Ateneo de Zamboanga University

College of Nursing
PROMOTING FETAL, MATERNAL HEALTH AND NUTRITIONAL HEALTH
ERASURES AND SUPERIMPOSITIONS ARE NOT ALLOWED!

Name : ______________________________ Score: ____________________

Date : ___________________ HPS 40 pts

Test I. MULTIPLE CHOICES

Read and analyze each statement carefully. Choose the letter of the best answer and write it on the blank provided
before each number. Use only CAPITAL LETTERS.

____ 1. Britney, 6 months pregnant, is commuting 2 to 3 hours by car to school for a 6-week session. The nurse
should discuss which of the following with Britney about travel?
A. Dangers related to wearing lap seat belts during the early months of pregnancy.
B. Methods of relieving stiffness and muscle aches and improving circulation during the drive.
C. The importance of taking motion sickness medications to lessen the nausea from driving.
D. The need to call her doctor and drive home immediately if she experiences premature labor or any
danger signs of pregnancy.

____ 2. Violet, 7 months pregnant, reports feeling her heart skipping a beat sometimes. The nurse recognizes these
as heart palpitations and sets which of the following goal criteria? Violet will:
A. Demonstrate moving slowly from one position to another
B. Lie supine when sleeping to keep pressure on her vena cava.
C. Plan a diet menu that includes high vitamin C content.
D. Verbalize intent to limit fluids to lower her heart’s workload.

____ 3. Which statement by Violet would alert the nurse that she needs more teaching about safe practices during
pregnancy?
A. “I take either a shower or tub bath, because I know both are safe.”
B. “I wash my breasts with clear water, not with soap, daily.”
C. “I’m glad I don’t have to ask my boyfriend to use condom anymore.”
D. “I’m wearing low-heeled shoes to try and avoid backache.”

____ 4. Lena Cava describes her typical day to you. What would alert you that she may need further pregnancy
advice?”
A. “I jog rather than walk every time I can for exercise.”
B. “I always go to sleep on my side, not on my back.”
C. “I pack my lunch in the morning, when I’m not so tired.”
D. “I walk around my desk every hour to prevent varicosities.”

____ 5. Lena Cava is experiencing severe constipation during her eighth month of pregnancy. An appropriate goal
or outcome criterion for Lena would be to:
A. Become accustomed to the constipation and accept it as unavoidable.
B. Consume a diet containing fiber, fruit, and extra amount of fluid.
C. Have a bowel movement every other day to avoid daily straining activity.
D. Refrain from taking her iron supplement because it probably caused the problem.

____ 6. Which of the following symptoms is less commonly noted in early pregnancy
A. Braxton Hicks contractions C. Ankle edema
B. Frequency of urination D. Varicosities
____ 7. Gretchen tells you she is developing painful hemorrhoids. Advice you would give her would be:

A. Take a tablespoon of mineral oil with each of your meals.

B. Omit fiber from your diet. This will prevent constipation.
C. Lie on your stomach daily to drain blood from rectal veins.
D. Witch hazel pads feel cool swollen hemorrhoids.

____ 8. Gretchen has ankle edema by the end of each day. Which statement by her would reveal that she
understands what causes this?
A. “I know this is a beginning complication; I’ll call my doctor tonight.”
B. “I understand this is from eating too much salt; I’ll restrict that more.”
C. “I’ll rest in a Sim’s position to take pressure off lower extremity veins.”
D. “I walk for half an hour every day to relieve this; I’ll try walking more.”

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____ 9. Sofia is in her second month of pregnancy and complains of abdominal pain. The nurse should respond in
which of the following ways to this information?
A. Encourage Sofia to put strong direct pressure on her fundus and hold it for 15 minutes whenever she
feels this pain.
B. Inform Sofia that abdominal pain is expected at this stage of her pregnancy and she should learn to
adjust to it.
C. Inquire about the specific nature and location of the pain Sofia reported because it could indicate
complication.
D. Tell Sofia to lie on her side at night to relieve the pressure on her intestinal tract and stomach.

____ 10. Lindsay is a heavy smoker (2 packs per day) and is pregnant. Which of the following measures undertaken
by Lindsay would indicate that a teaching plan for her had been most effective?
A. She limited her cigarette smoking to one pack per day during her last months of pregnancy.
B. She decreased her smoking by 2 cigarettes per day until she had stopped completely.
C. She stated she will smoke only filtered cigarettes while she is pregnant.
D. She voiced understanding that she will use nicotine gum and stop smoking immediately.

____ 11. Barbie, 5 months pregnant, reports profuse fluid discharge from her nipples. Which measures undertaken
by Barbie would indicate that she understands the health teaching provided to her by the nurse?
A. Wash nipples with wash cloth then rubs it dry to remove moisture.
B. She wears support bra with wide straps to spread the weight across her shoulders.
C. She uses additional breast pads inside her bra and changes it frequently.
D. She takes antibiotics as prophylaxis to prevent infection.

