A nurse is educating a client who is complaining of monthly dysmenorrhea. Which diet options would be best to educate this client on?

A woman who has a regular 28 day cycle is tracking her ovulation. Her last period was on October 5. When should she expect to ovulate?

What is the purpose of the release of luteinizing hormone in the female reproductive cycle?

Which statement made by the nurse demonstrates proper understanding of the role of progesterone in a woman’s body?

A nurse is working with a student nurse in a Women’s Health clinic. The student nurse is identifying the hormones responsible for controlling the menstrual cycle. Which would be the most appropriate responses? Select all that apply.

A nurse is helping a client who just had an intrauterine device (IUD) inserted as a form of contraception. The nurse is teaching the client about side effects of the IUD. Which of the following information should the nurse give?

A 33-year-old client is talking to the nurse about infertility treatments. The client has been prescribed clomiphene to assist with ovulation in order to increase the chances of pregnancy. Which information should the nurse provide to the client about potential complications of this drug?

An unmarried young woman describes her sex life as “active”. She has multiple partners and wants a reliable contraceptive method. She has heard about an intrauterine device and asks the nurse if it will work for her. The nurse’s most appropriate response is:

A nurse is talking to a client who takes oral birth control pills as a form of contraception. The client is a smoker and the nurse reminds her that she should not smoke while taking these medications. Which best describes the rationale for this?

An interdisciplinary team is working in a postpartum unit and discussing a case of a mother who is placing her baby for adoption. Which best describes the role of the nurse in this situation?

A client wants to use the cervical mucous method for fertility awareness to increase her chances of becoming pregnant. What aspects would the nurse include during teaching that explains how to perform this method? Select all that apply.

A nurse is caring for a client who is on birth control. The client has been diagnosed with an upper respiratory infection and has been prescribed antibiotics. Which statement by the client indicates proper understanding of teaching?

The nurse is educating an adolescent female client with a new prescription for Ethinyl Estradiol and Norgestrel. Which of the following is an appropriate point to include? Select all that apply.

A nurse is providing preoperative teaching for a client undergoing a vasectomy. Which statement by the client would indicate teaching has been understood?

A nurse is teaching a client interested in utilizing a diaphragm as a form of contraception. What education topics should be included? Select all that apply.

A client calls her OB/Gyn office to say she had a positive pregnancy test but does not know how far along she is. She has irregular periods and knows it has been a few months since she has had a period. She wants to know how the doctors will know her due date. What is the best response by the nurse?

A client giving a medication history tells you she is in the early stages of pregnancy. Which of the following drugs should be immediately discontinued?

A nurse is scheduling a client for her first OB appointment at about 8 weeks pregnant, when the client expresses concern about what to expect. What is the most appropriate response by the nurse?

A pregnant client tells the nurse that her last menstrual period (LMP) started on December 1, 2018. When is her estimated due date using Nägele’s Rule?

A client comes into the care clinic after having a positive pregnancy test at home. The nurse asks the client about her last menstrual period and the client notes that it was March 16. Calculate this client’s estimated due date.

A nurse is caring for a client who is 36 weeks pregnant for the first time who has shown up to the hospital. She reports she has been very sick and uncomfortable and would like to be induced. What is the best response?

Which statement by a student nurse indicates a proper understanding of the term ‘gestation’?

A nurse is assessing a client who is 2 days postpartum. What should the nurse expect when assessing fundal height?

A nurse is assessing a 30-week pregnant client at her prenatal appointment. What should the nurse expect when assessing fundal height?

The nurse is assessing a postpartum client who has just delivered less than an hour ago. Where would the nurse expect to find the fundus of the uterus?

A nurse is assessing a client’s fundal height. The client has just started her third trimester of pregnancy. When positioning the client for this assessment, what complication should the nurse monitor for?

An antepartum client wants to know if she is measuring too big during an antenatal exam. The client is 32 weeks’ gestation. Which measurement from the symphysis to the top of the uterus represents a uterine measurement that is too big for 32 weeks’ gestation?

During the postpartum period, by what time frame should the uterus no longer be palpable?

A 31-year-old pregnant client and her husband arrive at the healthcare clinic for a prenatal visit. The nurse notes several areas of bruising on the client’s legs and buttocks during the exam. Which response from the nurse is most appropriate in this situation?

A nurse is assessing clients for the need for genetic testing during pregnancy. Which client is the most appropriate to recommend for immediate genetic testing?

A client is undergoing a procedure to check for cancer with nuclear medicine. The client asks the nurse if her pregnant daughter and husband will be able to visit. Which of the following is the best response by the nurse?

