1. A woman’s obstetric history indicates that she is pregnant for the fourth time, and all of her children from previous pregnancies are living. One was born at 39 weeks of gestation, twins were born at 34 weeks of gestation, and another child was born at 35 weeks of gestation. What is her gravidity and parity using the GTPAL system? a.3-1-1-1-3 b. 4-1-2-0-4 c. 3-0-3-0-3 d. 4-2-1-0-3

2. Which statement regarding the probable signs of pregnancy is most accurate? a.Determined by ultrasound b.Observed by the health care provider c.Reported by the client d.Confirmed by diagnostic tests

3. hCG is an important biochemical marker for pregnancy and therefore the basis for many tests. Which statement regarding hCG is true? a.hCG can be detected as early as 2½ weeks after conception. b.hCG levels gradually and uniformly increase throughout pregnancy. c. Significantly lower-than-normal increases in the levels of hCG may indicate a postdate pregnancy. d. Higher-than-normal levels of hCG may indicate Down syndrome.

4. Some pregnant clients may complain of changes in their voice and impaired hearing. What should the nurse explain to the client concerning these findings? a.Voice changes are caused by decreased estrogen levels. b.Displacement of the diaphragm results in thoracic breathing. c.Voice changes and impaired hearing are due to the results of congestion and swelling of the upper respiratory tract. d.Increased blood volume causes changes in the voice.

5. What is the correct term for a woman who has completed one pregnancy with a fetus (or fetuses) reaching the stage of fetal viability? a.Primipara b.Primigravida c.Multipara d.Nulligravida

6. A woman arrives at the clinic for a pregnancy test. Her last menstrual period (LMP) was February 14, 2015. What is the expected date of birth (EDB)? a.September 17, 2015 b.November 7, 2015 c.November 21, 2015 d.December 17, 2015

7. Which sign or symptom is considered a first- trimester warning sign and should be immediately reported by the pregnant woman to her health care provider? a.Nausea with occasional vomiting b. Fatigue c. Urinary frequency d. Vaginal bleeding

8. A client has arrived for her first prenatal appointment. She asked the nurse to explain exactly how long the pregnancy will be. What is the nurse’s best response? a.Normal pregnancy is 10 lunar months. b.Pregnancy is made up of four trimesters. c.Pregnancy is considered term at 36 weeks. d. Estimated date of delivery (EDD is 40 completed weeks.

9. Which consideration is essential for the nurse to understand regarding follow-up prenatal care visits? a.The interview portions become more intensive as the visits become more frequent over the course of the pregnancy. b.Monthly visits are scheduled for the first trimester, every 2 weeks for the second trimester, and weekly for the third trimester. c.During the abdominal examination, the nurse should be alert for supine hypotension. d.For pregnant women, a systolic BP of 130mmHg and a diastolic BP of 80mm Hg is sufficient to be considered hypertensive.