Nursing Care of the Childbearing Family Practice Test

Nursing Care of the Childbearing Family Practice Test

 

Which of the following is the primary goal of prenatal care?

A) To provide emotional support for the mother
B) To promote positive outcomes during the pregnancy and childbirth
C) To administer medications for pain relief
D) To monitor fetal growth exclusively

 

The primary purpose of folic acid supplementation in pregnancy is to:

A) Promote fetal neural tube development
B) Prevent excessive weight gain in the mother
C) Enhance iron absorption
D) Reduce the risk of gestational diabetes

 

A nurse is providing education to a pregnant woman about the importance of regular prenatal visits. Which of the following should the nurse emphasize?

A) Prenatal visits are only necessary if complications arise
B) Regular prenatal visits ensure the health of both the mother and the fetus
C) Prenatal visits are primarily for obtaining lab work
D) Prenatal visits are unnecessary if the woman feels healthy

 

Which of the following is a sign of preeclampsia?

A) Decreased blood pressure
B) Increased urine output
C) Swelling of the hands and face
D) Loss of appetite

 

A nurse is preparing to administer an intramuscular injection of vitamin K to a newborn. The nurse understands that the purpose of this medication is to:

A) Prevent hemorrhagic disease of the newborn
B) Prevent jaundice
C) Increase iron levels in the infant
D) Enhance immune system function

 

Which of the following is a risk factor for developing gestational diabetes?

A) Age less than 25 years
B) Having a normal pre-pregnancy BMI
C) Family history of type 2 diabetes
D) Smoking during pregnancy

 

The nurse should instruct a postpartum woman to avoid heavy lifting for at least:

A) 2 weeks
B) 4 weeks
C) 6 weeks
D) 8 weeks

 

The primary reason for monitoring blood pressure regularly during the postpartum period is to:

A) Detect early signs of postpartum hemorrhage
B) Assess for development of hypertension
C) Monitor hydration status
D) Ensure the mother is not in pain

 

What is the recommended position for a pregnant woman in her third trimester to promote optimal blood flow to the fetus?

A) Supine position
B) Left lateral position
C) Right lateral position
D) Prone position

 

Which of the following statements is true regarding the use of medications during pregnancy?

A) All medications are safe to use during pregnancy
B) Medications should only be used if absolutely necessary during pregnancy
C) Over-the-counter medications are always safe during pregnancy
D) Prescription medications are more dangerous than over-the-counter medications

 

A nurse is caring for a laboring woman with a non-reassuring fetal heart rate pattern. The first priority action by the nurse is to:

A) Prepare the woman for a cesarean section
B) Administer oxygen to the mother
C) Increase the intravenous fluid rate
D) Notify the healthcare provider

 

Which of the following is a common side effect of epidural anesthesia during labor?

A) Increased blood pressure
B) Nausea and vomiting
C) Respiratory depression
D) Urinary retention

 

During labor, which position is most effective in relieving back labor pain?

A) Lying flat on the back
B) Squatting
C) Leaning forward while kneeling
D) Lying on the left side

 

A pregnant woman is at 20 weeks gestation and reports feeling fetal movement for the first time. This is considered:

A) A sign of fetal distress
B) A normal sign of pregnancy
C) A sign of preterm labor
D) A sign of maternal anxiety

 

Which of the following actions should the nurse take to help prevent newborn hypothermia immediately after birth?

A) Place the newborn in a warm, dry environment
B) Give the newborn a cold bath
C) Leave the newborn uncovered to assess the skin color
D) Place the newborn in direct sunlight

 

The nurse should educate a pregnant woman about the signs and symptoms of preterm labor, including:

A) Abdominal cramping and vaginal bleeding
B) Severe headache and blurred vision
C) Regular contractions before 37 weeks gestation
D) Severe nausea and vomiting

 

When educating a postpartum woman about breastfeeding, the nurse should stress the importance of:

A) Only breastfeeding for the first 2 weeks
B) Supplementing with formula to ensure adequate nutrition
C) Exclusively breastfeeding for the first 6 months
D) Breastfeeding for at least 3 hours every 24 hours

 

Which of the following is the most effective method for reducing the risk of urinary tract infections during pregnancy?

A) Limiting fluid intake
B) Frequent urination and proper hygiene
C) Douche with vinegar
D) Use of cranberry supplements

 

The most common complication of an episiotomy is:

A) Infection
B) Prolonged bleeding
C) Urinary retention
D) Severe pain

 

A nurse is caring for a postpartum woman who is experiencing a heavy flow of lochia with a foul odor. The nurse should:

A) Encourage the woman to rest
B) Assess the woman for signs of infection
C) Administer an analgesic
D) Advise the woman to increase fluid intake

 

Which of the following statements about the postpartum period is accurate?

A) The risk for blood clots increases in the postpartum period
B) Postpartum depression is rare and uncommon
C) The woman’s body returns to pre-pregnancy status within 1 week
D) Weight loss during the postpartum period is not expected

 

In preparing a breastfeeding mother to return home with her newborn, the nurse should:

A) Advise the mother to supplement with formula after the first week
B) Explain the importance of proper latch and positioning during breastfeeding
C) Discourage frequent feeding to allow the breasts to rest
D) Recommend bottle-feeding to prevent nipple soreness

 

A nurse is caring for a woman in labor who is receiving oxytocin for labor augmentation. Which of the following is the priority action for the nurse?

A) Monitor the fetal heart rate continuously
B) Offer the woman pain medication
C) Encourage the woman to walk
D) Restrict the woman’s fluid intake

 

The nurse is assessing a newborn’s reflexes. Which of the following is a normal finding?

A) Absence of the rooting reflex
B) Persistent tonic neck reflex after 3 months
C) A positive Moro reflex
D) Absence of the sucking reflex

 

Which of the following complications should the nurse monitor for in a postpartum woman who delivered via cesarean section?

A) Hemorrhage
B) Anxiety
C) Jaundice
D) Gestational hypertension

 

Which of the following is an appropriate nursing intervention for a woman with hyperemesis gravidarum?

A) Encourage small, frequent meals and fluids
B) Administer antiemetic medications only when vomiting is severe
C) Recommend the woman lie down after meals
D) Increase carbohydrate intake to alleviate nausea

 

A nurse is providing prenatal education to a woman at 8 weeks gestation. Which of the following is the most important lifestyle modification the nurse should recommend at this stage?

A) Begin taking prenatal vitamins
B) Start a regular exercise program
C) Limit water intake to prevent swelling
D) Increase daily protein intake

 

Which of the following best describes the first stage of labor?

A) The stage of dilation and effacement
B) The stage of expulsion
C) The stage of placental delivery
D) The stage of fetal monitoring

 

Which of the following is a priority intervention for a newborn who is showing signs of respiratory distress?

A) Administer supplemental oxygen
B) Assess for signs of infection
C) Encourage early breastfeeding
D) Perform a physical exam

 

The nurse is providing discharge instructions to a postpartum woman. Which of the following instructions should the nurse include regarding self-care?

A) Avoid all physical activity for 6 weeks
B) Limit fluid intake to prevent swelling
C) Contact the healthcare provider if signs of infection or excessive bleeding occur
D) Discontinue any prescribed medications once feeling better

 

 

Which of the following would be an appropriate nursing intervention for a patient with gestational hypertension?

A) Monitor blood pressure frequently
B) Encourage bed rest with leg elevation
C) Encourage high-sodium foods to maintain blood pressure
D) Administer magnesium sulfate

 

Which of the following is a primary goal of breastfeeding education for a new mother?

A) To ensure the baby sleeps longer between feedings
B) To promote successful lactation and infant nutrition
C) To limit the amount of milk consumed to prevent overfeeding
D) To prepare the mother for bottle-feeding

 

Which of the following is the most significant risk factor for a woman developing postpartum depression?

A) Having a history of depression or anxiety
B) Delivery via cesarean section
C) Overuse of analgesics during labor
D) High socioeconomic status

 

A postpartum patient is experiencing severe pain and tenderness in her lower abdomen. The nurse suspects uterine involution may be delayed. What is the most appropriate intervention?

A) Encourage early ambulation
B) Administer pain medication as prescribed
C) Massage the uterus to encourage contraction
D) Apply ice to the lower abdomen

 

A nurse is teaching a pregnant woman about fetal movement. When should the woman report a decrease in fetal activity to her healthcare provider?

A) Only if there is an absence of movement for 24 hours
B) If there is a noticeable decrease in the usual pattern of movement
C) If the baby moves less than 5 times per hour
D) If the baby moves more than 30 times in 2 hours

 

What is the most important factor for the nurse to consider when developing a birth plan for a woman in labor?

A) The woman’s financial situation
B) The preferences of the healthcare provider
C) The woman’s informed choice and cultural preferences
D) The availability of pain medications

 

A nurse is assessing a newborn immediately after delivery. Which of the following findings requires immediate intervention?

A) Heart rate of 130 bpm
B) Cyanosis of the hands and feet
C) Apgar score of 7 at 5 minutes
D) Respiratory rate of 50 breaths per minute

 

A nurse is teaching a pregnant woman about gestational diabetes management. Which of the following should be included in the teaching plan?

A) Eat frequent high-carbohydrate meals throughout the day
B) Monitor blood glucose levels as prescribed
C) Avoid exercise to prevent low blood sugar
D) Limit fluid intake to prevent fluid retention

 

Which of the following is a key component in managing a preterm labor patient?