A pregnant client is being seen for routine prenatal care. The client is 28 weeks’ gestation with her first pregnancy and has a history of systemic lupus erythematosus. Choose which outcome is most commonly associated with chronic medical illness in a pregnant mother.

After reviewing an 11-week pregnant client’s history, a nurse knows that which of the following puts the client at risk for gestational hypertension?

A nurse is educating a client with Type 1 Diabetes about how to know if she can have a healthy pregnancy. Which statement indicates the client understood the teaching?

A pregnant client is talking to the nurse about a current gonorrhea infection. Which of the following statements by the client demonstrates an understanding of the prevention of transmission to the neonate?

A nurse is providing post-test instructions after a pregnant client failed her 1-hour and 3-hour glucose tolerance test. What information provided by the nurse is correct?

A nurse is educating pregnant clients on the risks of illicit drug use during pregnancy. Which illicit drug can cause precipitous delivery?

A nurse is caring for a pregnant client that has a prior diagnosis of herpes. What should the nurse expect to be included in her plan of care?

The nurse is working in a OB clinic, seeing a client who is 9 weeks pregnant. Which of the following statements by the client is the LEAST concerning?

A client who is 16 weeks pregnant is at the healthcare provider’s office for a routine prenatal exam. The nurse is educating the client about pregnancy-related body changes that may occur in the next several months. Which best describes a condition that affects the musculoskeletal system occurring during pregnancy?

A nurse is caring for a pregnant client who is at 28 weeks’ gestation. Which of the following changes in cardiac output would the nurse expect to see in a client of this gestation?

A 17-year-old pregnant client is receiving prenatal care at the health clinic. The client states the anticipation of her body changing has caused her to have an emotional crisis. Which of the following interventions would be most appropriate for this client?

A nurse is providing discharge teaching to a 32-week pregnant client after her OB appointment. The client has had edema in her lower legs and ankles. What advice should be included in teaching?

Which best describes how pregnancy affects thyroid function?

The nurse is caring for a client who is 34 weeks pregnant at their prenatal appointment. The client has presented with 3+ pitting edema in the ankles and feet. What nursing interventions are appropriate? Select all that apply.

A pregnant client calls the OB office to report recurring nosebleeds. What is the best response by the nurse?

Which symptom reported by a pregnant client would be most concerning to the nurse?

A nurse witnesses a client who is 38 weeks pregnant pass out while ambulating in the hall at the hospital. She is lying on her back on the floor of the hallway, has a pulse, and is breathing normally. What is the priority action at this time?

A client who is 36 weeks’ pregnant tells the nurse that she is not getting enough sleep at night because she is uncomfortable. In which of the following positions should the nurse recommend that the client try to sleep?

A client who is 28 weeks’ pregnant complains to the nurse that she has had a lot of low back pain during this pregnancy. The client asks the nurse if it is all right if she gets a deep tissue massage while she is pregnant. Which response from the nurse is correct?

A nurse is educating a pregnant client on ways to ease constipation during pregnancy. Which would be the most appropriate information to include?

A nurse is providing teaching for a 22-week pregnant client. What position should the nurse advise the client to sleep in?

A nurse is educating a pregnant client on ways to ease breast tenderness. Which would be the most appropriate information to include?

A nurse is teaching a class at a fertility clinic. Which of the following should be taught as early signs of pregnancy? Select all that apply.

A client is 25 weeks pregnant. She asks the nurse about the best positioning for sleep. Which position should the nurse instruct the client to try?

A nurse is educating a pregnant client on ways to alleviate severe morning sickness. Which would be the most appropriate information to include?

A 36-year-old pregnant client is at a prenatal appointment when her provider tells her she needs an amniocentesis to rule out birth defects because of her age. The client later tells the nurse that she does not want to have the test. Which of the following responses from the nurse is accurate?

A 12 week pregnant client has undergone a chorionic villus sampling. What discharge education should the nurse include? Select all that apply.

A nurse is approached by a pregnant client’s husband. He is upset because he overheard in report that his wife is GBS positive. What is the best response by the nurse?

A pregnant client with gestational diabetes is to undergo a non stress test (NST). Select all of the following components that are included as part of this test.

A 36-year-old pregnant client is undergoing an amniocentesis to assess for chromosomal abnormalities. After the procedure, the nurse should give which of the following information to the client?

A nurse is caring for a client who has a low-risk pregnancy. Which routine tests does the nurse expect the client will receive during the 3rd trimester? Select all that apply.

A pregnant client is having a contraction stress test and 3 contractions occur with no decelerations. How should this result be reported to the provider?

