Deck 15: Nursing Care of the Family During Pregnancy

Question 1

For what reason is breastfeeding contraindicated?

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

Answer 1

Human immunodeficiency virus (HIV)positive

Question 2

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

Answer 2

Vaginal bleeding

Question 3

During the initial visit with a client 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 client 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

Answer 3

Nurses should be alert to the appearance of potential parenting problems,such as depression or lack of family support

Question 4

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 5

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

Question 6

With regard to the initial physical exam of a woman beginning prenatal care,maternity nurses should be aware that:

A)Only women who show physical signs or meet the sociologic profile should be assessed for physical abuse
B)The woman should empty her bladder before the pelvic examination
C)The distribution,amount,and quality of body hair are of no particular importance
D)The size of the uterus is discounted in the initial examination because it is just going to get bigger soon

Question 7

A nurse should advise which women about continued condom use during pregnancy?

A)Unmarried pregnant women
B)Women at risk for acquiring or transmitting sexually transmitted infections (STIs)
C)All pregnant women
D)Women at risk for candidiasis

Question 8

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 9

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 10

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 11

A nurse should be aware that a partner's main role in pregnancy is:

A)To provide financial support
B)To protect the pregnant woman from "old wives' tales"
C)To support and nurture the pregnant woman
D)To make sure the pregnant woman keeps prenatal appointments

Question 12

A nurse caring for a newly pregnant woman advises 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 13

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 is 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)"Hormone changes during pregnancy commonly result in mood swings."

Question 14

A woman arrives at the clinic for a pregnancy test.Her last menstrual period (LMP)was February 14,2011.Her expected date of birth (EDB)is:

A)September 17,2011
B)November 7,2011
C)November 21,2011
D)December 17,2011

Question 15

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."

Question 16

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 be considered unrealistic and require further discussion with the nurse?

A)"My husband and I have agreed that my sister will be my coach because he becomes anxious with regard to medical procedures and blood.He will be nearby and check on me every so often to make sure everything is okay."
B)"We plan to use the techniques taught in the Lamaze classes to reduce the pain experienced during labor."
C)"We want the labor and birth to take place in a birthing room.My husband will come in the minute the baby is born."
D)"We do not want the fetal monitor used during labor because it will interfere with movement and doing effleurage."

Question 17

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 18

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 19

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 recommends that she:

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

Question 20

With regard to a woman's reordering of personal relationships during pregnancy,the maternity nurse should be aware that:

A)Because of the special motherhood bond,a woman's relationship with her mother is even more important than with the father of the child
B)Nurses need not get involved in any sexual issues the couple has during pregnancy,particularly if they have trouble communicating them to each other
C)Women usually express two major relationship needs during pregnancy: feeling loved and valued and having the child accepted by the father
D)The woman's sexual desire is likely to be highest in the first trimester because of the excitement and because intercourse is physically easier

Question 21

When instructing a pregnant client regarding personal hygiene,it is important for a maternity nurse to be aware that:

A)Tub bathing is permitted even in late pregnancy unless membranes have ruptured
B)The perineum should be wiped from back to front
C)Bubble bath and bath oils are permissible because they add an extra soothing and cleansing action to the bath
D)Expectant mothers should use specially treated soap to cleanse the nipples

Question 22

Many pregnant women have questions regarding work and travel during pregnancy.Nurse should instruct clients 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 23

During labor,a doula is expected to:

A)Help the woman do Lamaze breathing techniques and provide support to the woman and her partner
B)Check the fetal monitor tracing for effects of the labor process on the fetal heart rate
C)Take the place of the father as a coach and support provider
D)Administer pain medications as needed by the woman

Question 24

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

Question 25

Pregnant women who become ill with seasonal respiratory influenza (flu)are more likely than other persons to develop serious complications,such as pneumonia.Is this statement true or false?

Question 26

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 accurately applies 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 traditional prenatal care.

Question 27

Dental care during pregnancy is an important component of good prenatal care.Maternity nurses reinforce this by providing which of the following instructions to their clients:

A)Regular brushing and flossing may not be necessary during early pregnancy because it may stimulate the woman who is already nauseated to vomit.A cleaning is all that is necessary
B)Dental surgery,in particular,is contraindicated during pregnancy and should be delayed until after delivery
C)If dental treatment is necessary,the woman will be most comfortable with it in the second trimester
D)If a woman has dental anxiety,dental care may interfere with the expectant mothers' need to practice conscious relaxation and preparation for labor

Question 28

An obese woman who has become pregnant is at the same risk for delivering an infant with congenital anomalies as a woman who is not obese.Is this statement true or false?

Question 29

A woman has just moved to the United States from Mexico.She is 3 months pregnant and has arrived for her first prenatal visit.During her assessment interview you discover that she has not had any immunizations.Which immunizations should she receive at this point in her pregnancy? Choose all that apply.

A)Tetanus
B)Diphtheria
C)Chickenpox
D)Rubella
E)Hepatitis B

Question 30

A woman who is 16 weeks pregnant has come in for a follow-up visit with her significant other.In order to reassure the client regarding fetal well-being it is best for the nurse to:

A)Assess the fetal heart tones with a Doppler stethoscope
B)Measure the girth of the woman's abdomen
C)Complete an ultrasound examination (sonogram)
D)Offer the woman and her family the opportunity to listen to the fetal heart tones

Question 31

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