OB week 2
The nurse is reviewing the diagnostic test results with a pregnant patient and informs the patient that she is going to have twins. Based on which diagnostic test did the nurse make such a conclusion? 1. Human placental lactogen 2. Ultrasound results 3. Cytogenetic testing 4. Amniotic fluid levels
2. Ultrasound results
With regard to abnormalities of chromosomes, nurses should be aware that: 1. they occur in approximately 10% of newborns. 2. abnormalities of number are a major cause of pregnancy loss. 3. Down syndrome is a result of an abnormal chromosomal structure. 4. unbalanced translocation results in a mild abnormality that the child will outgrow.
2. abnormalities of number are a major cause of pregnancy loss.
A woman is in for a routine prenatal checkup. You are assessing her urine for proteinuria. Which findings are considered normal (Select all that apply)? a.Dipstick assessment of trace to +1 b.<300 mg/24 hours c.Dipstick assessment of +2 d.>300 mg/24 hours
A, B
The diagnosis of pregnancy is based on which positive signs of pregnancy (Select all that apply)? a.Identification of fetal heartbeat b.Palpation of fetal outline c.Visualization of the fetus d.Verification of fetal movement e.Positive hCG test
A, C, D
Signs and symptoms that a woman should report immediately to her health care provider include (Select all that apply): a.Vaginal bleeding. b.Rupture of membranes. c.Heartburn accompanied by severe headache. d.Decreased libido. e.Urinary frequency
A,B,C
When planning a diet with a pregnant woman, the nurse's FIRST action would be to: A. Review the woman's current dietary intake. B. Teach the woman about the food pyramid. C. Caution the woman to avoid large doses of vitamins, especially those that are fat-soluble. D. Instruct the woman to limit the intake of fatty foods.
A. Review the woman's current dietary intake.
A woman has just moved to the United States from Mexico. She is 3 months pregnant and has arrived for her first prenatal visit. During her assessment interview, you discover that she has not had any immunizations. Which immunizations should she receive at this point in her pregnancy (Select all that apply)? a.Tetanus b.Diphtheria c.Chickenpox d.Rubella e.Hepatitis B
A.B.E
Which findings can be observed in the individuals with mosaicism on an autosomal gene? 1. Neural tube defect 2. Down syndrome 3. Congenital heart defect 4. Normal intelligence
2. Down syndrome
The genetic screening of a newborn is indicative of phenylketonuria. The nurse learns that the couple has no history of genetic disorders in the past three generations. What other tests does the nurse suggest to the couple to determine the reason for the genetic disorder? 1. Sonography of the fetus 2. Genetic test of the couple 3. Chorionic villus sampling 4. Maternal serum screening
2. Genetic test of the couple
A genetic test in a patient with hemophilia shows that the patient's partner is not a carrier for hemophilia. The patient is worried and wants to know about the chances of hemophilia in their children. What information should the nurse convey to the patient? The chance of hemophilia in the: 1. "Male offspring is 50%." 2. "Male offspring is 100%." 3. "Female offspring is 50%." 4. "Female offspring is 100%."
2. Male offspring is 100%
A patient in the eighteenth week of pregnancy visits a clinic to know about the development of the fetus. The patient says to the nurse, "I am excited, and I want to know what has developed in my child so far." What information should the nurse be able to tell to the patient about the fetus? The fetus has: 1. "Hair on the scalp." 2. "Some sweat glands." 3. "Nasal cartilage." 4. "Sebaceous glands."
1. "Hair on the scalp."
A patient who is 8 weeks pregnant wants to know when she can feel the fetal movements in the womb. What is the best nursing response? "You will have to wait for another: 1. 8 to 12 weeks." 2. 6 to 8 weeks." 3. 4 to 6 weeks." 4. 2 to 4 weeks."
1. 8 to 12 weeks
A pregnant patient has a sister with a genetic disorder but has never shown symptoms of the disorder herself. The patient's husband has an uncle with the disorder but has likewise never shown symptoms of the disorder himself. Which test is performed to determine the risk of the patient's fetus acquiring this disorder? 1. Carrier screening test 2. Maternal serum screening 3. Predispositional predictive testing 4. Presymptomatic predictive testing
1. Carrier screening test
What is the expected delivery date of a patient whose conception is reported on June 20, 2012? 1. March 13, 2013 2. March 27, 2013 3. February 13, 2013 4. February 27, 2013
1. March 13,2013
The blood pressure of a pregnant patient becomes low when the patient lies on the back. What would be the best nursing intervention to maintain normal blood pressure in the patient? 1. Position the patient to lie on the left side and rest. 2. Suggest that the patient perform aerobic exercises daily. 3. Have the patient stand up and take a deep breath. 4. Tell the patient to lie straight facing up and take frequent rest periods.
