Prenatal Health Assessment Questions

A pregnant patient in her third trimester has gained 15 lbs. How does this compare to the expected weight gain?

A patient's Estimated Date of Delivery (EDD) is calculated based on which of the following factors?

Which of the following exemplifies the importance of considering race in a patient's profile during pregnancy?

Why is it important to consider a patient's age (adolescent vs. advanced maternal age) during pregnancy?

What information is obtained when calculating the Age of Gestation by adding the number of days between the LMP and the current date and dividing by 7?

Which of the following is the MOST direct application of understanding a patient's family health history in prenatal care?

During a prenatal visit, a patient mentions a history of congenital anomalies in their family. What is the MOST appropriate next step for the healthcare provider?

A 28-year-old patient is currently 10 weeks pregnant according to her LMP. Using the method described, her LMP was 73 days ago. What is her current AOG?

A pregnant patient reports experiencing nausea, vomiting, and bloating since her last menstrual period. While these can be common symptoms, what is the MOST important next step in confirming pregnancy?

A patient's obstetric history includes two term pregnancies, one preterm pregnancy, zero abortions, and three living children. How would this be documented using the TPAL system?

During an initial prenatal visit, a patient reports her Last Menstrual Period (LMP) began on July 10, 2024. Using Naegele's rule, what is her estimated date of delivery (EDD)?

A pregnant patient who is 20 weeks gestation asks about expected weight gain. What is the approximate recommended total weight gain for the entire pregnancy for someone with a healthy pre-pregnancy BMI?

A patient is in her second trimester of pregnancy. Approximately how much weight gain is considered normal during this period?

A patient's chart indicates she is G3 P1102. What does this information reveal about her obstetric history?

A patient reports a history of experiencing significant cramping and bloating even before missing her period. How should a healthcare provider interpret this information in the context of early pregnancy signs?

A woman's obstetric history includes a miscarriage at 10 weeks gestation, a term delivery of twins, and a preterm delivery of a single infant. Using the TPAL system, how would you document her parity?

A primipara is best defined as a woman who has:

Which of the following is NOT included in the TPALM components of obstetric scoring?

A multipara is a woman who has:

Gravidity (or Gravida) refers to:

In the context of obstetric history, what does 'A' stand for in TPALM?

Which element of past obstetric history includes information about episiotomy or laceration?

What aspect of a patient's delivery is NOT explicitly listed as a component of assessment during past obstetric history?

A patient's obstetric history is documented as G5 T3 P1 A1 L4. What does this indicate about her pregnancy history?

Which factor from a patient's social history would be most relevant in assessing the risk of complications during pregnancy and delivery?

A woman of Mediterranean origin is planning a pregnancy. Which inheritable disease should be considered during genetic counseling?

During a prenatal assessment, which congenital anomaly relates to incomplete closure of the embryo's developing nervous system?

Which of the following work conditions poses the highest risk for complications related to inheritable diseases like Sickle-Cell Anemia?

Parents who are both carriers for which disease would benefit from genetic counseling due to the higher prevalence within their shared ethnic background?

A patient's family history reveals a genetic disorder characterized by the accumulation of fat-laden cells in the spleen and liver. Which disease is most likely indicated?

Which of the following details about a previous cesarean delivery would be most important when planning the current delivery?

In a patient with Sickle-Cell Anemia, what is the primary mechanism by which the disease inhibits oxygen transport?

A pregnant patient at 30 weeks gestation reports experiencing a persistent headache and blurred vision. Which of the following actions is MOST appropriate based on the provided information?

A primigravida is currently 24 weeks pregnant. Using Bartholomew's Rule of Four, where would you expect to palpate the fundus?

A patient's fundal height measures 32 cm using McDonald's rule. Calculate the estimated gestational age in months.

A multigravida felt quickening at 16 weeks gestation. Using this information, estimate her expected date of confinement (EDC) if her date of quickening was August 1st, of the current year.

A patient's last menstrual period (LMP) started on June 10th, 2024. Using Naegele's rule, calculate her estimated due date (EDD).

A patient is documented as G3T1P1A1. Interpret this obstetrical history.

A woman is currently 10 weeks pregnant. She previously had a miscarriage at 16 weeks gestation and a live birth at 39 weeks gestation. How would you document her obstetrical history using the GTPAL system?

A patient at 38 weeks gestation reports decreased fetal movement. Which action is MOST appropriate?

How does parity differ from gravidity?

A patient's obstetrical record indicates she is a nullipara. What does this signify?

A pregnant woman's work environment involves frequent exposure to chemical solvents. Which potential newborn complication should the nurse prioritize when educating the client?

Which combination of health maintenance activities is MOST crucial for a client to promote a healthy pregnancy?

A pregnant client who is a heavy smoker is concerned about the health of her baby. Which of the following complications is LEAST likely to be directly associated with smoking during pregnancy?

At what point in a pregnancy is the frequency of prenatal visits typically increased to twice a month?

A pregnant client admits to regularly using illicit drugs during her first trimester. Beyond the risk of preterm delivery, which of the following complications is MOST directly associated with drug abuse during pregnancy?

Which factor differentiates an SGA infant from a typical newborn?

A client arrives for her first prenatal visit, suspecting she's pregnant. According to the recommended schedule, when should this first visit ideally occur?

A newborn has just been assessed using the APGAR scoring system and received a score of 6. How should this be interpreted?