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WorksheetsMaternity lesson 1 review
Total questions: 41
Worksheet time: 1hrs 2mins
The tracing shows baseline 140, abrupt increase of 15 bpm lasting 20 seconds, associated with fetal movement. What is this?
Early deceleration
Late deceleration
Acceleration
Prolonged deceleration
The primary purpose of the placenta is:
Protect the fetus from all bacteria
Provide oxygen and nutrients to the fetus
Produce amniotic fluid
Regulate maternal blood pressure
Umbilical cord anatomy A normal umbilical cord contains:
1 artery, 1 vein
2 arteries, 1 vein
2 veins, 2 arteries
1 artery, 2 veins
A woman with one term birth, one preterm birth, two abortions, and two living children:
G4 T1 P1 A2 L2
G5 T1 P1 A2 L2
G3 T1 P1 A2 L2
G6 T2 P1 A1 L2
A pregnant patient asks what is the best sleeping position. Nurse teaches:
On her back
Semi-Fowler
On her left side
Prone
Which food is highest in folic acid?
Milk
Bananas
Leafy green vegetables
Chicken breast
Linea nigra appears because of:
Infection
Low iron
Hormonal changes
Vitamin deficiency
A pregnant woman reports constipation. Which teaching requires correction?
Increase fluids
Increase fiber
Stop prenatal vitamins
Walk daily
Presumptive sign of pregnancy Which is a presumptive sign?
Amenorrhea
Chadwick’s sign
Hegar’s sign
Positive fetal heart tones
The primary cause of early pregnancy nausea is:
Low glucose
High estrogen and hCG
Iron deficiency
Lack of sleep
Which is a positive sign?
Quickening
Braxton Hicks
Ultrasound showing fetus
Chadwick’s sign
When to start prenatal care Prenatal care ideally begins:
At 20 weeks
After missed period
Only after confirmation by ultrasound
At first fetal movement
Which group should be tested for HIV during pregnancy?
Teenagers
IV drug users
All pregnant women
Women with multiple partners
Which symptom must be reported immediately?
Mild cramping
Headache with vision changes
Round-ligament pain
Occasional nausea
Which supplement is recommended prior to pregnancy?
Vitamin C
Folic acid
Calcium
Iron
Lightening occurs when:
The cervix dilates
The fetus drops into the pelvis
The placenta detaches
Braxton Hicks begin
Early decelerations are caused by:
Cord compression
Placental insufficiency
Head compression
Maternal fever
True labor is identified by:
Contractions stopping with walking
No cervical change
Regular contractions with cervical changes
Pain only in the abdomen
A laboring client becomes angry and irritable. This indicates:
Panic
Exhaustion
Transition phase
Need for epidural
Braxton Hicks contractions are:
Regular and progressive
Painful
Irregular and relieved with rest
Cause dilation
Teaching for Kegels includes:
Perform 100 repetitions weekly
Perform 10 repetitions, 3 times daily
Perform during 3d trimester
Perform after delivery
Which indicates stage 2 of labor?
Cervix 6 cm
Urge to bear down
Loss of mucus plug
Irregular contractions
What is the best nursing intervention during 2 stage of labor?
Encourage
Encourage rest between contractions
Place patient flat with feet in stirrups
Limit fluids
Alcohol in pregnancy affects the fetus by:
Increasing lung maturity
Causing organ malformation
Increasing growth
Improving reflexes
Which client needs amniocentesis?
First pregnancy
Sibling had chromosomal disorder
Mild anemia
Normal ultrasound
Quickening is typically felt at:
8 weeks
16–20 weeks
28 weeks
40 weeks
Tocotransducer measures:
Fetal heart rate
Uterine contractions
Fetal position
Amniotic fluid
A nurse is teaching pregnant client interventions to reduce varicose veins and swelling, what should be included:
Avoid walking
Elevate legs 1 hour twice daily
Wear tight pants
Stop fluids
A first time pregnant patient wants to know how to distinguish true and false labor, what is the best answer?
In true labor walking stimulates contractions
In true labor walking will ease contractions
Second stage begins at:
5 cm dilation
8 cm dilation
10 cm dilation
Effacement 50%
If the amniotic fluid is green:
Normal
Indicates fetal distress
Means breech position
Indicates approaching labor
Oxytocin is administered to:
Stop contractions
Induce or augment labor
Relax uterus
Reduce fetal movement
Late decels indicate:
Head compression
Cord compression
Placental insufficiency
Normal pattern
Pica during pregnancy indicates possible:
Viral illness
Iron-deficiency anemia
Excess calcium
Diabetes
Pregnant clients need how many extra calories per day?
50
100
300
600
Shortness of breath is caused by:
Lung damage
Diaphragm elevation from enlarged uterus
Asthma
Allergies
A pregnant patient is admitted for hyperemesis gravidarum, what is priority action for the nurse?
educate on eating high cal snacks
educate about increasing fluids with meals
Monitor blood pressure and electrolytes
Monitor ankle edema
Nurse prepares client for the first trimester ultrasound. What patient teaching should be included?
NPO after midnight
Empty bladder
Drink water and do not void
Avoid fluids
Quickening is:
Baby dropping
First fetal movement felt by mother
First contraction
First heartbeat detected
At 16 weeks the uterus is located:
At umbilicus
Above umbilicus
Between symphysis pubis and umbilicus
In pelvis
Which indicates placental separation?
Decreased bleeding
Umbilical cord shortens
Gush of blood and cord lengthens
No change in uterus shape
