Labor and Delivery Questions

1. The total weight gain in pregnancy for women who have multiple fetuses is:    

a. 20-25 lbs b. 25-35 lbs c. 35-40 lbs d. 40-45 lbs

2. A sensitive and unobtrusive technique of care while respecting the natural process and promoting a peaceful atmosphere at birth will help the baby to be born with a minimum stress. This is least likely achieved by:    

a. Keeping the room noise to a minimum b. Not delaying the cutting of the cord c. Giving the newborn a warm bath after delivery d. Not assisting or pulling the baby’s head in expulsion

3. A pregnant woman came in to the clinic expressing concern about her genitalia that has been observed for a change in color. The nurse explained the physiology adaptations to pregnancy and stated that this discoloration of the vagina is called:    

a. Hegar’s sign b. Chadwick’s sign c. Goodell’s sign d. Vaginal sign

4. Physical assessment is very important during prenatal visits to evaluate the overall health status of a pregnant woman. Weight is one indicator of the health status. A pregnant woman on her second trimester of pregnancy should gain how many kilograms per month?    

a. 0.45 kg b. 1.82 kg c. 1.36 kg d. 2 kg

5. A patient on labor is offered ice chips. What is the purpose of giving ice chips to a woman on labor?    

a. To reduce a woman’s anxiety b. To prevent impulses reach the distracted brain c. To promote cutaneous stimulation d. To allow more blood to pool in the uterus, thus alleviating pain

6. A pregnant woman is diagnosed with toxemia. The following are signs of toxemia apart from:

   

a. Edema of the lower extremities b. Sudden Weight gain c. Blurry vision d. Protein in urine

7. A pregnant woman is asking about the possible causes of morning sickness. The nurse least likely identifies the cause by stating which of the following?    

a. “It is due to the increased human chorionic gonadotrophin levels during pregnancy.” b. “It may be due to increased acidity of the GI tract.” c. “It may be the result of increased progesterone level which in return decreases gastric motility thus causing reverse peristaltic waves.” d. “Some cases of morning sickness can also be due to emotional factors.”

8. The structure which contains high amount of estrogen is called:    

a. Corpus albicans b. Corpus luteum c. Primordial follicles d. Graafian follicles

9. Change in the consistency of the lower uterine segment causing extreme softening is referred as:    

a. Hegar’s sign b. Chadwick’s sign c. Goodell’s sign d. Vaginal sign

10. During a prenatal visit the pregnant woman is complaining of itchy, foul-smelling vaginal discharges that are frothy and cream-colored. This is a hallmark sign of:    

a. Moniliasis b. Candidiasis c. Syphilis d. Vaginitis