Maternity Exam 1
A 38-year-old client in her second trimester states a desire to begin an exercise program to decrease her fatigue. What is the most appropriate nursing response? 1. 'Fatigue should resolve in the second trimester, but walking daily might help.' 2. 'Avoid a strenuous exercise regimen at your age. Drink coffee to combat fatigue.' 3. 'Avoid an exercise regimen due to your pregnancy. Try to nap daily.' 4. 'Fatigue will increase as pregnancy progresses, but running daily might help.'
1
After teaching a pregnant client about the effects of smoking on pregnancy, the nurse knows that the client needs further education when she makes which statement? 1. 'I am at increased risk for preeclampsia.' 2. 'I am at increased risk for preterm birth.' 3. 'I am at increased risk for placenta previa.' 4. 'I am at increased risk for abruptio placentae.'
1
At her first prenatal visit, a woman is discussing fetal development with the nurse. The client asks, 'When will my baby actually have a heartbeat?' The nurse should say the heartbeat of an embryo is distinguishable by what time? 1. 'The fourth week' 2. 'The sixth week' 3. 'The eighth week' 4. 'The twelfth week'
1
Care delivered by nurse-midwives can be safe and effective and can represent a positive response to the healthcare provider shortage. Nurse midwives tend to use less technology, which often results in which of the following? 1. There is less trauma to the mother. 2. More childbirth education classes are available. 3. They are instrumental in providing change in the birth environment at work. 4. They advocate for more home healthcare agencies.
1
In evaluating information taught about conception and fetal development, the client verbalizes understanding about transportation time of the zygote through the fallopian tube and into the cavity of the uterus with which statement? 1. 'It will take at least 3 days for the egg to reach the uterus.' 2. 'It will take 8 days for the egg to reach the uterus.' 3. 'It will only take 12 hours for the egg to go through the fallopian tube.' 4. 'It will take 18 hours for the fertilized egg to implant in the uterus.'
1
The nurse at the prenatal clinic has four calls to return. Which phone call should the nurse return first? 1. Client at 32 weeks, reports headache and blurred vision. 2. Client at 18 weeks, reports no fetal movement in this pregnancy. 3. Client at 16 weeks, reports increased urinary frequency. 4. Client at 40 weeks, reports sudden gush of fluid and contractions.
1
The nurse teaching a class on reproductive anatomy knows that no further instruction is needed when a student shows an understanding of the pelvic cavity divisions by making which statement? 1. 'The true pelvis is made up of the sacrum, coccyx, and innominate bones.' 2. 'The false pelvis consists of the inlet, the pelvic cavity, and the outlet.' 3. 'The true pelvis is the portion above the pelvic brim.' 4. 'The relationship between the false pelvis and the fetal head is of paramount importance.'
1
The pregnant client who is at 14 weeks' gestation asks the nurse why the doctor used to call her baby an embryo, and now calls it a fetus. What is the best answer to this question? 1. 'A fetus is the term used from the ninth week of gestation and onward.' 2. 'We call a baby a fetus when it is larger than an embryo.' 3. 'An embryo is a baby from conception until the eighth week.' 4. 'The official term for a baby in utero is really zygote.'
1
The primiparous client has told the nurse that she is afraid she will develop hemorrhoids during pregnancy because her mother did. Which statement would be best for the nurse to make? 1. 'It is not unusual for women to develop hemorrhoids during pregnancy.' 2. 'Most women don't have any problem until after theyve delivered.' 3. 'If your mother had hemorrhoids, you will get them, too.' 4. 'If you get hemorrhoids, you probably will need surgery to get rid of them.'
1
The school nurse is planning a presentation on pregnancy for 13- and 14-year-olds who are currently pregnant. When planning the content of this presentation, what should the nurse keep in mind about these teens? 1. They are working on independence and autonomy. 2. They are no longer developing a sense of achievement. 3. They are confident in their own identity. 4. They are in control of their impulses.
