Question 1

The nurse explains that the softening of the cervix and vagina is a probable sign of pregnancy called _____ sign.

Accepted Answer

A)   Chadwick's
B)   Hegar's
C)   McDonald's
D)   Goodell'sE) All of the above
F) A) and D)

Question 2

What should the nurse do for the prenatal patient in terms of prenatal care? Select all that apply.

Accepted Answer

A)   Offer nutritional counseling.
B)   Reinforce responsibility of parenthood.
C)   Reduce risk factors.
D)   Improve health practices.
E)   Make financial arrangements for delivery.F) C) and E)
G) B) and C)

Question 3

An ultrasound confirms that a 16-year-old girl is pregnant.The nurse recognizes the need for prenatal care and counseling for adolescents because:

Accepted Answer

A)   a pregnant adolescent is experiencing two major life transitions at the same time.
B)   adolescents who get pregnant are more likely to have other chronic health problems.
C)   adolescents are at greater risk for multifetal pregnancies.
D)   at this age, a pregnant adolescent will accept the nurse's advice.E) C) and D)
F) B) and C)

Question 4

The nurse recognizes which behavior characteristic(s) of women in their first trimester of pregnancy? Select all that apply.

Accepted Answer

A)   Showing off her sonogram photos
B)   Ambivalence about pregnancy
C)   Emotional and labile mood
D)   Focusing on her infant
E)   FatigueF) D) and E)
G) C) and E) A,B,C,E

Question 5

The patient who is 40 weeks pregnant complains of a sense of weakness and dizziness when she lies on her back.The nurse assesses this as an indication of:

Accepted Answer

A)   supine hypotension.
B)   orthostatic hypotension.
C)   gestational hypertension.
D)   pseudoanemia.E) A) and D)
F) A) and C) A

Question 6

A woman who is 36 weeks pregnant tells the nurse she plans to fly to Hawaii,which is a 12-hour flight.What would the nurse recommend that the patient do during the flight? Select all that apply.

Accepted Answer

A)   Wear tight fitting clothing to promote venous return.
B)   Eat a large meal before boarding the flight.
C)   Request a seat with greater leg room.
D)   Drink at least 4 ounces of water every hour.
E)   Get up and walk around the plane frequentlyF) A) and B)
G) C) and D)

Question 7

During the physical examination for the first prenatal visit,it is noted that Chadwick's sign is present.This refers to the:

Accepted Answer

A)   bluish or purplish discoloration of the vulva, vagina, and cervix.
B)   presence of early fetal movements.
C)   darkening of the areola and breast tenderness.
D)   palpation of the fetal outline.E) All of the above
F) A) and B) A

Question 8

When the nurse tells a pregnant woman that she needs 1,200 mg of calcium daily during pregnancy,the woman responds,"I don't like milk." What dietary adjustments could the nurse recommend?

Accepted Answer

A)   Increase intake of organ meats.
B)   Eat more green leafy vegetables.
C)   Choose more fresh fruits, particularly citrus fruits.
D)   Include molasses and whole-grain breads in the diet.E) A) and D)
F) None of the above

Question 9

A woman pregnant for the first time asks the nurse,"When will I begin to feel the baby move?" The nurse would answer :

Accepted Answer

A)   "You may notice the baby moving around the 4th to 5th month. "
B)   "Quickening varies with every woman. "
C)   "You'll feel something by the end of the first trimester. "
D)   "The baby will be big enough for you to feel in your 8th month. "E) None of the above
F) B) and C)

Question 10

The woman who becomes pregnant for the first time after the age of ____ years is described as an "elderly primip."

Accepted Answer

A)   25
B)   28
C)   30
D)   35E) A) and D)
F) B) and C)

Question 11

The nurse reminds the prenatal patient that she should add ________ kcal to her daily intake to nourish the fetus.

Accepted Answer

300
The recommended ...

Question 12

The nurse has explained physiological changes that occur during pregnancy.Which statement indicates that the woman understands the information?

Accepted Answer

A)   "Blood pressure goes up toward the end of pregnancy. "
B)   "My breathing will get deeper and a little faster. "
C)   "I'll notice a decreased pigmentation in my skin. "
D)   "There will be a curvature in the upper spine area. "E) All of the above
F) A) and C)

Question 13

A pregnant woman inquires about exercising during pregnancy.In planning the teaching for this woman,the nurse should include what information?

Accepted Answer

A)   Exercise elevates the mother's temperature and improves fetal circulation.
B)   Exercise increases catecholamines, which can prevent preterm labor.
C)   A regular schedule of moderate exercise during pregnancy is beneficial.
D)   Pregnant women should limit water intake during exercise.E) None of the above
F) B) and C)

Question 14

At her initial prenatal visit a woman asks,"When can I hear the baby's heartbeat?" The nurse would respond that the fetal heartbeat can be auscultated with a specially adapted stethoscope or fetoscope at _____ weeks.

Accepted Answer

A)   4
B)   12
C)   18
D)   24E) C) and D)
F) All of the above

Question 15

The nurse encourages adequate intake of folic acid because it is thought to decrease the incidence of:

Accepted Answer

A)   structural heart defects.
B)   craniofacial deformities.
C)   limb deformities.
D)   neural tube defects.E) B) and C)
F) A) and D)

Question 16

A woman tells the nurse that she is quite sure she is pregnant.The nurse recognizes which as a positive sign of pregnancy?

Accepted Answer

A)   Amenorrhea
B)   Uterine enlargement
C)   HCG detected in the urine
D)   Fetal heartbeatE) A) and B)
F) A) and C)

Question 17

After the examination is completed,the patient asks the nurse why Chadwick's sign occurs during pregnancy.The nurse would explain that it is caused by the:

Accepted Answer

A)   enlargement of the uterus.
B)   progesterone action on the breasts.
C)   increasing activity of the fetus.
D)   vascular congestion in the pelvic area.E) None of the above
F) All of the above

Question 18

The patient remarks that she has heard some foods will enhance brain development of the fetus.The nurse replies that foods high in docosahexaenoic acid (DHA) are thought to enhance brain development.Such foods include:

Accepted Answer

A)   fried fish.
B)   olive oil.
C)   red meat.
D)   leafy green vegetables.E) C) and D)
F) None of the above

Question 19

A woman reports that her last normal menstrual period began on August 5,2010.Using Nägele's rule,her expected date of delivery would be _____,2011.

Accepted Answer

A)   April 30
B)   May 5
C)   May 12
D)   May 26E) A) and B)
F) All of the above

Question 20

In a routine prenatal visit,the nurse examining a patient who is 37 weeks pregnant notices that the fetal heart rate (FHR) has dropped to 120 beats/min from a rate of 160 beats/min earlier in the pregnancy.The nurse should:

Accepted Answer

A)   ask if the patient has taken a sedative.
B)   notify the physician.
C)   turn the patient to her right side.
D)   record rate as a normal finding.E) None of the above
F) All of the above

Exam 4: Prenatal Care and Adaptations to Pregnancy

The nurse explains that the softening of the cervix and vagina is a probable sign of pregnancy called _____ sign.

Correct AnswerverifiedShow Answer

What should the nurse do for the prenatal patient in terms of prenatal care? Select all that apply.

Correct AnswerverifiedShow Answer

An ultrasound confirms that a 16-year-old girl is pregnant.The nurse recognizes the need for prenatal care and counseling for adolescents because:

Correct AnswerverifiedShow Answer

The nurse recognizes which behavior characteristic(s) of women in their first trimester of pregnancy? Select all that apply.

Correct AnswerverifiedA,B,C,E

The patient who is 40 weeks pregnant complains of a sense of weakness and dizziness when she lies on her back.The nurse assesses this as an indication of:

Correct AnswerverifiedA

A woman who is 36 weeks pregnant tells the nurse she plans to fly to Hawaii,which is a 12-hour flight.What would the nurse recommend that the patient do during the flight? Select all that apply.

Correct AnswerverifiedShow Answer

During the physical examination for the first prenatal visit,it is noted that Chadwick's sign is present.This refers to the:

Correct AnswerverifiedA

When the nurse tells a pregnant woman that she needs 1,200 mg of calcium daily during pregnancy,the woman responds,"I don't like milk." What dietary adjustments could the nurse recommend?

Correct AnswerverifiedShow Answer

A woman pregnant for the first time asks the nurse,"When will I begin to feel the baby move?" The nurse would answer :

Correct AnswerverifiedShow Answer

The woman who becomes pregnant for the first time after the age of ____ years is described as an "elderly primip."

Correct AnswerverifiedShow Answer

The nurse reminds the prenatal patient that she should add ________ kcal to her daily intake to nourish the fetus.

Correct Answerverified300The recommended ...View AnswerShow Answer

The nurse has explained physiological changes that occur during pregnancy.Which statement indicates that the woman understands the information?

Correct AnswerverifiedShow Answer

A pregnant woman inquires about exercising during pregnancy.In planning the teaching for this woman,the nurse should include what information?

Correct AnswerverifiedShow Answer

At her initial prenatal visit a woman asks,"When can I hear the baby's heartbeat?" The nurse would respond that the fetal heartbeat can be auscultated with a specially adapted stethoscope or fetoscope at _____ weeks.

Correct AnswerverifiedShow Answer

The nurse encourages adequate intake of folic acid because it is thought to decrease the incidence of:

Correct AnswerverifiedShow Answer

A woman tells the nurse that she is quite sure she is pregnant.The nurse recognizes which as a positive sign of pregnancy?

Correct AnswerverifiedShow Answer

After the examination is completed,the patient asks the nurse why Chadwick's sign occurs during pregnancy.The nurse would explain that it is caused by the:

Correct AnswerverifiedShow Answer

The patient remarks that she has heard some foods will enhance brain development of the fetus.The nurse replies that foods high in docosahexaenoic acid (DHA) are thought to enhance brain development.Such foods include:

Correct AnswerverifiedShow Answer

A woman reports that her last normal menstrual period began on August 5,2010.Using Nägele's rule,her expected date of delivery would be _____,2011.

Correct AnswerverifiedShow Answer

In a routine prenatal visit,the nurse examining a patient who is 37 weeks pregnant notices that the fetal heart rate (FHR) has dropped to 120 beats/min from a rate of 160 beats/min earlier in the pregnancy.The nurse should:

Correct AnswerverifiedShow Answer

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