1.

A pregnant woman the nurse she doesn’t know whether she’s ready
to have another baby, even though this was a planned pregnancy.
Which response should the nurse offer?*
a.“You may want to discuss these concerns with a social worker.”
b.“You’re feeling ambivalent, which is normal during the first trimester.”
c.“You need to share these feelings with your partner.”
“You may want to consider having an abortion.”

2.A 9-week primigravida client asks you, “Is it possible for me to

listen to my baby’s fetal heart beat?” Which of the following
responses by the nurse would be appropriate?*
a.“We can listen to your baby’s heart beat with a Doppler but we still have to wait for additional 4
weeks.”
b.“Fetoscope is best used during the 16th week of your pregnancy to listen to the baby’s heart
beat.”
c.“The heart beats 8 weeks before delivery so I don’t think you can listen to it now.”
d. “Your obstetrician would probably use the Doppler to check for fetal heart tones, she
may let you listen to it.”

3.A primigravida client, 24 y/o, 18 weeks AOG verbalized her concern,

“Why is my baby not yet moving, my neighbor who is also pregnant for
the second time says she felt her baby move yesterday. We have the
same AOG, I’m afraid there is something wrong with my baby!” what
would be your best response:*
a.“Quickening is usually felt by first-time mothers a week before delivery.”
b.“Don’t worry everything is alright.”
c.“Normally for a primigravida client like you will feel the first movement on the 20th week”
d.“You’re overreacting ma’am, that might harm the baby.”

4.During their rotation in the OB ward, a student nurse was asked by

her clinical instructor about the changes in a woman’s body during
pregnancy. The student nurse is aware that a common adaptation
during pregnancy would be:*
a.Hypoventilation
b.Increased pH of the vagina
c.Decreased gastrointestinal motility
d.Decreased glomerular filtration rate

5.All but one are principles in identifying parity:*

a.Stillbirth is counted
b.Count the number of fetus delivered before 20 weeks
c.Count the number of pregnancy that reached 20 weeks AOG and subsequently delivered dead
or alive
d.Multiple pregnancy is considered as one parity

6.Suppose the primigravida woman had her last menstrual period for
4 days and the menstrual flow ended May 5, 2021. What would be her
expected date of confinement? *
a.February 5, 2022
b.February 9, 2022
c.January 29, 2022
d.January 5, 2022

7.During the physical assessment on a pregnant woman on her late

20’s, the nurse notes the uterus is firm under the abdominal wall just
in line with the umbilicus. Approximately what week of gestation is
the client in:*
a.20th week
b.22nd week
c.36th week
d.12th week

8.A woman 19 weeks pregnant, has been admitted to the emergency

department following. Contractions are noted which lasted 35
seconds, and cervix dilated at 7cm. She has passed tissue fragments
and no fetal heart was heard upon auscultation. Obstetrical history
tells that he had a previous cesarean section 3 years ago due to
placenta previa @ 38th week AOG giving birth to a small-for-
gestational age infant. Her first pregnancy successfully ended via
normal spontaneous vaginal delivery @ 37 weeks giving birth to twins.
What is her obstetrical score?*
a.G-3, T-2, P-1, A-0, L-2
b.G-3, T-2, P-0, A-1, L-2
c.G-2, T-2, P-1, A-0, L-2
d.G-3, T-3, P-0, A-1, L-3

9.Emergency nursing interventions for a 16-week pregnancy woman

who is suspected to have a miscarriage would include all but one of
the following :*
a.Withhold oral fluids
b.Save perineal pads and any tissue passed
c.Ensure adequate hydration by letting mother drink plenty of fluids to prevent
dehydration
d.Monitor uterine contractions and fetal heart rate
10.Early detection of an ectopic pregnancy is paramount in
preventing a life-threatening rupture. Which symptoms should alert
the nurse to the possibility of an ectopic pregnancy?*
a.Unilateral lower abdominal tenderness and a positive pregnancy test
b.Hyperemesis and weight loss
c.Amenorrhea and a negative pregnancy test
Copious discharge of clear mucous and prolonged epigastric pain

11.The characteristic manifestation of gestation trophoblastic

disease is:*
a.Uterus tends to expand faster than a normal pregnancy
b.Lower abdominal quadrant pain
c.Emesis Gravidarum
d.An HCG level of 400,000 IU

12.Which of the following discharge instructions must be given to a

woman who has just undergone suction and curettage for gestational
trophoblstic disease?*
a.“Visit your physician after one year for a follow-up examination to find out if there is still a
possibility that get pregnant.”
b.“Women who has had molar pregnancy must avoid sexual intercourse for a year or two.”
c.“HCG levels usually return to normal 48 hours after evacuation.”
d.“Use a reliable contraceptive method for 12 months.”

