Maternal Newborn Nursing Test Maternity Nursing: Antepartum 4

Question 1

A client with chronic hypertension becomes pregnant. The nurse knows that which antihypertensive medication is CONTRAINDICATED during pregnancy?

Accepted Answer

Lisinopril (ACE inhibitor)

Answer

ACE inhibitors are teratogenic and can cause fetal renal dysgenesis, oligohydramnios, and neonatal renal failure; they are absolutely contraindicated in pregnancy.

Question 2

A nurse assesses a client at 22 weeks gestation who reports round ligament pain. Which description is MOST consistent with this condition?

Accepted Answer

Sharp, brief pain in the lower abdomen or groin with movement

Answer

Round ligament pain is characteristically sharp, brief, and occurs with sudden movement as the ligaments supporting the uterus stretch.

Question 3

A client at 18 weeks gestation asks about amniocentesis. The nurse explains the PRIMARY purpose of amniocentesis in the second trimester is to:

Accepted Answer

Evaluate fetal chromosomal abnormalities

Answer

Second-trimester amniocentesis is primarily used for genetic diagnosis of chromosomal abnormalities such as Down syndrome (trisomy 21).

Question 4

During a prenatal visit at 10 weeks, a client discloses she drinks two glasses of wine per day. The nurse's BEST response is:

Accepted Answer

Advise the client that no amount of alcohol is known to be safe during pregnancy

Answer

There is no established safe level of alcohol consumption during pregnancy; alcohol crosses the placenta and can cause fetal alcohol spectrum disorders at any gestational age.

Question 5

A client at 34 weeks gestation is admitted with abruptio placentae. Which assessment finding distinguishes abruption from placenta previa?

Accepted Answer

Rigid, board-like abdomen with dark-red bleeding

Answer

Abruptio placentae typically presents with sudden-onset, severe abdominal pain and a rigid, board-like uterus due to retroplacental hemorrhage, unlike the painless bleeding of previa.

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test Maternity Nursing: Antepartum 4