Pregnancy Assessment and Monitoring: Essential Knowledge for Nurses

Question 1

To assess fetal presentation and position during pregnancy, which method is deemed most reliable?

Accepted Answer

Ultrasound

Answer

Leopold's maneuvers

Answer

X-ray

Question 2

Which of the following is NOT typically included in a comprehensive prenatal assessment performed by healthcare professionals?

Accepted Answer

Nutritional counseling

Answer

Medical history

Answer

Physical examination

Question 3

During a fetal ultrasound, which of the following measurements is NOT typically obtained?

Accepted Answer

Maternal blood pressure

Answer

Biparietal diameter

Answer

Femur length

Answer

Abdominal circumference

Question 4

Which of the following assessments is NOT typically performed during routine prenatal care?

Accepted Answer

Pap smear

Answer

Complete blood count

Answer

Blood pressure measurement

Answer

Urinalysis

Question 5

During Leopold's maneuvers, which maneuver determines the fetal lie?

Accepted Answer

Second maneuver

Answer

First maneuver

Answer

Third maneuver

Answer

Fourth maneuver

Question 6

Which laboratory test measures the levels of a hormone that is significantly elevated during pregnancy?

Accepted Answer

Human chorionic gonadotropin (hCG)

Answer

Alpha-fetoprotein (AFP)

Answer

Estrogen

Answer

Progesterone

Question 7

What is the main purpose of a non-stress test (NST) conducted during pregnancy?

Accepted Answer

To evaluate fetal well-being by monitoring heart rate patterns

Answer

To detect fetal abnormalities

Answer

To determine the gestational age of the fetus

Answer

To measure uterine contractions

Question 8

On an ultrasound, which of the following findings may indicate a risk for premature birth?

Accepted Answer

Shortened cervical length

Answer

Large amniotic fluid volume

Answer

Fetal macrosomia

Answer

Anterior placenta

Question 9

When interpreting a fetal heart rate tracing, what baseline heart rate range is considered normal?

Accepted Answer

120-160 bpm

Answer

100-120 bpm

Answer

160-180 bpm

Answer

Less than 100 bpm

Question 10

In pregnancy, which of the following conditions is an immediate indication for delivery?

Accepted Answer

Abruptio placentae

Answer

Gestational hypertension

Answer

Premature rupture of membranes

Answer

Unexplained vaginal bleeding

Question 11

During labor, what is the primary purpose of performing a vaginal exam?

Accepted Answer

To assess cervical dilation and effacement

Answer

To determine fetal position and presentation

Answer

To rupture the membranes

Answer

To administer medications

Question 12

Which of the following maternal conditions is a contraindication for the use of an epidural during labor?

Accepted Answer

Thrombocytopenia

Answer

Preeclampsia

Answer

Gestational diabetes

Answer

Obesity

Question 13

In the immediate postpartum period, which assessment is the most critical to monitor?

Accepted Answer

Vital signs

Answer

Fundal height

Answer

Perineal integrity

Answer

Uterine contraction strength

Question 14

Which laboratory test measures the levels of human chorionic gonadotropin (hCG), a hormone produced by the placenta during pregnancy?

Accepted Answer

hCG

Answer

CBC

Answer

UA

Answer

FBS

Question 15

Which ultrasound technique is used to assess fetal heart rate and activity?

Accepted Answer

Doppler

Answer

Transabdominal

Answer

Transvaginal

Answer

Echocardiography

Question 16

What is the normal range for fetal heart rate as determined by Doppler auscultation?

Accepted Answer

120-180 bpm

Answer

110-160 bpm

Answer

130-190 bpm

Answer

140-200 bpm

Question 17

When assessing fundal height, which landmark is used to determine the gestational age?

Accepted Answer

Symphysis pubis

Answer

Umbilicus

Answer

Xiphoid process

Answer

Fundus

Question 18

What is the purpose of monitoring fetal movement during pregnancy?

Accepted Answer

To assess fetal well-being

Answer

To determine fetal position

Answer

To estimate fetal size

Answer

To monitor placental function

Question 19

The normal range for a maternal hematocrit level during pregnancy is:

Accepted Answer

36-42%

Answer

30-36%

Answer

42-48%

Answer

48-54%

Question 20

What is the primary purpose of performing Leopold's maneuvers?

