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    Exam Review

    1. The nurse is educating a class of expectant parents about fetal development. What is considered fetal age of viability?
      A)
      8
      B)
      24
      C)
      20
      D)
      14
    2. A nurse is providing education to a client and their reproductive partner when the client asks about testing for hereditary genetic disorders, particularly the type their partner has. Which of the following responses should the nurse provide:
      A)
      Your partner's condition should not affect any future children
      B)
      We can test you, but not your partner, for any conditions that might complicate a pregnancy
      C)
      We can offer you and your partner testing to identify the chance of passing genetic conditions to your children
      D)
      This type of testing is not done until there is a confirmed pregnancy
    3. A nurse in a provider's office is caring for a client who is at 8 weeks of gestation and asks about increased risk for blood clots. Which of the following statements should the nurse make?
      A)
      Decreased procoagulant factors during pregnancy increases the risk for blood clots.
      B)
      Increased natural anticoagulants during pregnancy increases the risk for blood clots.
      C)
      Increased blood plasma volume during pregnancy increases the risk for blood clots.
      D)
      Increased platelets during pregnancy increases the risk for blood clots.
    4. In fetal circulation, the ductus venosus diverts blood from which of the following organs?
      A)
      Lungs
      B)
      Heart
      C)
      Kidney
      D)
      Liver
    Page 1 of 12

    Exam Review

    1. A nurse is caring for a newborn. How many blood vessels should the nurse expect to observe in the newborn's umbilical cord?
      A)
      Two arteries and one vein
      B)
      Two arteries and two veins
      C)
      One artery and one vein
      D)
      Two veins and one artery
    2. A nurse is reinforcing teaching about common discomforts of pregnancy during the first trimester with a client who is pregnant. Which of the following manifestations should the nurse include in the teaching?
      A)
      Constipation
      B)
      Heartburn
      C)
      Supine hypotension
      D)
      Urinary urgency
    3. The following are probable signs of pregnancy, except?
      A)
      Deepening pigmentation
      B)
      Abdominal enlargement
      C)
      Ballottement
      D)
      Positive pregnancy test result
    4. A nurse is collecting data from a client who is at 18 weeks of gestation and tells the nurse that she felt light fluttering in her stomach the previous day. The nurse should use which of the following terms to document this finding?
      A)
      Lightening
      B)
      Quickening
      C)
      Ballottement
      D)
      Chloasma
    Page 2 of 12

    Exam Review

    1. A nurse is caring for a female client who is scheduled to have a pelvic examination. The client tells the nurse, "I'm really nervous because I've never had a pelvic exam before." Which of the following is an appropriate therapeutic response by the nurse?
      A)
      "Don't worry, I will stay in there with you for the exam."
      B)
      "A pelvic exam is required if you want birth control pills.”
      C)
      "Tell me more about your concerns.”
      D)
      "All you need to do is relax during the exam.”
    2. The tissue between the vaginal opening and the anus is known as the
      A)
      Labia minora
      B)
      Labia majora
      C)
      Perineum
      D)
      Vestibule
    3. The nurse is speaking with a couple trying to conceive a child. What will the nurse remind the couple is a factor that can decrease sperm production?
      A)
      The testes being too warm
      B)
      The penis and testes being small
      C)
      Infrequent sexual intercourse
      D)
      The man not being circumcised
    4. A nurse in a prenatal clinic is reviewing the medical record of a client who is at 28 weeks of gestation. The client's history reveals one pregnancy terminated by elective abortion at 9 weeks, the birth of twins at 36 weeks, and a spontaneous abortion at 15 weeks of gestation. The nurse should document which of the following as the client's present parity?
      A)
      4
      B)
      5
      C)
      3
      D)
      1
    Page 3 of 12

