Prenatal Care

A missed menstrual period is which type of sign of pregnancy?

The 31-week-gestation woman is brought to the emergency department after being struck in the abdomen when the airbags deployed during a motor vehicle accident. Initial screening labs reveal the mother is blood type A-. The nurse advocates for which additional lab to assess the status of the pregnancy?

The nurse is performing an assessment of an infant born 8 hours ago. The infant’s POC blood glucose level is 25 mg/dL. Which action does the nurse take first?

The patient presents to the ED with acute left lower quadrant abdominal pain and vaginal bleeding. Transvaginal ultrasound shows ectopic pregnancy in the left oviduct. The patient begins to cry and states, "We have tried for so long to get pregnant. Is there anyway I can keep the baby?" Which response by the nurse is most appropriate?

The nurse is caring for the woman in labor whose body temperature is 102.8°F and heart rate is 114 bpm. Which order does the nurse carry out first?

The nurse provides education to the pregnant woman about the signs of blood clots due to which cause of increased blood clotting risk during pregnancy?

The nurse notes the fetal heart rate (FHR) monitor is reflecting variable decelerations. Which action does the nurse take first?

The 19-year-old female patient is brought to the emergency department by her mother for severe abdominal pain. The patient denies being sexually active, but a point of care pregnancy test is positive. Which action does the nurse take next?

Which statement describes the role of luteinizing hormone in the female body?

The 18-year-old patient calls the clinic two weeks after receiving the 2nd vaccination in the three-dose series for human papillomavirus (HPV). She states, “I didn’t realize it when I got the vaccine, but I was 6 weeks pregnant. Will my baby be okay?” Which response by the nurse is most appropriate?

The 18-year-old healthy female presents to the clinic requesting to receive the vaccinations her mother refused for her when she was a child. Reviewing the chart, the nurse notes the patient never received the measles, mumps, rubella (MMR) vaccine. Prior to administering the vaccination, which test is most important?

The nurse is educating the pregnant woman at 13 weeks’ gestation with a newly placed cerclage. The nurse tells the patient to contact the provider if which events occur? Select all that apply.

Which instruction does the nurse give the patient with epilepsy who is 6 weeks pregnant?

A nurse is caring for a woman who is at 39 weeks' gestation and in active labor. What is the correct order of the four Leopold's maneuvers?

The 40-year-old woman is pregnant for the first time. She undergoes prenatal testing and is found to have an elevated serum alpha-fetoprotein and asks the nurse to explain what this could mean for her baby. Which response by the nurse is most appropriate?

The 30-week gestation pregnant woman reports her fetus moved two times in an hour during her assessment of fetal activity. Which response by the nurse is best?

The patient who is 33 weeks pregnant reports fetal activity of 8 kicks/hour. Which action by the nurse is appropriate?

The patient who is 32 weeks pregnant presents to the obstetrician’s office with concern for decreased fetal movement. A biophysical profile (BPP) assessment is ordered to determine if the fetus is compromised and needs to be delivered. The nurse prepares the client for which tests as part of the BPP? Select all that apply.

The nurse is asked to assist in a contraction stress test for a patient who is 38-weeks’ gestation. Which strategies does the nurse use to stimulate contractions? Select all that apply.

The nurse is present at the delivery of a 34-weeks pregnant woman with absent end diastolic flow through the umbilical arteries. The nurse anticipated which appearance of the neonate?

The patient who is 27-weeks pregnant is admitted to the hospital with contractions and decreased fetal movement. A biophysical profile (BPP) is performed and determined to be 4 out of 10 and the amniotic fluid volume is decreased. Which action by the nurse is most appropriate?

The presence of which substance in amniotic fluid is most helpful indicator of fetal lung maturity?

The nurse notes a sinusoidal pattern on the fetal heart rate tracing of a patient who is 32-weeks pregnant. Which information is most important for the nurse to determine?

The female patient’s hypertension is controlled with reduced sodium intake and enalapril and has no other health problems. Abdominal weight gain is noted at the patient’s regular checkup and a human chorionic gonadotropin test is positive. Further testing reveals the patient is 32 weeks pregnant. Which assessment is most important for the safety of the fetus in relation to the enalapril?

Pregnancy is confirmed in the patient who states, “How did this happen? We were careful and wore condoms every time we had sex.” Which response by the nurse is most appropriate?

The nurse is counseling the patient following the removal of a copper intrauterine device. Which statement is most important for the nurse to include in teaching?

The nurse is providing preprocedure education to the patient who will have the copper intrauterine device (IUD) removed. Which statement by the patient indicates an understanding of the teaching?

The nurse helps the patient into which position in preparation for the removal of an intrauterine device?

The nurse applies a fetal heart rate monitor to the abdomen of the 34-week-gestation patient in preterm labor. The patient asks the nurse, “This is so uncomfortable. Why do I have to wear this thing?” The nurse bases the response on which understanding of the rationale for fetal heart rate (FHR) monitoring?

During an amnioinfusion, the uterine resting tone is found to be three times as high as normal. Which action by the nurse is most appropriate?

Which symptom can occur following vertical transmission of Neisseria gonorrhoeae?

Which mother is at highest risk for passing herpes simplex virus (HSV) to her fetus/neonate?

The 32-weeks-pregnant woman who presents with genital lesions is diagnosed with herpes simplex virus-2. The nurse prepares a patient information handout for which medication for this patient?

The 42 weeks gestation pregnant woman is about to undergo labor induction. The nurse anticipates administering which medication?

Which statement is true regarding the nonstress test (NST)?

The gravida 3 para 2 pregnant woman is being screened for gestational diabetes. Which characteristics increase the woman's risk? Select all that apply.

The nurse is caring for a woman wearing a hijab. The woman does not speak English and has come to the emergency department (ED) with fever, vaginal bleeding, and abdominal pains. An interpreter is present for the interaction. Which question is appropriate for the nurse to ask first?

The offspring of which couple is at highest risk for hemolytic anemia of the newborn?

The 40-week-gestation patient is brought to the emergency department in active labor. Which assessment alerts the nurse to an impending emergency?

The nurse is reviewing the medication list of the patient who wishes to become pregnant. One of the medications is listed as Category X. The nurse knows this medication poses which level of risk to the fetus?

The 18-year-old woman with anorexia nervosa has just learned she is pregnant. Which nursing intervention is appropriate?

The nurse is vigilant for Candida albicans infections in patients with which conditions? Select all that apply.

Which statement by the woman in her third trimester of pregnancy is most concerning to the nurse?

The nurse is providing safety teaching to the woman who has just tested positive for human chorionic gonadotropin. Which statement by the woman indicates the teaching was successful?

Which fundal height is documented as normal for the woman who is 30 weeks pregnant?

Which statement is true regarding the indirect Coombs test?

The fetuses of mothers with which infections during pregnancy are at an increased risk for hearing loss? Select all that apply.

The woman who is 36-weeks pregnant reports sudden and severe abdominal pain. Which assessment does the nurse perform first?

The woman with human immunodeficiency virus (HIV) who has a high CD4 count is concerned her fetus may be infected with the virus. Which statement by the nurse is appropriate?

The obstetrician performs a pelvic exam and reports that the 39-weeks-gestation woman is at 4 cm and zero station. The nurse interprets the fetus's head to be in which location?