Prelim: Maternal &

Child Nursing
Which of the following would the nurse identify as a presumptive sign
of pregnancy?

1. Hegar sign
2. Nausea and vomiting
3. Skin pigmentation changes
4. Positive serum pregnancy test
Which of the following fundal heights indicates less than 12 weeks’
gestation when the date of the LMP is unknown?

1. Uterus in the pelvis

2. Uterus at the xiphoid
3. Uterus in the abdomen
4. Uterus at the umbilicus
When preparing to listen to the fetal heart rate at 12 weeks’ gestation,
the nurse would use which of the following?

1. Stethoscope placed midline at the umbilicus

2. Doppler placed midline at the suprapubic region
3. Fetoscope placed midway between the umbilicus and the xiphoid
process
4. External electronic fetal monitor placed at the umbilicus
A nursing instructor is conducting lecture and is reviewing the functions
of the female reproductive system. She asks Mark to describe the
follicle stimulating hormone (FSH) and the luteinizing hormone (LH).
Mark accurately responds by stating that:
1. FSH and LH are released from the anterior pituitary gland.
2. FSH and LH are secreted by the corpus luteum of the ovary
3. FSH and LH are secreted by the adrenal glands
4. FSH and LH stimulate the formation of milk during pregnancy.
A nursing instructor asks a nursing student who is preparing to assist
with the assessment of a pregnant client to describe the process of
quickening. Which of the following statements if made by the student
indicates an understanding of this term?

1. “It is the irregular, painless contractions that occur throughout

pregnancy.”
2. “It is the soft blowing sound that can be heard when the uterus is
auscultated.”
3. “It is the fetal movement that is felt by the mother.”
4. “It is the thinning of the lower uterine segment.”
A nurse midwife is performing an assessment of a pregnant client and is
assessing the client for the presence of ballottement. Which of the
following would the nurse implement to test for the presence of
ballottement?

1. Auscultating for fetal heart sounds

2. Palpating the abdomen for fetal movement
3. Assessing the cervix for thinning
4. Initiating a gentle upward tap on the cervix
1. The nurse is preparing to teach a prenatal class about
fetal circulation. Which statements would be included in
the teaching plan? Select all that apply.
1. “The ductus arteriosus allows blood to bypass the fetal lungs.”
2. “One vein carries oxygenated blood from the placenta to the fetus.”
3. “The normal fetal heartbeat range is 160 to 180 beats per minute in
pregnancy.”
4. “Two arteries carry deoxygenated blood and waste products away
from the fetus to the placenta.”
5. “Two veins carry blood that is high in carbon dioxide and other
waste products away from the fetus to the placenta.”
2. The nursing instructor teaches a group of students
about fetal circulation and then asks a student to
describe fetal circulation, specifically the ductus venosus.
Which statement by the student indicates an
understanding of the ductus venosus?
1. “It connects the pulmonary artery to the aorta.”
2. It is an opening between the right and left atria.”
3. “It connects the umbilical vein to the inferior vena cava.”
4. “It connects the umbilical artery to the inferior vena cava.”
3. A pregnant client tells the clinic nurse that they want to know the sex
of the baby as soon as it can be determined. The nurse plans to inform
the client that they will be able to find out the sex at 16 weeks’
gestation because of which factor?
1. The appearance of the fetal external genitalia
2. The beginning of differentiation in the fetal groin
3. The fetal testes are descended into the scrotal sac.
4. The internal differences in different genders become apparent.
The nurse is performing an assessment on a client who is at 38 weeks’
gestation and notes that the fetal heart rate (FHR) is 174 beats per
minute. On the basis of this finding, what is the priority nursing action?
1. Document the finding.
2. Notify the obstetrician (OB).
3. Check the mother’s heart rate.
4. Tell the client that the fetal heart rate is normal.
The nursing instructor asks a nursing student to explain the
characteristics of the amniotic fluid. The student responds correctly by
explaining which as characteristics of amniotic fluid? Select all that
apply.
1. Allows for fetal movement
2. Surrounds, cushions, and protects the fetus
3. Maintains the body temperature of the fetus
4. Can be used to measure fetal kidney function
5. Prevents large particles such as bacteria from passing to the fetus
6. Provides an exchange of nutrients and waste products between the
birthing parent and the fetus.
A couple comes to the family planning clinic and asks about sterilization
procedures. Which question by the nurse would determine whether
this method of family planning would be most appropriate?
1. “Have you ever had surgery?”
2. “Do you plan to have any other children?”
3. “Do either of you have diabetes mellitus?”
4. “Do either of you have problems with high blood pressure?”
The nurse would plan to make which statement to a pregnant client
found to have a gynecoid pelvis?