A) Providing immediate pain relief
B) Administering corticosteroids to enhance fetal lung maturity
C) Restricting all physical activity
D) Offering a sedative to reduce stress

 

A nurse is assessing a woman at 35 weeks gestation with complaints of headaches, swelling, and blurred vision. These symptoms may indicate:

A) Preeclampsia
B) Gestational diabetes
C) Normal pregnancy symptoms
D) A urinary tract infection

 

A postpartum woman asks when she can resume sexual activity. The nurse should advise her to wait until:

A) The lochia has ceased
B) Six weeks postpartum
C) The infant is exclusively breastfeeding
D) The postpartum checkup is completed

 

Which of the following is a normal finding in the postpartum period?

A) Persistent fever over 101°F
B) Absence of lochia flow
C) Lochia rubra for up to 3 days
D) Immediate return of menstruation

 

The nurse should educate a breastfeeding mother that which of the following foods may cause the infant to experience colic?

A) Garlic and onions
B) Oatmeal and peas
C) Spinach and kale
D) Low-fat dairy products

 

A nurse is teaching a postpartum woman about breastfeeding techniques. Which of the following should the nurse include in the teaching?

A) Bottle-feed your baby to ensure faster growth
B) Ensure a proper latch to prevent nipple soreness
C) Limit breastfeeding to 10 minutes every 3 hours
D) Avoid breastfeeding if the baby is too sleepy

 

A nurse is preparing a patient for a cesarean delivery. What is the priority nursing intervention before the procedure?

A) Obtain consent for anesthesia
B) Assess for any allergies to medications
C) Monitor fetal heart rate continuously
D) Explain the surgical procedure to the patient

 

The nurse should assess a newborn for which of the following signs that may indicate a congenital abnormality?

A) Smooth, symmetrical skin folds
B) High-pitched cry and tremors
C) Regular feeding every 4 hours
D) Pinkish skin with even distribution of pigment

 

A nurse is providing discharge instructions to a postpartum woman with an episiotomy. Which of the following is an appropriate instruction?

A) Perform perineal care from front to back
B) Avoid any form of physical activity for the first 6 weeks
C) Use tampons for the first 2 weeks after birth
D) Douche every 2 days to prevent infection

 

Which of the following is a normal change during pregnancy that a nurse should expect?

A) An increase in blood pressure
B) A decrease in heart rate
C) A decrease in urinary frequency
D) An increase in respiratory rate

 

A woman with a history of deep vein thrombosis (DVT) is pregnant. The nurse should:

A) Encourage early ambulation and leg exercises
B) Administer anticoagulant therapy during pregnancy without restrictions
C) Recommend complete bed rest to avoid complications
D) Discourage use of compression stockings

 

A nurse is assessing a postpartum woman who reports increased vaginal bleeding and clots larger than a golf ball. What should be the nurse’s first action?

A) Increase IV fluids to prevent shock
B) Apply a heating pad to the abdomen
C) Massage the fundus and assess for uterine tone
D) Encourage the patient to rest and monitor for the next 4 hours

 

During labor, the nurse notes late decelerations in fetal heart rate. The most appropriate nursing intervention is to:

A) Administer oxygen to the mother
B) Encourage the mother to push
C) Increase the rate of intravenous fluids
D) Perform an emergency cesarean section immediately

 

Which of the following is a primary objective of early postpartum care?

A) Provide support for breast engorgement
B) Ensure proper bonding between mother and infant
C) Begin early feeding practices for the infant
D) Initiate routine immunizations for the newborn

 

A woman in labor asks about the use of epidural anesthesia. The nurse should explain that it:

A) Eliminates all sensation during labor
B) Requires an IV line for medication administration
C) Is safe for both mother and baby
D) Has no potential side effects or risks

 

The nurse is educating a woman about the importance of folic acid during pregnancy. The nurse should explain that folic acid helps prevent:

A) Preterm labor
B) Neural tube defects
C) High blood pressure
D) Gestational diabetes

 

Which of the following signs is a priority for a nurse to assess for when a postpartum patient is suspected of having a uterine infection?

A) Headache
B) Perineal redness and swelling
C) Fever over 100.4°F
D) Shortness of breath

 

A nurse is caring for a laboring woman who is in active labor. Which of the following nursing actions is most important during the second stage of labor?

A) Assist the woman in finding a comfortable position
B) Monitor the fetal heart rate continuously
C) Coach the woman through pushing efforts
D) Perform perineal hygiene as often as possible

 

When administering Rh immunoglobulin (RhoGAM) to a postpartum woman, the nurse should ensure that the patient is:

A) Rh-negative and has an Rh-positive baby
B) Rh-positive and has an Rh-negative baby
C) At least 36 weeks gestation
D) Free from any history of autoimmune disorders

 

 

A nurse is preparing a woman for an amniocentesis. Which of the following is the priority nursing action before the procedure?

A) Administer a pain reliever to the patient
B) Instruct the patient to fast for 12 hours before the procedure
C) Ensure informed consent has been obtained
D) Have the patient empty her bladder

 

Which of the following is a common cause of postpartum hemorrhage?

A) Excessive fluid intake
B) Uterine atony
C) Inadequate blood volume
D) Vaginal delivery without complications

 

A postpartum woman is experiencing excessive vaginal bleeding with a boggy uterus. The nurse should first:

A) Perform a vaginal exam
B) Increase IV fluids
C) Massage the uterus to promote contraction
D) Administer oxytocin

 

Which of the following would be a priority assessment for a woman who is 20 weeks pregnant and presenting with severe right upper quadrant pain?

A) Blood pressure
B) Lung sounds
C) Fetal heart rate
D) Liver function tests

 

A nurse is caring for a newborn who is exhibiting jaundice. What is the most likely cause of this condition in a newborn?

A) Immature liver function
B) Exposure to medications in utero
C) Lack of adequate breast milk
D) Birth trauma

 

Which of the following is an indication that a woman may be experiencing preterm labor?

A) Painful contractions occurring every 15 minutes
B) Increased energy and excitement
C) Mild cramping with intermittent back pain
D) Sudden, severe abdominal pain and vaginal bleeding

 

A nurse is assessing a newborn for possible hip dysplasia. Which of the following signs would be most indicative of this condition?

A) Asymmetrical gluteal folds
B) Cyanosis of the hands and feet
C) A high-pitched cry
D) A single palmar crease

 

When providing education to a pregnant woman about nutrition, which of the following should be emphasized to prevent neural tube defects?

A) Avoiding all fats in the diet
B) Consuming adequate folic acid
C) Eating high amounts of protein
D) Reducing sugar intake to less than 10% of total calories

 

A postpartum woman asks when her menstrual cycle will return. The nurse should explain that:

A) Menstruation returns within 2 weeks if breastfeeding
B) Menstruation typically resumes 4-6 weeks after delivery
C) Breastfeeding usually delays the return of menstruation
D) Menstruation never resumes after breastfeeding

 

A nurse is caring for a pregnant woman who has a history of preeclampsia. Which of the following assessments is most important to monitor for this patient?

A) Blood pressure
B) Serum glucose levels
C) Fetal heart rate
D) Urine output

 

A nurse is educating a woman about the signs of a potential miscarriage. Which of the following should be included in the teaching?

A) Severe abdominal cramping with heavy vaginal bleeding
B) A slight increase in blood pressure
C) A sudden decrease in morning sickness
D) Mild pelvic discomfort without bleeding

 

A nurse is caring for a woman who is undergoing labor induction with oxytocin. Which of the following is an adverse effect of this medication that the nurse should monitor for?

A) Hypotension
B) Hyperstimulation of the uterus
C) Vaginal bleeding
D) Decreased fetal heart rate variability

 

The nurse is caring for a newborn with a cephalohematoma. Which of the following is the most appropriate response by the nurse?

A) Apply warm compresses to the affected area
B) Observe for signs of jaundice
C) Administer pain medication as ordered
D) Recommend the mother avoid breastfeeding

 

A nurse is preparing to discharge a postpartum woman. Which of the following signs of a possible complication should the nurse educate the woman to report immediately?

A) A decrease in lochia flow
B) Headaches that are unrelieved with analgesics
C) Mild discomfort during breastfeeding
D) Mild abdominal cramping

 

A nurse is teaching a pregnant woman about the importance of prenatal vitamins. The nurse should emphasize that the vitamins should contain:

A) Vitamin A for fetal growth
B) Folate to prevent neural tube defects
C) Iron to prevent constipation
D) Calcium to strengthen the baby’s bones

 

A nurse is caring for a newborn and notices that the baby’s feet appear turned inward. The nurse should assess for which condition?

A) Hip dysplasia
B) Clubfoot
C) Cerebral palsy
D) Down syndrome

 

Which of the following is a contraindication for breastfeeding?

A) A mother who is taking an over-the-counter medication
B) A mother with an active tuberculosis infection
C) A mother who has a mild cold
D) A mother with cracked nipples

 

The nurse is caring for a woman who has a risk of gestational hypertension. Which of the following nursing interventions is most important to include in the care plan?

A) Restricting all fluid intake
B) Providing a low-sodium diet
C) Encouraging bed rest in the second trimester
D) Monitoring blood pressure regularly

 

A woman in labor is using the Lamaze method of childbirth. Which of the following should the nurse encourage during contractions?

