1.) A 28-year old married woman seeks advice from the 8.

the 8.) From the 33rd week of gestation till full term, a
nurse in the company health office about oral contraceptives. healthy mother should have prenatal check up every:
The nurse should advice her that if she smokes:

a. week
a. Oral contraceptives can cause thrombophlebitis b. 2 weeks
b. Some oral contraceptives are safe, others are not. c. 3 weeks
c. Some oral contraceptives can be used without concern. d. 4 weeks
d. Oral contraceptives can be used with other methods.
9.) Pelvic rocking is an appropriate exercise in
2.) What event occurring in the second trimester helps pregnancy to relieve which discomfort?
the expectant mother to accept the pregnancy?

a. Leg cramps
a. Lightening b. Urinary frequency
b. Ballotment c. Orthostatic hypotension
c. Pseudocyesis d. Backache
d. Quickening
10.) A client asks the nurse about the use of an
3.) The nurse at a woman’s health clinic knows that client intrauterine device (IUD) for contraception. When discussing
teaching regarding use of an oral contraceptive is understood this method with the client,the nurse includes that a possible
when the client: problem with IUD use would be:

a. “I can stop the pill and try to get pregnant right away.” a. Expulsion of the device
b. “I can miss two periods and not worry about being b. Occasionl dyspareunia
pregnant.” c. Perforation of the uterus
c. “I will put a baby’s picture on my bathroom mirror, so I’ll d. Frequent vaginal infections.
see it every morning.”
d. “I am so glad we won’t have to mess with condoms even if
I miss just one pill during the month.”
11.) A young client asks the nurse what she should do if she
4.) A 38-year-old client who is at 16 weeks' gestation is forgets to take the pill one day. The nurse;s best response
scheduled for an amniocentesis. The nurse is aware that   an would be:
amniocentesis cannot determine the fetus':

a. “take your pills s instructed.”

a. Sex b. “Call the physician immediately.”
b. Size c. “continue as usual; missing one day is no problem.”
c. Lung maturity d. “The next day take one pill in the morning and one before
d. Chromosomal make-up bedtime.”
5.) A client states that she wishes to use the calendar
method of birth control. The nurse is aware that the client
12.) The position that the nurse should encourage a client with
understands how to calculate the beginning of the fertile period
cardiac disease to assume during labor would be:
when she states:

a. Supine
a. Subtract 11 days from the length of my longest cycle
b. Semi-Fowler’s
b. Subtract 18 days from the length of my shortest cycle.
c. High Fowler’s
c. Abstain from sexual intercourse after the 10th day of my
d. Trendelenburg
cycle.
d. Abstain from sexual intercourse from the 10th day prior to 13.) The nurse is aware that placenta previa occurs
the middle of my average cycle. 'when:
6.) The main reason for an expected increased need for
iron in pregnancy is:
a. There is premature separation of a normally implanted
placenta
b. The placenta is not implanted securely in place on the
a. The mother may have physiologic anemia due to the
uterine wall
increased need for red blood cell mass as well as the fetal
c. There is premature aging of a placenta implanted in the
requires about 350-400 mg of iron to grow
uterine fundus
b. The mother may suffer anemia because of poor appetite
d. The placenta is implanted in the lower uterine segment,
c. The fetus has an increased need for RBC which the
covering part or all of the os
mother must supply
d. The mother may have a problem of digestion because of 14.) When a breech presentation is suspected, the nurse
pica should diligently observe the client for signs of:
7.) Laboratory studies reveal that a pregnant client's
blood type is 0 and she is Rh positive. Problems related to
a. Precipitate labor
incompatibility may develop in her infant if the infant is:
b. Prolapse of tlie cord
c. Primary uterine inertia
d. Progression of normal labor
a. Rh negative
b. Type A or B 15.) A primigravida asks the nurse when she can expect
c. Born preterm to feel her baby move. The nurse should reply that quickening
d. Type 0, Rh positive usually occurs in the:

a. 12 week
b. 16th week
c. 20th week
d. 24th week
16.) A client is admitted to the hospital in labor 24 hours 24.) A client is admitted in active labor. During the
after her membranes have ruptured. It is important for the assessment between contractions the nurse palpates her
nurse to assess the client's amniotic fluid for signs of potential: abdomen to determine the fetal presentation, which is:

a. Cord prolapse a. Position of the fetal body parts

b. Placenta previa b. Portion of the fetus that enters the pelvis first
c. Chorioamnionitis c. Relationship of the fetal presenting part to the mother’s
d. Abruptio placentae pelvis
d. Relationship of the long axis of the fetus to the long axis of
17.) Upon assessment the nurse found the following: the mother.
fundus at 2 fingerbreadths above the umbilicus, last menstrual 25.) The fetus of a client in labor is in the LOP position.
period (LMP) 5 months ago, fetal heart beat (FHB) not To alleviate some of the discomfort caused by this type of
appreciated. Which of the following is the most possible labor, the nurse should advise the client’s partner to:
diagnosis of this condition?

a. Encourage the client to sleep between contractions

a. Hydatidiform mole b. Elevate the head of the client’s bed to a 45-degree angle
b. Missed abortion c. Instruct the client to take deeper breaths during
c. Pelvic inflammatory disease contractions
D. Ectopic pregnancy d. Apply pressure to the client’s sacral area during a
contraction.
18.) A client at 35 weeks' gestation is admitted to the
hospital with a small amount of bright red vaginal bleeding 26. A client at 39 weeks' gestation calls the clinic nurse
without contractions. After placing the client in bed, the nurse with complaints of pelvic pressure, increased urinary
should: frequency, and vaginal secretions. The nurse would correctly
interpret these as signs and symptoms of a(n):  

a. Check fetal heart tones

b..Administer a Fleet enema a. vaginal infection
c. Obtain an amniotomy setup b. impending Labor
d. Perform a vaginal examination c. urinary Tract Infection
d. rupture of Membranes
19.) A client in the 16th week of pregnancy is scheduled
for ultrasonography. When preparing the client for the 27. A nurse is caring for a client admitted to the birthing
procedure, the nurse informs her that for this test it will be unit with rupture of membranes for two hours. A pelvic exam
necessary to: reveals a dilatation of 4 cm and the presenting part is not
engaged. Which possible complication should the nurse
anticipate?
a. Have an enema the night before the examination.
b. Fast for 12 hours to minimize the possibility of vomiting.
c. Monitor closely afterward for signs of precipitate labor a. Prolapsed of the cord
d. Drink at least 1 L of water one to two hours before the test b. Placenta previa
and avoid urinating during that time. c. Amniotic fluid
d. Abruptio placenta
20.) Nursing care for a pregnant client who is to have an
oxytocin stimulated-contraction test should include: 28. A laboring client is lying supine with a blood pressure
of 88/60. What should be the initial nursing action?

a. Having the client empty her bladder

b. Placing the client in a supine position a. Administer oxygen at 5L/min
c. Keeping the client on nothing by mouth. b. Notify the physician/nurse-midwife
d. Preparing the client for insertion of internal monitors. c. Increase the intravenous drip rate
d. Position client on the left side
21.) The nurse is aware that the client at 40 weeks
gestation is experiencing true labor if: 29. A nurse is auscultating the heart rate of a fetus in a
cephalic presentation. In which location would the nurse hear
the heart rate most clearly?
a. Cervical dilation has occurred.
b. Her membranes have ruptured.
c. The pains become more noticeable a. The lower quadrant of the maternal abdomen
d. The fetal heart rate baseline decreases. b. Level of the maternal umbilicus
c. The upper quadrant of the maternal abdomen
22.) A client, who is admitted to the birthing room, is a d. Above the maternal umbilicus
Gravida III Para I. This means that the client:
30. Another nurse is assisting on a laboring mother. She
knows that the mother have achieved the 1st stage of labor if
a. Had one premature baby she had
b. Has had an induced abortion
c. Had two previous pregnancies
d. Has three living children at home. a. full cervical dilation
b. 80% effacement
23.) During labor the nurse encourages the client to void. c. delivery of the baby
The nurse recognizes that an overdistended urinary bladder d. delivery of the placenta
during labor can:
31. The process wherein  a sperm unites with the female
egg is termed as
a. Interfere with the delivery of the placenta
b. Interfere with the assessment of cervical diln
c. Prevent the diagnosis of cephalopelvic disproportion a. Fertilization
d. Predispose to uterine hemorrhage immediately after birth. b. Implantation
c. Unity
d. Pregnancy
 a. advance training
b. formal education
32. The nurse is asked by a couple, when they could say c. in-service education
that their baby is a fetus? The baby inside has reached d. masteral education

