Prenatal Care Review Questions

1
Prenatal Care Review Questions

• Ana H. Corona, MSN, FNP-C
• Nursing Instructor
• February 2009

2

• A client arrives at a prenatal clinic for the
  first prenatal assessment. The client tells a
  nurse that the first day of her last menstrual
  period was September 19, 2005. Using Nageles
  rule, the nurse determines the estimated date of
  confinement as
• a. July 26, 2006
• b. June 12, 2007
• c. June 26, 2006
• d. July 12, 2007

3

• answer is c

4

• A nurse is performing an assessment of a pregnant
  client who is at 28 weeks of gestation. The nurse
  measures the fundal height in centimeters and
  expects the findings to be which of the
  following
• a. 22 cm
• b. 30 cm
• c. 36 cm
• d. 40 cm

5

• answer is b

6

• A pregnant client is seen in a health care clinic
  for a regular prenatal visit. The client tells
  the nurse that she is experiencing irregular
  contractions and the nurse determines that she is
  experiencing Braxton Hicks contractions. Based on
  this finding, which nursing actions is most
  appropriate
• a. instruct the client to maintain bed rest for
  the remainder of the pregnancy.
• b. inform the client that these are common and
  may occur throughout the pregnancy
• c. contact the physician
• d. call the maternity unit and inform them that
  the client will be admitted in a pre-labor
  condition.

7

• answer is b

8

• A nurse is reviewing the record of a client who
  has just been told that a pregnancy test is
  positive. The physician has documented the
  presence of Goodells sign. The nurse determines
  that this sign indicates
• a. softening of the cervix
• b. a soft blowing sound that corresponds to the
  maternal pulse during auscultation of the uterus.
• c. the presence of human chorionic gonadotropin
  in the urine.
• d. the presence of fetal movement.

9

• Answer is a

10

• A nursing instructor asks a nursing student who
  is preparing to assist with the assessment of a
  pregnant client to describe the process of
  quickening. Which of the following statements if
  made by the student indicates an understanding of
  this term?
• a. It is the irregular, painless contractions
  that occur throughout pregnancy
• b. It is the soft blowing sound that can be heard
  when the uterus is auscultated
• c. it is the fetal movement that is felt by the
  mother
• d. it is the thinning of the lower uterine
  segment.

11

• Answer is C

12

• A nurse midwife is performing an assessment of a
  pregnant client and is assessing the client for
  the presence of ballottement. Which of the
  following would the nurse implement to test for
  the presence of ballottement?
• a. auscultating for fetal heart sounds
• b. Palpating the abdomen for fetal movement
• c. assessing the cervix for thinning
• d. initiating a gentle upward tap on the cervix

13

• Answer is D

14

• A pregnant client asks the nurse in the clinic
  when she will be able to start feeling the fetus
  move. The nurse responds by telling the mother
  that the fetal movement will be noted between
• a. 6 and 8 weeks
• b. 8 and 10 weeks
• c. 10 and 12 weeks
• d. 14 and 16 weeks

15

• The answer is D

16

• Softening of the cervix is
• a. Hegars Sign
• b. Quickening
• c. Goodells Sign
• d. Chadwicks Sign

17

• The answer is C

18

• A 36 week pregnant woman with a 3 year old, a 1
  year old and has a miscarriage at 7 weeks would
  be
• a. G4P2A1
• b. G4P2A0
• c. G3P2A1
• d. G4P4A0

19

• Answer is A

20

• A nursing instructor is conducting lecture and is
  reviewing the functions of the female
  reproductive system. She asks Mark to describe
  the follicle-stimulating hormone (FSH) and the
  luteinizing hormone (LH). Mark accurately
  responds by stating that
• FSH and LH are released from the anterior
  pituitary gland.
• FSH and LH are secreted by the corpus luteum of
  the ovary
• FSH and LH are secreted by the adrenal glands
• FSH and LH stimulate the formation of milk during
  pregnancy

21
Answer is 1

• 1. FSH and LH, when stimulated by
  gonadotropin-releasing hormone from the
  hypothalamus, are released from the anterior
  pituitary gland to stimulate follicular growth
  and development, growth of the graafian follicle,
  and production of progesterone.

22

• A nurse is describing the process of fetal
  circulation to a client during a prenatal visit.
  The nurse accurately tells the client that fetal
  circulation consists of
• Two umbilical veins and one umbilical artery
• Two umbilical arteries and one umbilical vein
• Arteries carrying oxygenated blood to the fetus
• Veins carrying deoxygenated blood to the fetus

23
Answer is 2

• 2. Blood pumped by the embryos heart leaves the
  embryo through two umbilical arteries.
• Once oxygenated, the blood then is returned by
  one umbilical vein.
• Arteries carry deoxygenated blood and waste
  products from the fetus, and veins carry
  oxygenated blood and provide oxygen and nutrients
  to the fetus.

24

• A nurse is assisting in performing an assessment
  on a client who suspects that she is pregnant and
  is checking the client for probable signs of
  pregnancy. Select all probable signs of
  pregnancy.
• Uterine enlargement
• Fetal heart rate detected by nonelectric device
• Outline of the fetus via radiography or
  ultrasound
• Chadwicks sign
• Braxton Hicks contractions
• Ballottement

25
Answer is 1,4,5 and 6

• The probable signs
• Uterine enlargement, Hegars sign, Goodells
  sign, Chadwicks sign, ballottement, Braxton
  Hicks contractions and a positive pregnancy test
  measuring for hCG.
• Positive signs of pregnancy include fetal heart
  rate detected by Doppler at 10-12 weeks, active
  fetal movements palpable by the examiner, and an
  outline of the fetus via radiography or
  ultrasound.

26

• A client in the 1st trimester of pregnancy
  arrives at a clinic and reports that she has been
  experiencing vaginal bleeding. A threatened
  abortion is suspected, and the nurse instructs
  the client regarding management of care. Which
  statement, if made by the client, indicates a
  need for further education?
• I will maintain strict bedrest throughout the
  remainder of pregnancy.
• I will avoid sexual intercourse until the
  bleeding has stopped, and for 2 weeks following
  the last evidence of bleeding.
• I will count the number of perineal pads used on
  a daily basis and note the amount and color of
  blood on the pad.
• I will watch for the evidence of the passage of
  tissue.

27
Answer is 1

• Strict bed rest throughout the remainder of
  pregnancy is not required.
• The woman is advised to curtail sexual activities
  until the bleeding has ceased, and for 2 weeks
  following the last evidence of bleeding or as
  recommended by the physician.
• The woman is instructed to count the number of
  perineal pads used daily and to note the quantity
  and color of blood on the pad.
• The woman also should watch for the evidence of
  the passage of tissue.

28

• In a lecture on sexual functioning, the nurse
  plans to include the fact that ovulation occurs
  when the
• Oxytocin is too high
• Blood level of LH is too high
• Progesterone level is high
• Endometrial wall is sloughed off.

29
Answer is 2

• It is the surge of LH secretion in
• midcycle that is responsible for
• ovulation.

30

• The chief function of progesterone is the
• Development of the female reproductive system
• Stimulation of the follicles for ovulation to
  occur
• Preparation of the uterus to receive a fertilized
  egg
• Establishment of secondary male sex
  characteristics

31
Answer is 3

• Progesterone stimulates differentiation
• of the endometrium into a secretory
• type of tissue.