Question 2 of 4: Correct

A pregnant woman is the mother of 2 children.
Her first pregnancy ended in a still birth at 32 weeks of

gestation, her second pregnancy with the birth of her daughter at 36 weeks, and her third pregnancy
with the birth of her son at 41 weeks. Using the 5-digit system to describe this woman's current
obstetric history, the nurse would record
CORRECT
 4-1-2-0-2
Gravida (the first number) is 4 since this woman is now pregnant
and was pregnant three times before. Para (the next 4 numbers)
represents the outcomes of the pregnancies and would be
described as: T: 1 = Term birth at 41 weeks of gestation (son) P:
2 = Preterm birth at 32 weeks of gestation (stillbirth) and 36
weeks of gestation (daughter) A: 0 = Abortion: none occurred L:
2 = Living children: her son and her daughter
INCORRECT
 3-1-2-0-2
Incorrect
 4-2-1-0-1
Incorrect
 3-1-1-1-3
Incorrect
Question 2 of 4
Which hematocrit (HCT) and hemoglobin (HGB) results represent(s) the lowest acceptable values for a
woman in the third trimester of pregnancy?
 38% HCT; 14 g/dl HGB

This is within normal limits in the nonpregnant woman.
This is within normal limits for a nonpregnant woman.
CORRECT

Represents the lowest acceptable value during the first and the third trimesters.
INCORRECT
 32% HCT; 10.5 g/dl HGB

This represents the lowest acceptable value for the second trimester when the hemodilution
effect of blood volume expansion is at its peak.
Question 3 of 4
When assessing the fetal heart rate (FHR) of a woman at 30 weeks of gestation, the nurse counts a rate
of 82 beats/min. Initially the nurse should:
 Recognize that the rate is within normal limits and record it.
The expected FHR is 120 to 160 beats/min.
CORRECT
 Assess the woman's radial pulse.

The nurse may have inadvertently counted the uterine souffle, the beatlike sound of blood
flowing through the uterine blood vessels, which corresponds to the mother's heartbeat.
INCORRECT
 Notify the physician.

The physician should be notified if the FHR is confirmed to be 82 beats/min.
 Allow the woman to hear the heart beat.
Allow the woman to hear the heart beat as soon as a full assessment is made.
Question 4 of 4
If exhibited by a pregnant woman, what represents a positive sign of pregnancy?
 Morning sickness
Morning sickness and quickening, along with amenorrhea and breast tenderness, are
presumptive signs of pregnancy; subjective findings are suggestive but not diagnostic of
pregnancy.
INCORRECT
 Quickening
Other probable signs include changes in integument, enlargement of the uterus, and Chadwick
sign.
 Positive pregnancy test
A positive pregnancy test is still considered to be a probable sign of pregnancy (objective
findings are more suggestive but not yet diagnostic of pregnancy) since error can occur in
performing the test or in rare cases human chorionic gonadotropin (hCG) may be detected in
the urine of nonpregnant women. Chances of error are less likely to occur today since pregnancy
tests used are easy to perform and are very sensitive to the presence of the hCG associated with
pregnancy.
CORRECT
 Fetal heartbeat auscultated with Doppler/fetoscope

Detection of a fetal heartbeat, palpation of fetal movements and parts by an examiner, and
detection of embryo/fetus with sonographic examination would be positive signs diagnostic of
pregnancy.
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During the first trimester the pregnant woman would be most motivated to learn about:
INCORRECT
 Fetal development.
Fetal development concerns are more apparent in the second trimester when the woman is
feeling fetal movement.
 Impact of a new baby on family members.
Impact of a new baby on the family would be appropriate topics for the second trimester when
the fetus becomes “real” as its movements are felt and its heartbeat heard. During this
trimester a woman works on the task of, “I am going to have a baby.”
CORRECT
 Measures to reduce nausea and fatigue so she can feel better.

During the first trimester a woman is egocentric and concerned about how she feels. She is
working on the task of accepting her pregnancy.
 Location of childbirth preparation and breastfeeding classes.
Motivation to learn about childbirth techniques and breastfeeding is greatest for most women
during the third trimester as the reality of impending birth and becoming a parent is accepted. A
goal is to achieve a safe passage for herself and her baby.
Question 2 of 9
If exhibited by an expectant father, what would be a warning sign of ineffective adaptation to his
partner's first pregnancy?
INCORRECT
 Views pregnancy with pride as a confirmation of his virility

This is an expected view for an expectant father.
CORRECT
 Consistently changes the subject when the topic of the fetus/newborn is raised
Persistent refusal to talk about the fetus-newborn may be a sign of a problem and should be
assessed further.
 Expresses concern that he might faint at the birth of his baby
This is an expected feeling for an expectant father.
 Experiences nausea and fatigue, along with his partner, during the first trimester
This is an expected finding with expectant fathers.
Question 3 of 9
A maternal serum alpha-fetoprotein (MsAFP) test is performed at 16 to 18 weeks of gestation. An

elevated level has been associated with:
INCORRECT
 Down syndrome.
Low levels of MsAFP are associated with Down syndrome.
 Sickle cell anemia.
Sickle cell anemia is not detected by the MsAFP.
 Cardiac defects.
Cardiac defects would not be detected with the MsAFP.
CORRECT
 Open neural tube defects such as spina bifida.

