Question 1

A 24-year-old pregnant woman at 26 weeks' gestation is experiencing her third pregnancy.The patient's obstetric history includes one full-term birth and one preterm birth; both children are alive and well.Today,the patient arrives at the clinic with complaints of fatigue,insomnia,and continuous backache.She reports that she is a nurse on an oncology unit and is worried about continuing to work her 12-hour shifts.What advice by the nurse would be most appropriate?

Accepted Answer

A)   "Can you ask your manager about light-duty work at your job?"
B)   "See if you can take more breaks at work to rest and drink water."
C)   "With your previous premature birth, you might need to reduce your working hours."
D)   "You can continue to work as long as you want to and feel able to." C

Question 2

A nurse is educating a pregnant woman who has a history of pica about healthier eating.Which nutrients should the nurse include in the teaching plan?

Accepted Answer

A)   Calcium
B)   Folic acid
C)   Iron
D)   Vitamin C
E)   Vitamin D A,C,D,E

Question 3

The clinic nurse is assessing a woman in her 30th week of pregnancy.Her fundal height is 23 centimeters.What other assessment finding would the nurse correlate with this condition?

Accepted Answer

A)   Blood glucose 112 mg/dL
B)   Hemoglobin 9.2 g/dL
C)   Leukorrhea
D)   Platelet count elevated B

Question 4

A patient in the prenatal clinic had a negative rubella titer.Which action by the nurse is most appropriate?

Accepted Answer

A)   Have the laboratory draw rubella titers as a double-check.
B)   Instruct the woman to avoid anyone who may have the disease.
C)   Prepare to administer a rubella vaccination to the woman.
D)   Reassure the woman that rubella has few fetal consequences.

Question 5

The nurse in a family practice clinic is working with a woman of childbearing age who recently was married and has no plans to have children yet.Which action by the nurse is most important?

Accepted Answer

A)   Asking the woman when the couple plans to get pregnant
B)   Encouraging the woman to review her birth control plan
C)   Instructing the woman to get 0.4 mg of folic acid daily
D)   Reviewing the woman's family history for genetic defects

Question 6

A perinatal clinic nurse educated a pregnant woman about basic prenatal exercises.On a return visit,which statement by the patient indicates that teaching goals have been met?

Accepted Answer

A)   "I have learned to isolate the right muscle for Kegel exercises."
B)   "It's hard to find 30 minutes a day for exercise, but I have done it."
C)   "Jumping rope is great exercise and keeps my weight in control."
D)   "When I get fatigued with these exercises, I just push through it."

Question 7

The prenatal clinic nurse meets with a 30-year-old woman who is experiencing her first pregnancy.The patient's quadruple-marker screen result is positive at 17 weeks of gestation.Which action by the nurse is most important?

Accepted Answer

A)   Call the social worker for a consultation.
B)   Document the findings in the woman's chart.
C)   Facilitate a referral to a genetics counselor.
D)   Prepare the woman for intrauterine death.

Question 8

A woman comes to the clinic for her 24-week prenatal visit.This is her second pregnancy.The patient does not wish to know her weight and when her clinic record is reviewed,her total weight gain for this pregnancy is 5 pounds.She is very concerned about her changing body shape.What disorder does the nurse suspect?

Accepted Answer

A)   Anemia
B)   Anorexia nervosa
C)   Gestational diabetes
D)   Gestational hypertension

Question 9

A woman who is 26 weeks pregnant has a blood pressure of 158/100 mm Hg.Which action by the nurse is most appropriate?

Accepted Answer

A)   Assess the woman's risk for other cardiovascular problems.
B)   Have her rest for 20 minutes, then reassess her blood pressure.
C)   Obtain a urine dipstick for proteinuria and assess for headache.
D)   Prepare to teach the woman about anti-hypertensive medication.

Question 10

The nurse teaches the prenatal class attendees about herbal medications that may cause uterine contractions and preterm labor.Which of the following herbal preparations should be avoided because they act as uterine stimulants?

Accepted Answer

A)   Black cohosh
B)   Dong quai
C)   Ephedra
D)   Mugwort
E)   Senna

Question 11

A woman in her second trimester continues to smoke a pack of cigarettes a day despite stating that she understands why smoking is bad for her and for her fetus.Which action by the nurse is best?

