Question 1

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? (Select all that apply.)

Accepted Answer

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

Question 2

A woman arrives at the clinic for a pregnancy test.The first day of her last menstrual period (LMP)was September 10,2013.Her expected date of birth (EDB)would be?
___________________

Accepted Answer

The answer of A woman arrives at the clinic for...

Question 3

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 would accurately apply to the centering model of care?

Accepted Answer

Gestational-age cohorts comprise the groups with approximately 8 to 12 women in each group.This group remains intact throughout the pregnancy.Individual follow-up visits are scheduled as needed.Group sessions begin at 12 to 16 weeks of gestation and end with an early after birth visit.Before group sessions the patient has an individual assessment,physical examination,and history.At the beginning of each group meeting,patients measure their own blood pressure,weight,and urine dips and enter these in their record.Fetal heart rate assessment and fundal height are obtained by the nurse.Results evaluating this approach have been very promising.In a study of adolescent patients,there was a decrease in low-birth-weight infants and an increase in breastfeeding rates.

Question 4

While teaching the expectant mother about personal hygiene during pregnancy,maternity nurses should be aware that:

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 5

MATCHING
All pregnant women should be instructed to recognize and report potential complications for each trimester of pregnancy. Match the sign or symptom with a possible cause.

-Hypertension,preeclampsia

Accepted Answer

Epigastric pain in late pregnancy can be a symptom of preeclampsia, which is associated with hypertension.

Question 6

MATCHING
All pregnant women should be instructed to recognize and report potential complications for each trimester of pregnancy. Match the sign or symptom with a possible cause.

-Kidney infection or stones

Accepted Answer

Severe backache and flank pain can be a sign of a kidney infection or stones, which can occur during any trimester of pregnancy.

Answer: A
 Severe vomiting in early pregnancy can be a sign of hyperemesis gravidarum, which can lead to electrolyte imbalances and kidney problems.

Answer: B
 Epigastric pain in late pregnancy can be a sign of preeclampsia or HELLP syndrome, which are conditions that can affect the kidneys and liver.

Answer: D
 Decreased fetal movement can be a sign of fetal distress, which can be caused by a variety of factors including maternal health problems such as kidney disease.

Answer: E
 Glycosuria, or glucose in the urine, can be a sign of gestational diabetes, a condition that can affect the health of the mother and baby including the mother's kidneys.

Question 7

With regard to medications,herbs,shots,and other substances normally encountered by pregnant women,the maternity nurse should be aware that:

Accepted Answer

Both prescription and OTC drugs that otherwise are harmless can be made 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 after birth care; killed-virus vaccines may be administered during pregnancy.Secondhand smoke is associated with fetal growth restriction and increases in infant mortality.

Question 8

Which statement about multifetal pregnancy is inaccurate?

Accepted Answer

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.Counseling is needed to help her adjust to these conditions.

Question 9

MATCHING
All pregnant women should be instructed to recognize and report potential complications for each trimester of pregnancy. Match the sign or symptom with a possible cause.

-Gestational diabetes

Accepted Answer

Glycosuria, or the presence of glucose in the urine, can be a sign of gestational diabetes.

Answer: A
 Severe vomiting in early pregnancy can be a sign of hyperemesis gravidarum, which can lead to dehydration and other complications.

Answer: B
 Epigastric pain in late pregnancy can be a sign of preeclampsia, a serious complication that can lead to high blood pressure and damage to organs.

Answer: C
 Severe backache and flank pain can be a sign of a urinary tract infection, which is more common in pregnancy and can lead to preterm labor if left untreated.

Answer: D
 Decreased fetal movement can be a sign of fetal distress, which may require immediate medical attention to prevent harm to the baby.

Question 10

When discussing work and travel during pregnancy with a pregnant patient,nurses should instruct them that:

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 11

The phenomenon of someone other than the mother-to-be experiencing pregnancy-like symptoms such as nausea and weight gain applies to the:

Accepted Answer

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

Question 12

Signs and symptoms that a woman should report immediately to her health care provider include: (Select all that apply.)

Accepted Answer

Vaginal bleeding,rupture of membranes,and severe headaches all are signs of potential complications in pregnancy.Patients should be advised to report these signs to the health care provider.Decreased libido and urinary frequency are common discomforts of pregnancy that do not require immediate health care interventions.

Question 13

MATCHING
All pregnant women should be instructed to recognize and report potential complications for each trimester of pregnancy. Match the sign or symptom with a possible cause.