1
Why is it important for the nurse to understand the type of family that a client comes from? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Family structure can influence finances. 2. Some families choose to conceive or adopt without a life partner. 3. The nurse can anticipate which problems a client will experience based on the type of family the client has. 4. Understanding if the client's family is nuclear or blended will help the nurse teach the client the appropriate information. 5. The values of the family will be predictable if the nurse knows what type of family the client is a part of.
1 2
During the initial prenatal visit, the nurse obtains a weight of 42 kg (92.4 lb). The nurse must further assess the client for information about which of the following? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply. 1. Eating habits 2. Foods regularly eaten 3. Income limitations 4. Blood pressure and pulse rate 5. Weight loss during pregnancy
1 2 3
The nurse is teaching about reproduction, and explains that which of the following are the purposes of meiosis? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply. 1. Produce gametes 2. Reduce the number of chromosomes 3. Introduce genetic variability 4. Produce cells for growth and development 5. Divide somatic cells into new cells with identical characteristics
1 2 3
The prenatal period should be used to expose the prospective parents to up-to-date, evidence-based information about which of the following topics? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply. 1. Breastfeeding 2. Pain relief 3. Obstetric complications and procedures 4. Toddler care 5. Antepartum adjustment
1 2 3
What self-care measures would a nurse recommend for a client in her first trimester to reduce the discomfort of nausea and vomiting? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply. 1. Avoid odors or causative factors. 2. Have small but frequent meals. 3. Drink carbonated beverages. 4. Drink milk before arising in the morning. 5. Eat highly seasoned food.
1 2 3
During home care of a low-risk pregnant client, the nurse provides care by assessing which of the following? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply. 1. Urine 2. Weight 3. Diet 4. Pelvic measurements 5. Physical activity
1 2 3 5
The public health nurse is working with a student nurse. The student nurse asks which of the six groups of people they have seen today are considered to be families. How should the nurse respond? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "The married heterosexual couple without children" 2. "The gay couple with two adopted children" 3. "The unmarried heterosexual couple with two biological children" 4. "The lesbian couple not living together that have no children" 5. "The married heterosexual couple with three children, living with grandparents"
1 2 3 5
A nurse working with adolescents recognizes risk factors for pregnancy include which of the following? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply. 1. Low socioeconomic status 2. A belief in invulnerability 3. A highly functional family 4. Physical, emotional, or sexual abuse 5. Accurate information about contraception
1 2 4
What are the three functions of the fallopian tubes? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Provide transport for the ovum from the ovary to the uterus 2. Serve as a warm, moist, nourishing environment for the ovum or zygote 3. Secrete large amounts of estrogens 4. Provide a site for fertilization to occur 5. Support and protect the pelvic contents
1 2 4
A pregnant client calls the clinic nurse to say she is worried about symptoms she is experiencing. The nurse advises the client to come immediately to the clinic because of which reported symptoms? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply. 1. Vaginal bleeding 2. Abdominal pain 3. Constipation 4. Epigastric pain 5. Blurring of vision
1 2 4 5
Remedies for back pain in pregnancy that are supported by research evidence and may safely be taught to any pregnant woman by the nurse include which of the following? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Pelvic tilt 2. Water aerobics 3. Sit-ups 4. Proper body mechanics 5. Maintaining good posture
1 2 4 5
The nurse is holding a class for newly pregnant couples, and discussing good and bad influences on their developing babies. Prenatal influences on the intrauterine environment include which of the following? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. The use of saunas or hot tubs 2. The use of drugs 3. The quality of the sperm or ovum 4. Maternal nutrition 5. Vitamins and folic acid
1 2 4 5
During a clients initial prenatal visit, the nurse must assess and document the clients current medical history, including which information? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply. 1. Body mass index 2. Infections before the last menstrual period 3. Homeopathic or herbal medication use 4. Blood type and Rh factor 5. History of previous pregnancies
1 3 4
The nurse in the OB-GYN clinic is working with a client who is seeking her initial prenatal visit. The nurse will use the acronym TPAL to document the clients number of which of the following? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply. 1. Term infants born 2. Children living in the home 3. Pregnancies ending in abortion 4. Preterm infants born 5. Pregnancies that occurred
1 3 4
A client at 34 weeks' gestation complains about pyrosis. The nurse teaches the patient that approaches to relieve the pyrosis include which of the following? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply. 1. Eat small, frequent meals 2. Use high-sodium antacids 3. Avoid fried, fatty foods 4. Take sodium bicarbonate after meals 5. Do not lie down after eating
1 3 5
The nurse manager is consulting with a certified nurse-midwife about a client. What is the role of the CNM? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Be prepared to manage independently the care of women at low risk for complications during pregnancy and birth. 2. Give primary care for high-risk clients who are in hospital settings. 3. Give primary care for healthy newborns. 4. Obtain a physician consultation for any technical procedures at delivery. 5. Be educated in two disciplines of nursing.
1 3 5
The nurses goals for prenatal classes may include which of the following? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply. 1. Increasing self-esteem 2. Preparing the participants for childrearing 3. Offering information on the risks of breastfeeding 4. Providing anticipatory guidance about pregnancy 5. Helping participants develop more adaptive coping skills
1 4 5
The nurse explains the functions of the male reproductive organs to a client. Which correct functions will the nurse include? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply. 1. Ejaculatory ducts move semen and seminal fluid. 2. The adrenal gland is the major source of testosterone. 3. The vas deferens ends before reaching the prostate gland. 4. Sertoli's cells nourish spermatozoa. 5. The testes house seminiferous tubules.
1 5
A 7-year-old client tells the nurse that "Grandpa, Mommy, Daddy, and my brother live at my house." The nurse identifies this as what type of family? 1. Binuclear 2. Extended 3. Gay or lesbian 4. Traditional
2
A Chinese woman who is 12 weeks pregnant reports to the nurse that ginseng and bamboo leaves help reduce her anxiety. How should the nurse respond to this client? 1. Advise the client to give up the bamboo leaves but to continue taking ginseng. 2. Advise the client to give up all herbal remedies. 3. Tell the client that her remedies have no scientific foundation. 4. Assess where the client obtains her remedy, and investigate the source.
2
A client at 36 weeks gestation is complaining of dyspnea when lying flat. What is the clinical reason for this complaint? 1. Maternal hypertension 2. Fundal height 3. Hydramnios 4. Congestive heart failure
2
A client is at 12 weeks gestation with her first baby. She has cardiac disease, class III. She states that she had been taking sodium warfarin (Coumadin), but her physician changed her to heparin. She asks the nurse why this was done. What should the nurses response be? 1. 'Heparin is used when coagulation problems are resolved.' 2. 'Heparin is safer because it does not cross the placenta.' 3. 'They are the same drug, but heparin is less expensive.' 4. 'Coumadin interferes with iron absorption in the intestines.'
2
A couple who came to the United States two years ago with their two children are seeing the nurse in the community clinic. The nurse knows their family is acculturating when the mother makes which statement? 1. "The children are much less well-behaved than they used to be." 2. "Our diet now includes hamburgers and French fries." 3. "We celebrate the same holidays that we used to at home." 4. "When the children leave the house, I worry about them."
2
A nurse examining a prenatal client recognizes that a lag in progression of measurements of fundal height from week to week and month to month could signal what condition? 1. Twin pregnancy 2. Intrauterine growth restriction 3. Hydramnios 4. Breech position
2
A nurse teaches newly pregnant clients that if an ovum is fertilized and implants in the endometrium, the hormone the fertilized egg begins to secrete is which of the following? 1. Estrogen 2. Human chorionic gonadotropin (hCG) 3. Progesterone 4. Luteinizing hormone
2
A woman has been unable to complete a full-term pregnancy because the fertilized ovum failed to implant in the uterus. This is most likely due to a lack of which hormone? 1. Estrogen 2. Progesterone 3. FSH 4. LH
2
During a prenatal examination, an adolescent client asks, 'How does my baby get air?' What correct information would the nurse give? 1. 'The lungs of the fetus carry out respiratory gas exchange in utero similar to what an adult experiences.' 2. 'The placenta assumes the function of the fetal lungs by supplying oxygen and allowing the excretion of carbon dioxide into your bloodstream.' 3. 'The blood from the placenta is carried through the umbilical artery, which penetrates the abdominal wall of the fetus.' 4. 'The fetus is able to obtain sufficient oxygen due to the fact that your hemoglobin concentration is 50% greater during pregnancy.'
2
The external and internal female reproductive organs develop and mature in response to what hormones? 1. Adrenocorticotropic hormones (ACTH) 2. Estrogen and progesterone 3. Steroid hormones 4. Luteinizing hormones (LH)
2
The nurse begins a prenatal assessment on a 25-year-old primigravida at 20 weeks' gestation and immediately contacts the healthcare provider because of which finding? 1. Pulse 88/minute 2. Respirations 30/minute 3. Temperature 37.4° C (99.3° F) 4. Blood pressure 118/82
2
The nurse is presenting a class to pregnant clients. The nurse asks, 'The fetal brain is developing rapidly, and the nervous system is complete enough to provide some regulation of body function on its own, at which fetal development stage?/It is clear that education has been effective when a participant makes which response? 1. 'The 17th-20th week' 2. 'The 25th-28th week' 3. 'The 29th-32nd week' 4. 'The 33rd-36th week'
2
The nurse is teaching the students in their obstetric rotation about fertilization. What processes must the sperm undergo before fertilization can occur? 1. Capacitation and ovulation 2. Capacitation and the acrosomal reaction 3. Oogenesis and the acrosomal reaction 4. Gametogenesis and capacitation
2
The nurse receives a phone call from a client who claims she is pregnant. The client reports that she has regular menses that occur every 28 days and last 5 days. The first day of her last menses was April 10. What would the client2s estimated date of delivery (EDD) be if she is pregnant? 1. Nov. 13 2. Jan. 17 3. Jan. 10 4. Dec. 3
2
The pregnant client has asked the nurse what kinds of medications cause birth defects. Which statement would best answer this question? 1. 'Birth defects are very rare. Dont worry; your doctor will watch for problems.' 2. 'To be safe, dont take any medication without talking to your doctor.' 3. 'Too much vitamin C is one of the most common issues.' 4. 'Almost all medications will cause birth defects in the first trimester.'
2
Which of the following best describes a nuclear family? 1. A family is composed of an unmarried woman who chooses to conceive or adopt without a life partner. 2. Children live in a household with both biologic parents and no other relatives or persons. 3. A couple shares household and childrearing responsibilities with parents, siblings, or other relatives. 4. The head of the household is widowed, divorced, abandoned, or separated or most often the mother remains unmarried.
2
The nurse is preparing a brochure for couples considering pregnancy after the age of 35. Which statements should be included? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. There is a decreased risk of Down syndrome. 2. Preexisting medical conditions can complicate pregnancy. 3. Preterm births are more common. 4. Amniocentesis can be performed to detect genetic anomalies. 5. The increased fertility of women over age 35 makes conception easier.
2 3 4
The nurse is seeing a client who asks about the accuracy of Nageles rule. The nurse explains that accuracy can be compromised under which conditions? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply. 1. There is a history of regular menses every 28 days. 2. Amenorrhea is present and ovulation occurs with breastfeeding. 3. Oral contraception was discontinued, but no regular menstruation was established. 4. There has been 1 or more months of amenorrhea. 5. There is an accurate date for the last menstrual period.
2 3 4
Which statements by the nurse would indicate that the middle-school nurse understood the role of culture in adolescent pregnancy? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. 'Studies show that 85% of teen mothers are middle class, and give birth to gain adult status.' 2. 'Teenage pregnancy is the leading reason why adolescent women drop out of school.' 3. 'Teens of color are more likely to become pregnant.' 4. 'Intelligence and academic ability are positively associated with delayed sexual activity, greater use of contraception, and lower rates of pregnancy.' 5. 'Over 50% of adolescents who have had an abortion or recent birth become pregnant again within two years.'
2 3 4
The nurse educator teaching reproductive anatomy wants to make sure the students understand what stabilizes the uterus. Which statements about the individual ligaments would the nurse include? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. The infundibulopelvic ligaments suspend and support the uterus. 2. The broad ligament keeps the uterus centrally placed. 3. The uterosacral ligaments sweep back around the rectum and insert on the sides of the first and second sacral vertebrae. 4. The ovarian ligaments anchor the ovary to the uterus. 5. The cardinal ligaments prevent uterine prolapse and support the upper vagina.
2 3 4 5
A pregnant client at 28 weeks; gestation asks the nurse what her baby is like at this stage of pregnancy. How would the nurse describe the fetus? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply. 1. The fetus is developing subcutaneous fat. 2. The fetus is now opening and closing her eyes. 3. The baby could now breathe on her own, if she were born. 4. The fetus has fingernails and toenails. 5. The fetus is forming surfactant needed for lung function.
2 3 5
During the initial prenatal visit, the nurse assesses the history of the father of the child for which of the following? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply. 1. Stability of living conditions 2. Blood type and Rh type 3. Significant health problems 4. Nutritional history 5. Current use of tobacco
2 3 5
The nurse is evaluating the goal ';Client will remain free of opportunistic infections' for an HIV-positive pregnant client. The nurse determines the goal was met when the client has which of the following? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply. 1. An absolute CD4+ T-lymphocyte count below 200 2. No complaint of chills or fever during the pregnancy 3. Weight gain of 30 lbs during the pregnancy 4. ESR above 20 mm/hr 5. Normal erythrocyte sedimentation rate maintained during the pregnancy
2 3 5
The nurse working with pediatric clients knows that the primary hormone secretions that induce puberty include which of the following? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply. 1. Thyroid hormone 2. Follicle-stimulating hormone 3. Leuteinizing hormone 4. Adrenocorticotropic hormone 5. Gonadotropin-releasing hormones
2 3 5
Under the influence of progesterone, which of the following occur? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply. 1. Temperature decreases 2. Cervix secretes thick, viscous mucus 3. Breasts prepare for lactation 4. Breast glandular tissue decreases in size 5. Vaginal epithelium proliferates
2 3 5
What are the three functions of cervical mucosa? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Form the relatively fixed axis of the birth passage 2. Provide lubrication for the vaginal canal 3. Provide nourishment and protective maternal antibodies to infants 4. Provide an alkaline environment to shelter deposited sperm from the acidic vaginal secretions 5. Act as a bacteriostatic agent
2 4 5
A 14-year-old girl is brought to the clinic by her mother. The nurse determines that the teen is about 28 weeks pregnant. The mother states, 'We knew she was gaining weight, but we cant tell anyone she is pregnant.' The nurse understands that the clients mothers behavior exemplifies which of the following? 1. Low self-esteem 2. Anger 3. Shame 4. Ignorance
3
The nurse assessing a pregnant African American woman in the first trimester understands that a cultural practice is which of the following? 1. Use of herbs like dandelion during pregnancy to increase lactation 2. Drinking ginseng tea for faintness 3. Eating clay to supply dietary minerals 4. Consulting a spiritual advisor to ensure a healthy pregnancy and birth
3
The nurse educator is lecturing on the changes that take place during puberty. What is a change that girls experience? 1. Elongation of the hips 2. Deepening of the voice 3. Broadening of the hips and budding of breasts 4. Preparation of the uterus for pregnancy
3
The nurse in a prenatal clinic finds that four clients have called with complaints related to their pregnancies. Which call should the nurse return first? 1. Pregnant woman at 7 weeks gestation reporting nasal stuffiness 2. Pregnant woman at 38 weeks gestation experiencing rectal itching and hemorrhoids 3. Pregnant woman at 15 weeks gestation with nausea and vomiting and a 15-pound weight loss 4. Pregnant woman at 32 weeks gestation treating constipation with prune juice
3
The nurse is creating a handout on reproduction for teen clients. Which piece of information should the nurse include in this handout? 1. The fertilized ovum is called a gamete. 2. Prior to fertilization, the sperm are zygotes. 3. Ova survive 12-24 hours in the fallopian tube if not fertilized. 4. Sperm survive in the female reproductive tract up to a week.
3
The nurse is creating a poster for pregnant mothers. Which description of fetal development should the nurse include? 1. Four primary germ layers form from the blastocyst. 2. After fertilization, the cells only become larger for several weeks. 3. Most organs are formed by 8 weeks after fertilization. 4. The embryonic stage is from fertilization until 5 months.
3
The nurse is speaking to students about changes in maternal-newborn care. One change is that self-care has gained wide acceptance with clients and the healthcare community due to research findings that suggest that it has which effect? 1. Shortens newborn length of stay 2. Decreases use of home health agencies 3. Decreases healthcare costs 4. Decreases the number of emergency department visits
3
The nurse is teaching an early pregnancy class for clients in the first trimester of pregnancy. Which statement by a client requires immediate intervention by the nurse? 1. 'When my nausea is bad, I will drink some ginger tea.' 2. 'The fatigue I am experiencing will improve in the second trimester.' 3. 'It is normal for my vaginal discharge to be green.' 4. 'I will urinate less often during the middle of my pregnancy.'
3
The prenatal client in her third trimester tells the clinic nurse that she works 8 hours a day as a cashier and stands when at work. What response by the nurse is best? 1. 'No problem. Your baby will be fine.' 2. 'Do you get regular breaks for eating?' 3. 'Your risk of preterm labor is higher.' 4. 'Standing might increase ankle swelling.'
3
What is the term for when children alternate between two homes, spending varying amounts of time with each parent in a situation called co-parenting and usually involving joint custody? 1. Blended or reconstituted nuclear family 2. Extended kin network family 3. Binuclear family 4. Extended family
3
What would the nurse include as part of a routine physical assessment for a second-trimester primiparous patient whose prenatal care began in the first trimester and is ongoing? 1. Pap smear 2. Hepatitis B screening (HBsAg) 3. Fundal height measurement 4. Complete blood count
3
Which statement, if made by a pregnant client, would indicate that she understands health promotion during pregnancy? 1. 'I lie down after eating to relieve heartburn.' 2. 'I try to limit my fluid intake to 3 or 4 glasses each day.' 3. 'I elevate my legs while sitting at my desk.' 4. 'I am avoiding exercise to stay well rested.'
3
A pregnant client has a hemoglobin of 10 g/dL and a Hct of 30%. The clinic nurse recognizes the fetus is at risk for which of the following? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply. 1. Macrosomia 2. Respiratory distress syndrome 3. Low birth weight 4. Prematurity 5. Fetal death
3 4 5
The nurse is explaining the difference between meiosis and mitosis. Which statements would be best? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Meiosis is the division of a cell into two exact copies of the original cell. 2. Mitosis is splitting one cell into two, each with half the chromosomes of the original cell. 3. Meiosis is a type of cell division by which gametes, or the sperm and ova, reproduce. 4. Mitosis occurs in only a few cells of the body. 5. Meiotic division leads to cells that halve the original genetic material.
