal heart tones measuring fundal height

Which medication would the nurse prepare to administer if prescribed as treatment for an unruptured ectopic pregnancy?

methotrexate

Which of the following is not the correct definition for terms used when documenting variability?

moderate - fluctuation range of 6-20 bpm

The nurse interprets this as indicating that the tear extends through which area for a 2nd degree laceration:

muscles of perineal body

When utilizing a doula during labor, the client would expect which services to be included? Select all that apply.

non medical companion emotional, physical, and educational support

A woman arrives to the clinic for a pregnancy test. Her last menstrual period (LMP) was February 14, 2019. Her expected due date (EDD) is:

november 21, 2019

Probable signs of pregnancy are:

observed by the healthcare provider

What location should the nurse position the transducer to monitor the fetal heart rate?

over the fetal shoulder

The two primary functions of the ovary are:

ovulation and hormone production

Which of the following patients conditions would we use Methylergonovine for?

postpartum hemorrhage

Where does the nurse find the historical information about all visits with a provider during pregnancy including vital signs, fundal height, and any concerns?

prenatal record

A woman 7 months pregnant comes in for a prenatal visit. She reports "feeling dizzy when I lie flat on my back." The nurse explains that this is due to:

pressure of the gravid uterus on the vena cava

When assessing the FHR pattern, which finding would alter the nurse to a possible problem?

prolonged decelerations

Which of the following is correct about Wharton's jelly and its purpose

protect umbilical arteries and veins

Which of the following is NOT a function of amniotic fluid?

provides nutrients and oxygen

Which of the following is not considered normal labor?

regular progression contractions

In fetal circulation, the foramen oval shunts blood from ____________ to the ____________.

right atrium, left atrium

When documenting the fetal presentation 3 letter abbreviation, the nurse knows that the first letter stands for which of the following?

right or left

Which of the follow are criteria for the sue of internal monitors?

rupture membranes presenting fetal part low enough for placement benefit outweighs risk

Which of the following statements are correct about meconium. Meconium ________________

should be passed within the first 24 hours of life

A woman presents to L&D complaining of being in labor. You, the nurse, assess her and have the following findings: 4 cm/70%/-1. She is intact and contracting every 3 minutes, firm contractions. What stage and phase of labor is she in?

stage 1, active phase

A woman exhibits understanding of instructions for performing a home pregnancy test to maximize accuracy if she:

takes the test with the first void of the day

Which of the following is the name of the external monitor part that monitors the uterine contractions?

tocodynameter

Which sexually transmitted infection is Metronidazole used to treat?

trichomoniasis

The nurse documents that the patients vaginal exam is 4cm/100%/+2. Therefore, we know the baby's presenting part is below the ischial spines. True or False.

true

Your patient is having recurrent late decelerations. Which of the following interventions should you attempt to resolve the late decelerations?

turn the patient to the left side

A nurse is reviewing the FHR pattern and observes an abrupt decrease in FHR below the baseline (lasting less than 30 sec), appearing as a U-shape. The nurse interprets these changes as reflecting which type of deceleration?

variable decelerations

Which of the following cephalic fetal presentations is considered optimal for vaginal delivery?

vertex

___________________________ is the word to describe a newborn 22 weeks gestation and older with the capacity to live outside the uterus.

viability

A woman telephones her health care provider and reports that her water just broke. Which suggestion by the nurse would be the most appropriate?

"go to the hospital for an evaluation"

Sally comes in her first prenatal examination at 8 weeks gestation. This is her first child. She asks the nurse, "How does my baby get air inside my uterus?" The correct response is:

"the placenta provides oxygen to the baby and excretes carbon dioxide into your bloodstream"

Question 15 options: Dawn has regular 32 day cycles. Her last period began September 4, 2018 and ended September 8, 2018. What is her EDD? (MM/DD/YYYY)

06/11/2019

When administering oxytocin to a patient for induction of labor which of the following doses would be utilized?

1-2 milliunits/min IV q 30 min

The nurse documents the patient as completely dilated, how dilated is the patient?

10 cm

Susan had a menstrual cycle that began on January 24, 2019 and ended 5 days later. What is her EDD? (MM/DD/YYYY)

10/31/2019

The normal baseline of a FHR is?

110-160 bpm

What is the baseline FHR for the fetal monitor strip shown?

145 bpm

A client who is in her first trimester is anxious to have an ultrasound at each visit. The nurse explains that it is not necessary and schedules a second ultrasound to be performed when she is about:

18-20 weeks

The fetus of a nulliparous woman is in a shoulder presentation. The nurse would most likely prepare the client for which type of birth?

cesarean

The following are skin changes in pregnancy EXCEPT:

chadwick's sign

How many minutes of interpretable data is needed on a fetal monitoring strip in order for the nurse to document what is present?

2 minutes

A mother comes in with her 17 year old daughter to find out why she has not had a menstrual cycle for a few months. Examination confirms the daughter is pregnant with a fundal height of 24 cm. The nurse interprets this finding as indicating that the daughter is approximately how many weeks pregnant?