A) Deep breathing and relaxation techniques
B) Avoidance of any verbal communication
C) Frequent requests for pain medication
D) Constant focus on the birthing process

 

The nurse is caring for a pregnant woman at 28 weeks’ gestation who reports visual disturbances and swelling. These symptoms are suggestive of:

A) Pregnancy-induced hypertension
B) Normal pregnancy symptoms
C) Eclampsia
D) Anemia

 

A nurse is assessing a newborn who was delivered via cesarean section. Which of the following assessments is most important in the immediate postpartum period?

A) Bonding with the parents
B) Monitoring the infant’s respiratory rate
C) Checking for normal feeding reflexes
D) Measuring head circumference

 

A woman who has just delivered vaginally reports perineal pain. The nurse should first:

A) Administer an analgesic as ordered
B) Apply ice to the perineum
C) Encourage the patient to sit in a warm sitz bath
D) Assess the perineum for any lacerations or hematomas

 

A nurse is providing education to a pregnant woman regarding safe medication use during pregnancy. The nurse should emphasize that:

A) All over-the-counter medications should be avoided
B) Medications should only be taken with a doctor’s recommendation
C) Herbal supplements are always safe during pregnancy
D) Prescribed medications are unnecessary during pregnancy

 

A postpartum woman expresses concern about breastfeeding her baby because she is unsure whether she is producing enough milk. Which of the following responses by the nurse would be most appropriate?

A) “You should supplement with formula to ensure adequate intake.”
B) “As long as the baby is nursing frequently, milk production should increase.”
C) “It’s common to have little milk in the first few days; it will come in soon.”
D) “You should express milk to check for adequate production.”

 

A pregnant woman at 32 weeks’ gestation reports severe headache, blurred vision, and swelling in her hands and face. The nurse should:

A) Instruct the woman to rest and recheck symptoms in 24 hours
B) Assess blood pressure and report any changes to the healthcare provider
C) Encourage hydration and rest
D) Schedule an immediate follow-up appointment

 

A woman who is 35 weeks pregnant reports vaginal bleeding. The nurse’s first priority should be:

A) To assess fetal heart rate
B) To take a complete history from the patient
C) To administer oxygen to the mother
D) To assess uterine tone

 

A nurse is caring for a patient with hyperemesis gravidarum. Which of the following interventions is most likely to help the patient?

A) Providing small, frequent meals
B) Encouraging vigorous exercise to increase metabolism
C) Offering large meals to increase caloric intake
D) Giving fluids with high sugar content

 

When teaching a postpartum woman about self-care for her episiotomy site, the nurse should recommend which of the following?

A) Douche daily to cleanse the area
B) Use a perineal bottle after each void to cleanse the area
C) Avoid sitz baths for the first 2 weeks
D) Apply a warm compress directly to the incision site

 

A pregnant woman is at 39 weeks of gestation and experiencing a sudden decrease in fetal movement. What should the nurse advise?

A) Rest and wait for the baby to start moving again
B) Eat a small snack and rest, and call if movements do not return
C) Go to bed and sleep; fetal movement is normal during this stage
D) Go to the hospital immediately for induction of labor

 

 

A nurse is educating a woman on the importance of prenatal care. Which of the following is a primary reason for attending regular prenatal visits?

A) To monitor the health and well-being of the fetus
B) To obtain prescriptions for pain relief
C) To reduce the risk of developing pregnancy-induced hypertension
D) To receive immunizations for the baby

 

Which of the following is a risk factor for the development of gestational diabetes mellitus?

A) Maternal age less than 25 years
B) History of preeclampsia
C) Family history of diabetes
D) Weight loss during pregnancy

 

A nurse is caring for a woman in labor who is receiving an epidural for pain relief. Which of the following is a priority nursing action?

A) Monitor the fetal heart rate
B) Encourage the woman to change positions frequently
C) Administer fluids intravenously to maintain hydration
D) Encourage the woman to walk to promote labor progression

 

A woman at 30 weeks’ gestation is diagnosed with placenta previa. Which of the following should the nurse include in the care plan for this patient?

A) Encourage frequent walking to promote labor
B) Monitor for vaginal bleeding and report any changes
C) Administer pain medications as needed for labor pain
D) Advise the patient to avoid any pelvic rest

 

A postpartum woman is experiencing excessive thirst and frequent urination. Which of the following conditions should the nurse assess for?

A) Postpartum hemorrhage
B) Diabetes insipidus
C) Postpartum depression
D) Urinary tract infection

 

A woman who is 25 weeks pregnant is experiencing heartburn. The nurse should advise her to:

A) Drink large amounts of water with meals
B) Eat small meals more frequently throughout the day
C) Take antacids with every meal
D) Lie down immediately after eating

 

Which of the following is an appropriate nursing intervention for a woman experiencing severe nausea and vomiting during the first trimester?

A) Encourage fluid intake with meals
B) Suggest eating high-protein foods in the morning
C) Recommend eating dry crackers before getting out of bed
D) Advise the patient to rest in a supine position

 

A woman at 36 weeks’ gestation is having frequent uterine contractions. The nurse notes that the contractions are 10 minutes apart but are not increasing in intensity. Which of the following is most likely the cause?

A) True labor
B) False labor (Braxton Hicks contractions)
C) Preterm labor
D) Uterine rupture

 

A woman in her third trimester reports feeling increased pressure in her pelvic region. The nurse should assess for which of the following conditions?

A) Placental abruption
B) Round ligament pain
C) Preterm labor
D) Fetal presentation changes

 

A nurse is caring for a newborn who has a heart murmur. Which of the following should be the priority nursing assessment?

A) Respiratory rate and oxygen saturation
B) Head circumference and weight
C) Urine output
D) Temperature regulation

 

A nurse is educating a pregnant woman about the importance of folic acid. Which of the following is the primary benefit of folic acid supplementation during pregnancy?

A) Prevention of high blood pressure
B) Decreasing the risk of neural tube defects
C) Reducing the risk of gestational diabetes
D) Preventing preterm labor

 

Which of the following is the most common cause of miscarriage in the first trimester?

A) Hormonal imbalances
B) Maternal hypertension
C) Fetal chromosomal abnormalities
D) Uterine infections

 

The nurse is caring for a woman who is 32 weeks pregnant and reports sudden swelling of her hands and face. What should the nurse do first?

A) Encourage the woman to rest in a left lateral position
B) Measure the woman’s blood pressure
C) Offer the woman a high-sodium snack
D) Provide the woman with fluids to increase hydration

 

A woman who is 20 weeks pregnant is diagnosed with a urinary tract infection (UTI). The nurse should instruct her to:

A) Avoid drinking fluids to reduce urinary frequency
B) Complete the full course of antibiotics as prescribed
C) Take warm baths to alleviate discomfort
D) Refrain from urinating until the infection clears

 

A nurse is caring for a woman who is at 40 weeks of gestation and is requesting an epidural. Which of the following is the priority assessment before administering the epidural?

A) Maternal blood pressure
B) Fetal heart rate
C) Maternal pulse
D) Maternal temperature

 

The nurse is caring for a newborn with jaundice. Which of the following interventions is most important?

A) Provide phototherapy
B) Administer intravenous fluids
C) Encourage breastfeeding every 4 hours
D) Assess the newborn’s respiratory rate

 

A woman who is 12 weeks pregnant presents with vaginal bleeding. The nurse should first:

A) Inquire about the amount and duration of the bleeding
B) Offer reassurance that this is normal at this stage of pregnancy
C) Take the woman’s blood pressure
D) Assess fetal heart tones

 

A nurse is caring for a pregnant woman who is experiencing severe vomiting and dehydration. The nurse should monitor for which of the following complications?

A) Hyperemesis gravidarum
B) Preterm labor
C) Gestational diabetes
D) Placenta previa

 

A nurse is preparing a woman for an induction of labor. The nurse should first:

A) Administer pain medication
B) Confirm that the cervix is favorable for induction
C) Provide fluids intravenously
D) Insert a Foley catheter

 

A pregnant woman at 18 weeks’ gestation asks the nurse about the safety of taking herbal supplements. Which of the following should the nurse emphasize?

A) Herbal supplements are safe during pregnancy and provide additional nutrients
B) All herbal supplements should be avoided during pregnancy unless prescribed
C) Herbal supplements can enhance fetal development and prevent complications
D) Only vitamins with folic acid should be taken during pregnancy

 

A nurse is caring for a woman in the second trimester who is experiencing mild cramping and spotting. The nurse should first:

A) Offer the woman a pain reliever
B) Encourage the woman to lie down and rest
C) Assess the fetal heart rate
D) Review the woman’s history for risk factors for preterm labor

 

A nurse is caring for a postpartum woman who is having difficulty initiating breastfeeding. Which of the following actions should the nurse take first?

A) Suggest bottle feeding as an alternative
B) Provide the woman with a breast pump
C) Educate the woman about proper latch-on techniques
D) Encourage the woman to pump and store milk for later use

 

A woman with preeclampsia is being monitored in the hospital. Which of the following assessments is most important for the nurse to perform?

