The nurse teaches a pregnant woman about the presumptive, probable, and positive signs of pregnancy. The woman demonstrates understanding of the nurse’s instructions if she states that a positive sign of pregnancy is:

During a patient’s physical examination the nurse notes that the lower uterine segment is soft on palpation. The nurse would document this finding as:

The multiple marker test is used to assess the fetus for which condition?

A woman arrives at the clinic for a pregnancy test. The first day of her last menstrual period (LMP) was September 10, 2013. Her expected date of birth (EDB) would be? ___________________

A 39-year-old primigravida thinks that she is about 8 weeks pregnant, although she has had irregular menstrual periods all her life. She has a history of smoking approximately one pack of cigarettes a day, but she tells you that she is trying to cut down. Her laboratory data are within normal limits. What diagnostic technique could be used with this pregnant woman at this time?

Risk factors tend to be interrelated and cumulative in their effect. While planning the care for a laboring patient with diabetes mellitus, the nurse is aware that she is at a greater risk for:

A 41-week pregnant multigravida presents in the labor and delivery unit after a nonstress test indicated that her fetus could be experiencing some difficulties in utero. Which diagnostic tool would yield more detailed information about the fetus?

Which method of pain management is safest for a gravida 3 para 2 admitted at 8 cm cervical dilation?

A woman in labor has just received an epidural block. The most important nursing intervention is to:

The nurse caring for the laboring woman should understand that early decelerations are caused by:

The nurse providing care for the laboring woman realizes that variable fetal heart rate (FHR) decelerations are caused by:

Rho immune globulin will be ordered after birth if which situation occurs?

The nurse caring for the after birth woman understands that breast engorgement is caused by:

A woman gave birth to a healthy infant boy 5 days ago. What type of lochia would the nurse expect to find when assessing this woman?

Which finding 12 hours after birth requires further assessment?

The perinatal nurse is caring for a woman in the immediate postbirth period. Assessment reveals that the woman is experiencing profuse bleeding. The most likely etiology for the bleeding is:

To provide adequate after birth care, the nurse should be aware that postpartum depression (PPD) with psychotic features:

A woman gave birth to a healthy 7-lb, 13-ounce infant girl. The nurse suggests that the woman place the infant to her breast within 15 minutes after birth. The nurse knows that breastfeeding is effective during the first 30 minutes after birth because this is the:

A patient is warm and asks for a fan in her room for her comfort. The nurse enters the room to assess the mother and her infant and finds the infant unwrapped in his crib with the fan blowing over him on “high.” The nurse instructs the mother that the fan should not be directed toward the newborn and the newborn should be wrapped in a blanket. The mother asks why. The nurse’s best response is:

In the classification of newborns by gestational age and birth weight, the appropriate for gestational age (AGA) weight would:

The nurse administers vitamin K to the newborn for which reason?

An infant was born 2 hours ago at 37 weeks of gestation and weighing 4.1 kg. The infant appears chubby with a flushed complexion and is very tremulous. The tremors are most likely the result of:

A pregnant woman was admitted for induction of labor at 43 weeks of gestation with sure dates. A nonstress test (NST) in the obstetrician’s office revealed a nonreactive tracing. On artificial rupture of membranes, thick, meconium-stained fluid was noted. The nurse caring for the infant after birth should anticipate:

A married couple lives in a single-family house with their newborn son and the husband’s daughter from a previous marriage. On the basis of the information given, what family form best describes this family?

The woman’s family members are present when the home care maternal-child nurse arrives for a after birth and newborn visit. What should the nurse do?

The uterus is a muscular, pear-shaped organ that is responsible for:

A woman arrives at the clinic for her annual examination. She tells the nurse that she thinks she has a vaginal infection and has been using an over-the-counter cream for the past 2 days to treat it. The nurse’s initial response should be to:

When a nurse is counseling a woman for primary dysmenorrhea, which nonpharmacologic intervention might be recommended?

With regard to endometriosis, nurses should be aware that:

A couple comes in for an infertility workup, having attempted to get pregnant for 2 years. The woman, 37 years, has always had irregular menstrual cycles but is otherwise healthy. The man has fathered two children from a previous marriage and had a vasectomy reversal 2 years ago. The man has had two normal semen analyses, but the sperm seem to be clumped together. What additional test is needed?

In vitro fertilization-embryo transfer (IVF-ET) is a common approach for women with blocked fallopian tubes or unexplained infertility and for men with very low sperm counts. A husband and wife have arrived for their preprocedural interview. The husband asks the nurse to explain what the procedure entails. The nurse’s most appropriate response is:

Screening at 24 weeks of gestation reveals that a pregnant woman has gestational diabetes mellitus (GDM). In planning her care, the nurse and the woman mutually agree that an expected outcome is to prevent injury to the fetus as a result of GDM. The nurse identifies that the fetus is at greatest risk for:

During a physical assessment of an at-risk patient, the nurse notes generalized edema, crackles at the base of the lungs, and some pulse irregularity. These are most likely signs of:

Which factor is known to increase the risk of gestational diabetes mellitus?

In caring for the woman with disseminated intravascular coagulation (DIC), what order should the nurse anticipate?

A woman at 39 weeks of gestation with a history of preeclampsia is admitted to the labor and birth unit. She suddenly experiences increased contraction frequency of every 1 to 2 minutes; dark red vaginal bleeding; and a tense, painful abdomen. The nurse suspects the onset of:

Methotrexate is recommended as part of the treatment plan for which obstetric complication?

A woman arrives for evaluation of her symptoms, which include a missed period, adnexal fullness, tenderness, and dark red vaginal bleeding. On examination the nurse notices an ecchymotic blueness around the woman’s umbilicus and recognizes this assessment finding as:

When assessing the fetus using Leopold maneuvers, the nurse feels a round, firm, movable fetal part in the fundal portion of the uterus and a long, smooth surface in the mother’s right side close to midline. What is the likely position of the fetus?

As relates to fetal positioning during labor, nurses should be aware that:

In order to care for obstetric patients adequately, the nurse understands that labor contractions facilitate cervical dilation by:

A primigravida at 39 weeks of gestation is observed for 2 hours in the intrapartum unit. The fetal heart rate has been normal. Contractions are 5 to 9 minutes apart, 20 to 30 seconds in duration, and of mild intensity. Cervical dilation is 1 to 2 cm and uneffaced (unchanged from admission). Membranes are intact. The nurse should expect the woman to be:

When planning care for a laboring woman whose membranes have ruptured, the nurse recognizes that the woman’s risk for _________________________ has increased.

A multiparous woman has been in labor for 8 hours. Her membranes have just ruptured. The nurse’s initial response would be to:

Through vaginal examination the nurse determines that a woman is 4 cm dilated, and the external fetal monitor shows uterine contractions every 3.5 to 4 minutes. The nurse would report this as:

Because the risk for childbirth complications may be revealed, nurses should know that the point of maximal intensity (PMI) of the fetal heart tone (FHT) is:

The nurse providing care for a woman with preterm labor who is receiving terbutaline would include which intervention to identify side effects of the drug?

A primigravida at 40 weeks of gestation is having uterine contractions every 1.5 to 2 minutes and says that they are very painful. Her cervix is dilated 2 cm and has not changed in 3 hours. The woman is crying and wants an epidural. What is the likely status of this woman’s labor?

Nurses should be aware that the induction of labor:

While caring for the patient who requires an induction of labor, the nurse should be cognizant that:

Nurses should know some basic definitions concerning preterm birth, preterm labor, and low birth weight. For instance: