Prenatal Care Quiz: Pregnancy Tracking Knowledge

1. A client in the second trimester reports leg swelling and calf tenderness. What is the primary concern?

Dependent edema

Deep vein thrombosis

Varicose veins

Lymphedema

2. In prenatal care, the fundal height is measured to assess fetal growth. At 20 weeks, the fundus should be at which landmark?

Symphysis pubis

Midway between pubis and umbilicus

Level of the umbilicus

Midway between umbilicus and xiphoid

3. A client reports persistent headache and visual changes at 34 weeks. What condition requires immediate evaluation?

Gestational diabetes

Preeclampsia

Anemia

Hyperthyroidism

4. During prenatal care, adequate calcium intake is essential. How much calcium is recommended daily?

500 mg

800 mg

1,000 mg

1,500 mg

5. Which finding on a nonstress test indicates a reassuring fetal status?

Baseline rate 100 bpm with no variability

Two accelerations of 15 bpm lasting 15 seconds in 20 minutes

One deceleration per contraction

Baseline rate 160 bpm with low variability

6. A pregnant client reports vaginal itching and thick white discharge. What is the likely diagnosis?

Bacterial vaginosis

Candida infection

Trichomoniasis

Pelvic inflammatory disease

7. During prenatal care, RhoGAM is administered to Rh-negative women. At what gestational age is it typically given?

12 weeks

20 weeks

28 weeks

36 weeks

8. A client reports persistent nausea and vomiting at 10 weeks. When should hyperemesis gravidarum be suspected?

Any nausea after 8 weeks

Severe symptoms causing weight loss and electrolyte imbalance

Nausea lasting more than 5 days

Morning sickness after noon

9. What is the normal maternal heart rate increase during pregnancy?

5–10 beats per minute

10–15 beats per minute

20–25 beats per minute

30–40 beats per minute

10. During prenatal care, which immunization is safe and recommended during pregnancy?

MMR vaccine

Influenza vaccine

Varicella vaccine

Live polio vaccine

11. At what gestational age does the fetal heart become audible with a Doppler ultrasound?

8–10 weeks

10–12 weeks

14–16 weeks

18–20 weeks

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

Prenatal vitamins

Acetaminophen

ACE inhibitors

Penicillin

13. A pregnant client reports no fetal movement for 12 hours at 34 weeks. What is the nurse's priority action?

Schedule an ultrasound within the week

Perform a nonstress test immediately

Advise the client to eat and rest

Document and reassess at the next visit

14. Prenatal care monitoring at 28 weeks includes testing for gestational diabetes. What is the initial screening test?

Fasting glucose

50-gram glucose challenge test

2-hour glucose tolerance test

Hemoglobin A1C

15. Which screening test is offered between 11–14 weeks and combines maternal serum markers with nuchal translucency?

Integrated screen

First trimester screen

Triple screen

Sequential screen

16. A client's blood pressure is 140/90 mmHg at 32 weeks with proteinuria. What condition is suspected?

Gestational hypertension

Preeclampsia

Chronic hypertension

Hemolytic anemia

17. What is the recommended weight gain for a pregnant woman with a normal BMI?

15–20 pounds

25–35 pounds

40–50 pounds

50–60 pounds

18. Daily folic acid supplementation during prenatal care prevents which serious fetal condition?

Cardiac defects

Neural tube defects

Cleft palate

Polydactyly

19. A pregnant woman reports severe abdominal pain and vaginal bleeding at 8 weeks. What is the primary concern?

Placental abruption

Ectopic pregnancy

Gestational diabetes

Preeclampsia

20. Which blood test screens for Down syndrome and is typically performed between 15–22 weeks?

First trimester screen

Quad screen

Glucose tolerance test

Kleihauer-Betke test

Prenatal Care Quiz: Can You Track the Pregnancy?

1. A client in the second trimester reports leg swelling and calf tenderness. What is the primary concern?

2.

What first name or nickname would you like us to use?

2. In prenatal care, the fundal height is measured to assess fetal growth. At 20 weeks, the fundus should be at which landmark?

3. A client reports persistent headache and visual changes at 34 weeks. What condition requires immediate evaluation?

4. During prenatal care, adequate calcium intake is essential. How much calcium is recommended daily?

5. Which finding on a nonstress test indicates a reassuring fetal status?

6. A pregnant client reports vaginal itching and thick white discharge. What is the likely diagnosis?

7. During prenatal care, RhoGAM is administered to Rh-negative women. At what gestational age is it typically given?

8. A client reports persistent nausea and vomiting at 10 weeks. When should hyperemesis gravidarum be suspected?

9. What is the normal maternal heart rate increase during pregnancy?

10. During prenatal care, which immunization is safe and recommended during pregnancy?

11. At what gestational age does the fetal heart become audible with a Doppler ultrasound?

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

13. A pregnant client reports no fetal movement for 12 hours at 34 weeks. What is the nurse's priority action?

14. Prenatal care monitoring at 28 weeks includes testing for gestational diabetes. What is the initial screening test?

15. Which screening test is offered between 11–14 weeks and combines maternal serum markers with nuchal translucency?

16. A client's blood pressure is 140/90 mmHg at 32 weeks with proteinuria. What condition is suspected?

17. What is the recommended weight gain for a pregnant woman with a normal BMI?

18. Daily folic acid supplementation during prenatal care prevents which serious fetal condition?

19. A pregnant woman reports severe abdominal pain and vaginal bleeding at 8 weeks. What is the primary concern?

20. Which blood test screens for Down syndrome and is typically performed between 15–22 weeks?