Accepted Answer

A)   Assess the patient for past trauma and abuse.
B)   Document the information in the patient's chart.
C)   Review prior teaching done regarding smoking.
D)   Show photos of babies born with abnormalities.

Question 12

A pregnant woman lifts weights regularly with a partner.What modification to this activity should the nurse suggest?

Accepted Answer

A)   Adjust the weight bench so that it is tilted, not flat.
B)   Do fewer repetitions by using heavier weights.
C)   Do not hold your breath for more than 30 seconds.
D)   Use free weights instead of resistance bands.

Question 13

A woman is admitted to the hospital with a birth plan that specifies the Bradley method of childbirth.Which actions by the nurse are most appropriate for this patient?

Accepted Answer

A)   Assist the woman in conserving energy for childbirth.
B)   Call the anesthesiologist to place an epidural.
C)   Ensure the patient has a quiet environment.
D)   Establish a relationship with the husband-coach.
E)   Turn the lights down in the patient's room.

Question 14

A nurse is describing various childbirth options to an expectant couple.The woman states "I want to do Lamaze because I hear you will have no pain with this method." Which response by the nurse is best?

Accepted Answer

A)   "If done right, you will have no childbirth pain."
B)   "Lamaze empowers you to cope with the pain."
C)   "No, Lamaze emphasizes epidural pain control."
D)   "Pain is a natural and normal part of childbirth."

Question 15

The perinatal nurse would assess which newborn system as a priority after birth if a woman admitted to cocaine use during her pregnancy?

Accepted Answer

A)   Cardiovascular system
B)   Endocrine system
C)   Integumentary system
D)   Respiratory system

Question 16

The prenatal clinic nurse visits with a 32-year-old man.His partner is pregnant with her first child and is now at 12 weeks of gestation.The man states that he has been experiencing nausea and vomiting,fatigue,and weight gain.Which action by the nurse is most appropriate?

Accepted Answer

A)   Ask the woman's health-care provider to prescribe the man anti-nausea medication.
B)   Assess for cancer risk factors, as weight gain and vomiting are unusual together.
C)   Encourage the man to make an appointment with his primary health-care provider.
D)   Explain that these symptoms are normal and often seen in men with pregnant partners.

Question 17

A woman in her second trimester wants to continue her weight-lifting and exercise plan.Which exercise would the nurse advise against participating in?

Accepted Answer

A)   Calf stretches
B)   Weight lifting
C)   Pelvic tilts
D)   Walking lunges

Question 18

A perinatal nurse is assessing a pregnant woman's medications and finds that one of them is categorized as Category

Accepted Answer

A)   "Studies have not found human fetal risk, although animal fetuses are harmed by it."
B)   "There are no associated fetal risks with this drug and it is safe to take in pregnancy."
C)   "There haven't been any studies of this drug in human fetuses; I wouldn't take it."
D)   "We have to decide if the benefits of this drug outweigh the risk, as it can harm the fetus."
E)   What information should the nurse provide this patient?

Question 19

A nurse is conducting a class on the Lamaze method of childbirth.Which core values does this nurse plan to teach?

Accepted Answer

A)   A woman's ability to give birth can be diminished by the care provider.
B)   Conscious breathing is the main coping strategy in Lamaze.
C)   Lamaze birthing is medication free and epidurals are not given.
D)   The birth coach is only present to provide comfort to the laboring woman.
E)   Women are capable of and have the wisdom to give birth.

Question 20

An 18-year-old woman at 18 weeks' gestation is being seen in the prenatal clinic.Her weight gain is 25 pounds over her prepregnant weight.Which is the perinatal nurse's best approach to care at this visit?

Accepted Answer

A)   Ask the patient to complete a 3-day dietary recall while she is in the clinic.
B)   Explain the possible concerns related to excessive weight gain in pregnancy
C)   Explain to the patient that weight gain is not a concern in pregnancy.
D)   Teach the patient about the expected normal weight gain during pregnancy.

Exam 10: Promoting a Healthy Pregnancy