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Reproductive Health and Pregnancy Applications – Quiz 6

Question 1 of 29

Which prenatal laboratory test screens for neural tube defects?

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Reproductive Health and Pregnancy Applications – Quiz 6 Practice Questions

Review these Reproductive Health and Pregnancy Applications – Quiz 6 nursing practice questions with answer choices and explanations.

Question 1

Which prenatal laboratory test screens for neural tube defects?

  1. Human chorionic gonadotropin (hCG)
  2. Alpha-fetoprotein (AFP)
  3. Progesterone level
  4. Indirect Coombs test
View answer and explanation

Correct answer:

  1. Alpha-fetoprotein (AFP)

Explanation: Maternal serum alpha-fetoprotein (AFP) is used to screen for neural tube defects such as spina bifida.

Question 2

A nurse teaches a pregnant client that folic acid supplementation helps prevent:

  1. Gestational diabetes
  2. Preterm labor
  3. Neural tube defects
  4. Postpartum hemorrhage
View answer and explanation

Correct answer:

  1. Neural tube defects

Explanation: Adequate folic acid intake before and during early pregnancy reduces the risk of neural tube defects.

Question 3

Which finding should the nurse identify as a danger sign during pregnancy?

  1. Leukorrhea
  2. Mild ankle edema
  3. Blurred vision
  4. Urinary frequency
View answer and explanation

Correct answer:

  1. Blurred vision

Explanation: Blurred vision may indicate preeclampsia and requires immediate medical evaluation.

Question 4

Which infection during pregnancy is associated with congenital cataracts and heart defects?

  1. Toxoplasmosis
  2. Rubella
  3. Group B streptococcus
  4. Cytomegalovirus
View answer and explanation

Correct answer:

  1. Rubella

Explanation: Rubella infection during pregnancy can cause congenital cataracts, heart defects, and hearing loss.

Question 5

Which prenatal screening test is typically performed between 24 and 28 weeks of gestation?

  1. Amniocentesis
  2. Glucose tolerance test
  3. Ultrasound for dating
  4. Chorionic villus sampling
View answer and explanation

Correct answer:

  1. Glucose tolerance test

Explanation: The oral glucose tolerance test screens for gestational diabetes between 24 and 28 weeks.

Question 6

A pregnant client who is Rh-negative may require Rho(D) immune globulin to prevent:

  1. Neural tube defects
  2. Hemolytic disease of the newborn
  3. Gestational hypertension
  4. Preterm labor
View answer and explanation

Correct answer:

  1. Hemolytic disease of the newborn

Explanation: Rho(D) immune globulin prevents maternal antibody formation that can cause hemolytic disease in an Rh-positive fetus.

Question 7

Which nutrient requirement increases the most during pregnancy?

  1. Vitamin C
  2. Protein
  3. Iron
  4. Calcium
View answer and explanation

Correct answer:

  1. Iron

Explanation: Iron requirements increase significantly to support expanded maternal blood volume and fetal needs.

Question 8

Which assessment finding suggests iron-deficiency anemia in pregnancy?

  1. Facial flushing
  2. Pallor and fatigue
  3. Increased appetite
  4. Edema of the hands
View answer and explanation

Correct answer:

  1. Pallor and fatigue

Explanation: Iron-deficiency anemia commonly presents with pallor, fatigue, and weakness.

Question 9

Which maternal behavior increases the risk of low birth weight?

  1. Moderate exercise
  2. Smoking cigarettes
  3. Adequate prenatal care
  4. Increased fluid intake
View answer and explanation

Correct answer:

  1. Smoking cigarettes

Explanation: Smoking reduces placental oxygen delivery, increasing the risk of low birth weight.

Question 10

Which immunization is recommended during pregnancy?

  1. MMR
  2. Varicella
  3. Tdap
  4. Live influenza vaccine
View answer and explanation

Correct answer:

  1. Tdap

Explanation: Tdap is recommended during each pregnancy to protect the newborn from pertussis.

Question 11

A nurse reviews a gravida/para record of G3 T1 P1 A0 L2. What does this indicate?

  1. Three pregnancies, two living children
  2. Three term births, two living children
  3. One preterm birth and two abortions
  4. Three living children
View answer and explanation

Correct answer:

  1. Three pregnancies, two living children

Explanation: G3 indicates three pregnancies; L2 indicates two living children.

Question 12

Which test provides a definitive diagnosis of chromosomal abnormalities?

  1. Maternal serum screening
  2. Ultrasound
  3. Amniocentesis
  4. Nonstress test
View answer and explanation

Correct answer:

  1. Amniocentesis

Explanation: Amniocentesis allows direct analysis of fetal chromosomes.

Question 13

Which finding during pregnancy suggests preeclampsia?

  1. Blood pressure 110/70 mm Hg
  2. Proteinuria
  3. Mild nausea
  4. Increased urinary output
View answer and explanation

Correct answer:

  1. Proteinuria

Explanation: Proteinuria combined with hypertension is a key diagnostic indicator of preeclampsia.

Question 14

Which client statement indicates understanding of listeriosis prevention?

  1. I will avoid unpasteurized cheeses.
  2. I will increase my intake of deli meats.
  3. I will eat raw fish weekly.
  4. I will avoid washing fruits and vegetables.
View answer and explanation

Correct answer:

  1. I will avoid unpasteurized cheeses.

Explanation: Listeriosis risk is reduced by avoiding unpasteurized dairy products.

