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WorksheetsObstetrics and Gynecology Multiple Choice Worksheet
Total questions: 55
Worksheet time: 28mins
R.L. reports regular 28-day menstrual cycles. Which hormone causes her slight increase in basal body temperature after ovulation?
Estrogen
Progesterone
Luteinizing hormone
Follicle-stimulating hormone
C.T. notes clear, stretchy cervical mucus on day 14 of her cycle. This finding suggests:
Implantation
Ovulation
Menstrual phase
Secretory phase
Fertilization usually occurs in which structure of the reproductive tract?
Uterine fundus
Cervical canal
Ampulla of the fallopian tube
Ovarian cortex
Six days after fertilization, the zygote attaches to the endometrium. This process is called:
A. Implantation
B. Differentiation
C. Involution
D. Mitosis
The nurse explains that the placenta becomes fully functional by:
6th week
8th week
10–12 weeks gestation
16th week
J.G., 18 weeks pregnant, first feels her baby move. This is known as:
Quickening
Lightening
Engagement
Effacement
S.S. asks what protects the fetus from trauma in the uterus. The nurse explains it is the:
Placenta
Amniotic fluid
Uterine wall
Chorion
The umbilical cord normally contains:
One artery and two veins
Two arteries and two veins
One artery and one vein
Two arteries and one vein
A patient’s history shows G3P1011. How should this be interpreted?
3 pregnancies, 1 term birth, 0 preterm, 1 abortion, 1 living
3 pregnancies, 1 term, 1 preterm, 0 abortions, 1 living
1 pregnancy, 0 term, 1 abortion, 1 living
3 pregnancies, 2 term, 0 abortions, 1 living
During a prenatal visit, bluish discoloration of the cervix is observed. The nurse documents this as:
Goodell’s sign
Chadwick’s sign
A 34-week client reports blurred vision and facial swelling. The nurse suspects:
Normal edema
Preeclampsia
Placenta previa
Threatened abortion
A pregnant woman complains of dizziness when lying flat. The nurse’s best advice is to:
Sit upright
Lie supine
Lie on her right side
Lie on her left side
A client says she urinates frequently during early pregnancy. The nurse explains this is due to:
Hormonal imbalance
Increased cardiac output
Pressure of the enlarging uterus on the bladder
Increased fluid intake
A woman in labor experiences regular contractions that increase in intensity and cause cervical change. This indicates:
True labor
False labor
Premature labor
Braxton Hicks contractions
In the first stage of labor, cervical dilation progresses from:
0–3 cm
4–7 cm
8–10 cm
0–10 cm
At 8 cm dilation, the woman begins to feel an urge to push. The nurse explains she is in which phase?
Latent phase
Active phase
Transition phase
Expulsion phase
When the fetal head reaches the ischial spines, the nurse documents:
Descent
Engagement
Flexion
Extension
The fetal position is ROA. This means:
Occiput toward mother’s left posterior
Occiput toward mother’s right anterior
Face presentation
Breech presentation
Fetal heart tones are best heard through the mother’s abdomen over the:
Fetal chest
Fetal head
Fetal back
Maternal flank
The series of movements the fetus performs during birth are called:
Fetal lie
Cardinal movements
Station changes
Cephalic variations
A nurse monitors labor progress using a partograph. The plotting crosses the alert line. The next action is to:
Continue routine monitoring
Reassess and consider referral
Wait until the action line is reached
Discontinue plotting
When the plotting crosses the action line, the nurse must:
Encourage ambulation
Delay further examinations
Wait 4 more hours
Facilitate medical decision for intervention
During labor, contractions lasting 40–60 seconds and occurring every 2–3 minutes indicate:
Early labor
Active labor
Uterine hyperstimulation
False labor
In the second stage of labor, the nurse’s priority is to:
Assist with pushing efforts
Monitor fetal heart rate every 30 minutes
Encourage fluid intake
Administer oxytocin
The placenta is delivered during which stage of labor?
First stage
Second stage
Third stage
Fourth stage
After delivery, uterine involution is best evaluated by:
Checking lochia color
Measuring fundal height
Monitoring blood pressure
Inspecting perineum
M.L. is 1 day postpartum. The nurse finds the fundus firm and 1 cm below the umbilicus. This finding is:
Normal
Abnormal
Indicates infection
Suggests retained placenta
Three days postpartum, the mother’s lochia is pink with no foul odor. This is:
Lochia rubra
Lochia serosa
Lochia alba
Lochia normalia
Four hours postpartum, F.C. is focused on herself and resting. The nurse identifies this as:
Taking-hold phase
Letting-go phase
Taking-in phase
Regression
On the third postpartum day, the mother begins learning infant care. This indicates which phase?