A 22-week pregnant client at her OB appointment. The client is rubella non-immune and never received some other immunizations. Which immunizations are safe for the client to receive? Select all that apply.

A nurse is providing procedural instructions to a pregnant client who is hypertensive and about to have a non stress test. Which statement by the nurse is the most appropriate?

The nurse is working in an OB clinic. Which of the following screenings or diagnostics is not a priority for a routine prenatal client visit?

A nurse is teaching a pregnant client about nutrition in pregnancy. Which statement by the client indicates she has understood the teaching?

A 28-year-old client is pregnant with her first child and is at the doctor’s office for a prenatal exam. The client is in her first trimester and the nurse is providing information about an appropriate diet during pregnancy. Which of the following information is correct?

The nurse is caring for a client who just discovered she is pregnant. The after visit summary states to take folic acid supplements during pregnancy, so the client inquires about the reasoning for this. Which of the following is the most appropriate response?

A nurse is teaching a client about the importance of folic acid during pregnancy. Which statement by the nurse is most appropriate?

Which statement by an 8 week pregnant client indicates the need for further teaching?

A nurse is providing nutrition education to a pregnant client who practices a vegetarian lifestyle. Which information is the most important for a nurse to provide?

A nurse is assisting a pregnant client to develop a diet plan. What should the nurse do first?

A pregnant client presents to the emergency room with vaginal bleeding and states that she is 11 weeks. On ultrasound the embryo is visualized and the fetal heart rate is 142. What diagnosis should the nurse anticipate?

A nurse is caring for a client who has had a missed abortion at 9 weeks gestation. Which of the following treatments should the nurse prepare the client for?

A client is upset about a miscarriage that she had and wants to know why it happened. What is the best response by the nurse?

A client who is 13 weeks pregnant comes to the clinic. During the ultrasound, no heart tones are detected. The client denies having had any bleeding. The nurse would be correct in explaining this to the client as what type of abortion/miscarriage?

A client who has been diagnosed with an inevitable miscarriage at 16 weeks wants to try and miscarry at home instead of having a D&C. The nurse should instruct the client to call immediately for which scenario?

The nurse is caring for a woman who is a carrier for G6PD deficiency in the clinic. The client’s spouse does not have the deficiency. How does the nurse counsel this client regarding future pregnancies?

A nurse is educating a pregnant client on some diet options to improve her iron deficiency anemia. What the most appropriate selection for this client?

The nurse is caring for a client in labor, ready to deliver her 2nd child. She is at 39 weeks gestation and has been anemic during the majority of her pregnancy. Which of the following is the nurse’s biggest concern for this client?

A nurse is caring for a pregnant client who has been diagnosed with anemia. What management plan should the nurse anticipate?

A nurse is assessing a client who is 30-weeks pregnant and diagnosed with iron-deficiency anemia. What symptoms should the nurse expect to find?

A nurse is caring for a pregnant, hypertensive client on bed rest. What nursing intervention is priority for the care of this client?

A nurse is providing instructions to a pregnant client who also has a diagnosis of heart failure. What should be included in those instructions?

A nurse is providing education to a pregnant client with hypertension. What is the priority topic to include in this education?

A nurse is assessing a 30-week pregnant client. Which of the following findings should be reported to the provider?

A nurse is assessing a 42-year-old client in the primary care clinic. The nurse is talking with the client about medical history and risks of chronic disease. The client asks, “How do I know if I am at risk of heart disease?” Which response from the nurse is accurate?

A nurse suspects a pregnant client may have chorioamnionitis. Which assessment findings would specifically confirm this diagnosis? Select all that apply.

A nurse is providing discharge instructions to a pregnant client who just received an amniocentesis. What should be included in these instructions?

The nurse is caring for a pregnant client presenting to the ED with symptoms of chorioamnionitis. Which of the following is the priority?

An infant is born to a mother who contracted chorioamnionitis. What immediate interventions should the nurse anticipate when caring for the newborn? Select all that apply.

The nurse is caring for a client who had an amniocentesis 48 hours ago. She is presenting to the ED with symptoms of chorioamnionitis. Which of the following is NOT an expected finding with this condition?

A nurse is caring for a pregnant client in labor. When taking vitals, the nurse notes the client’s temperature is 102.2°F and heart rate is 108 bpm. The nurse notifies the provider, which of the following provider orders should be implemented first?

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

A client with gestational diabetes is scheduled to have a 50 g glucose tolerance test. What result is considered normal?

A pregnant client’s first glucose tolerance test result is 210 mg/dL one hour after the test. Which statement by the nurse best explains these results?

The nurse is caring for a client who had gestational diabetes during pregnancy in the postpartum unit. The nurse is preparing to discharge the client. Which information should the nurse include regarding the client’s gestational diabetes?

