32. You instruct the prenatal class about symptoms which should be reported. You include which of the following in your teaching:*1 pointA. sudden vaginal discharge, facial swelling, visual changesB. ankle edema, heartburn, leukorrheaC. enlarged varicose veins, fatigue, nauseaD. swollen breast, nausea, urinary frequency33. The lochial discharge postpartally follows a certain sequence. As you discuss the postpartal changes to watch for, you alert Mrs. Aquino to which of the following sequences as the normal pattern to expect:*1 pointA. lochia rubra, lochia alba, lochia serosaB. lochia alba, lochia rubra, lochia serosaC. lochia serosa, lochia rubra, lochia albaD. lochia rubra, lochia serosa, lochia alba34. A new mother has a temperature of 100.8 ˚F (38.2 ˚C) 8 hours after giving birth. This is probably related to:*1 pointA. A response to her epidural anesthesiaB. The beginning of the lactation cycleC. a developing uterine infectionD. dehydration after labor35. The nurse is monitoring for the duration of the contraction, which is:*1 pointA. the length of one contractionB. the end of one contraction to the beginning of the nextC. the time interval between the acme of contraction’D. how many contractions occur in a 5-minute time span36. A 30-year-old client is pregnant with her third child. She begins to have contractions and has come to the hospital for assessment. After examination, her physician tells her the contractions were false labor pains. Which of the following is a sign of false labor?*1 pointA. the cervix becomes progressively thinner and dilatesB. contractions become more uncomfortable, sweeping around the abdomen in a waveC. contractions may go away if the client lies down and relaxesD. contractions are more regular and predictable37. All of which are signs of true labor pain except*1 pointA. accompanied by cervical effacementB. accompanied by cervical dilatationC. generally confined to the abdomen and groinD. increase in duration, frequency and intensity38. At about 2 weeks before delivery, a pregnant client experiences entire relief of abdominal tightness and diaphragmatic pressure brought about by the previous months. This is due to:*1 pointA. engagementB. lighteningC. showD. Braxton hicks’ contraction39. As soon as the baby’s head emerges from the birth canal, the nurse:*1 pointA. feels around the infant’s neck to check for the presence of the cordB. exerts downward pressure on the head to aid in delivery of the anterior shoulderC. exerts upward pressure on the head to aid in delivery of the posterior shoulderD. massages the fundus to force the uterus to contract and expel the infant40. The onset of labor may be initiated by increasing amounts of all the following hormones except:*1 pointA. prostaglandinB. oxytocinC. progesteroneD. none of the choices

