Pregnancy and Nursing Quiz

The nurse documents a client as G4P2. Which interpretation is correct?

• Four pregnancies, two births at viability

• Two pregnancies, four births

• Four term deliveries

• Two miscarriages, four pregnancies

Which hormone maintains the uterine lining during early pregnancy until the placenta takes over?

• Progesterone

• Estrogen

• hCG

• LH

The nurse is calculating estimated due date (EDD) using Nägele’s rule. The client’s LMP was March 12. Which is the correct EDD?

• December 12

• December 19

• January 12

• November 19

Which statement about quickening is accurate?

• It refers to Braxton Hicks contractions

• It is the first perception of fetal movement

• It is when the fetal heart rate becomes audible

• It marks fetal engagement into the pelvis

A positive Chadwick’s sign indicates:

• Softening of the cervix

• Bluish discoloration of the cervix and vagina

• Softening of the uterine isthmus

• Palpation of fetal movement

A nurse identifies the first trimester as lasting through:

• 8 weeks

• 12 weeks

• 20 weeks

• 24 weeks

Which test confirms pregnancy by detecting hCG in urine or serum?

• Alpha-fetoprotein

• Rh antibody titer

• Pregnancy test

• Nonstress test

A patient in her first trimester complains of nausea. Which nursing instruction is most appropriate?

• Eat three large meals per day

• Drink fluids with meals

• Eat dry crackers before getting out of bed

• Take an antacid every morning

The nurse teaches a client that physiologic anemia of pregnancy occurs because:

• Plasma volume increases more than red blood cells

• Iron stores increase

• Erythropoiesis decreases

• Red blood cell destruction increases

Which finding should be reported immediately during the second trimester?

• Back pain

• Breast tenderness

• Facial swelling

• Increased appetite