1. Position the patient to lie on the left side and rest.
The nurse is assessing a 40-year-old patient who is 12 weeks pregnant. What should the nurse anticipate based on the patient's age? 1. The fetus is at a risk for Down syndrome. 2. The patient is at a risk for sickle cell anemia. 3. The fetus is at a risk for neural tube defects. 4. The patient is at a risk for Huntington's disease (HD).
1. The fetus is at a risk for Down syndrome.
The primary health care provider instructs the nurse to administer warfarin (Coumadin) to a child with venous thrombosis. What precaution should the nurse take to prevent possible severe adverse drug reactions in the child? Administer: 1. The genotype-guided dose of the drug. 2. The drug orally on an empty stomach. 3. A test dosage before the medication. 4. The drug by the intramuscular route.
1. The genotype-guided dose of the drug.
During a genetic counseling session, a patient discloses that her partner's mother has color blindness. The laboratory results show that the patient does not have the genes that are responsible for color blindness. What does the nurse infer from this? The patient's son: 1. Will not demonstrate any color blindness. 2. Will become a carrier for color blindness. 3. Has a 25% chance of having color blindness. 4. Has a 50% chance of having color blindness.
1. Will not demonstrate any color blindness.
The nurse is assessing a group of pregnant women at a community health center. Which patients would be at highest risk for pregnancy-related complications? The patient: 1. With uncontrolled diabetes mellitus. 2. Who is of African-American descent. 3. Who is between 30 and 33 years old. 4. With history of alcohol consumption.
1. With uncontrolled diabetes mellitus.
After reviewing the maternal serum screening results of a pregnant patient, the nurse infers that the patient may be carrying a child with Down syndrome. What is the potential finding in the report? 1.Trisomy 2. Triploid 3. Tetralogy 4. Tetraploidy
1. trisomy
List the time span in lunar months, calendar months, weeks, and days that indicates the appropriate length for a normal pregnancy. Record your response as whole numbers separated by commas (ex. 2, 4, 6, 8). _______________
10,9,40,280
A woman is 8 months pregnant. She tells the nurse that she knows her baby listens to her, but her husband thinks she is imagining things. Which response by the nurse is most appropriate? 1. "Many pregnant women imagine what their baby is like." 2. "A baby in utero does respond to the mother's voice." 3. "You'll need to ask the doctor if the baby can hear yet." 4. "Thinking that your baby hears will help you bond with the baby."
2. "A baby in utero does respond to the mother's voice."
Before conducting the ultrasound scan, the nurse instructs the pregnant patient on the procedure. Which statement made by the patient indicates the need for further teaching? 1. "The sound waves are not harmful to the fetus at all." 2. "A needle is inserted in the abdomen during the scan." 3. "The frequency of the sound produced can be adjusted." 4. "Fetal anomalies can be identified by ultrasound scan."
2. "A needle is inserted in the abdomen during the scan."
What is the duration for which the sperm remains viable in the female reproductive system? 1. 2 to 4 days after intercourse 2. 3 to 5 days after intercourse 3. 4 to 8 days after intercourse 4. 5 to 9 days after intercourse
2. 3 to 5 days after intercourse
A newborn is diagnosed with Klinefelter syndrome. On assessing the family, the nurse finds that the couple feels embarrassed by the child. How should the nurse help the couple in coping with the situation? Select all that apply. The nurse: 1. Suggests giving up the child for adoption. 2. Explains the main reason for the disorder. 3. Directs the family to a genetic counselor. 4. Educates the family about the disorder. 5. Instructs about places to leave the child
3,4,5
A woman is 6 weeks pregnant. She has had a previous spontaneous abortion at 14 weeks of gestation and a pregnancy that ended at 38 weeks with the birth of a stillborn girl. What is her gravidity and parity using the GTPAL system?___________________
3-1-0-1-0
A child born to a couple is diagnosed with cystic fibrosis. After reviewing the genetic reports, the couple is found to be carriers for the disorder. How should the nurse explain this to the couple? This disorder is an: 1. "X-linked recessive inherited disorder." 2. "X-linked dominant inherited disorder." 3. "Autosomal recessive inherited disorder." 4. "Autosomal dominant inherited disorder."
3. "Autosomal recessive inherited disorder."
The nurse is teaching a student nurse about questions that can be asked of the patient before undergoing prenatal testing. The nurse then asked the student to write the set of questions on a piece of paper. Which question written by the student nurse indicates the need for further teaching? 1. "What is the age of your partner?" 2. "Do you smoke or drink regularly?" 3. "Do you believe in Christianity?" 4. "What is your partner's profession?