A nurse is caring for a pregnant client who wants to know why she needs to be tested for diabetes when she has no personal family history. What is the best response by the nurse?

The nurse is caring for a 34 week pregnant client with gestational diabetes. Despite nutritional and pharmacological interventions, the client’s glucose has been poorly controlled. The provider would like to order a noninvasive test to check the health of the fetus. Which test does the nurse anticipate the provider ordering?

A pregnant client is in labor to deliver her baby. The mother is 39 weeks’ gestation and has had gestational diabetes during pregnancy. The mother has missed many prenatal appointments and admits that she has not checked her blood glucose levels or controlled her diet well, despite her diagnosis. Which of the following are risks to the infant as a result of uncontrolled gestational diabetes? Select all that apply.

A nurse is educating a client on the physiologic changes in pregnancy. What is true about the pregnant woman’s insulin needs at the beginning of a pregnancy?

A 31-year-old pregnant client comes into the clinic for an oral glucose tolerance screening at 28 weeks’ gestation. After taking the test, the nurse notes that the client’s blood glucose level is 180 mg/dL, 2 hours after the test. With which of the following is this result associated?

A postpartum client is recovering after delivery of a baby 24 hours ago. The provider has ordered a glycosylated hemoglobin level since the client had gestational diabetes during pregnancy. In this situation, which glycosylated hemoglobin level would be considered normal for this client?

A nurse is assessing multiple postpartum clients for the risk of Disseminated Intravascular Coagulation. Which client is at the highest risk?

A nurse is caring for a client who will undergo medical management for an ectopic pregnancy. Which treatment would the nurse anticipate?

A nurse is educating clients on the symptoms of ectopic pregnancy. Which of the following symptoms should be included in the education? Select all that apply.

The nurse is working in an OB outpatient client. A client who is 10 weeks pregnant presents with abdominal pain, shoulder pain, and vaginal bleeding. The nurse promptly notifies the provider of these symptoms because it could be a medical emergency. Which condition does the nurse suspect?

A 31-year-old client is brought in to the emergency room after suffering an ectopic pregnancy. Based on the nurse’s understanding of this condition, the nurse knows to look for which signs or symptoms in this client? Select all that apply.

A nurse is caring for a client post-op for removal of an ectopic pregnancy. The client has A- blood type and reports receiving Rhogam with her last pregnancy. She asks if she needs to receive it again. What is the best response by the nurse?

A client who just learned she has an ectopic pregnancy in her fallopian tube wants to know if she can continue with the pregnancy. What is the best response by the nurse?

A female client presents to the emergency room with severe right sided abdominal pain and right shoulder pain. The urine pregnancy test is positive. What is the best next action by the nurse?

A nurse is caring for a postpartum client with a suspected hematoma. What vital signs would the nurse expect to find?

A nurse is caring for a postpartum mother who delivered a baby 3 days ago. On the first day following delivery, the provider ordered a hemoglobin level for the client. The result was 9.9 g/dL. The provider did not list any other orders in the client’s chart since that time. Which response of the nurse is most appropriate?

A nurse is working on a postpartum unit and is starting the day shift. The nurse is caring for the following clients. Which of the following clients should the nurse see first?

The nurse is caring for a client who just delivered a healthy, 7lb 8 oz baby, assisted by forceps. Which of the following statements by the mother in the postpartum period is most concerning?

A nurse is assessing a postpartum client who delivered a baby four hours ago. The client had a complicated delivery and suffered a third degree perineal laceration. The nurse notes that the client has a contracted uterus with excessive, bright red lochia. Which of the following actions is appropriate for the nurse to take?

A nurse is caring for a client postpartum who had a stage 3 laceration during her vaginal delivery. What order should the nurse anticipate?

A nurse starting the morning shift is caring for 4 postpartum clients. Which client should be seen first?

A nurse is caring for a client 24 hours postpartum who is having perineal pain that is unresolved with ibuprofen and oxycodone. What should the nurse’s next action be?

A nurse is caring for a postpartum client with a perineal hematoma. Which of the following should be included in her care? Select all that apply.

A nurse is caring for a group of newly pregnant clients. Which client is at the highest risk for a molar pregnancy?

The nurse is caring for a client who just had a hydatiform mole removed. The nurse anticipates monitoring which of the following levels that may suggest invasive disease?

A nurse is providing discharge instructions for a client who has undergone a D&C for a trophoblastic molar pregnancy. What should be included in the teaching?

A nurse is reviewing lab results for a client that had a D&C to remove a molar pregnancy 6 months ago. Her hCG levels have not decreased. What management should the nurse expect for this client?

