Deck 7: Nursing Care of the Family During Pregnancy

Question 1

A 3-year-old girl's mother is 6 months pregnant. What concern is this child likely to verbalize?

A) How the baby will "get out"
B) What the baby will eat
C) Whether her mother will die
D) What color eyes the baby has

Answer 1

What the baby will eat

Question 2

What represents a typical progression through the phases of a woman's establishing a relationship with the fetus?

A) Accepts the fetus as distinct from herself-accepts the biologic fact of pregnancy-has a feeling of caring and responsibility
B) Fantasizes about the child's gender and personality-views the child as part of herself-becomes introspective
C) Views the child as part of herself-has feelings of well-being-accepts the biologic fact of pregnancy
D) "I am pregnant."-"I am going to have a baby."-"I am going to be a mother."

Answer 2

"I am pregnant."-"I am going to have a baby."-"I am going to be a mother."

Question 3

A woman is 3 months pregnant. At her prenatal visit she tells the nurse that she doesn't know what is happening; one minute she's happy that she is pregnant, and the next minute she cries for no reason. Which response by the nurse is most appropriate?

A) "Don't worry about it; you'll feel better in a month or so."
B) "Have you talked to your husband about how you feel?"
C) "Perhaps you really don't want to be pregnant."
D) "Hormonal changes during pregnancy commonly result in mood swings."

Answer 3

"Hormonal changes during pregnancy commonly result in mood swings."

Question 4

Which blood pressure (BP) finding during the second trimester indicates a risk for pregnancy-induced hypertension?

A) Baseline BP 120/80, current BP 126/85
B) Baseline BP 100/70, current BP 130/85
C) Baseline BP 140/85, current BP 130/80
D) Baseline BP 110/60, current BP 110/60

Question 5

Prenatal testing for the human immunodeficiency virus (HIV) is recommended for which women?

A) All women, regardless of risk factors
B) A woman who has had more than one sexual partner
C) A woman who has had a sexually transmitted infection
D) A woman who is monogamous with her partner

Question 6

Which statement about pregnancy is accurate?

A) A normal pregnancy lasts about 10 lunar months.
B) A trimester is one third of a year.
C) The prenatal period extends from fertilization to conception.
D) The estimated date of confinement (EDC) is how long the mother will have to be bedridden after birth.

Question 7

With regard to follow-up visits 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 systolic blood pressure (BP) of 130 and a diastolic BP of 80 is sufficient to be considered hypertensive.

Question 8

A pregnant woman at 18 weeks of gestation calls the clinic to report that she has been experiencing occasional backaches of mild-to-moderate intensity. The nurse would recommend that she:

A) Do Kegel exercises.
B) Do pelvic rock exercises.
C) Use a softer mattress.
D) Stay in bed for 24 hours.

Question 9

The nurse should be aware that the partner's main role in pregnancy is to:

A) Provide financial support.
B) Protect the pregnant woman from "old wives' tales."
C) Support and nurture the pregnant woman.
D) Make sure the pregnant woman keeps prenatal appointments.

Question 10

The quadruple marker test is used to assess the fetus for which condition?

A) Down syndrome
B) Diaphragmatic hernia
C) Congenital cardiac abnormality
D) Anencephaly

Question 11

In her work with pregnant women of various cultures, a nurse practitioner has observed various practices that seemed strange or unusual. She has learned that cultural rituals and practices during pregnancy seem to have one purpose in common. Which statement best describes that purpose?

A) To promote family unity
B) To ward off the "evil eye"
C) To appease the gods of fertility
D) To protect the mother and fetus during pregnancy

Question 12

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

Question 13

A woman arrives at the clinic for a pregnancy test. The first day of her last menstrual period (LMP) was February 14, 2010. Her expected date of birth (EDB) would be:

A) September 17, 2010.
B) November 7, 2010.
C) November 21, 2010.
D) December 17, 2010.

Question 14

During the first trimester a woman can expect which of the following changes in her sexual desire?

A) An increase, because of enlarging breasts
B) A decrease, because of nausea and fatigue
C) No change
D) An increase, because of increased levels of female hormones

Question 15

For what reason would breastfeeding be contraindicated?

A) Hepatitis B
B) Everted nipples
C) History of breast cancer 3 years ago
D) Human immunodeficiency virus (HIV) positive

Question 16

The nurse caring for the newly pregnant woman would advise her that ideally prenatal care should begin:

A) Before the first missed menstrual period.
B) After the first missed menstrual period.
C) After the second missed menstrual period.
D) After the third missed menstrual period.

Question 17

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.

Question 18

With regard to work and travel during pregnancy, nurses should be aware that:

A) Women should sit for as long as possible and cross their legs at the knees from time to time for exercise.
B) Women should avoid seat belts and shoulder restraints in the car, because they press on the fetus.
C) Metal detectors at airport security checkpoints can harm the fetus if the woman passes through them a number of times.
D) While working or traveling in a car or on a plane, women should arrange to walk around at least every hour or so.

Question 19

Which symptom is considered a first-trimester warning sign and should be reported immediately by the pregnant woman to her health care provider?

A) Nausea with occasional vomiting
B) Fatigue
C) Urinary frequency
D) Vaginal bleeding

Question 20

With regard to medications, herbs, shots, and other substances normally encountered, the maternity nurse should be aware that:

A) Both 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 during pregnancy, but live-virus vaccines (e.g., measles) are permissible.
D) No convincing evidence exists that secondhand smoke is potentially dangerous to the fetus.

Question 21

Which statement about multifetal pregnancy is NOT accurate?

A) The expectant mother often develops 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 often are more pronounced.

Question 22

In response to requests by the U.S. Public Health Service for new models of prenatal care, an innovative new approach to prenatal care known as centering pregnancy was developed. Which statement would accurately apply to the centering model of care?

A) Group sessions begin with the first prenatal visit.
B) At each visit blood pressure, weight, and urine dipsticks are obtained by the nurse.
C) Eight to 12 women are placed in gestational-age cohort groups.
D) Outcomes are similar to those of traditional prenatal care.

Question 23

With regard to the initial visit with a patient who is beginning prenatal care, nurses should be aware that:

A) The first interview is a relaxed, get-acquainted affair in which nurses gather some general impressions.
B) If nurses observe handicapping conditions, they should be sensitive and not inquire about them because the patient will do that in her own time.
C) Nurses should be alert to the appearance of potential parenting problems such as depression or lack of family support.
D) Because of legal complications, nurses should not ask about illegal drug use; that is left to physicians.

Question 24

The nurse should be aware that the pinch test is used to:

A) Check the sensitivity of the nipples.
B) Determine whether the nipple is everted or inverted.
C) Calculate the adipose buildup in the abdomen.
D) See whether the fetus has become inactive.

Question 25

The phenomenon of someone other than the mother-to-be experiencing pregnancy-like symptoms such as nausea and weight gain applies to the:

A) Mother of the pregnant woman.
B) Couple's teenage daughter.
C) Sister of the pregnant woman.
D) Expectant father.

Question 26

With regard to dental care during pregnancy, maternity nurses should be aware that:

A) Dental care can be dropped from the priority list because the woman has enough to worry about and is getting a lot of calcium anyway.
B) Dental surgery, in particular, is contraindicated because of the psychologic stress it engenders.
C) If dental treatment is necessary, the woman will be most comfortable with it in the second trimester.
D) Dental care interferes with the expectant mother's need to practice conscious relaxation.

Question 27

Signs and symptoms that a woman should report immediately to her health care provider include (choose all that apply):

A) Vaginal bleeding.
B) Rupture of membranes.
C) Heartburn accompanied by severe headache.
D) Decreased libido.
E) Urinary frequency.