Question 1

A woman in the 34th week of pregnancy says to the nurse, "I still feel like having intercourse with my husband." The woman's pregnancy has been uneventful. The nurse responds based on the understanding that:

A) It is safe to have intercourse at this time.
B) Intercourse at this time is likely to cause rupture of membranes.
C) There are other ways that the couple can satisfy their needs.
D) Intercourse at this time is likely to result in premature labor.

It is safe to have intercourse at this time.

Accepted Answer

It is generally safe to have intercourse during an uncomplicated pregnancy up until labor begins, as long as there are no specific contraindications advised by a healthcare provider.

Question 2

When describing perinatal education to a pregnant woman and her partner, the nurse emphasizes that the primary goal of these classes is to:&#10;A) Equip a couple with the knowledge to experience a pain-free childbirth&#10;B) Provide knowledge and skills to actively participate in birth and parenting&#10;C) Eliminate anxiety so that they can have an uncomplicated birth&#10;D) Empower the couple to totally control the birth process

Accepted Answer

The primary goal of perinatal education is to provide expectant parents with the knowledge and skills they need to actively participate in the childbirth and parenting process. This includes understanding the stages of labor, pain management options, and newborn care, among other topics. It's not about ensuring a pain-free childbirth, eliminating all anxiety, or giving total control over the birth process, but rather about empowering parents with information and skills for a positive birthing and parenting experience.

Question 3

When assessing a woman at follow-up prenatal visits, the nurse would anticipate which of the following to be performed?&#10;A) Hemoglobin and hematocrit&#10;B) Urine for culture&#10;C) Fetal ultrasound&#10;D) Fundal height measurement

Accepted Answer

Fundal height measurement is a routine assessment at follow-up prenatal visits to monitor fetal growth and development.

Question 4

During a routine prenatal visit, a client, 36 weeks pregnant, states she has difficulty breathing and feels like her pulse rate is really fast. The nurse finds her pulse to be 100 beats per minute (increased from baseline readings of 70 to 74 beats per minute and irregular, with bilateral crackles in the lower lung bases. Which nursing diagnosis would be the priority for this client?

A) Ineffective tissue perfusion related to supine hypotensive syndrome
B) Impaired gas exchange related to pulmonary congestion
C) Activity intolerance related to increased metabolic requirements
D) Anxiety related to fear of pregnancy outcome

Accepted Answer

Impaired gas exchange related to pulmonary congestion is the priority nursing diagnosis because the client's symptoms of difficulty breathing, fast and irregular pulse, and bilateral crackles in the lower lung bases suggest pulmonary congestion, which can impair gas exchange.

Question 5

When preparing a woman for an amniocentesis, the nurse would instruct her to do which of the following?&#10;A) Shower with an antiseptic scrub.&#10;B) Swallow the preprocedure sedative.&#10;C) Empty her bladder.&#10;D) Lie on her left side.

Accepted Answer

Emptying the bladder is important before an amniocentesis to reduce the risk of bladder injury during the procedure and to provide a clearer path for the needle insertion.

Question 6

A client who is 4 months pregnant is at the prenatal clinic for her initial visit. Her history reveals she has 7-year-old twins who were born at 34 weeks gestation, a 2-year old son born at 39 weeks gestation, and a spontaneous abortion 1 year ago at 6 weeks gestation. Using the GTPAL method, the nurse would document her obstetric history as:

A) 3 2 1 0 3
B) 3 1 2 2 3
C) 4 1 1 1 3
D) 4 2 1 3 1

Accepted Answer

The GTPAL system is used to summarize a woman's obstetric history. It stands for Gravida (total number of pregnancies), Term births (deliveries after 37 weeks), Preterm births (deliveries between 20 and 37 weeks), Abortions (spontaneous or induced before 20 weeks), and Living children. For this client: Gravida = 4 (current pregnancy + twins + 1 son + 1 abortion), Term = 1 (the son born at 39 weeks), Preterm = 1 (the twins born at 34 weeks), Abortions = 1 (spontaneous abortion at 6 weeks), Living = 3 (twins + son).

Question 7

A client's last menstrual period was April 11. Using Nagele's rule, her expected date of birth (EDB). would be:&#10;A) January 4&#10;B) January 18&#10;C) January 25&#10;D) February 24

Accepted Answer

Nagele's rule calculates the expected date of birth by adding one year, subtracting three months, and adding seven days to the first day of the last menstrual period. Starting from April 11, this calculation results in January 18.

Question 8

A client's maternal serum alpha-fetoprotein (MSAFP. level was unusually elevated at 17 weeks. The nurse suspects which of the following?&#10;A) Fetal hypoxia&#10;B) Open spinal defects&#10;C) Down syndrome&#10;D) Maternal hypertension

Accepted Answer

Elevated levels of maternal serum alpha-fetoprotein (MSAFP) are most commonly associated with open neural tube defects, such as spina bifida, in the fetus.

Question 9

When assessing a pregnant woman in her last trimester, which question would be most appropriate to use to gather information about weight gain and fluid retention?&#10;A) &#34;What's your usual dietary intake for a typical day?&#34;&#10;B) &#34;What size maternity clothes are you wearing now?&#34;&#10;C) &#34;How puffy does your face look by the end of a day?&#34;&#10;D) &#34;How swollen do your ankles appear before you go to bed?

Accepted Answer

Question D directly addresses the issue of fluid retention by asking about the swelling of the ankles, which is a common area for edema to occur in pregnant women, especially towards the end of the day.

Question 10

A pregnant woman in the 36th week of gestation complains that her feet are quite swollen at the end of the day. After careful assessment, the nurse determines that this is an expected finding at this stage of pregnancy. Which intervention would be most appropriate for the nurse to suggest?