40. A postpartum client has a temperature of 101.4ºF,

a. fertilization and is about to implant with a uterus that is tender when palpated, remains unusually
b. implantation until it reaches 5-8 weeks large, and not descending as normally expected. Which of the
c. 5-8weeks until its delivery following should the nurse assess next?
d. implantation until its delivery

33. The nurse reviewing her notes takes note on the best a. Lochia
time to insert the diaphragm. She is correct if she states b. Breasts
c. Incision
d. Urine
a. 2 days before menstruation
b. 2 days of menstruation 41. When taking an obstetrical history on a pregnant
c. 5 days after menstruation client who states, “I had a son born at 38 weeks gestation, a
d. 5 days before menstruation daughter born at 30 weeks gestation and I lost a baby at about
8 weeks,” the nurse should record her obstetrical history as
34. A healthy couple went to the clinic to ask your advice which of the following?
on the best contraceptive method, the nurse can correctly
respond to these situation by applying what ethical principle
a. G2 T2 P0 A0 L2
b. G3 T1 P1 A0 L2
a. Autonomy c. G3 T2 P0 A0 L2
b. Beneficence d. G4 T1 P1 A1 L2
c. Non-malificence
d. Fidelity 42. During a pelvic exam the nurse notes a purple-blue
tinge of the cervix. The nurse documents this as which of the
35. To evaluate a woman’s understanding about the use following?
of diaphragm for family planning, Nurse Trish asks her to
explain how she will use the appliance. Which response
indicates a need for further health teaching? a. Braxton-Hicks sign
b. Chadwick’s sign
c. Goodell’s sign
a. “I should check the diaphragm carefully for holes every d. McDonald’s sign
time I use it”
b. “I may need a different size of diaphragm if I gain or lose 43. Mikee needs to review relevant literature and studies
weight more than 20 pounds” on Labor pain. The following processes are undertaken in
c. “The diaphragm must be left in place for at least 6 hours reviewing literature EXCEPT
after intercourse”
d. “I really need to use the diaphragm and jelly most during
the middle of my menstrual cycle”. a. locating and identifying resources
b. reading and recording notes
36. Family planning involves both artificial and natural c. clarifying a research topic
method of preventing pregnancy. A couple is asking Nurse d. using the library
Sharon on natural family planning method. She is correct if she
will include which of the following on her counseling as the best 44. Further, Mikee utilized previous thesis from the library
type of natural family planning? about Labor and Delivery. Mikee is correct if he states that he
is utilizing what type of literature:

a. Barrier method
b. Use of vaginal douche a. Conceptual
c. Withdrawal method b. Theoretical
d. Symptothermal method c. Research
d. Foreign
37. A woman first time positively diagnosed to be
pregnant by ultrasound states, No I can’t be pregnant, and this 45. The patient admitted to the Gyne Ward is asking for
is a big mistake. Which of the following statement is the best your help. They cannot pay their bills on the hospital. As the
response of the nurse? nurse in-charge to the client, you are going to refer the client to
the:

a. “Everything will be fine while you assure her of your

presence” a. Physician
b. “This is a gift from GOD, accept it” b. Nurse Supervisor
c. “I know how you feel. I’m ready to listen” c. Social Worker
d. “Hey! You know you did this to yourself” d. Police

