Question 1

A student nurse is teaching a pregnant woman ways to manage constipation.Which instruction by the student causes the nurse to provide a correction?

Accepted Answer

Cheese tends to cause constipation,so this statement by the student needs correction by the nurse.The other statements are all correct.

Question 2

A couple ask the prenatal nurse to explain centering pregnancy.Which statement accurately applies to this model of care?

Accepted Answer

This method involves ten 1.5- to 2-hour sessions with small groups of women and health care providers beginning at 12 to 16 weeks of pregnancy and ending in early postpartum.Sessions include assessment,education,and social support.It is not a way to control labor pain,a philosophy of making the pregnancy the center of the family's life,or the use of a large network of people during labor.

Question 3

The maternal task that begins in the first trimester and continues throughout the neonatal period is called

Accepted Answer

Developing attachment (strong ties of affection)to the unborn baby begins in early pregnancy when the woman accepts that she is pregnant.By the second trimester,the baby becomes real,and feelings of love and attachment surge.Seeing safe passage is a task that ends with delivery.During this task the woman seeks health care and cultural practices.Securing acceptance continues throughout pregnancy as the woman reworks relationships.Learning to give of herself occurs during pregnancy and is sometimes noticed as the woman gives to others in the form of food or presents.

Question 4

What comment by a new mother exhibits understanding of her toddler's response to a new sibling?

Accepted Answer

It is important for a mother to seek time alone with her toddler to reassure him that he is loved.Toddlers can feel jealous and resentful having to share the mother's attention.It is normal for a child to regress when a new sibling is introduced into the home.As difficult as it is,the mother must make time to spend with the toddler.Changes in sleeping arrangements should be made several weeks before the birth so that the child does not feel displaced by the new baby.

Question 5

A patient who is 7 months pregnant states,"I'm worried that something will happen to my baby." The nurse's best response is

Accepted Answer

Encouraging the client to discuss her feelings is the best approach.Women during their third trimester need reassurance that such fears are not unusual in pregnancy.An open-ended request to share information will encourage the patient to explain concerns further.The other statements belittle the patient's concerns and provide false hope.

Question 6

A 36-year-old divorcee with a successful modeling career finds out that her 18-year-old married daughter is expecting her first child.What is a major factor in determining how the woman will respond to becoming a grandmother?

Accepted Answer

Age is a major factor in determining the emotional response of prospective grandparents.Young grandparents may not be happy with the stereotype of grandparents as being old.Career responsibilities may have demands that make the grandparents not as accessible,but it is not a major factor in determining the woman's response to becoming a grandmother.Being divorced is not a major factor that determines adaptation of grandparents.The age of the daughter is not a major factor that determines adaptation of grandparents.The age of the grandparent is a major factor.

Question 7

A nurse in labor and delivery is caring for a Muslim woman during the active phase of labor.You note that when you touch her,she quickly draws away.Which response by the nurse is best?

Accepted Answer

Touching is an important component of communication in various cultures,but if the patient appears to find it offensive,the nurse should respect her cultural beliefs and limit touching her.By continuing to touch her,the nurse is showing disrespect for her cultural beliefs.A cultural response to touch does not reflect like or dislike.Being assigned to another patient is inappropriate; all nurses must be able to provide culturally appropriate care.

Question 8

Which of the following behaviors by a pregnant woman would be an example of mimicry?

Accepted Answer

Mimicry refers to observing and copying the behaviors of others,in this case,other pregnant women.Wearing maternity clothes before they are needed helps the expectant mother "feel" what it's like to be obviously pregnant.Babysitting other children is a form of role playing where the woman practices the expected role of motherhood.Daydreaming is a type of fantasy where the woman "tries on" a variety of behaviors in preparation for motherhood.Imagining herself as a good mother is the woman's effort to look for a good role fit.She observes behavior of other mothers and compares them with her own expectations.

Question 9

A pregnant couple has formulated a birth plan and is reviewing it with the nurse at an expectant parent's class.Which aspect of their birth plan would require further discussion with the nurse?

Accepted Answer

A birth plan consists of what the woman and partner wish to have happen during labor and delivery.Intermittent or continuous fetal monitoring is one aspect of care for consideration; however,it is unrealistic to state that monitoring will not be used.The nurse should explain the purpose to ensure the couple is making an informed decision.The woman can refuse this procedure but would need to understand how this might negatively impact her child.The couple also need to understand that the entire plan is tentative depending on what events actually occur.The other statements are appropriate for a birth plan.