____ 12. Gloria, a student nurse, knows that the best resting or sleeping position is the:
A. Modified lithotomy C. Modified Sim’s
B. Modified knee-chest D. Semi-Fowler’s
____ 13. The primary reason why pregnant women are prone to tooth decay is due to the:

A. Action of bacteria on the tooth enamel

B. Action of bacteria on sugar, lowering pH and creating an acid medium on tooth enamel
C. Hard candies that causes tooth decay
D. Increased pH causing increased acidity and etching tooth enamel

____ 14. Refers to potentially severe and even fatal elevation of BP that occurs during pregnancy.
A. Rubella
B. Pregnancy – Induced Hypertension (PIH)
C. Teratogens
D. Braxton Hicks Contraction

____ 15. Persistent vomiting is a danger sign to pregnancy because it:

A. Depletes calories
B. Depletes nutritional supply available to a fetus
C. Increases iron supplementation
D. B and C

____ 16. Mrs. Anna Klein, 7 months pregnant, is experiencing constipation. The nurse knows that this is one of the
discomforts of pregnancy and should teach Mrs. Klein to:
A. Perform enema
B. Use mineral oil
C. Increase amount of roughage in her diet and increase fluid intake to 8 – 10 glasses/day
D. Stop prescribed oral iron supplement

____ 17. Anna complains of muscle cramps. The nurse explains that the reason for this is the:
A. Absorption of Vitamin C C. Frequency of urination
B. Breast tenderness D. Decreased serum calcium and increased phosphorus levels
____ 18. Which statement from Anna tells you that she understands how iron is best absorbed?

A. “I always take my iron pills with milk.”

B. “I take iron pills with mashed potatoes.”
C. “Iron pills are best taken with ice cream to disguise its taste.”
D. “I swallow my iron pills with orange juice.”

____ 19. Anna is a vegetarian. Her greatest nutritional risk is lack of:
A. Iron C. Folic acid
B. Vitamin C D. Vitamin B12

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____ 20. A pregnant woman with lactose intolerance will be advised to substitute her milk with:
A. Calcium and Vitamin D supplements C. Decaffeinated coffee
B. Iron with orange juice D. Zinc
____ 21. A pregnant client who is fatigued is likely to be more comfortable in which position?

A. Modified Sims’ C. Supine with head elevated

B. Supine with legs elevated D. Sitting upright with legs elevated
____ 22. Which of the following prenatal laboratory test values would the nurse consider as significant?
3
A. Hematocrit 35.5% C. WBC 8,000/mm
B. Rubella titer less than 1:8 D. 1-hour glucose tolerance test 110g/dl
____ 23. During prenatal care, a nutritional history is extremely important because the developing embryo relies on

nutrition for proper growth and development. The BEST method to assess the nutrition of the pregnant
woman is to:
A. Ask detailed questions about nutrition
B. Give the woman a short quiz based on nutrition
C. Evaluate the pregnant woman’s typical diet for 2 weeks
D. Give the pregnant woman a book on nutrition

____ 24. Prenatal care and doctor visits are divided into:
A. First, second, and third trimester visits
B. A visit every 4 week throughout the pregnancy
C. A visit every 2 week throughout the pregnancy
D. A visit every week throughout the pregnancy

____ 25. The client, who is 8 weeks pregnant, is experiencing frequent nausea and vomiting. Following instruction
by the nurse, which of the following statements by the client best demonstrates understanding the
BEST course of management?
A. “I should plan to arise early so that I will have time to eat full breakfast.”
B. “I should avoid carbonated beverages as they can cause gas.”
C. “I should eat crackers or toast before arising.”
D. “I should avoid eating more frequently than every 4 hours.”

Test II. MATCHING TYPE

Match the terms in Column I with a definition, example or related statement from Column II. Write the letter
corresponding to the answer in the space provided. USE ONLY CAPITAL LETTERS.
COLUMN I COLUMN II
____ 1. Braxton Hicks contractions A. Food containing all nine essential amino acid
____ 2. Fetal alcohol syndrome B. Whitish, viscous vaginal discharge
____ 3. Leukorrhea C. Should be avoided by all women of childbearing age
st
____ 4. Palmar erythema except during the 1 10 days of menstrual cycle
____ 5. Headache D. Enzyme needed to break down milk sugar into glucose
____ 6. Radiation and galactose
____ 7. Modified Sim’s position E. May be caused by expanding blood volume that puts
____ 8. Teratogen pressure on cerebral arteries
th th
____ 9. Pyrosis F. Uterine cramps that may begin @ the 8 – 12 week of
____ 10. Toxoplasmosis pregnancy
____ 11. Pica G. Abnormal craving for nonfood substances
____ 12. Obese H. Burning sensation along esophagus caused by decreased
____ 13. Lactase gastric motility
____ 14. Complementary protein I. Foods that when cooked together provide all essential
____ 15. Complete protein amino acid
J. Any factor, chemical or physical, that adversely affects
the fertilized ovum, embryo, or fetus
K. Occurs early in pregnancy, probably caused by increased
estrogen levels
L. Protozoan infection spread through contact with cat stool
M. Lying laterally w/ abdomen on the bed and top leg
forward
N. Infant small for gestational age, w/ mental retardation,
characteristic craniofacial deformity
O. Woman weighing more than 200 lbs., BMI higher than 29,
or 50% above ideal body weight

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