A triple marker test determines the levels of MsAFP along with serum levels of estriol and
human chorionic gonadotropin; an elevated level is associated with open neural tube defects.
Question 4 of 9
What laboratory results would be a cause for concern if exhibited by a woman at her first prenatal visit
during the second month of her pregnancy?
INCORRECT
 Hematocrit 38%, hemoglobin 13 g/dl

This is a normal laboratory value in the pregnant woman.
 White blood cell count 6000/mm3
 Platelets 300,000/mm3
CORRECT
 Rubella titre 1:6

A rubella titer of less than 1:10 indicates a lack of immunity to rubella, a viral infection that has
the potential to cause teratogenic effects on fetal development. Arrangements should be made
to administer the rubella vaccine after birth during the postpartum period since administration
of rubella, a live vaccine, would be contraindicated during pregnancy. Women receiving the
vaccine during the postpartum period should be cautioned to avoid pregnancy for 3 months.
Question 6 of 9
An expectant couple asks the nurse about intercourse during pregnancy and if it is safe for the baby. The
nurse should tell the couple that:
INCORRECT
 Intercourse should be avoided if any spotting from the vagina occurs afterward.
Some spotting can normally occur as a result of the increased fragility and vascularity of the
cervix and vagina during pregnancy.
 Intercourse is safe until the third trimester.
Intercourse can continue as long as the pregnancy is progressing normally.
 Safer-sex practices should be used once the membranes rupture.
Safer-sex practices are always recommended; rupture of the membranes may require abstaining
from intercourse.
CORRECT
 Intercourse and orgasm are often contraindicated if a history or signs of preterm labor are
present.
Uterine contractions that accompany orgasm can stimulate labor and would be problematic if
the woman were at risk for or had a history of preterm labor.
Question 7 of 9
An expectant father confides in the nurse that his pregnant wife, 10 weeks of gestation, is driving him
crazy. "One minute she seems happy, and the next minute she is crying over nothing at all. Is there
something wrong with her?" The nurse's best response would be:
INCORRECT
 "This is normal behavior and should begin to subside by the second trimester."
Although this statement is appropriate, it does not answer the father's question.
 "She may be having difficulty adjusting to pregnancy; I will refer her to a counselor that I
know."
Mood swings are a normal finding in the first trimester; the woman does not need counseling.
CORRECT
 "This is called emotional liability and is related to hormone changes and anxiety during
pregnancy. The mood swings will eventually subside as she adjusts to being pregnant."
This is the most appropriate response since it gives an explanation and a time frame for when
the mood swings may stop.
 "You seem impatient with her. Perhaps this is precipitating her behavior."
This statement is judgmental and not appropriate.
Question 8 of 9
A pregnant woman at 32 weeks of gestation complains of feeling dizzy and light-headed while her fundal
height is being measured. Her skin is pale and moist. The nurse's initial response would be to:
INCORRECT
 Assess the woman's blood pressure and pulse.

Vital signs can be assessed next.
 Have the woman breathe into a paper bag.
Breathing into a paper bag is the solution for dizziness related to respiratory alkalosis associated
with hyperventilation.
 Raise the woman's legs.
Raising her legs will not solve the problem since pressure will still remain on the major
abdominal blood vessels, thereby continuing to impede cardiac output.
CORRECT
 Turn the woman on her side.

During a fundal height measurement the woman is placed in a supine position. This woman is
experiencing supine hypotension as a result of uterine compression of the vena cava and
abdominal aorta. Turning her on her side will remove the compression and restore cardiac
output and blood pressure.
Question 9 of 9
A pregnant woman demonstrates understanding of the nurse's instructions regarding relief of leg
cramps if she:
INCORRECT
 Wiggles and points her toes during the cramp.

Pointing toes can aggravate rather than relieve the cramp.
 Applies cold compresses to the affected leg.
Application of heat is recommended.
CORRECT
 Extends her leg and dorsiflexes her foot during the cramp.
Extending the leg and dorsiflexing the foot is the appropriate relief for a leg cramp.
 Avoids weight bearing on the affected leg during the cramp.
Bearing weight on the affected leg can help to relieve the leg cramp, so it should not be avoided.
The nurse should tell a primigravida that the definitive sign indicating that labor has begun would be:
CORRECT
 Progressive uterine contractions.

