OB/PEDS Online Quiz Week 2

Which is considered a normal physiologic change during pregnancy? a. ECG T-wave changes b. Increased cardiac output c. Increased bleeding time d. Decreased renal perfusion

increased cardiac output

Which of the following exercises should be taught to a pregnant woman who complains of backaches? Question options: a) Kegeling. b) Pelvic tilting. c) Leg lifting. d) Crunching.

pelvic tilting

A pregnant woman reports that she is still playing tennis competitively at 32 weeks of gestation. The nurse would be most concerned that this woman consume which of the following during and after tennis matches? Question options: a) Several glasses of fluid b) Extra protein sources such as peanut butter c) Salty foods to replace lost sodium d) Easily digested sources of carbohydrate

a) Several glasses of fluid no rationale but page 239 states "wear loose comfortable clothes, drink plenty of fluids, and avoid prolonged overheating -> Hyperthermia is teratogenic"

In her fourth lunar month of pregnancy, a woman is advised to adjust her daily routine as a typist. Office activities and the requirements of her work are discussed. Which of the following tasks needs to be modified for her to promote a healthy pregnancy? Question options: a) Sitting in one position for 6 hours without a break. b) Delivering messages to several adjacent departments each day. c) Answering the phone as relief for the receptionist 1 hour each day. d) Filing vouchers fro sales personnel for 2 hours daily.

a) Sitting in one position for 6 hours without a break. Rationale. To promote comfort and enhance venous circulation, she must change positions more frequently than once every 6 hours. The other activities discussed are not problematic. To promote comfort and enhance venous circulation, she must change positions more frequently than once every 6 hours. The other activities discussed are not problematic.

A new expectant father asks about leisure activities he can enjoy with his wife during their pregnancy. Which response by the nurse best indicatesa an understanding of the needs of the couple during pregnancy? Question options: a) "Although she may tire easily, you can continue most activities you have enjoyed in the past." b) "You may wish to continue with your hobbies, and allow you wife to enjoy leisure activites with her friends." c) "You should explore more sedentary recreation now, since active exercise needs to be limited." d) "This is a time to prepare yourselves for the role of new parents, rather than thinking of yourselves."

a) "Although she may tire easily, you can continue most activities you have enjoyed in the past."

The nurse recognizes which of the following maternal behaviors during the first trimester of pregnancy as a sign of normal maternal adaptation? Question options: a) Accepting the reality of the pregnancy b) Selecting a name for the newborn c) Taking prepared childbirth classes d) Buying newborn clothes

a) Accepting the reality of the pregnancy

The nurse determines that a woman is in her tenth week of gestation. Which of the following signs of pregnancy would the nurse expect to observe? Question options: a) Breast tenderness b) Quickening c) Dyspnea d) Dependent edema

a) Breast tenderness

A 36-week pregnant multigravida complains of dizziness and feels lightheaded when laying on her back. The symptom is caused by which of the following? Question options: a) pressure of the uterus on the vena cava and aorta. b) decreased red blood cell count in the third trimester. c) rapid breathing and subsequent hyperventilation. d) increased blood pressure due to expanded plasma volume.

a) pressure of the uterus on the vena cava and aorta.

While providing preconception counseling to a couple, the nurse explains that during development the fetus is most vulnerable to damaging agents during the: Question options: a) second trimester. b) embryonic period. c) third trimester. d) period immediately after conception.

b) embryonic period.

A woman is 8 months pregnant. She told the nurse that she knows her baby listens to her, but her husband thinks she is imagining things. Which one of the following responses by the nurse is most appropriate? Question options: a) "Many women imagine what their baby is like." b) "Babies in utero respond to sounds including their mother's voice." c) "You'll need to ask the physician if the baby can hear yet." d) "Thinking that your baby hears will help you bond to the baby."

b) "Babies in utero respond to sounds including their mother's voice."

A multipara in the fourteenth week of pregnancy seems discouraged after her second clinic visit. She tells the nurse, "I guess I am pleased to be pregnant, but these visits are so routine. It's hard for me to take time from work to sit in the waiting room for just a urine check and weigh-in." What teaching by the nurse would be emphasized with this client? Question options: a) "Although pregnancy is normal, one must be prepared for any problems." b) "These routine visits are essential to the fetus and to your health." c) "Perhaps you might weigh yourself at home each week and call us." d) "Have you considered resigning from your job at this time?"

b) "These routine visits are essential to the fetus and to your health."

An expectant father tells the nurse that he has been experiencing nausea and vomiting during his wife's pregnancy. This is an example of which of the following? Question options: a) Developmental crisis. b) Couvade. c) Maladaptive processes. d) Situational crisis.

b) Couvade.

During the first trimester of pregnancy, a woman can expect which one of the following changes in her sexual desire? Question options: a) Increase because of enlarging breasts b) Decrease because of nausea and fatigue c) No change in the first trimester d) Increase due to lack of need for birth control

b) Decrease because of nausea and fatigue

A couple is preparing to interview obstetric primary care providers in order to determine who they wll go to for care during their pregnancy and delivery. In order to make the best choice, which of the following actions should the couple perform first? Question options: a) Take a tour of hospital delivery areas. b) Develop a preliminary birth plan. c) Make appointments with three or four obstetric care providers. d) Search the internet for the malpractice histories of the providers.

b) Develop a preliminary birth plan.

A pregnant woman who is Rh negative is to receive RhoGAM prophylactically at 28 weeks' gestation. Before receiving the medication, she asks the nurse how the drug works. Which of the following best describes how RhoGAM acts in the expectant mother's body? Question options: a) RhoGAM attaches to maternal and paternal Rh antibodies and directly destroys them. b) RhoGAM suppresses the production of maternal antibodies. c) RhoGAM destroys fetal Rh positive red blood cells in the maternal circulation before sensitization can occur d) RhoGAM prevents fetal-maternal bleeding episodes from occurring at the former placenta site.

b) RhoGAM suppresses the production of maternal antibodies.

