Question 1

What is the name of the phenomenon of the expectant father experiencing pregnancy-like symptoms such as nausea?

Accepted Answer

An expectant father's experiencing of his partner's pregnancy-like symptoms is called the couvade syndrome.

Question 2

Which tests will be conducted in the prenatal period to identify fetus(es)at risk for developing erythroblastosis fetalis or hyperbilirubiemia in the neonatal period? Select all that apply.Express answers in small letters,followed by a comma and a space-e.g. ,a,b,

Accepted Answer

Blood type,Rh,and the presence of antibodies is used in the prenatal period to identify fetus(es)at risk for developing erythroblastosis fetalis or hyperbilirubiemia in the neonatal period.

Question 3

Which infections can be identified for pregnant women through laboratory analysis of a vaginal or rectal smear? Select all that apply.Express answer with small letters,followed by a comma and a space-e.g. ,a,b,

Accepted Answer

A vaginal or rectal smear can screen for Neisseria gonorrhoeae,chlamydia,HPV,and GBS.A VDRL test is used to screen for women with untreated syphilis.An HIV antibody screen is used to screen for HIV.

Question 4

Which should the nurse be aware of to care for women receiving prenatal care?

Accepted Answer

The woman lies on her back during the abdominal examination,possibly compressing the vena cava and aorta,which can cause a decrease in blood pressure and a feeling of faintness.The interview portion of follow-up examinations is less extensive than in the initial prenatal visits,during which much new information must be gathered.Monthly visits are routinely scheduled for the first and second trimesters;visits increase to every 2 weeks at week 28 and to once a week at week 36.For pregnant women hypertension is defined as a systolic BP of 140 or higher and a diastolic BP of 90 or higher.

Question 5

What should the nurse know with regard to the father's acceptance of the pregnancy and preparation for childbirth?

Accepted Answer

For most men,pregnancy is a time of preparation for the parental role,fantasy,great pleasure,and intense learning.The father-child attachment can be as strong as the mother-child relationship and can also begin during pregnancy.In the last 2 months of pregnancy many expectant fathers work hard to improve the environment of the home for the child.Typically,the expectant father's ambivalence ends by the first trimester,and he progresses to adjusting to the reality of the situation and then to focusing on his role.

Question 6

Which should the nurse be aware of with regard to medications,herbs,immunizations,and other substances during pregnancy?

Accepted Answer

Both prescription and OTC drugs that otherwise are harmless can become hazardous by metabolic deficiencies of the fetus.This is especially true for new medications and combinations of drugs.The greatest danger of drug-caused developmental defects exists in the interval from fertilization through the first trimester,when a woman may not realize that she is pregnant.Live-virus vaccines should be part of postpartum care;killed-virus vaccines may be administered during pregnancy.Second-hand smoke is associated with fetal growth restriction and increases in infant mortality.

Question 7

Which immunization is safe to administer to a pregnant woman?

Accepted Answer

Immunization with live or attenuated live viruses is contraindicated during pregnancy because of its potential teratogenicity.Vaccines consisting of killed viruses may be used.Those that may be administered during pregnancy include tetanus,diphtheria,recombinant hepatitis B,rabies vaccines,and most influenza vaccines.Live-virus vaccines include those for measles (rubeola and rubella),chickenpox,and mumps and are contraindicated during pregnancy.

Question 8

What should the nurse teach the mother to properly promote personal hygiene?

Accepted Answer

The main danger from taking baths is falling in the tub.The perineum should be wiped from front to back.Bubble baths and bath oils should be avoided because they may irritate the urethra.Soap,alcohol,ointments,and tinctures should not be used to cleanse the nipples because they remove protective oils.Warm water is sufficient.

Question 9

Which sign or symptom should the nurse teach the pregnant woman to report immediately to her health care provider?

Accepted Answer

Severe headache is a sign of potential complications in pregnancy.Patients should be advised to report this sign to their health care provider.It is normal to have a vaginal mucous discharge.Decreased libido and urinary frequency are common discomforts of pregnancy that do not require immediate health care interventions.

Question 10

For which sexually transmitted infection (STI)screening should woman have serum testing completed at their first prenatal visit? Select all that apply.Express answers in small letters,followed by a comma and a space-e.g. ,a,b,

Accepted Answer

All women should have serum testing for HBV and syphilis at the first prenatal visit,and if they are considered to be high risk,blood testing should be repeated later in pregnancy or on admission for labour and birth.Although chlamydia and gonorrhea should be screened for during the initial prenatal visit,these are done via cervical cultures and not serum testing.HPV and HSV are also recommended for screening but are done via a rectal or vaginal smear and not serum testing.

Question 11

What should the nurse be aware of for the initial visit with a patient who is beginning prenatal care?

Accepted Answer

Besides these potential problems,nurses need to be alert to the woman's attitude toward health care.The initial interview needs to be planned,purposeful,and focused on specific content.A lot of ground must be covered.While nurses must be sensitive to special problems,they do need to inquire because discovering individual needs is important.People with chronic or handicapping conditions forget to mention them because they have adapted to them.Getting information on drug use is important and can be done confidentially.Actual testing for drug use requires the patient's consent.

Question 12

Which should the nurse be aware of with regard to work and travel during pregnancy?

Accepted Answer

Periodic walking helps prevent thrombophlebitis.Pregnant women should avoid sitting or standing for long periods and crossing the legs at the knees.Pregnant women must wear lap belts and shoulder restraints.The most common injury to the fetus comes from injury to the mother.Metal detectors at airport security checkpoints do not harm fetuses.

Question 13

What should the nurse be aware of with regard to the initial physical examination of a woman beginning prenatal care?

Accepted Answer

An empty bladder facilitates the examination;this is also an opportunity to get a urine sample easily for a number of tests.All women should be assessed for a history of physical abuse,particularly because the likelihood of abuse increases during pregnancy.Noting body hair is important because body hair reflects nutritional status,endocrine function,and hygiene.Particular attention is paid to the size of the uterus because it is an indication of the duration of gestation.

Question 14

Which should the nurse be aware of with regard to dental care during pregnancy?

Accepted Answer

The second trimester is best for dental treatment because that is when the woman will be able to sit most comfortably in the dental chair.Dental care such as brushing with fluoride toothpaste is especially important during pregnancy because nausea during pregnancy may lead to poor oral hygiene.Emergency dental surgery is permissible,but the mother must clearly understand the risks and benefits.Conscious relaxation is useful,and it may even help the woman get through any dental appointments;it is not a reason to avoid them.

Question 15

Which statement about multifetal pregnancy is accurate?

Accepted Answer

The mother should be counselled to increase her nutritional intake and gain more weight.Twin pregnancies often end in prematurity.Serious efforts should be made to bring the pregnancy to term.A woman with a multifetal pregnancy often develops anemia,suffers more or worse backache,and needs to gain more weight.Counselling is needed to help her adjust to these conditions.

Question 16

What is the purpose of the pinch test?

Accepted Answer

The pinch test is used to determine whether the nipple is everted or inverted.Nipples must be everted to allow breastfeeding.

Quiz 11: Nursing Care During Pregnancy