Maternity Exam 1

A woman who is 10 weeks' pregnant is complaining of nausea and vomiting every morning. Which action can the nurse suggest to the woman to alleviate the nausea? 1 Eat dry crackers before arising in the morning. 2 Eat only three meals a day. 3 Drink plenty of fluids with meals. 4 Eat mostly protein foods and very little carbohydrates.

1 Eat dry crackers before arising in the morning.

The nurse is encouraging the pregnant woman to eat a diet rich in folic acid. Which of the following food sources would provide the most folic acid? 1. Meat and dark green, leafy vegetables 2. Dairy products 3. Carrots and raisins 4. Shellfish

1. Meat and dark green, leafy vegetables

The nurse is caring for a first-time mother at her first prenatal visit. The client confides, "I'm not sure about all this." Which research-based knowledge guides a nurse regarding the emotional factors of pregnancy? 1 A rejected pregnancy will result in a rejected infant. 2 Ambivalence and anxiety about mothering are common. 3 A mother's love usually develops in the first week after birth. 4 An effective mother does not experience ambivalence and anxiety about mothering.

2 Ambivalence and anxiety about mothering are common.

Why is it important for a nurse in the prenatal clinic to provide nutritional counseling to all newly pregnant women? 1 Most weight gain is caused by fluid retention. 2 Different cultural groups favor different essential nutrients. 3 Dietary allowances should not increase throughout pregnancy. 4 Pregnant women must adhere to a specific pregnancy dietary regimen.

2 Different cultural groups favor different essential nutrients.

During a routine prenatal visit, a client tells a nurse that she gets leg cramps. What condition does the nurse suspect, and what suggestion is made to correct the problem? 1 Hypercalcemia; avoid eating hard cheeses. 2 Hypocalcemia; increase her intake of milk. 3 Hyperkalemia; consult her health care provider. 4 Hypokalemia; increase intake of green leafy vegetables.

2 Hypocalcemia; increase her intake of milk.

A woman arrives at the prenatal clinic stating that her pregnancy test is positive. She asks the nurse for information about an abortion. After verifying that the woman is at 8 weeks' gestation, the nurse counsels her that having an abortion is controversial and that many women have long-lasting feelings of guilt after an abortion. What is the nurse's legal responsibility? 1 To share her own thoughts on abortion with the client 2 To provide the client with correct, unbiased information 3 To ask why the client wants information about abortion 4 To notify the health care provider because this is beyond the scope of nursing practice

2 To provide the client with correct, unbiased information

Which statement about the results of a contraction stress test (oxytocin challenge test) is considered accurate? 1 Negative if no fetal heart rate accelerations occur with accompanying fetal movements 2 Nonreactive if no late deccelerations occur in more than half of the contractions 3 Positive if late deccelerations occur in more than half of the contractions 4 Reactive if the fetal rate accelerates with accompanying fetal movement

3 Positive if late deccelerations occur in more than half of the contractions

A 23-year-old primigravida is at her first prenatal appointment today. Ultrasound indicates that she is at 9 weeks' gestation. She asks when she can first expect to feel her baby move. The best response by the nurse is: 1 "You should be able to feel the baby move any day now." 2 "You should feel your first light movement of the baby around 24 weeks." 3 "Most women can first detect movement of their babies by 12 to 14 weeks." 4 "Many women are able to first feel light movement between 18 and 20 weeks."

4 "Many women are able to first feel light movement between 18 and 20 weeks."

While the vital signs of a pregnant woman in her third trimester are being assessment, the woman, who is lying supine, complains of feeling faint, dizzy, and agitated. Which nursing intervention is appropriate? 1 Have the patient stand up; retake her blood pressure. 2 Have the patient sit down and hold her arm in a dependent position. 3 Have the patient lie supine for 5 minutes; recheck her blood pressure on both arms. 4 Have the patient turn to her left side; recheck her blood pressure in 5 minutes.

4 Have the patient turn to her left side; recheck her blood pressure in 5 minutes.

A client at 12 weeks' gestation arrives in the prenatal clinic complaining of cramping and vaginal spotting. A pelvic examination reveals that the cervix is closed. Which probable diagnosis should the nurse expect? 1 Missed abortion 2 Inevitable abortion 3 Incomplete abortion 4 Threatened abortion

4 Threatened abortion