3. "Do you believe in Christianity?"
A couple has been counseled for genetic anomalies. They ask, "What is karyotyping?" The nurse's best response is: 1. "Karyotyping will reveal if the baby's lungs are mature." 2. "Karyotyping will reveal if your baby will develop normally." 3. "Karyotyping will provide information about the gender of the baby, and the number and structure of the chromosomes." 4. "Karyotyping will detect any physical deformities the baby has.
3. "Karyotyping will provide information about the gender of the baby, and the number and structure of the chromosomes."
The student nurse is giving a presentation about milestones in embryonic development. Which information should the student include? 1. At 8 weeks of gestation, primary lung and urethral buds appear. 2. At 12 weeks of gestation, the vagina is open or the testes are in position for descent into the scrotum. 3. At 20 weeks of gestation, the vernix caseosa and lanugo appear. 4. At 24 weeks of gestation, the skin is smooth, and subcutaneous fat is beginning to collect.
3. At 20 weeks of gestation, the vernix caseosa and lanugo appear.
A woman at 35 weeks of gestation has had an amniocentesis. The results reveal that surface-active phospholipids are present in the amniotic fluid. The nurse is aware that this finding indicates: 1. the fetus is at risk for Down syndrome. 2. the woman is at high risk for developing preterm labor. 3. lung maturity. 4. meconium is present in the amniotic fluid.
3. lung maturity.
How many veins and arteries are present between the maternal and the fetal circulatory system by the fifth week of pregnancy? 1. One vein and one artery 2. Two veins and one artery 3. One vein and two arteries 4. Two veins and two arteries
3. one vein and two arteries
The nurse is interacting with the parents of a newborn who is diagnosed with Down syndrome. What explanation should the nurse provide to the parents about the genetic disorder? Down syndrome is caused by: 1 A decreased intake of folic acid." 2 An X-linked recessive gene issue." 3 An autosomal recessive gene." 4 The presence of an extra chromosome."
4 The presence of an extra chromosome."
The nurse is providing genetic counseling for a patient with Stickler syndrome. What questions should the nurse ask the patient? 1. "Was your father older than 50 years of age when you were born?" 2. "Was your mother older than 35 years of age when you were born?" 3. "May I ask what the socioeconomic status of your family is?" 4. "Have you ever had any other children with birth defects?"
4. "Have you ever had any other children with birth defects?"
A patient who has experienced frequent miscarriages is referred for chromosomal analysis. Which sample should the nurse obtain to conduct karyotyping for the patient? 1. Urine 2. Saliva 3. Muscle 4. Blood
4. blood
The nurse caring for a newly pregnant woman would advise her that ideally prenatal care should begin: A. Before the first missed menstrual period. B. After the first missed menstrual period. C. After the second missed menstrual period. D. After the third missed menstrual period.
B. After the first missed menstrual period.
During pregnancy, many changes occur as a direct result of the presence of the fetus. Which of these adaptations meet this criteria? [select all that apply] a.Leukorrhea b.Development of the operculum c.Quickening d.Ballottement e.Lightening
C, D, E
A woman is in her seventh month of pregnancy. She has been complaining of nasal congestion and occasional epistaxis. The nurse suspects that: a.This is a normal respiratory change in pregnancy caused by elevated levels of estrogen. b.This is an abnormal cardiovascular change, and the nosebleeds are an ominous sign. c.The woman is a victim of domestic violence and is being hit in the face by her partner. d.The woman has been using cocaine intranasally.
a.This is a normal respiratory change in pregnancy caused by elevated levels of estrogen.
While teaching the expectant mother about personal hygiene during pregnancy, maternity nurses should be aware that: a.Tub bathing is permitted even in late pregnancy unless membranes have ruptured. b.The perineum should be wiped from back to front. c.Bubble bath and bath oils are permissible because they add an extra soothing and cleansing action to the bath. d.Expectant mothers should use specially treated soap to cleanse the nipples
a.Tub bathing is permitted even in late pregnancy unless membranes have ruptured.
A patient in her first trimester complains of nausea and vomiting. She asks, "Why does this happen?" The nurse's best response is: a."It is due to an increase in gastric motility." b."It may be due to changes in hormones." c."It is related to an increase in glucose levels." d."It is caused by a decrease in gastric secretions."
b."It may be due to changes in hormones."c."It is related to an increase in glucose levels.
A woman's obstetric history indicates that she is pregnant for the fourth time and all of her children from previous pregnancies are living. One was born at 39 weeks of gestation, twins were born at 34 weeks of gestation, and another child was born at 35 weeks of gestation. What is her gravidity and parity using the GTPAL system?a.3-1-1-1-3 b.4-1-2-0-4 c.3-0-3-0-3 d.4-2-1-0-3
b.4-1-2-0-4
During the first trimester, a woman can expect which of the following changes in her sexual desire? a.An increase, because of enlarging breasts b.A decrease, because of nausea and fatigue c.No change d.An increase, because of increased levels of female hormones
b.A decrease, because of nausea and fatigue
As relates to the father's acceptance of the pregnancy and preparation for childbirth, the maternity nurse should know that: a.The father goes through three phases of acceptance of his own. b.The father's attachment to the fetus cannot be as strong as that of the mother because it does not start until after birth. c.In the last 2 months of pregnancy, most expectant fathers suddenly get very protective of their established lifestyle and resist making changes to the home. d.Typically men remain ambivalent about fatherhood right up to the birth of their child.
a.The father goes through three phases of acceptance of his own.
A woman who is 32 weeks' pregnant is informed by the nurse that a danger sign of pregnancy could be: a.Constipation. b.Alteration in the pattern of fetal movement. c.Heart palpitations. d.Edema in the ankles and feet at the end of the day.
b.Alteration in the pattern of fetal movement.
Which statement about pregnancy is accurate? a.A normal pregnancy lasts about 10 lunar months. b.A trimester is one third of a year. c.The prenatal period extends from fertilization to conception. d.The estimated date of confinement (EDC) is how long the mother will have to be bedridden after birth.
a.A normal pregnancy lasts about 10 lunar months.
Prenatal testing for human immunodeficiency virus (HIV) is recommended for: a.All women, regardless of risk factors. b.A woman who has had more than one sexual partner. c.A woman who has had a sexually transmitted infection. d.A woman who is monogamous with her partner.
a.All women, regardless of risk factors.
A woman at 10 weeks of gestation who is seen in the prenatal clinic with presumptive signs and symptoms of pregnancy likely will have: a.Amenorrhea. b.Positive pregnancy test. c.Chadwick's sign. d.Hegar's sign.
a.Amenorrhea.
With regard to medications, herbs, shots, and other substances normally encountered by pregnant women, the maternity nurse should be aware that: a.Both prescription and over-the-counter (OTC) drugs that otherwise are harmless can be made hazardous by metabolic deficiencies of the fetus. b.The greatest danger of drug-caused developmental deficits in the fetus is seen in the final trimester. c.Killed-virus vaccines (e.g., tetanus) should not be given during pregnancy, but live-virus vaccines (e.g., measles) are permissible. d.No convincing evidence exists that secondhand smoke is potentially dangerous to the fetus
a.Both prescription and over-the-counter (OTC) drugs that otherwise are harmless can be made hazardous by metabolic deficiencies of the fetus.
Appendicitis may be difficult to diagnose in pregnancy because the appendix is: a.Displaced upward and laterally, high and to the right. b.Displaced upward and laterally, high and to the left. c.Deep at McBurney point. d.Displaced downward and laterally, low and to the right.
a.Displaced upward and laterally, high and to the right.
The multiple marker test is used to assess the fetus for which condition? a.Down syndrome c.Congenital cardiac abnormality b.Diaphragmatic hernia d.Anencephaly
a.Down syndrome
During a client's physical examination the nurse notes that the lower uterine segment is soft on palpation. The nurse would document this finding as: a.Hegar's sign b.McDonald's sign c.Chadwick's sign d.Goodell's sign
a.Hegar's sign
A first-time mother at 18 weeks of gestation comes for her regularly scheduled prenatal visit. The client tells the nurse that she is afraid that she is going into premature labor because she is beginning to have regular contractions. The nurse explains that this is the Braxton Hicks sign and teaches the client that this type of contraction: a.Is painless. b.Increases with walking. c.Causes cervical dilation. d.Impedes oxygen flow to the fetus.
a.Is painless
The mucous plug that forms in the endocervical canal is called the: a.Operculum. b.Leukorrhea. c.Funic souffle. d.Ballottement.
a.Operculum.
A woman who has completed one pregnancy with a fetus (or fetuses) reaching the stage of fetal viability is called a: a.Primipara. b.Primigravida. c.Multipara. d.Nulligravida.
a.Primipara.
