Question 1

Which behavior indicates that a woman is "seeking safe passage" for herself and her infant?

Accepted Answer

A)  She keeps all prenatal appointments. 
B)  She "eats for two." 
C)  She slowly drives her car. 
D)  She wears only low-heeled shoes. 
A)  She keeps all prenatal appointments. 
B)  She "eats for two." 
C)  She slowly drives her car. 
D)  She wears only low-heeled shoes. A

Question 2

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 should be considered potentially unrealistic and require further discussion with the nurse?

Accepted Answer

A)  "My partner and I have agreed that my sister will be my coach because he becomes anxious with regard to medical procedures and blood.He will be nearby and check on me every so often to make sure everything is okay." 
B)  "We plan to use the techniques taught in the Lamaze classes to reduce the pain experienced during labor." 
C)  "We want the labor and birth to take place in a birthing room.My partner will come in the minute the baby is born." 
D)  "Regardless of the circumstances,we do not want the fetal monitor used during labor because it will interfere with movement and doing effleurage." 
A)  "My partner and I have agreed that my sister will be my coach because he becomes anxious with regard to medical procedures and blood.He will be nearby and check on me every so often to make sure everything is okay." 
B)  "We plan to use the techniques taught in the Lamaze classes to reduce the pain experienced during labor." 
C)  "We want the labor and birth to take place in a birthing room.My partner will come in the minute the baby is born." 
D)  "Regardless of the circumstances,we do not want the fetal monitor used during labor because it will interfere with movement and doing effleurage." D

Question 3

A woman is 3 months pregnant.At her prenatal visit she tells the nurse that she does not know what is happening;one minute she is happy that she is pregnant and the next minute she cries for no reason.Which response by the nurse is most appropriate?

Accepted Answer

A)  "Don't worry about it;you'll feel better in a month or so." 
B)  "Have you talked to your husband about how you feel?" 
C)  "Perhaps you really don't want to be pregnant." 
D)  "Hormone changes during pregnancy commonly result in mood swings." 
A)  "Don't worry about it;you'll feel better in a month or so." 
B)  "Have you talked to your husband about how you feel?" 
C)  "Perhaps you really don't want to be pregnant." 
D)  "Hormone changes during pregnancy commonly result in mood swings." D

Question 4

A client at 34 weeks of gestation seeks guidance from the nurse regarding personal hygiene.Which information should the nurse provide?

Accepted Answer

A)  Tub bathing is permitted even in late pregnancy unless membranes have ruptured. 
B)  The perineum should be wiped from back to front. 
C)  Bubble bath and bath oils are permissible because they add an extra soothing and cleansing action to the bath. 
D)  Expectant mothers should use specially treated soap to cleanse the nipples. 
A)  Tub bathing is permitted even in late pregnancy unless membranes have ruptured. 
B)  The perineum should be wiped from back to front. 
C)  Bubble bath and bath oils are permissible because they add an extra soothing and cleansing action to the bath. 
D)  Expectant mothers should use specially treated soap to cleanse the nipples.

Question 5

A woman arrives at the clinic for a pregnancy test.Her last menstrual period (LMP)was February 14,2019.What is the client's expected date of birth (EDB)?

Accepted Answer

A)  September 17,2019 
B)  November 7,2019 
C)  November 21,2019 
D)  December 17,2019 
A)  September 17,2019 
B)  November 7,2019 
C)  November 21,2019 
D)  December 17,2019

Question 6

Ideally,when should prenatal care begin?

Accepted Answer

A)  Before the first missed menstrual period 
B)  After the first missed menstrual period 
C)  After the second missed menstrual period 
D)  After the third missed menstrual period 
A)  Before the first missed menstrual period 
B)  After the first missed menstrual period 
C)  After the second missed menstrual period 
D)  After the third missed menstrual period

Question 7

During the physical examination of a client beginning prenatal care,which initial action is most important for the nurse to perform?

Accepted Answer

A)  Only women who show physical signs or meet the sociologic profile should be assessed for physical abuse. 
B)  The client should empty her bladder before the pelvic examination. 
C)  The distribution,amount,and quality of body hair are of no particular importance. 
D)  The size of the uterus is discounted in the initial examination because it will be increasing in size during the second trimester. 
A)  Only women who show physical signs or meet the sociologic profile should be assessed for physical abuse. 
B)  The client should empty her bladder before the pelvic examination. 
C)  The distribution,amount,and quality of body hair are of no particular importance. 
D)  The size of the uterus is discounted in the initial examination because it will be increasing in size during the second trimester.

Question 8

During the first trimester,which of the following changes regarding her sexual drive should a client be taught to expect?

Accepted Answer

A)  Increased sexual drive,because of enlarging breasts 
B)  Decreased sexual drive,because of nausea and fatigue 
C)  No change in her sexual drive 
D)  Increased sexual drive,because of increased levels of female hormones 
A)  Increased sexual drive,because of enlarging breasts 
B)  Decreased sexual drive,because of nausea and fatigue 
C)  No change in her sexual drive 
D)  Increased sexual drive,because of increased levels of female hormones

Question 9

What should the nurse be cognizant of concerning the client's reordering of personal relationships during pregnancy?

Accepted Answer

A)  Because of the special motherhood bond,a woman's relationship with her mother is even more important than with her partner. 
B)  Nurses need not get involved in any sexual issues the couple has during pregnancy,particularly if they have trouble communicating them to each other. 
C)  Women usually express two major relationship needs during pregnancy: feeling loved and valued and having the child accepted by the partner. 
D)  The woman's sexual desire is likely to be highest in the first trimester because of the excitement and because intercourse is physically easier. 
A)  Because of the special motherhood bond,a woman's relationship with her mother is even more important than with her partner. 
B)  Nurses need not get involved in any sexual issues the couple has during pregnancy,particularly if they have trouble communicating them to each other. 
C)  Women usually express two major relationship needs during pregnancy: feeling loved and valued and having the child accepted by the partner. 
D)  The woman's sexual desire is likely to be highest in the first trimester because of the excitement and because intercourse is physically easier.

Question 10

A woman who is 14 weeks pregnant tells the nurse that she always had a glass of wine with dinner before she became pregnant.She has abstained during her first trimester and would like to know if it is safe for her to have a drink with dinner now.Which guidance should the nurse provide?

Accepted Answer

A)  "Since you're in your second trimester,there's no problem with having one drink with dinner." 
B)  "One drink every night is too much.One drink three times a week should be fine." 
C)  "Since you're in your second trimester,you can drink as much as you like." 
D)  "Because no one knows how much or how little alcohol it takes to cause fetal problems,the best course is to abstain throughout your pregnancy." 
A)  "Since you're in your second trimester,there's no problem with having one drink with dinner." 
B)  "One drink every night is too much.One drink three times a week should be fine." 
C)  "Since you're in your second trimester,you can drink as much as you like." 
D)  "Because no one knows how much or how little alcohol it takes to cause fetal problems,the best course is to abstain throughout your pregnancy."

Question 11

Which sign of a potential complication is the most important for the nurse to share with the client?

Accepted Answer

A)  Constipation 
B)  Alteration in the pattern of fetal movement 
C)  Heart palpitations 
D)  Edema in the ankles and feet at the end of the day 
A)  Constipation 
B)  Alteration in the pattern of fetal movement 
C)  Heart palpitations 
D)  Edema in the ankles and feet at the end of the day

Question 12

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,the nurse learns that the client has not had any immunizations.Which immunizations should she receive at this point in her pregnancy? (Select all that apply. )

Accepted Answer

A)  Tetanus 
B)  Diphtheria 
C)  Chickenpox 
D)  Rubella 
E)  Hepatitis B 
A)  Tetanus 
B)  Diphtheria 
C)  Chickenpox 
D)  Rubella 
E)  Hepatitis B

Question 13

A 3-year-old girl's mother is 6 months pregnant.What concern is this child most likely to verbalize?

