Obstetric Nurse Test Obstetric Nurse Prenatal Care and Patient Education 2 — Questions and Answers
Question 1: A pregnant patient at 30 weeks asks when to report decreased fetal movement. The nurse correctly advises her to call if she counts fewer than 10 movements in how many hours?
- 1 hour
- 2 hours (Correct answer)
- 4 hours
- 6 hours
Correct answer: 2 hours
The 'count to 10' method recommends that patients report if they do not feel 10 distinct fetal movements within 2 hours after 28 weeks.
Question 2: Which food should pregnant women avoid to reduce the risk of listeriosis?
- Cooked chicken
- Pasteurized milk
- Deli meats and hot dogs (Correct answer)
- Well-cooked eggs
Correct answer: Deli meats and hot dogs
Deli meats and hot dogs can harbor Listeria monocytogenes and should be avoided or heated until steaming before consumption during pregnancy.
Question 3: What is the recommended total weight gain during pregnancy for a woman with a normal pre-pregnancy BMI (18.5–24.9)?
- 11–20 lbs
- 15–25 lbs
- 25–35 lbs (Correct answer)
- 28–40 lbs
Correct answer: 25–35 lbs
Per IOM guidelines, women with a normal pre-pregnancy BMI are advised to gain 25–35 pounds during pregnancy to support optimal fetal growth.
Question 4: A healthy pregnant patient asks about exercise during her second trimester. Which statement by the nurse is correct?
- Avoid all exercise to protect the fetus
- Moderate aerobic exercise is safe and beneficial for most healthy pregnant women (Correct answer)
- Exercise only during the first trimester
- High-impact exercise like running is the best choice
Correct answer: Moderate aerobic exercise is safe and beneficial for most healthy pregnant women
ACOG recommends 150 minutes of moderate-intensity aerobic exercise per week for healthy pregnant women with no obstetric contraindications.
Question 5: Which symptom should the nurse instruct a pregnant patient to report to her provider immediately?
- Mild lower back ache
- Braxton Hicks contractions after 36 weeks
- Sudden severe headache with visual disturbances (Correct answer)
- Mild swelling of the ankles in the evening
Correct answer: Sudden severe headache with visual disturbances
Sudden severe headache with visual changes (e.g., blurring, spots) are warning signs of preeclampsia and require immediate evaluation.
Question 6: What is the most important teaching point regarding alcohol consumption during pregnancy?
- One drink per day is safe in the second trimester
- Alcohol is safe after the first trimester is complete
- No amount of alcohol has been proven safe during pregnancy (Correct answer)
- Red wine in moderation supports fetal development
Correct answer: No amount of alcohol has been proven safe during pregnancy
No level of alcohol consumption is considered safe during pregnancy, as it can cause fetal alcohol spectrum disorders at any stage.
Obstetric Nurse Test Obstetric Nurse Prenatal Care and Patient Education 2
A pregnant patient at 30 weeks asks when to report decreased fetal movement.
The nurse correctly advises her to call if she counts fewer than 10 movements in how many hours?