A. Taking-hold
B. Taking-in
C. Letting-go
D. Dependent
A mother expresses sadness about losing her pre-pregnancy independence. This is part of which phase?
Taking-in
Letting-go
Taking-hold
Acceptance
A postpartum woman asks when her menstruation will return. The best response is:
2 weeks after delivery
3–4 weeks if breastfeeding
6–10 weeks if not breastfeeding
12 weeks for all mothers
Breastfeeding mothers experience stronger uterine contractions because of:
Estrogen release
Progesterone decrease
Oxytocin release
Prolactin surge
The nurse advises a postpartum mother to void every 2–4 hours. The purpose is to:
Reduce fatigue
Prevent bladder distention and uterine displacement
Increase urine output
Improve lochia flow
A postpartum mother complains of fever and foul-smelling lochia. The nurse suspects:
Normal changes
Dehydration
Uterine subinvolution
Infection
During early pregnancy, the corpus luteum’s primary role is to:
Secrete progesterone
Produce estrogen
Form the placenta
Stimulate uterine contractions
By 12 weeks of gestation, the nurse expects to find the uterus:
Non-palpable
At the umbilicus
Just above the symphysis pubis
At the xiphoid process
The fetal heart can first be detected by Doppler around:
6 weeks
10–12 weeks
16 weeks
20 weeks
A 36-week fetus is noted to have surfactant production. The significance of this is:
Helps growth
Prevents infection
Promotes circulation
Prevents alveolar collapse
A nurse documents that the fetal head is “well flexed.” This means:
Breech position
Fetal attitude is normal
Fetal lie is transverse
Cephalic extension
During a vaginal exam, the nurse notes “I” for membranes. This indicates:
Intact membranes
Ruptured membranes
Partially ruptured membranes
Unknown status of membranes
If the amniotic fluid is meconium-stained, the nurse should:
Document as normal
Encourage pushing
Delay delivery
Prepare for possible neonatal respiratory distress
The nurse explains that normal labor progress is shown on the partograph when plotting is:
To the right of the alert line
On or to the left of the alert line
Above the action line
Below the baseline
A nurse plots cervical dilation from 4 cm at 4 p.m. to 10 cm at 10 p.m. The interpretation is:
Normal progress
Slow progress
Arrested labor
Uterine inertia
The nurse notes the mother’s contractions are irregular and weak, and cervical dilation has not progressed. This indicates:
Normal labor
Hypertonic contractions
Hypotonic uterine contractions
Impending delivery
A pregnant client asks what the mucus plug is for. The nurse replies:
Lubricates the cervix
Seals the cervical canal to prevent infection
Triggers uterine contractions
Nourishes the embryo
A woman in early labor states, “I’m scared I won’t handle this pain.” The best nursing diagnosis is:
Ineffective coping
Risk for injury
Anxiety related to fear of the unknown
Powerlessness
The nurse identifies the following as presumptive signs of pregnancy:
Amenorrhea and breast tenderness
Uterine enlargement and Hegar’s sign
Positive pregnancy test and Chadwick’s sign
Fetal movement felt by examiner
Probable signs of pregnancy include:
Nausea and vomiting
Fetal movement felt by mother
Fatigue
Positive pregnancy test and Hegar’s sign
Positive confirmation of pregnancy is established by:
Breast changes
Detection of fetal heartbeat or ultrasound visualization
Amenorrhea
Positive urine test
M.C. reports that her last menstrual period (LMP) started on March 12, 2025. Using Naegele’s Rule, her estimated date of delivery (EDD) is:
December 12, 2025
December 19, 2025
January 5, 2026
January 19, 2026
K.L. states her LMP began on August 5, 2025. Using Naegele’s Rule, her expected date of delivery is:
April 5, 2026
April 12, 2026
May 5, 2026
May 12, 2026
During a prenatal visit on October 15, a mother’s LMP was June 8. Using the rule that pregnancy lasts approximately 40 weeks (280 days), her gestational age is about:
12 weeks
16 weeks
18 weeks
20 weeks
At 20 weeks’ gestation, where should the nurse expect to palpate the uterine fundus?
Just above the symphysis pubis
At the level of the umbilicus
Two fingers below the xiphoid process
Halfway between the symphysis and umbilicus
A nurse plots cervical dilation on a partograph and notices the line moving to the right of the alert line but not yet reaching the action line. The best nursing action is to:
Encourage ambulation and reassess in 2 hours
Prepare for immediate cesarean delivery
Stop contractions using tocolytics
Transfer the client immediately