A nurse at an obstetrics clinic receives a call from a 9-week pregnant client to report disturbing symptoms. Which symptom would indicate a possible molar pregnancy?

A nurse is providing care for a client who has undergone a D&C for a molar pregnancy. What will be included in the plan of care after discharge?

The nurse is discharging a client who just had a hydatiform mole removed, without complications. The nurse is educating the client on the follow-up care required for this. Which of the following is most appropriate to explain to this client?

A client is experiencing hyperemesis gravidarum and is not getting any relief from ondansetron. Which of the following medications is the next step in nausea control?

A 25-year-old pregnant woman is being seen for excess nausea and vomiting during her first trimester of pregnancy. Which of the following factors must be present for a diagnosis of hyperemesis gravidarum?

A nurse is assessing pregnant clients for hyperemesis gravidarum. Which of the following clients is likely to be suffering from hyperemesis gravidarum?

Which of the following findings are consistent with the diagnosis of hyperemesis gravidarum?

A nurse is making recommendations for a pregnant client with hyperemesis gravidarum. Which of the following should be recommended to alleviate the hyperemesis? Select all that apply.

A pregnant client is admitted to the hospital with hyperemesis gravidarum. She has been vomiting for several days and is dehydrated. What management should the nurse anticipate?

A nurse is assessing newly pregnant clients for their risk for hyperemesis gravidarum. Which client is at the highest risk?

A nurse is providing education to a patient who is 24 weeks pregnant and had a blood pressure of 150/91. Which statement by the client indicates understanding of teaching?

A nurse is caring for a client who is 33 weeks pregnant and has a blood pressure of 143/94. The nurse knows the client is at risk for which of the following?

A pregnant client with preeclampsia is being assessed by the nurse in the labor and delivery unit of the hospital. The nurse checks the client’s lower legs and feet to assess for edema and notes 3+ pitting edema bilaterally. Which of the following describes this stage of pitting edema? Select all that apply.

A nurse is educating a pregnant client with gestational hypertension on signs that indicate worsening. Which of the following should be included in the teaching? Select all that apply.

A nurse is caring for a pregnant client at her 16-week appointment. Her blood pressure is 142/91. What diagnosis should the nurse expect?

A nurse is caring for a 15 week pregnant patient with a shortened cervix on ultrasound. What management should the nurse expect at this time?

A nurse is caring for a client who is 15-weeks pregnant. The ultrasound shows a shortening of her cervix on ultrasound. Which of the following diagnoses would the nurse anticipate?

A woman who is 23 weeks pregnant is at risk for preterm birth and the provider decides to place a cerclage. Which information must the nurse tell this client as part of routine care with a cerclage?

A nurse is counseling a pregnant client who has been diagnosed with an incompetent cervix. Which of the following statements by the nurse would be included as part of teaching?

A nurse is educating a pregnant client who has had a cerclage placed at 12 weeks about when to notify the provider. Which of the following should be included in the education? Select all that apply.

A nurse is educating a client regarding placement of a cerclage for incompetent cervix. Which statement by the client shows understanding of teaching?

A nurse is evaluating a group of pregnant clients with cervical shortening on ultrasound. Which of the following clients is likely to receive a cervical cerclage?

A nurse is caring for a pregnant client who is rubella non-immune. What should be included in her plan of care?

A nurse is caring for a pregnant client who is crying because she found out she is Group Beta Strep positive. What is the best response by the nurse?

A nurse is caring for a mother who is 35 weeks’ pregnant. The client’s medical record states that she tested positive for group B Streptococcus infection. Which of the following precautions should be given in this situation?

A pregnant client had a positive test for TB. She is not experiencing any symptoms, and the nurse is providing information about the illness. Which statement by the nurse is correct in this situation?

A nurse is caring for a client during her first prenatal appointment. What is the priority question during the prenatal interview?

The nurse is caring for a client who is 36 weeks pregnant with severe preeclampsia who was started on magnesium sulfate. The client seized, and the nurse addressed the seizure appropriately and notified the provider. The client is no longer exhibiting seizure activity and is stable. What is the next priority?

A nurse is caring for a newly admitted 32-week pregnant client with a blood pressure of 150/92, proteinuria, and severe right upper quadrant pain. The nurse knows that which of the following is a possible reason for this?

A nurse is caring for a 30 week pregnant client that has proteinuria and blood pressures of 142/92. What order should the nurse expect to receive?

A nurse is caring for a client with preeclampsia that is suffering from some vision changes. What is the best explanation by the nurse that describes what caused this condition?

