Maternity Chapter 4 & 5 Exam

Prenatal visits from ____________ weeks to __________ weeks are every ________ to _________ weeks.

29 weeks 36 weeks 2 to 3 weeks

A client who is at 7 weeks of gestation is experiencing nausea and vomiting in the morning. Which of the following information should the nurse include in the teaching? A. Eat crackers or plain toast before getting out of bed B. Awaken during the night to eat a snack C. Skip breakfast and eat lunch after nausea has subsided D. Eat a large evening meal

ANS: A

Prenatal visits from ___________ weeks to b___________ are every __________.

37 weeks birth every week

A nurse is caring for a client who is pregnant and reviewing signs of complications the client should promptly report to the MD. Which of the following complications should the nurse include in the teaching? A. Vaginal bleeding B. Swelling of the ankles C. Heartburn after eating D. Lightheadedness when lying on back

ANS: A

A woman pregnant for the first time asks the nurse, When will I begin to feel the baby move? What is the nurses best response? a. You may notice the baby moving around the 4th or 5th month. b. Quickening varies with every woman. c. You'll feel something by the end of the first trimester. d. The baby will be big enough for you to feel in your 8th month.

ANS: A

A woman who is 37 weeks pregnant reports feeling dizzy when lying on her back. What does the nurse explain as the most likely cause of this symptom? a. Supine hypotension syndrome b. Gestational diabetes c. Pregnancy-induced hypertension d. Malnutrition

ANS: A

Pica is an _______ disorder characterized by having _________ & _________ s___________ that provide no n___________ value such as: (KNOW 2 EXAMPLES) 1.___________ 2.____________

ANS: eating disorder cravings & eating substances nutritional EXAMPLES: paper, clay, dirt, paint chips, hair & etc

The signs & symptoms for p___________________ also called a kidney infection are _________ pain or t_____________s, a high ____________, c_________, and n____________ & v_______________.

ANS: pyelonephritis flank pain & tenderness high fever chills nausea & vomiting

What are the positive signs of pregnancy? (SATA) 1. Fetal heart activity 2. Positive serum pregnancy test 3. Fetal movements felt by mother 4. Fetal outline identified by palpation 5. Visualization of fetus with ultrasound

ANS: 1, 5

There are _______ weeks in each trimester.

ANS: 13 weeks

Which routine assessments are made at each prenatal visit? (SATA) 1. Glucose tolerance test (GTT) 2. Fundal height 3. Urinalysis for protein, glucose, and ketones 4. Fetal heart rate 5. Leopold's maneuvers

ANS: 2, 3, 4

The fetal heart begins beating at _______ weeks gestation, it can be seen on an ultrasound by _______ weeks & it can be heard with a ___________ at _____________ weeks.

ANS: 3 weeks, 8 weeks, doppler, 10 weeks

C____________ abortion is the passage of all p___________ of c____________ (POC), the c___________ closes & b_____________ stops.

ANS: Complete abortion passage of all products of conception (POC) cervix closes bleeding stops

I_______________ abortion characteristics are b____________, c_____________, dilation of c____________, and passage of ___________ tissue.

ANS: Incomplete abortion bleeding cramping dilation of cervix passage of some tissue

I_______________ abortion characteristics are increased b____________, c______________ & the cervix ________________.

ANS: Inevitable abortion increased bleeding cramps cervix dilates

Antepartum occurs b___________ childbirth, Intrapartum occurs d____________ c________________, and Postpartum is the period f_______________ c___________________.

ANS: before childbirth during childbirth following childbirth

An ultrasound confirms that a 16-year-old girl is pregnant. How does the need for prenatal care and counseling for adolescents different from other age populations? a. A pregnant adolescent is experiencing two major life transitions at the same time. b. Adolescents who get pregnant are more likely to have other chronic health problems. c. Adolescents are at greater risk for multifetal pregnancies. d. At this age, a pregnant adolescent will accept the nurses advice.

ANS: A

What is the focus phase for an expecting father? a. plans to participate in the birthing process, changes lifestyles & begins to feel like a father. b. revises financial plans, involved in planning the nursery, wants to listen to the heart beat & feel movement, trades in golf club for a stroller. c. ambivalence, self-questioning, difficulty perceiving fetus as real.