A) "Limit your intake of fluids."
B) "Eliminate salt from your diet."
C) "Try elevating your legs when you sit."
D) "Wear Spandex-type full-length pants."

Accepted Answer

Elevating the legs helps to reduce swelling by improving venous return, which is a common and effective recommendation for managing edema during pregnancy. Limiting fluid intake or eliminating salt from the diet could have adverse effects, and wearing Spandex-type full-length pants may not directly address the issue of swelling and could potentially exacerbate discomfort.

Question 11

A pregnant woman is flying across the country to visit her family. After teaching the woman about traveling during pregnancy, which statement indicates that the teaching was successful?&#10;A) &#34;I'll sit in a window seat so I can focus on the sky to help relax me.&#34;&#10;B) &#34;I won't drink too much fluid so I don't have to urinate so often.&#34;&#10;C) &#34;I'll get up and walk around the airplane about every 2 hours.&#34;&#10;D) &#34;I'll do some upper arm stretches while sitting in my seat.&#34;

Accepted Answer

The answer of A pregnant woman is flying across the...

Question 12

Which of the following would the nurse include when teaching a pregnant woman about chorionic villus sampling?&#10;A) &#34;The results should be available in about a week.&#34;&#10;B) &#34;You'll have an ultrasound first and then the test.&#34;&#10;C) &#34;Afterwards, you can resume your exercise program.&#34;&#10;D) &#34;This test is very helpful for identifying spinal defects.&#34;

Accepted Answer

The answer of Which of the following would the nurse...

Question 13

A pregnant woman is scheduled to undergo percutaneous umbilical blood sampling. When discussing this test with the woman, the nurse reviews what can be evaluated with the specimens collected. Which of the following would the nurse include? (Select all that apply.)

A) Rh incompatibility
B) Fetal acid-base status
C) Sex-linked disorders
D) Enzyme deficiencies
E) Coagulation studies

Accepted Answer

The answer of A pregnant woman is scheduled to undergo...

Question 14

A biophysical profile has been completed on a pregnant woman. The nurse interprets which score as normal?&#10;A) 9&#10;B) 7&#10;C) 5&#10;D) 3

Accepted Answer

The answer of A biophysical profile has been completed on...

Question 15

After teaching a group of students about the discomforts of pregnancy, the students demonstrate understanding of the information when they identify which as common during the first trimester? (Select all that apply.)

A) Urinary frequency
B) Breast tenderness
C) Cravings
D) Backache
E) Leg cramps

Accepted Answer

The answer of After teaching a group of students about...

Question 16

A nurse is reviewing the medical record of a pregnant woman and notes that she is gravid II. The nurse interprets this to indicate the number of:&#10;A) Deliveries&#10;B) Pregnancies&#10;C) Spontaneous abortions&#10;D) Pre-term births

Accepted Answer

The answer of A nurse is reviewing the medical record...

Question 17

A nurse measures a pregnant woman's fundal height and finds it to be 28 cm. The nurse interprets this to indicate which of the following?&#10;A) 14 weeks' gestation&#10;B) 20 weeks' gestation&#10;C) 28 weeks' gestation&#10;D) 36 weeks' gestation

Accepted Answer

The answer of A nurse measures a pregnant woman's fundal...

Question 18

A pregnant woman has a rubella titer drawn on her first prenatal visit. The nurse explains that this test measures which of the following?&#10;A) Platelet level&#10;B) Rh status&#10;C) Immunity to German measles&#10;D) Red blood cell count

Accepted Answer

The answer of A pregnant woman has a rubella titer...

Question 19

A nurse is working with a pregnancy woman to schedule follow-up visits for her pregnancy. Which statement by the woman indicates that she understands the scheduling?&#10;A) &#34;I need to make visits every 2 months until I'm 36 weeks pregnant.&#34;&#10;B) &#34;Once I get to 28 weeks, I have to come twice a month.&#34;&#10;C) &#34;From now until I'm 28 weeks, I'll be coming once a month.&#34;&#10;D) &#34;I'll make sure to get a day off every 2 weeks to make my visits.&#34;

Accepted Answer

The answer of A nurse is working with a pregnancy...

Question 20

A nursing instructor is describing the various childbirth methods. Which of the following would the instructor include as part of the Lamaze method?&#10;A) Focus on the pleasurable sensations of childbirth&#10;B) Concentration on sensations while turning on to own bodies&#10;C) Interruption of the fear-tension-pain cycle&#10;D) Use of specific breathing and relaxation techniques

Accepted Answer

The answer of A nursing instructor is describing the various...

Question 21

After teaching a group of students about the discomforts of pregnancy, the students demonstrate understanding of the information when they identify which as common during the first trimester? (Select all that apply.)

A) Urinary frequency
B) Breast tenderness
C) Cravings
D) Backache
E) Leg cramps

Accepted Answer

The answer of After teaching a group of students about...

Question 22

A pregnant woman in her second trimester tells the nurse, &#34;I've been passing a lot of gas and feel bloated.&#34; Which of the following suggestions would be helpful for the woman?&#10;A) &#34;Watch how much beans and onions you eat.&#34;&#10;B) &#34;Limit the amount of fluid you drink with meals&#34;&#10;C) &#34;Try exercising a little more.&#34;&#10;D) &#34;Some say that eating mints can help.&#34;&#10;E) &#34;Cut down on your intake of cheeses.&#34;

Accepted Answer

The answer of A pregnant woman in her second trimester...

Deck 12: Nursing Management During Pregnancy