Maternal: Pregnancy Unit 1 practice questions

Hearing a fetal Heartbeat The other choices, including positive home pregnancy and Goodall sign, are considered Probable/likely signs

A 30-year-old client has missed her menstrual period and is eager to know if she is pregnant. Which sign ensures that the client is pregnant? - Positive home pregnancy test - Goodall sign - Hearing a fetal heartbeat - Braxton Hicks contractions

Visual changes Epigastric pain Severe headache

A client in her 10th week of pregnancy with suspected pregnancy-induced hypertension has sudden development of edema. Which of the following symptoms may be signs of pregnancy-induced hypertension? (Select all that apply) - Visual changes - Epigastric pain - Lordosis - Severe headache - Breast enlargement

Feeling of life Quickening Presumptive (possible) sign of pregnancy

A client in her 19th week of gestation informs the nurse that she has been experiencing light, "fluttery" sensations which she refers to as fetal movements. The nurse knows that this sensation should be documented as which of the following? (Select all that apply) - Feeling of life - Confirmed pregnancy - Quickening - Morning sickness - Presumptive sign of pregnancy

Once every 4 weeks for the first 28 weeks

A client in her first trimester visits the prenatal clinic. Which should the nurse say is the pattern of future visits? - Once every week for the first 28 weeks - Once every 2 weeks for the first 28 weeks - Once every 3 weeks for the first 28 weeks - Once every 4 weeks for the first 28 weeks

Tennis

A client who is considering becoming pregnant asks the nurse about the safety of sports during pregnancy. The nurse would include which in the list of safe sports to participate in while pregnant? - Basketball - Gymnastics - Football - Tennis

Zygote

A fertilized ovum is known as _______ - Fetus - An Embryo - A Zygote - A Chorion

Positive sign of pregnancy

A nurse is auscultating a 22-week pregnant client with a fetoscope. What does the detection of the fetal heartbeat (fetal heart tones) by use of the fetoscope mean? - Possible sign of pregnancy - Probable sign of pregnancy - Presumptive sign of pregnancy - Positive sign of pregnancy

Maintain a side-lying position when sleeping to avoid aortocaval compression

A nurse is caring for a client who is 8 months pregnant. Which instruction is the nurse most likely to give her? - Apply lanolin ointment to the nipple and areola to prevent cracking - Maintain a side-lying position when resting or sleeping to avoid aortocaval compression - Take a hot water bath or shower daily to maintain hygiene - Do nipple exercises and stimulation on a regular basis

Increase fluid intake to 10 glasses daily

A nurse is caring for a pregnant client and will need to teach her about dietary changes that will need to be made. Which is a recommended dietary need for the pregnant client? - Restrict folic acid intake to 200 mcg daily - Increase fluid intake to 10 glasses daily - Increase caloric intake by 100 calories daily - Avoid using iodized salt as much as possible

Quickening

A pregnant client is excited that she is beginning to feel her baby move within her. How would the nurse document this information? - Lordosis - Lactation - Amenorrhea - Quickening

3, 2, 4, 1

Arrange the steps for listening to fetal heart sounds using Doppler equipment in order. 1. count the fetal heart tones for 15 seconds, and multiply by 4 to get the rate per minute 2. exert a little pressure and place the instrument immediately above the pubic bone 3. ask the woman to lie down on her back (supine position) 4. slowly rotate the Doppler instrument by 360 degrees until you hear the baby's heartbeat

9 weeks

At what gestational age does the fetal stage begin? - 2 weeks - 5 weeks - 7 weeks - 9 weeks

Fetal neural tube defects

In pregnant women, for which condition does the maternal serum alpha fetoprotein blood test screen? - Maternal bladder infections - Fetal neural tube defects - Maternal diabetes - Sexually transmitted infections

Estimating fetal age by ultrasound examination

Many women do not keep an accurate record of their menstrual periods or may not have regular periods for many different reasons. How is the estimated date of delivery determined? - Using a gestational wheel - Applying Nagele rule - Estimating fetal age by ultrasound examination - Adding 40 weeks to the date of detection

3, 1, 4, 2

Put in the correct sequence of steps for determining the estimated date of delivery by applying Nagele rule. 1. Determine the date of the first day of the last normal menstrual period. 2. The resulting date is the expected date of delivery 3. Confirm that her last menstrual period was normal and on time 4. Add 7 days and subtract 3 months from the date obtained.

Enlargement of the abdomen Positive urine pregnancy tests Basal body temperature elevation

The client tells the nurse she suspects she may be pregnant. Which probable signs may be assessed to determine if the client is pregnant? (Select all that apply) - Enlargement of the abdomen - Positive urine pregnancy tests - Fetal heartbeat detection - Basal body temperature elevation - Frequent urination

Pernicious vomiting in pregnancy

What is hyperemesis gravidarum?

First fetal movements that the pregnant woman feels "fluttery" (presumptive/possible sign of pregnancy) 18-20 weeks gestation

What is quickening and when is it first experienced?

Placenta

Which organ has a rich blood supply that supplies the developing organism with food and oxygen while also carrying away waste for excretion by the mother? - Uterus - Ovary - Morula - Placenta

Amnion

Which term is used for the fluid-filled, inner membrane sac surrounding the fetus? - Endometrium - Decidua - Chorion - Amnion

Trimester

_______- Distinct 3-month periods that pregnancy is divided into, during which fetal development takes place

Gestation

_______- Period of time from the moment the sperm fertilizes the ovum until the birth of the newborn

Fertilization

_______- Union of 2 cells, the ovum and the sperm, which occurs in the outer third of the Fallopian tube (oviduct)

Implantation

_______- burrowing in and attachment of the blastocyst to the endometrium (or the decidua)

Gravida

________- total number of pregnancies a woman has had, including the present one if she is pregnant