A) Assessing fetal heart tones
B) Monitoring blood pressure
C) Monitoring intake and output
D) Checking for signs of edema

 

A postpartum woman is experiencing difficulty voiding after delivery. The nurse should first:

A) Apply a cold compress to the perineum
B) Encourage the woman to drink fluids
C) Perform a bladder scan to assess for urinary retention
D) Offer pain relief before attempting to void

 

A nurse is caring for a woman who is 12 weeks pregnant and reports feeling faint and dizzy. The nurse should:

A) Encourage the woman to rest and drink fluids
B) Take the woman’s blood pressure and assess for orthostatic hypotension
C) Recommend the woman take deep breaths
D) Offer a snack high in protein

 

A nurse is providing postpartum care for a woman who had a cesarean delivery. Which of the following should the nurse include in the teaching plan for this patient?

A) Avoid all physical activity for the first 6 weeks
B) Refrain from sexual activity until after the first postpartum visit
C) It is normal to experience severe abdominal pain after cesarean delivery
D) Apply direct pressure to the incision site to reduce pain

 

 

A nurse is caring for a postpartum woman who is experiencing heavy vaginal bleeding. Which of the following should be the nurse’s first action?

A) Administer pain medication
B) Assess the woman’s vital signs
C) Encourage the woman to rest
D) Prepare the woman for an ultrasound

 

A woman in labor is requesting pain relief. Which of the following interventions should the nurse consider to provide comfort without medication?

A) Use of a birthing ball to help the woman change positions
B) Encourage the woman to lie flat on her back to reduce pressure on the abdomen
C) Increase the frequency of fetal heart rate monitoring
D) Suggest the use of a TENS unit to manage pain

 

A pregnant woman with preeclampsia is at risk for developing which of the following complications?

A) Hyperglycemia
B) Respiratory distress syndrome
C) Seizures
D) Hemorrhoids

 

A nurse is caring for a woman who is 36 weeks pregnant and has just been diagnosed with a urinary tract infection (UTI). The nurse should first:

A) Obtain a urine sample for culture and sensitivity
B) Recommend increased fluid intake
C) Educate the woman about the importance of antibiotic treatment
D) Offer pain medication for relief

 

A nurse is assessing a newborn for signs of respiratory distress. Which of the following is a late sign of respiratory distress in a newborn?

A) Nasal flaring
B) Cyanosis
C) Tachypnea
D) Grunting

 

A woman is 35 weeks pregnant and complains of persistent headaches, visual changes, and edema. Which of the following conditions should the nurse assess for?

A) Preterm labor
B) Gestational hypertension
C) Placenta previa
D) Gestational diabetes

 

A nurse is teaching a woman about the importance of prenatal vitamins. Which of the following vitamins should the nurse emphasize as being crucial during the first trimester?

A) Vitamin D
B) Folate
C) Vitamin A
D) Vitamin E

 

A postpartum woman is experiencing difficulty bonding with her newborn. The nurse should:

A) Suggest that the mother avoid breastfeeding
B) Encourage the mother to talk about her feelings and offer emotional support
C) Suggest that the father care for the baby to relieve the mother’s stress
D) Encourage the woman to sleep for long periods to avoid stress

 

A woman who is 28 weeks pregnant reports experiencing calf pain, swelling, and redness. The nurse should assess the woman for which of the following conditions?

A) Preterm labor
B) Deep vein thrombosis (DVT)
C) Placental abruption
D) Gestational hypertension

 

A nurse is providing education to a woman in the first trimester of pregnancy. Which of the following should the nurse include in the teaching plan regarding the importance of regular prenatal visits?

A) To detect complications early and promote maternal and fetal health
B) To ensure that labor begins at the appropriate time
C) To receive pain management for discomfort
D) To provide reassurance about fetal movements

 

A nurse is caring for a woman who is in active labor. Which of the following should the nurse monitor closely during the second stage of labor?

A) Maternal blood pressure
B) Maternal heart rate
C) Fetal heart rate
D) Uterine contraction frequency

 

A pregnant woman is concerned about the risk of developing varicose veins. Which of the following measures should the nurse recommend to reduce the risk?

A) Increase physical activity and elevate the legs regularly
B) Avoid wearing compression stockings
C) Maintain a supine position to reduce swelling
D) Encourage long periods of standing to promote circulation

 

A nurse is caring for a woman who is at 40 weeks’ gestation and is undergoing an induction of labor. Which of the following is a common method of induction?

A) Amniotomy
B) Cesarean delivery
C) Epidural analgesia
D) Magnesium sulfate administration

 

A nurse is caring for a woman who is 30 weeks pregnant and has a history of preeclampsia. Which of the following signs should the nurse monitor for as an indicator of worsening preeclampsia?

A) Decreased urine output
B) Increased fetal movements
C) Increased appetite
D) Decreased maternal blood pressure

 

A nurse is caring for a postpartum woman who is experiencing chills and fever. What is the most likely cause of this condition?

A) Postpartum hemorrhage
B) Urinary tract infection
C) Endometritis
D) Normal postpartum response to delivery

 

A nurse is teaching a pregnant woman about ways to manage heartburn during pregnancy. Which of the following recommendations should the nurse make?

A) Drink large amounts of water with meals
B) Eat smaller meals more frequently
C) Lie down immediately after eating
D) Avoid all acidic foods

 

A nurse is educating a woman on the importance of kegel exercises during pregnancy. Which of the following is a benefit of performing these exercises?

A) Prevention of urinary incontinence
B) Promotion of fetal growth
C) Reduction in the risk of preterm labor
D) Decrease in the likelihood of cesarean birth

 

A woman who is 38 weeks pregnant is concerned about the baby’s movement. Which of the following should the nurse instruct the woman to do to monitor fetal movements?

A) Lie on her back and count movements for 1 hour
B) Consume a sugary beverage and wait for 10 minutes
C) Rest in a sitting position and count movements for 30 minutes
D) Focus on fetal heart rate rather than movements

 

A woman is at 12 weeks of pregnancy and asks the nurse when she should expect her first ultrasound. The nurse should explain that an ultrasound is typically done at which of the following times?

A) 6-8 weeks
B) 10-12 weeks
C) 18-20 weeks
D) 24-26 weeks

 

A nurse is teaching a postpartum woman about signs of a potential blood clot. Which of the following should the nurse include in the teaching?

A) Swelling and redness in the calf
B) Mild abdominal cramping
C) Nausea and vomiting
D) Headache and blurred vision

 

A nurse is caring for a woman who is 28 weeks pregnant and is diagnosed with gestational diabetes. Which of the following should the nurse include in the care plan?

A) Encourage the woman to consume a high-carbohydrate diet
B) Monitor blood glucose levels as recommended
C) Suggest avoiding physical activity to prevent hypoglycemia
D) Recommend insulin injections after delivery

 

A postpartum woman is experiencing excessive bleeding. Which of the following is the most common cause of postpartum hemorrhage?

A) Uterine atony
B) Lacerations
C) Retained placenta
D) Coagulopathy

 

A nurse is educating a woman on the importance of breastfeeding. Which of the following is a benefit of breastfeeding for the infant?

A) Increased risk of ear infections
B) Decreased risk of gastrointestinal infections
C) Higher risk of respiratory infections
D) Increased risk of allergies

 

A nurse is caring for a woman who is 24 weeks pregnant and reports experiencing a sudden gush of fluid from her vagina. Which of the following should the nurse assess for immediately?

A) Preterm labor
B) Premature rupture of membranes
C) Placental abruption
D) Ectopic pregnancy

 

A postpartum woman asks the nurse about returning to exercise after childbirth. The nurse should advise the woman to:

A) Begin rigorous exercise as soon as possible to regain pre-pregnancy weight
B) Wait until after the 6-week postpartum checkup before starting exercise
C) Begin walking immediately and gradually increase activity levels
D) Focus on abdominal exercises only

 

A nurse is providing education to a woman who is planning to breastfeed. Which of the following is a common concern for breastfeeding mothers?

A) Concerns about the baby not receiving enough milk
B) Concerns about the baby becoming overweight
C) Concerns about the baby becoming too attached
D) Concerns about the risk of infections from breastfeeding

 

A woman is at 30 weeks’ gestation and is diagnosed with hypertension. Which of the following is the most appropriate nursing intervention?

A) Encourage the woman to rest in a left lateral position
B) Monitor fetal heart rate every 30 minutes
C) Increase fluid intake to lower blood pressure
D) Suggest the woman reduce her physical activity

 

 

A nurse is caring for a woman who is at 35 weeks of pregnancy and reports sudden, severe abdominal pain. What should the nurse suspect?

A) Placenta previa
B) Placental abruption
C) Ectopic pregnancy
D) Appendicitis

 

A nurse is educating a pregnant woman on the signs of preterm labor. Which of the following signs should the nurse emphasize?

A) Swelling of the feet
B) Lower back pain and cramps
C) Increased fetal movement
D) Headache and blurred vision

 

A nurse is caring for a postpartum woman who is at risk for deep vein thrombosis (DVT). Which of the following interventions is most appropriate?

A) Encourage ambulation and leg exercises
B) Limit fluid intake to decrease edema
C) Apply warm compresses to the lower legs
D) Encourage the woman to rest in a flat supine position

 

A woman in labor requests an epidural for pain management. Which of the following is a contraindication for an epidural?

