Exam 1
Which suggestion about weight gain is an accurate recommendation? A Underwight women should gain 12.5 to 18 kg B. Obese women should gain at least 7 kg C. Adolescents are encouraged to strive for weight gains at the upper end of the recommended scale D. In twin gestations, the weight gain recommended for a single fetus pregnancy should simply be doubled E. The desirable weight gain during pregnancy varies among women
A Underwight women should gain 12.5 to 18 kg B. Obese women should gain at least 7 kg C. Adolescents are encouraged to strive for weight gains at the upper end of the recommended scale E. The desirable weight gain during pregnancy varies among women
A nurse is evaluating a client's BPP. Which of the following are variables included in the test? SATA A. Fetal breathing movement B. Fetal tone C. Reactive fetal heart rate D. Amniotic fluid volume E. Fetal weight
A, B, C, D
A nurse is providing care for a client in labor. Her cervix is dilated to 5 cm and her membranes are intact. The fetal heart rate and uterine contractions are being monitored by an external fetal monitor. The nurse notes a FHR of 115-125/min with occasional increases to 150-155 that last for 25 seconds and have a beat to beat variability of 20/min. There is no slowing of FHT from baseline. The nurse should recognize that this client is exhibiting signs of which of the following? (Select all that apply.) A. Normal baseline heart rate B. FHR accelerations C. Fetal bradycardia D. Moderate variability E. Fetal decelerations
A, B, D
A client is caring for a client who is 40 weeks gestation and experiencing contractions that are every 3-5 minutes which are becoming stronger. A vaginal exam indicates the client is 3 cm dilated, 80% effaced, and -1 station. The client states she wants pain medication at this time. What are some interventions the nurse could suggest at this time? Select all that apply. A. IV meds like Stadol B. Insertion of in dwelling catheter C. Patterned breathing techniques D. Distraction or a focal point E. Application of heat or cold
A, C, D, E
A woman who has completed one pregnancy with a fetus (or fetuses) reaching the stage of fetal viability is called a: a. Primipara b. Primigravida c. Multipara d. Nulligravida
A.
A client presents for a pregnancy test. She states her LNMP was on 12-1-18. The result of the test was positive. Which of the following is the client's EDD? A. 9/8/19 B. 10/1/19 C. 9/11/19 D. 10/8/19
A. 9/8/19
The nurse is explaining sentinel events to a group of nursing students. Which events does the nurse include in the list of sentinel events? Select all that apply. A. An infant discharged to the wrong family B. Maternal death related to the birthing process C. Leaving a foreign body in a client after surgery D. Perinatal death related to an infant's congenital condition D. Neonatal hyperbilirubinemia with a serum bilirubin 18 mg/dl
A. An infant discharged to the wrong family B. Maternal death related to the birthing process C. Leaving a foreign body in a client after surgery
The nurse is developing a dietary teaching plan for a patient on a vegetarian diet. The nurse should provide the client with which explains of protein containing foods? A. Dried beans B. Seeds C. Peanut butter D. Bagel E. Peas
A. Dried beans B. Seeds C. Peanut butter E. Peas
The prenatal nurse considers that which of the following would be the best indicator of normal fetal growth? A. Fundal height 22 cm at 24 weeks gestation B. Maternal intake of 1500 calories per day C. Maternal weight gain 7 lbs at 22 weeks D. Maternal waist measurement of 41 inches at 36 weeks gestation
A. Fundal height 22 cm at 24 weeks gestation
A client being seen in the office just had a positive pregnancy test. She has been pregnant two other times. She delivered one baby at 39 weeks who is now 2 years old, and has had one miscarriage at 8 weeks. Identify the client's obstetrical history using GTPAL method. A. G3 T1 P0 A1 L1 B. G2 T0 P1 A1 L1 C. G3 T1 P1 A0 L2 D. G2 T1 P0 A1 L1
A. G3 T1 P0 A1 L1
The client has come to the clinic because she suspects she is pregnant. Which of the following would be the most definitive way to confirm the diagnosis? A. Palpation of fetal movements by the provider B. Clients report of amenorrhea for 3 months C. Positive Hagar's sign D. Pigmentation changes of breast
A. Palpation of fetal movements by the provider
What are the goals of Healthy People 2020? A. Promote good health for all B. Attain longer lives free of disease and premature death C. Promote the use of advanced and costly health care services D. Achieve health equity and eliminate disparities in health care E. Promote healthy development and behaviors across all life stages F. Increase the proportion of infants who receive formula supplementation
A. Promote good health for all B. Attain longer lives free of disease and premature deathD. Achieve health equity and eliminate disparities in health care E. Promote healthy development and behaviors across all life stages
The nurse is caring for an adolescent client who is pregnant and has conflict with the family members regarding the childbirth and future career plans. What is the best nursing intervention to help the client reduce conflict within her family? A. Refer the client to a support group. B. Refer the client to parenting classes. C. Encourage the client to verbalize her fears. D. Provide an opportunity to discuss the client's personal feelings.
A. Refer the client to a support group.
What does the nurse tell a pregnant client about self-management during maternity care? A. Self-management will help decrease health care costs B. You may not need to learn any nursing interventions C. Self-management may result in a poor pregnancy outcome D. You can obtain self-management information on any website
A. Self-management will help decrease health care costs
A nurse is caring for a client who is in preterm labor and schedule for an amniocentesis. She is scheduled for a fetal lung maturity test to determine if her fetus can adapt to extrauterine life or will develop respiratory distress. Which of the following is a test for fetal lung maturity? A. Indirect Coombs test B. L/S ratio C. Kleihauer-Betke test D. AFP
B
A nurse teaches a pregnant woman about the presumptive, probable, and positive signs of pregnancy. The woman demonstrates understanding of the nurse's instructions if she states that a positive sign of pregnancy is: a. A positive pregnancy test result. b. Fetal movement palpated by the nurse-midwife. c. Braxton Hicks contractions. d. Quickening.
B
A pregnant woman experiencing nausea and vomiting should: a. Drink a glass of water with a fat-free carbohydrate before getting out of bed in the morning. b. Eat small, frequent meals (every 2 to 3 hours). c. Increase her intake of high-fat foods to keep the stomach full and coated. d. Limit fluid intake throughout the day.
B
A woman who is 32 weeks pregnant is informed by the nurse that a danger sign of pregnancy could be: a. Constipation b. Alteration in the pattern of fetal movement c. Heart palpitations d. Edema in the ankles and feet at the end of the day
B
Cardiovascular system changes occur during pregnancy. Which finding would be considered normal for a woman in her second trimester? a. Less audible heart sounds (S1, S2) b. Increased pulse rate c. Increased blood pressure d. Decreased red blood cell (RBC) production
B
In understanding and guiding a woman through her acceptance of pregnancy, a maternity nurse should be aware that: a. Nonacceptance of the pregnancy very often equates to rejection of the child. b. Mood swings are most likely the result of worries about finances and a changed lifestyle, as well as profound hormonal changes. c. Ambivalent feelings during pregnancy are usually seen only in emotionally immature or very young mothers. d. Conflicts such as not wanting to be pregnant or childrearing and career-related decisions need not be addressed during pregnancy because they will resolve themselves naturally after birth.
B
Probable signs of pregnancy are: A. determined by ultrasound B. observed by the health care provider C. reported by the client D. diagnostic tests
B
The nurse should advice which women about continued condom use during pregnancy? A. Unmarried pregnant women B. Women at risk for acquiring or transmitting STIs C. All pregnant women D. Women at risk for candidiasis
B
What type of cultural concern is the most likely deterrent to many women seeking prenatal care? a. Religion b. Modesty c. Ignorance d. Belief that physicians are evil
B
What would a breastfeeding mother who is concerned that her baby is not getting enough to eat find most helpful and most cost-effective on the day after discharge? a. Visiting a pediatric screening clinic at the hospital b. Placing a call to the hospital nursery warm line c. Calling the pediatrician for a lactation consult referral d. Requesting a home visit
B
When providing health education to the client, the nurse understands that an example of the secondary level of prevention is: a. Approved infant car seats. b. Breast self-examination (BSE). c. Immunizations. d. Support groups for parents of children with Down syndrome.
B
When the services for an interpreter are used, it is important for the nurse to A. use any family member who can interpret B. use an interpreter who is certified C. speak only to the interpreter D. use an interpreter only in an emergency
B
Which of the following is the initial nursing action the nurse should take when late decelerations are noted? A. Increase the IV fluid rate B. Turn her to a left side lying position C. Perform a vaginal examination to assess dilation D. Apply a fetal scalp electrode
B
Which statement about multifetal pregnancy is not accurate? a. The expectant mother often experiences anemia because the fetuses have a greater demand for iron. b. Twin pregnancies come to term with the same frequency as single pregnancies. c. The mother should be counseled to increase her nutritional intake and gain more weight. d. Backache and varicose veins are often more pronounced.
B
With regard to nutritional needs during lactation, a maternity nurse should be aware that: a. The mother's intake of vitamin C, zinc, and protein now can be lower than during pregnancy. b. Caffeine consumed by the mother accumulates in the infant, who therefore may be unusually active and wakeful. c. Critical iron and folic acid levels must be maintained. d. Lactating women can go back to their prepregnant calorie intake.
B
Women with inadequate weight gain during pregnancy are at higher risk of giving birth to an infant with: a. Spina bifida. b. Intrauterine growth restriction. c. Diabetes mellitus. d. Down syndrome.
B
Which of the following findings from a client should indicate to the nurse that the client should undergo fetal testing for well being? SATA A. Urinary tract infection B. Decreased fetal movement C. Advanced maternal age D. IUGR E. Postmaturity
B, C, D, E
A nurse is explaining an epidural procedure to a client who is getting ready for epidural administration. What is the role of the nurse before, during, and after? SELECT ALL THAT APPLY A. Encourage the client to ambulate to the bathroom every 1-2 hours to void. B. Administer a bolus of IV fluids before epidural insertion C. Palpate the client's bladder for distention and inserting an indwelling catheter if necessary D. Place the patient in a lithotomy position for epidural catheter insertion E. Have the oxygen and suction ready in the event of respiratory depression
B, C, E
A pregnant patient is experiencing some integumentary changes and is concerned that they may represent abnormal findings. The nurse provides information to the patient that the following findings would be considered "normal abnormal" findings during pregnancy so that she should not be alarmed. Select all that apply. a. Facial edema b. Melasma c. Linea nigra d. Superficial thrombophlebitis e. Vascular spiders f. Allodynia
B, C, E
Which findings could be considered to be a barrier to a pregnant woman seeking prenatal care? Select all that apply. a. Patient would prefer to be cared for by a midwife instead of a physician. b. Economic cost of health care. c. Patient's cultural beliefs do not include prenatal care as being valued. d. Patient speaks several languages. e. Patient had a bad experience the last time she went to a doctor for care.
B, C, E
Which findings could be considered a barrier to a pregnant woman seeking prenatal care? A. Client would prefer to be cared for by a midwife instead of a physician B. Economic cost of healthcare C. Client's cultural beliefs do not include prenatal care as being valued D. Client speaks several languages E. Client had a bad experience the last time she went to a doctor for care
B. Economic cost of healthcare C. Client's cultural beliefs do not include prenatal care as being valued E. Client had a bad experience the last time she went to a doctor for care
The client's prenatal education includes danger signs to report. Which of the following if reported would indicate the client understood the teaching? A. No bowel movement for 3 days B. Headache and blurred vision C. Occasional nausea and vomiting D. Ankle edema
B. Headache and blurred vision
During the clients initial prenatal visit which assessment data obtained by the nurse would indicate a nee for further assessment by the nurse? A. Exercises 3 times per week B. History of diabetes for 6 years C. Occasional use of OTC acetaminophen for pain D. Maternal age of 30 years
B. History of diabetes for 6 years
The nurse has given the patient information on maternal serum AFP screening. Which statement by the mother indicates that she understood the information? A. If my AFP level is below normal, I won't need further testing B. If the AFP is high it could indicate a problem with my baby's spinal cord C. If the test is negative, it means by baby doesn't have any birth defects D. It is best if this test is done before I reach 12 weeks gestation
B. If the AFP is high it could indicate a problem with my baby's spinal cord
Cardiovascular system changes occur during pregnancy. Which finding is considered normal for a woman in her second trimester? A. Less audible heart sounds B. Increased pulse rate C. Increased blood pressure D Decreased RBC production
B. Increased pulse rate
What would a breastfeeding mother who is concerned that her baby is not getting enough to eat find most helpful and most cost-effective on the day after discharge? A. Visiting a pediatric screening clinic at the hospital B. Placing a call to the hospital nursery "warm line" C. Calling the pediatrician for a lactation consult referral D. Requesting a home visit
B. Placing a call to the hospital nursery "warm line"
A pregnant client reports abdominal cramps, diarrhea, and bloating after drinking milk. Which suggestions does the nurse give to the client about preventing calcium imbalance? A. To replace milk with rice B. To replace milk with cocoa C. To replace milk with carrots D. To replace milk with yogurt E. To replace milk with buttermilk
B. To replace milk with cocoa D. To replace milk with yogurt E. To replace milk with buttermilk
What does the nurse tell a pregnant client who asks whether discharge is possible soon after vaginal delivery? A. Discharge is possible within an hour after vaginal delivery B. You can stay in the hospital 48 hours after vaginal delivery C. There are risks of bleeding after brith with early discharge D. Discharge is possible 96 hours after vaginal delivery
B. You can stay in the hospital 48 hours after vaginal delivery
A nurse is caring for a client who is in active labor. The client reports lower back pain. The nurse suspects that this pain is persistent occiput posterior. Which of the following non-pharmacologic nursing intervention should best alleviate this pain? A. Back rub and massage B. Hydrotherapy if not contraindicated C. Sacral counterpressure D. Abdominal effleurage
C
A pregnant woman at 10 weeks of gestation jogs three or four times per week. She is concerned about the effect of exercise on the fetus. The nurse should tell her: a. "You don't need to modify your exercising any time during your pregnancy." b. "Stop exercising, because it will harm the fetus." c. "You may find that you need to modify your exercise to walking later in your pregnancy, around the seventh month." d. "Jogging is too hard on your joints; switch to walking now."
C
A pregnant woman demonstrates understanding of the nurse's instructions regarding relief of leg cramps if she: a. Wiggles and points her toes during the cramp. b. Applies cold compresses to the affected leg. c. Extends her leg and dorsiflexes her foot during the cramp. d. Avoids weight bearing on the affected leg during the cramp.
C
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 according to the GTPAL system? a. 2-0-0-1-1 b. 2-1-0-1-0 c. 3-1-0-1-0 d. 3-0-1-1-0
C
An expectant father confides in the nurse that his pregnant wife, at 10 weeks of gestation, is driving him crazy. "One minute she seems happy, and the next minute she is crying over nothing at all. Is there something wrong with her?" The nurse's best response is: a. "This is normal behavior and should begin to subside by the second trimester." b. "She may be having difficulty adjusting to pregnancy; I will refer her to a counselor I know." c. "This is called emotional lability and is related to hormone changes and anxiety during pregnancy. The mood swings will eventually subside as she adjusts to being pregnant." d. "You seem impatient with her. Perhaps this is precipitating her behavior."
C
In which culture is the father more likely to be expected to participate in the labor and delivery? a. Asian-American b. African-American c. European-American d. Hispanic
C
Providing treatment and rehabilitation for people who have developed disease is part of: a. Primary preventive care. b. Secondary preventive care. c. Tertiary preventive care. d. Primordial preventive care.
C
The nurse understands the importance of a walking survey because this tool: a. Determines how much exercise expectant mothers have been getting, to help inform client care decisions. b. Usually takes place on the maternity ward but can be expanded to other areas of the hospital. c. Is a method of observing the resources and health-related environment of the community. d. Is performed by government census takers as part of their canvas.
C
When caring for pregnant women, the nurse should keep in mind that violence during pregnancy: a. Affects more than 25% of pregnant women in the United States. b. Increases a pregnant woman's risk for gestational hypertension. c. May be associated with substance abuse by both the pregnant woman and her partner. d. Has decreased in incidence as a result of better assessment techniques and record-keeping.
C
Which hematocrit (HCT) and hemoglobin (HGB) results represent the lowest acceptable values for a woman in the third trimester of pregnancy? a. 38% HCT; 14 g/dL HGB b. 35% HCT; 13 g/dL HGB c. 33% HCT; 11 g/dL HGB d. 32% HCT; 10.5 g/dL HGB
C
Which minerals and vitamins are usually recommended to supplement a pregnant woman's diet? a. Fat-soluble vitamins A and D b. Water-soluble vitamins C and B6 c. Iron and folate d. Calcium and zinc
C
Which personal safety precaution should guide the nurse working in home care? a. Do not carry personal items, such as extra car keys or a cellular phone. b. Avoid making a visit with another nurse. c. Schedule visits during daylight hours. d. Never wear a name tag.
C
Which presumptive sign (felt by woman) or probable sign (observed by the examiner) of pregnancy is not matched with another possible cause(s)? a. Amenorrhea—stress, endocrine problems b. Quickening—gas, peristalsis c. Goodell sign—cervical polyps d. Chadwick sign—pelvic congestion
C
With regard to follow-up visits and the physical examination for women receiving prenatal care, nurses should be aware that A. The interview portions become more intensive as the visits become more frequent over the course of the pregnancy B. Monthly visits are scheduled for the first trimester, every 2 weeks for the second trimester, and weekly for the third trimester C. During the abdominal examination, the nurse should be alert for supine hypotension D. For pregnant women, a SBP of 130 and a DBP of 80 is sufficient to be considered hypertensive
C
Which of the following actions, if demonstrated by a nursing student, could lead to dismissal from the health program? Select all that apply. a. A student nurse offers her phone number to a patient so that they can remain in touch. b. Nursing students go out for lunch following a clinical rotation to a local restaurant while still in uniform. c. A nursing student posts pictures of clinical site experiences on her Facebook page. d. Student nurses share their thoughts about their clinical site experiences on Twitter.
C, D
Which case would be considered a sentinel event? A. A newborn in the ward has signs and symptoms of infection B. A newborn with a birth weight of 1500 g died immediately at birth C. A newborn has hyperbilirubinemia with a bilirubin level of 45 mg/dl D. A newborn is born with congenital anomalies of upper and lower limbs
C. A newborn has hyperbilirubinemia with a bilirubin level of 45 mg/dl
The nurse is caring for a pregnant client receiving anticoagulant therapy. On reviewing the client's lab reports, the nurse finds an abrupt increase in clotting time. What does the nurse suspect that might be the reason for this? A. Consumption of eggs B. Consumption of meat C. Consumption of ginger D. Consumption of caffeine
C. Consumption of ginger
While assessing the vital signs of a client who is pregnant, the nurse finds that the client has low arterial blood pressure. Which fetal complication may occur if the high blood pressure is left untreated? A. Down syndrome B. Vena caval syndrome C. Intrauterine growth restriction D. Gestational trophoblastic disease
C. Intrauterine growth restriction
When caring for pregnant women, the nurse should keep what in mind regarding violence during pregnancy? A. Affects more than 25 % of pregnant women in the US B. Increases a pregnant woman's risk for gestational hypertension C. May be associated with substance abuse by both the pregnant woman and her partner D. Has decreased in incidence as a result of better assessment techniques and record keeping
C. May be associated with substance abuse by both the pregnant woman and her partner
The nurse is teaching student nurses about acid-base values in the arterial blood of pregnant women. Which statement made by a student nurse indicates the need for additional teaching? A. Blood pH increases during pregnancy B Partial pressure of oxygen increases during pregnancy C. Sodium bicarbonate levels increase during pregnancy D. Partial pressure of carbon dioxide decreases during pregnancy
C. Sodium bicarbonate levels increase during pregnancy
The client who is 28 weeks pregnant calls her prenatal provider because she is concerned about a bluish white fluid leaking from her breasts. What is an appropriate response by the nurse? A. This is an indicate that you may have problems with breastfeeding. I will have the lactation consultant call you B. This usually happens when you are going into premature labor. You should go to the hospital C. This normally occurs as your breasts prepare for breastfeeding. You should wear a good fitting bra D. The fluid is colostrum and normally leaks from the breasts after mid pregnancy E. This probably indicates an infection in your breasts. You will need to come into the office
C. This normally occurs as your breasts prepare for breastfeeding. You should wear a good fitting bra D. The fluid is colostrum and normally leaks from the breasts after mid pregnancy
A 22-year-old woman pregnant with a single fetus had a preconception body mass index (BMI) of 24. When she was seen in the clinic at 14 weeks of gestation, she had gained 1.8 kg (4 lbs) since conception. How would the nurse interpret this finding? a. This weight gain indicates possible gestational hypertension. b. This weight gain indicates that the woman's infant is at risk for intrauterine growth restriction (IUGR). c. This weight gain cannot be evaluated until the woman has been observed for several more weeks. d. The woman's weight gain is appropriate for this stage of pregnancy.
D
A 23-year-old African-American woman is pregnant with her first child. On the basis of the statistics for infant mortality, which plan is most important for the nurse to implement? a. Perform a nutrition assessment. b. Refer the woman to a social worker. c. Advise the woman to see an obstetrician, not a midwife. d. Explain to the woman the importance of keeping her prenatal care appointments.
D
A Native-American woman gave birth to a baby girl 12 hours ago. The nurse notes that the woman keeps her baby in the bassinet except for bottle feeding and states that she will wait until she gets home to begin breastfeeding. The nurse recognizes that this behavior is most likely a reflection of: a. Delayed attachment. b. Embarrassment. c. Disappointment in the sex of the baby. d. A belief that babies should not be fed colostrum.
D
A client who is undergoing a fetal non stress test wants to know why she needs to do the testing. The nurse best explains with which statement? A. The NST assesses several parameters to make sure there are no fetal abnormalities B. The NST is used to evaluate fetal tolerance to labor C. The NST is used to evaluate fetal heart rate, baby movements, baby breathing, and adequate fluid D. This is test to determine fetal wellness by observing the reactivity of the fetal heart rate
D
A number of changes in the integumentary system occur during pregnancy. What change persists after birth? A. Epulis B. Cholasma C. Telangiectasia D. Striae gravidarum
D
A nurse is reviewing the fetal monitor tracing of a client who is in labor. The nurse knows the fetus receives more oxygen during which of the following? A. Decrement or decrease in contraction B. Peak of the uterine contraction C. Increment or increase in the contractions D. Relaxation between uterine contractions
D
A woman in week 34 of pregnancy reports that she is very uncomfortable because of heartburn. Which of the following should the nurse suggest to the woman? A. Substitute other calcium sources for milk in her diet B. Lie down after each meal C. Reduce the amount of fiber she consumes D. Eat five small meals daily
D
A woman who is 14 weeks pregnant tells the nurse that she always had a glass of wine with dinner before she became pregnant. She has abstained during her first trimester and would like to know whether it is safe for her to have a drink with dinner now. The nurse tells her: a. "Because you're in your second trimester, there's no problem with having one drink with dinner." b. "One drink every night is too much. One drink three times a week should be fine." c. "Because you're in your second trimester, you can drink as much as you like." d. "Because no one knows how much or how little alcohol it takes to cause fetal problems, the best course is to abstain throughout your pregnancy."
D
An expectant couple asks the nurse about intercourse during pregnancy and whether it is safe for the baby. The nurse should tell the couple that: a. Intercourse should be avoided if any spotting from the vagina occurs afterward. b. Intercourse is safe until the third trimester. c. Safer-sex practices should be used once the membranes rupture. d. Intercourse and orgasm are often contraindicated if a history or signs of preterm labor are present.
D
In what form do families tend to be most socially vulnerable? A. Married blended family B. Extended family C. Nuclear family D. Single parent family
D
The nurse advises the woman who wants to have a nurse-midwife provide obstetric care that: a. She will have to give birth at home. b. She must see an obstetrician as well as the midwife during pregnancy. c. She will not be able to have epidural analgesia for labor pain. d. She must be having a low-risk pregnancy.
D
The perinatal continuum of care begins with: a. The diagnosis of pregnancy. b. The interval just before birth. c. Identification of a pregnant woman as high risk. d. Family planning and preconception care.
D
When a nurse is unsure about how to perform a client care procedure, the best action would be to: a. Ask another nurse. b. Discuss the procedure with the client's physician. c. Look up the procedure in a nursing textbook. d. Consult the agency procedure manual and follow the guidelines for the procedure.
D
When counseling a client about getting enough iron in her diet, the maternity nurse should tell her that: a. Milk, coffee, and tea aid iron absorption if consumed at the same time as iron. b. Iron absorption is inhibited by a diet rich in vitamin C. c. Iron supplements are permissible for children in small doses. d. Constipation is common with iron supplements.
D
Which suggestion about weight gain is not an accurate recommendation? a. Underweight women should gain 12.5 to 18 kg. b. Obese women should gain at least 7 kg. c. Adolescents are encouraged to strive for weight gains at the upper end of the recommended scale. d. In twin gestations, the weight gain recommended for a single fetus pregnancy should simply be doubled.
D
In order to reassure and educate pregnant clients about changes in their blood pressure, maternity nurses should be aware that: a. 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. b. 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. c. The systolic blood pressure increases slightly as pregnancy advances; the diastolic pressure remains constant. d. Compression of the iliac veins and inferior vena cava by the uterus contributes to hemorrhoids in the later stage of term pregnancy.
D.
Over-the-counter (OTC) pregnancy tests usually rely on which technology to test for human chorionic gonadotropin (hCG)? a. Radioimmunoassay b. Radioreceptor assay c. Latex agglutination test d. Enzyme-linked immunosorbent assay (ELISA)
D.
When managing health care for pregnant women at a prenatal clinic, the nurse should recognize that the most significant barrier to access to care is the pregnant woman's: a. Age b. Minority status c. Educational level d. Inability to pay
D.
To reassure and educate pregnant women about changes in their blood pressure, maternity nurses should be aware that: A. 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 B. Shifting the woman's position and changing from arm to arm for different measurements produces the most accurate composite blood pressure reading at each visit C. The systolic blood pressure increases slightly as pregnancy advances; the diastolic pressure remains constant D. Compression of the iliac veins and inferior vena cava by the uterus contributes to hemorrhoids in the latter stage of term pregnancy
D. Compression of the iliac veins and inferior vena cava by the uterus contributes to hemorrhoids in the latter stage of term pregnancy
A patient with dark complexion has brownish pigmentation over the cheeks, the nose, and the forehead. The patient reports that this pigmentation was present during pregnancy, which faded and has recurred now. What relevant drug history does the nurse assess in the patient? A. Antibiotics B. Antisoriatics C. Antihistamines D. Contraceptives
D. Contraceptives
Which statement would indicate to the nurse that a client demonstrates acceptance of pregnancy? A. I need to cut back on calories and exercise more B. This baby is not really what I need right now C. This pregnancy is causing so many changes in my life, I am not sure I am going to be able to deal with it D. I've thrown up every day for the last week but I guess it will be worth it
D. I've thrown up every day for the last week but I guess it will be worth it
A mother's household consists of her husband, his mother, and another child. She is living in a/an: a. Extended family. b. Single-parent family. c. Married-blended family. d. Trinuclear family.
A
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: a. Hegar sign. b. McDonald sign. c. Chadwick sign. d. Goodell sign.
A
From the nurse's perspective, what measure should be the focus of the health care system in order to reduce the rate of infant mortality further? a. Implementing programs to ensure women's early participation in ongoing prenatal care b. Increasing the length of stay in a hospital after vaginal birth from 2 to 3 days c. Expanding the number of neonatal intensive care units (NICUs) d. Mandating that all pregnant women receive care from an obstetrician
A
Practices such as providing recommended immunizations, infant car seats, and school health education are part of: a. Primary preventive care. b. Secondary preventive care. c. Tertiary preventive care. d. Primordial preventive care.
A
The process by which people retain some of their own culture while adopting the practices of the dominant society is known as: a. Acculturation. b. Assimilation. c. Ethnocentrism. d. Cultural relativism.
A
The term used to describe professional interaction among health care providers in the clinical nursing practice is: a. Collegiality b. Ethics c. Evaluation d. Accountability
A
The two most frequently reported maternal medical risk factors are: a. Hypertension associated with pregnancy and diabetes. b. Drug use and alcohol abuse. c. Homelessness and lack of insurance. d. Behaviors and lifestyles.
A
To assess a mother's risk of having a LBW infant, the most important factor for the nurse to consider is: a. African American race b. Cigarette smoking c. Poor nutritional status d. Limited maternal education
A
What is not a trend in the delivery of health care in the United States? a. Greater emphasis has been placed on curing disease and disability than on preventing them. b. Hospital stays for many conditions have been shortened. c. Acute care is increasingly provided through home-based services. d. Hospital-based nurses are increasingly involved in follow-up care after discharge.
A
Which action taken made by the nurse would indicate that he or she is practicing appropriate family-centered care techniques? a. The nurse encourages the mother and father to make choices whenever possible. b. The nurse updates the family about what is going to happen but instructs the client's sister that she cannot be present in the room during the birth. c. The nurse believes that he or she is acting in the best interest of the client and commands her what to do throughout labor. d. The father is discouraged from accompanying his wife during a cesarean birth.
A
Which behavior indicates that a woman is "seeking safe passage" for herself and her infant? a. She keeps all prenatal appointments. b. She "eats for two." c. She drives her car slowly. d. She wears only low-heeled shoes.
A
Which of the following conditions has not contributed to an increase in maternity-related health care costs? a. Early postpartum discharges b Maternal medical risk factors, such as diabetes c. The use of high-tech equipment d. The cost of care for low-birth-weight (LBW) infants
A
With regard to medications, herbs, shots, and other substances normally encountered, the maternity nurse should be aware that during pregnancy: a. Prescription and over-the-counter (OTC) drugs that otherwise are harmless can be made hazardous by metabolic deficiencies of the fetus. b. The greatest danger of drug-caused developmental deficits in the fetus is seen in the final trimester. c. Killed-virus vaccines (e.g., tetanus) should not be given, but live-virus vaccines (e.g., measles) are permissible. d. No convincing evidence exists that secondhand smoke is potentially dangerous to the fetus.
A
With regard to protein in the diet of pregnant women, nurses should be aware that: a. Many protein-rich foods are also good sources of calcium, iron, and B vitamins. b. Many women need to increase their protein intake during pregnancy. c. As with carbohydrates and fat, no specific recommendations exist for the amount of protein in the diet. d. High-protein supplements can be used without risk by women on macrobiotic diets.
A
With regard to the father's acceptance of the pregnancy and preparation for childbirth, the maternity nurse should know that: a. The father goes through three phases of acceptance of his own. b. The father's attachment to the fetus cannot be as strong as that of the mother because it does not start until after birth. c. In the last 2 months of pregnancy, most expectant fathers suddenly get very protective of their established lifestyle and resist making changes to the home. d. Typically men remain ambivalent about fatherhood right up to the birth of their child.
A
