Pregnancy Assessment Questions

Pregnancy Assessment Questions Related

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What is the purpose of initiating contractions in a contraction stress test (CST)?

  • A. Increase placental blood flow.
  • B. Identify fetal acceleration patterns.
  • C. Determine the degree of fetal activity.
  • D. Apply a stressful stimulus to the fetus.
Correct Answer: D

Rationale: The purpose of initiating contractions in a contraction stress test (CST) is to apply a stressful stimulus to the fetus to assess its response to stress, mimicking the stress of labor. This helps evaluate fetal well-being by monitoring the fetal heart rate during contractions. A: Increasing placental blood flow is not the primary purpose of CST. B: Identifying fetal acceleration patterns is not the main goal of CST. C: Determining the degree of fetal activity is not the primary objective of CST. The correct answer is D as it reflects the main purpose of initiating contractions in a CST.

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A baby is born addicted to crack cocaine. Which of the following signs/symptoms would the nurse expect to see?

  • A. Hyperreflexia.
  • B. Anorexia.
  • C. Constipation.
  • D. Hypokalemia.
Correct Answer: A

Rationale: Neonates born addicted to crack cocaine often exhibit hyperreflexia, irritability, and other signs of withdrawal.

Which laboratory is important to know when a client is having an amniocentesis?

  • A. Blood type
  • B. CBC
  • C. Rh
  • D. PT and PTT
Correct Answer: C

Rationale: Step-by-step rationale:
1. Rh factor is crucial to know to prevent Rh incompatibility issues during pregnancy.
2. Amniocentesis can pose a risk for Rh sensitization in Rh-negative mothers.
3. Knowing the Rh status helps determine if Rhogam (anti-D) is needed after amniocentesis.
4. Blood type (A) and CBC (B) are important but not directly relevant to amniocentesis.
5. PT and PTT (D) are coagulation tests, typically not required for routine amniocentesis.

A client’s vital signs during labor and delivery were: BP 100/58–110/66, T 98.6ºF–98.8ºF, P 72–80 bpm, R 20–24 rpm. The client’s vitals 2 hours postpartum are BP 100/56, TPR 99.4ºF, P 70 bpm, R 20 rpm. Which of the following actions should the nurse perform at this time?

  • A. Check the client’s lochia flow.
  • B. Ask the client if she is having chills.
  • C. Encourage the client to drink fluids.
  • D. Assess the client’s lung fields.
Correct Answer: A

Rationale: Checking the client’s lochia flow is important to ensure there is no excessive bleeding, which could indicate postpartum hemorrhage.

A 32-week-gravid client presents in the emergency department with severe abdominal pain, rigid abdomen, and scant dark red bleeding. The nurse should assess this client for which of the following?

  • A. Signs of pulmonary edema.
  • B. Enlarging abdominal girth measurements.
  • C. Hyporeflexia and confusion.
  • D. Signs of diabetic coma and ketosis.
Correct Answer: B

Rationale: Severe abdominal pain, rigidity, and dark red bleeding could indicate placental abruption, which may cause enlarging abdominal girth due to internal bleeding.

The umbilical cord is being clamped by the obstetrician. Which of the following physiological changes is taking place at this time?

  • A. The baby’s blood bypasses its pulmonary system.
  • B. The baby’s oxygen level begins to drop.
  • C. Bacteria begin to invade the baby’s bowel.
  • D. Bilirubin rises in the baby’s bloodstream.
Correct Answer: A

Rationale: Clamping the umbilical cord initiates the transition from fetal to neonatal circulation, allowing blood to bypass the pulmonary system as the lungs take over oxygen exchange.

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