IMMACULATE CONCEPTION COLLEGE-ALBAY
A pregnant woman is admitted to the hospital with
DARAGA, ALBAY
NCM 102 - CARE OF MOTHER, CHILD, FAMILY
AND POPULATION GROUP AT-RISK OR WITH
PROBLEMS
MIDTERM EXAMINATION
NAME: __________________________ BLOCK: _____
INSTRUCTIONS: Read each item carefully.
Choose the best response to each question and
shade the circle of the corresponding letter in
the separate answer sheet provided. Keep your
answer sheet clean. Do not make any
unnecessary markings on your answer sheet.
SRICTLY NO ERASURES.
1. After reporting to the unit, you are assigned the
patients listed below. Which of the patients should
be evaluated first?
A. A 7-week pregnant woman who had a cervical
cerclage performed 4 hours ago.
B. A patient diagnosed with pregnancy-induced
hypertension experiencing urine output of 75
mL/hour, blood pressure of 135/90 mm Hg, and
slight proteinuria.
C. A woman at 5 weeks' gestation with suspected
ectopic pregnancy complaining of shoulder and
abdominal pain.
D. A patient in her 20th week of pregnancy
suspected of having a trophoblastic pregnancy.
1. The most common site of ectopic pregnancy is in
the:
A. Ampulla
B. Isthmus
C. Cervix
D. Ovary
1. A 24-year-old primigravida visits the emergency
room with severe abdominal pain and is diagnosed
as having a ruptured ectopic pregnancy. After
reviewing the doctor’s orders, the nurse should
first:
A. Ask the patient if a family member is present
B. Begin I.V. therapy as prescribed
C. Ask the patient to sign a surgical consent
D. Determine the first day of the last menstrual
period
1. Which of the following would be the physiologic
basis for a placenta previa?
A. A loose placental implantation.
B. Low placental implantation.
C. A placenta with multiple lobes.
D. A uterus with a midseptum.
1. The degree of placenta previa that totally occludes
the cervical os:
A. Low-lying
B. Marginal
C. Partial
D. Complete
1. What is the classic sign of placenta previa?
A. Painless, bright red vaginal bleeding
B. Sharp stabbing pain, dark vaginal bleeding
C. Easily palpable fetal outline
D. Uterus large for gestational age
1.
a diagnosis of placenta previa. Which of the
following would be the priority for this woman on
admission?
A. Performing a vaginal examination to assess the
extent of bleeding.
B. Helping the woman remain ambulatory to
reduce bleeding.
C. Assessing fetal heart tones by use of an
external monitor.
D. Assessing uterine contractions by an internal
pressure gauge.
1. Which of the following would the nurse implement
initially in caring for a patient with a low placental
implantation?
A. Maintain the patient in a side-lying position
B. Perform a vaginal examination to assess labor
progress
C. Assess fetal heart tones using an internal scalp
electrode
D. Ambulate the patient to facilitate labor
contractions
1. The nurse recognizes that the most common
complication of placenta previa includes:
A. Hypertension
B. Uterine infection
C. Postpartum hemorrhage
D. Severe pain
1. To prevent complications from the placenta previa,
the postpartum nurse recognizes that it’s most
important to assess:
A. Blood pressure
B. Uterine fundus and lochia
C. Color of skin
D. Temperature
1. In preparing a plan of care for a patient whose
delivery has been complicated with placenta
previa, the nurse recognizes the key diagnoisis that
the patient is at risk for is:
A. Fliud volume deficit related to excessive blood
loss secondary to placenta previa
B. Risk for injury related to hypertension
secondary to oxytocin administration
C. Acute pain related to excessive uterine
bleeding
D. Impaired skin integrity related to abdominal
incision secondary to cesarean section
1. If the placenta detaches from the uterus
prematurely, the condition is known as:
A. Placenta previa
B. Abruptio placentae
C. Placenta accreta
D. Placenta succenturiata
1. A woman in labor has sharp fundal pain
accompanied by slight vaginal bleeding. Which of
the following would be the most likely cause of
these symptoms?
A. Premature separation of the placenta.
B. Preterm labor that was undiagnosed.
C. Placenta previa obstructing the cervix.
D. Possible fetal death or injury.
1. A woman in labor is at risk for abruptio placentae.
Which of the following assessments would most
likely lead you to suspect that this has happened?
A. Sharp fundal pain and discomfort between
contractions.
B. Painless vaginal bleeding and a fall in blood
pressure.
C. Pain in a lower quadrant and increased pulse
rate.
D. An increased blood pressure and oliguria.
1. The nurse is aware that abruptio placenta
threatens fetal well-being primarily because it:
 A. Increases intrauterine pressure A. Ectopic pregnancy
B. Lowers the number of placental oxygen B. Missed abortion
exchange sites C. Hydatidiform mole
C. Decreases uterine tone D. Incomplete abortion
D. Increases the risk of umbilical cord prolapse
1. In a patient with gestational trophoblastic disease,
1. Disseminated intravascular coagulation (DIC) is a which of the following hormones has a distinctly
possible complication of abruptio placentae. Which elevated level:
assessment finding would indicate that a patient A. Human placental lactogen
has developed DIC? B. Human chorionic somatomammotropin
A. Bleeding from nose and gums
B. Rapid clotting at venipuncture sites C. Human chorionic thyrotropin
C. Joint pain and swelling D. Human chorionic gonadotropin
D. Increased central venous pressure
1. A client in her 20th week of pregnancy is scheduled
1. A woman has been diagnosed as having for surgery to evacuate a molar pregnancy. She is
pregnancy-induced hypertension. Which of the tearful and asks how everyone can be sure her
following is the most typical symptom of this? baby will not be born okay. Based on your
A. Increased perspiration. knowledge, you respond:
B. Weight loss. A. “A clean uterus will ensure your recovery.”
C. Susceptibility to infection. B. “The baby has died and must be removed.”
D. Protein in urine. C. “Unfortunately, the fetal tissue never
developed correctly.”
1. A woman is being admitted to your hospital unit for D. “The fetal tissue is diseased and needs to be
severe preeclampsia. When deciding on where to removed.”
place her, which of the following areas would be
most appropriate? 1. The nurse is caring for a 34-year-old multipara
A. By the nursery so she can maintain hope she during the immediate post-operative period after
will have a child. evacuation of a molar pregnancy. The nurse should
B. Near the elevator so she can be transported instruct the patient to avoid pregnancy for at least
quickly. 12 to 18 months to confirm the absence of:
C. Near the nurse's station so she can be A. Fibroid tumors
observed closely. B. Amniotic fluid embolism
D. In the back hallway where there is a quiet, C. Chorioamnionitis
private room. D. Choriocarcinoma