Which behavior indicates that a woman is "seeking safe passage" for herself and her infant? a.She keeps all prenatal appointments. c.She drives her car slowly. b.She "eats for two." d.She wears only low-heeled shoes.
a.She keeps all prenatal appointments
Which symptom is considered a first-trimester warning sign and should be reported immediately by the pregnant woman to her health care provider? a.Nausea with occasional vomiting b.Fatigue c.Urinary frequency d.Vaginal bleeding
d.Vaginal bleeding
To reassure and educate pregnant clients about changes in their cardiovascular system, maternity nurses should be aware that: a.A pregnant woman experiencing disturbed cardiac rhythm, such as sinus arrhythmia requires close medical and obstetric observation, no matter how healthy she otherwise may appear. b.Changes in heart size and position and increases in blood volume create auditory changes from 20 weeks to term. c.Palpitations are twice as likely to occur in twin gestations. d.All of the above changes likely will occur.
b.Changes in heart size and position and increases in blood volume create auditory changes from 20 weeks to term.
The nurse should have knowledge of the purpose of the pinch test. It is used to: a.Check the sensitivity of the nipples. b.Determine whether the nipple is everted or inverted. c.Calculate the adipose buildup in the abdomen. d.See whether the fetus has become inactive
b.Determine whether the nipple is everted or inverted.
Physiologic anemia often occurs during pregnancy as a result of: a.Inadequate intake of iron. b.Dilution of hemoglobin concentration. c.The fetus establishing iron stores. d.Decreased production of erythrocytes.
b.Dilution of hemoglobin concentration.
A pregnant woman at 18 weeks of gestation calls the clinic to report that she has been experiencing occasional backaches of mild-to-moderate intensity. The nurse would recommend that she: a.Do Kegel exercises. c.Use a softer mattress. b.Do pelvic rock exercises. d.Stay in bed for 24 hours.
b.Do pelvic rock exercises
The nurse teaches a pregnant woman about the presumptive, probable, and positive signs of pregnancy. The woman demonstrates understanding of the nurse's instructions if she states that a positive sign of pregnancy is: a.A positive pregnancy test. b.Fetal movement palpated by the nurse-midwife. c.Braxton Hicks contractions. d.Quickening.
b.Fetal movement palpated by the nurse-midwife.
Which finding in the urine analysis of a pregnant woman is considered a variation of normal? a.Proteinuria b.Glycosuria c.Bacteria in the urine. d.Ketones in the urine.
b.Glycosuria
To reassure and educate pregnant clients about the functioning of their kidneys in eliminating waste products, maternity nurses should be aware that: a.Increased urinary output makes pregnant women less susceptible to urinary infection. b.Increased bladder sensitivity and then compression of the bladder by the enlarging uterus results in the urge to urinate even if the bladder is almost empty. c.Renal (kidney) function is more efficient when the woman assumes a supine position. d.Using diuretics during pregnancy can help keep kidney function regular.
b.Increased bladder sensitivity and then compression of the bladder by the enlarging uterus results in the urge to urinate even if the bladder is almost empty
Cardiovascular system changes occur during pregnancy. Which finding would be considered normal for a woman in her second trimester? a.Less audible heart sounds (S1, S2) b.Increased pulse rate c.Increased blood pressure d.Decreased red blood cell (RBC) production
b.Increased pulse rate
What type of cultural concern is the most likely deterrent to many women seeking prenatal care? a.Religion c.Ignorance b.Modesty d.Belief that physicians are evil
b.Modesty
In understanding and guiding a woman through her acceptance of pregnancy, a maternity nurse should be aware that: a.Nonacceptance of the pregnancy very often equates to rejection of the child. b.Mood swings most likely are the result of worries about finances and a changed lifestyle as well as profound hormonal changes. c.Ambivalent feelings during pregnancy usually are seen only in emotionally immature or very young mothers. d.Conflicts such as not wanting to be pregnant or childrearing and career-related decisions need not be addressed during pregnancy because they will resolve themselves naturally after birth.
b.Mood swings most likely are the result of worries about finances and a changed lifestyle as well as profound hormonal changes.
The maternity nurse understands that vascular volume increases 40% to 60% during pregnancy to: a.Compensate for decreased renal plasma flow. b.Provide adequate perfusion of the placenta. c.Eliminate metabolic wastes of the mother. d.Prevent maternal and fetal dehydration
b.Provide adequate perfusion of the placenta.
A 31-year-old woman believes that she may be pregnant. She took an OTC pregnancy test 1 week ago after missing her period; the test was positive. During her assessment interview, the nurse inquires about the woman's last menstrual period and asks whether she is taking any medications. The woman states that she takes medicine for epilepsy. She has been under considerable stress lately at work and has not been sleeping well. She also has a history of irregular periods. Her physical examination does not indicate that she is pregnant. She has an ultrasound scan, which reveals that she is not pregnant. What is the most likely cause of the false-positive pregnancy test result?a.She took the pregnancy test too early. b.She takes anticonvulsants. c.She has a fibroid tumor. d.She has been under considerable stress and has a hormone imbalance.
b.She takes anticonvulsants.