38. The nurse responding on question number 11 should 46. A pregnant client was rushed to the hospital because
note what ethical principle: of high blood pressure and swelling of the phase. The doctor
diagnosed the patient of pre-ecclampsia and advised to have
modification of diet. In order to achieve the goal of having a
a. beneficence safe pregnancy and delivery by diet modification, the nurse
b. non-malificence should refer the client to the
c. justice
d. advocacy
a. medical pathologist
39. Nurse Joy of OB ward would like to attend a  seminar b. nutritionist
on Postpartum Complications conducted, offered and required c. dietitian
by the hospital. This can be considered as: d. Obstetrician
47. Which of the following are common causes of 55. Another nurse is assisting on a laboring mother. She
bleeding in the first trimester of pregnancy? knows that the mother have achieved the 1st stage of labor if
she had

i. Abortion
ii. Abruptio placenta a. full cervical dilation
iii. Placenta previa b. 80% effacement
iv. Ectopic pregnancy c. delivery of the baby
a. 1 and 2 d. delivery of the placenta
b. 1 and 4
c. 1, 2 and 3 56. The process wherein  a sperm unites with the female
d. 2, 3 and 4 egg is termed as

48. When developing a plan of care for a client newly

diagnosed with gestational diabetes, which of the following a. Pregnancy
instructions would be the priority? b. Fertilization
c. Implantation
d. Ovulation
a. Dietary intake
b. Medication 57. The nurse is asked by a couple, when they could say
c. Exercise that their baby is a fetus? The baby inside has reached
d. Glucose monitoring

49. Which of the following is the priority focus of nursing
practice with the current early postpartum discharge?
a. Promoting comfort and restoration of health
b. Exploring the emotional status of the family
c. Facilitating safe and effective self-and newborn care
d. Teaching about the importance of family planning
a. fertilization and is about to implant
b. implantation until it reaches 5-8 weeks
c. 5-8weeks until its delivery
d. implantation until its delivery
58. The nurse reviewing her notes takes note on the best
time to insert the diaphragm. She is correct if she states

50. The nurse documents positive ballottement in the a. 2 days before menstruation
client’s prenatal record. The nurse understands that this b. 2 days of menstruation
indicates which of the following? c. 5 days after menstruation
d. 5 days before menstruation

a. Palpable contractions on the abdomen 59. A healthy couple went to the clinic to ask your advice
b. Passive movement of the unengaged fetus on the best contraceptive method, the nurse can correctly
c. Fetal kicking felt by the client respond to these situation by applying what ethical principle
d. Enlargement and softening of the uterus

51. A client at 39 weeks' gestation calls the clinic nurse a. Autonomy

with complaints of pelvic pressure, increased urinary b. Beneficence
frequency, and vaginal secretions. The nurse would correctly c. Non-malificence
interpret these as signs and symptoms of a(n):   d. Fidelity

60. To evaluate a woman’s understanding about the use

a. vaginal infection of diaphragm for family planning, Nurse Trish asks her to
b. impending Labor explain how she will use the appliance. Which response
c. urinary Tract Infection indicates a need for further health teaching?
d. rupture of Membranes

52. A nurse is caring for a client admitted to the birthing a. “I should check the diaphragm carefully for holes every
unit with rupture of membranes for two hours. A pelvic exam time I use it”
reveals a dilatation of 4 cm and the presenting part is not b. “I may need a different size of diaphragm if I gain or lose
engaged. Which possible complication should the nurse weight more than 20 pounds”
anticipate? c. “The diaphragm must be left in place for at least 6 hours
after intercourse”
d. “I really need to use the diaphragm and jelly most during
a. Prolapsed of the cord the middle of my menstrual cycle”.
b. Placenta previa
c. Amniotic fluid 61. Family planning involves both artificial and natural
d. Abruptio placenta method of preventing pregnancy. A couple is asking Nurse
Sharon on natural family planning method. She is correct if she
53. A laboring client is lying supine with a blood pressure will include which of the following on her counseling as the best
of 88/60. What should be the initial nursing action? type of natural family planning?

