Maternity Nursing: Antepartum Flashcards
7 cards from real Maternal Newborn Nursing Test practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Maternity Nursing: Antepartum flashcards as text
A client with chronic hypertension becomes pregnant. The nurse knows that which antihypertensive medication is CONTRAINDICATED during pregnancy?
Answer: Lisinopril (ACE inhibitor)
ACE inhibitors are teratogenic and can cause fetal renal dysgenesis, oligohydramnios, and neonatal renal failure; they are absolutely contraindicated in pregnancy.
A nurse assesses a client at 22 weeks gestation who reports round ligament pain. Which description is MOST consistent with this condition?
Answer: Sharp, brief pain in the lower abdomen or groin with movement
Round ligament pain is characteristically sharp, brief, and occurs with sudden movement as the ligaments supporting the uterus stretch.
A client at 18 weeks gestation asks about amniocentesis. The nurse explains the PRIMARY purpose of amniocentesis in the second trimester is to:
Answer: Evaluate fetal chromosomal abnormalities
Second-trimester amniocentesis is primarily used for genetic diagnosis of chromosomal abnormalities such as Down syndrome (trisomy 21).
During a prenatal visit at 10 weeks, a client discloses she drinks two glasses of wine per day. The nurse's BEST response is:
Answer: Advise the client that no amount of alcohol is known to be safe during pregnancy
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.
A client at 34 weeks gestation is admitted with abruptio placentae. Which assessment finding distinguishes abruption from placenta previa?
Answer: Rigid, board-like abdomen with dark-red bleeding
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.
The nurse teaches a client in her first trimester about physiologic changes of pregnancy. Which cardiovascular change is EXPECTED?
Answer: Increase in heart rate by 10–15 bpm
Maternal heart rate normally increases by 10–15 beats per minute during pregnancy to meet increased metabolic demands.
A client at 28 weeks gestation is undergoing a biophysical profile (BPP). Which score indicates fetal well-being and no need for immediate intervention?
Answer: Score of 8 out of 10
A BPP score of 8–10 out of 10 is considered normal and reassuring, indicating no fetal asphyxia.