The musculoskeletal system adapts to the changes that occur during pregnancy. A woman can expect to experience what change? a.Her center of gravity will shift backward. b.She will have increased lordosis. c.She will have increased abdominal muscle tone. d.She will notice decreased mobility of her pelvic joints.
b.She will have increased lordosis.
A woman is at 14 weeks of gestation. The nurse would expect to palpate the fundus at which level? a.Not palpable above the symphysis at this time b.Slightly above the symphysis pubis c.At the level of the umbilicus d.Slightly above the umbilicus
b.Slightly above the symphysis pubis
Which time-based description of a stage of development in pregnancy is accurate? a.Viability—22 to 37 weeks since the last menstrual period (LMP) (assuming a fetal weight >500 g) b.Term—pregnancy from the beginning of week 38 of gestation to the end of week 42 c.Preterm—pregnancy from 20 to 28 weeks d.Postdate—pregnancy that extends beyond 38 weeks
b.Term—pregnancy from the beginning of week 38 of gestation to the end of week 42
With regard to the initial physical examination of a woman beginning prenatal care, maternity nurses should be cognizant of: a.Only women who show physical signs or meet the sociologic profile should be assessed for physical abuse. b.The woman should empty her bladder before the pelvic examination is performed. c.The distribution, amount, and quality of body hair are of no particular importance. d.The size of the uterus is discounted in the initial examination.
b.The woman should empty her bladder before the pelvic examination is performed.
To reassure and educate pregnant clients about changes in the uterus, nurses should be aware that: a.Lightening occurs near the end of the second trimester as the uterus rises into a different position. b.The woman's increased urinary frequency in the first trimester is the result of exaggerated uterine antireflexion caused by softening. c.Braxton Hicks contractions become more painful in the third trimester, particularly if the woman tries to exercise. d.The uterine souffle is the movement of the fetus.
b.The woman's increased urinary frequency in the first trimester is the result of exaggerated uterine antireflexion caused by softening.
Which statement about multifetal pregnancy is inaccurate? a.The expectant mother often develops anemia because the fetuses have a greater demand for iron. b.Twin pregnancies come to term with the same frequency as single pregnancies. c.The mother should be counseled to increase her nutritional intake and gain more weight. d.Backache and varicose veins often are more pronounced
b.Twin pregnancies come to term with the same frequency as single pregnancies.
A 3-year-old girl's mother is 6 months pregnant. What concern is this child likely to verbalize? a.How the baby will "get out" c.Whether her mother will die b.What the baby will eat d.What color eyes the baby has
b.What the baby will eat
What findings does the nurse expect in a female patient whose genetic report reveals monosomy of the X chromosome with a missing paternal X or Y chromosome? Select all that apply. A. Tall stature B. High-set ears C. Webbing of the neck D. High hairline in the back E. Lymphedema of the hands
c,e
A patient at 24 weeks of gestation contacts the nurse at her obstetric provider's office to complain that she has cravings for dirt and gravel. The nurse is aware that this condition is known as ________ and may indicate anemia. a.Ptyalism b.Pyrosis c.Pica d.Decreased peristalsis
c. pica
A pregnant woman at 10 weeks of gestation jogs three or four times per week. She is concerned about the effect of exercise on the fetus. The nurse should inform her: a."You don't need to modify your exercising any time during your pregnancy." b."Stop exercising because it will harm the fetus." c."You may find that you need to modify your exercise to walking later in your pregnancy, around the seventh month." d."Jogging is too hard on your joints; switch to walking now."
c."You may find that you need to modify your exercise to walking later in your pregnancy, around the seventh month."
Some pregnant clients may complain of changes in their voice and impaired hearing. The nurse can tell these clients that these are common reactions to: a.A decreased estrogen level. b.Displacement of the diaphragm, resulting in thoracic breathing c.Congestion and swelling, which occur because the upper respiratory tract has become more vascular. d.Increased blood volume.
c.Congestion and swelling, which occur because the upper respiratory tract has become more vascular.