11. The nurse is aware that a client at 40 weeks’ gestation is experiencing true labor if:*1 pointA. cervical dilatation has occurredB. the pains become more noticeableC. her membranes have rupturedD. the fetal heart rate baseline decreases12. A postpartum nurse is caring for a client who delivered a viable newborn infant 2 hours ago. The nurse palpates the fundus and notes the character of the lochia. Which characteristic of the lochia would the nurse expect to note at this time?*1 pointA. white-colored lochiaB. serosanguinous lochiaC. pink-colored lochiaD. dark red-colored lochia13. A nurse is monitoring a postpartum client in the fourth stage of labor. Which of the following findings, if noted by the nurse, would indicate a complication related to a laceration of the birth canal?*1 pointA. Presence of dark red lochiaB. Palpation of the fundus at the level of the umbilicusC. Palpation of the uterus as a firm contracted ballD. The saturation of more than one perineal pad per hour14. It has been 12 hours since the client’s delivery of a newborn. The nurse assesses the mother to the process of involution and documents that it is progressing normally when palpation of the client’s fundus is noted:*1 pointA. at the level of the umbilicusB. midway between the umbilicus and the symphysis pubisC. one finger breath below the umbilicusD. two finger breadths below the umbilicus15.  Mr. Young’s wife cervix is dilated 8cm. There is a sudden increase in the amount of bloody show. She vomits and her legs begin to tremble. She then becomes very irritable and cries out, “I can’t take it anymore.” At this time which of the following actions is most appropriate:*1 pointA. give her a dose of PRN of her pain relief medicationB. notify her physician of the possibility of hemorrhageC. review the breathing techniques with her againD. explain that she is progressing normally through labor16. A nurse is assisting in caring for a woman in labor who is receiving oxytoxin by intravenous infusion. The nurse monitors the client, knowing that which of the following indicates an adequate contraction pattern?*1 pointA. Three to five contractions in a 10-minute period, with resultant cervical dilatationB. One contraction per minute, with resultant cervical dilatationC. Four contractions every 5 minutes, with resultant cervical dilatationD. One contraction every 10 minutes without resultant cervical dilatation17. Approximately 15 minutes after delivery of a viable term neonate, a multiparous patient complains of chilling sensation. Which of the following would the nurse do next?*1 pointA. decrease the rate of IV fluidsB. assess the patient’s pulse rateC. assess the amount of blood lossD. provide the patient with warm blanket18. A nurse assists in the vaginal delivery of a newborn infant. After the delivery, the nurse observes the umbilical cord lengthen and a spurt of blood from the vagina. The nurse documents these observations as sign of:*1 pointA. uterine atonyB. hematomaC. placental separationD. placenta previa19. A postpartal client has been complaining about the “afterpains” that occur while breastfeeding and questions you about them. You explain to her that they are due to the fact that:*1 pointA. the baby is sucking too vigorously and should nurse more oftenB. the baby’s sucking stimulates the uterus to contractC. she is tense during breastfeeding, resulting in uterine spasmsD. she is probably recalling her labor experience at feeding20.  A nurse performs an assessment on a client who is 4 hours postpartum. The nurse notes that the client has cool, clammy skin and is restless and excessively thirsty. The nurse prepares immediately to:*1 pointA. begin fundal massage and start oxygen by maskB. begin hourly pad counts and reassure the clientC. elevate the head of the bed and assess vital signsD. assess for hypovolemia and notify the health care provider

71.  Nursing care during the second stage of labor include:*1 pointA. coach breathing, encourage to bear down with each contractionB. careful evaluation of prenatal historyC. shave the perineumD. administer enema to the patient72.  The nurse is caring for a client on her 2nd postpartum day. The nurse should expect the client's lochia to be:*1 pointA. red and moderateB. brown and scantyC. continuous with red clotsD. thin and white73.  The nurse is assessing a client who gave birth yesterday. Where should the nurse expect to find the top of the client’s fundus?*1 pointA. 1 fingerbreadth above the umbilicusB. at the level of the umbilicusC. 1 fingerbreadth below the umbilicusD. below the symphysis pubis74. The nurse is helping to prepare a client for discharge following childbirth. During teaching a session, the nurse instructs the client to do Kegel exercise. What is the purpose of this exercise?*1 pointA. to tone the abdominal musclesB. to strengthen the perineal musclesC. to prevent urine retention .D. to relieve lower back pain75. Which of the following characteristics best describes that lochia is normal?*1 pointA. lochia amount increases with strenuous exerciseB. lochia is absent during the first 1-3 weeks after a cesarean birth.C. lochia contains no large clotsD. lochia is white for the first 1-3 days postpartum

A 28-year-old female presents to the obstetrics office, suspecting she may be pregnant. Which of the following would the nurse recognize as a presumptive sign of pregnancy?A. AmenorrheaB. Positive fetal cardiac activity on ultrasoundC. Enlarged uterusD. Auscultation of fetal heart tones