Accepted Answer

To assess fetal lie and presentation

Answer

To measure fetal heart rate

Answer

To estimate fetal weight

Answer

To determine cervical dilation

Question 21

What is the priority nursing intervention for a pregnant woman with gestational hypertension?

Accepted Answer

Administer antihypertensive medications as prescribed

Answer

Restrict fluid intake

Answer

Monitor blood pressure at home

Answer

Provide emotional support

Question 22

The primary nursing care goal for a pregnant woman with a breech presentation is to:

Accepted Answer

Prepare for a cesarean delivery

Answer

Facilitate a vaginal birth

Answer

Monitor for fetal distress

Answer

Educate the woman about the risks

Question 23

To diagnose gestational diabetes, which laboratory test is commonly used?

Accepted Answer

Oral glucose tolerance test

Answer

Fasting blood glucose

Answer

Hemoglobin A1c

Answer

Random blood glucose

Question 24

During the second trimester, what is the recommended frequency for prenatal visits?

Accepted Answer

Monthly

Answer

Every other month

Answer

Weekly

Answer

As needed

Question 25

Which option is not indicative of fetal well-being?

Accepted Answer

Absence of fetal movements

Answer

Regular fetal heart rate

Answer

Adequate amniotic fluid volume

Answer

Normal ultrasound findings

Question 26

What is the primary reason for performing Leopold's maneuvers during a pregnancy physical exam?

Accepted Answer

Determining fetal position

Answer

Estimating fetal weight

Answer

Assessing fetal heart rate

Answer

Identifying placental abruption

Question 27

What is the significance of Braxton Hicks contractions?

Accepted Answer

They prepare the uterus for labor

Answer

They indicate preterm labor

Answer

They are painful and require medical attention

Answer

They have no clinical significance

Question 28

Which technique is used by the nurse to assess fetal movement as a measure of well-being?

Accepted Answer

The kick count

Answer

Auscultation with a fetoscope

Answer

Measuring fundal height

Answer

Leopold's maneuvers

Question 29

Which of these conditions indicates a high-risk pregnancy?

Accepted Answer

Gestational diabetes

Accepted Answer

Rh incompatibility

Answer

Nausea and vomiting

Answer

Being pregnant for the first time (primigravida)

Question 30

During prenatal care, what is the main purpose of measuring fundal height?

Accepted Answer

Monitoring fetal growth and gestational age

Answer

Estimating fetal weight

Answer

Identifying fetal abnormalities

Answer

Determining fetal position

Question 31

Which laboratory test is primarily used to screen for neural tube defects during pregnancy?

Accepted Answer

Maternal serum AFP (alpha-fetoprotein) level

Answer

Urine analysis

Answer

Complete blood count (CBC)

Answer

Blood glucose level

Question 32

What is the normal range for maternal blood pressure during a healthy pregnancy?

Accepted Answer

110/70 mmHg to 140/90 mmHg

Answer

100/60 mmHg to 130/80 mmHg

Answer

130/90 mmHg to 160/110 mmHg

Answer

120/80 mmHg to 150/100 mmHg

Question 33

A nonstress test is typically indicated during pregnancy in response to which condition?

Accepted Answer

Fetal bradycardia

Answer

Oligohydramnios

Answer

Preeclampsia

Question 34

The primary purpose of performing a glucose tolerance test during pregnancy is to:

Accepted Answer

Screen for gestational diabetes

Answer

Diagnose preeclampsia

Answer

Assess maternal nutritional status

Answer

Monitor fetal growth

Question 35

What should be the initial nursing action when a pregnant patient presents with signs of preeclampsia?

Accepted Answer

Measure blood pressure and monitor for proteinuria

Answer

Induce labor

Answer

Refer to a specialist

Answer

Administer magnesium sulfate

Question 36

Which sonographic marker is associated with an increased risk of Down syndrome in the fetus?

Accepted Answer

Increased nuchal translucency

Answer

Cleft lip

Answer

Short femur

Answer

Echogenic intracardiac focus

Question 37

Which of the following is a key component of a physical examination during pregnancy that assesses fetal position and presentation?

