PRACTICE QUIZ #1

1. A nurse is collecting data during an admission assessment of a client who is pregnant with twins. The
client has a healthy 5-year old child that was delivered at 37 weeks and tells the nurse that she doesn’t
have any history of abortion or fetal demise. The nurse would document the GTPAL for this client as:
a. G = 1, T = 1. P = 1, A = 0, L = 1
b. G = 3, T = 2, P = 0, A = 0, L =1
c. G = 2, T = 0, P = 0, A = 0, L = 1
d. G = 2, T = 0, P = 1, A = 0, L =1

1. 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 19th, 2005. Using Nagele’s rule, the nurse
determines the estimated date of confinement as:
a. July 26, 2006
b. June 12, 2007
c. July 12, 2007
d. June 26, 2006

2. A pregnant client is receiving magnesium sulfate for the management of preeclampsia. A nurse
determines the client is experiencing toxicity from the medication if which of the following is noted
on assessment?
a. Respirations of 10 per minute
b. Proteinuria of +3
c. Presence of deep tendon reflexes
d. Serum magnesium level of 6 mEq/L

3. 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:
a. FSH and LH are secreted by the corpus luteum of the ovary
b. FSH and LH stimulate the formation of milk during pregnancy.
c. FSH and LH are secreted by the adrenal glands
d. FSH and LH are released from the anterior pituitary gland.

4. A nurse is monitoring a pregnant client with pregnancy induced hypertension who is at risk for
Preeclampsia. The nurse checks the client for which specific signs of Preeclampsia (select all that
apply)?
a. Negative urinary protein
b. Increased respirations
c. Facial edema
d. Elevated blood pressure

5. A nurse is caring for a pregnant client with severe preeclampsia who is receiving IV magnesium
sulfate. Select all nursing interventions that apply in the care for the client.
a. Keep calcium gluconate on hand in case of a magnesium sulfate overdose
b. Monitor deep tendon reflexes hourly
c. Notify the physician if urinary output is less than 30 ml per hour.
d. Monitor maternal vital signs every 2 hours
e. Monitor renal function and cardiac function closely
f. Notify the physician if respirations are less than 18 per minute.
g. Monitor I and O’s hourly
6. A pregnant client in the last trimester has been admitted to the hospital with a diagnosis of severe
preeclampsia. A nurse monitors for complications associated with the diagnosis and assesses the
client for:
a. Enlargement of the breasts
b. Any bleeding, such as in the gums, petechiae, and purpura.
c. Periods of fetal movement followed by quiet periods
d. Complaints of feeling hot when the room is cool

7. A pregnant client calls the clinic and tells a nurse that she is experiencing leg cramps and is awakened
by the cramps at night. To provide relief from the leg cramps, the nurse tells the client to:
a. Plantar flex the foot while extending the knee when the cramps occur.
b. Dorsiflex the foot while extending the knee when the cramps occur
c. Dorsiflex the foot while flexing the knee when the cramps occur
d. Plantar flex the foot while flexing the knee when the cramps occur

8. A primagravida is receiving magnesium sulfate for the treatment of pregnancy induced hypertension
(PIH). The nurse who is caring for the client is performing assessments every 30 minutes. Which
assessment finding would be of most concern to the nurse?
a. Deep tendon reflexes of 2+
b. Fetal heart rate of 120 BPM
c. Respiratory rate of 10 BPM
d. Urinary output of 20 ml since the previous assessment

9. A nurse implements a teaching plan for a pregnant client who is newly diagnosed with gestational
diabetes. Which statement if made by the client indicates a need for further education?
a. “I need to be aware of any infections and report signs of infection immediately to my health care
provider.”
b. “I need to avoid exercise because of the negative effects of insulin production.”
c. “I need to stay on the diabetic diet.”
d. “I will perform glucose monitoring at home.”

10. A client in the first trimester of pregnancy arrives at a health care 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?
a. “I will maintain strict bedrest throughout the remainder of pregnancy.”
b. “I will count the number of perineal pads used on a daily basis and note the amount and color of
blood on the pad.”
c. “I will avoid sexual intercourse until the bleeding has stopped, and for 2 weeks following the last
evidence of bleeding.”
d. “I will watch for the evidence of the passage of tissue.”

11. A nurse is caring for a pregnant client with Preeclampsia. The nurse prepares a plan of care for the
client and documents in the plan that if the client progresses from Preeclampsia to eclampsia, the
nurse’s first action is to:
a. Administer oxygen by face mask
b. Administer magnesium sulfate intravenously
c. Assess the blood pressure and fetal heart rate
d. Clean and maintain an open airway
12. A prenatal nurse is providing instructions to a group of pregnant client regarding measures to prevent
toxoplasmosis. Which statement if made by one of the clients indicates a need for further
instructions?
a. “I need to avoid touching mucous membranes of the mouth or eyes while handling raw meat.”
b. “I need to cook meat thoroughly.”
c. “I need to drink unpasteurized milk only.”
d. “I need to avoid contact with materials that are possibly contaminated with cat feces.”

13. A woman with preeclampsia is receiving magnesium sulfate. The nurse assigned to care for the client
determines that the magnesium therapy is effective if:
a. Seizures do not occur
b. Scotoma’s are present
c. The blood pressure decreases
d. Ankle clonus in noted

14. 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 a Goodell’s sign. The nurse determines this sign indicates:
a. The presence of fetal movement
b. The presence of hCG in the urine
c. A soft blowing sound that corresponds to the maternal pulse during auscultation of the uterus.
d. A softening of the cervix

15. A nurse is providing instructions to a client in the first trimester of pregnancy regarding measures to
assist in reducing breast tenderness. The nurse tells the client to:
a. Wash the nipples and areola area daily with soap, and massage the breasts with lotion.
b. Wash the breasts with warm water and keep them dry
c. Wear tight-fitting blouses or dresses to provide support
d. Avoid wearing a bra

16. In the 12th week of gestation, a client completely expels the products of conception. Because the
client is Rh negative, the nurse must:
a. Admister RhoGAM within 72 hours
b. Not give RhoGAM, since it is not used with the birth of a stillborn
c. Make certain the client does not receive RhoGAM, since the gestation only lasted 12 weeks.
d. Make certain she receives RhoGAM on her first clinic visit

17. 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.
a. Uterine enlargement
b. Outline of the fetus via radiography or ultrasound
c. Fetal heart rate detected by nonelectric device
d. Chadwick’s sign
e. Braxton Hicks contractions
f. Ballottement

18. 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. Initiating a gentle upward tap on the cervix
b. Palpating the abdomen for fetal movement
c. Auscultating for fetal heart sounds
d. Assessing the cervix for thinning
19. 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:
a. Two umbilical veins and one umbilical artery
b. Arteries carrying oxygenated blood to the fetus
c. Two umbilical arteries and one umbilical vein
d. Veins carrying deoxygenated blood to the fetus

20. A nurse is performing an assessment of a primapira who is being evaluated in a clinic during her
second trimester of pregnancy. Which of the following indicates an abnormal physical finding
necessitating further testing?
a. Braxton hicks contractions
b. Consistent increase in fundal height
c. Fetal heart rate of 180 BPM
d. Quickening

21. Rho (D) immune globulin (RhoGAM) is prescribed for a woman following delivery of a newborn
infant and the nurse provides information to the woman about the purpose of the medication. The
nurse determines that the woman understands the purpose of the medication if the woman states that
it will protect her next baby from which of the following?
a. Having Rh positive blood
b. Developing a rubella infection
c. Developing physiological jaundice
d. Being affected by Rh incompatibility

22. During a prenatal visit at 38 weeks, a nurse assesses the fetal heart rate. The nurse determines that the
fetal heart rate is normal if which of the following is noted?
a. 150 BPM
b. 80 BPM
c. 180 BPM
d. 100 BPM

23. 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 thinning of the lower uterine segment.”
d. “It is the fetal movement that is felt by the mother.”

24. A homecare nurse visits a pregnant client who has a diagnosis of mild Preeclampsia and who is being
monitored for pregnancy induced hypertension (PIH). Which assessment finding indicates a
worsening of the Preeclampsia and the need to notify the physician?
a. The client complains of a headache and blurred vision
b. Blood pressure reading is at the prenatal baseline
c. Dependent edema has resolved
d. Urinary output has increased