13.The insulin dosage during throughout pregnancy is:*

a.Increased throughout the duration of pregnancy
b.Decreased during the second trimester an increase during the first and third trimester
c.Increased during the first trimester and decreased on the second and third trimester
d.Decreased during the first trimester of pregnancy and increased on the second and third
trimester

14.A primigravida 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 the nurse document as normal? I. Urinary
output of 60ml/hour II. Presence of Patellar reflex III. Respiratory rate
of 16bpm IV. Urinary output of 10 ml/hour V. Respiratory rate of
9bpmVI.Patellar reflex is negative*
1 point

a.I, III, and VI

b.II, III, and IV
c.I, III, and V
d.I, II, and III

15.A 34 y/o client is 34 weeks pregnant and is experiencing bleeding

caused by placenta previa. The fetal heart sounds are normal and the
client isn’t in labor. Which of the following interventions should the
nurse perform?*
a.Allow the client to ambulate with assistance
b.Perform an internal examination to check for cervical dilatation
c.Do perineal pad count
d.Notify the physician of FHT of 130 bpm

16.A nurse is assigned to care for a client with hypotonic uterine

dysfunction and signs of a slowing labor. The midwife is reviewing
the physician’s order and would expect to note which of the following
prescribed treatments for this condition?*
a.Increase hydration
b.Oxytocin (Pitocin) infusion
c.Medication that will provide sedation
d.Administration of a tocolytic medication

17.The nurse is developing a plan of care for a client in her 34th week
of gestation who's experiencing premature labor. What non-
pharmacologic intervention should the plan include to halt premature
labor?*
a.Encouraging ambulation
b.Serving a nutritious diet
c.Promoting adequate hydration
d.Performing nipple stimulation

18.A client at 28 weeks’ gestation is complaining of contractions.

Following admission and hydration, physician writes an order for the
nurse to give 12 mg of betamethasone I.M. The nurse should explain
that this medication is given to:*
a.Slow contraction
b.Enhance fetal growth
c.Prevent infection
d.Promote fetal lung maturity

19.The nurse would best position a pregnant woman with prolapsed

umbillical cord to:*
a.Supine position with hips elevated on a pillow
b.Exaggerated Sim’s Lateral Position
c.Right Side lying position
d.Prone position turned to the side

20.During a contraction stress test, a decrease in the fetal heart rate

occurs with the onset of contractions. The best nursing action would
be to:*
a.Reposition the client
b.Continue monitoring the client
c.Stop oxytocin administration
d.Notify the physician

21.A nurse is monitoring a client labor. The nurse suspects umbilical

cord compression if which of the following is noted on the external
monitor tracing during a contraction?*
a.Late decelerations
b.Early decelerations
c.Short-term variability
d.Variable decelerations

22. A nurse in the labor room is caring for a client in the active
phases of labor. The nurse is assessing the fetal patterns and notes a
late deceleration on the monitor strip. The most appropriate nursing
action is to:*
a.Place the mother in the supine position and administer magnesium sulfate
b.Document the findings and continue to monitor the fetal patterns
c.Stop oxytocin administration, reposition the woman, administer oxygen via face mask
and notify the physician
d.Increase the rate of Pitocin IV infusion

23.Glycosylated hemoglobin level is obtained to determine

compliance to treatment plan for GDM.A level of 6% indicates:*
1 point

a.The client is a candidate for above the knee amputation to prevent further complications
b.There is a risk for spontanoues abortion
c.Client’s education in blood sugar control is adequate
d.Client needs further instruction regarding the treatment plan for GDM.

24.A nurse is assessing the fundus in a postpartum woman and notes

that the uterus is soft and spongy and not firmly contracted. The
midwife prepares to implement which of the following interventions
EXCEPT:*
A.Massaging the uterus
B.Assisting the woman to urinate
C.Checking for distended bladder
D.Administration of ritodrine hydrochloride

25.A primigravid client is admitted to the labor and delivery area.

Assessment reveals fetal malpresentation, yellow amniotic fluid, and
a fetal heart rate (FHR) of 80 beats/minute. What should the nurse do?
*
a.Increase the I.V. oxytocin flow rate, as ordered, to hasten labor and delivery.
b.Reassess the client for continued normal findings in 15 minutes.
c.Help the client into the lithotomy position for delivery.
d.Notify the physician and surgical team of an emergency.