Question 1

When talking with the nurse,a pregnant patient points out her darkened areolas,the linea nigra on her abdomen,and the brown patches on her forehead and nose and says,"I'm never going to be able to wear a bikini again." Which is the nurse's best response?

Accepted Answer

The nurse should reassure the patient that the changes she is experiencing are normal during pregnancy and will usually go away after the baby is born. This is a common concern for many pregnant women and providing reassurance can help alleviate their anxiety. Option A is not a good response as it implies the patient should be ashamed of the changes and try to hide them. Option B is not necessary for these common pregnancy-related changes. Option D is not supported by evidence and may not be effective in treating the discolorations.

Question 2

When the nurse cares for a pregnant adolescent,which psychosocial assessment takes priority before teaching self-care?

Accepted Answer

The developmental level of the pregnant adolescent is crucial in determining how to approach teaching self-care, as it affects their ability to understand and apply the information based on their cognitive and emotional maturity.

Question 3

The nurse caring for a woman who is in the third trimester of pregnancy suspects a urinary tract infection on the basis of which reported symptom?

Accepted Answer

Burning on urination is a common symptom of urinary tract infection, particularly in pregnant women. It is important to treat a UTI during pregnancy to prevent complications such as preterm labor and kidney infections. The other symptoms listed may also occur in pregnancy but are not reliable indicators of a UTI.

Question 4

During the woman's first prenatal visit,she makes many statements about the recommendations she has received from her friends about maintaining her health and the health of the growing fetus.According to Reva Rubin,which maternal task is this woman demonstrating?

Accepted Answer

The woman is seeking out information and advice in order to maintain her own health and the health of her growing fetus, which is an example of the maternal task of seeking safe passage for herself and her fetus.

Question 5

After assessing the cardiovascular system of a pregnant woman,the nurse recognizes the need to report which finding to the provider?

Accepted Answer

During pregnancy, a blood pressure of 152/94 mm Hg is considered high and could indicate hypertension, which is a significant concern that needs to be addressed by a healthcare provider to prevent complications for both the mother and the baby.

Question 6

The nurse reviews a pregnant patient's laboratory values and notes a reduced red blood cell count and hemoglobin level.Which symptom reported by the patient results from these findings?

Accepted Answer

A reduced red blood cell count and hemoglobin level indicates anemia, which commonly causes fatigue in pregnant patients. Insomnia and leg pain are not typically associated with anemia, and although pica can be a symptom of anemia, it is not specific enough to be the best choice.

Question 7

A pregnant woman is telling the nurse about her other children's reaction to news of the pregnancy but says she is waiting to tell her toddler until she's further along.Which is the nurse's best response?

Accepted Answer

Toddlers have no concept of time, and may not understand when the baby will arrive. Waiting to tell the toddler until the pregnancy is further along may help them better understand the concept and be more prepared for the arrival of the new sibling. The nurse should support the mother's decision and offer any advice or resources for talking to the toddler when the time comes.

Question 8

Which finding does the nurse recognize as a normal result of pregnancy?

Accepted Answer

The answer of Which finding does the nurse recognize as...

Question 9

The nurse learns that a pregnant patient lost her mother when she was a teenager and recognizes that the absence of a mother figure will cause this patient to have difficulty with which of Reva Rubin's four maternal tasks?

Accepted Answer

Securing acceptance for herself as a mother and for her fetus involves seeking support and guidance from others, including a mother figure. The patient's loss of her mother during adolescence may make it difficult for her to find acceptance as a mother without the guidance and support of a maternal figure.

Question 10

While assisting the physician with a physical examination,the nurse notes which sign or symptom as most definitive of a diagnosis of pregnancy?

Accepted Answer

Auscultation of fetal heart sounds is the most definitive sign of pregnancy as it directly confirms the presence of a developing fetus. Positive Goodell's sign (softening of the cervix), quickening felt by the mother, and breast changes are all indicative of pregnancy but are not as reliable for diagnosis as confirmation of fetal heart sounds.

Question 11

The nurse reviews the patient's laboratory values and sees the following: Hemoglobin
12)2 g/dL
Hematocrit
42)8%
Serum blood urea nitrogen (BUN)
18 mg/dL
Serum creatinine
0)68 mg/dL
Alanine transaminase (ALT)
8 units/L
Aspartate aminotransferase (AST)
12 units/L
Alkaline phosphatase (ALP)
108 ImU/mL
Lactate dehydrogenase (LDH)
635 units/L
Which conclusion does the nurse draw on the basis of these findings?

Accepted Answer

The answer of The nurse reviews the patient's laboratory values...

Question 12

Which nursing assessment finding indicates the need for further testing before a diagnosis of pregnancy can be confirmed?

Accepted Answer

Amenorrhea (absence of menstrual periods) may be caused by factors other than pregnancy, such as hormonal imbalances, stress, or certain medications. Further testing, such as a pregnancy test or ultrasound, should be done to confirm pregnancy. The other options (audible fetal heart tones, fetal movement felt by the nurse, and fetal ultrasound showing a growing fetus) are all definitive signs of pregnancy and do not require further testing for confirmation.

Question 13

A pregnant woman tells the nurse how clumsy she feels.Which teaching will the nurse provide?

Accepted Answer

Wearing low-heeled shoes and using good body mechanics will help improve balance and prevent falls or injuries while the woman experiences clumsiness during pregnancy. Kegel exercises, increased fluid intake, and avoidance of standing or sitting for prolonged periods will not directly address the issue of clumsiness.

Question 14

Upon examining a woman in the late second trimester of pregnancy,the nurse notes circular bruises around each wrist and circular bruises above the umbilicus.What should the nurse suspect?

Accepted Answer

Circular bruises around the wrists and above the umbilicus are common signs of physical abuse, particularly in cases where the abuser has grabbed or gripped the woman tightly. It is important for the nurse to assess the situation and provide resources and support for the woman if abuse is suspected.

Question 15

Which symptom reported to the nurse by the patient needs to be brought to the attention of the health-care provider?

Accepted Answer

The answer of Which symptom reported to the nurse by...

Question 16

The nurse reviews the patient's laboratory findings and suspects anemia when noting which result?

Accepted Answer

A red blood cell count below the normal range (4.5-5.5 million cells/mcL for males, 4.0-5.0 million cells/mcL for females) can indicate anemia. The other laboratory values listed are within the normal range.

Question 17

The nurse caring for a woman who is beginning the second trimester of pregnancy recognizes the need for further assessment when the woman reports which change in her body?

Accepted Answer

Feeling short of breath with mild exertion can be a sign of anemia, which is common during pregnancy and requires further assessment. Constipation, nasal congestion, and a dark line on the abdomen (linea nigra) are all normal changes during pregnancy.

Question 18

The emergency department nurse admits an adolescent who is complaining of abdominal pain and denies pregnancy.Assessment findings include a distended,pregnant-appearing abdomen and fetal heart tones.How does the nurse interpret these contradictory findings?

Accepted Answer

Denial of pregnancy until late in gestation is not uncommon in adolescence, and it is possible that the adolescent may not have realized or acknowledged the pregnancy. However, further testing and assessment would be necessary to rule out any other potential causes for the distended abdomen and fetal heart tones. Mental illness and developmental delay are not necessarily the most likely explanations without further assessment and evaluation.

Quiz 4: Physical and Psychological Changes of Pregnancy