1. “Your type of pelvis has a narrow pubic arch.”

2. “Your type of pelvis is the most favorable for labor and birth.”
3. “Your type of pelvis is a wide pelvis, but it has a short diameter.”
4. “You will need a cesarean section because this type of pelvis is not
favorable for a vaginal delivery.”
Which purposes of placental functioning would the nurse plan to
include in a prenatal class? Select all that apply.

1. It cushions and protects the baby.

2. It maintains the temperature of the baby.
3. It is the way the baby gets food and oxygen.
4. It prevents all antibodies and viruses from passing to the baby.
5. It provides an exchange of nutrients and waste products between the
birthing parent and developing fetus.
A 55-year-old client confides in the nurse about being concerned about
sexual function. What is the nurse’s best response?

1. “How often do you have sexual relations?”

2. “Please share with me more about your concerns.”
3. “You are still young and have nothing to be concerned about.”
4. “You should not have a decline in testosterone until you are in your
80s.
The nurse is performing an assessment of a pregnant client who is at 28
weeks of gestation. The nurse measures the fundal height in
centimeters and notes that the fundal height is 30 cm. How would the
nurse interpret this finding?
1. The client is measuring large for gestational age.
2. The client is measuring small for gestational age.
3. The client is measuring normal for gestational age.
4. More evidence is needed to determine size for gestational age.
The nurse is performing an assessment on a client who suspects being
pregnant and is checking the client for probable signs of pregnancy. The
nurse would assess for which probable signs of pregnancy? Select all
that apply.
1. Ballottement
2. Chadwick’s sign
3. Uterine enlargement
4. Positive pregnancy test
5. Fetal heart rate detected by a nonelectronic device
6. Outline of fetus via radiography or ultrasonography.
A client arrives at the clinic for the first prenatal assessment. The client
tells the nurse that the first day of the last normal menstrual period
was October 19, 2023. Using Näegele’s rule, which expected date of
delivery would the nurse plan to document in the client’s chart?
1. July 12, 2024
2. July 26, 2024
3. August 12, 2024
4. August 26, 2024.
The nurse is collecting data during an admission assessment of a client
who is pregnant with twins. The client has a healthy 5-year-old child
who was delivered at 38 weeks and tells the nurse that there is no
history of any type of abortion or fetal demise. Using GTPAL, what
would the nurse document in the client’s chart?
1. G = 3, T = 2, P = 0, A = 0, L = 1
2. G = 2, T = 1, P = 0, A = 0, L = 1
3. G = 1, T = 1, P = 1, A = 0, L = 1
4. G = 2, T = 0, P = 0, A = 0, L = 1
A couple who wants to conceive but has been unsuccessful during the
last 2 years has undergone many diagnostic procedures. When
discussing the situation with the nurse, one partner states, “We know
several friends in our age group and all of them have their own child
already, Why can’t we have one?”. Which of the following would be the
most pertinent nursing diagnosis for this couple?

1. Fear related to the unknown

2. Pain related to numerous procedures.
3. Ineffective family coping related to infertility.
4. Self-esteem disturbance related to infertility.
The nurse is providing instructions to a pregnant
client who is scheduled for 664 an amniocentesis.
What instruction should the nurse provide?
• 1. Strict bed rest is required after the procedure.
• 2. Hospitalization is necessary for 24 hours after the procedure.
• 3. An informed consent needs to be signed before the procedure.
• 4. A fever is expected after the procedure because of the trauma to
the abdomen.
A pregnant client in the first trimester calls the
nurse at a health care clinic and reports that she
has noticed a thin, colorless vaginal drainage. The
nurse should make which statement to the client?