-Hyperemesis gravidarum

Accepted Answer

Hyperemesis gravidarum is a severe form of morning sickness characterized by persistent nausea and vomiting during the first trimester of pregnancy.

Answer: B
 Epigastric pain in late pregnancy can signify preeclampsia, a serious pregnancy complication characterized by high blood pressure and damage to organs, including the liver.

Answer: C
 Severe backache and flank pain may indicate a kidney infection or kidney stones. Pregnant women are at a higher risk of these conditions due to changes in urinary tract function during pregnancy.

Answer: D
 Decreased fetal movement may be a sign of fetal distress or lack of oxygen. It is important for pregnant women to report decreased fetal movement to their healthcare provider immediately.

Answer: E
 Glycosuria, or the presence of glucose in the urine, is common during pregnancy due to hormonal changes that affect insulin sensitivity. It may also indicate gestational diabetes, a type of diabetes that develops during pregnancy.

Question 14

To provide the patient with accurate information about dental care during pregnancy,maternity nurses should be aware that:

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

MATCHING
All pregnant women should be instructed to recognize and report potential complications for each trimester of pregnancy. Match the sign or symptom with a possible cause.

-Fetal jeopardy or intrauterine fetal death

Accepted Answer

Decreased fetal movement is a warning sign of fetal jeopardy or intrauterine fetal death.

Answer: A
 Severe vomiting in early pregnancy can be a sign of hyperemesis gravidarum, a potentially serious condition that can affect fetal wellbeing if left untreated.

Answer: B
 Epigastric pain in late pregnancy can be a sign of preeclampsia, a serious pregnancy complication that can lead to fetal jeopardy or intrauterine fetal death.

Answer: C
 Severe backache and flank pain may be a sign of kidney or urinary tract infection, which can be associated with preterm labor, fetal distress, or fetal demise.

Answer: E
 Glycosuria is not necessarily a sign of fetal jeopardy or intrauterine fetal death. It can indicate gestational diabetes and requires further evaluation, but does not directly impact fetal wellbeing.

Question 16

While you are assessing the vital signs of a pregnant woman in her third trimester,the patient complains of feeling faint,dizzy,and agitated.Which nursing intervention is appropriate?

Accepted Answer

Blood pressure is affected by maternal position during pregnancy.The supine position may cause occlusion of the vena cava and descending aorta.Turning the pregnant woman to a lateral recumbent position alleviates pressure on the blood vessels and quickly corrects supine hypotension.Pressures are significantly higher when the patient is standing.This option causes an increase in systolic and diastolic pressures.The arm should be supported at the same level of the heart.The supine position may cause occlusion of the vena cava and descending aorta,creating hypotension.

Quiz 8: Nursing Care of the Family During Pregnancy

A woman arrives at the clinic for a pregnancy test.The first day of her last menstrual period (LMP)was September 10,2013.Her expected date of birth (EDB)would be? ___________________

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 would accurately apply to the centering model of care?

While teaching the expectant mother about personal hygiene during pregnancy,maternity nurses should be aware that:

MATCHING All pregnant women should be instructed to recognize and report potential complications for each trimester of pregnancy. Match the sign or symptom with a possible cause. -Hypertension,preeclampsia

MATCHING All pregnant women should be instructed to recognize and report potential complications for each trimester of pregnancy. Match the sign or symptom with a possible cause. -Kidney infection or stones

With regard to medications,herbs,shots,and other substances normally encountered by pregnant women,the maternity nurse should be aware that:

Which statement about multifetal pregnancy is inaccurate?

MATCHING All pregnant women should be instructed to recognize and report potential complications for each trimester of pregnancy. Match the sign or symptom with a possible cause. -Gestational diabetes

When discussing work and travel during pregnancy with a pregnant patient,nurses should instruct them that:

The phenomenon of someone other than the mother-to-be experiencing pregnancy-like symptoms such as nausea and weight gain applies to the:

Signs and symptoms that a woman should report immediately to her health care provider include: (Select all that apply.)

MATCHING All pregnant women should be instructed to recognize and report potential complications for each trimester of pregnancy. Match the sign or symptom with a possible cause. -Hyperemesis gravidarum

To provide the patient with accurate information about dental care during pregnancy,maternity nurses should be aware that:

MATCHING All pregnant women should be instructed to recognize and report potential complications for each trimester of pregnancy. Match the sign or symptom with a possible cause. -Fetal jeopardy or intrauterine fetal death

While you are assessing the vital signs of a pregnant woman in her third trimester,the patient complains of feeling faint,dizzy,and agitated.Which nursing intervention is appropriate?