3 5
A nurse is examining different nursing roles. Which example best illustrates an advanced practice nursing role? 1. A registered nurse who is the manager of a large obstetrical unit 2. A registered nurse who is the circulating nurse during surgical deliveries (cesarean sections) 3. A clinical nurse specialist working as a staff nurse on a mother-baby unit 4. A clinical nurse specialist with whom other nurses consult for her expertise in caring for high- risk infants
4
Duvall's eight stages in the family life cycle of a traditional nuclear family have been used as the foundation for contemporary models that describe the developmental processes and role expectations for different family types. Which of the following is an example of Stage IV of this family life cycle? 1. Families launching young adults (all children leave home) 2. Families with preschool-age children (oldest child is between 2.5 and 6 years of age) 3. Middle-aged parents (empty nest through retirement) 4. Families with schoolchildren (oldest child is between 6 and 13 years of age)
4
The clinic nurse is compiling data for a yearly report. Which client would be classified as a primigravida? 1. A client at 18 weeks gestation who had a spontaneous loss at 12 weeks 2. A client at 13 weeks gestation who had an ectopic pregnancy at 8 weeks 3. A client at 14 weeks gestation who has a 3-year-old daughter at home 4. A client at 15 weeks gestation who has never been pregnant before
4
The nurse is assessing a newly pregnant client. Which finding does the nurse note as a normal psychosocial adjustment in this clients first trimester? 1. An unlisted telephone number 2. Reluctance to tell the partner of the pregnancy 3. Parental disapproval of the womans partner 4. Ambivalence about the pregnancy
4
The nurse is caring for a pregnant client. The clients husband has come to the prenatal visit. Which question is the best for the nurse to use to assess the father's adaptation to the pregnancy? 1. 'What kind of work do you do?' 2. 'What furniture have you gotten for the baby?' 3. 'How moody has your wife been lately?' 4. 'How are you feeling about becoming a father?'
4
The nurse is providing guidance for a woman in her second trimester of pregnancy and telling her about some of the signs and symptoms that she might experience. Which statement by the client indicates that further teaching is necessary? 1. 'During the third trimester, I might have frequent urination.' 2. 'During the third trimester, I might have heartburn.' 3. 'During the third trimester, I might have back pain.' 4. 'During the third trimester, I might have a persistent headache.'
4
The nurse is teaching a pregnant 14-year-old client who is at 10 weeks gestation about the expected body changes that will occur during pregnancy. Which client statement indicates that additional information is needed? 1. 'My breasts are going to get even bigger than theyve gotten over the past couple of years.' 2. 'My belly will gradually get more round, especially from the middle of pregnancy on.' 3. 'I will feel my baby move in about 16 weeks.' 4. 'My diet can stay the same even though Im pregnant.'
4
The nurse is working at a clinic for pregnant teens. What issues related to development will the nurse expect to encounter in most of the pregnant clients? 1. Peer pressure to stop using alcohol once pregnancy is diagnosed 2. Contraception failure that resulted in this pregnancy 3. The father of the babys being emotionally supportive to the client 4. Feelings of not living up to parents expectations
4
The nurse teaching a class on the reproductive system is discussing what happens at puberty. Which statement does the nurse make? 1. Boys and girls go through puberty at the same time. 2. Most girls develop breasts and start their menses at about the same time. 3. The nocturnal emissions that adolescent boys have contain a large number of sperm. 4. The onset and progress of puberty varies widely from person to person.
4
The nurse working with mothers over 35 having their first baby knows there are some disadvantages. For what disadvantage would the nurse carefully assess in each client? 1. What kind of insurance the client has for maternity care 2. Whether the client is married 3. Whether the client will continue working after the baby arrives 4. Whether the client has any chronic disease that will have to be addressed
4
The primigravida at 22 weeks gestation has a fundal height palpated slightly below the umbilicus. Which of the following statements would best describe to the client why she needs to be seen by a physician today? 1. 'Your baby is growing too much and getting too big.' 2. 'Your uterus might have an abnormal shape.' 3. 'The position of your baby can't be felt.' 4. 'Your baby might not be growing enough.'
4
The nurse teaching the phases of the menstrual cycle should include the fact that the corpus luteum begins to degenerate, estrogen and progesterone levels fall, and extensive vascular changes occur in which phase? 1. Menstrual phase 2. Proliferative phase 3. Secretory phase 4. Ischemic phase
4 In the ischemic phase, the corpus luteum begins to degenerate, and as a result, both estrogen and progesterone levels fall. Small blood vessels rupture, and the spiral arteries constrict and retract, causing a deficiency of blood in the endometrium, which becomes pale.
