Assessing fetal and maternal heath: prenatal care

Question 1

1. Amy, a gravida 1 para 0 pregnant client comes to a clinic for her first pre-natal visit. Gravida refers to which of
   the following descriptions?
   A. A serious pregnancy
   B. Number of times a female has been pregnant
   C. Number of children a female has delivered
   D. Number of term pregnancies a female has had.

Answer 1

B.Numbe of times a female has been pregnant.

Question 2

2. During the prenatal visit of Linda at 38 weeks, a nurse assesses the fetal heart rate. The nurse determines that the fetal heart rate is normal if which of the following is noted?
A. 80 BPM
B. 100 BPM
C. 150 BPM
D. 180 BPM

Answer 2

C. 150 BPM

Question 3

3. Mrs. Blacksmith is on her 5th pregnancy and has a history of abortion in the 4th pregnancy, and the first
   pregnancy was a twin. She is considered to be
   A. G 4 P 3
   B. G 5 P 3
   C. G 5 P 4
   D. G 4 P 4

Answer 3

C. G 5 P 4

Question 4

4. Nurse Joan is collecting data during an admission assessment of a client who is pregnant with twins. The client has a healthy 7 year old child that was delivered at 37 weeks and tells the nurse that she doesn’t have any history of abortion or fetal demise. The nurse would document the GTPAL for this client as:
A. G = 3, T = 2, P = 0, A = 0, L =1
B. G = 2, T = 0, P = 1, A = 0, L =1
C. G = 1, T = 1. P = 1, A = 0, L = 1
D. G = 2, T = 0, P = 0, A = 0, L = 1

Answer 4

C. G= 2 T = 1 P = 1 A = 0 L= 1

Question 5

5. Hilda, a pregnant client is making her first Antepartum visit. She has a two year old daughters born at 40
   weeks, a 6 year old daughter born at 38 weeks, and 8 year old twin daughters born at 35 weeks. She had a
   spontaneous abortion 3 years ago at 10 weeks. Using the GTPAL format, the nurse should identify that the client
   is:
   A. G4 T3 P2 A1 L4
   B. G5 T2 P2 A1 L4
   C. G5 T2 P1 A1 L4
   D. G4 T3 P1 A1 L4

Answer 5

D. G4 T3 P1 A1 L4

Question 6

6. Nurse Mitch is performing an assessment of a primipara who is being evaluated in a clinic during her second trimester of pregnancy. Which of the following indicates an abnormal physical finding necessitating further testing?
A. Consistent increase in fundal height
B. Fetal heart rate of 180 BPM
C. Braxton Hicks contractions
D. Quickening

Answer 6

B. Fetal heart rate of 180 BPM

Question 7

7.Nurse Mimi is providing instructions to a client in the first trimester of pregnancy regarding measures to assist in reducing breast tenderness. The nurse tells the client to:
A. Avoid wearing a bra
B. Wash the nipples and areola area daily with soap, and massage the breasts with lotion.
C. Wear tight-fitting blouses or dresses to provide support
D. Wash the breasts with warm water and keep them dry

Answer 7

D. Wash the breats with warm water and keep them dry

Question 8

8.Donna, a pregnant client is on her first trimester of pregnancy arrives at a health care clinic and reports that she has been experiencing vaginal bleeding. A threatened abortion is suspected, and the nurse instructs the client regarding management of care. Which statement, if made by the client, indicates a need for further education?
A. “I will maintain strict bedrest throughout the remainder of the pregnancy.”
B. “I will avoid sexual intercourse until the bleeding has stopped, and for 2 weeks following the last evidence of bleeding.”
C. “I will count the number of perineal pads used on a daily basis and note the amount and color of blood on the pad.”
D. “I will watch for the evidence of the passage of tissue.”

Answer 8

A. I will maintain the strict bed rest throughout the remainder of pregnancy.

Question 9

9.Nurse Jellie teaches a 22 week old pregnant woman to avoid lying on her back. The nurse has based this
statement on the knowledge that the supine position can:
A. Unduly prolong labor
B. Cause decreased placental perfusion
C. Lead to transient episodes of hypotension
D. Interfere with free movement of the coccyx

Answer 9

B. Cause decreased placental perfusion.

Question 10

10. Ariane, a pregnant woman at 34 weeks’ gestation complains of feeling dizzy and lightheaded while her fundal height is being measured. Her skin is pale and moist. The nurse’s initial response would be to:
    A. Assess the woman’s blood pressure and pulse
    B. Have the woman breathe into a paper bag
    C. Raise the woman’s legs
    D. Turn the woman on her left side

Answer 10

D. Turn the woman on her left side