Deck 10: Nursing Care Related to Psychological and Physiologic Changes of Pregnancy

Question 1

A pregnant patient tells the nurse that she is not happy to learn about the pregnancy. At which point in the pregnancy does the nurse realize that the patient will change her mind about the pregnancy?

A) Around the third month
B) After the seventh month
C) When quickening occurs
D) After lightening happens

Answer 1

When quickening occurs

Question 2

The nurse determines that a pregnant patient is working through developmental tasks. Which statement did the patient make to the nurse?

A) "My mother and I are closer than ever before."
B) "I'm thinking about everything I eat these days."
C) "There are a lot of allergies in my husband's family."
D) "I don't care what sex baby I have as long as it's healthy."

Answer 2

"My mother and I are closer than ever before."

Question 3

A newly wed young adult patient tells the nurse that she hopes to become pregnant soon. What should the nurse recommend to this patient to support the 2020 National Health Goals for pregnancy? (Select all that apply.)

A) Stop smoking.
B) Increase exercise.
C) Eat a healthy diet.
D) Reduce work hours.
E) Limit alcohol intake.

Answer 3

Stop smoking.
Eat a healthy diet.
Limit alcohol intake.

Question 4

The nurse is planning to instruct a patient who is 6 weeks pregnant about increasing the intake of milk each day. Which statement should the nurse make as the most effective health teaching measure?

A) "The fetus needs milk to build strong bones and teeth."
B) "Your future baby will benefit from a high milk intake."
C) "Milk is a rich source of calcium that is important for fetal growth."
D) "Milk will strengthen your fingernails as well as be good for the baby."

Question 5

The spouse of a pregnant patient is quiet during prenatal visits but is demonstrating emotional involvement in the pregnancy. What action did the spouse perform?

A) States he definitely wants a girl
B) Refuses to paint the baby's room blue
C) States he is concerned about the loss of his free time
D) Walks around furniture as if his abdomen is enlarged

Question 6

A father is preparing a 4-year-old son for the arrival of a new baby. Which statement should the nurse suggest the father use to explain this to the child?

A) "Mother will need to spend a lot of time with the new baby."
B) "It will be fun to have a sister or brother to give your old toys to."
C) "The new baby will need your bed so we're buying you a new one."
D) "A new baby will make our family bigger but not change our love for you."

Question 7

A patient makes an appointment at the prenatal clinic because she thinks she might be pregnant. Which assessment is a probable sign of pregnancy?

A) Amenorrhea
B) Enlargement and darkening of areola
C) Nausea and vomiting
D) A positive pregnancy test

Question 8

After an examination, an advanced practice nurse confirms that a patient is pregnant. What did the nurse assess in this patient? (Select all that apply.)

A) Painful breast tissue
B) Positive pregnancy test
C) Fetal movements felt by the nurse
D) Visualization of the fetus by ultrasound
E) Fetal heart rate separate from the patient's

Question 9

The nurse is assessing a patient who is 3 months pregnant. Which breast changes would the nurse expect to assess in this patient?

A) Enlarged lymph nodes
B) Slack, soft breast tissue
C) Deeply fissured nipples
D) Darkened breast areolae

Question 10

After a routine examination, a patient tells the nurse that she plans to use a home pregnancy test to determine if she is pregnant. What should the nurse respond to this patient's plan?

A) Use a diluted urine specimen.
B) Arrange for prenatal care if the test is positive.
C) Wait until after two missed menstrual periods.
D) Refrain from eating for 4 hours before testing.

Question 11

A patient who is 2 months pregnant is concerned about frequent urination. What should the nurse instruct the patient about this occurrence?

A) This means urine is more concentrated.
B) The fetus is adding urine to the patient's bladder.
C) It is caused by pressure on the bladder from the uterus.
D) There is a decrease in the glomerular cells of the kidney.

Question 12

A patient who is 16 weeks pregnant has a lower blood pressure than that of prepregnancy levels. What should the nurse realize as being the cause for this lower blood pressure?

A) Prepregnancy blood pressure measurements were inaccurate.
B) Blood pressure progressively decreases throughout the entire pregnancy.
C) A decrease in the second trimester may occur because of placental growth.
D) Dehydration because blood pressure increases steadily throughout pregnancy.

Question 13

A pregnant patient who has frequent allergic responses to drugs is concerned about an allergic reaction to the fetus. What information will the nurse use when responding to this patient's concern?

A) Immunologic activity is decreased during pregnancy.
B) The level of aldosterone during pregnancy reduces production of IgG antibodies.
C) The kidneys release a hormone during pregnancy to prevent this from happening.
D) The decreased corticosteroid activity during pregnancy ensures this will not happen.

Question 14

During a routine prenatal examination, a pregnant patient's urine is found to have a trace amount of glucose. What does this finding indicate to the nurse?

A) The patient has gestational diabetes.
B) Lactose may be spilling into the urine.
C) The patient is eating excessive calories.
D) It is because of a decrease in glomerular filtration rate.

Question 15

During an assessment, a patient who is 5 months pregnant tells the nurse that she has to change her diet because she is just becoming too fat. Which nursing diagnosis should the nurse use to guide interventions for the patient at this time?

A) Powerlessness
B) Imbalanced nutrition
C) Deficient knowledge
D) Disturbed body image

Question 16

The nurse is concerned that a pregnant patient is not adjusting emotionally to being pregnant. Which statement indicates that the patient may need additional counseling?

A) "I cannot wait to lose all of this excess weight."
B) "I need to get right back to work after delivery."
C) "My mother has been so helpful during this time."
D) "My dad has already purchased toys for the baby!"

Question 17

The nurse instructs a pregnant patient on the need to increase foods containing folic acid. Which patient statement indicates that teaching has been effective?

A) "Eating an extra orange a day is important."
B) "I need to drink two glasses of milk each day."
C) "I will add spinach to my salad every evening."
D) "Cabbage and cauliflower are important for me to eat."

Question 18

A patient who is 6 months pregnant is complaining of a lumbar backache. What actions should the nurse suggest to help this patient? (Select all that apply.)

A) Do pelvic rocking.
B) Walk with head high.
C) Rest and elevate the feet.
D) Wear higher heeled shoes.
E) Twist the spine at the hips.

Question 19

A pregnant patient is observed talking with another patient holding an infant in the clinic waiting room. What does this observation indicate to the nurse?

A) The patient is role-playing.
B) The patient is being narcissistic.
C) The patient is reworking developmental tasks.
D) The patient is ambivalent about being pregnant.