A) Active herpes simplex lesions
B) Hypertension
C) Obesity
D) Spinal cord injury

 

A nurse is teaching a pregnant woman about the importance of folic acid supplementation. The nurse explains that folic acid helps prevent:

A) Preterm labor
B) Neural tube defects
C) Hypertension
D) Gestational diabetes

 

A nurse is providing care for a newborn immediately after delivery. Which of the following is the priority action for the nurse?

A) Clear the airway
B) Administer vitamin K
C) Assess the newborn’s temperature
D) Initiate breastfeeding

 

A pregnant woman reports that she has noticed swelling in her hands and feet. Which of the following actions should the nurse take?

A) Encourage the woman to drink more fluids
B) Monitor blood pressure for signs of hypertension
C) Recommend rest with legs elevated
D) Instruct the woman to limit her salt intake

 

A nurse is caring for a woman who is 40 weeks pregnant and has just undergone a nonstress test (NST). The results show a reactive fetal heart rate pattern. The nurse should:

A) Prepare the woman for induction
B) Inform the woman that the fetus is at risk
C) Encourage the woman to rest and schedule another NST
D) Notify the provider that the fetal heart rate is reassuring

 

A postpartum woman is experiencing excessive bleeding and uterine atony. Which of the following medications should the nurse anticipate administering first?

A) Oxytocin
B) Magnesium sulfate
C) Naloxone
D) Methylergonovine

 

A woman at 16 weeks gestation is seen for her first prenatal visit. Which of the following assessments should the nurse include at this visit?

A) Fetal heart tones
B) Routine blood glucose test
C) Fetal ultrasound
D) Maternal screening for gestational diabetes

 

A nurse is caring for a woman in labor and is monitoring the fetal heart rate. The nurse notes a deceleration pattern that is periodic, but the baseline remains stable. The nurse should:

A) Prepare for immediate cesarean section
B) Continue to monitor the fetal heart rate and assess the mother
C) Administer oxygen to the mother and reposition her
D) Report the findings as normal to the physician

 

A nurse is caring for a woman in the second stage of labor. Which of the following is the most important assessment to make?

A) Maternal blood pressure
B) Maternal cervical dilation
C) Maternal pain level
D) Fetal heart rate

 

A pregnant woman at 38 weeks gestation is diagnosed with gestational hypertension. Which of the following should the nurse monitor for?

A) Severe headaches
B) Hyperglycemia
C) Proteinuria
D) Hyperthyroidism

 

A nurse is caring for a postpartum woman who is having trouble with breastfeeding. Which of the following interventions should the nurse recommend?

A) Introduce formula feeding to supplement breastfeeding
B) Suggest that the woman rest more between feedings
C) Encourage the woman to try different breastfeeding positions
D) Advise the woman to wait until the baby is older to try breastfeeding again

 

A nurse is teaching a woman about breast self-examination. Which of the following should the nurse include in the teaching?

A) Perform the examination during the second half of the menstrual cycle
B) Look for changes in the breast tissue and report any abnormalities
C) Perform the examination at the same time each month after the menstrual period begins
D) Use only visual inspection without palpation to examine the breasts

 

A nurse is educating a pregnant woman about the symptoms of preeclampsia. Which of the following is a key symptom of preeclampsia?

A) Swelling of the ankles and feet
B) Sudden weight gain and protein in the urine
C) Increased fetal movement
D) Decreased blood pressure

 

A nurse is caring for a woman in the first stage of labor. The woman requests an epidural for pain relief. Which of the following should the nurse assess before administering the epidural?

A) Maternal blood pressure and heart rate
B) Maternal blood glucose level
C) Fetal heart rate variability
D) Maternal oxygen saturation level

 

A nurse is caring for a woman who is experiencing nausea and vomiting in the first trimester of pregnancy. Which of the following should the nurse recommend to manage these symptoms?

A) Drink large amounts of fluid between meals
B) Avoid eating high-protein foods
C) Eat small, frequent meals throughout the day
D) Limit physical activity to prevent nausea

 

A nurse is caring for a woman with gestational diabetes. The nurse should monitor the woman for which of the following complications?

A) Polyhydramnios
B) Hyperthyroidism
C) Placental abruption
D) Ectopic pregnancy

 

A nurse is caring for a woman who is 32 weeks pregnant and reports difficulty breathing. Which of the following should the nurse assess for?

A) Asthma
B) Supine hypotension syndrome
C) Postpartum hemorrhage
D) Pregnancy-induced hypertension

 

A nurse is providing prenatal education to a pregnant woman. Which of the following topics should be discussed during the first trimester?

A) Labor pain management
B) Neonatal care
C) Screening for gestational diabetes
D) Preparation for breastfeeding

 

A nurse is caring for a postpartum woman who has had a cesarean section. Which of the following is a priority assessment during the first 24 hours postpartum?

A) Monitor for signs of infection at the incision site
B) Assess the amount of lochia and uterine tone
C) Encourage early ambulation
D) Assist with breastfeeding

 

A nurse is caring for a woman at 28 weeks of pregnancy who has a history of hypertension. Which of the following should the nurse monitor most closely?

A) Maternal blood pressure
B) Fetal heart rate
C) Maternal weight gain
D) Urine output

 

A nurse is caring for a woman who is 8 weeks postpartum and experiencing vaginal bleeding and pelvic pain. Which of the following should the nurse assess for?

A) Retained placental fragments
B) Uterine inversion
C) Mastitis
D) Endometrial carcinoma

 

A nurse is teaching a pregnant woman about the changes in her body during pregnancy. Which of the following changes is most likely to occur in the second trimester?

A) Increase in breast size
B) Development of linea nigra
C) Feeling of quickening (fetal movement)
D) Decreased urinary frequency

 

A nurse is caring for a woman in labor. The nurse notices that the fetal heart rate is showing late decelerations. What is the nurse’s priority action?

A) Administer oxygen via face mask to the mother
B) Prepare for an immediate cesarean section
C) Increase the IV fluids to improve uteroplacental circulation
D) Reassure the mother that the decelerations are normal

 

A nurse is caring for a woman in the fourth stage of labor. Which of the following is the priority nursing intervention during this stage?

A) Monitoring for signs of hemorrhage
B) Encouraging early bonding with the newborn
C) Promoting maternal rest and comfort
D) Initiating breastfeeding

 

 

A nurse is assessing a woman who is at 35 weeks of pregnancy. Which of the following symptoms should prompt immediate evaluation for preeclampsia?

A) Edema in the feet
B) Mild headaches
C) Visual disturbances
D) Increased appetite

 

A nurse is caring for a postpartum woman who is experiencing excessive bleeding. Which of the following interventions should the nurse prioritize?

A) Administer oxytocin
B) Apply a cold compress to the abdomen
C) Encourage the woman to empty her bladder
D) Administer a stool softener

 

A nurse is teaching a pregnant woman about the signs of labor. Which of the following is a true sign of labor?

A) Nesting behavior
B) Lower backache
C) Loss of the mucus plug
D) Braxton Hicks contractions

 

A woman at 24 weeks gestation is diagnosed with gestational diabetes. Which of the following is the most important goal for managing her condition?

A) Decreasing maternal weight gain
B) Preventing fetal macrosomia
C) Reducing maternal blood pressure
D) Increasing amniotic fluid volume

 

A nurse is caring for a woman who is postpartum and is having difficulty initiating breastfeeding. Which of the following interventions should the nurse use first?

A) Recommend formula feeding
B) Suggest the woman try different breastfeeding positions
C) Provide breast pumps for milk extraction
D) Offer a pacifier to soothe the baby

 

A nurse is providing prenatal education to a woman in her first trimester. Which of the following topics should be addressed at this visit?

A) Signs of preterm labor
B) Labor and delivery preparation
C) Screening for genetic disorders
D) Pain relief options during labor

 

A woman at 12 weeks gestation is experiencing nausea and vomiting. Which of the following interventions should the nurse recommend?

A) Increase fluid intake after meals
B) Eat large meals every few hours
C) Eat small, frequent meals
D) Lie flat in bed after meals

 

A nurse is caring for a postpartum woman who has a history of deep vein thrombosis (DVT). Which of the following actions should the nurse take?

A) Encourage early ambulation
B) Restrict fluid intake
C) Administer a heparin injection
D) Elevate the woman’s legs above her heart

 

A nurse is caring for a newborn immediately after birth. Which of the following is the most important priority for the nurse to address?

A) Ensure the newborn’s airway is clear
B) Assess the newborn’s temperature
C) Administer vitamin K
D) Initiate breastfeeding

 

A nurse is caring for a woman who is 38 weeks pregnant and has been diagnosed with placenta previa. Which of the following is the priority intervention?

A) Monitor for fetal heart rate decelerations
B) Prepare for possible cesarean delivery
C) Encourage the woman to rest in a supine position
D) Assist with amniotomy to induce labor

 

A woman at 32 weeks gestation presents with complaints of visual disturbances, headaches, and swelling. The nurse should assess for signs of:

A) Placenta previa
B) Preeclampsia
C) Hyperemesis gravidarum
D) Ectopic pregnancy

 

A nurse is caring for a woman who is in active labor. The nurse observes that the fetal heart rate shows variable decelerations. Which of the following is the most appropriate intervention?

A) Administer oxygen to the mother
B) Perform an amniotomy to relieve cord compression
C) Reposition the mother to relieve pressure on the umbilical cord
D) Prepare the mother for an emergency cesarean section

 

A nurse is providing discharge teaching to a postpartum woman. Which of the following should the nurse include in the teaching?

