Question 1

A woman who is 7 weeks pregnant tells the nurse that this is not her first pregnancy.She has a 2-year-old son and had one previous spontaneous abortion.How would the nurse document the patient's obstetric history using the TPALM system?

Accepted Answer

A)   Gravida 2,para 20120
B)   Gravida 3,para 10011
C)   Gravida 3,para 10110
D)   Gravida 2,para 11110E) None of the above
F) C) and D)

Question 2

After the examination is completed,the patient asks the nurse why Chadwick's sign occurs during pregnancy.What would the nurse explain as the cause of Chadwick's sign?

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 areaE) C) and D)
F) A) and D)

Question 3

When obtaining a prenatal history on a pregnant patient the nurse notes a family history of sickle cell disease.Given this information,what lab test can the nurse anticipate the physician will order?

Accepted Answer

A)   Endovaginal ultrasound
B)   Pap test
C)   Complete blood count
D)   Hemoglobin electrophoresisE) B) and C)
F) A) and D)

Question 4

A woman reports that her last normal menstrual period began on August 5,2013.What is this woman's expected delivery date using Nägele's rule?

Accepted Answer

A)   April 30,2014
B)   May 5,2014
C)   May 12,2014
D)   May 26,2014E) All of the above
F) B) and D)

Question 5

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) B) and D)
G) A) and E)

Question 6

A woman who is 37 weeks pregnant reports feeling dizzy when lying on her back.What does the nurse explain as the most likely cause of this symptom?

Accepted Answer

A)   Supine hypotension syndrome
B)   Gestational diabetes
C)   Pregnancy-induced hypertension
D)   MalnutritionE) A) and B)
F) C) and D)

Question 7

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 D)
F) All of the above

Question 8

During the second prenatal visit,the nurse attempts to locate the fetal heartbeat with an electronic Doppler device.How early might fetal heart tones be detected with an electronic Doppler device?

Accepted Answer

A)   4 weeks
B)   8 weeks
C)   10 weeks
D)   14 weeksE) B) and C)
F) A) and D)

Question 9

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) B) and C) B

Question 10

The nurse cautions the patient that,because of hormonal changes in late pregnancy,the pelvic joints relax.What does this result in? (Select all that apply. )

Accepted Answer

A)   Waddling gait
B)   Joint instability
C)   Urinary frequency
D)   Back pain
E)   Aching in cervical spineF) A) and D)
G) B) and D)

Question 11

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/minute from a rate of 160 beats/minute earlier in the pregnancy.What is the nurse's first action?

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 the rate as a normal finding.E) A) and B)
F) A) and C)

Question 12

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 13

A woman who is 36 weeks pregnant tells the nurse she plans to take a 12-hour flight to Hawaii.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 frequently.F) B) and C)
G) D) and E)

Question 14

A woman's prepregnant weight is determined to be average for her height.What will the nurse advise the woman regarding recommended weight gain during pregnancy?

Accepted Answer

A)   10 to 20 pounds
B)   15 to 25 pounds
C)   25 to 35 pounds
D)   28 to 40 poundsE) B) and C)
F) None of the above

Question 15

An ultrasound confirms that a 16-year-old girl is pregnant.How does the need for prenatal care and counseling for adolescents differ from other age populations?

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) A) and D)
F) None of the above

Question 16

The patient who is 28 weeks pregnant shows a 10-pound weight gain from 2 weeks ago.What is the nurse's initial action?

Accepted Answer

A)   Assess food intake.
B)   Weigh the patient again.
C)   Take the blood pressure.
D)   Notify the physician.E) All of the above
F) A) and B)

Question 17

The nurse encourages adequate intake of folic acid for women of childbearing age before and during pregnancy.What is folic acid thought to decrease the incidence of in fetal development?

Accepted Answer

A)   Structural heart defects
B)   Craniofacial deformities
C)   Limb deformities
D)   Neural tube defectsE) All of the above
F) None of the above D

Question 18

What nursing interventions are appropriate 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) B) and C)
G) D) and E)

Question 19

A woman pregnant for the first time asks the nurse,"When will I begin to feel the baby move?" What is the nurse's best response?

Accepted Answer

A)   "You may notice the baby moving around the 4th or 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) A) and B)

Question 20

A pregnant woman inquires about exercising during pregnancy.What information should the nurse include when planning to educate this woman?

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) All of the above
F) A) and B) C

Exam 4: Prenatal Care and Adaptations to Pregnancy

A woman who is 7 weeks pregnant tells the nurse that this is not her first pregnancy.She has a 2-year-old son and had one previous spontaneous abortion.How would the nurse document the patient's obstetric history using the TPALM system?

Correct AnswerverifiedShow Answer

After the examination is completed,the patient asks the nurse why Chadwick's sign occurs during pregnancy.What would the nurse explain as the cause of Chadwick's sign?

Correct AnswerverifiedShow Answer

When obtaining a prenatal history on a pregnant patient the nurse notes a family history of sickle cell disease.Given this information,what lab test can the nurse anticipate the physician will order?

Correct AnswerverifiedShow Answer

A woman reports that her last normal menstrual period began on August 5,2013.What is this woman's expected delivery date using Nägele's rule?

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

A woman who is 37 weeks pregnant reports feeling dizzy when lying on her back.What does the nurse explain as the most likely cause of this symptom?

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

During the second prenatal visit,the nurse attempts to locate the fetal heartbeat with an electronic Doppler device.How early might fetal heart tones be detected with an electronic Doppler device?

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedB

The nurse cautions the patient that,because of hormonal changes in late pregnancy,the pelvic joints relax.What does this result in? (Select all that apply. )

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/minute from a rate of 160 beats/minute earlier in the pregnancy.What is the nurse's first action?

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

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

Correct AnswerverifiedShow Answer

A woman's prepregnant weight is determined to be average for her height.What will the nurse advise the woman regarding recommended weight gain during pregnancy?

Correct AnswerverifiedShow Answer

An ultrasound confirms that a 16-year-old girl is pregnant.How does the need for prenatal care and counseling for adolescents differ from other age populations?

Correct AnswerverifiedShow Answer

The patient who is 28 weeks pregnant shows a 10-pound weight gain from 2 weeks ago.What is the nurse's initial action?

Correct AnswerverifiedShow Answer

The nurse encourages adequate intake of folic acid for women of childbearing age before and during pregnancy.What is folic acid thought to decrease the incidence of in fetal development?

Correct AnswerverifiedD

What nursing interventions are appropriate for the prenatal patient in terms of prenatal care? (Select all that apply. )

Correct AnswerverifiedShow Answer

A woman pregnant for the first time asks the nurse,"When will I begin to feel the baby move?" What is the nurse's best response?

Correct AnswerverifiedShow Answer

A pregnant woman inquires about exercising during pregnancy.What information should the nurse include when planning to educate this woman?

Correct AnswerverifiedC

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