Accepted Answer

A)  How the baby will get out? 
B)  How will the baby eat? 
C)  Will you die having the baby? 
D)  What color eyes will the baby have? 
A)  How the baby will get out? 
B)  How will the baby eat? 
C)  Will you die having the baby? 
D)  What color eyes will the baby have?

Question 14

Dental care during pregnancy is an important component of good prenatal care.Which instruction regarding dental health should the nurse provide?

Accepted Answer

A)  Regular brushing and flossing may not be necessary during early pregnancy because it may stimulate the woman who is already nauseated to vomit.A cleaning is all that is necessary. 
B)  Dental surgery is contraindicated during pregnancy and should be delayed until after delivery. 
C)  If dental treatment is necessary,then the woman will be most comfortable with it in the second trimester. 
D)  If a woman has dental anxiety,then dental care may interfere with the expectant mother's need to practice conscious relaxation and to prepare for labor. 
A)  Regular brushing and flossing may not be necessary during early pregnancy because it may stimulate the woman who is already nauseated to vomit.A cleaning is all that is necessary. 
B)  Dental surgery is contraindicated during pregnancy and should be delayed until after delivery. 
C)  If dental treatment is necessary,then the woman will be most comfortable with it in the second trimester. 
D)  If a woman has dental anxiety,then dental care may interfere with the expectant mother's need to practice conscious relaxation and to prepare for labor.

Question 15

Which statement regarding multifetal pregnancy is incorrect?

Accepted Answer

A)  The expectant mother often develops anemia because the fetuses have a greater demand for iron. 
B)  Twin pregnancies come to term with the same frequency as single pregnancies. 
C)  The mother should be counseled to increase her nutritional intake and gain more weight. 
D)  Backache and varicose veins often are more pronounced with a multifetal pregnancy. 
A)  The expectant mother often develops anemia because the fetuses have a greater demand for iron. 
B)  Twin pregnancies come to term with the same frequency as single pregnancies. 
C)  The mother should be counseled to increase her nutritional intake and gain more weight. 
D)  Backache and varicose veins often are more pronounced with a multifetal pregnancy.

Question 16

What type of cultural concern is the most likely deterrent to many women seeking prenatal care?

Accepted Answer

A)  Religion 
B)  Modesty 
C)  Ignorance 
D)  Belief that physicians are evil 
A)  Religion 
B)  Modesty 
C)  Ignorance 
D)  Belief that physicians are evil

Question 17

A woman who is 16 weeks pregnant has come in for a follow-up visit with her partner.To reassure the client regarding fetal well-being,which is the highest priority action for the nurse to perform?

Accepted Answer

A)  Assess the fetal heart tones with a Doppler stethoscope. 
B)  Measure and document the girth of the woman's abdomen. 
C)  Complete an ultrasound examination (sonogram)in a timely manner. 
D)  Offer the woman and her partner the opportunity to listen to the fetal heart tones. 
A)  Assess the fetal heart tones with a Doppler stethoscope. 
B)  Measure and document the girth of the woman's abdomen. 
C)  Complete an ultrasound examination (sonogram)in a timely manner. 
D)  Offer the woman and her partner the opportunity to listen to the fetal heart tones.

Question 18

Which signs and symptoms should a woman immediately report to her health care provider? (Select all that apply. )

Accepted Answer

A)  Vaginal bleeding 
B)  Rupture of membranes 
C)  Heartburn accompanied by severe headache 
D)  Decreased libido 
E)  Urinary frequency 
A)  Vaginal bleeding 
B)  Rupture of membranes 
C)  Heartburn accompanied by severe headache 
D)  Decreased libido 
E)  Urinary frequency

Question 19

What is the primary role of the doula during labor?

Accepted Answer

A)  Helps the woman perform breathing techniques and provides support to the woman and her partner 
B)  Checks the fetal monitor tracing for effects of the labor process on the fetal heart rate 
C)  Takes the place of the father as a coach and support provider 
D)  Administers pain medications as needed by the woman 
A)  Helps the woman perform breathing techniques and provides support to the woman and her partner 
B)  Checks the fetal monitor tracing for effects of the labor process on the fetal heart rate 
C)  Takes the place of the father as a coach and support provider 
D)  Administers pain medications as needed by the woman

Question 20

Which consideration is essential for the nurse to understand regarding follow-up prenatal care visits?