A) Expect vaginal bleeding to stop within 48 hours
B) Avoid pelvic rest for 4-6 weeks
C) Resume sexual activity after 1 week
D) Continue prenatal vitamins for 6 months

 

A nurse is caring for a postpartum woman who has a temperature of 101°F and chills. The nurse should assess the woman for which of the following?

A) Endometritis
B) Mastitis
C) UTI
D) Pulmonary embolism

 

A nurse is caring for a woman at 37 weeks of pregnancy who is experiencing signs of preterm labor. Which of the following interventions should the nurse prioritize?

A) Administer IV fluids
B) Perform a cesarean section
C) Administer magnesium sulfate
D) Apply external fetal monitoring

 

A nurse is assessing a woman in labor. Which of the following is an abnormal finding that requires immediate intervention?

A) Mild uterine contractions every 15 minutes
B) Fetal heart rate decelerations after contractions
C) Maternal temperature of 100.4°F
D) Presence of bloody show during labor

 

A nurse is teaching a woman who is 24 weeks pregnant about the importance of prenatal care. Which of the following should the nurse emphasize?

A) Reducing physical activity to prevent preterm labor
B) Visiting the healthcare provider for routine checkups
C) Avoiding any vaccinations during pregnancy
D) Taking iron supplements only if feeling fatigued

 

A woman who is 8 weeks pregnant asks the nurse about the risks of drinking alcohol during pregnancy. The nurse should explain that drinking alcohol during pregnancy can lead to:

A) Miscarriage and preterm birth
B) Low birth weight and developmental delays
C) Increased risk of multiple births
D) Excessive amniotic fluid

 

A nurse is caring for a woman who is in labor. The nurse notes that the fetal heart rate is 180 beats per minute and that there are no decelerations. The nurse should:

A) Reassure the woman that the fetal heart rate is normal
B) Prepare the woman for immediate cesarean section
C) Notify the healthcare provider for further evaluation
D) Increase the maternal IV fluids to reduce fetal heart rate

 

A nurse is caring for a postpartum woman who is breastfeeding. Which of the following is a normal finding?

A) Sore, cracked nipples that are pink and tender
B) Decrease in breast size with engorgement
C) Warm, firm breasts with slight tenderness
D) Absence of breast milk production in the first 48 hours

 

A nurse is caring for a woman in labor who is receiving an epidural for pain relief. Which of the following is the nurse’s priority assessment?

A) Monitor the woman’s pain level
B) Assess maternal blood pressure and fetal heart rate
C) Check the woman’s bladder for distension
D) Encourage the woman to change positions every hour

 

A nurse is assessing a newborn immediately after delivery. Which of the following is a normal finding for a newborn?

A) A heart rate of 100 beats per minute
B) A respiratory rate of 60 breaths per minute
C) Cyanosis of the hands and feet
D) A temperature of 100.5°F

 

A nurse is caring for a woman who is 36 weeks pregnant and has a history of hypertension. The nurse should monitor for which of the following complications?

A) Preterm labor
B) Placental abruption
C) Gestational diabetes
D) Ectopic pregnancy

 

A nurse is teaching a pregnant woman about self-care during pregnancy. Which of the following should the nurse advise the woman to avoid?

A) Sleeping on her back after the first trimester
B) Walking for exercise
C) Drinking plenty of water
D) Eating small, frequent meals

 

A nurse is caring for a woman who has just given birth. Which of the following is the first action the nurse should take?

A) Assess the amount of vaginal bleeding
B) Check the newborn’s vital signs
C) Administer oxytocin to the mother
D) Perform a perineal assessment

 

A nurse is caring for a woman with a suspected molar pregnancy. Which of the following is a key feature of this condition?

A) Excessive nausea and vomiting
B) Lack of fetal movement
C) Increased maternal weight gain
D) Absence of fetal heart tones

 

A nurse is assessing a woman in early labor. Which of the following findings indicates the need for further evaluation?

A) Cervical dilation of 4 cm
B) Fetal heart rate of 130 bpm
C) Maternal blood pressure of 140/90 mmHg
D) Contractions occurring every 5 minutes

 

A nurse is caring for a postpartum woman who has developed mastitis. Which of the following is the most appropriate intervention?

A) Apply warm compresses to the breasts
B) Recommend discontinuing breastfeeding
C) Administer oral contraceptives to reduce milk production
D) Encourage the woman to bottle-feed her infant

 

A nurse is caring for a woman in the second trimester of pregnancy. Which of the following signs should the nurse report immediately to the provider?

A) Increased energy levels
B) Mild abdominal cramping
C) Severe abdominal pain with shoulder pain
D) Increased breast tenderness

 

 

A nurse is caring for a woman who is in labor. The nurse notices that the fetal heart rate is 110 bpm with late decelerations. The nurse should:

A) Increase the maternal IV fluids
B) Administer oxygen to the mother
C) Reposition the mother to a lateral position
D) Continue to monitor without intervention

 

A nurse is teaching a pregnant woman about warning signs during pregnancy. Which of the following should the nurse include as a warning sign of preeclampsia?

A) Headache and blurred vision
B) Mild fatigue and dizziness
C) Abdominal pain and constipation
D) Lightheadedness and swelling of the hands

 

A nurse is assessing a postpartum woman. Which of the following is the normal time frame for the lochia to change from bright red to pink?

A) 1-3 days
B) 3-7 days
C) 7-10 days
D) 10-14 days

 

A nurse is caring for a pregnant woman who is experiencing vaginal bleeding at 14 weeks of pregnancy. The nurse should assess for:

A) Placenta previa
B) Ectopic pregnancy
C) Spontaneous abortion
D) Preterm labor

 

A nurse is providing discharge teaching to a woman who had a cesarean birth. Which of the following should the nurse include in the teaching?

A) Resume normal activity after 1 week
B) Keep the incision clean and dry
C) Wait 2 months before resuming sexual activity
D) Avoid lifting objects heavier than 20 pounds

 

A nurse is assessing a woman in the second trimester of pregnancy. Which of the following symptoms should the nurse report immediately to the healthcare provider?

A) Headache
B) Swelling of the feet
C) Morning sickness
D) Increased fetal movement

 

A nurse is caring for a woman who has had a spontaneous abortion. Which of the following is the priority intervention for this woman?

A) Monitor for signs of infection
B) Provide emotional support
C) Assess vital signs and bleeding
D) Provide information on birth control options

 

A nurse is teaching a pregnant woman about breastfeeding. Which of the following should the nurse include in the teaching?

A) Avoid breastfeeding for the first 24 hours
B) Avoid drinking fluids during breastfeeding
C) Increase the frequency of breastfeeding to stimulate milk production
D) Begin breastfeeding after the first week of life

 

A nurse is caring for a woman at 36 weeks gestation who has been diagnosed with preeclampsia. Which of the following should the nurse monitor for?

A) Decreased urination
B) Low blood pressure
C) Hyperreflexia
D) Weight loss

 

A nurse is caring for a newborn who is exhibiting signs of respiratory distress. The nurse should assess for:

A) Nasal flaring
B) Increased crying
C) Warm skin temperature
D) Increased feeding

 

A nurse is assessing a woman who is 38 weeks pregnant and is concerned about the baby’s movements. Which of the following should the nurse assess first?

A) Fetal heart rate
B) Blood pressure
C) Abdominal tenderness
D) Urine output

 

A nurse is caring for a woman in labor. Which of the following would indicate a need for a cesarean section?

A) Non-reassuring fetal heart rate
B) A cervical dilation of 4 cm
C) Contractions occurring every 10 minutes
D) A maternal temperature of 98.7°F

 

A nurse is caring for a postpartum woman who is experiencing excessive lochia. Which of the following actions should the nurse take first?

A) Massaging the fundus
B) Administering oxytocin
C) Reassessing vital signs
D) Applying a perineal pad

 

A nurse is teaching a pregnant woman about the importance of prenatal vitamins. Which of the following should the nurse emphasize?

A) Prenatal vitamins are essential only in the first trimester
B) Prenatal vitamins prevent nausea during pregnancy
C) Prenatal vitamins contain folic acid to prevent neural tube defects
D) Prenatal vitamins help to prevent gestational diabetes

 

A nurse is caring for a woman in labor. The nurse notes that the fetal heart rate is 150 bpm with early decelerations. Which of the following is the appropriate action?

A) Administer oxygen to the mother
B) Continue to monitor the fetal heart rate
C) Perform a cesarean section immediately
D) Reposition the mother to the left lateral position

 

A nurse is caring for a postpartum woman who is breastfeeding. Which of the following is a normal finding during breastfeeding?

A) Painful nipple cracks
B) Firm breasts that are warm to the touch
C) A decrease in milk production after 2 weeks
D) Nausea or dizziness during feeding

 

A nurse is assessing a newborn and observes a bluish color around the lips and extremities. The nurse should:

A) Administer oxygen
B) Reposition the infant and reassess
C) Assess the infant’s temperature
D) Prepare for emergency intubation

 

A nurse is teaching a woman who is 30 weeks pregnant about signs of preterm labor. Which of the following should the nurse include?

A) Sudden weight gain
B) Persistent abdominal pain
C) Feeling of pelvic pressure
D) Decrease in fetal movement

 

A nurse is caring for a postpartum woman who is concerned about breastfeeding. Which of the following is the most appropriate response by the nurse?

