Deck 26: Health Promotion and Pregnancy

Question 1

At what week of fetal development can the nurse expect to first hear fetal heart tones with an amplified stethoscope?

A) 10
B) 12
C) 14
D) 16

Answer 1

16

Question 2

A woman asks the nurse about the safety of sexual intercourse during her pregnancy.Which response by the nurse is the most correct?

A) "Sexual activity should be avoided after the first trimester."
B) "Sexual activity should be ceased in the case of vaginal bleeding."
C) "Sexual activity should be avoided in the second trimester."
D) "Sexual activity should be limited to activity that does not include intercourse."

Answer 2

"Sexual activity should be ceased in the case of vaginal bleeding."

Question 3

How long does the embryonic stage of pregnancy typically last?

A) 3 weeks
B) 4 weeks
C) 6 weeks
D) 8 weeks

Answer 3

8 weeks

Question 4

Why is the nurse concerned about a patient in her first trimester of pregnancy being exposed to German measles?

A) The disease is capable of causing a spontaneous abortion.
B) The disease is capable of causing birth defects.
C) The disease is capable of causing high fever and convulsions.
D) The disease is capable of interfering with placental implantation.

Question 5

A woman entering the 22nd week of pregnancy complains that she has become unsightly because of chloasma.What should the nurse recommend to reduce the appearance of the chloasma?

A) Use heavy makeup.
B) Take extra doses of vitamin A.
C) Avoid exposure to the sun.
D) Reduce caffeine intake.

Question 6

The nurse assures an anxious primigravida that during fetal development from week 34 and beyond,maternal antibodies are transferred to the baby.How long will these antibodies provide the baby with immunity?

A) 1 month
B) 3 months
C) 4 months
D) 6 months

Question 7

Which hormone is secreted by the placenta?

A) Follicle-stimulating hormone (FSH)
B) Alpha-fetoprotein (AFP)
C) Human chorionic gonadotropin (HCG)
D) Luteinizing hormone (LH)

Question 8

Which is a positive sign of pregnancy?

A) Positive pregnancy test
B) Positive Chadwick sign
C) Ultrasonic tracing of the fetus
D) Positive Goodell sign

Question 9

A woman who has just discovered she is pregnant states that the first day of her last menstrual period was July 10.What will be her expected date of birth (EDB)?

A) April 10
B) April 17
C) May 10
D) October 17

Question 10

A pregnant teenager presents with the following complaints.Which complaint could be an indicator of a serious complication?

A) Painful hemorrhoids
B) Linea nigra
C) Visual disturbances
D) Low back pain

Question 11

During the final weeks of pregnancy,urinary frequency may return due to the enlarged uterus,compressing the bladder against the pelvic bones.What does the nurse suggest to aid in relieving the urinary frequency?

A) Decrease fluid intake.
B) Use the knee-chest position.
C) Sleep on her side.
D) Avoid fluid intake in evening.

Question 12

What is the cause of frequent urination in early pregnancy?

A) Increased fluid intake
B) The fetus's kidneys functioning
C) Retention of fluid
D) Increased circulating volume

Question 13

Where does implantation of the fertilized ovum usually occur?

A) Lower uterine wall
B) Side of the uterus
C) Fundus of the uterus
D) Body of the uterus

Question 14

What does the increase in circulating blood volume during pregnancy cause in the mother?

A) Shortness of breath
B) Frontal headaches
C) Decreased white blood cell count
D) Decreased hemoglobin

Question 15

During which gestational week can a primigravida expect to first feel fetal movement?

A) 8
B) 10
C) 16
D) 20

Question 16

What protects the fetus from most bacterial infections?

A) The yolk sac
B) The placental barrier
C) The cotyledons
D) The chorionic villa

Question 17

Early in the first trimester,a woman complains of morning sickness.What does the nurse suggest to aid with the discomfort?