Accepted Answer

Leopold's maneuvers

Answer

Auscultation of fetal heart rate

Answer

Pelvic ultrasound

Answer

Pap smear

Question 38

At what gestational age is the glucose tolerance test typically performed during pregnancy?

Accepted Answer

Between 24 and 28 weeks

Answer

After 40 weeks

Answer

Between 32 and 36 weeks

Answer

Before 12 weeks

Question 39

Which type of ultrasound provides detailed visualization of fetal anatomy and growth measurements?

Accepted Answer

Level II ultrasound

Answer

Level I ultrasound

Answer

Doppler ultrasound

Answer

Transvaginal ultrasound

Question 40

Approximately when can a woman typically first perceive fetal movement?

Accepted Answer

18 to 20 weeks

Answer

32 to 34 weeks

Answer

24 to 26 weeks

Answer

10 to 12 weeks

Question 41

Which of the following is an early sign or symptom suggestive of impending preeclampsia?

Accepted Answer

Proteinuria

Answer

Oligohydramnios

Answer

Polyhydramnios

Answer

Preterm labor

Question 42

What is the primary purpose of a non-stress test during pregnancy?

Accepted Answer

To evaluate fetal well-being and reactivity

Answer

To monitor labor progress

Answer

To determine gestational age

Answer

To detect fetal abnormalities

Question 43

An elevated level of alpha-fetoprotein (AFP) in an amniocentesis result suggests an increased risk for which of the following?

Accepted Answer

Neural tube defects

Answer

Preeclampsia

Answer

Preterm labor

Answer

Down syndrome

Question 44

A pregnant patient with a fundal height measurement smaller than expected for her gestational age is MOST likely experiencing which of the following?

Accepted Answer

Fetal growth restriction

Answer

Multiple gestation

Answer

Polyhydramnios

Answer

Macrosomia

Question 45

Which of the following is NOT a standard component of the initial prenatal visit?

Accepted Answer

Glucose Tolerance Test

Answer

Physical examination

Answer

Assessment of risk factors

Answer

Complete medical and surgical history

Question 46

When educating a patient about the purpose of a non-stress test (NST), the nurse should emphasize its primary goal of:

Accepted Answer

Assessing fetal well-being by observing fetal heart rate patterns in response to fetal movement.

Answer

Determining the fetal position and presentation.

Answer

Measuring the size and volume of amniotic fluid.

Question 47

The presence of ketones in a pregnant patient's urinalysis may indicate:

Accepted Answer

Gestational diabetes

Answer

Normal physiological change

Answer

Pre-eclampsia

Answer

Urinary Tract Infection

Question 48

Amniocentesis, an invasive prenatal diagnostic procedure, carries the potential risk of:

Accepted Answer

Preterm labor

Answer

Placenta previa

Answer

Gestational hypertension

Answer

Macrosomia

Question 49

During pregnancy, the term 'quickening' signifies:

Accepted Answer

The mother's initial perception of fetal movement.

Answer

The descent of the fetal head into the pelvis.

Answer

The softening of the cervix in preparation for labor.

Question 50

In a third-trimester patient experiencing shortness of breath, which anatomical change during pregnancy is the MOST likely contributor?

Accepted Answer

Enlarged uterus pressing on the diaphragm

Answer

Decreased gastrointestinal motility causing bloating

Answer

Increased blood volume leading to heart palpitations

Answer

Hormonal changes causing relaxation of ligaments

Question 51

For estimating gestational age in the early stages of pregnancy, which ultrasound measurement is considered the MOST accurate?

Accepted Answer

Crown-rump length

Answer

Femur length

Answer

Biparietal diameter

Answer

Abdominal circumference

Question 52

An elevated alpha-fetoprotein (AFP) level detected during pregnancy screening is primarily associated with:

Accepted Answer

Neural tube defects

Answer

Preterm labor

Answer

Down syndrome

Answer

Gestational diabetes

Question 53

During a physical assessment of a pregnant woman, which finding would necessitate IMMEDIATE intervention?

Accepted Answer

Vaginal bleeding accompanied by abdominal pain

Answer

Nasal congestion

Answer

Increased urinary frequency

Answer

Mild ankle edema