Title FC OB (Ms. Carmona) - SC.docx ✅

2 | Page 16. During a prenatal visit at 39 weeks, a woman reports passage of a small amount of blood-tinged mucus from the vagina. The nurse explains that this is called “bloody show.” What does this finding indicate? A. Placenta previa bleeding B. Cervical ripening and possible onset of true labor C. Premature rupture of membranes D. Infection of the cervix 17. At 38 weeks, a primigravida reports that she feels she can “breathe more easily” but now has to urinate more often. The nurse recognizes this as which premonitory sign of labor? A. Effacement B. Lightening C. Engagement D. Station +3 18. A nurse uses a handheld Doppler at 12 weeks and hears fetal heart tones separate from the maternal pulse. This is documented as: A. A probable sign of pregnancy B. A presumptive sign of pregnancy C. A positive sign of pregnancy D. An uncertain finding that needs repeat exam 19. A 22-year-old client reports she has missed her period for 2 consecutive months. The nurse recognizes this as: A. A primary amenorrhea, presumptive sign of pregnancy B. A probable sign of pregnancy C. A positive sign of pregnancy D. A secondary amenorrhea, presumptive sign of pregnancy 20. Lorelie did a urine pregnancy test but was surprised to learn a positive result is not a sure sign of pregnancy. As the nurse is recording her result in the electronic health record, she asks what a positive sign would be. The nurse should cite what finding? A. She has seen a gestational sac on ultrasound B. She can feel her fetus move more than once per hour. C. A serum tests reveals hCG. D. A fetal movement felt by the examiner. 21. A 22-year-old woman reports morning nausea, breast tenderness, and frequent urination. She insists she must be pregnant. As the nurse, you recognize these are classified as: A. Positive sign B. Probable C. Presumptive D. False positive 22. A 19-year-old first-time pregnant woman presents with amenorrhea, nausea, Chadwick’s sign, and a positive hCG test. Which of these is considered a positive sign of pregnancy? A. Amenorrhea B. Positive hCG test C. Chadwick’s sign D. None of the above 23. A major characteristic of amniotic fluid in terms of pH is described by which of the following statements? * A. It is slightly acidic with a pH of 5.0 B. It is slightly alkaline with a pH of 3.5 C. It is slightly alkaline with a pH of 7.2 D. It is neutral with a pH of 7.0 24. Situation: Melissa, 18 weeks AOG, is set to undergo amniocentesis. As a delivery room nurse, Gianna will be assisting during the procedure. Nurse Gianna is aware that amniocentesis done between 15 to 18 weeks of gestation is indicated to diagnose and confirm the following, except? A. genetic abnormalities B. chromosomal disorders C. fetal lung maturity D. metabolic disorders 25. When is the earliest time that an amniocentesis can be conducted ? A. anytime in pregnancy B. 14-16 weeks of pregnancy C. 8-10 weeks of pregnancy D. 4 weeks of pregnancy 26. The nurse is preparing a client at 16 weeks for amniocentesis. Which action should the nurse include? A. Ask the client to empty her bladder before the procedure B. Encourage the client to drink extra fluids to keep the bladder full. C. Place the client in Trendelenburg position. D. D. Prepare the client for general anesthesia. 27. Mrs. Guevarra had an amniocentesis done for AFP testing. The test revealed that the levels of the AFP is 57 mg/dL. How will the nurse interpret this result? A. This is a normal result. B. The test may indicate that the fetus has a neural tube defect C. The test may indicate that the fetus has a down syndrome D. Test is irrelevant in amniocentesis. 28. Nurse Joy is assessing Claire, a 37-week pregnant client who complains of abdominal tightening. On exam, contractions are irregular, relieved by walking, and do not increase in intensity. Which interpretation is most accurate? A. True labor contractions B. Braxton Hicks contractions C. Transition stage of labor D. Precipitous labor 29. A 28-year-old primigravida at 38 weeks reports abdominal pain every 10 minutes. On assessment, the contractions lessen when she ambulates. Her cervix is closed, and there are no bloody show. What is the BEST nursing interpretation? A. The client is in true labor. B. The client is in false labor C. The client is experiencing premature rupture of membranes. D. The client is in transition phase of labor. 30. Patient Kate didn’t recognize for over an hour that she was in labor. During her prenatal education, Celeste should have been taught to recognize which sign of true labor? A. Sudden loss of energy from epinephrine release B. “Nagging” but constant pain in the lower back C. Urinary urgency from increased bladder pressure D. “Show” or release of the cervical mucus plug 31. A woman at 40 weeks suddenly feels a gush of clear fluid from her vagina while shopping. She rushes to the hospital and asks the nurse, “What does this mean?” Which is the best nursing response? A. “This means labor will start within 24 hours.” B. “Your membranes have ruptured; we will check for fetal heart rate and signs of infection.” C. “This is bloody show and indicates cervical dilation.” D. “This discharge is normal and not a concern.” 32. During a vaginal exam of a 39-week pregnant woman, Nicole is in active contractions, the nurse notes the cervix is now 5 cm dilated and 80% effaced. The client asks what this means. The nurse should explain: A. The cervix is thinning and opening, which indicates true labor is progressing. B. The cervix is still closed, which means she is in false labor. C. The cervix is fully dilated, and she should start pushing. D. The cervix is not involved in labor changes. 33. A woman at 38 weeks tells the nurse, “I’ve had so much energy today, I cleaned the whole house! I don’t know why, I just felt like it.” The nurse recognizes this as: A. A normal burst of energy that occurs before labor B. A complication of preeclampsia C. A sign of preterm labor D. A danger sign requiring immediate hospitalization 34. A 27-year-old woman’s membranes rupture during labor, releasing thick, greenish amniotic fluid. The nurse recognizes this as a danger sign because it indicates: A. Preterm labor B. Maternal dehydration C. Fetal distress due to hypoxia D. Normal variation in late pregnancy 35. A laboring woman suddenly reports feeling something “slipping” in her vagina after her membranes rupture. On inspection, the umbilical cord is visible at the introitus. The nurse’s immediate action is to: A. Push the cord back into the vagina and apply a perineal pad B. Place the woman in knee-chest position C. Encourage the woman to bear down with contractions D. Document the finding and continue labor monitoring 36. A primigravida at 39 weeks asks why labor starts. The nurse responds that the exact cause is unknown but one theory suggests: A. Fetal secretion of corticosteroids decreases uterine irritability. B. Decreasing estrogen levels stimulate uterine contractions. C. Increased estrogen and prostaglandin levels enhance myometrial sensitivity. D. High progesterone levels promote uterine muscle activity. 37. Nurse Liza is discussing with a group of pregnant women the different theories that explain the onset of labor. One client asks why contractions begin at term even if the uterus has been quiet for many months. Nurse Liza explains that, according to one theory, a decrease