A) Eating something with a high-fat content
B) Eating dry crackers before getting up
C) Eating three well-balanced meals
D) Getting rest and taking antiemetics

Question 18

A woman tells the nurse that this is her third pregnancy.She has had twin girls at full term and one miscarriage.How does the nurse record the information?

A) G2,T2,L3
B) G4,T3,A1,L1
C) G3,T3,A2,L1
D) G3,T1,A1,L2

Question 19

What period of the maternity cycle does the intrapartal period cover?

A) Beginning of pregnancy to midterm
B) Conception to third trimester
C) Onset of labor to delivery of the baby
D) Onset of labor to delivery of the placenta

Question 20

A patient has been diagnosed with a tubal pregnancy.What is the typical outcome of a tubal pregnancy?

A) The patient will carry the pregnancy to term and have a cesarean delivery.
B) The patient will have to remain in bed for the remainder of the pregnancy.
C) The patient will spontaneously abort this ectopic pregnancy.
D) The patient will require surgery to remove the zygote.

Question 21

The health care provider decides to send the mother for a test to determine the fetal lung maturity.What is the name of this fetal well-being test?

A) Biophysical profile
B) Alpha-fetoprotein
C) Amniocentesis
D) Ultrasound

Question 22

What do the arteries in the umbilical cord carry?

A) Nutrients to the fetus from the placenta
B) Oxygenated blood to perfuse the placenta
C) Antibodies from the fetus to the mother
D) Deoxygenated blood back to the placenta

Question 23

Which of the following discomforts of a pregnant woman should be reported to the health care provider at the first occurrence?

A) Leg cramps
B) Pelvic discomfort
C) Vaginal bleeding
D) Urinary frequency

Question 24

Which of the following demonstrate culturally competent care of the pregnant patient? (Select all that apply. )

A) Discuss beliefs with the patient and incorporate them in the plan of care.
B) Prohibit visits from anyone other than immediate family members.
C) Require the patient's participation in every aspect of the health care system.
D) Maintain the patient's modesty at all times.
E) Strive to maintain a harmonious environment for the patient.

Question 25

When the young primigravida asks about how to adjust her diet for her pregnancy,what should the nurse suggest the mother add to her diet?

A) Leafy green vegetables and fruit
B) Beef and poultry
C) Foods high in sodium and potassium
D) Bread and grains

Question 26

The nurse assesses a reactive result to a nonstress test when the fetal heart rate increases _____ beats/min.

Question 27

Smoking by the mother can have what effect in the fetus?

A) Hearing deficits
B) Neuromuscular deformities
C) Cerebral palsy
D) Low birth weight

Question 28

What should a nurse instruct the patient to do before assessing fundal height?

A) Press her lower back against the examination table.
B) Empty her bladder.
C) Take a deep breath and hold it.
D) Bear down.

Question 29

The nurse instructor reminds the nursing student that the "Shiny Schultz" is a name given to the _____________ side of the placenta.

Question 30

The chorion and the amnion are the two components of the ________ membrane.

Question 31

During the last trimester of pregnancy,the nurse recommends that the woman wear low-heeled shoes.What is the nurse trying to prevent with this recommendation?

A) Lower back pain
B) Leg cramps
C) Leg swelling
D) Joint pain

Question 32

When can the sex of the fetus be confirmed?

A) Conception
B) 2 weeks
C) 6 weeks
D) 9 weeks

Question 33

During the 30th week of gestation,the nurse would anticipate that the fundal height would be _____ cm above the symphysis.

Question 34

The nurse concludes that the prenatal patient has no need for further instruction when she correctly states that amniocentesis can determine which of the baby's characteristics? (Select all that apply. )

A) Sex
B) Maturity
C) Approximate weight
D) Health
E) Genetic defects

Question 35

The newly diagnosed primigravida who is 6 weeks pregnant states,"I don't feel like I have a real baby inside me." To reassure the mother,the nurse provides reassurance that which of the following is functioning in the 6-week-old embryo?

A) Brain
B) Lungs
C) Hands
D) Heart