A) “Don’t worry, your milk will come in after a week.”
B) “It is important to start breastfeeding immediately after birth.”
C) “You should wait until the baby is 3 days old to begin breastfeeding.”
D) “Formula feeding is a better choice for newborns.”

 

A nurse is caring for a woman who has just delivered a baby via cesarean section. The nurse should monitor for which of the following complications?

A) Respiratory depression
B) Hypotension due to blood loss
C) Infection at the surgical site
D) Urinary retention

 

A nurse is caring for a postpartum woman who is ambulating. The nurse should assess for which of the following signs of a complication?

A) Increased pain in the incision site
B) Mild cramping
C) Slight dizziness or lightheadedness
D) Bleeding that has decreased in the last few days

 

A nurse is caring for a woman with gestational hypertension. Which of the following should the nurse emphasize?

A) Increased physical activity to reduce blood pressure
B) Decreasing salt intake in the diet
C) Administering oral antihypertensive medications
D) Resting in a lateral position to enhance circulation

 

A nurse is caring for a woman who is 32 weeks pregnant and complains of severe abdominal pain. The nurse should assess for:

A) Placenta previa
B) Ectopic pregnancy
C) Placental abruption
D) Preterm labor

 

A nurse is assessing a woman who is breastfeeding. Which of the following is a sign of adequate breastfeeding?

A) The infant is gaining weight as expected
B) The infant’s urine is dark yellow
C) The mother has sore nipples after each feed
D) The infant is not latching onto the breast

 

A nurse is assessing a postpartum woman’s emotional state. Which of the following signs indicates possible postpartum depression?

A) Feeling of exhaustion and mild irritability
B) Excessive worry about the baby’s health
C) Expressing joy and excitement about motherhood
D) Increased energy and optimism about family life

 

A nurse is caring for a woman at 12 weeks of pregnancy. Which of the following assessments should be included in the first prenatal visit?

A) Abdominal ultrasound
B) Measurement of fundal height
C) Complete blood count and urinalysis
D) Fetal heart rate auscultation

 

A nurse is teaching a pregnant woman about safety measures in the workplace. Which of the following should the nurse recommend?

A) Avoid lifting heavy objects after the first trimester
B) Avoid sitting for prolonged periods during the entire pregnancy
C) Wear a tight-fitting uniform to reduce pressure on the abdomen
D) Stand for long periods to prevent blood clots

 

A nurse is caring for a woman who has just had a cesarean section. Which of the following is the priority assessment?

A) Check the incision for signs of infection
B) Monitor vital signs every 4 hours
C) Assess for signs of deep vein thrombosis
D) Evaluate the newborn’s feeding

 

 

A nurse is caring for a postpartum woman who is breastfeeding. Which of the following actions should the nurse take to help prevent engorgement?

A) Encourage the woman to nurse every 4 hours
B) Recommend using a warm compress before breastfeeding
C) Instruct the woman to stop breastfeeding immediately after the milk comes in
D) Suggest using a cold compress to reduce milk production

 

A nurse is caring for a woman who is 24 weeks pregnant and is experiencing vaginal bleeding. The nurse should assess for:

A) Placental abruption
B) Spontaneous abortion
C) Placenta previa
D) Preterm labor

 

A nurse is caring for a postpartum woman who is experiencing abdominal cramping. Which of the following actions should the nurse take?

A) Apply heat to the lower abdomen
B) Encourage early ambulation
C) Administer a mild analgesic as prescribed
D) Limit fluid intake to reduce cramping

 

A nurse is caring for a woman who is 10 weeks pregnant and has a history of hyperemesis gravidarum. Which of the following should the nurse recommend?

A) Increase oral fluid intake and snacks
B) Monitor for signs of dehydration
C) Take iron supplements on an empty stomach
D) Avoid prenatal vitamins until symptoms subside

 

A nurse is teaching a pregnant woman about exercises to prepare for labor. Which of the following exercises should the nurse recommend?

A) High-impact aerobics
B) Pelvic tilts
C) Running for 30 minutes a day
D) Lifting heavy weights

 

A nurse is caring for a postpartum woman who had a vaginal delivery. Which of the following is a normal finding during the first 24 hours?

A) Lochia rubra with a foul odor
B) A temperature of 101.2°F (38.4°C)
C) Soft and non-tender breasts
D) A boggy fundus with heavy bleeding

 

A nurse is caring for a woman in the third trimester of pregnancy who has a history of gestational diabetes. Which of the following should the nurse monitor closely?

A) Blood glucose levels
B) Hemoglobin levels
C) Urine output
D) Skin integrity

 

A nurse is caring for a woman who is experiencing early labor. Which of the following is a priority action for the nurse?

A) Administer a sedative to promote rest
B) Monitor fetal heart rate and maternal vitals
C) Encourage the woman to eat a light snack
D) Perform a vaginal examination for dilation

 

A nurse is caring for a postpartum woman who is unable to urinate after delivery. The nurse should first:

A) Assist the woman to a standing position
B) Encourage the woman to drink fluids
C) Perform a bladder scan to assess for retention
D) Insert a urinary catheter

 

A nurse is teaching a woman in her first trimester about the importance of prenatal care. Which of the following should the nurse emphasize?

A) Prenatal visits should occur every 2 weeks during the first trimester
B) Prenatal care helps to detect complications early
C) Prenatal visits are not necessary until the second trimester
D) Prenatal vitamins are not required if the diet is balanced

 

A nurse is caring for a woman in labor and notices that the fetal heart rate is 120 bpm with variable decelerations. Which of the following is the most appropriate action?

A) Administer oxygen to the mother
B) Reposition the mother to a lateral position
C) Prepare for a cesarean section
D) Continue monitoring the fetal heart rate

 

A nurse is assessing a newborn and notes that the infant is not breathing. Which of the following actions should the nurse take first?

A) Administer oxygen
B) Begin resuscitation with chest compressions
C) Suction the infant’s airway
D) Position the infant’s head to open the airway

 

A nurse is caring for a pregnant woman at 30 weeks gestation. Which of the following is an indication for a nonstress test (NST)?

A) Severe back pain
B) Decreased fetal movement
C) Positive urine culture
D) Weight gain of 2 lbs in 1 week

 

A nurse is caring for a woman who is 18 weeks pregnant and is experiencing mild cramps and spotting. Which of the following is the nurse’s priority action?

A) Perform a pelvic examination
B) Encourage the woman to rest
C) Reassure the woman that symptoms are normal
D) Assess for signs of miscarriage or ectopic pregnancy

 

A nurse is teaching a woman about the importance of folic acid during pregnancy. Which of the following is the recommended daily dose?

A) 200 mcg
B) 400 mcg
C) 600 mcg
D) 1000 mcg

 

A nurse is caring for a postpartum woman who is breastfeeding. The nurse notices that the mother’s nipples are cracked. Which of the following should the nurse recommend?

A) Apply ice packs to the nipples after breastfeeding
B) Apply a lanolin-based cream to the nipples
C) Use soap and water to clean the nipples after each feed
D) Avoid breastfeeding for 24 hours to allow healing

 

A nurse is assessing a woman in labor and notices that the amniotic fluid is meconium-stained. The nurse should:

A) Document the finding and continue to monitor
B) Prepare for immediate delivery and suction the newborn’s airway
C) Encourage the mother to push as hard as she can
D) Wait until delivery to assess the newborn

 

A nurse is caring for a woman who had a cesarean section 4 hours ago. Which of the following should the nurse monitor for the earliest signs of a complication?

A) Abdominal tenderness
B) Fever greater than 100.4°F (38°C)
C) Leg swelling
D) Foul-smelling lochia

 

A nurse is assessing a woman in labor and notices that her contractions are every 2-3 minutes, lasting 60-90 seconds, and very strong. The nurse should:

A) Continue to monitor the contractions
B) Prepare the woman for delivery
C) Administer medication to stop the contractions
D) Encourage the woman to rest and wait for the cervix to dilate

 

A nurse is caring for a woman with preeclampsia. Which of the following should the nurse monitor closely?

A) Platelet count and liver function tests
B) Maternal temperature
C) Fetal heart rate
D) Bowel sounds

 

A nurse is caring for a woman who is in labor. The woman is requesting an epidural for pain relief. The nurse should:

A) Explain the risks and benefits of the procedure
B) Administer the epidural without notifying the healthcare provider
C) Encourage the woman to wait until the second stage of labor
D) Suggest a more natural approach to pain management

 

A nurse is caring for a woman who has just delivered a newborn. Which of the following is the priority action for the nurse to take?

A) Monitor the newborn’s respiratory status
B) Assess the mother’s lochia
C) Provide immediate skin-to-skin contact
D) Assist the mother with breastfeeding

 

A nurse is caring for a woman who is 40 weeks pregnant. The woman reports a sudden decrease in fetal movement. The nurse should:

A) Encourage the woman to eat something and drink fluids
B) Assess the fetal heart rate and perform a nonstress test
C) Reassure the woman that the baby is likely sleeping
D) Recommend bed rest for the remainder of the day

 

A nurse is providing teaching to a pregnant woman about the dangers of smoking during pregnancy. Which of the following is a potential complication of smoking?

A) Increased risk of spontaneous abortion
B) Increased fetal movement
C) Decreased risk of preeclampsia
D) Decreased chance of preterm birth

 

A nurse is caring for a postpartum woman who has a history of depression. Which of the following actions is most important?

