GOLDEN GATE COLLEGES SCHOOL OF MIDWIFERY
Name: ame: ____ ______ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ __ Year and Section: ___________________
Scor Score: e: ____ ______ ____ ____ ____ __ 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? B. Gynecoid A. Platypelloid
C. Anthropoid D. Android
2. First fetal movement movement felt felt by the the mother mother are known known as: B. Quickening C. Ballottement A. Lightening
D. Engagement
3. A client client relates relates that that the first day of of her last menstruat menstruation ion period period was July 22. 22. The estimated estimated date date of birth would be: B. May 29 C. April 15 D. April 29 A. May 15 4. Antici Anticipat patory ory guidance guidance durin during g the the first first trimes trimester ter of pregna pregnancy ncy is primar primarily ily directe directed d toward toward increasing the pregnant woman’s knowledge of: C. Signs of complications A. Labor and delivery changes resulting from pregnancy D. Role transition transition into into parenthood B. Physical changes 5. In prenata prenatall developme development, nt, the growth growth is most most rapid rapid in in the: the: A. Implanata Implanataion ion period period C. Second Second Trimest Trimester er D. Third Trimester B. First 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. “Reductio “Reduction n in the the secretio secretion n of hormon hormones es by the ovarie ovaries.” s.” B. “Producti “Production on of estroge estrogen n and progest progesterone erone by the the ovaries.” ovaries.” C. “Secretion “Secretion of luteini luteinizing zing hormone hormone produced produced by the pituita pituitary ry.” .” D. “Secretion “Secretion of follicle-st follicle-stimula imulating ting hormone hormone produced produced by the pituitary pituitary.” .” 7. The nurse nurse is aware that the the nausea nausea and vomiting vomiting commonly commonly experien experienced ced by many women women during during the first trimester of pregnancy is an adaptation to the increased level of: C. Progesterone A. Estrogen D. Chorionic gonadotropin B. Luteinizing hormone 8. A client client who who is pregnant pregnant asks asks the nurse nurse if she can contin continue ue to have have sexual relatio relations. ns. The nurse’ nurse’ss response is based on the knowledge that coitus during pregnancy would be contraindicated in the presence of: C. Increased FHR A. Leukorrhea D. Premature rupture of membrane B. Gestation of 30 weeks or more 9. The nurse nurse would instru instruct ct a pregnant pregnant woman to notify notify the physici physician an immediately immediately if which which of the following symptoms occur during the pregnancy? C. Br Breast tenderness A. Swelling of the face B. Increased vaginal discharge D. The presence of chloasma
10. Which of the following following changes is a pregnant woman most most likely to notice in her her breasts? A. Darkening Darkening of the areolas, areolas, tingli tingling ng sensations sensations,, and engorgement engorgement B. Lighteni Lightening ng of the areolas, areolas, colustru colustrum m secretion, secretion, and increas increased ed size C. Colustrum Colustrum secreti secretion, on, tingling tingling sensati sensations, ons, and darkenin darkening g of the areolas D. Increased Increased size, size, engorgemen engorgement, t, and flatteni flattening ng of the nipple nipple 11. Constipation during pregnancy is best treated by A. Regular use of mild laxative B. Increa Increased sed bulk bulk and and fluid fluid in in the diet diet C. Limiting excessive weight gain D. Regular Regular use of bisaco bisacodyl dyl (Dulcol (Dulcolax) ax) supposi suppositori tories es 12. The nurse nurse determines determines that a woman woman is in her tenth week of gestatio gestation. n. Which of the the following following signs of pregnancy would the nurse expect to observe? C. Quickening A. Breast tenderness B. Dyspnea D. Dependent edema 13-year old female visits the clinic for a routine examination. The nurse notes that she exhibits 13. A 13-year changes in her appearance that commonly occur during pregnancy, pregnancy, including an increase in breast size. Which Which hormone is partly responsibl responsiblee for the growth growth and increased increased vascularity vascularity of breast tissue during pregnancy? A. Es Estrogen C. Lactoferrin B. Follicle Follicle stimulati stimulating ng hormone hormone D. Chorionic Chorionic gonadotrop gonadotropin in 14. Mrs X., age 25, suspects suspects she is pregnant pregnant and and calls the health health center center.. She tells tells the nurse she is experiencing amenorrhea, urinary urinary frequency, frequency, and nausea and vomiting. These signs of pregnancy are: B. Probable C. Positive D. Possible A. Presumptive 15. Which findings would be considered considered positive positive signs of pregnancy? pregnancy? A. Fatigu Fatigue, e, skin skin change changess B. Quicke Quickenin ning, g, breast breast enla enlarge rgemen mentt C. Fetal heartbeat, heartbeat, fetal movement movement on palpat palpation ion D. Abdominal Abdominal enlarg enlargement ement,, Braxton Hicks Hicks contract contractions ions 16. Mrs. M., a 30-year-old 30-year-old primiparous primiparous patient patient at 34 weeks’ gestat gestation, ion, comes to the prenatal prenatal clinic concerned about the increasing reddish streaks she has developed on her breast and abdomen. She asks what these skin changes changes are and whether whether they are permanent. permanent. What should should the nurse tell her? A. “These “These streaks are called called linea linea nigra; they’ll they’ll fade after after childbirth. childbirth.”” B. “These streaks streaks are called hemangiomas; hemangiomas; they are permanent changes changes of of pregnancy.” pregnancy.” C. “These “These streaks streaks are called called striae striae gravi gravidar darum, um, or stretc stretch h marks; marks; they’ll they’ll grow lighter lighter after delivery.” D. “These “These streaks are called called nevi; nevi; they’ll they’ll fade after the postpar postpartal tal period.” period.” 17. A client client asks, “How much blood do I lose during during menstruation menstruation?” ?” Which of the following following would be the nurse’s best response? A. “Normal “Normal blood blood loss loss can can be a little little or or not.” not.”
B. “Norma “Normall blood blood loss loss is about about 1 cup.” cup.” C. “Norma “Normall blood blood loss loss is about about ¼ cup.” cup.” D. “Normal “Normal blood blood loss is about about 1/8 cup.” 18. During the menstrual menstrual cycle, ovulation ovulation generally occurs occurs at which of the the following times? A. 7 days days after after the last day of menstruati menstruation on B. 14 days days after the last day of of menstru menstruation ation C. 7 days days before before the the end end of mens menstru truati ation on D. 14 days days before before the end end of the the menstru menstrual al cycle cycle 19. Which Which of the follo followin wing g would would the nurse nurse estimat estimatee as the approx approxima imate te age for a 19-cm 19-cm fetus expelled by a client? B. 3 months C. 4 months D. 5 months A. 2 months 20. An expectant expectant mother mother asks the nurse in the prenatal prenatal clinic, clinic, “When can I expect to feel my baby move?” Which of the following would be the nurse’s nurse’s best response? C. At about 3 months A. At about 2 months D. At about 5 months B. At about 4 months 21. An expectant mother in the the prenatal clinic informs the nurse nurse that she smokes and asks if she 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 “How much much do you smoke?” smoke?” B. “You “You should should decrease decrease the the number number of cigarette cigarettess used.” used.” C. “Smoking “Smoking may adverse adversely ly affect affect your baby’ baby’ss development development.” .” D. “That is is something something that that you should should ask the phys physician ician.” .” 22. In a regular regular 32-day cycle, cycle, the client will probably probably ovulate: A. On day 18 C. 10 days after the start of the last menses menses B. On day 22 D. On day 11 23. How many weeks is the gestational 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 nurse is teaching teaching a class about about the reproduct reproductive ive system. system. She explains explains that fertiliza fertilization tion most 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