a. Administer oxygen at 5L/min a. Barrier method

b. Notify the physician/nurse-midwife b. Use of vaginal douche
c. Increase the intravenous drip rate c. Withdrawal method
d. Position client on the left side d. Symptothermal method

54. A nurse is auscultating the heart rate of a fetus in a

cephalic presentation. In which location would the nurse hear
the heart rate most clearly?

a. The lower quadrant of the maternal abdomen

b. Level of the maternal umbilicus
c. The upper quadrant of the maternal abdomen
d. Above the maternal umbilicus
62. A woman first time positively diagnosed to be 70. The patient admitted to the Gyne Ward is asking for
pregnant by ultrasound states, No I can’t be pregnant, and this your help. They cannot pay their bills on the hospital. As the
is a big mistake. Which of the following statement is the best nurse in-charge to the client, you are going to refer the client to
response of the nurse? the:

a. “Everything will be fine while you assure her of your a. Physician

presence” b. Nurse Supervisor
b. “This is a gift from GOD, accept it” c. Social Worker
c. “I know how you feel. I’m ready to listen” d. Police
d. “Hey! You know you did this to yourself”
71. A pregnant client was rushed to the hospital because
63. The nurse responding on question number 11 should
of high blood pressure and swelling of the phase. The doctor
note what ethical principle:
diagnosed the patient of pre-ecclampsia and advised to have
modification of diet. In order to achieve the goal of having a
safe pregnancy and delivery by diet modification, the nurse
a. beneficence should refer the client to the
b. non-malificence
c. justice
d. advocacy
a. medical pathologist
64. Nurse Joy of OB ward would like to attend a  seminar b. nutritionist
on Postpartum Complications conducted, offered and required c. dietitian
by the hospital. This can be considered as: d. obstetrician

72. Which of the following are common causes of

bleeding in the first trimester of pregnancy?
a. advance training
b. formal education
c. in-service education
i. Abortion
d. masteral education
ii. Abruptio placenta
65. A postpartum client has a temperature of 101.4ºF, iii. Placenta previa
with a uterus that is tender when palpated, remains unusually iv. Ectopic pregnancy
large, and not descending as normally expected. Which of the a. 1 and 2
following should the nurse assess next? b. 1 and 4
c. 1, 2 and 3
d. 2, 3 and 4
a. Lochia 73. When developing a plan of care for a client newly
b. Breasts diagnosed with gestational diabetes, which of the following
c. Incision instructions would be the priority?
d. Urine

66. When taking an obstetrical history on a pregnant

client who states, “I had a son born at 38 weeks gestation, a a. Dietary intake
daughter born at 30 weeks gestation and I lost a baby at about b. Medication
8 weeks,” the nurse should record her obstetrical history as c. Exercise
which of the following? d. Glucose monitoring

74. Which of the following is the priority focus of nursing

practice with the current early postpartum discharge?
a. G2 T2 P0 A0 L2
b. G3 T1 P1 A0 L2
c. G3 T2 P0 A0 L2
a. Promoting comfort and restoration of health
d. G4 T1 P1 A1 L2
b. Exploring the emotional status of the family
67. During a pelvic exam the nurse notes a purple-blue c. Facilitating safe and effective self-and newborn care
tinge of the cervix. The nurse documents this as which of the d. Teaching about the importance of family planning
following?
75. The nurse documents positive ballottement in the
client’s prenatal record. The nurse understands that this
indicates which of the following?
a. Braxton-Hicks sign
b. Chadwick’s sign
c. Goodell’s sign
a. Palpable contractions on the abdomen
d. McDonald’s sign
b. Passive movement of the unengaged fetus
68. Mikee needs to review relevant literature and studies c. Fetal kicking felt by the client
on Labor pain. The following processes are undertaken in d. Enlargement and softening of the uterus
reviewing literature EXCEPT
76. A nurse is receiving a report on four clients in the
birthing center. Which client should the nurse anticipate giving
birth first?  
a. locating and identifying resources
b. reading and recording notes
c. clarifying a research topic
a. G1P0, 4 cm dilated, and 80% effaced
d. using the library
b. G2P1, 5 cm dilated, and 40% effaced
69. Further, Mikee utilized previous thesis from the library c. G6P1, 6cm dilated, and 50% effaced
about Labor and Delivery. Mikee is correct if he states that he d. G5P4, 5cm dilated, and 40% effaced
is utilizing what type of literature:

a. Conceptual
b. Theoretical
c. Research
d. Foreign
77. Your client in her fourth month of pregnancy has just
been told she has an incompetent cervix. What is the best way
to explain this to her?
a. You have a severe cervical infection
b. The cervix will not open
c. The cervix is opening prematurely
d. You have a bleeding area on the cervix
78. A prenatal client at 16 weeks’ gestation presents at
the clinic with unexplained bleeding, cramping, and backache,
which she has had for the past two days. A pelvic exam
reveals a closed cervix. What type of abortion does this
indicate?
a. Imminent
b. Missed
c. Threatened
d. Incomplete
79. A client at 36 weeks’ gestation is admitted to the labor
and birth unit. Her chief complaint is abdominal cramping with
a sudden gush of clear fluid. What is the priority nursing
diagnosis for this prenatal client?
a. Risk for ineffective coping related to unknown outcome of
pregnancy
b. Knowledge deficit related to unfamiliarity with loss of
vaginal fluids
c. Risk for infection related to premature rupture of
membranes
d. Impaired physical mobility related to strict bed rest
80. A nurse is reviewing lab tests of four prenatal clients.
Which lab finding would support the diagnosis of hyperemesis
gravidarum?
a. Hypercalcemia
b. Hyperkalemia
c. Hypokalemia
d. Hypocalcemia
81. The nurse is caring for four clients in the birthing
center. The nurse should encourage which client to ambulate?
a. G2P1 with ruptured membranes and 0 engagement
b. G3P2 with intact membranes and 4 cm dilated
c. G4P3 with ruptured membranes and 9 cm dilated
d. G5P4 with intact membranes and 8 cm dilated
82. A nurse is planning to perform Leopold’s maneuver
on a laboring mother. What should be the nurse’s initial action?
a. Position the client on her back
b. Have the client void
c. Wash hands with warm water
d. Apply sterile lubricant in the abdomen
83. Which of the following characteristics of the care plan
should the quality manager instill to the staff nurses of OB
ward?
a. Nurse- focused, flexible, measurable and realistic
b. Client-focused, flexible, realistic and measurable
c. Nurse-focused, time-related, realistic and measurable
d. Client-focused, time-limited, realistic, and measurable
84. One patient in the unit asked the doctor about BTL.
After explaining the procedure and all the advantages and
disadvantages of the procedure, she decided to have the
procedure, signed the consent yet she told the nurse that she
doesn’t want the husband to be informed. The act of the
patient is considered
a. legal
b. illegal
c. moral
d. ethical
85. Another pregnant patient diagnosed of cervical cancer
would like to deliver the baby despite of the danger that she
might die on the procedure. The husband disagrees on the
decision of the wife. In case of conflicting ideas between the
patient and the husband, the nurse is legally and primarily
obliged to protect the right of the
a. patient
b. husband
c. both
d. hospital
86. The nurse in the OB ward lists all the activities that
should be accomplished on that duty.  She should be corrected
by the nurse supervisor if she gives which of the following task
to the nursing aid
a. vital signs taking to an ambulating client
b. sending of specimen of a pre-eclamptic client
c. unoccupied bedmaking
d. health teaching on how to prevent infection
87. On PM shift, the nurse enters the room of the patient
and shocked when she saw the trash can is burning. The next
action of the nurse should be
a. extinguish the fire
b. assure that the patient is safe
c. press the alarm
d. confine the fire
88. Nurse Conchita admits a pregnant patient with
Thrombophlebitis, on her SOAPIE charting which among the
following is the subjective data
a. with a scale of 9 on 0-10 pain scale
b. to verbalize reduction of pain from 9 to 5
c. verbalizes reduction of pain from 9 to 5
d. verbalized radiating pain on the calf region
89. The nurse would like to conduct a study about the
effects of classical music to the intrauterine growth and
development of a randomized group of pregnant mothers and
compared it to the intrauterine growth and development of
another randomized group of pregnant mothers. The nurse is
correct if she states that the study is
a. true-experimentaal
b. quasi-experimental
c. pre-experimental
d. non-experimental
90. The independent variable of the study would be:
a. pregnant mothers
b. growth and development
c. classical music
d. randomization
91. The best sampling method the nurse can employ in a. Void immediately before the procedure to reduce your
relation to the research design would be bladder size.
b. You can have medicine for pain for any contractions
caused by the test.
a. purposive c. The intravenous fluid infused to dilate your uterus does not
b. quota hurt the fetus.
c. convenience d. Drink at least 3 glasses of fluid before the procedure.
d. simple random
99. In contrast with the patient for ultrasound. What
92. Which of the following phases of labor, wherein the instruction would you give the client before conducting
mother shows excitement, euphoria and eagerness to learn amniocentesis?
about her labor status?

a. The intravenous fluid infused to dilate your uterus does not

a. latent hurt the fetus.
b. prodromal b. The x-ray used to reveal your fetus’ position has no long
c. transitional term effects.
d. active c. No more amniotic fluid forms afterward, which is why only
a small amount is removed.
93. Which of the following women would be at lowest risk d. Void immediately before the procedure to reduce your
for the development of thrombus or thrombophlebitis? bladder size.

100. When preparing to listen to the fetal heart rate at 12

a. Ideleria, 22 years old, nurse, 2nd vaginal delivery
b. Sharron, 38 years old, who asks for lactation suppression
in order to return to work
c. Saddey, 28 years old, sixth child, caesarian birth
d. Emerita, 40 years old, third child 200 lbs, forceps delivery
94. Carlota is admitted in active labor. The nurse locates
fetal heart sounds in the lower left quadrant of the mother’s
abdomen. The nurse is correct if she mentioned, which of the
following?
weeks’ gestation, the nurse would use which of the following?
a. Stethoscope placed midline at the umbilicus
b. Doppler placed midline at the suprapubic region
c. Fetoscope placed midway between the umbilicus and the
xiphoid process
d. External electronic fetal monitor placed at the umbilicus.

a. Carlota will probably deliver with too much pain

b. This indicates Carlota will probably have breech delivery
c. The fetus is in the most common left anterior fetal
positions
d. This position is referred to as being sacrum posterior

95. Which of the following findings on a newly delivered

woman’s chart would indicate the client is at risk for developing
early postpartum hemorrhage?

a. Post-term delivery
b. Retained placental fragments
c. Premature rupture of membranes
d. Grand multiparity

96. The nurse is conducting health teaching on a

pregnant client that complains of constipation. The following
statements are correct regarding constipation in pregnancy.
Select all that apply.

i. It is due to the effects of Relaxin

ii. May be associated with iron supplements taken by the
mother
iii. Effects brought by Estrogen.
iv. Due to decrease motility of the intestines.
a. i, ii, iv
b. ii, iii
c. i, ii, iii
d. ii, iv

97. The method utilizes a well-defined, step by step

system of education and instruction with the idea of painless
childbirth is

a. bradley method
b. lamaze method
c. kegel’s exercise
d. dick-read method

98. A client is scheduled to have an ultrasound

examination. She is worried on what will happen during the
ultrasound. The nurse went to the room and conducts some
teaching to the client. What instruction would the nurse give
the client before examination?