Self Practice:

1.What is the duration for which the sperm remains viable in the female reproductive system?

A. 2 to 4 days after intercourse

B. 3 to 5 days after intercourse

C. 4 to 8 days after intercourse

D. 5 to 9 days after intercourse

2.The nurse is assessing a 40-year-old patient who is 12 weeks pregnant. What should the nurse
anticipate based on the patient's age?

A. The fetus is at a risk for Down syndrome.

B. The patient is at a risk for sickle cell anemia.

C. The fetus is at a risk for neural tube defects.

D. The patient is at a risk for Huntington's disease (HD).

3.A woman at 35 weeks of gestation has had an amniocentesis. The results reveal that surface-active
phospholipids are present in the amniotic fluid. The nurse is aware that this finding indicates:

A. The fetus is at risk for Down syndrome.

B. The woman is at high risk for developing preterm labor.

C. Lung maturity.

D. Meconium is present in the amniotic fluid.

5.The nurse is reviewing the diagnostic test results with a pregnant patient and informs the patient that
she is going to have twins. Based on which diagnostic test did the nurse make such a conclusion?

A. Human placental lactogen

B. Ultrasound results

C. Cytogenetic testing

D. Amniotic fluid levels

6.The blood pressure of a pregnant patient becomes low when the patient lies on the back. What would
be the best nursing intervention to maintain normal blood pressure in the patient?

A. Position the patient to lie on the left side and rest.

B. Suggest that the patient perform aerobic exercises daily.

C. Have the patient stand up and take a deep breath.

D. Tell the patient to lie straight facing up and take frequent rest periods.

7.The student nurse is giving a presentation about milestones in embryonic development. Which
information should the student include?

A. At 8 weeks of gestation, primary lung and urethral buds appear.

B. At 12 weeks of gestation, the vagina is open or the testes are in position for descent into the scrotum.

C. At 20 weeks of gestation, the vernix caseosa and lanugo appear.

D. At 24 weeks of gestation, the skin is smooth, and subcutaneous fat is beginning to collect.

8. How many veins and arteries are present between the maternal and the fetal circulatory system by
the fifth week of pregnancy?

A. One vein and one artery

B. Two veins and one artery

C. One vein and two arteries

D. Two veins and two arteries

9. The nurse is assessing a group of pregnant women at a community health center. Which patients
would be at highest risk for pregnancy-related complications? The patient:

A. With uncontrolled diabetes mellitus.

B. Who is of African-American descent.

C. Who is between 30 and 33 years old.

D. With history of alcohol consumption.

10.A patient who is 8 weeks pregnant wants to know when she can feel the fetal movements in the
womb. What is the best nursing response? "You will have to wait for another:

A. 8 to 12 weeks."

B. 6 to 8 weeks."

C. 4 to 6 weeks."

D. 2 to 4 weeks."

11.A woman's cousin gave birth to an infant with a congenital heart anomaly. The woman asks the nurse
when such anomalies occur during development. Which response by the nurse is most accurate?

a. "We don't really know when such defects occur."

b. "It depends on what caused the defect."

c. "They occur between the third and fifth weeks of development."

d. "They usually occur in the first 2 weeks of development."

13. A pregnant woman at 25 weeks' gestation tells the nurse that she dropped a pan last week and her
baby jumped at the noise. Which response by the nurse is most accurate?

a. "That must have been a coincidence; babies can't respond like that."

b. "The fetus is demonstrating the aural reflex."

c. "Babies respond to sound starting at about 24 weeks of gestation."

d. "Let me know if it happens again; we need to report that to your midwife."

15.The nurse caring for the laboring woman should know that meconium is produced by:

a. Fetal intestines.

b. Fetal kidneys.

c. Amniotic fluid.

d. The placenta.

16. A woman asks the nurse, "What protects my baby's umbilical cord from being squashed while the
baby's inside of me?" The nurse's best response is:

a. "Your baby's umbilical cord is surrounded by connective tissue called Wharton jelly, which prevents
compression of the blood vessels and ensures continued nourishment of your baby."

b. "Your baby's umbilical floats around in blood anyway."

c. "You don't need to worry about things like that."

d. "The umbilical cord is a group of blood vessels that are very well protected by the placenta."

18. The _____ is/are responsible for oxygen and carbon dioxide transport to and from the maternal
bloodstream.

a. Decidua basalis

b. Blastocyst
c. Germ layer

d. Chorionic villi

19. Sally comes in for her first prenatal examination. This is her first child. She asks you (the nurse),
"How does my baby get air inside my uterus?" The correct response is:

a. "The baby's lungs work in utero to exchange oxygen and carbon dioxide."

b. "The baby absorbs oxygen from your blood system."

c. "The placenta provides oxygen to the baby and excretes carbon dioxide into your bloodstream."

d. "The placenta delivers oxygen-rich blood through the umbilical artery to the baby's abdomen."

20.The most basic information a maternity nurse should have concerning conception is that:

a. Ova are considered fertile 48 to 72 hours after ovulation.

b. Sperm remain viable in the woman's reproductive system for an average of 12 to 24 hours.

c. Conception is achieved when a sperm successfully penetrates the membrane surrounding the ovum.

d. Implantation in the endometrium occurs 6 to 10 days after conception.

21. A maternity nurse should be aware of which fact about the amniotic fluid?

a. It serves as a source of oral fluid and a repository for waste from the fetus.

b. The volume remains about the same throughout the term of a healthy pregnancy.

c. A volume of less than 300 ml is associated with gastrointestinal malformations.

d. A volume of more than 2 L is associated with fetal renal abnormalities.

23.With regard to the structure and function of the placenta, the maternity nurse should be aware that:

a. As the placenta widens, it gradually thins to allow easier passage of air and nutrients.

b. As one of its early functions, the placenta acts as an endocrine gland.

c. The placenta is able to keep out most potentially toxic substances such as cigarette smoke to which
the mother is exposed.
d. Optimal blood circulation is achieved through the placenta when the woman is lying on her back or
standing.

24.The nurse caring for a pregnant client knows that her health teaching regarding fetal circulation has
been effective when the client reports that she has been sleeping:

a. In a side-lying position.

b. On her back with a pillow under her knees.

c. With the head of the bed elevated.

d. On her abdomen.

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