Question 1

A patient who is 7 months pregnant states,"I'm worried that something will happen to my baby." The nurse's best response is

Accepted Answer

The best response is to ask the patient to share her concerns. This allows the nurse to address any specific worries or fears the patient may have and provide appropriate education and support. Offering reassurances without exploring the patient's concerns may not be helpful and could potentially increase anxiety.

Question 2

In some Middle Eastern and African cultures,female genital mutilation is a prerequisite for marriage.Women who now live in North America need care from nurses who are knowledgeable about the procedure and comfortable with the abnormal appearance of her genitalia.When caring for this woman,the nurse can formulate a diagnosis with the understanding that the woman may be at risk for (select all that apply)

Accepted Answer

Female genital mutilation can lead to many complications including obstructed labor, laceration, hemorrhage, and infection. These women need specialized care from knowledgeable nurses. Increased pain response is not necessarily a complication of genital mutilation.

Question 3

Early pregnancy classes offered in the first and second trimesters cover

Accepted Answer

Early pregnancy classes typically focus on helping expectant mothers manage common discomforts experienced during pregnancy, especially in the first and second trimesters.

Question 4

Which situation best describes a man "trying on" fathering behaviors?

Accepted Answer

Coaching a Little League baseball team involves interacting with and guiding children, which can simulate fathering behaviors.

Question 5

Which comment by a woman in her first trimester indicates ambivalent feelings?

Accepted Answer

The comment "I wanted to become pregnant, but I'm scared about being a mother" indicates conflicting or mixed emotions about the pregnancy and becoming a mother. The other comments express more straightforward concerns or observations about physical changes and discomforts.

Question 6

Centering pregnancy is an example of an alternative model of prenatal care.Which statement accurately applies to the centering model of care?

Accepted Answer

The centering model of care involves placing 8 to 12 women in gestational-age cohort groups, which participate in group sessions beginning with the first prenatal visit. At these visits, the nurse obtains blood pressure, weight, and urine dipstick measurements from the patients. Studies have shown similar or improved outcomes compared to traditional prenatal care.

Question 7

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?

Accepted Answer

The decision to refuse the use of the fetal monitor during labor may be considered unrealistic and would require further discussion with the nurse. The fetal monitor provides valuable information about the well-being of both the mother and the baby during labor, and it is important to understand its benefits and limitations for making informed decisions about its use.

Question 8

While providing education to a primiparous woman regarding the normal changes of pregnancy,it is important for the nurse to explain that the uterus undergoes irregular contractions.These are known as _____________ contractions.

Accepted Answer

The answer of While providing education to a primiparous woman...

Question 9

Mimicry refers to observing and copying the behaviors of other mothers.An example might be

Accepted Answer

Mimicry involves imitating behaviors, and wearing maternity clothes before they are needed is an example of copying the behavior of other mothers.

Question 10

During pregnancy many women become increasingly concerned about their ability to protect and provide for the fetus.This concern is often manifested as _____________.

Accepted Answer

The answer of During pregnancy many women become increasingly concerned...

Question 11

During pregnancy there are a number of changes that occur as a direct result of the presence of the fetus.Which of these adaptations meet this criteria? Select all that apply.

Accepted Answer

A) Leukorrhea is a vaginal discharge that increases during pregnancy as a result of increased estrogen levels and increased blood flow to the vagina and cervix.
C) Quickening refers to the first movements felt by the mother from the fetus, which occurs around the 16th to 20th week of pregnancy.
E) Lightening refers to the descent of the fetus into the pelvis, which usually occurs a few weeks before labor begins.

Question 12

The nurse who practices in a prenatal clinic understands that a major concern of lower socioeconomic groups is to

Accepted Answer

Lower socioeconomic groups may not have the financial resources to access healthcare proactively. As a result, they tend to focus on meeting health needs as they occur rather than preventive health care. They may also face difficulties in accessing health insurance for their families. Maintaining an optimistic view of life is important for overall well-being but is not a primary concern in the context of prenatal care for lower socioeconomic groups.

Question 13

What comment by a new mother exhibits understanding of her toddler's response to a new sibling?

Accepted Answer

This comment shows that the mother is aware of the need to spend one-on-one time with her toddler and has made arrangements to do so. It demonstrates an understanding that the toddler may be feeling neglected or jealous due to the arrival of a new sibling. The other options do not show understanding of the toddler's response to the new sibling.

Question 14

A gravida patient at 32 weeks of gestation reports that she has severe lower back pain.The nurse's assessment should include

Accepted Answer

Observation of posture and body mechanics is important to assess any contributing factors to the back pain, especially during pregnancy when posture changes can affect back health.

Question 15

A 36-year-old divorcee with a successful modeling career finds out that her 18-year-old married daughter is expecting her first child.What is a major factor in determining how the woman will respond to becoming a grandmother?

Accepted Answer

The major factor in determining how the woman will respond to becoming a grandmother is her age. At 36 years old, she may have different expectations and priorities than if she were older or younger. Other factors such as her divorce, career, and the age of the daughter may also influence her response, but age is likely the most significant factor.

Question 16

A step in maternal role attainment that relates to the woman giving up certain aspects of her previous life is termed

Accepted Answer

Grief work is the step in maternal role attainment where the woman gives up certain aspects of her previous life, mourns their loss and accepts the new identity as a mother. This process is necessary for the woman to fully embrace her new role and responsibilities.

Question 17

As a nurse in labor and delivery,you are caring for a Muslim woman during the active phase of labor.You note that when you touch her,she quickly draws away.You should

Accepted Answer

Limiting touching to a minimum is the best approach as some Muslim women may have religious or cultural beliefs that may prevent them from being touched by someone of the opposite sex, especially when in a vulnerable state such as during labor. It is important to respect and accommodate the patient's cultural beliefs and preferences to provide respectful and appropriate care.

Question 18

Which complaint by a patient at 35 weeks of gestation requires additional assessment?

Accepted Answer

Abdominal pain in a patient at 35 weeks of gestation requires additional assessment as it could be a sign of preterm labor or other complications such as placental abruption. The other symptoms are common during pregnancy and can be managed with lifestyle modifications and symptomatic treatment.

Question 19

The maternal task that begins in the first trimester and continues throughout the neonatal period is called

Accepted Answer

Developing attachment with the baby is a crucial maternal task that begins in the first trimester and continues through the neonatal period. It involves forming a bond with the baby, getting to know their individual characteristics and needs, and responding sensitively to their cues. This attachment lays the foundation for future healthy emotional and social development. While seeking safe passage for herself and her baby, securing acceptance of the baby by others, and learning to give of herself are also important tasks for expectant mothers, they do not specifically begin in the first trimester and continue through the neonatal period.

Question 20

A pregnant woman reports that she works in a long-term care setting and is concerned about the impending flu season.She asks about receiving the flu vaccine.As the nurse,you are aware that some immunizations are safe to administer during pregnancy,whereas others are not.Which vaccines could this patient receive? Select all that apply.

Accepted Answer

Tetanus, Hepatitis A and B, and Influenza vaccines are safe to administer during pregnancy. MMR and Varicella vaccines are live vaccines and are not recommended during pregnancy.

Quiz 13: Adaptations to Pregnancy