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    Exam Review

    1. A client asks when fetal sex can be identified via ultrasound. What is the best response?
      A)
      Week 12
      B)
      Week 10
      C)
      Week 6
      D)
      Week 8
    2. A nurse assesses a newborn. Which findings indicate respiratory distress? (Select all that apply.)
      (SATA)
      A)
      Grunting
      B)
      Nasal flaring
      C)
      Cyanosis around mouth
      D)
      Strong cry
      E)
      Retractions
    3. What is a normal newborn respiratory rate?
      A)
      20-30
      B)
      10-20
      C)
      40-60
      D)
      60-80
    4. What is the primary goal of the treatment for hyperemesis gravidarum?
      A)
      Control nausea and hydration
      B)
      Deliver early
      C)
      Stop hormones
      D)
      Cure condition
    Page 1 of 25

    Exam Review

    1. A nurse explains why fetal skull bones remain soft. What is the reason?
      A)
      Easier passage through the birth canal
      B)
      Brain protection
      C)
      Prevent infection
      D)
      Oxygen exchange
    2. A client with an epidural cannot feel her legs. What is the priority nursing action?
      A)
      Increase stimulation
      B)
      Implement fall precautions
      C)
      Encourage walking
      D)
      Remove epidural
    3. A nurse suspects an umbilical cord prolapse. Which of the following is the priority intervention?
      A)
      Elevate the presenting part
      B)
      Delay intervention
      C)
      Encourage pushing
      D)
      Reposition to supine
    4. A client with premature rupture of membranes (PROM) is being evaluated. Which test confirms that there is amniotic fluid present?
      A)
      Glucose test
      B)
      CBC
      C)
      Lipid panel
      D)
      pH test with a nitrazine strip
    Page 2 of 25

    Exam Review

    1. A pregnant client asks about alcohol use during pregnancy. What is the best response?
      A)
      Only first trimester matters
      B)
      No alcohol is recommended
      C)
      Only small amounts are safe
      D)
      Limit to weekends
    2. A nurse is teaching about neonatal complications of maternal diabetes. Which condition should be included?
      A)
      Hypoglycemia after birth
      B)
      Hypercalcemia
      C)
      Polycythemia
      D)
      Hyperglycemia after birth
    3. A nurse prioritizes which intervention during magnesium infusion?
      A)
      Encourage ambulation
      B)
      Check reflexes
      C)
      Restrict fluids
      D)
      Provide ice chips
    4. Which diagnostic finding confirms ectopic pregnancy?
      A)
      Fetal heart beat in uterus
      B)
      Elevated BP
      C)
      Fetal heartbeat outside the uterus
      D)
      Normal hCG
    Page 3 of 25

    Exam Review

    1. A pregnant client is scheduled for an anatomy scan. When is this typically performed?
      A)
      10-13 weeks
      B)
      8-10 weeks
      C)
      28-32 weeks
      D)
      18-22 weeks
    2. A client is fully dilated. What stage of labor begins at this time?
      A)
      Second
      B)
      Fourth
      C)
      First
      D)
      Third
    3. A client uses nitrous oxide during labor. What should the nurse teach?
      A)
      Causes fetal harm
      B)
      It eliminates all pain
      C)
      Use continuously
      D)
      Inhale at start of contraction
    4. A client asks how to fully prevent pregnancy and STIs. What is the correct response?
      A)
      Abstinence
      B)
      Birth control patch
      C)
      Birth control pills
      D)
      IUD
    Page 4 of 25

    Exam Review

    1. A client with hepatitis B asks about transmission. What is the correct response on how hepatitis B is transmitted?
      A)
      Only sexual contact
      B)
      Foodborne
      C)
      Airborne
      D)
      Blood and body fluids
    2. A client's GTPAL is reviewed during her first prenatal visit. What does GTPAL represent?
      A)
      Fetal measurements
      B)
      Lab values
      C)
      Pregnancy history
      D)
      Weight gain
    3. A client receives abnormal genetic test results and becomes visibly upset. What is the nurse's best initial response?
      A)
      Provide detailed medical explanations
      B)
      Refer immediately without discussion
      C)
      Actively listen and provide emotional support
      D)
      Avoid discussing results
    4. A nurse is teaching about glucose monitoring. How often should a pregnant client with pregestational diabetes mellitus check their glucose in a day?
      A)
      Weekly
      B)
      Once daily
      C)
      Twice daily
      D)
      4-6 times daily
    Page 5 of 25

    Exam Review

    1. Why should a pregnant client avoid the supine position?
      A)
      The supine position increases BP
      B)
      The supine position causes contractions
      C)
      The supine position reduces uterine blood flow
      D)
      The supine position causes nausea
    2. A nurse explains fetal viability. What gestational age range is a fetus considered to be viable?
      A)
      Around 20-25 weeks
      B)
      At term
      C)
      At 30 weeks
      D)
      Begins at 12 weeks
    3. A nurse provides teaching on tobacco use during pregnancy. Which complications should be included in the teaching? (Select all that apply)
      A)
      Cleft lip
      B)
      Increased oxygen delivery
      C)
      Low birth weight
      D)
      Preterm birth
      E)
      Sudden unexpected infant death (SUID)
    4. A client had unprotected intercourse 2 days ago and does not want to become pregnant. What intervention should the nurse recommend?
      A)
      Start birth control pills next month.
      B)
      Tubal ligation
      C)
      Emergency contraception
      D)
      Do nothing
    Page 6 of 25