A) Encourage family support and bonding with the infant
B) Encourage the woman to return to work as soon as possible
C) Suggest that the woman stop breastfeeding
D) Recommend that the woman avoid socializing with others

 

A nurse is assessing a newborn’s Apgar score at 1 minute and 5 minutes after birth. Which of the following is a normal Apgar score at 1 minute?

A) 1-3
B) 4-6
C) 7-8
D) 9-10

 

A nurse is caring for a woman with a history of substance abuse. Which of the following is a priority during the prenatal period?

A) Encourage smoking cessation
B) Monitor for signs of withdrawal
C) Educate about the benefits of exercise
D) Recommend that the woman increase her caloric intake

 

 

A nurse is caring for a woman in her third trimester who is experiencing symptoms of preeclampsia. Which of the following is a primary assessment finding to monitor?

A) Increase in fetal movements
B) Decreased urine output
C) Decrease in weight gain
D) Increased blood pressure and proteinuria

 

A nurse is caring for a postpartum woman who has had a cesarean section. Which of the following interventions is most appropriate to prevent deep vein thrombosis (DVT)?

A) Ambulate the woman early and often
B) Encourage the woman to remain on bed rest
C) Apply compression stockings only after discharge
D) Increase fluid intake significantly

 

A nurse is teaching a woman in labor about the benefits of breathing techniques. Which of the following is the primary purpose of these techniques?

A) To eliminate pain from contractions
B) To relax the pelvic muscles
C) To maintain a steady oxygen supply to both the mother and fetus
D) To induce labor quickly

 

A nurse is teaching a woman in her first trimester about common pregnancy discomforts. Which of the following should the nurse include in the teaching?

A) Nausea and vomiting typically subside after the second trimester
B) Spotting is an indication of a serious complication
C) Leg cramps are unusual and require medical attention
D) Mild pelvic pain is abnormal and should be reported immediately

 

A nurse is caring for a postpartum woman who is breastfeeding. Which of the following is a common concern during the early weeks postpartum?

A) Inadequate milk production
B) Increased risk of postpartum depression
C) Severe abdominal cramping
D) Persistent vaginal bleeding

 

A nurse is providing education to a pregnant woman who is at 16 weeks gestation. Which of the following signs should the woman report immediately?

A) Mild swelling in the lower legs
B) A sudden increase in weight gain
C) Backache and fatigue
D) Mild cramping with light spotting

 

A nurse is caring for a woman who is 8 hours postpartum and has a temperature of 101.4°F (38.6°C). The nurse should first:

A) Administer acetaminophen and monitor her temperature
B) Assess for signs of a urinary tract infection
C) Check the lochia and assess for infection
D) Reassure the woman that fever is common after childbirth

 

A nurse is caring for a woman who is breastfeeding and reports sore nipples. Which of the following should the nurse recommend?

A) Discontinue breastfeeding immediately
B) Apply lanolin cream after each feeding
C) Increase the number of feedings each day
D) Use soap to clean the nipples after each feed

 

A nurse is providing care for a woman who is 34 weeks pregnant and has a history of gestational hypertension. Which of the following signs would be concerning and should be reported immediately?

A) Mild headaches
B) Blurred vision and visual disturbances
C) Occasional swelling in the ankles
D) Mild abdominal discomfort

 

A nurse is educating a woman who is planning to breastfeed. Which of the following is a common sign that the baby is latched properly?

A) The baby’s lips are curled inward
B) The mother experiences pain during feeding
C) The baby’s mouth covers the areola completely
D) The baby’s nose is pressed tightly against the breast

 

A nurse is assessing a newborn immediately after birth. Which of the following is the first action the nurse should take if the newborn is not breathing?

A) Suction the newborn’s mouth and nose
B) Stimulate the newborn by gently rubbing the back
C) Assess the newborn’s Apgar score
D) Administer oxygen via mask

 

A nurse is providing prenatal care to a woman at 24 weeks gestation who has a BMI of 30. Which of the following should the nurse include in the teaching plan?

A) Weight gain should be strictly monitored, with no gain allowed during pregnancy
B) Increased physical activity can help manage weight and improve health outcomes
C) Limit calorie intake to prevent excessive weight gain
D) Emphasize the need for a high-protein, low-carbohydrate diet

 

A nurse is caring for a postpartum woman who is having difficulty voiding. Which of the following interventions should the nurse try first?

A) Perform a bladder scan to assess for retention
B) Administer a diuretic as prescribed
C) Encourage the woman to drink fluids and ambulate
D) Insert a Foley catheter

 

A nurse is caring for a woman who is 30 weeks pregnant and is experiencing vaginal bleeding. Which of the following is the most likely cause of bleeding at this stage of pregnancy?

A) Placenta previa
B) Miscarriage
C) Ectopic pregnancy
D) Preterm labor

 

A nurse is providing care to a woman during the first stage of labor. Which of the following positions would help promote fetal descent and relieve back pain?

A) Supine position
B) Hands-and-knees position
C) Lithotomy position
D) Trendelenburg position

 

A nurse is caring for a woman who has just received an epidural block. Which of the following interventions is essential to prevent hypotension?

A) Encourage the woman to remain supine
B) Administer an IV bolus of fluids
C) Keep the woman in a lateral position with one leg elevated
D) Encourage deep breathing and coughing

 

A nurse is caring for a postpartum woman who is experiencing a boggy uterus. The nurse should first:

A) Massage the fundus
B) Administer oxytocin as prescribed
C) Insert a Foley catheter to measure urine output
D) Elevate the woman’s legs to improve circulation

 

A nurse is caring for a woman who is in early labor. Which of the following signs indicates that the woman is entering the active phase of labor?

A) Contractions occurring every 10-15 minutes
B) Cervical dilation of 4-6 cm
C) Bloody show after rupture of membranes
D) Pain that can be relieved by walking

 

A nurse is caring for a woman who is 8 weeks postpartum. Which of the following assessments is the priority at this stage?

A) Lochia assessment
B) Vital signs and fundus consistency
C) Screening for postpartum depression
D) Cervical dilation and effacement

 

A nurse is assessing a woman who is 39 weeks pregnant. Which of the following signs is the most indicative of impending labor?

A) Increased vaginal discharge
B) Intermittent low back pain
C) Lightening or fetal descent into the pelvis
D) Mild contractions that subside with activity

 

A nurse is educating a woman about the benefits of prenatal vitamins. Which of the following should the nurse emphasize as the most important benefit of folic acid during pregnancy?

A) Helps prevent neural tube defects
B) Promotes healthy bone development
C) Enhances circulation to the placenta
D) Supports healthy fetal kidney function

 

A nurse is caring for a woman in the second trimester who is experiencing mild edema in her legs. The nurse should:

A) Advise the woman to increase fluid intake
B) Encourage the woman to elevate her legs periodically
C) Suggest that the woman restrict physical activity
D) Recommend that the woman lie flat on her back for several hours a day

 

A nurse is assessing a postpartum woman’s mental health. Which of the following should the nurse be most concerned about?

A) Difficulty sleeping and lack of appetite
B) Anxiety and irritability that persist for several weeks
C) Mild fatigue and occasional mood swings
D) Difficulty bonding with the baby, which is common for most women

 

A nurse is caring for a pregnant woman who is at risk for preterm labor. Which of the following interventions should the nurse prioritize?

A) Encourage bed rest and hydration
B) Increase caloric intake to promote fetal growth
C) Provide early pain relief medications
D) Avoid any physical activity or movement

 

A nurse is caring for a woman with a history of gestational diabetes. Which of the following is most important to monitor during the postpartum period?

A) Blood glucose levels
B) Hemoglobin and hematocrit levels
C) Blood pressure and renal function
D) Weight and body mass index

 

A nurse is providing care to a woman who is at 30 weeks gestation and has been diagnosed with anemia. Which of the following is the priority nursing intervention?

A) Educate the woman about iron-rich foods
B) Administer iron supplements as prescribed
C) Monitor for signs of excessive bleeding
D) Encourage fluid intake to prevent dehydration

 

A nurse is providing education on breastfeeding to a postpartum woman. Which of the following should the nurse include in the teaching?

A) Feed the baby on a strict schedule every 3 hours
B) Breastfeed for no longer than 10 minutes on each side
C) Offer both breasts during each feeding session
D) Use pacifiers to help the baby latch onto the breast

 

A nurse is caring for a postpartum woman who is experiencing excessive vaginal bleeding. Which of the following should be the nurse’s priority action?

A) Notify the healthcare provider
B) Massage the fundus to promote uterine contraction
C) Administer a mild analgesic for pain relief
D) Apply ice to the perineum

 

A nurse is caring for a postpartum woman who has an infection. Which of the following findings should the nurse report immediately?

A) Increased vaginal bleeding with a foul odor
B) Low-grade fever that subsides after rest
C) Decreased appetite and mild fatigue
D) Mild pain at the site of the cesarean incision

 

A nurse is providing care for a pregnant woman who is considering childbirth education classes. Which of the following should the nurse emphasize as a benefit of these classes?

A) They reduce the need for medical interventions during labor
B) They provide pain relief during labor without medication
C) They help the woman understand the childbirth process and coping strategies
D) They prepare the woman for an immediate postpartum discharge

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