GOLDEN GATE COLLEGES SCHOOL OF MIDWIFERY

Name: ______________________________________________________ Score: ____________Year and Section: ___________________ Date:_____________

1. Which term describes a pelvis with the widest anterior and posterior diameters as well as a pubic arch wide enough for child birth? A. Platypelloid B. Gynecoid C. Anthropoid D. Android

2. First fetal movement felt by the mother are known as: A. Lightening B. Quickening C. Ballottement D. Engagement

3. A client relates that the first day of her last menstruation period was July 22. The estimated date of birth would be: A. May 15 B. May 29 C. April 15 D. April 29

4. Anticipatory guidance during the first trimester of pregnancy is primarily directed toward increasing the pregnant woman’s knowledge of: A. Labor and delivery C. Signs of complications B. Physical changes resulting from pregnancy D. Role transition into parenthood

5. In prenatal development, the growth is most rapid in the: A. Implanataion period C. Second Trimester B. First Trimester D. Third Trimester

6. A client asks the nurse why menstruation ceases once pregnancy occurs, the nurse’s best response would be that this occurs because of the: A. “Reduction in the secretion of hormones by the ovaries.” B. “Production of estrogen and progesterone by the ovaries.” C. “Secretion of luteinizing hormone produced by the pituitary.” D. “Secretion of follicle-stimulating hormone produced by the pituitary.”

7. The nurse is aware that the nausea and vomiting commonly experienced by many women during the first trimester of pregnancy is an adaptation to the increased level of: A. Estrogen C. Progesterone B. Luteinizing hormone D. Chorionic gonadotropin

8. A client who is pregnant asks the nurse if she can continue to have sexual relations. The nurse’s response is based on the knowledge that coitus during pregnancy would be contraindicated in the presence of: A. Leukorrhea C. Increased FHR B. Gestation of 30 weeks or more D. Premature rupture of membrane

9. The nurse would instruct a pregnant woman to notify the physician immediately if which of the following symptoms occur during the pregnancy? A. Swelling of the face C. Breast tendernessB. Increased vaginal discharge D. The presence of chloasma

10. Which of the following changes is a pregnant woman most likely to notice in her breasts? A. Darkening of the areolas, tingling sensations, and engorgement B. Lightening of the areolas, colustrum secretion, and increased size C. Colustrum secretion, tingling sensations, and darkening of the areolas D. Increased size, engorgement, and flattening of the nipple

11. Constipation during pregnancy is best treated byA. Regular use of mild laxativeB. Increased bulk and fluid in the dietC. Limiting excessive weight gain D. Regular use of bisacodyl (Dulcolax) suppositories

12. The nurse determines that a woman is in her tenth week of gestation. Which of the following signs of pregnancy would the nurse expect to observe? A. Breast tenderness C. QuickeningB. Dyspnea D. Dependent edema

13. A 13-year old female visits the clinic for a routine examination. The nurse notes that she exhibits changes in her appearance that commonly occur during pregnancy, including an increase in breast size. Which hormone is partly responsible for the growth and increased vascularity of breast tissue during pregnancy? A. Estrogen C. Lactoferrin B. Follicle stimulating hormone D. Chorionic gonadotropin

14. Mrs X., age 25, suspects she is pregnant and calls the health center. She tells the nurse she is experiencing amenorrhea, urinary frequency, and nausea and vomiting. These signs of pregnancy are: A. Presumptive B. Probable C. Positive D. Possible

15. Which findings would be considered positive signs of pregnancy? A. Fatigue, skin changes B. Quickening, breast enlargement C. Fetal heartbeat, fetal movement on palpationD. Abdominal enlargement, Braxton Hicks contractions

16. Mrs. M., a 30-year-old primiparous patient at 34 weeks’ gestation, comes to the prenatal clinic concerned about the increasing reddish streaks she has developed on her breast and abdomen. She asks what these skin changes are and whether they are permanent. What should the nurse tell her? A. “These streaks are called linea nigra; they’ll fade after childbirth.” B. “These streaks are called hemangiomas; they are permanent changes of pregnancy.” C. “These streaks are called striae gravidarum, or stretch marks; they’ll grow lighter after

delivery.” D. “These streaks are called nevi; they’ll fade after the postpartal period.”

17. A client asks, “How much blood do I lose during menstruation?” Which of the following would be the nurse’s best response? A. “Normal blood loss can be a little or not.”B. “Normal blood loss is about 1 cup.” C. “Normal blood loss is about ¼ cup.” D. “Normal blood loss is about 1/8 cup.”

18. During the menstrual cycle, ovulation generally occurs at which of the following times? A. 7 days after the last day of menstruation B. 14 days after the last day of menstruationC. 7 days before the end of menstruation D. 14 days before the end of the menstrual cycle

19. Which of the following would the nurse estimate as the approximate age for a 19-cm fetus expelled by a client? A. 2 months B. 3 months C. 4 months D. 5 months

20. An expectant mother asks the nurse in the prenatal clinic, “When can I expect to feel my baby move?” Which of the following would be the nurse’s best response? A. At about 2 months C. At about 3 months B. At about 4 months D. At about 5 months

21. An expectant mother in the prenatal clinic informs the nurse that she smokes and asks if she could continue to do so. Which of the following responses best demonstrates the nurse’s understanding of smoking’s effect on a pregnancy? A. “How much do you smoke?” B. “You should decrease the number of cigarettes used.” C. “Smoking may adversely affect your baby’s development.” D. “That is something that you should ask the physician.”

22. In a regular 32-day cycle, the client will probably ovulate: A. On day 18 C. 10 days after the start of the last menses B. On day 22 D. On day 11

23. How many weeks is the gestational period of a full-term pregnancy? A. 35 to 37 B. More than 42 C. 38 to 42 D. 33 to 35

24. A nurse is teaching a class about the reproductive system. She explains that fertilization most often takes place in the: A. Fallopian tube B. Ovary C. Vagina D. Uterus

Prepared by:

ALLAN O. DIMAANO, BSOT, RM, RN, MAN Academic Instructor