1.

The following are characteristics of hyperemesis gravidarum EXCEPT

Presence of ketonuria

Dehydration

*Weight gain

Weight loss

2. Which of the following statement describes hyperemesis gravidarum?

Vomiting subsides after 12 weeks

Nausea sometimes accompanied by vomiting

Vomiting does not cause severe dehydration

*Nausea accompanied by severe vomiting

3. What drug is commonly prescribed to control the vomiting of the patient who experience
hyperemesis gravidarum?

Meclizine

*Metocploramide

Promethazine

Dexamethasone

4. In H-mole, at what week does the uterus tends to expand reaching the symphysis brim?

20th

8th

16th

*12th

5. Which hormone is high in the woman’s body during pregnancy?

Oxytocin

*HCG

Estrogen
Progesterone

6. A client makes a routine visit to the prenatal clinic. Although she’s 14 weeks pregnant, the size of her
uterus approximates that in an 18- to 20-week pregnancy. Dr. Valdez diagnoses gestational
trophoblastic disease and orders ultrasonography. The midwife expects ultrasonography to reveal

an extrauterine pregnancy

an empty gestational sac

a severely malformed fetus

*grapelike clusters

7. Which of the following signs will require a mother to seek immediate medical attention?

Slight dyspnea on the last month of gestation

When the first fetal movement is felt

Mild uterine contraction

*No fetal movement is felt on the 6th month

8. What is the action of the drug misoprostol?

induce vaginal pain

*uterine contractions

prevents implantation of fertilized ovum

prevents the growth of zygote

9. Which among the following situations are contraindicated in medical abortion EXCEPT:

*Leni who previously had a miscarriage

Ana who has an intrauterine device at place

Fe who is currently undergo anticoagulant therapy

Lorna who is diagnosed with a chronic adrenal failure

10. A patient who just had undergo post- dilatation and curettage (D&C) must notify the midwife
immediately if she experience…
menstrual period return in 2 weeks

mild vaginal spotting

*abdominal tenderness

Cramping

11. The removal of uterus is called

Radical trachelectomy

*Hysterectomy

Salpingectomy

Oopherectomy

12. What is the recommended surgical elective termination procedure for a 14th week pregnant
woman?

Saline induction

Menstrual extraction

*Dilatation and vacuum extraction

Dilatation and Curettage

13. The serious potential complication of saline induction is

Hyperkalemia

*Hypernatremia

Hypokalemia

Hyponatremia

14. Which is NOT true about Incompetent cervix?

minimal symptoms

*occurs in second trimester

shortened cervical length

painless and bloodless dilatation

15. Restriction of activities and cervical cerclage are the treatments for

H-mole

Abruptio Placenta

*Incompetent Cervix

Placenta Previa

16. Ectopic pregnancy is most often occurs in

Abdomen

Ovary

Uterus

*fallopian tube

17. All of the following increase the risk for placenta abruption EXCEPT:

Maternal abdominal trauma

Hypertensive disorders of pregnancy

*A woman's first pregnancy

Maternal cocaine use

18. Which of the following is described as premature separation of a normally implanted placenta during
the second half of pregnancy, usually with severe hemorrhage?

Placenta previa

Ectopic pregnancy

Spontaneous Abortion

*Abruptio placenta

19. A 39-year-old at 37 weeks gestation is admitted to the hospital with complaints of vaginal bleeding
following the use of cocaine 1 hour earlier. Which complication is most likely causing the client’s
complaint of vaginal bleeding?
Placenta previa

Ectopic pregnancy

Abortion

*Abruptio placenta

20. A pregnant woman arrives at the emergency department (ED) with abruptio placentae at 34 weeks’
gestation. She’s at risk for which of the following blood dyscrasias?

Thrombocytopenia

Idiopathic thrombocytopenic purpura (ITP)

*Disseminated intravascular coagulation (DIC)

Heparin-associated thrombosis and thrombocytopenia (HATT).

21. Which of the following would the nurse assess in a client experiencing abruptio placenta?

Bright red, painless vaginal bleeding

Palpable fetal outline

*Concealed or external dark red bleeding

Soft and non -tender abdomen

22. A midwife is assessing a pregnant client in the 2nd trimester of pregnancy who was admitted to the
maternity unit with a suspected diagnosis of abruptio placentae. Which of the following assessment
findings would the nurse expect to note if this condition is present?

Absence of abdominal pain

A soft abdomen

*Uterine tenderness and pain

Painless, bright red vaginal bleeding

23. An ultrasound is performed on a client at term gestation that is experiencing moderate vaginal
bleeding. The results of the ultrasound indicate that an abruptio placentae is present. Based on these
findings, the midwife would prepare the client for:
 

Complete bed rest for the remainder of the pregnancy

Strict monitoring of intake and output

*Delivery of the fetus

The need for weekly monitoring of coagulation studies until the time of delivery

24. What is placenta previa?

High blood pressure during pregnancy

High blood sugar during pregnancy

*Partial or total covering of the cervix by the placenta

Excessive Nausea and vomiting during pregnancy

25. What type of diabetes mellitus characterized by having absolute insulin deficiency?

Type 1

Type 2

Impaired fasting glucose

*Gestation diabetes mellitus

26. A pregnant woman suffering fatigue and palpitations during normal activity. What classification of
heart diseases it will fall?

Class I

Class II

*Class III

Class IV

27. In DASH diet, sodium intake is limited to

*2.4 g

3.4 g
4.4 g

6g

28. The midwife explains to a pregnant client under giving a nonstress test that the test is a way of
evaluating the condition of the fetus by comparing the fetal heart rate with

Fetal lie

*Fetal movement

Maternal blood pressure

Maternal uterine contractions