Regular, progressive uterine contractions that increase in intensity and frequency are the
definitive sign of true labor.
 Lightening.
Lightening is a premonitory sign indicating that the onset of labor is getting closer.
INCORRECT
 Rupture of membranes.
Rupture of membranes usually occurs during labor itself.
 Passage of the mucous plug (operculum).
Passage of the mucous plug is a premonitory sign indicating that the onset of labor is getting
closer
Question 3 of 3
On completion of a vaginal examination on a laboring woman, the nurse records: 50%, 6 cm, –1. What is
a correct interpretation of the data?
CORRECT
 The fetal presenting part is 1 cm above the ischial spines.

Station of –1 indicates that the fetal presenting part is above the ischial spines and has not yet
passed through the pelvic inlet.
INCORRECT
 Effacement is 4 cm from completion.

Progress of effacement is referred to by percentages, with 100% indicating full effacement and
dilation by centimeters, with 10 cm indicating full dilation.
 Dilation is 50% completed.
Progress of effacement is referred to by percentages, with 100% indicating full effacement and
dilation by centimeters, with 10 cm indicating full dilation.
 The fetus has achieved passage through the ischial spines.
Passage through the ischial spines with internal rotation would be indicated by a plus station
such as +1.
A primigravida asks the nurse about signs she can look for that would indicate that the onset of labor is
getting closer. The nurse should describe:
 Weight gain of 1 to 3 pounds.

Women usually experience a weight loss of 1 to 3 pounds.
 Quickening.
Quickening is the perception of fetal movement by the mother, which occurs at 16 to 20 weeks
of gestation.
 Fatigue and lethargy.
Women usually experience a burst of energy or the nesting instinct.
CORRECT
 Bloody show.
Passage of the mucous plug (operculum) also termed pink/bloody show occurs as the cervix
ripens.
Following the birth of her baby, a woman expresses concern about the weight she gained during
pregnancy and how quickly she can lose it now that the baby is born. The nurse, in describing the
expected pattern of weight loss, should begin by telling this woman that:
INCORRECT
 Return to prepregnant weight is usually achieved by the end of the postpartum period.
Prepregnant weight is usually achieved by 2 to 3 months after birth, not within the 6-week
postpartum period.
 Fluid loss from diuresis, diaphoresis, and bleeding accounts for about a 3-pound weight
loss.
Weight loss from diuresis, diaphoresis, and bleeding is about 9 pounds.
CORRECT
 The expected weight loss immediately after birth averages about 11 to 13 pounds.
The expected weight loss immediately following delivery is 11 to 13 pounds, followed by a
gradual decrease and a return to prepregnancy weight in 2 to 3 months.
 Lactation will inhibit weight loss since caloric intake must increase to support milk
production.
Weight loss continues during breastfeeding since fat stores developed during pregnancy and
extra calories consumed are used as part of the lactation process.
As part of the postpartum assessment, the nurse examines the breasts of a primiparous breastfeeding
woman who is 1 day postpartum. An expected finding would be:
CORRECT
 Presence of soft, nontender colostrum.

Breasts are essentially unchanged for the first 2 to 3 days after birth. Colostrum is present and
may leak from the nipples.
 Leakage of milk at let-down.
Leakage of milk occurs around day 2 or 3.
 Swollen, warm, and tender on palpation.
Engorgement occurs at day 2 or 3 postpartum.
 A few blisters and a bruise on each areola.
A few blisters and a bruise indicate problems with the breastfeeding techniques being used.
Question 3 of 3
The breasts of a bottle feeding woman are engorged. The nurse should tell her to:
CORRECT
 Wear a snug, supportive bra.