A 34 week pregnant client is seen for a routine prenatal visit. She is asked how she is feeling and tells the nurse “I’ve had a horrible headache for 2 days and my rings suddenly won’t fit on my fingers”. What is the priority nursing action? Select all that apply.

A nurse is caring for a 30-year-old pregnant client who has been diagnosed with HELLP syndrome. Based on the nurse’s knowledge of the condition, the nurse understands that the H stands for:

A pregnant client is undergoing genetic counseling. The client has understood the teaching if she correctly identifies that an ovum carries how many chromosomes?

A nurse is educating a group of newly pregnant clients about the hormones associated with pregnancy. The clients correctly understood the teaching if they identify the hormone that helps to maintain the pregnancy as which of the following?

A nurse is teaching a class on family planning to hopeful parents. One client wants to understand how only one sperm fertilizes an ovum. What is the best response by the nurse?

A nurse is teaching a student nurse about fertilization of an ovum. The nursing student demonstrates proper understanding if he/she lists the site of fertilization as what?

The nurse caring for a newborn diagnosed with patent ductus arteriosus explains to the client’s parents that the ductus arteriosus is an opening between which of the following?

A nurse is teaching pregnant clients about the risks of preterm labor. At what gestation are fetal lungs are thought to be mature enough to function outside the womb without support?

During which phase of fetal development is the ball of cells moving out of the Fallopian tubes and into the uterus?

A nurse is caring for a client who is scheduled to have a C-section at 36 weeks. The client is worried the baby won’t be able to breathe because of being so small. The nurse would be correct in explaining to the client that fetal lung maturity happens when?

A nurse is teaching a student nurse about fertilization and implantation. Teaching has been understood if which of the following is identified as the role of the Corpus Luteum?

A nurse is educating a group of new nurses on fetal circulation. What factors are involved in the closure of the ductus venosus? Select all that apply.

A client is concerned that her unborn baby will hear her and her husband arguing, but the husband says that the baby can’t hear. What is the best response by the nurse?

A nurse is helping a nursing student review the development of the fetal environment. The nursing student would be correct in identifying that which of the following structures develops from the chorion?

A nurse is performing a newborn assessment on a baby born at 28 weeks. Which assessment findings should the nurse expect? Select all that apply.

A nurse is educating a pregnant client on the role of amniotic fluid. Which of the following should be included in the teaching? Select all that apply.

A nurse is educating a pregnant client on the purpose of the umbilical cord for the fetus. Which of the following is an appropriate statement regarding the umbilical cord?

A nurse is educating a pregnant client on fetal circulation. Which of the following statements will be appropriate to include in teaching?

On the first newborn assessment the nurse hears a loud “whooshing” noise when auscultating heart sounds. The mother asks what this means. What is the most appropriate response by the nurse?

The nurse is working in an OB clinic. Which of the following client statements is the MOST concerning?

A nurse receives bedside report on a laboring client that the fetus is at -2 station and transverse. The mother asks what this means. What is the best explanation by the nurse?

A client who is 39 weeks’ gestation comes into the hospital and tells the nurse that she thinks she is in labor. The nurse assesses the client and determines that she is in the first stage of labor. Which of the following are associated with this stage of labor? Select all that apply.

A nurse is teaching a class on labor to pregnant clients. The nurse is explaining the role(s) the mother plays in the process of labor. Which of the following should be included? Select all that apply.

A nurse is helping a laboring mother to figure out how to focus her energy and pushing efforts during labor. Which of the following pieces of advice would be most beneficial to the client? Select all that apply.

A fetus is being born head first, with the occiput facing the right side of the mother’s pelvis, towards the back. What is the fetal presentation?

A nurse performs a pelvic exam on a laboring mother. Findings are that the client is 5 cm and at zero station. What does this mean for the fetus?

A nurse is caring for a 28-year-old pregnant client who is in labor with her first baby. The father of the unborn baby has been at the hospital briefly during the time that the client has been in labor, but the nurse is unsure whether he will be present during delivery. Which question from the nurse would be most appropriate when discerning the role of the father in this situation?

The nurse is caring for a client in labor. Which of the following are signs that the client is in the second stage of labor?

A nurse is educating a laboring client on the cardinal movements of delivery. What is the best explanation by the nurse?

A nurse is caring for a pregnant client who is in labor. Which of the following best describes interventions the nurse should perform during the third stage of labor? Select all that apply.

A 38-week pregnant client is admitted to the labor and delivery unit with contractions 4 to 8 minutes apart and is 2 cm dilated. What would be the priority nursing intervention at this time?

A pregnant client is experiencing lightening. What new symptoms would the nurse expect to find in this client now? Select all that apply.