1. A pregnant woman with preeclampsia is to receive 1. The drug of choice (DOC) for choriocarcinoma is:
magnesium sulfate IV. Which of the following A. Methotrexate
assessments would be most important before B. Dactinomycin
administering a new dose? C. Bethamethasone
A. Blood pressure. D. Magnesium sulfate
B. Patellar reflex.
C. Pulse rate.
D. Anxiety level.

1. Which of the following nursing diagnoses would be

most appropriate for a woman diagnosed with
pregnancy-induced hypertension?
A. Deficient fluid volume related to vasospasm of
arteries.
B. Ineffective tissue perfusion related to poor
heart contraction.
C. Risk for injury related to fetal distress.
D. Imbalanced nutrition related to decreased
sodium levels.

1. Before beginning I.V. infusion of magnesium sulfate

for a patient with pre-eclampsia, the nurse should
have at the bedside:
A. Diazepam
B. Calcium gluconate
C. Phenytoin
D. Nifedipine

1. A patient with severe pre-eclampsia tells the nurse

she’s having sharp epigastric pain and immediately
begins to have a seizure. The first nursing action
by the nurse should be to:
A. Turn the patient to her right side
B. Pad the side rails of the bed
C. Call for assistance in the room
D. Increase the I.V. fluid rate

1. A 38-year-old multigravida at 16 weeks’ gestation

visits the clinic and tells the nurse that she has had
vaginal bleeding that’s brownish in color and
severe nausea and vomiting for the past 2 days.
Her hands and face are severly swollen, and her
blood pressure is 160/96. No fetal heart rate is
detected; however the fundal height is 22 cm. The
nurse suspects that the patient is exhibiting
symptoms of: