Question 1

What is the pregnant woman's partner's main role in the pregnancy?

Accepted Answer

The partner's main role in pregnancy is to nurture the pregnant woman and respond to her feelings of vulnerability.In older societies the man enacted the ritual couvade.Changing cultural and professional attitudes have encouraged fathers' participation in the birth experience over the past 30 years.

Question 2

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.What should the nurse recommend to the woman?

Accepted Answer

Pelvic rock exercises may help stretch and strengthen the abdominal and lower back muscles and relieve low back pain.Kegel exercises increase the tone of the pelvic area,not the back.A softer mattress may not provide the support needed to maintain proper alignment of the spine and may contribute to back pain.Stretching and other exercises to relieve back pain should be performed several times a day.

Question 3

Which statement about pregnancy is accurate?

Accepted Answer

A lunar month lasts 28 days,or 4 weeks.Pregnancy spans 9 calendar months but 10 lunar months.A trimester is one third of a normal pregnancy,or about 13 to 14 weeks.The prenatal period covers the full course of pregnancy (prenatal means before birth).The EDC is now called the EDB,or estimated date of birth.It has nothing to do with the duration of bedrest.

Question 4

Which is a danger sign of pregnancy at 32 weeks of gestation?

Accepted Answer

An alteration in the pattern or amount of fetal movement may indicate fetal jeopardy.Constipation,heart palpitations,and ankle and foot edema are normal discomforts of pregnancy that occur in the second and third trimesters.

Question 5

Which is true with regard to a woman's reordering of personal relationships during pregnancy?

Accepted Answer

Love and support help a woman feel better about her pregnancy.The most important person to the pregnant woman is usually the father or partner.Nurses can facilitate communication between partners about sexual matters if,as is common,they are nervous about expressing their worries and feelings.The second trimester is the time when a woman's sense of well-being,along with certain physical changes,increases her desire for sex.Desire is down in the first and third trimesters.

Question 6

Which should the nurse know to aid in understanding and guiding a woman through her acceptance of pregnancy?

Accepted Answer

Mood swings are natural and are likely to affect every woman to some degree.A woman may dislike being pregnant,refuse to accept it,and still love and accept the child.Ambivalent feelings about pregnancy are normal for mature or immature women,young or older.Conflicts such as not wanting to be pregnant or child-rearing and career-related decisions need to be resolved.The baby ends the pregnancy but not all the issues.

Question 7

Cultural rituals and practices during pregnancy seem to have one purpose in common.Which statement best describes that purpose?

Accepted Answer

Educators must build on cultural practices that promote the protection of the mother and fetus during pregnancy.Although many consider pregnancy normal,certain practices are expected of women of all cultures to ensure a good outcome.Cultural prescriptions tell women what to do,and cultural proscriptions establish taboos.The purposes of these practices are to prevent maternal illness resulting from a pregnancy-induced imbalanced state and to protect the vulnerable fetus.

Question 8

During the first trimester,a pregnant woman may expect which change in her sexual desire?

Accepted Answer

During the first trimester,the woman's sexual desire may decrease,especially if she has breast tenderness,nausea,fatigue,or sleepiness.Libido may be depressed in the first trimester but often increases during the second and third trimesters.During pregnancy the breasts may become enlarged and tender;this tends to interfere with coitus,thereby decreasing the desire to engage in sexual activity.Maternal physiological changes such as breast enlargement,nausea,fatigue,abdominal changes,perineal enlargement,leukorrhea,pelvic vasocongestion,and orgasmic responses may affect sexuality and sexual expression.

Question 9

For which women would prenatal testing for the human immunodeficiency virus (HIV)be recommended?

Accepted Answer

Testing for the antibody to HIV is strongly recommended for all pregnant women,regardless of risk factors.The incidence of perinatal transmission from an HIV-positive mother to her fetus ranges from 25 to 35%.Women who test positive for HIV can then be treated.

Question 10

For which reason would breastfeeding be contraindicated?

Accepted Answer

Women who are HIV positive in developed countries are discouraged from breastfeeding because of the risk of HIV transmission.Although hepatitis B antigen has not been shown to be transmitted through breast milk,as an added precaution infants born to HBsAg-positive women should receive the hepatitis B vaccine and immunoglobulin immediately after birth.Everted nipples are functional for breastfeeding.Newly diagnosed breast cancer would be a contraindication to breastfeeding.