A 39-week pregnant client arrives to the labor and delivery unit. Upon cervical exam, the client is 8 cm dilated, 100% effaced, and the fetus is at +2 station. What is the priority action of the nurse?

A pregnant client reports to the L&D unit stating “my water broke”. The nurse performs a nitrazine test. If the client has experienced rupture of membranes, what should the nurse expect to see on the test?

A nurse is caring for a client in labor who experienced ROM 9 hours ago. What is the priority for this client?

A nurse receives a call from a 39 week pregnant client stating she has noticed some bloody mucousy discharge. What is the best response by the nurse?

A nurse is performing Leopold’s Maneuver and feels a firm, round, movable object during the fundal grip. What does this finding mean?

A nurse is caring for a woman who is 39 weeks’ gestation and in labor. The nurse is preparing to perform Leopold’s maneuver on this client. Which action is part of performing Leopold’s maneuver? Select all that apply.

A nurse performs leopold’s maneuver and determines the fetus is transverse. Irregular, small bumps are felt by the fundus and a firm movable ball is felt on the right side. Where would you best detect the fetal heart rate?

A nurse is educating a nursing student on the purpose for Leopold’s Maneuvers. The student has understood education if he/she identifies which of the following as a purpose for performing Leopold’s Maneuvers? Select all that apply.

A pregnant client is admitted to the labor and delivery unit. Prior to obtaining fetal heart tones, the nurse performs Leopold’s Maneuvers. What is the purpose for this?

Which best describes an indication for performing Leopold’s maneuvers on a pregnant client?

A nurse is performing Leopold’s Maneuver on a pregnant client in labor and feels a firm, irregular shape during the pelvic grip. What should the nurse expect for the care of this client?

The nurse is performing fetal heart monitoring (FHM) on a client who is 39 weeks along and has been in labor for 14 hours. Which of the following findings is the MOST concerning?

A nurse is caring for a pregnant client who is in labor. The nurse has applied an external fetal monitor to check the baby’s heart rhythm. The nurse notes that the baby is having periodic, spontaneous accelerations in heart rate. Which action would the nurse perform in response?

A nurse is caring for a client who is 28 weeks pregnant and having a nonstress test. The result is an 8. What action should the nurse take next?

A client who is 39 weeks’ gestation is in labor has started pushing during delivery. The nurse is performing external fetal monitoring during this time and notes that the baby’s heart rate drops during contractions but increases again by the time the contraction has ended. Which action of the nurse is most appropriate?

A nurse is caring for a laboring client who is having a fetal scalp electrode placed. The nurse knows this causes a risk of which of the following?

A nurse is caring for a client who is in labor. The client has an external fetal heart monitor in place and the nurse is watching the baby’s heart rate. The nurse notes that the infants heart rate increases to 180 beats per minute and stays elevated for 10 minutes before returning to 140 bpm again. Which of the following nursing actions is most appropriate?

A nurse is caring for a pregnant mother in labor and assessing the fetal heart monitor. Which of the following situations would require intervention?

A nurse is caring for a client who is in labor and who needs fetal heart monitoring. Which of the following is considered a non-reassuring sign seen during fetal heart rate monitoring? Select all that apply.

Which of the following situations could lead to late decelerations on fetal heart monitoring? Select all that apply.

A nurse is caring for a pregnant client who is in labor. The nurse places an external fetal monitor on the client’s abdomen to assess fetal heart tones. While checking the client to determine cervical dilation, the nurse notes that the FHR increases above the baseline and then returns to normal levels after the exam. Which of the following responses from the nurse is most appropriate?

A pregnant client who is in labor has an epidural placed because she will be undergoing a cesarean section. The epidural remains in place for the next 24 hours after delivery. Which of the listed side effects is most commonly associated with an epidural following cesarean section?

A nurse who works on the postpartum unit is caring for a client who delivered a baby by cesarean section three hours ago. The mother has an epidural in place and is unable to get out of bed. Which information must be reinforced to this parent that would protect the safety of both the mother and the baby in this situation?

A nurse is caring for a client who underwent an episiotomy during a vaginal delivery. What is the most important nursing intervention?

A nurse is assessing the results of a non-stress test on a pregnant client. During the test, the infant had a baseline heart rate of 120, which rose to 125 for 15 seconds on the 3 fetal movements. How should the result be documented?

A nurse is caring for a client who had an episiotomy during her vaginal delivery. Which intervention would be most appropriate when caring for a client with this condition?

A nurse is performing a newborn assessment on a baby born by a vacuum-assisted vaginal delivery. Which of the following findings would be the most concerning?