In response to requests by the U.S. Public Health Service for new models of prenatal care, an innovative new approach to prenatal care known as centering pregnancy was developed. Which statement would accurately apply to the centering model of care? a.Group sessions begin with the first prenatal visit. b.At each visit, blood pressure, weight, and urine dipsticks are obtained by the nurse c.Eight to 12 women are placed in gestational-age cohort groups. d.Outcomes are similar to those of traditional prenatal care
c.Eight to 12 women are placed in gestational-age cohort groups
To provide the patient with accurate information about dental care during pregnancy, maternity nurses should be aware that: a.Dental care can be dropped from the priority list because the woman has enough to worry about and is getting a lot of calcium anyway. b.Dental surgery, in particular, is contraindicated because of the psychologic stress it engenders. c.If dental treatment is necessary, the woman will be most comfortable with it in the second trimester. d.Dental care interferes with the expectant mother's need to practice conscious relaxation
c.If dental treatment is necessary, the woman will be most comfortable with it in the second trimester.
To reassure and educate pregnant clients about changes in their breasts, nurses should be aware that: a.The visibility of blood vessels that form an intertwining blue network indicates full function of Montgomery's tubercles and possibly infection of the tubercles. b.The mammary glands do not develop until 2 weeks before labor. c.Lactation is inhibited until the estrogen level declines after birth. d.Colostrum is the yellowish oily substance used to lubricate the nipples for breastfeeding
c.Lactation is inhibited until the estrogen level declines after birth.
With regard to the initial visit with a client who is beginning prenatal care, nurses should be aware that: a.The first interview is a relaxed, get-acquainted affair in which nurses gather some general impressions. b.If nurses observe handicapping conditions, they should be sensitive and not inquire about them because the client will do that in her own time. c.Nurses should be alert to the appearance of potential parenting problems, such as depression or lack of family support. d.Because of legal complications, nurses should not ask about illegal drug use; that is left to physicians.
c.Nurses should be alert to the appearance of potential parenting problems, such as depression or lack of family support.
The nurse should be aware that the partner's main role in pregnancy is to: a.Provide financial support. b.Protect the pregnant woman from "old wives' tales." c.Support and nurture the pregnant woman. d.Make sure the pregnant woman keeps prenatal appointments.
c.Support and nurture the pregnant woman.
With regard to a woman's reordering of personal relationships during pregnancy, the maternity nurse should understand that: a.Because of the special motherhood bond, a woman's relationship with her mother is even more important than with the father of the child. b.Nurses need not get involved in any sexual issues the couple has during pregnancy, particularly if they have trouble communicating them to each other. c.Women usually express two major relationship needs during pregnancy: feeling loved and valued and having the child accepted by the father. d.The woman's sexual desire is likely to be highest in the first trimester because of the excitement and because intercourse is physically easier.
c.Women usually express two major relationship needs during pregnancy: feeling loved and valued and having the child accepted by the father.
For what reason would breastfeeding be contraindicated? a.Hepatitis B b.Everted nipples c.History of breast cancer 3 years ago d.Human immunodeficiency virus (HIV) positive
d. HIV
A woman who is 14 weeks pregnant tells the nurse that she always had a glass of wine with dinner before she became pregnant. She has abstained during her first trimester and would like to know if it is safe for her to have a drink with dinner now. The nurse would tell her: a."Since you're in your second trimester, there's no problem with having one drink with dinner." b."One drink every night is too much. One drink three times a week should be fine." c."Since you're in your second trimester, you can drink as much as you like." d."Because no one knows how much or how little alcohol it takes to cause fetal problems, the best course is to abstain throughout your pregnancy."
d."Because no one knows how much or how little alcohol it takes to cause fetal problems, the best course is to abstain throughout your pregnancy."
A woman is 3 months pregnant. At her prenatal visit, she tells the nurse that she doesn't know what is happening; one minute she's happy that she is pregnant, and the next minute she cries for no reason. Which response by the nurse is most appropriate? a."Don't worry about it; you'll feel better in a month or so." b."Have you talked to your husband about how you feel?" c."Perhaps you really don't want to be pregnant." d."Hormonal changes during pregnancy commonly result in mood swings."
d."Hormonal changes during pregnancy commonly result in mood swings."
What represents a typical progression through the phases of a woman's establishing a relationship with the fetus? a.Accepts the fetus as distinct from herself—accepts the biologic fact of pregnancy—has a feeling of caring and responsibility b.Fantasizes about the child's gender and personality—views the child as part of herself—becomes introspective c.Views the child as part of herself—has feelings of well-being—accepts the biologic fact of pregnancy d."I am pregnant."—"I am going to have a baby."—"I am going to be a mother."
d."I am pregnant."—"I am going to have a baby."—"I am going to be a mother."
Human chorionic gonadotropin (hCG) is an important biochemical marker for pregnancy and the basis for many tests. A maternity nurse should be aware that: a.hCG can be detected 2.5 weeks after conception. b.The hCG level increases gradually and uniformly throughout pregnancy. c.Much lower than normal increases in the level of hCG may indicate a postdate pregnancy. d.A higher than normal level of hCG may indicate an ectopic pregnancy or Down syndrome.
d.A higher than normal level of hCG may indicate an ectopic pregnancy or Down syndrome.
