Question 1

Leg cramps are a common problem during pregnancy. Which of the following is NOT a treatment for leg cramps?

Accepted Answer

A)  Gentle massage
B)  Stretching
C)  Heat
D)  Analgesics D

Question 2

All of the following are changes a woman may experience in the second trimester of pregnancy EXCEPT:

Accepted Answer

A)  BraxtonHicks contractions
B)  Increased fatigue
C)  Fetal movement
D)  Increased weight gain B

Question 3

A glucosescreening test is typically done around 28 weeks of pregnancy to identify an increased risk for which of the following conditions?

Accepted Answer

A)  Hyperemesis gravidarum
B)  Gestational diabetes
C)  Pregnancy induced hypertension
D)  Neural tube defects B

Question 4

A movie actress meets with a doula for her first prenatal visit. The client is seven weeks pregnant and has a BMI of 28. The doula suggests that the client needs to add 300 calories to her daily diet. The client is concerned about getting fat. She asks the nurse why it is important to add calories to her diet during pregnancy. Which of the following responses made by the doula is the LEAST appropriate?

Accepted Answer

A)  "The added calories are needed to supply energy for the fetus and placenta."
B)  "Carrying extra weight can be physically demanding. You need the added calories help you keep up with the increasing workload."
C)  "The thyroid function increases during pregnancy. You must have a sufficient amount of calories to keep up with the demands of having an elevated metabolic rate."
D)  "If you were obese, you would have been instructed to eat 1,200 calories per day. However, having a BMI of 28 shows that you need to add 300 more calories to support your pregnancy needs."

Question 5

Braxton Hicks contractions can best be defined as:

Accepted Answer

A)  True labor contractions
B)  Occasional, mainly painless, contractions that do not cause dilation or effacement of the cervix
C)  A warning sign that something is wrong with the pregnancy
D)  Painful contractions that require strong coping methods

Question 6

Which of the following is NOT TRUE about the Alpha Fetoprotein (AFP) screening test?

Accepted Answer

A)  It can diagnose spinal tube defects.
B)  It is typically done between 15 and 18 weeks of pregnancy.
C)  It has a high rate of false-positive results.
D)  It may also be referred to as a "triple screen" or "quad screen"

Question 7

Normal changes during the first trimester of pregnancy may include all of the following EXCEPT:

Accepted Answer

A)  Morning sickness
B)  Breast tenderness
C)  Feeling the baby move
D)  Increased need to urinate

Question 8

A client at 28 weeks' gestation complains of back pain. The client's most recent doctor's visit reveals normal findings. Which of the following suggestions from the doula would be LEAST effective at alleviating the client's back pain?

Accepted Answer

A)  "Walk with the pelvis tilted backward."
B)  "Wear shoes with low to moderate heels."
C)  "Perform pelvic rocking."
D)  "Slide a board under the mattress."

Question 9

A doula is teaching a pregnant woman about good personal hygiene during pregnancy. Which of the following statements made by the woman indicates that the teaching has been successful?

Accepted Answer

A)  "If increased vaginal discharge makes me feel uncomfortable, I can douche one to two times a week."
B)  "I need to avoid hot showers. The temperature may initiate labor."
C)  "I can have tub baths during pregnancy, unless I am at risk for premature rupture of membranes."
D)  "I need to see my dentist right after birth."

Question 10

Alcohol consumption during pregnancy has been linked to which of the following conditions?

Accepted Answer

A)  Birth defects
B)  Diabetes
C)  SIDS
D)  Hypertension

Question 11

A 32-year-old female client at 28 weeks' gestation complains of backache, especially at night. The doula teaches which of the following exercises to relieve the discomfort?

Accepted Answer

A)  Tailor sitting
B)  Kegel exercises
C)  Pelvic rocking
D)  Squatting

Question 12

A client asks you if it is safe to have sex during pregnancy. Your BEST response is:

Accepted Answer

A)  "You probably won't feel very interested in sex."
B)  "Your thoughts should be focused on your baby, not your partner."
C)  "Sex might bring on labor."
D)  "As long as you don't have any risk factors, sex is safe and enjoyable during pregnancy."

Question 13

A doula is teaching a pregnant client safe techniques for exercising. Which of the following is NOT a safe way of exercising when pregnant?

Accepted Answer

A)  Pointing the toes when exercising
B)  Avoiding exercises that hyperextend the lower back
C)  Avoiding practicing second stage pushing
D)  When rising from the floor, roll over to the side first and then push up

Question 14

A pregnant mother should avoid all of the following foods EXCEPT:

Accepted Answer

A)  Raw sprouts
B)  Soft cheeses
C)  Undercooked meats
D)  Fish

Question 15

Which of the following is NOT a reason ultrasound is used during pregnancy?

Accepted Answer

A)  To more accurately estimate a woman's due date
B)  To evaluate the location of the placenta, especially if a woman has bleeding during pregnancy
C)  To assess the fetus's physical development
D)  To help mother bond with her fetus before birth

Question 16

Smoking during pregnancy increases the risk of all of the following EXCEPT:

Accepted Answer

A)  Preterm labor
B)  Sudden Infant Death Syndrome (SIDS) 
C)  High blood pressure
D)  Lowbirth-weight

Question 17

Treatments for morning sickness, typically at its worst in the first trimester, include all of the following EXCEPT:

Accepted Answer

A)  Eating small, frequent meals.
B)  Limiting calories
C)  Eating before getting out of bed
D)  Ginger

Question 18

Which of the following is most likely to cause the "aches and pains" many women experience in pregnancy?

Accepted Answer

A)  Too much exercise
B)  Decreased blood volume
C)  A shift in her center of gravity
D)  Changing hormones

Question 19

The American Congress of Obstetricians and Gynecologists recommends how much moderate exercise every day?

Accepted Answer

A)  An hour
B)  30 minutes or more
C)  At least 45 minutes
D)  No more than 60 minutes

Question 20

Dental hygiene is important during pregnancy because:

Accepted Answer

A)  A mother's teeth don't get enough calcium.
B)  Pregnancy hormones can increase a mother's risk of gingivitis, which can lead to pregnancy complications.
C)  A mother wants to look her best to keep from feeling bad about her changing body shape.
D)  A pregnant woman must not use tooth whiteners at home.

Exam 5: Pregnancy