Sample Questions and Answers
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
Answer: A
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
Answer: A
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
Answer: C
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
Answer: B
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
Answer: D
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
Answer: A
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
Answer: C
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
Answer: A
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
Answer: A
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
Answer: B
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
Answer: C
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
Answer: B
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
Answer: B
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
Answer: C
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
Answer: B
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
Answer: B
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
Answer: C
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
Answer: A
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
Answer: B
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
Answer: B
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
Answer: A
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
Answer: B
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
Answer: C
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
Answer: C
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
Answer: A
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
Answer: B
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
Answer: B
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
Answer: A
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
Answer: A
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
Answer: B
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
Answer: C
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
Answer: B
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
Answer: A
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
Answer: C
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