Question 11

Which behaviour indicates that a woman is "seeking safe passage" for herself and her infant?

Accepted Answer

The goal of prenatal care is to foster a safe birth for the infant and mother.Although eating properly,driving carefully,and using proper body mechanics are all healthy measures that a mother can take,obtaining prenatal care is the optimal method for providing safety for both herself and her baby.

Question 12

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

Accepted Answer

A systolic BP (SBP)of 140 mm Hg or more and a diastolic BP (DBP)of 90 mm Hg or more,based on the average of at least two measurements,suggest the presence of hypertension.A slight increase in BP of 126/85 does not meet the criteria for concern.Although the baseline BP is worrisome (an absolute systolic BP of 140 mm Hg or higher or a diastolic BP of 90 mm Hg or higher suggests hypertension),the subsequent pressures have decreased,not increased.The BP of 110/60 is within normal limits for both values and is not a concern.

Question 13

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 if it is safe for her to have a drink with dinner now.What is the basis for the nurse's response?

Accepted Answer

Because no one knows how much or how little alcohol it takes to cause fetal problems,the best course is to abstain throughout the pregnancy.A safe level of alcohol consumption during pregnancy has not yet been established.Although the consumption of occasional alcoholic beverages may not be harmful to the mother or her developing fetus,complete abstinence is strongly advised.

Question 14

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

Accepted Answer

By age 3 or 4,children like to be told the story of their own beginning and accept its comparison with the present pregnancy.They like to listen to the fetal heartbeat and feel the baby move.Sometimes they worry about how the baby is being fed and what it wears.School-age children take a more clinical interest in their mother's pregnancy and may want to know,"How did the baby get in there?" and "How will it get out?" Whether the mother will die does not tend to be the focus of a child's questions about the impending birth of a sibling.The baby's eye colour does not tend to be the focus of children's questions about the impending birth of a sibling.

Question 15

A woman arrives at the clinic for a pregnancy test.The first day of her last menstrual period (LMP)was February 14,2012.What would be her baby's expected date of birth (EDB)?

Accepted Answer

Using Nägele's rule,November 21,2012,is the correct EDB.The EDB is calculated by subtracting 3 months from the first day of the LMP and adding 7 days + 1 year to the day of the LMP.Therefore,with an LMP of February 14,2012: February 14,2012 - 3 months = November 14,2011 + 7 days = November 21,2011 + 1 year = November 21,2012.

Question 16

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

Accepted Answer

Signs and symptoms that must be reported include severe vomiting,fever and chills,burning on urination,diarrhea,abdominal cramping,and vaginal bleeding.These symptoms may be signs of potential complications of the pregnancy.Nausea with occasional vomiting,fatigue,and urinary frequency are normal first-trimester complaints.Although they may be worrisome or annoying to the mother,they usually are not indications of pregnancy problems.

Question 17

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

Accepted Answer

The woman first centres on herself as pregnant,then on the baby as an entity separate from herself,and then on her responsibilities as a mother.The expressions "I am pregnant," "I am going to have a baby," and "I am going to be a mother" sum up the progression through the three phases.

Question 18

What type of cultural concern is the most likely deterrent to many women seeking prenatal care?

Accepted Answer

A concern for modesty is a deterrent to many women seeking prenatal care.For some women exposing body parts,especially to a man,is considered a major violation of their modesty.Many cultural variations are found in prenatal care.Even if the prenatal care described is familiar to a woman,some practices may conflict with her cultural beliefs and practices.

Question 19

The nurse caring for the newly pregnant woman would advise her that ideally prenatal care should begin at what time?

Accepted Answer

Prenatal care ideally should begin soon after the first missed menstrual period.Regular prenatal visits offer opportunities to ensure the health of the expectant mother and her infant.

Question 20

A pregnant woman at 10 weeks of gestation jogs three or four times per week.Which is true about exercise during pregnancy?

Accepted Answer

Pregnant women should be advised that they may have to modify their exercise later in pregnancy.The nurse should inform the woman that she may need to reduce her exercise level as the pregnancy progresses.Physical activity brings about a feeling of well-being in pregnant women.It improves circulation,promotes relaxation and rest,and counteracts boredom.Simple measures should be initiated to prevent injuries,such as warm-up and stretching exercises to prepare the joints for more strenuous exercise.

Quiz 11: Nursing Care During Pregnancy