    Exam Review

    1. The nurse is presenting a conference on gene dominance. What does the nurse report as the percentage of children carrying the dominant gene if one parent has a dominant gene and the other parent does not?
      A)
      25%
      B)
      50%
      C)
      75%
      D)
      100%
    2. A nurse in a prenatal clinic is caring for a client who is at 12 weeks of gestation. The client asks about the cause of her heartburn. Which of the following responses should the nurse make?
      A)
      Increased progesterone production causes decreased motility of smooth muscle.
      B)
      Increased pancreatic activity results in intolerance of fat in the diet.
      C)
      Increased estrogen production causes increased secretion of hydrochloric acid.
      D)
      Pressure from the growing uterus displaces the stomach.
    3. A nurse is teaching a client who is 8 weeks of gestation about healthy lifestyle practices during pregnancy. Which of the following client statements indicate an understanding of the teaching?
      A)
      I will start a ketogenic low-carbohydrate high-fat diet.
      B)
      I will drink at least 6 glasses of water per day.
      C)
      I will increase my calorie intake by 1,000 calories per day.
      D)
      I will take a prenatal vitamin daily.
    4. A nurse is caring for a client in the prenatal clinic who is at 7 weeks of gestation. The client reports urinary frequency and asks the nurse if this will continue throughout her pregnancy. Which of the following responses by the nurse is appropriate?
      A)
      "Yes, it will, but if you decrease your fluid intake, especially at bedtime, it won't be so bothersome."
      B)
      "There is no way to predict how long it will last for each individual client so you just have to wait and see."
      C)
      "No, it should only last until about your 12th week, but it will return near the end of the pregnancy."
      D)
      "No, in most cases it only lasts until about the 12th week, but it will continue if you have poor bladder tone."
    Page 4 of 12

    Exam Review

    1. A nurse is discussing cardiovascular changes during pregnancy with a newly licensed nurse. Which of the following information should the nurse include?
      A)
      Blood pressure values 10% above pre-pregnancy values
      B)
      Heart rate increases by 10 to 15 above pre-pregnancy values
      C)
      Increased blood viscosity
      D)
      Decreased cardiac workload
    2. A pregnant woman asks the nurse, "Will I be able to have a vaginal delivery?" The nurse knows that which type of female pelvis is optimal for passage of the fetal head?
      A)
      Gynecoid
      B)
      Platypelloid
      C)
      Android
      D)
      Anthropoid
    3. A nurse is caring for a client who tells the nurse that she thinks she might be pregnant because she is able to feel the baby move. Which of the following statements should the nurse make?
      A)
      "This is a possible sign of pregnancy."
      B)
      "This is a presumptive sign of pregnancy."
      C)
      "This is a probable sign of pregnancy."
      D)
      “This is a positive sign of pregnancy."
    4. A nurse is reinforcing teaching with a client who is at 17 weeks of gestation and is scheduled to have a maternal serum alpha-fetoprotein (MSAFP) determination. Which of the following information should the nurse include?
      A)
      This test will screen for gestational diabetes.
      B)
      This test will screen for fetal maturity.
      C)
      This test will screen for ABO incompatibility.
      D)
      This test will screen for neural tube defects.
    Page 5 of 12

    Exam Review

    1. A nurse is caring for a client who has just learned that she is pregnant. The nurse should reinforce with the client to call her provider if she experiences which of the following manifestations?
      A)
      Mood swings
      B)
      Facial edema
      C)
      Decreased energy
      D)
      Urinary frequency
    2. A nurse is collecting data from a client who is in her second trimester of pregnancy. The nurse should recognize which of the following findings as an expected physiologic change during pregnancy?
      A)
      Posterior neck flexion
      B)
      An increase in lordosis
      C)
      Decreased mobility of pelvic joints
      D)
      Increased abdominal muscle tone
    3. A nurse is reinforcing teaching about appropriate exercises during pregnancy with a client who is at 24 weeks of gestation. Which of the following statements indicates a need for additional teaching?
      A)
      I can go cycling daily.
      B)
      I can continue my daily swimming routine.
      C)
      I will participate in a game of racquetball once a week.
      D)
      I will attend a yoga class three times per week.
    4. When a couple has unprotected sexual intercourse 3 days before the woman ovulates, the risk of the woman becoming pregnant is:
      A)
      Very low because that is not the woman's fertile period.
      B)
      Uncertain because the ovum lives only for 24 hours.
      C)
      Unknown because the ovum lives only for 24 hours.
      D)
      Very low because the woman may not ovulate at all.
    Page 6 of 12