11.  Pregnancy causes multiple body changes that are normal but can cause discomfort.  Which                  change does not normally occur during the first trimester?*1 pointA. HemorrhoidsB. Increased vaginal dischargeC. Breast tendernessD. Fatigue12.  Which of the following placental hormones are commonly employed tests for pregnancy to detect?*1 pointA. EstrogenB. ProgesteroneC. Human Placental LactogenD. Human Chorionic Gonadotrophin13. A woman tells you she has difficulty achieving orgasm. Orgasm in females results mainly from*1 pointA. Penile PenetrationB. Clitoral StimulationC. Uterine StimulationD. Arousal14. Jessica, 21-year-old student, approached you one afternoon asking about her fertile days. She stated that her cycle is 26 and she had a contact with her boyfriend, Mike, last July 12. Her last menstrual period was on July 1 and ended on July 5. Was Jessica fertile on the time she had contact with her bf?*1 pointA. Yes, she is fertileB. No she isn’tC. Fertility will be 2 days after the contactD. Fertility happens 2 days before the contact15. The nurse is palpating the uterus of a client who is 20 weeks pregnant to measure the fundal height. Which area of the abdomen where the nurse should expect to feel the uterine fundus?*1 pointA. On the level of umbilicusB. Symphysis pubisC. Near xyphoid processD. Between symphysis pubis and umbilicus16. What body structure is responsible for the production of Follicle-Stimulating Hormone (FSH)?*1 pointA. TestesB. Anterior Pituitary GlandC. HypothalamusD. Ovaries17. It serves as the fetal lungs, kidneys, gastrointestinal tract and a separate endocrine organ throughout pregnancy.*1 pointA. PlacentaB. Umbilical CordC. Amniotic FluidD. Decidua18. This vein allows oxygenated blood to move directly from the right to the left side of the heart.*1 pointA. Foramen OvaleB. Ductus VenosusC. Ductus ArteriosusD. Vena Cava19. A phospholipid substance produced by the alveolar cells on the 24th week of gestation that decreases alveolar surface tension on expiration preventing respiratory distress syndrome to the newborn.*1 pointA. SurfactantB. ProstaglandinC. AmnonD. Chorion20. The hormone responsible for muscular development, physical growth and increase in sebaceous gland in both boys and girls.*1 pointA. ProgesteroneB. OxytocinC. AndrogenD. Estrogen21. This gland secretes a thin alkaline fluid in which 60% of semen is derived from this structure.*1 pointA. Skene's GlandB. Bartholin's GlandC. Prostate GlandD. Cowper's Gland22. Are two folds of adipose tissue covered by loose connective tissue and epithelium?*1 pointA. Labia MajoraB. Labia MinoraC. Mons VenerisD. Mons Pubis23. The structure that is cut before birth of a child to enlarge the vaginal opening.*1 pointA. HymenB. PrepuceC. Perineal MuscleD. Fourchette24. This serves the important function of constricting the tubal junctions and preventing regurgitation of menstrual blood into the tubes.*1 pointA. EndometriumB. PerimetriumC. MyometriumD. Epithelium25. It produces the amniotic fluid.*1 pointA. Chorionic MembraneB. Amniotic MembraneC. Decidua BasalisD. Decidua Vera26. It acts as a protective mechanism for the fetus against a blow on the mother’s abdomen.*1 pointA. Amniotic FluidB. Umbilical CordC. PlacentaD. Deciduas27. This provides a circulatory pathway connecting the embryo to the chorionic villi.*1 pointA. Amniotic FluidB. Wharton's JellyC. SurfactantD. Umbilical Cord28. A 15-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 increase vascularity of breast tissue during pregnancy?*1 pointA. HCGB. EstrogenC. FSHD. Progesterone29. A pregnant woman comes to the clinic complaining of nasal stuffiness. Nasal stuffiness during pregnancy is caused by:*1 pointA. Increased Cardiac OutputB. HCGC. EstrogenD. Progesterone30. Fainting is common in pregnant clients during the first trimester due to:*1 pointA. HypertensionB. HyperventilationC. HyperglycemiaD. Hypoglycemia

Nicole just had a vaginal delivery of her second child 2 days ago. She breastfeeds her baby without difficulty. You visited her and during your postpartum assessment you EXPECT normal findings to be as:*1 pointA.Fundic height at 1 cm above the umbilicusB.Some feeling of after painsC.Voiding frequently, 50-75 mL per episode of voidingD.Pinkish to brownish vaginal discharge