Antepartum Care Monitoring Quiz for Nurses

1. Which dietary element is critical for antepartum clients to prevent neural tube defects?

Iron supplementation

Folic acid supplementation

Calcium supplementation

Vitamin D supplementation

2. Which assessment is most important during routine antepartum visits to monitor placental function?

Maternal weight and blood pressure

Fundal height measurement and fetal heart rate

Maternal temperature and reflexes

Maternal glucose and ketone levels

3. A client reports vaginal bleeding at 15 weeks with a closed cervix. What is the most likely diagnosis?

Threatened abortion

Inevitable abortion

Incomplete abortion

Missed abortion

4. The expected weight gain during pregnancy for a client with normal pre-pregnancy BMI is approximately how many pounds?

15-20 pounds

25-35 pounds

40-50 pounds

50-60 pounds

5. Which medication is contraindicated during pregnancy due to teratogenic effects?

Prenatal vitamins

Acetaminophen

ACE inhibitors

Prenatal iron supplements

6. Group B Streptococcus (GBS) screening is typically performed at which gestational age?

16 weeks

24 weeks

28 weeks

35-37 weeks

7. A client at 32 weeks reports sharp right upper quadrant pain and headache. Which complication is suspected?

Placental abruption

Preeclampsia with HELLP syndrome

Appendicitis

Cholecystitis

8. Which maternal infection requires urgent treatment during pregnancy to prevent congenital transmission?

Common cold

Syphilis

Seasonal influenza

Mild gastroenteritis

9. The biophysical profile assesses how many components to evaluate fetal well-being?

Three

Four

Five

Six

10. A pregnant client reports decreased fetal movements. Which action is most appropriate?

Schedule an appointment in 2 weeks

Perform fetal kick counts and report findings to provider

Reassure the client that decreased movement is normal

Recommend bed rest for 24 hours

11. Which hormone is primarily responsible for maintaining the corpus luteum during early pregnancy?

Estrogen

Human chorionic gonadotropin (hCG)

Progesterone

Follicle-stimulating hormone (FSH)

12. Non-stress testing is typically initiated at which gestational age?

20 weeks

24 weeks

28 weeks

32 weeks

13. A client presents at 28 weeks with blood pressure 150/95 mmHg and proteinuria. Which complication is suspected?

Gestational hypertension

Preeclampsia

Chronic hypertension

Placental insufficiency

14. Which assessment finding in the second trimester requires notification of the healthcare provider?

Increased cervical mucus

Painless vaginal bleeding

Mild ankle edema

Linea nigra pigmentation

15. The Coombs test is ordered for a pregnant client who is Rh-negative. What does a positive indirect Coombs indicate?

Maternal infection

Maternal alloimmunization to fetal RBCs

Gestational diabetes

Preeclampsia

16. Which maternal condition increases the risk of gestational diabetes mellitus?

Maternal age under 20 years

Pre-pregnancy BMI greater than 25

Multiparity without previous complications

Caucasian ethnicity

17. A client is at 20 weeks gestation. What is the expected fundal height measurement in centimeters?

10 cm

15 cm

20 cm

25 cm

18. Which vital sign change is expected during pregnancy?

Increased systolic blood pressure by 10-15 mmHg

Decreased respiratory rate

Increased heart rate by 10-15 beats per minute

Decreased body temperature

19. The triple screen test is typically performed during which trimester?

First trimester (11-14 weeks)

Second trimester (15-20 weeks)

Third trimester (28-32 weeks)

Throughout all three trimesters

20. A client at 12 weeks gestation reports morning sickness. Which finding would require immediate intervention?

Mild nausea relieved by small frequent meals

Persistent vomiting with weight loss and electrolyte imbalance

Food aversions to specific proteins

Increased salivation

Antepartum Quiz: Can You Monitor the Pregnancy?