24

The nurse assists in supporting the patient by administering Pitocin during labor. The nurse documents late decelerations on the fetal monitor. Prioritize the order for the following nursing actions: 1. Call the nurse midwife 2. Apply oxygen via face mask 3. Roll the patient to her left side 4. Educate the patient regarding late decelerations

3, 2, 1, 4

Intermittent auscultation every ____ minutes during labor for low-risk women and every ____ for high-risk women

30, 15

During pregnancy until the 32nd week the cardiac output increase by ___________.

30-50%

A nurse is providing care to several pregnant women at different weeks of gestation. The nurse would expect to screen for Group B Streptococcus infection in the client who is at:

36 weeks gestation

A woman has just entered the second stage of labor. The nurse would focus care on which intervention?

encouraging the woman to push when she has a strong desire to do so

The nurse reviews the patients chart and determines the patient may be a risk for late decelerations. Which of the following reasons put the patient at risk?

42 weeks gestation

With Nagele's Rule the formula to follow to determine EDD is to add 1 year, subtract 3 months and add ______ days (how many days)?

7

Which describes the stage of the fetus?

8 weeks to 9 months

Which of the following is not a goal of prenatal care?

ensure that all women have at least 15 visits

A patient is 20 weeks gestation. She must schedule a follow up appointment, how often is she following up for prenatal visits?

every 4 weeks

All women follow a normal labor progression which can be charted and based upon the labor curve, healthcare providers know when birth will occur. T/F

false

Which of the following medications is utilized for pain management by administering through the epidural

fentanyl

Urinary frequency is a common complaint during the _____ and _____ trimesters

first, third

Which of the following hormones is not produced by the placenta?

follicle-stimulating hormone

Which of the following is NOT an evidence based method of how to push?

for 3, 10 second spurts

Which of the following is the term used for the rounded portion of the uterus that is directed upward (the top of the uterus)?

fundus

At the first prenatal visit, the client reports her LMP was November 16, 2017. The nurse determines the estimated due date to be:

August 23, 2018

What causes early decelerations?

head compression

The following vaginal exam means which of the following about the patient. Suzy is 6cm/100%/0

her cervix is completely thinned out

What term is used to describe the period of time during which a woman is laboring and giving birth?

intrapartum

These fine hairs can be seen on newborns across the shoulders, back and around the face.

lanugo

The nurse documents the following about the amniotic fluid: fluid is clear with small white flecks noted, large amounts of fluid noted, and no odor present. Which of the following are considered abnormal findings?

large amounts

A pregnant woman comes to the clinic for a visit. This is is her third pregnancy. She had a miscarriage at 12 weeks and gave birth to a son, now 3 years old, at 32 weeks. Using the GTPAL system, the nurse would document this woman's obstetric history as:

G3T0P1A1L1

May is 6 weeks pregnant. Her previous two pregnancies ended in live birth at 41 weeks. What is her GTPAL? G ___ T ___ P ___ A ___ L ___

G3T2P0A0L2

A nurse is a prenatal clinic is reviewing the record of a client at 28 weeks of gestation. The woman's history reveals one pregnancy, terminated by elective abortion at 9 weeks; the birth of twins at 36 weeks; and a spontaneous abortion at 15 weeks. According to the GTPAL system, which of the following describes her present situation?

G4T0P1A2L2

Susan is experiencing her fourth pregnancy. Her first pregnancy ended in spontaneous abortion at 8 weeks, the second resulted in a live birth of twin boys at 38 weeks, the third resulted in the live birth of a daughter at 34 weeks. What is the GTPAL?G ___T___P___A___L___

G4T1P1A1L3

A woman's obstetric history indicates that she is pregnant for the fifth time, and all her children from previous pregnancies are living. Two were born at 39 weeks gestation, twins were born at 34 weeks gestation, and another child was born at 33 weeks gestation. What is her gravity and parity using the GTPAL system?

G5T2P2A0L5

What are the names of the two phases of the second stage of labor?

latent and active

Which of the following are the names of the two phases of the second stage of labor?

latent and active

A nurse is working as part of a community group focusing efforts on preventing isoimmunization during pregnancy at the local women's health clinic. Which measure would the group encourage?

RhoGAM admin to Rh-negative women

10 cm/100%+2. Her water has broken and she is contracting every 2 min and feeling the urge to bear down. Which stage and phase of labor is she?

Stage 2, active phase

What are the phases of the first stage of labor

latent, active, transition

Prenatal testing for the Human Immunodeficiency Virus (HIV) is recommended for which women?

all women, regardless of risk factors

The nurse needs to monitor a laboring patient. She has an order for intermittent or continuous monitoring. What is one of the benefits of utilizing intermittent monitoring on her patient?

allows her patient to walk around while laboring

A woman at 10 weeks gestation who is seen in the prenatal clinic with presumptive signs and symptoms of pregnancy likely has:

amenorrhea

Which of the following terms refers to the period of a woman's pregnancy from conception to onset of labor?

antepartum

In the fetus, the ductus __________________connects the main pulmonary artery to the aorta.

arteriosus

A client is to have an amniotomy to induce labor. The nurse recognizes that the priority intervention after the amniotomy is to:

assess the FHR

A woman is 20 weeks pregnant. The nurse would expect to palpate the fundus at which location?

at the umbilicus

________________must occur before a sperm may enter an ovum

capacitation

The nurse decides to determine the position of the baby externally allowing for determination of where to place the transducer. Which assessment method will they use?

leopold's maneuvers