Accepted Answer

A)  The interview portions become more intensive as the visits become more frequent over the course of the pregnancy. 
B)  Monthly visits are scheduled for the first trimester,every 2 weeks for the second trimester,and weekly for the third trimester. 
C)  During the abdominal examination,the nurse should be alert for supine hypotension. 
D)  For pregnant women,a systolic BP of 130 mm Hg and a diastolic BP of 80 mm Hg is sufficient to be considered hypertensive. 
A)  The interview portions become more intensive as the visits become more frequent over the course of the pregnancy. 
B)  Monthly visits are scheduled for the first trimester,every 2 weeks for the second trimester,and weekly for the third trimester. 
C)  During the abdominal examination,the nurse should be alert for supine hypotension. 
D)  For pregnant women,a systolic BP of 130 mm Hg and a diastolic BP of 80 mm Hg is sufficient to be considered hypertensive.

Exam 14: Nursing Care of the Family During Pregnancy

Which behavior indicates that a woman is "seeking safe passage" for herself and her infant?

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 should be considered potentially unrealistic and require further discussion with the nurse?

A woman is 3 months pregnant.At her prenatal visit she tells the nurse that she does not know what is happening;one minute she is happy that she is pregnant and the next minute she cries for no reason.Which response by the nurse is most appropriate?

A client at 34 weeks of gestation seeks guidance from the nurse regarding personal hygiene.Which information should the nurse provide?

A woman arrives at the clinic for a pregnancy test.Her last menstrual period (LMP)was February 14,2019.What is the client's expected date of birth (EDB)?

Ideally,when should prenatal care begin?

During the physical examination of a client beginning prenatal care,which initial action is most important for the nurse to perform?

During the first trimester,which of the following changes regarding her sexual drive should a client be taught to expect?

What should the nurse be cognizant of concerning the client's reordering of personal relationships during pregnancy?

A woman who is 14 weeks pregnant tells the nurse that she always had a glass of wine with dinner before she became pregnant.She has abstained during her first trimester and would like to know if it is safe for her to have a drink with dinner now.Which guidance should the nurse provide?

Which sign of a potential complication is the most important for the nurse to share with the client?

A 3-year-old girl's mother is 6 months pregnant.What concern is this child most likely to verbalize?

Dental care during pregnancy is an important component of good prenatal care.Which instruction regarding dental health should the nurse provide?

Which statement regarding multifetal pregnancy is incorrect?

What type of cultural concern is the most likely deterrent to many women seeking prenatal care?

A woman who is 16 weeks pregnant has come in for a follow-up visit with her partner.To reassure the client regarding fetal well-being,which is the highest priority action for the nurse to perform?

Which signs and symptoms should a woman immediately report to her health care provider? (Select all that apply. )

What is the primary role of the doula during labor?

Which consideration is essential for the nurse to understand regarding follow-up prenatal care visits?

21st Century Maternity and Womens Health Nursing

Community Care: the Family and Culture

Nursing and Genomics

Assessment and Health Promotion

Violence Against Women

Reproductive System Concerns

Sexually Transmitted and Other Infections

Contraception and Abortion

Infertility

Problems of the Breast

Structural Disorders and Neoplasms of the Reproductive System

Conception and Fetal Development

Anatomy and Physiology of Pregnancy

Maternal and Fetal Nutrition

Labor and Birth Processes

Maximizing Comfort for the Laboring Woman

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Postpartum Physiologic Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Physiologic and Behavioral Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

Assessment of High Risk Pregnancy

Hypertensive Disorders

Hemorrhagic Disorders

Endocrine and Metabolic Disorders

Medical-Surgical Disorders

Mental Health Disorders and Substance Abuse

Labor and Birth Complications

Postpartum Complications

Nursing Care of the High Risk Newborn

Acquired Problems of the Newborn

Hemolytic Disorders and Congenital Anomalies

Perinatal Loss, bereavement, and Grief

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