Chapter 07 - Anatomy and Physiology of Pregnancy

Which presumptive signs (felt by the woman) or probable sign (observed by the examiner) of pregnancy is not matched with another possible cause? Amenorrhea: Stress, endocrine problems Quickening: Gas, peristalsis Goodell sign: Cervical polyps Chadwick sign: Pelvic congestion

Goodell sign: Cervical polyps

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: Hegar sign. McDonald sign. Chadwick sign. Goodell sign.

Hegar sign.

Cardiovascular system changes occur during pregnancy. Which finding would be considered normal for a woman in her second trimester? Less audible heart sounds (S1, S2) Increased pulse rate Increased blood pressure Decreased red blood cell (RBC) production

Increased pulse rate

In order to reassure and educate pregnant clients about changes in their blood pressure, maternity nurses should be aware that: 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. 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. the systolic blood pressure increases slightly as pregnancy advances; the diastolic pressure remains constant. compression of the iliac veins and inferior vena cava by the uterus contributes to hemorrhoids in the latter stage of term pregnancy.

compression of the iliac veins and inferior vena cava by the uterus contributes to hemorrhoids in the latter stage of term pregnancy.

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 Using the GPTAL system, this woman's gravidity and parity information is calculated as follows:G: Total number of times the woman has been pregnant (she is pregnant for the third time) T: Number of pregnancies carried to term (she has one stillborn) P: Number of pregnancies that resulted in a preterm birth (she has none) A: Abortions or miscarriages before the period of viability (she has had one) L: Number of children born who are currently living (she has no living children)

Which hematocrit (Hct) and hemoglobin (Hgb) results represent(s) the lowest acceptable values for a woman in the third-trimester of pregnancy? 38% Hct; 14 g/dL Hgb 35% Hct; 13 g/dL Hgb 33% Hct; 11 g/dL Hgb 32% Hct; 10.5 g/dL Hgb

33% Hct; 11 g/dL Hgb

A pregnant woman is the mother of two children. Her first pregnancy ended in a still birth at 32 weeks of gestation, her second pregnancy with the birth of her daughter at 36 weeks, and her third pregnancy with the birth of her son at 41 weeks. Using the 5-digit system to describe this woman's current obstetric history, the nurse would record __.

4-1-2-0-2 Gravida (the first number) is 4 since this woman is now pregnant and was pregnant 3 times before. Para (the next 4 numbers) represents the outcomes of the pregnancies and would be described as: 4T: 1 = Term birth at 41 weeks of gestation (son) 4P: 2 = Preterm birth at 32 weeks of gestation (stillbirth) and 36 weeks of gestation (daughter) 4A: 0 = Abortion: none occurred 4L: 2 = Living children: her son and her daughter.

When assessing the fetal heart rate (FHR) of a woman at 30 weeks of gestation, the nurse counts a rate of 82 beats/min. Initially the nurse should: recognize that the rate is within normal limits and record it. assess the woman's radial pulse. notify the physician. allow the woman to hear the heartbeat.

assess the woman's radial pulse.

If exhibited by a pregnant woman, what represents a positive sign of pregnancy? Morning sickness Quickening Positive pregnancy test Fetal heartbeat auscultated with Doppler/fetoscope

Fetal heartbeat auscultated with Doppler/fetoscope

A nurse is reviewing information related to home pregnancy tests so as to prepare for a patient teaching session. Which statement by the patient indicates that additional instruction is needed following the teaching session? The patient states that she will follow directions as listed on the testing package. The patient indicates that a positive result will be seen if there is a color change on the applicator. The patient states there is no need for concern as home pregnancy test results are 100% correct. The patient can perform the test without any assistance in the home setting.

The patient states there is no need for concern as home pregnancy test results are 100% correct

A nurse teaches a pregnant woman about the presumptive, probable, and positive signs of pregnancy. The woman demonstrates an understanding of the nurse's instructions if she states that a positive sign of pregnancy is: a positive pregnancy test. fetal movement palpated by the nurse-midwife. Braxton Hicks contractions. quickening.

fetal movement palpated by the nurse-midwife.

A woman who has completed one pregnancy with a fetus (or fetuses) reaching the stage of fetal viability is called a: primipara. primigravida. multipara. nulligravida.

primipara.