ANS: A

During the physical examination for the first prenatal visit, it is noted that Chadwick's sign is present. What is Chadwick's sign? a. Bluish or purplish discoloration of the vulva, vagina, and cervix b. Presence of early fetal movements c. Darkening of the areola and breast tenderness d. Palpation of the fetal outline

ANS: A Bluish or purplish discoloration of the vulva, vagina, and cervix

The nurse cautions the patient that, because of hormonal changes in late pregnancy, the pelvic joints relax. What does this result in? (Select all that apply.) a. Waddling gait b. Joint instability c. Urinary frequency d. Back pain

ANS: A, B

A nurse is teaching a client who is at 6 weeks gestation about common discomforts of pregnancy. Which of the following findings should the nurse include in the teaching? (SATA) A. Breast tenderness B. Urinary frequency C. Epistaxis D. Dysuria E. Epigastric pain

ANS: A, B, C

A patient who is 30 weeks pregnant delivers a stillborn child in the emergency department (ED). What should the ED nurse offer the patient? (SATA) a. Privacy b. An opportunity to hold the infant c. Materials about support groups d. A memento (footprint or lock of hair) e. A warm beverage

ANS: A, B, C, D

What nursing interventions are appropriate for the prenatal patient in terms of prenatal care? (Select all that apply.) a. Offer nutritional counseling. b. Reinforce responsibility of parenthood. c. Reduce risk factors. d. Improve health practices. e. Make financial arrangements for delivery.

ANS: A, B, C, D

The nurse recognizes which behavior characteristic(s) of women in their first trimester of pregnancy? (Select all that apply.) a. Showing off her sonogram photos b. Ambivalence about pregnancy c. Emotional and labile mood d. Focusing on her infant e. Fatigue

ANS: A, B, C, E

The nurse emphasizes to a patient with a high-risk pregnancy that the impact of such a pregnancy might result in which problems? (SATA) a. Disruption of family roles b. Financial pressures c. Excessive attachment to infant d. Frustration with activity restriction e. Alteration in child care practices

ANS: A, B, D, E

The nurse is obtaining history and physical information on a new patient attending her first prenatal visit. After recording current height, weight, and BMI, it is determined that the patient is obese. What complications related to obesity will the nurse assess this patient for during pregnancy? (Select all that apply.) a. Gestational diabetes b. RH Incompatibility c. Hypertension d. Pre-eclampsia e. Infection

ANS: A, C, D

The nurse educates prenatal patients about the threat of TORCH infections. Which infections are included in this classification? (SATA) a. Toxoplasmosis b. Toxemia c. Cytomegalovirus d. Rubella e. Herpes simplex

ANS: A, C, D, E

Which symptoms are expected changes during pregnancy? (SATA) A. Constipation B. Blurred vision C. Breast enlargement D. Skin discoloration E. Mild vaginal bleeding F. Nasal stuffiness

ANS: A, C, D, F

The nurse takes into consideration that the patient with placenta previa is at risk for postpartum infection for what reasons? (Select all that apply.) a. Vaginal organisms can invade the placenta. b. The undernourished placenta becomes necrotic. c. The amniotic fluid can become infected. d. The placenta is an excellent growth medium. e. The misplaced placenta weakens the uterine wall.

ANS: A, D

What would the nurse include in a teaching plan for the pregnant patient who has iron deficiency anemia and has been placed on iron supplements? (Select all that apply.) a. Citrus fruits enhance absorption of iron. b. Bran products support iron deficiency. c. Milk will disguise the taste of the iron. d. The iron therapy will continue for about 3 months. e. Tea should be avoided while taking iron

ANS: A, D, E

A client who is at 8 weeks of gestation tells the nurse that she isn't sure she is happy about being pregnant. Which of the following responses should the nurse make? A. I will inform the provider that you are having these feelings B. It is normal to have these feelings during the first few months of pregnancy C. You should be happy that you are going to bring new life into the world D. I am going to make an appointment with the counselor for you to discuss these thoughts

ANS: B

A pregnant woman is attending her second postpartum visit. Prenatal lab work indicates she is not immune to the rubella virus. What is the most appropriate nursing intervention? a. Provide the rubella vaccine as ordered by the physician immediately. b. Inform the woman she should receive the vaccine in the hospital after delivery. c. Hold all immunizations until 1 month postpartum. d. Encourage the patient to decide whether or not to get the rubella vaccine prenatally.

ANS: B

At what time during pregnancy would patient education focus mainly on physiologic changes, fetal development, sexuality during pregnancy, and nutrition? A. Before conception B. 1st trimester C. 2nd trimester D. 3rd trimester

ANS: B

When the nurse tells a pregnant woman that she needs 1,200 mg of calcium daily during pregnancy, the woman responds, "I don't like milk." What dietary adjustments could the nurse recommend? a. Increase intake of organ meats. b. Eat more green leafy vegetables. c. Choose more fresh fruits, particularly citrus fruits. d. Include molasses and whole-grain breads in the diet.

ANS: B Eat more green leafy vegetables

A woman seeking prenatal care relates a history of macrosomic infants, two stillbirths, and polyhydramnios with each pregnancy. What does the nurse recognize these factors highly suggest? a. Toxoplasmosis b. Abruptio placentae c. Hydatidiform mole d. Diabetes mellitus

ANS: d Diabetes mellitus

The nurse has explained physiological changes that occur during pregnancy. Which statement indicates that the woman understands the information? a. Blood pressure goes up toward the end of pregnancy. b. My breathing will get deeper and a little faster. c. Ill notice a decreased pigmentation in my skin. d. There will be a curvature in the upper spine area.

ANS: B My breathing will get deeper and a little faster."

A woman calls her health care provider to schedule prenatal visits in an uncomplicated pregnancy. How frequently will the nurse assist the patient to schedule these appointments? a. Every 3 weeks until the 6th month, then every 2 weeks until delivery b. Every 4 weeks until the 7th month, after which appointments will become more frequent c. Monthly until the 8th month d. Every 2 to 3 weeks for the entire pregnancy

ANS: B every 4 weeks until the 7th month, after which appointments will become more frequent.

The nurse is teaching a group of women who are pregnant about measures to relieve backache during pregnancy. Which of the following measures should the nurse include in the teaching? (SATA) A. Avoid any lifting B. Perform Kegel exercises twice a day C. Perform the pelvic rock exercise every day D. Use proper body mechanics E. Avoid constrictive clothing

ANS: B, C

A woman, gravida 3, para 2, is attending her fourth prenatal visit and confides in the nurse that she is battered by her husband. She is assessed to have multiple bruises at various stages of healing. What nursing actions are appropriate for the nurse to implement? (Select all that apply.) a. Tell the husband that authorities will be notified immediately. b. Provide privacy for the assessment. c. Determine if children are being hurt. d. Communicate in a non-judgmental way. e. Determine factors that increase the risk of injury.

ANS: B, C, D, E

The nurse assesses the progress from the announcement stage of fatherhood to the acceptance stage when the patient reports which actions by the father? (Select all that apply.) a. Goes fishing every afternoon b. Has revised his financial plan c. Spends leisure time with his friends d. Traded his sports car for a sedan e. Helped select a crib

ANS: B, D, E

A pregnant woman inquires about exercising during pregnancy. What information should the nurse include when planning to educate this woman? a. Exercise elevates the mothers temperature and improves fetal circulation. b. Exercise increases catecholamines, which can prevent preterm labor. c. A regular schedule of moderate exercise during pregnancy is beneficial. d. Pregnant women should limit water intake during exercise.

ANS: C

A pregnant woman is experiencing nausea in the early morning. What recommendations would the nurse offer to alleviate this symptom?: a. Eat three well-balanced meals per day and limit snacks. b. Drink a full glass of fluid at the beginning of each meal. c. Have crackers handy at the bedside, and eat a few before getting out of bed. d. Eat a bland diet and avoid concentrated sweets.

ANS: C

A woman's LNMP was on 04/01/13. She has been keeping her prenatal visits regularly but states that she needs to alter the dates of a future appointment because her and her husband are going on a cruise vacation for New Year's from 12/30-01/07. The best response for the nurse would be... A. "Prenatal visits can never be altered. Every visit is important" B. "Be sure to take anti-nausea medication when going on an ocean cruise" C. "Perhaps you might consider rescheduling your vacation around Thanksgiving instead of New Years dates" D. "I will reschedule your visit to accommodate your plans"

ANS: C

At her initial prenatal visit a woman asks, When can I hear the baby's heartbeat? At what gestational age can the fetal heartbeat be auscultated with a specially adapted stethoscope or fetoscope? a. 4 weeks b. 12 weeks c. 18 weeks d. 24 weeks

ANS: C

During the second prenatal visit, the nurse attempts to locate the fetal heartbeat with an electronic Doppler device. How early might fetal heart tones be detected with an electronic Doppler device? A. 4 WEEKS B. 8 WEEKS C. 10 WEEKS D. 14 WEEKS

ANS: C

The patient remarks that she has heard some foods will enhance brain development of the fetus. The nurse replies that foods high in docosahexaenoic acid (DHA) are thought to enhance brain development. What food can the nurse recommend? a. Fried fish b. Olive oil c. Red meat d. Leafy green vegetables

ANS: C

What is the announcement phase for an expecting father? a. plans to participate in the birthing process, changes lifestyles & begins to feel like a father. b. revises financial plans, involved in planning the nursery, wants to listen to the heart beat & feel movement, trades in golf club for a stroller. c. ambivalence, self-questioning, difficulty perceiving fetus as real.

ANS: C

Where is the irregular hyperpigmentation of chloasma found? A. Chest, neck, arms, and legs B. Breasts, areola, and nipples C. Cheeks, forehead, and nose D. Abdomen, breasts, and thighs

ANS: C

Which of the following is a common discomfort of pregnancy? A. hot flashes B. diarrhea C. nausea D. ballottement

ANS: C

A woman prepregnant weight is determined to be average for her height. What will the nurse advise the woman regarding recommended weight gain during pregnancy? a. 10 to 20 pounds b. 15 to 25 pounds c. 25 to 35 pounds d. 28 to 40 pounds

ANS: C 25 to 35 pounds

A woman who is 7 weeks pregnant tells the nurse that this is not her first pregnancy. She has a 2-year-old son and had one previous spontaneous abortion. Using the TPAL system, the patient's obstetric history would be recorded as: a. Gravida 2, para 20120 b. Gravida 3, para 10011 c. Gravida 3, para 10110 d. Gravida 2, para 11110

ANS: C Gravida 3, para 10110

A woman reports that her last normal menstrual period began on August 5, 2013. Using Nägele's rule, her expected date of delivery? a. April 30, 2014 b. May 5, 2014 c. May 12, 2014 d. May 26, 2014

ANS: C May 12, 2014

The patient who is 28 weeks pregnant shows a 10 pound weight gain from 2 weeks ago. What is the nurse's initial action? a. Assess food intake. b. Weigh the patient again. c. Take the blood pressure. d. Notify the physician.

ANS: C take the blood pressure

A woman who is 36 weeks pregnant tells the nurse she plans to take a 12-hour flight to Hawaii. What would the nurse recommend that the patient do during the flight? (Select all that apply.) a. Wear tight-fitting clothing to promote venous return. b. Eat a large meal before boarding the flight. c. Request a seat with greater leg room. d. Drink at least 4 ounces of water every hour. e. Get up and walk around the plane frequently.

ANS: C, D, E

A woman being seen for her first prenatal visit has a positive home pregnancy test and her chart shows a TPALM recording of 40120. The nurse would anticipate that: A. Minimal prenatal teaching will be required because this is her 4th pregnancy B. The woman will need help in planning the care of her other children at home during her labor and delivery C. The woman should experience minimal anxiety because she is familiar with the progress of pregnancy D. This pregnancy will be considered high risk, and measures to reduce anxiety will be needed

ANS: D

A woman tells the nurse that she is quite sure she is pregnant. The nurse recognizes which as a positive sign of pregnancy? a. Amenorrhea b. Uterine enlargement c. HCG detected in the urine d. Fetal heartbeat

ANS: D

At what age is a woman who becomes pregnant for the first time described as an elderly primip? a. After 25 years old b. After 28 years old c. After 30 years old d. After 35 years old

ANS: D

During a prenatal exam at 30 weeks, a woman is lying on her back on the table. She begins to feel dizzy and faint. The most appropriate response for the nurse would be to: A. Reassure the woman and take measures to reduce her anxiety level B. Offer the woman some orange juice or other rapidly absorbed form of glucose C. Place a pillow under the woman's head D. Turn the woman to her side

ANS: D

In a routine prenatal visit, the nurse examining a patient who is 37 weeks pregnant notices that the fetal heart rate (FHR) has dropped to 120 beats/mins from a rate of 160 beats/min earlier in the pregnancy. What is the nurse's first action? a. Ask if the patient has taken a sedative. b. Notify the physician. c. Turn the patient to her right side. d. Record the rate as a normal finding.

ANS: D

The nurse encourages adequate intake of folic acid for women of childbearing age before and during pregnancy. What is folic acid thought to decrease the incidence of in fetal development? a. Structural heart defects b. Craniofacial deformities c. Limb deformities d. Neural tube defects

ANS: D

The nurse explains that the softening of the cervix and vagina is a probable sign of pregnancy. What is the appropriate term for this sign? a. Chadwick's b. Hegar's c. McDonalds d. Goodells

ANS: D

When obtaining a prenatal history on a pregnant patient the nurse notes a family history of sickle cell disease. Given this information, what lab test can the nurse anticipate the physician will order? a. Endovaginal ultrasound b. Pap test c. Complete blood count d. Hemoglobin electrophoresis

ANS: D

After what age is a mother who becomes pregnant for the first time called an "elderly primip?" A. 40 B. 45 C. 55 D. 35

ANS: D 35

After the examination is completed, the patient asks the nurse why Chadwick's sign occurs during pregnancy. What would the nurse explain as the cause of Chadwick's sign? a. Enlargement of the uterus b. Progesterone action on the breasts c. Increasing activity of the fetus d. Vascular congestion in the pelvic area

ANS: D vascular congestion in the pelvic area.

____________ is fetal movement that is felt by the mother between ________ & _________ weeks, perceived as fluttering.

ANS: Quickening, 16 & 20 weeks

A patient who is 28 weeks pregnant presents with consistent hypertension. What need would the home health nurse make the first priority? a. Activity restriction b. Balanced nutrition c. Increased fluid intake to ensure adequate hydration d. Instruction about the effect of diuretics

ANS: a Activity restriction

The nurse is caring for a pregnant woman receiving an intravenous infusion with magnesium sulfate. What is the most appropriate nursing intervention? a. Count respirations and report a rate of less than 12 breaths/min. b. Count respirations and report a rate of more than 20 breaths/min. c. Check blood pressure and report a rate of less than 100/60 mm Hg. d. Monitor urinary output and report a rate of less than 100 mL/hr.

ANS: a Count respirations and report a rate of less than 12 breaths/min.

Exercise during pregnancy should be practiced to achieve which of the following goals? a. Maintaining physical fitness b. Minimizing weight gain. c. Achieving weight loss d. Improving physical fitness

ANS: a Maintaining physical fitness

A nurse is providing prenatal education. The nurse will explain that pregnancy affects glucose metabolism in what way? a. Placental hormones increase the resistance of cells to insulin. b. Insulin cells cannot meet the body's demands as the woman's weight increases. c. There is a decreased production of insulin during pregnancy. d. The speed of insulin breakdown is decreased during pregnancy.

ANS: a Placental hormones increase the resistance of cells to insulin.

What situation would concern the nurse about the presence of Rh incompatibility? a. Rh-negative mother, Rh-positive fetus b. Rh-positive mother, Rh-negative fetus c. Rh-negative mother, Rh-negative fetus d. Rh-positive mother, Rh-positive fetus

ANS: a Rh-negative mother, Rh-positive fetus

A pregnant woman comes to the clinic stating that she has been exposed to hepatitis B. She is afraid that her infant will also contract hepatitis B. What will the nurse explain to this woman? a. The infant will be given a single dose of hepatitis immune globulin after birth. b. The infant will be able to use the antibodies from the immunizations given to the patient before delivery. c. The infant will not have hepatitis B because the virus does not pass through the placental barrier. d. The infant will be immune to hepatitis B because of the mothers infection.

ANS: a The infant will be given a single dose of hepatitis immune globulin after birth.

The nurse is caring for a pregnant woman diagnosed with preeclampsia. What will the nurse explain is the objective of magnesium sulfate therapy for this patient? a. To prevent convulsions b. To promote diaphoresis c. To increase reflex irritability d. To act as a saline cathartic

ANS: a To prevent convulsions

The nurse is caring for a prenatal patient diagnosed with a placenta previa. What is the best position for this patient? a. Flat on her back with knees flexed to help prevent hemorrhage b. On her side to prevent supine hypotension c. In the semi-Fowlers position to prevent supine hypotension d. In the knee-chest position to reduce pressure on the placenta

ANS: b

What is the adjustment phase for an expecting father? a. plans to participate in the birthing process, changes lifestyles & begins to feel like a father. b. revises financial plans, involved in planning the nursery, wants to listen to the heart beat & feel movement, trades in golf club for a stroller. c. ambivalence, self-questioning, difficulty perceiving fetus as real.

ANS: b

A pregnant patient tells the nurse that she has been nauseated and vomiting. How will the nurse explain that hyperemesis gravidarum is distinguished from morning sickness? a. Hyperemesis gravidarum usually lasts for the duration of the pregnancy. b. Hyperemesis gravidarum causes dehydration and electrolyte imbalances. c. Sensitivity to smells is usually the cause of vomiting in hyperemesis gravidarum. d. The woman with hyperemesis gravidarum will have persistent vomiting without weight loss.

ANS: b Hyperemesis gravidarum causes dehydration and electrolyte imbalances.

Why does the woman taking oral hypoglycemic agents to control diabetes mellitus need to take insulin during pregnancy? a. Insulin can cross the placental barrier to the fetus. b. Insulin does not cross the placental barrier to the fetus. c. Oral agents do not cross the placenta. d. Oral agents are not sufficient to meet maternal insulin needs.

ANS: b Insulin does not cross the placental barrier to the fetus.

The nurse teaches a woman who is 8 weeks pregnant about how rubella can affect the developing fetus. What can result from maternal rubella during pregnancy? a. Facial abnormalities b. Mental retardation c. Liver failure d. Limb deformities

ANS: b mental retardation

The nurse is caring for a macrosomic newborn of a diabetic patient. What complications will the nurse assess for in the newborn? a. Meconium ileus b. Diarrhea c. Hypoglycemia d. Muscle tremors e. Urine retention

ANS: c

The nurse is preparing a pregnant patient for an abdominal ultrasound at 8 weeks gestation. What intervention will the nurse implement before this diagnostic test? a. Instruct the patient to take nothing by mouth after midnight the night before the test. b. Initiate an IV. c. Encourage the patient to drink 1 to 2 quarts of water before the test. d. Instruct the patient to remove all jewelry.

ANS: c

A woman who is 35 weeks pregnant has a total placenta previa. She asks the nurse, Will I be able to deliver vaginally? What explanation by the nurse is the most appropriate? a. Yes, you can deliver vaginally until 36 weeks. b. A vaginal delivery can be attempted, but if bleeding occurs, a cesarean section will be done. c. A cesarean section is performed when the mother has a total placenta previa. d. There is no reason why you cannot have a vaginal delivery.

ANS: c A cesarean section is performed when the mother has a total placenta previa.

A patient with gestational hypertension is exhibiting all of the signs below. What should the nurse report immediately? a. Diarrhea b. Urticaria c. Blurred vision d. Backache

ANS: c Blurred vision

What drug will the nurse plan to have available for immediate IV administration whenever magnesium sulfate is administered to a maternity patient? a. Ergonovine maleate (Ergotrate) b. Oxytocin c. Calcium gluconate d. Hydralazine (Apresoline)

ANS: c Calcium gluconate

The nurse finds a woman crying after she has undergone a dilation and evacuation (D&E) for a missed abortion. What is the most appropriate statement by the nurse? a. There is usually something wrong with the fetus when this happens early in pregnancy. b. Now there. You can try to conceive on your next cycle. c. I'm here if you need to talk. d. You are young and strong. I know you can have a healthy pregnancy.

ANS: c I'm here if you need to talk.

A primigravida in her first trimester is Rh negative. What will this woman receive to prevent anti-Rh antibodies from forming? a. Rh immune globulin during labor b. Intrauterine transfusions with O-negative blood c. Rh immune globulin at 28 weeks and within 72 hours after the birth of an Rh-positive infant d. Rh immune globulin now and again in the last trimester

ANS: c Rh immune globulin at 28 weeks and within 72 hours after the birth of an Rh-positive infant

The nurse assesses a pregnant woman for pregnancy-induced hypertension. What is the first sign of fluid retention suggestive of this complication? a. Abdominal enlargement b. Facial swelling c. Sudden weight gain d. Swelling of the feet and ankles

ANS: c Sudden weight gain

What symptom presented by a pregnant women is indicative of abruptio placentae? a. Painless vaginal bleeding b. Uterine irritability with contractions c. Vaginal bleeding and back pain d. Premature rupture of membranes

ANS: c Vaginal bleeding and back pain

What will the nurse begin with when asking a patient about drug use during a prenatal history? a. Do you smoke, drink alcohol, or use drugs? b. Do you ever use prescription or street drugs? c. What over-the-counter and prescription drugs have you taken in the past 3 months? d. We need to know if you take drugs so we can help your baby.

ANS: c What over-the-counter and prescription drugs have you taken in the past 3 months?

A woman arrives in the clinic for her prenatal visit. She states that she is currently 28 weeks with twins, has a 5 year old who was delivered at 39 weeks, and a 3 year old delivered at 34 weeks. Her last pregnancy was terminated at 16 weeks. The nurse will interpret her obstetrical history as: a. G4 T2 P2 A1 L4 b. G3 T2 P0 A1 L2 c. G3 T1 P1 A1 L2 d. G1 T1 P1 A1 L2

ANS: d

The young prenatal patient with gestational diabetes mellitus (GDM) says, I am frightened that I will have to deal with insulin injections for the rest of my life. What is the best response by the nurse? a. After delivery your doctor will prescribe oral hypoglycemic medication to control your disease. Pills are so much simpler than insulin injections. b. Have you considered an insulin pump? c. After a while those insulin injections wont seem so bad. d. It will most likely resolve 6 weeks or so after the baby is born

ANS: d

A woman who is 8 weeks pregnant becomes concerned when she has light vaginal bleeding accompanied by abdominal pain. An ectopic pregnancy is confirmed by ultrasound. Which statement indicates that the woman understands the explanation of an ectopic pregnancy? a. The chorionic villi develop vesicles within the uterus. b. The placenta develops in the lower part of the uterus. c. The fetus dies in the uterus during the first half of the pregnancy. d. The embryo is implanted in the fallopian tube.

ANS: d The embryo is implanted in the fallopian tube.

An ultrasound on a woman who is 32 weeks pregnant reveals the placenta implanted over the entire cervical os. What does the nurse understand best describes this condition? a. Low-lying placenta b. Marginal placenta previa c. Partial placenta previa d. Total placenta previa

ANS: d Total placenta previa

A woman is 9 weeks pregnant and experiencing heavy bleeding and cramping. She reports passing some tissue. Cervical dilation is noted on examination. What is the most likely cause of these symptoms? a. Spontaneous abortion b. Ectopic Pregnancy c. Incompetent cervix d. Incomplete abortion

ANS: d Incomplete abortion

What symptom reported by a pregnant patient would lead the nurse to suspect pyelonephritis? a. Frequency and urgency of urination b. Nausea and weight loss c. Burning sensation when voiding d. Tenderness in the flank area

ANS: d. Tenderness in the flank area

The onset of quickening is an important event to record because it:

ANS: helps to verify gestational age

Varicosities of the rectum and anus that become more severe with constipation and with descent of the infant's head into the pelvis are called _____________________.

ANS: hemorrhoids

The 3 phases of pregnancy is A_________________, I__________________ & P___________________.

Antepartum Intrapartum Postpartum

Why does pregnancy demand a large supply of iron?

Because the fetus must store an adequate supply to meet the needs in the first 3 to 6 months after birth.

What are the infections in the acronym TORCH? T_______________ (nonviral) O______________ R_______________ (virus) C______________ (virus) H______________ (virus)

Toxoplasmosis Other Rubella Cytomegalovirus Herpes simplex

The softening of the lower uterine segment is referred to as: a. Hegar's sign b. Goodell's sign c. McDonald's sign d. Chadwick's sign

ans: a

Prenatal visits from c__________________ to ___________ weeks are every __________ weeks.

conception 28 weeks 4 weeks