Deck 4: Physical and Psychological Changes of Pregnancy

Question 1

When talking with the nurse,a pregnant patient points out her darkened areolas,the linea nigra on her abdomen,and the brown patches on her forehead and nose and says,"I'm never going to be able to wear a bikini again." Which is the nurse's best response?

A) "Makeup will help you hide these after you have the baby."
B) "Be sure to point these out to the doctor.You may need to see a dermatologist."
C) "These changes normally go away after you have the baby."
D) "Applying vitamin E oil or cocoa butter will reverse these discolorations."

Answer 1

"These changes normally go away after you have the baby."

Question 2

When the nurse cares for a pregnant adolescent,which psychosocial assessment takes priority before teaching self-care?

A) Gestational age
B) Developmental level
C) Support system
D) School progression

Answer 2

Developmental level

Question 3

The nurse caring for a woman who is in the third trimester of pregnancy suspects a urinary tract infection on the basis of which reported symptom?

A) Urinary frequency
B) Urgency
C) Stress incontinence
D) Burning on urination

Answer 3

Burning on urination

Question 4

During the woman's first prenatal visit,she makes many statements about the recommendations she has received from her friends about maintaining her health and the health of the growing fetus.According to Reva Rubin,which maternal task is this woman demonstrating?

A) Seeking safe passage for herself and her fetus
B) Securing acceptance for herself as a mother and for her fetus
C) Learning to give of herself and to accept herself as a mother to the infant
D) Committing herself to the child as she progresses through pregnancy

Question 5

After assessing the cardiovascular system of a pregnant woman,the nurse recognizes the need to report which finding to the provider?

A) Asymptomatic systolic murmur
B) Heart rate of 96 bpm
C) Blood pressure of 152/94 mm Hg
D) Nasal congestion

Question 6

The nurse reviews a pregnant patient's laboratory values and notes a reduced red blood cell count and hemoglobin level.Which symptom reported by the patient results from these findings?

A) Insomnia
B) Pica
C) Fatigue
D) Leg pain

Question 7

A pregnant woman is telling the nurse about her other children's reaction to news of the pregnancy but says she is waiting to tell her toddler until she's further along.Which is the nurse's best response?

A) "If you've told the other children,you should also tell your toddler."
B) "That's a wise decision because toddlers have no concept of time."
C) "It would've been better if you hadn't told any of the children yet."
D) "The younger the child,the sooner you should tell him to give him time to prepare."

Question 8

Which finding does the nurse recognize as a normal result of pregnancy?

A) Reduction in red blood cell count
B) Reduced platelet count
C) Increased urine glucose level
D) Elevated hematocrit value

Question 9

The nurse learns that a pregnant patient lost her mother when she was a teenager and recognizes that the absence of a mother figure will cause this patient to have difficulty with which of Reva Rubin's four maternal tasks?

A) Seeking safe passage for herself and her fetus
B) Securing acceptance for herself as a mother and for her fetus
C) Learning to give of herself and to accept herself as a mother to the infant
D) Committing herself to the child as she progresses through pregnancy

Question 10

While assisting the physician with a physical examination,the nurse notes which sign or symptom as most definitive of a diagnosis of pregnancy?

A) Positive Goodell's sign
B) Quickening felt by mother
C) Auscultation of fetal heart sounds
D) Breast enlargement and tenderness

Question 11

The nurse reviews the patient's laboratory values and sees the following: Hemoglobin
12)2 g/dL
Hematocrit
42)8%
Serum blood urea nitrogen (BUN)
18 mg/dL
Serum creatinine
0)68 mg/dL
Alanine transaminase (ALT)
8 units/L
Aspartate aminotransferase (AST)
12 units/L
Alkaline phosphatase (ALP)
108 ImU/mL
Lactate dehydrogenase (LDH)
635 units/L
Which conclusion does the nurse draw on the basis of these findings?

A) The patient is anemic.
B) The patient has liver damage.
C) The patient has kidney damage.
D) The patient is dehydrated.

Question 12

Which nursing assessment finding indicates the need for further testing before a diagnosis of pregnancy can be confirmed?

A) Audible fetal heart tones
B) Fetal movement felt by the nurse
C) Fetal ultrasound showing a growing fetus
D) Amenorrhea

Question 13

A pregnant woman tells the nurse how clumsy she feels.Which teaching will the nurse provide?

A) Kegel exercises
B) Increased fluid intake
C) Avoidance of standing or sitting for prolonged periods
D) Wearing low-heeled shoes and using good body mechanics

Question 14

Upon examining a woman in the late second trimester of pregnancy,the nurse notes circular bruises around each wrist and circular bruises above the umbilicus.What should the nurse suspect?

A) Physical abuse from the father of the baby
B) Clumsiness resulting from changes in the woman's body
C) The woman's attempt to induce a miscarriage
D) A motor vehicle accident

Question 15

Which symptom reported to the nurse by the patient needs to be brought to the attention of the health-care provider?

A) Vaginal itching
B) Leakage of fluid from the nipples
C) Increase in vaginal discharge
D) Breast tenderness and enlargement

Question 16

The nurse reviews the patient's laboratory findings and suspects anemia when noting which result?

A) Hemoglobin 12.4 g/dL
B) Red blood cell count 4.1
C) White blood cell count 24.3
D) Hematocrit 53.5%

Question 17

The nurse caring for a woman who is beginning the second trimester of pregnancy recognizes the need for further assessment when the woman reports which change in her body?

A) Constipation
B) Feels short of breath with mild exertion
C) Nasal congestion
D) A dark line appearing on the abdomen

Question 18

The emergency department nurse admits an adolescent who is complaining of abdominal pain and denies pregnancy.Assessment findings include a distended,pregnant-appearing abdomen and fetal heart tones.How does the nurse interpret these contradictory findings?

A) Denial of pregnancy until late in gestation is not uncommon in adolescence.
B) The adolescent is mentally ill and incapable of recognizing pregnancy.
C) The adolescent is developmentally delayed and does not recognize pregnancy.
D) Further testing is needed to determine the cause of the assessment findings.