Question 15

Which test assesses fetal well-being by measuring fetal heart rate in response to movement?

  1. Biophysical profile
  2. Contraction stress test
  3. Nonstress test
  4. Amniocentesis
View answer and explanation

Correct answer:

  1. Nonstress test

Explanation: A nonstress test evaluates fetal heart rate accelerations with fetal movement.

Question 16

Which finding is expected during a normal pregnancy?

  1. Persistent vomiting beyond first trimester
  2. Mild dependent edema
  3. Severe headache
  4. Epigastric pain
View answer and explanation

Correct answer:

  1. Mild dependent edema

Explanation: Mild dependent edema is common due to increased fluid volume and venous stasis.

Question 17

Which maternal infection requires intrapartum antibiotic prophylaxis?

  1. Group B streptococcus
  2. Hepatitis B
  3. HIV
  4. Chlamydia
View answer and explanation

Correct answer:

  1. Group B streptococcus

Explanation: Group B streptococcus can be transmitted during birth and requires prophylactic antibiotics.

Question 18

Which substance is most strongly associated with fetal alcohol spectrum disorders?

  1. Nicotine
  2. Alcohol
  3. Caffeine
  4. Marijuana
View answer and explanation

Correct answer:

  1. Alcohol

Explanation: Alcohol is a known teratogen and causes fetal alcohol spectrum disorders.

Question 19

Which maternal lab value suggests gestational diabetes?

  1. Fasting glucose of 65 mg/dL
  2. 1-hour glucose of 190 mg/dL
  3. Hemoglobin of 12 g/dL
  4. Hematocrit of 36%
View answer and explanation

Correct answer:

  1. 1-hour glucose of 190 mg/dL

Explanation: An elevated 1-hour glucose level indicates impaired glucose tolerance.

Question 20

Which nursing instruction is appropriate regarding prenatal vitamins?

  1. Take them on an empty stomach only
  2. Discontinue if nausea occurs
  3. Take with food if gastrointestinal upset occurs
  4. Double the dose if one is missed
View answer and explanation

Correct answer:

  1. Take with food if gastrointestinal upset occurs

Explanation: Taking prenatal vitamins with food can reduce gastrointestinal discomfort.

Question 21

Which maternal condition increases the risk for macrosomia?

  1. Iron-deficiency anemia
  2. Gestational diabetes
  3. Hyperemesis gravidarum
  4. Chronic hypertension
View answer and explanation

Correct answer:

  1. Gestational diabetes

Explanation: Gestational diabetes increases fetal glucose exposure, leading to excessive fetal growth.

Question 22

Which prenatal visit includes measurement of fundal height?

  1. Only the first visit
  2. Only the last trimester
  3. Every prenatal visit after 20 weeks
  4. Only when complications arise
View answer and explanation

Correct answer:

  1. Every prenatal visit after 20 weeks

Explanation: Fundal height is measured after 20 weeks to assess fetal growth.

Question 23

Which maternal sign suggests placental abruption?

  1. Painless bright red bleeding
  2. Dark vaginal bleeding with abdominal pain
  3. Spotting after intercourse
  4. Leukorrhea
View answer and explanation

Correct answer:

  1. Dark vaginal bleeding with abdominal pain

Explanation: Placental abruption presents with painful, dark bleeding and uterine tenderness.

Question 24

Which lifestyle change is most important to reduce the risk of gestational hypertension?

  1. Increasing sodium intake
  2. Avoiding prenatal care
  3. Smoking cessation
  4. Restricting protein intake
View answer and explanation

Correct answer:

  1. Smoking cessation

Explanation: Smoking cessation improves vascular health and reduces pregnancy complications.

Question 25

Which test evaluates fetal breathing, movement, and amniotic fluid volume?

  1. Nonstress test
  2. Biophysical profile
  3. Contraction stress test
  4. Ultrasound dating scan
View answer and explanation

Correct answer:

  1. Biophysical profile

Explanation: A biophysical profile assesses multiple parameters of fetal well-being.

Question 26

Which maternal weight gain pattern is expected in the first trimester?

  1. Rapid gain of 10–15 lb
  2. No weight gain allowed
  3. Minimal weight gain
  4. Consistent weekly gain
View answer and explanation

Correct answer:

  1. Minimal weight gain

Explanation: Minimal weight gain occurs in the first trimester due to nausea and early fetal size.

Question 27

Which complication is associated with inadequate prenatal care?

  1. Reduced neonatal mortality
  2. Increased risk of preterm birth
  3. Lower incidence of anemia
  4. Improved fetal outcomes
View answer and explanation

Correct answer:

  1. Increased risk of preterm birth

Explanation: Lack of prenatal care increases the risk of preterm birth and poor outcomes.

Question 28

Which maternal assessment is essential at every prenatal visit?

  1. Ultrasound
  2. Blood glucose testing
  3. Blood pressure measurement
  4. Pelvic examination
View answer and explanation

Correct answer:

  1. Blood pressure measurement

Explanation: Blood pressure monitoring is essential to detect hypertensive disorders early.

Question 29

Which prenatal education topic is most important in the first trimester?

  1. Breastfeeding techniques
  2. Signs of labor
  3. Avoidance of teratogens
  4. Postpartum contraception
View answer and explanation

Correct answer:

  1. Avoidance of teratogens

Explanation: The first trimester is the most critical period for preventing teratogenic exposure.