To reassure and educate their pregnant clients about changes in their blood pressure, maternity nurses should be aware that: a.A blood pressure cuff that is too small produces a reading that is too low; a cuff that is too large produces a reading that is too high. b.Shifting the client's position and changing from arm to arm for different measurements produces the most accurate composite blood pressure reading at each visit. c.The systolic blood pressure increases slightly as pregnancy advances; the diastolic pressure remains constant. d.Compression of the iliac veins and inferior vena cava by the uterus contributes to hemorrhoids in the later stage of term pregnancy.
d.Compression of the iliac veins and inferior vena cava by the uterus contributes to hemorrhoids in the later stage of term pregnancy.
The phenomenon of someone other than the mother-to-be experiencing pregnancy-like symptoms such as nausea and weight gain applies to the: a.Mother of the pregnant woman. c.Sister of the pregnant woman. b.Couple's teenage daughter. d.Expectant father
d.Expectant father
With regard to follow-up visits for women receiving prenatal care, nurses should be aware that: a.The interview portions become more intensive as the visits become more frequent over the course of the pregnancy. b.Monthly visits are scheduled for the first trimester, every 2 weeks for the second trimester, and weekly for the third trimester. c.During the abdominal examination, the nurse should be alert for supine hypotension. d.For pregnant women, a systolic blood pressure (BP) of 130 and a diastolic BP of 80 is sufficient to be considered hypertensive
d.For pregnant women, a systolic blood pressure (BP) of 130 and a diastolic BP of 80 is sufficient to be considered hypertensive
While you are assessing the vital signs of a pregnant woman in her third trimester, the patient complains of feeling faint, dizzy, and agitated. Which nursing intervention is appropriate? a.Have the patient stand up and retake her blood pressure. b.Have the patient sit down and hold her arm in a dependent position c.Have the patient lie supine for 5 minutes and recheck her blood pressure on both arms. d.Have the patient turn to her left side and recheck her blood pressure in 5 minutes
d.Have the patient turn to her left side and recheck her blood pressure in 5 minutes
To reassure and educate pregnant clients about changes in the cervix, vagina, and position of the fetus, nurses should be aware that: a.Because of a number of changes in the cervix, abnormal Papanicolaou (Pap) tests are much easier to evaluate. b.Quickening is a technique of palpating the fetus to engage it in passive movement. c.The deepening color of the vaginal mucosa and cervix (Chadwick's sign) usually appears in the second trimester or later as the vagina prepares to stretch during labor. d.Increased vascularity of the vagina increases sensitivity and may lead to a high degree of arousal, especially in the second trimester.
d.Increased vascularity of the vagina increases sensitivity and may lead to a high degree of arousal, especially in the second trimester.
Which statement about a condition of pregnancy is accurate?a.Insufficient salivation (ptyalism) is caused by increases in estrogen. b.Acid indigestion (pyrosis) begins early but declines throughout pregnancy. c.Hyperthyroidism often develops (temporarily) because hormone production increases. d.Nausea and vomiting rarely have harmful effects on the fetus and may be beneficial.
d.Nausea and vomiting rarely have harmful effects on the fetus and may be beneficial.
The nurse caring for the pregnant client must understand that the hormone essential for maintaining pregnancy is: a.Estrogen. b.Human chorionic gonadotropin (hCG). c.Oxytocin. d.Progesterone.
d.Progesterone.
Numerous changes in the integumentary system occur during pregnancy. Which change persists after birth? a.Epulis b.Chloasma c.Telangiectasia d.Striae gravidarum
d.Striae gravidarum
In her work with pregnant women of various cultures, a nurse practitioner has observed various practices that seemed strange or unusual. She has learned that cultural rituals and practices during pregnancy seem to have one purpose in common. Which statement best describes that purpose? a.To promote family unity b.To ward off the "evil eye" c.To appease the gods of fertility d.To protect the mother and fetus during pregnancy
d.To protect the mother and fetus during pregnancy
When discussing work and travel during pregnancy with a pregnant patient, nurses should instruct them that: a.Women should sit for as long as possible and cross their legs at the knees from time to time for exercise. b.Women should avoid seat belts and shoulder restraints in the car because they press on the fetus. c.Metal detectors at airport security checkpoints can harm the fetus if the woman passes through them a number of times. d.While working or traveling in a car or on a plane, women should arrange to walk around at least every hour or so
d.While working or traveling in a car or on a plane, women should arrange to walk around at least every hour or so