Question 10

The nurse is caring for a woman who had infibulation performed on her as a child.Which of the following actions by the perinatal nursing staff are appropriate for this patient? (Select all that apply.)

Accepted Answer

Female genital mutilation,cutting,or circumcision,also called infibulation,involves removal of some or all of the external female genitalia.The labia majora are often stitched together over the vaginal and urethral opening as part of this practice.The woman is at risk for many issues including urinary tract and other genital infections and pain.Often the woman will not give any verbal or nonverbal signs of pain so the nurse must be astute in assessing for it.Draping the woman should be done as completely as possible.The equipment for exams must be smaller,such as a pediatric speculum.

Question 11

A nurse is encouraging a patient to attend an early pregnancy class for the second trimester.What topic would be inconsistent with the nurse's knowledge of topics presented in this class?

Accepted Answer

Managing morning sickness would be taught in a first trimester early pregnancy class.The other topics are appropriate for second trimester classes.

Question 12

The nurse in the OB triage area has four patients to see.Which patient should the nurse see first?

Accepted Answer

This patient may have a placenta previa or abruptio placentae or might be having a spontaneous abortion.The nurse needs to see this patient first.The other patients may have normal vomiting of the first trimester.Swollen fingers indicate edema that needs to be investigated.Painful urination probably indicates a urinary tract infection.The priority patient is the one with bleeding.

Question 13

Which comment by a woman in her first trimester indicates ambivalent feelings?

Accepted Answer

Ambivalence refers to conflicting feelings.This woman is demonstrating this conflict.The other statements do not indicate ambivalence.

Question 14

A pregnant patient of 28 weeks' gestation complains of pain in the right inguinal area.What action by the nurse is best?

Accepted Answer

Pain in the right inguinal area is most likely due to the round ligament.The nurse can position the woman on her right side to see if that relieves the pain.Heat can also help.There is no need to assess for labor or palpate the abdomen.The findings should be documented after the nurse responds.

Question 15

A patient at 32 weeks of gestation reports that she has severe lower back pain.The nurse's assessment should include

Accepted Answer

Correct posture and body mechanics can reduce lower back pain caused by increasing lordosis.Pregnancy should not cause alterations in the spine.Any assessment for malformation should be done early in the pregnancy.Exercise and sleep are not as important to assess as are posture and body mechanics,which can contribute to the pain.

Question 16

Which situation best describes a man "trying on" fathering behaviors?

Accepted Answer

Interacting with children and assuming the behavior and role of a father best describe a man "trying on" being a father.The man normally will seek closer ties with his father during this time,not his siblings.While some fathers do everything they can to learn about infant care,others are not ready to learn when the information is presented,so the nurse should provide the information again after the baby is born and it is more relevant.Exhibiting symptoms related to pregnancy is called couvade.

Question 17

The nurse is caring for a patient whose English is limited.When the nurse provides information,the patient smiles and nods her head.What action by the patient indicates that the goal for a primary nursing diagnosis for this patient has been met?

Accepted Answer

The primary goal for this situation is Impaired Verbal Communication due to lack of English proficiency.If the patient is able to understand and keep her next appointment and brings a trAnswerlator with her to help facilitate communication that shows that the goal of adequate communication has been met.The other actions do not address communication.

Question 18

A step in maternal role attainment that relates to the woman giving up certain aspects of her previous life is termed

Accepted Answer

The woman experiences sadness as she realizes that she must give up certain aspects of her previous self and that she can never go back.Looking for a fit is when the woman observes the behaviors of mothers and compares them with her own expectations.Role playing involves searching for opportunities to provide care for infants in the presence of another person.Fantasies allow the woman to try on a variety of behaviors.This usually deals with how the child will look and the characteristics of the child.

Question 19

A nurse is caring for patients in the prenatal clinical who are all 35 weeks along.Which patient should the nurse see first?

Accepted Answer

Abdominal pain may indicate preterm labor or placental abruption so this patient should be seen first.Shortness of breath climbing stairs,afternoon ankle edema,and backache are all normal findings at this stage of pregnancy.

Question 20

The nurse who practices in a prenatal clinic understands that a major concern of lower socioeconomic groups is to

Accepted Answer

Because of economic uncertainty,lower socioeconomic groups place more emphasis on meeting the needs of the present rather than on future goals.Lower socioeconomic groups usually do not have group health insurance.They may value health care but cannot afford preventive health care.They may struggle for basic needs and often do not see a way to improve their situation.It is difficult to maintain optimism.

Quiz 13: Adaptations to Pregnancy