• 1. “Come to the clinic immediately.”

• 2. “The vaginal discharge may be bothersome, but is a normal
occurrence.”
• 3. “Report to the emergency department at the maternity center
immediately.”
• 4. “Use tampons if the discharge is bothersome, but be sure to
change the tampons every 2 hours.”
A nonstress test is performed on a client who
is pregnant, and the results of the test indicate
nonreactive findings. The primary health care
provider prescribes a contraction stress test,
and the results are documented as negative.
How should the nurse document this finding?
• 1. A normal test result
• 2. An abnormal test result
• 3. A high risk for fetal demise
• 4. The need for a cesarean section
When teaching a client about contraception.
Which of the following would the nurse
include as the most effective method for
preventing sexually transmitted infections?
• A. Spermicides B. Diaphragm C. Condoms D. Vasectomy
• For which of the following clients would the nurse expect that an
intrauterine device would not be recommended? A. Woman over age
35 B. Nulliparous woman C. Promiscuous young adult D. Postpartum
client
• A client in her third trimester tells the nurse, “I’m constipated all the
time!” Which of the following should the nurse recommend? A. Daily
enemas B. Laxatives C. Increased fiber intake D. Decreased fluid intake
• The client tells the nurse that her last menstrual period started on
January 14 and ended on January 20. Using Nagele’s rule, the nurse
determines her EDD to be which of the following? A. September 27 B.
October 21 C. November 7 D. December 27
• When taking an obstetrical history on a pregnant client who states, “I
had a son born at 38 weeks gestation, a daughter born at 30 weeks
gestation and I lost a baby at about 8 weeks,”the nurse should record
her obstetrical history as which of the following? A. G2 T2 P0 A0 L2 
10/6/24, 2:10 PM Maternal & Child Practice Exam 2 - RNpedia
[Link]
nursing-exams/maternal-child-practice-exam-2/ 3/31 B. G3 T1 P1 A0
L2 C. G3 T2 P0 A0 L2 D. G4 T1 P1 A1 L2
• When measuring a client’s fundal height, which of the following
techniques denotes the correct method of measurement used by the
nurse? A. From the xiphoid process to the umbilicus B. From the
symphysis pubis to the xiphoid process C. From the symphysis pubis
to the fundus D. From the fundus to the umbilicus
stoped
• The nurse documents positive ballottement in the client’s prenatal
record. The nurse understands that this indicates which of the
following? A. Palpable contractions on the abdomen B. Passive
movement of the unengaged fetus C. Fetal kicking felt by the client D.
Enlargement and softening of the uterus
• During a pelvic exam the nurse notes a purple-blue tinge of the cervix.
The nurse documents this as which of the following?
• A. Braxton-Hicks sign B. Chadwick’s sign C. Goodell’s sign D.
McDonald’s sign
• A client LMP began July 5. Her EDD should be which of the following?
A. January 2 B. March 28 C. April 12 D. October 12
• FHR can be auscultated with a fetoscope as early as which of the
following? A. 5 weeks gestation B. 10 weeks gestation C. 15 weeks
gestation D. 20 weeks gestation
• On which of the following areas would the nurse expect to observe
chloasma? A. Breast, areola, and nipples B. Chest, neck, arms, and
legs C. Abdomen, breast, and thighs D. Cheeks, forehead, and nose
• Which of the following common emotional reactions to pregnancy
would the nurse expect to occur during the first trimester? A.
Introversion, egocentrism, narcissism B. Awkwardness, clumsiness,
and unattractiveness C. Anxiety, passivity, extroversion D.
Ambivalence, fear, fantasies
• Which of the following danger signs should be reported promptly
during the antepartum period? A. Constipation B. Breast tenderness
C. Nasal stuffiness D. Leaking amniotic fluid
• Which of the following prenatal laboratory test values would the
nurse consider as significant? A. Hematocrit 33.5% B. Rubella titer less
than 1:8 C. White blood cells 8,000/mm3 D. One hour glucose
challenge test 110 g/dL