A nurse is caring for a mother and baby delivered today at 39 weeks gestation in a forcep-assisted delivery. What possible complications should the nurse be looking out for? Select all that apply.

A pregnant client is preparing to have a cesarean section to deliver her baby. The provider ordered for placement of an epidural for the procedure. What information should the nurse include about this type of anesthesia when teaching this client? Select all that apply.

A nurse is performing a postpartum assessment on a client who underwent a forceps delivery. Which of the following findings is the most concerning?

A postpartum client is recovering from a cesarean section in which she had an epidural placed for pain control. Following removal of the epidural, the client develops a severe headache when she sits up in bed. The provider has instructed the client that she will need a blood patch. Which best describes this procedure?

A student nurse is caring for a pregnant client who has experienced rupture of membranes. Which of the following statements by the student demonstrates best understanding of the needs for this client?

A nurse enters a pregnant client’s room just as her membranes rupture with a gush of fluid. What is the priority assessment at this time?

A nurse is caring for a laboring client who experienced PROM over 24 hours ago. Which findings would indicate the mother is experiencing complications of this? Select all that apply.

A pregnant client arrives to the emergency room stating “my water broke”. Which diagnostic test finding would be consistent with this?

A 28-week pregnant client experiences rupture of membranes, but is not in active labor. She is admitted to the unit for monitoring. What management should the nurse anticipate? Select all that apply.

A nurse is prioritizing care for multiple pregnant clients. The nurse knows that which of the following situations would put the client at higher risk for a prolapsed umbilical cord?

During a cervical exam on a laboring client, the nurse feels something squishy. What is the priority action by the nurse?

On exam, a nurse discovers that a laboring pregnant client has a prolapsed umbilical cord. Which of the following positions should the client be placed in?

The nurse is caring for a pregnant client who has been in labor for 9 hours. The client calls the nurse into the room who notes the baby’s shoulder as the presenting part with the umbilical cord under it. The nurse calls for help. Which intervention is NOT appropriate in this situation?

A nurse is educating nursing students on prolapsed umbilical cord. Which of the following is the most appropriate explanation of why this is a medical emergency?

A nurse is assessing pregnant clients for possible cord prolapse. Which of the following symptoms would be indicative of possible prolapse?

A client in labor is being admitted to the hospital for delivery of her baby. The client has been seen for regular prenatal visits and has been monitored closely because of a diagnosis of placenta previa. The nurse notes that the provider on call starts to perform a pelvic exam to assess cervical dilation. Which response from the nurse is appropriate?

A provider suspects a pregnant client has placenta previa. How will this be confirmed?

A 30-week pregnant client is diagnosed with placenta previa. Which of the following findings would indicate the need for an immediate cesarean section?

A pregnant client presents with bright red painless vaginal bleeding at 30 weeks. What should the nurse plan to assess for?

A 37-week pregnant client with a complete placenta previa comes to the unit in labor. What is the priority for this client?

A 40-week pregnant client arrives to the L&D unit in labor. She admits to using cocaine this morning. The nurse knows this places the client at higher risk for which condition?

A nurse is caring for a 38-week pregnant client. The client is complaining of severe abdominal pain. What is your priority assessment?

A nurse is assessing a postpartum client who delivered via c-section for a placental abruption. What assessment finding would be the MOST concerning?

A 32-week pregnant client arrives to the emergency department with severe abdominal pain and vaginal bleeding. What condition should the nurse be concerned for?

A nurse is assessing a pregnant client who is in labor. Which of the following symptoms would be indicative of a possible placental abruption? Select all that apply.

A 27-week pregnant client arrives to the hospital in labor. On cervical exam, she is 10 cm dilated. What is the priority nursing action?

A nurse is caring for a 29-week pregnant client who reports lower back pain, lower abdominal pain, and contractions every 5-10 minutes. Vital signs are HR 92, BP 138/86, temp 100.4, RR 18, SpO2 98%. What is the priority nursing action?

Which of the following conditions would most likely cause vaginal bleeding during the third trimester of pregnancy?

A nurse is caring for a client that is 26 weeks pregnant allowed out of bed only for bathroom privileges due to preterm labor. Which of the following should be included in her care? Select all that apply.

A nurse is educating a pregnant client on signs of preterm labor. What should be included in this education? Select all that apply.

A pregnant client who is 32 weeks’ gestation is experiencing preterm labor and has been brought in to the hospital. Which of the following interventions are appropriate for the management of preterm labor? Select all that apply.

A nurse is working in the emergency department when a man rushes up to her and says “I need help! My wife is in the car having intense contractions and says she is going to push the baby out right now!” Which response by the nurse is best?