Deck 25: Health Promotion and Pregnancy

Question 1

The nurse explains that the increase in circulating volume experienced during pregnancy will cause:

A) shortness of breath.
B) frontal headaches.
C) decreased white blood cell count.
D) decreased hemoglobin.

Answer 1

decreased hemoglobin.

Question 2

A pregnant woman arrives for a visit to the physician.The nurse applies an amplified stethoscope to the abdomen and can hear the fetal heart tone.The nurse assesses that the fetus is at the fetal developmental week of:

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

Answer 2

16.

Question 3

The nurse explains that the placenta functions as an endocrine gland,secreting estrogen,progesterone,and:

A) follicle-stimulating hormone (FSH).
B) alpha-fetoprotein (AFP).
C) human chorionic gonadotropin (HCG).
D) luteinizing hormone (LH).

Answer 3

human chorionic gonadotropin (HCG).

Question 4

A woman tells the nurse that this is her third pregnancy.She has had twin girls at full term and one miscarriage.The nurse records this information as:

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

Question 5

The nurse uses a diagram to show the development of the embryonic stage of pregnancy,which usually lasts about:

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

Question 6

A primigravida who is eager to feel the baby move asks the nurse when she can expect to feel movement.The nurse replies that first faint movements may be felt during gestational week:

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

Question 7

During the final weeks of pregnancy,urinary frequency may return due to the enlarged uterus compressing the bladder against the pelvic bones.The nurse suggests that the patient should:

A) decrease fluid intake.
B) use the knee-chest position.
C) sleep on her side.
D) avoid fluid intake in evening.

Question 8

The nurse explains that the maternity cycle is divided into three periods.The intrapartal period covers:

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 9

When the patient is diagnosed with a tubal pregnancy,the nurse is aware that in this pregnancy,the patient will probably:

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

Question 10

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

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

Question 11

Which is a positive sign of pregnancy?

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

Question 12

When the patient complains of frequency of urination,the nurse explains that frequency of urination early in the pregnancy occurs due to:

A) increased fluid intake.
B) the fetus's kidneys functioning.
C) retention of fluid.
D) increased circulating volume.

Question 13

The nurse assures an anxious primigravida that during fetal development from week 34 and beyond,maternal antibodies are transferred to the baby.These provide immunity for the baby for:

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

Question 14

If a pregnant teenager presents with all the complaints below,the nurse recognizes that the one that could signal danger is:

A) painful hemorrhoids.
B) linea nigra.
C) visual disturbances.
D) low back pain.

Question 15

A woman entering the 22nd week of pregnancy complains to the nurse that feels she has become unsightly because of chloasma.The nurse recommends that to reduce the chloasma,the patient should:

A) use heavy makeup.
B) take extra doses of vitamin A.
C) avoid exposure to the sun.
D) reduce caffeine intake.

Question 16

The nurse explains that implantation is the embedding of the fertilized ovum in the uterine mucosa.This implantation usually occurs in the:

A) lower uterine wall.
B) side of the uterus.
C) fundus of the uterus.
D) body of the uterus.

Question 17

The nurse is concerned about the patient who is in her first trimester of pregnancy and has been exposed to German measles,because this disease is capable of:

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

Question 18

When lecturing to a class of prenatal women,the nurse explains that the fetus is protected from most bacterial invasions by the:

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

Question 19

The pregnant woman asks about sexual activity during her pregnancy.The nurse states that sexual activity should be:

A) avoided after the first trimester.
B) ceased in the case of vaginal bleeding.
C) continued throughout the pregnancy.
D) limited to activity that does not include intercourse.

Question 20

Early in the first trimester,a woman may complain of morning sickness.The nurse suggests that this may be relieved by:

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 21

The nurse assesses a reactive result to a non-stress test when the fetal heart rate increases _____ beats per minute.

Question 22

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

Question 23

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

Question 24

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 25

To assess an accurate fundal height,the nurse should instruct the patient to:

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 26

During the last trimester of pregnancy,the nurse recommends that the woman wear low-heeled shoes.This is in an effort to prevent or relieve:

A) lower back pain.
B) leg cramps.
C) leg swelling.
D) joint pain.

Question 27

The physician decides to send the mother for a test to determine the fetal lung maturity.This fetal well-being test is called a(n):

A) biophysical profile.
B) alpha-fetoprotein.
C) amniocentesis.
D) ultrasound.

Question 28

The nurse stresses that a sign of a complication of pregnancy that must be reported to the physician at the first occurrence is:

A) leg cramps.
B) pelvic discomfort.
C) vaginal bleeding.
D) urinary frequency.

Question 29

When the young primigravida asks about how to adjust her diet for her pregnancy,the nurse teaches that the diet should be modified to include more:

A) leafy green vegetables and fruit.
B) beef and poultry.
C) foods high in sodium and potassium.
D) bread and grains.

Question 30

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

Question 31

The father asks how soon the sex of the baby can be confirmed.The nurse answers that the genitalia are well defined at:

A) conception.
B) 2 weeks.
C) 6 weeks.
D) 9 weeks.

Question 32

The nurse uses a diagram to show how 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 mother to the fetus.
D) deoxygenated blood back to the placenta.

Question 33

At a prenatal visit,a woman who is 32 weeks pregnant states that she is having difficulty sleeping.The nurse suggests she:

A) walk for 30 minutes every evening.
B) drink a glass of warm milk before bedtime.
C) drink 4 ounces of wine at dinner.
D) take an over-the-counter sedative.

Question 34

A newly confirmed pregnant patient asks the nurse what the dangers of smoking are to her baby.The nurse tells her that smoking can cause the fetus to have:

A) hearing deficits.
B) neuromuscular deformities.
C) cerebral palsy.
D) low birth weight.

Question 35

The newly diagnosed primigravida who is 6 weeks pregnant states,"I don't feel like I have a real baby inside me." The nurse reassures her that at 6 weeks the embryo has a functioning:

A) brain.
B) lungs.
C) hands.
D) heart.