The nurse instructs an expectant couple about the symptoms of pregnancy. The symptoms a woman may experience during the first trimester are which of the following? Question options: a) amenorrhea, urinary frequency, and quickening. b) urinary frequency, morning sickness, and amenorrhea. c) weight gain and Braxton Hicks contractions. d) amenorrhea, ankle edema, and urinary frequency.

b) urinary frequency, morning sickness, and amenorrhea.

The nurse obtains a fetal heart rate (FHR) of 150 beats per minute. The normal baseline range for a FHR is which of the following? Question options: a) 80 to 160 beats per minute. b) 130 to 180 beats per minute. c) 120 to 160 beats per minute. d) 110 to 220 beats per minute.

c) 120 to 160 beats per minute. 80 BPM is considered bradycardia & would require in utero rescutation by means of nursing intervention or medical intervention.

A client makes the following statement after finding out that her pregnancy test is positive, "This is not a good time. I am in college and the baby will be due during final exams!" Which of the following responses by the nurse would be most appropriate at this time? Question options: a) "I'm absolutely positive that everything will turn out all right." b) "I suggest that you email your professors to set up an alternative plan." c) "It sounds like you're feeling a little overwhelmed right now." d) "You and the baby's father will find a way to get through the pregnancy."

c) "It sounds like you're feeling a little overwhelmed right now."

The phenomenon of physiologic anemia of pregnancy occurs because of which of the following? Question options: a) Hemolysis of red blood cells is accelerated during pregnancy. b) Iron stores are depleted due to nausea and vomiting in early pregnancy. c) Plasma volume is greater than the red blood cell mass. d) Red blood cell production decreases during pregnancy.

c) Plasma volume is greater than the red blood cell mass.

A pregnant woman at 10 weeks of gestation jogs about the effect of exercise on the fetus. The nurse would inform her that: Question options: a) "You do not need to modify your exercising anytime during your pregnancy." b) "Stop exercising because it will harm the fetus." c) "You may find that you will need to switch to walking during the third trimester." d) "Jogging is too hard on your body; switch to walking now."

c) "You may find that you will need to switch to walking during the third trimester." No rationale provided but review page 238-239 if help is needed

A 38 weeks pregnant woman expresses concern about the striae on her abdomen and breasts and asks when they will disappear. The nurse's best response would be, "The striae: Question options: a) "will disappear in approximately 6 weeks." b) "are a result of pregnancy and will not disappear." c) "will eventually fade to silver or white." d) "will disappear with the use of vitamin E oil."

c) "will eventually fade to silver or white."

A positive early diagnosis of pregnancy is based on the presence of which of the following? Question options: a) Quickening b) Chadwick's sign c) A fetal heart rate d) Positive pregnancy test

c) A fetal heart rate

A woman provides the nurse with the following obstetrical history: Delivered a son, now 7 years old at 28 weeks gestation; delivered a daughter, now 5 years old, at 39 weeks gestation; had a miscarriage 3 years ago; and had a first trimester abortion 2 years ago. She is currently pregnant. Which of the following correctly protrays her GTPAL? Question options: a) G4P2121 b) G4P1212 c) G5P1122 d) G5P2211

c) G5P1122 Rationale: This client has been pregnant 5 times (G5). She birthed a son and a daughter, had 1 miscarriage, had 1 abortion and is currently pregnant. Her parity reflects her obstetrical history: 1 full term birth (daughter); 1 preterm birth (son); 2 abortions (miscarriages count as abortions and are referred to as such even though they aren't induced), and has two living children.

The following four changes occur during pregnancy. Which of them will most likely increase the father's interest and involvement in the pregnancy? Question options: a) Learning the results of the pregnancy test. b) Attending childbirth education classes. c) Hearing the fetal heartbeat. d) Meeting the obstetrician or midwife.

c) Hearing the fetal heartbeat. Rationale: Father's have a hard time seeing the pregnancy as real, and many times the physical complaints of the woman (morning sickness, fatigue, breast tenderness, and urinary frequency) put them off the whole idea. But when they first hear the heart beat..the pregnancy becomes real and they become very excited.

A pregnant woman informs the nurse that her last normal menstrual period was on September 20, 2006. Using Nagele's rule, the nurse calcuates the client's estimated date of delivery as: Question options: a) May 30, 2007 b) June 20, 2007 c) June 27, 2007 d) July 3, 2007

c) June 27, 2007

A pregnant woman must have a glucose challenge test (GCT). Which of the following should be included in the preprocedure teaching? Question options: a) Fast for 12 hours before the test. b) Bring a urine specimen to the laboratory on the day of the test. c) Be prepared to have 4 blood specimens taken on the day of the test. d) The test should take one hour to complete.

d) The test should take one hour to complete. Rationale The GCT is done at approx 24 weeks gestation to assess the client's ability to metabolixe glucose. it is a one hour. nonfasting screening test. One hour after the client consumes 50 grams of concentrated glucose, as glucose serum is drawn. If the level is 130 mg/dL or higher, the client is referred for a 3 hour glucose tolerance test to determine if she has gestational diabetes.

A woman at 36 weeks gestation complains of leg cramps. The nurse knows that this symptom is most likely due to which of the following? Question options: a) high levels of circulating hormones. b) decreased number of red blood cells. c) lack of daily exercise. d) electrolyte imbalance.

d) electrolyte imbalance.