Lippincott Maternal Health Practice Exam

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• What is the significance of measuring fundal height during prenatal visits?
• Which nutrient is crucial for preventing neural tube defects during pregnancy?
• During the third trimester, what is one common recommendation for managing physical discomfort?
• What is a nurse's primary action when a multigravida client exhibits symptoms of choking during labor?
• What is the name of the surgical procedure to repair an episiotomy?
• At what gestational age should the fundal height typically reach the level of the umbilicus?
• What can help improve sleep quality during pregnancy?
• What is the term for the first milk produced by the breasts after delivery?
• During which gestational period is a pregnant woman with cardiac disease at highest risk for cardiac decompensation?
• How often should a pregnant woman visit her healthcare provider in the third trimester?
• What is the primary problem for a neonate diagnosed with probable meconium aspiration syndrome in the neonatal intensive care unit?
• What is the most critical information the nurse should gather for a client with severe preeclampsia receiving magnesium sulfate?
• Following IV magnesium sulfate administration, how can the nurse determine the medication is effective?
• What is a common method for relieving back pain during pregnancy?
• Which non-pharmacological pain management technique is commonly used during labor?
• What risk is associated with advanced maternal age during pregnancy?
• What characterizes a placental abruption?
• What should be a standard practice for a nurse when caring for a neonate at risk for impaired attachment due to maternal drug use?
• What is the most accurate assessment for a neonate struggling with impaired gas exchange related to meconium aspiration syndrome?
• Which of these signs may indicate that a neonate is experiencing impaired gas exchange?
• What is the purpose of an amniocentesis?
• If a primigravida client at 38 weeks gestation has a chlamydial infection, what risk does the neonate face if left untreated?
• To ensure adequate cardiac emptying during labor, a client with class II heart disease should be encouraged to:
• What is the significance of the fetal kick count technique?
• What is the primary role of oxytocin during labor?
• What is an effective way to manage heartburn during pregnancy?
• What disadvantage should be addressed when teaching about induction of labor with oxytocin for clients with insulin-dependent diabetes?
• What is the most common position for delivery in a hospital setting?
• During which trimester is the risk of miscarriage the highest?
• What is the primary source of nourishment for the developing fetus?
• Which test is commonly used to screen for gestational diabetes?
• What is a potential complication for a neonate born to a mother with diabetes?
• Why is prenatal education important for expectant mothers?
• What initial actions should a nurse take upon noticing repetitive late decelerations on a fetal heart monitor?
• What lifestyle choice should be avoided to reduce the risk of delivering a low-birth-weight baby?
• What is the role of maternal antibodies during pregnancy?
• What role does the Rh factor play in pregnancy complications?
• What medication might be prescribed for a multiparous client in labor who develops moderate hypotension after receiving an epidural anesthetic?
• What is the significance of the "three-trimester" model in prenatal care?
• What is the role of beta-adrenergic agonists in obstetrics?
• A 4-week postpartum mother expresses feeling overwhelmed. What condition should the nurse evaluate her for?
• What complication should the nurse monitor for when a multigravida in early active labor admits to using crack cocaine?
• Why might outlet forceps be necessary for the delivery of a primigravida with a large fetus?
• What is the purpose of monitoring fundal height during prenatal exams?
• What psychological support is often emphasized during the third trimester?
• During which stage of labor does the cervix dilate to 10 centimeters?
• Which landmark fetal development occurs during the first trimester?
• A nurse caring for a neonate with probable meconium aspiration syndrome should prioritize which of the following interventions?
• For a client admitted for induction of labor with a score of 10, which drug is the nurse likely to administer?
• What physical change might a woman notice regarding her breasts during the third trimester?
• In the case of a prolonged second stage of labor with a suspected macrosomic fetus, which intervention is the most important?
• Which stage of labor is characterized by complete dilation of the cervix?
• In the context of perinatal care, which is an essential aspect of preparing a multiparous client for delivery?
• What is the primary method for diagnosing ectopic pregnancy?
• What dietary supplement is crucial for preventing anemia during pregnancy?
• How does the body typically respond physiologically to labor?
• Which dietary recommendation is made to support iron levels during pregnancy?
• At what gestational age can the fetal heartbeat typically be detected via ultrasound?
• What are Braxton Hicks contractions?
• Which term describes the swelling that occurs in pregnant women, especially during the third trimester?
• During the third trimester, what is a common recommendation for pregnant women regarding nutrition?
• What maternal factors can contribute to preterm labor?
• Which hormone is primarily responsible for uterine contractions during labor?
• What condition is characterized by high blood pressure and protein in the urine during pregnancy?
• What might frequent urination in the third trimester indicate?
• What are common signs of labor approaching?
• What are the signs of an emergency during labor that require immediate medical attention?
• When caring for a drug-exposed neonate, what is a primary nursing intervention according to maternal prenatal records?
• What maternal position may be beneficial during the second stage of labor to promote fetal descent?
• What is the recommended response to a mother who expresses concern about feeding her infant born with cleft lip and palate?
• What maternal condition is characterized by protein in the urine and high blood pressure?
• In the case of a client with a history of drug addiction, which medication should the nurse avoid using immediately after administering nalbuphine?
• Which complication is characterized by high blood pressure and protein in the urine during pregnancy?
• What maternal condition is characterized by high blood pressure and potential damage to organs during pregnancy?
• Which client should the nurse prioritize first in the antenatal unit?
• What is a significant risk factor for developing gestational diabetes?
• What is an assessment tool used to evaluate fetal well-being during labor?
• A client suspected of having abruptio placentae should be assessed for which of the following signs?
• What key aspect should be monitored in a patient diagnosed with preeclampsia?
• Why is calcium important during pregnancy?
• What role does the hormone relaxin play during pregnancy?
• For a drug-exposed neonate, which physiological system should be monitored closely to ensure optimal outcomes?
• What is the primary focus of the third stage of labor?
• When a client in labor arrives from the ER with no prenatal care and states that the baby is crowning, what is the first information the nurse should obtain?
• What is the role of the placenta during pregnancy?
• What could be a sign of impending labor beyond contractions?
• What is the best method for alleviating anxiety in a birthing client?
• What is a potential consequence of untreated gestational diabetes?
• Which of the following is a sign of labor?
• Why is it important to manage fatigue during the third trimester?
• Which maternal condition can lead to the risk of placenta previa?
• What is a key sign the nurse should monitor for that indicates uterine atony after delivery?
• Which vitamin is essential for fetal bone development during pregnancy?
• What is an effective method for reducing the risk of preterm labor?
• In a multigravida client with chronic hypertension who is in preterm labor, what assessment finding indicates effective magnesium sulfate therapy?
• What should the nurse monitor a patient for one hour after administration of an epidural anesthetic during active labor?
• What is the normal range for fetal heart rate during the third trimester?
• In prenatal care, what does a non-stress test assess?
• What symptom is typically the first indicator of labor?
• What is the recommended weight gain during pregnancy for a woman with a normal BMI?
• What is the recommended dietary change for pregnant women to support fetal development?
• What is the recommended weight gain for a mother with a normal BMI during pregnancy?
• What is the term for a pregnancy that lasts longer than 42 weeks?
• When is the best time to teach expectant parents about childbirth?
• The nurse is educating a multigravida client diagnosed with polyhydramnios. What complication might this condition be associated with in the fetus?
• What therapeutic approach is essential for managing a drug-exposed neonate’s care environment?
• What is the most likely reason a 29-week gestation infant requires a feeding tube?
• What is the ideal weight gain for a woman with a normal BMI during pregnancy?
• What significant change occurs in a mother's blood volume during the second trimester?
• How soon post-delivery should breastfeeding ideally begin?
• What blood glucose reading indicates hypoglycemia in a newborn?
• When a multigravida client's membranes rupture spontaneously with meconium-stained fluid, what should the nurse do first?
• For a pregnant client with hyperemesis gravidarum, which nursing intervention is most appropriate?
• Which maternal condition can lead to an increased risk of fetal macrosomia?
• What is the primary benefit of breastfeeding for infants?
• What is the purpose of reviewing a birth plan with expectant parents?
• What is the emotional condition characterized by feelings of sadness and anxiety after childbirth called?
• What change in maternal vital signs is commonly monitored during labor?
• What should the nurse monitor a multiparous client for during the first hour after a precipitous birth?
• What is the term for an abnormal presentation of the fetus during labor?
• What is the main concern with a breech presentation at delivery?
• What is the term for a multiple pregnancy involving more than one fetus, such as twins or triplets?
• Following an epidural and placement of internal monitors, contractions are lasting greater than 90 seconds and occurring every 1.5 minutes. What action should the nurse take?