A snug, supportive bra limits milk production and reduces discomfort by supporting the tender
breasts and limiting their movement.
 Allow warm water to soothe the breasts during a shower.
Cold packs reduce tenderness, whereas warmth would increase circulation, thereby increasing
discomfort.
 Express milk from breasts occasionally to relieve discomfort.
Expressing milk results in continued milk production.
 Place absorbent pads with plastic liners into her bra to absorb leakage.
Plastic liners keep the nipples and areola moist, leading to excoriation and cracking.
-----------------
During a childbirth class a woman asks the nurse, “I’m just 8 weeks pregnant. I know the placenta is not
fully developed yet, so what is producing all the hormones I need?” The nurse will development her
answer on the knowledge that
INCORRECT
 The placenta is big enough at this point to produce the hormones necessary
A. The placenta is not mature enough to produce the estrogen and progesterone necessary to
support the pregnancy. The corpus luteum will do this until the placenta is mature.B. Extra
estrogen and progesterone are necessary to support the pregnancy.C. The pituitary will secrete
the LH necessary to keep the corpus luteum until conception occurs. After conception, the
fertilized ovum will secrete human chorionic gonadotropin to keep the corpus luteum going. The
corpus luteum secretes the extra hormones necessary for the pregnancy.D. LH causes the follicle
to persist as a corpus luteum for about 12 days after ovulation. If conception occurs, the
fertilized ovum secretes human chorionic gonadotropin that causes the corpus luteum to
persist. The corpus luteum produces the extra estrogen and progesterone necessary to support
the pregnancy.Nursing Process: ImplementationCognitive Level: ComprehensionClient Needs:
Health Promotion and Maintenance
 Extra hormones are not necessary for this stage of the pregnancy
 The pituitary is working to secrete the extra hormones that are necessary until the placenta
develops
CORRECT
 The corpus luteum secretes the extra hormones necessary until the placenta develops
Question 6 of 10
When teaching a group of mothers of preteen girls, the nurse explains that the earliest outward sign of
puberty starting is __.
CORRECT
 breast changes
Breast changes, such as nipple enlargement and protrusion, are the earliest outward changes of
puberty. Nursing Process: Implementation Cognitive Level: Knowledge Client Needs: Health
Promotion and Maintenance
Question 7 of 10
Fertilization of the ovum takes place in which part of the fallopian tube?
INCORRECT
 Interstitial portion
A. The interstitial portion runs into the uterine cavity and lie within the uterine wall. If
fertilization occurs in this section, it is too close to the site of implantation, and the fertilized
ovum would not have time to properly develop prior to implantation. B. The ampulla is the
wider middle part of the tube lateral to the isthmus and is where fertilization occurs.C. The
isthmus is the narrow part of the tube adjacent to the uterus. If fertilization occurs in this
section, it is too close to the site of implantation, and the fertilized ovum would not have time to
properly develop prior to implantation. D. The infundibulum is the wide, funnel-shaped terminal
end of the tube toward the ovaries. If fertilization occurred in this section, the fertilized ovum
could travel out into the abdominal cavity.Nursing Process: AssessmentCognitive Level:
KnowledgeClient Needs: Health Promotion and Maintenance
CORRECT
 Ampulla
 Isthmus
 Infundibulum
Question 10 of 10
A woman who is 6 weeks’ pregnant is in for her prenatal appointment and asks the nurse when the sex
of the baby can been determined by ultrasound. The nurse bases her answer on the knowledge that
INCORRECT
 The sex cannot be determined by ultrasound; an amniocentesis must be done

A. Sex of a fetus can be determined by ultrasound after the 9th week.B. Sex of a fetus cannot be
determined until about 9 weeks of gestation.C. The external genitalia starts to change at about 9
weeks of gestation. Prior to that time, males and females look similar and it is not possible to
determine the sex from ultrasound.D. Sex of a fetus cannot be determined until about 9 weeks
of gestation.Nursing Process: AssessmentCognitive Level: KnowledgeClient Needs: Health
 The sex of the baby can be determined now by ultrasound
CORRECT
 The external genitalia look similar in both males and females until about 9 weeks of
gestation
 The external genitalia will look different at 6 weeks, so an ultrasound can be done at that
time

Question 2 of 4: Correct

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A pregnant woman is the mother of 2 children.

Her first pregnancy ended in a still birth at 32 weeks of

 38% HCT; 14 g/dl HGB

 33% HCT; 11 g/dl HGB

 32% HCT; 10.5 g/dl HGB

 Assess the woman's radial pulse.

 Notify the physician.

If exhibited by a pregnant woman, what represents a positive sign of pregnancy?

 Fetal heartbeat auscultated with Doppler/fetoscope

 Measures to reduce nausea and fatigue so she can feel better.

 Views pregnancy with pride as a confirmation of his virility

A maternal serum alpha-fetoprotein (MsAFP) test is performed at 16 to 18 weeks of gestation. An

 Open neural tube defects such as spina bifida.

 Hematocrit 38%, hemoglobin 13 g/dl

 Rubella titre 1:6

 Assess the woman's blood pressure and pulse.

 Turn the woman on her side.

 Wiggles and points her toes during the cramp.

 Progressive uterine contractions.

 The fetal presenting part is 1 cm above the ischial spines.

 Effacement is 4 cm from completion.

 Weight gain of 1 to 3 pounds.

 Presence of soft, nontender colostrum.

 Wear a snug, supportive bra.

 The sex cannot be determined by ultrasound; an amniocentesis must be done

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