Name:______________________________

Date: _______________________________

1. A client is 14 weeks pregnant states,

Eversince ive been pregnant, Ive had a hard
time moving my bowels. Increased level of
what hormone are responsible for this 3. The nurse is performing Prenatal
common discomfort of pregnancy? Assessment on a client who is 32 weeks
pregnant. She performs Leoplolds maneuvers
a. Estrogen
and determines that the fetus is in cephalic
b. Progesterone position. Identify where the nurse should place
the doppler to auscultate fetal heart tones.
c. FSH

d. LH

2. The nurse is palpating the uterus of a

client who is 20 weeks pregnant to measure
fundal height. Identify the area on the
abdomen where the nurse should the expect
to feel the uterine fundus.

4. A client who is 32 weeks pregnant is

being monitored in the antepartum unit for
pregnancy induced hypertension. She suddenly
complains of continuous abdominal pain and
vaginal bleeding.Which of the following
nursing intervention should be included in the
care of client? Select all that apply

a. Evaluate vital signs

b. Prepare for vaginal delivery

c. Reassure the client that she will be able

to continue pregnancy

d. Evaluate fetal heart tones

e. Monitor the amount of vaginal bleeding

f. Monitor i and o

5. A client who is 32 weeks pregnant

comes to the office for prenatal visit. The nurse
performs Leoplold maneuvers to assess the
position of the fetus. After performing the
maneuvers, the nurse suspects that the
physician will attempt external version. Where
did the nurse palpate the head of the fetus?
6. A client states that she wishes to use
calendar method of birth control. The nurse is
aware that the client understand how to
calculate the beginning of the fertile period
when she states, I will
a. ‘Subtract 11 days from the length of my
longest cycle”
b. “Subtract 18 days from the length of my
shortest cycle”
c. Abstain from sexual intercourse after
the 10th day of my cycle”
d. “Abstain from intercourse from the
10th day prior to the middle of my average
cycle”
7. An active 19 years old primigravida
attends prenatal clinic for the first time. She
asks the nurse if she can continue playing
tennis and go horseback riding while she is
pregnant. The nurse should reply:
a. “ continue all usual activities as long as
you are comfortable”
b. “Horseback riding is acceptable but only
6 months gestation”
c. “Tennis is a good exercise for you but
horseback riding is too strenous”
d. “ Both of these sports have been found
to be strenuous for a preganant woman”
8. A clients first prenatal visit , the nurse-
midwife performs pelvic examination. The
nurse states that the clients cervis is bluish
purple, which is known as Chadwicks sign. The
client becomes concerned and asks if theres
something wrong. The nurse replies It is a
normal finding and:
a. “Helps confirm your pregnancy”
b. “Is not unusual even in women who are
not pregnant.”
c. “ occurs because the blood is trapped
by the pregnant uterus”
d. “ it is caused by increased blood flow to
the uterus during pregnancy”
9. A client is 8 weeks pregnant and tells
the nurse that she does not feel like making
love to her husband and is concerned that her
husband may not understand. The nurse could
make appropriately respond:
a. “ How long have you had this
problem?”
b. “ Why dont you feel like having
intercourse”
c. “ A decrease in libido is expected the
during the first trimester of pregnancy”
d. “ Im sure your husband will understand
that your feeling is related to your pregnancy”
10. The nurse midwife palpates the uterus
of a client who is 12 weeks gestation and
determines that it is enlarged and:
a. “Buried deep in the pelvic cavity”
b. Just above the symphysis pubis
c. Three fingers above symphysis pubis
d. Causing noticeable bulging of the
abdominal wall
11. A primigravida complains of morning
sickness.the nurse should plan to teach her to
15. A 40 years old primigravida is
scheduled for ultrasound scan. The nurses
instruction shoud include:
a. Increase her fluid intake
a. Postponing breakfast until after test is
b. Eat three small meals a day
done
c. Increase the calcium in her diet
b. Drinking 8 glasses of water before the
d. Avoid long periods without food test

c. Emptying the bladder immediately prior

to the test
12. A primigravida who is in her 7th week
gestation ask the nurse when can she expect to d. Inserting a suppository on arising on the
feel her baby move. The nurse should reply that day of test
quickening usually occurs in :

a. 12th weeks

b. 16th week

c. 20th week

d. 24th week

13. The nurse should explains to the client

primigravida that the fetal heartbeat will first
be heard with

a. A fetoscope around 8 weeks

b. A fetoscope around 12 to 14 weeks

c. An electronic doppler after 17 weeks

d. An electronic doppler after 10 to 12

weeks

14. At a routine prenatal visit the signa nd

symptoms that a primigravida at 20 weeks
gestation, would be modt likely to report for the
first time would be:

a. Quickening

b. Palpitations

c. Increased thirst

d. Vaginal spotting