• What is the recommended daily intake of folic acid for pregnant women to prevent neural tube defects?
• What is the role of folic acid in preconception health?
• Which type of delivery is associated with a higher risk of postpartum hemorrhage?
• What is the primary reason for performing an amniotomy?
• What is the term for the period immediately following childbirth?
• What critical information should be provided about breast milk to a mother who is HIV positive?
• Which nutrient is essential for fetal neural tube development during early pregnancy?
• Which sign is least likely to indicate between a normal pregnancy and abruptio placentae?
• What is the main goal of prenatal care?
• What should the nurse do first when a neonate shows jitteriness and has a blood glucose level of 60 mg/dL?
• If a client being induced with oxytocin shows fetal heart rate accelerations, what should the nurse do?
• For an infant experiencing drug withdrawal, which intervention should be included in their care plan?
• Which nutrient is essential for the development of the fetal brain?
• What is a common psychological change experienced by mothers during pregnancy?
• In managing a laboring client with a prior history of preeclampsia, what should the nurse prioritize?
• What is the recommended action for a nurse when a client's labor is augmented and there are concerning signs with fetal heart pattern?
• What test evaluates the fetal heart response to contractions?
• What is the purpose of an amnioinfusion for a client diagnosed with oligohydramnios?
• When assessing a laboring client, what indicates a high likelihood of effective contractions?
• Which vaccine is recommended for pregnant women to protect against whooping cough?
• When a primigravida reports that her "water broke," what is the nurse's priority assessment?
• Which medication is used to accelerate fetal lung maturation if preterm birth is anticipated?
• What is one potential long-term effect of a cesarean delivery?
• Which of the following is a typical sign of labor onset?
• What technique can the nurse teach a mother to help quiet her fussy neonate in the NICU?
• Which advantages of kangaroo care should parents of a premature neonate be informed about?
• Which maternal position is optimal for fetal circulation during labor?
• What does a non-stress test evaluate during pregnancy?
• What is a common self-care measure recommended for mothers diagnosed with postpartum depression?
• How can a nurse best support a parents’ understanding of an infant's feeding tube?
• Which of the following should the nurse emphasize to the parents visiting a neonate with cleft lip and palate?
• What should be assessed for during routine prenatal visits?
• Which symptom can signify that a pregnant woman is nearing labor?
• What is the average length of a normal pregnancy in weeks?
• How often should a woman with a normal pregnancy see her healthcare provider during the third trimester?
• In a neonate, what is a critical assessment focus for those affected by meconium aspiration syndrome?
• What does the term "neonatal period" refer to?
• What type of delivery involves making an incision in the abdomen to deliver the baby?
• In managing care for a neonate following narcotic exposure during pregnancy, what is crucial for the nursing care plan?
• What is the main purpose of prenatal care?
• When educating a mother about fetal alcohol syndrome, which factor is important to include?
• What fetal position is often associated with increased discomfort during labor?
• What essential support should be provided to a client experiencing severe preeclampsia during labor?
• What is the average duration of the second stage of labor?
• What complication can arise from a placenta that is positioned over the cervix?
• What is the role of folic acid during pregnancy?
• Which vitamin is crucial for preventing neural tube defects in the fetus?
• Which medication is typically given to reduce uterine contractions in preterm labor?
• Which maternal condition can lead to fetal distress if not properly managed?
• Which trimester is critical for the development of major organs in the fetus?
• When should a nurse consider preparing for a potential cesarean birth during labor?
• What is the term for the removal of the uterus?
• During which stage of labor does the cervix dilate from 4 to 7 centimeters?
• What is the primary assessment the nurse should anticipate during the arrival of a client diagnosed with probable placenta previa?
• What is considered the primary cause of postpartum depression?
• Which hormone is produced by the placenta to maintain pregnancy?
• What is the typical outcome of a successful fetal monitoring during labor?
• What is a significant risk factor for preeclampsia during pregnancy?
• Which term describes a newborn showing irregular respirations, tremors, and hypothermia?
• What is the purpose of the Apgar score?
• What complication is commonly associated with Group B Streptococcus during pregnancy?
• What are Braxton Hicks contractions?
• During the administration of magnesium sulfate for severe pre-eclampsia, what should the nurse monitor closely?
• What major advantage does kangaroo care offer to parents and premature neonates?
• When is routine screening for gestational diabetes typically performed?
