Comprehensive Maternal Health And Reproductive Nursing Exam Practice Tests

Question 1

Which contraceptive method is the only one that provides a significant reduction in the risk of sexually transmitted infections (STIs)?

Accepted Answer

Male or female condoms

Answer

Combined oral contraceptive pills

Answer

Copper IUD

Answer

Basal body temperature monitoring

Question 2

A patient on combined oral contraceptives reports severe calf pain, swelling, and shortness of breath. According to the 'ACHES' mnemonic, what is the most likely concern?

Accepted Answer

Thromboembolism

Answer

Normal hormonal adjustment

Answer

Ectopic pregnancy

Answer

Pelvic inflammatory disease

Question 3

After a vasectomy, a patient can immediately stop using other forms of birth control.

Accepted Answer

False

Answer

True

Question 4

Which sign of pregnancy is classified as a 'Positive' (diagnostic) sign?

Accepted Answer

Fetal heart tones detected by ultrasound

Answer

Amenorrhea

Answer

Goodell sign

Answer

Quickening

Question 5

A pregnant patient in her third trimester complains of dizziness and lightheadedness while lying on her back. What is the priority nursing intervention?

Accepted Answer

Turn the patient to the left lateral position

Answer

Administer oxygen via nasal cannula

Answer

Increase intravenous fluid rate

Answer

Elevate the patient's legs

Question 6

Using the GTPAL system, calculate the score for a woman who is currently pregnant, has had two previous term births, one preterm birth, and one miscarriage at 10 weeks.

Accepted Answer

G4T2P1A1L3

Question 7

To maximize the absorption of iron supplements during pregnancy, the nurse should instruct the patient to take the iron with:

Accepted Answer

Orange juice

Answer

A glass of milk

Answer

An antacid

Answer

A cup of coffee

Question 8

Which of the following are essential dietary recommendations for a pregnant patient to prevent complications?

Answer

Folic acid supplementation

Answer

Avoiding raw or undercooked fish

Answer

Increasing intake of high-mercury fish

Answer

Avoiding contact with cat litter

Question 9

What is the clinical definition of the 'Chadwick sign' in early pregnancy?

Accepted Answer

Bluish discoloration of the cervix and vagina

Answer

Softening of the cervix

Answer

Softening of the lower uterine segment

Answer

Fetal movement felt by the mother

Question 10

Which nutrient is specifically recommended to be increased during pregnancy to prevent neural tube defects?

Accepted Answer

Folic acid

Answer

Calcium

Answer

Iron

Answer

Vitamin D

Question 11

A patient at 32 weeks gestation presents with painless, bright red vaginal bleeding. Which procedure is strictly contraindicated in this clinical scenario?

Accepted Answer

Digital vaginal examination

Answer

Transabdominal ultrasound

Answer

Nonstress test

Answer

Maternal vital sign assessment

Question 12

A patient receiving an intravenous infusion of magnesium sulfate for preeclampsia begins to exhibit absent deep tendon reflexes and a respiratory rate of 10 breaths per minute. What is the priority nursing intervention?

Accepted Answer

Stop the magnesium sulfate infusion

Answer

Increase the infusion rate

Answer

Administer a bolus of normal saline

Answer

Prepare for emergency cesarean section

Question 13

In an unsensitized Rh-negative patient, Rho(D) immune globulin must be administered following invasive procedures such as amniocentesis or chorionic villus sampling to prevent alloimmunization.

Accepted Answer

True

Answer

False

Question 14

Which clinical finding is characteristic of placental abruption rather than placenta previa?

Accepted Answer

A firm, board-like uterus

Answer

Painless vaginal bleeding

Answer

Soft, non-tender abdomen

Answer

Bright red blood without abdominal pain

Question 15

What is the primary purpose of administering intravenous antibiotics during labor to a patient who tested positive for Group B Streptococcus (GBS)?

Accepted Answer

To prevent vertical transmission of GBS to the neonate

Answer

To treat maternal urinary tract infection

Answer

To prevent postpartum endometritis

Answer

To treat chorioamnionitis

Question 16

Which clinical finding is the definitive indicator that a patient is experiencing true labor rather than false labor?

Accepted Answer

Progressive cervical dilation and effacement

Answer

Presence of bloody show

Answer

Rupture of membranes

Answer

Contractions that stop with ambulation

Question 17

What is the primary physiological complication associated with the administration of an epidural anesthetic during labor?

Accepted Answer

Maternal hypotension

Answer

Maternal hypertension

Answer

Neonatal tachycardia

Answer

Uterine hyperstimulation

Question 18

Which of the following nursing interventions are essential priorities immediately following the administration of an epidural block? (Select all that apply)

Answer

Administering a bolus of IV fluids

Answer

Monitoring maternal blood pressure every 5 minutes initially

Answer

Continuous fetal heart rate monitoring

Answer

Encouraging the patient to ambulate immediately

Question 19

Systemic opioids administered during the active phase of labor pose a risk of neonatal respiratory depression if birth occurs shortly after administration.

Accepted Answer

True

Answer

False

Question 20

In the context of the '5 Ps' of labor, which factor refers to the fetus, including its size, lie, presentation, and position?

Accepted Answer

Passenger

Answer

Passageway

Answer

Powers

Answer

Psyche

Comprehensive Maternal Health And Reproductive Nursing Exam Practice Tests

Practice Tests

Comprehensive Maternal Health and Reproductive Nursing Exam

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