• Which condition makes a client a candidate for induction of labor?
• What term describes the presence of high blood pressure during pregnancy?
• What is a potential severe consequence of untreated gestational diabetes for the fetus?
• What is the name of the test that assesses fetal lung maturity?
• What is the most effective way to prevent gestational diabetes?
• What is the abnormal development of breast tissue during pregnancy known as?
• What is the term for the onset of contractions in true labor?
• Which injury should the nurse assess for in a neonate born vaginally to a mother with diabetes?
• What does the term "viability" refer to in the context of pregnancy?
• What should a nurse prioritize in the care of a pregnant client with severe hypertension?
• What is the significance of the Bishop score in obstetrics?
• Which of the following symptoms is often reported as a physical discomfort during the third trimester?
• What is the typical duration of the postpartum recovery period?
• What is the primary benefit of skin-to-skin contact after birth?
• What is the effect of maternal smoking on pregnancy outcomes?
• What common dietary change may occur during the third trimester?
• What kind of care is provided during the postpartum period?
• What vaccine is specifically recommended during pregnancy to prevent influenza?
• What is a common recommendation for managing nausea during pregnancy?
• How does the body typically prepare for labor during the third trimester?
• What medication may be prescribed for a client with an ectopic pregnancy whose fallopian tube has not ruptured?
• What is the common test used to screen for gestational diabetes?
• What condition is characterized by high blood pressure and swelling during pregnancy?
• What does the Apgar score assess?
• During the assessment of a multigravida client, which history details are important to obtain for a client with abdominal pain and vaginal spotting?
• What is an important consideration for a nurse when a client presents with a breech presentation during labor?
• What are common physical changes during the third trimester of pregnancy?
• A client with confirmed polyhydramnios during pregnancy may be monitored for which fetal complication?
• What is the primary purpose of performing a fetal heart rate monitoring during labor?
• The weight of a neonate admitted with meconium aspiration syndrome is noted at 10 lb, 4 oz. What would be the neonate's weight in grams?
• In assessing a neonate for potential complications of meconium aspiration syndrome, what would be an expected finding?
• Which hormone is primarily responsible for the development of the corpus luteum in pregnancy?
• Which practice helps promote bonding and attachment in drug-exposed neonates?
• How should the nurse react to a prescription for carboprost tromethamine IV after it was previously given IM?
• What condition can arise if the umbilical cord becomes compressed during labor?
• What is a key nursing action for promoting stability in a neonate exposed to narcotics during pregnancy?
• What outcome is expected after a neonate receives epinephrine during resuscitation?
• What is the primary focus during the first trimester prenatal visits?
• When providing self-care instructions to a postpartum client with mastitis, which instruction is crucial?
• Which client should the nurse contact a health care provider for immediately?
• What strategy should the nurse employ when a neonate shows signs of distress to alleviate symptoms?
• Which stage of labor is characterized by complete dilation of the cervix?
• What is the primary risk factor for gestational hypertension?
• What substance found in cigarettes can harm fetal development?
• Upon delivery, which condition would require immediate notification of the healthcare provider for a neonate affected by beta-hemolytic Streptococcus?
• What is the expected outcome of betamethasone administration to a client in preterm labor?
• What is the term used for excessive vomiting during pregnancy?
• What is a key observation to monitor after administering magnesium sulfate to a preeclamptic patient?
• After administering nalbuphine to a multigravida client, what should the nurse do upon the client's report of feeling the urge to have a bowel movement?
• What is the purpose of the Apgar score?
• Which client care room is most appropriate for a client with preeclampsia?
• What is one of the primary focuses of prenatal care during the third trimester?
• What is the normal range of fetal heart rate during pregnancy?
• What is a common emotional change experienced during the third trimester?
• What is a common symptom of early pregnancy due to hormonal changes?
• At what gestational age is a fetus considered viable?
• Which hormone triggers lactation after childbirth?
• What is the gestational age of the neonate admitted for observation?
• What is a common complication of pregnancy associated with high blood pressure?
• What is the primary hormone responsible for the maintenance of pregnancy?
• What is the common treatment for severe nausea and vomiting in pregnancy?
• Which vaccine is recommended for pregnant women to protect against respiratory illness?
• What lifestyle change is recommended for pregnant women to promote a healthy pregnancy?
• What is the best practice for prenatal vitamin supplementation recommended for pregnant women?
• What details must be documented after an amniotomy is performed?