Question 1

A pregnant woman must be questioned closely about all of the following,EXCEPT

Accepted Answer

A)  first-trimester exposure to rubella. 
B)  recent immunization with rubella or varicella. 
C)  existing HIV, syphilis, or hepatitis B infections. 
D)  all childhood immunizations. 
A)  first-trimester exposure to rubella. 
B)  recent immunization with rubella or varicella. 
C)  existing HIV, syphilis, or hepatitis B infections. 
D)  all childhood immunizations. D

Question 2

Which breast change(s)occurs in the first few weeks of pregnancy?

Accepted Answer

A)  enlargement, tingling, and tenderness 
B)  nodular tissue upon palpation 
C)  proliferation of lactiferous ducts 
D)  secretion of colostrum 
A)  enlargement, tingling, and tenderness 
B)  nodular tissue upon palpation 
C)  proliferation of lactiferous ducts 
D)  secretion of colostrum A

Question 3

To perform Leopold's maneuver on a patient in order to determine the fetal presentation,you would first palpate her

Accepted Answer

A)  abdomen with the left hand only. 
B)  abdomen with first one hand and then the other. 
C)  symphysis pubis. 
D)  uterine fundus. 
A)  abdomen with the left hand only. 
B)  abdomen with first one hand and then the other. 
C)  symphysis pubis. 
D)  uterine fundus. D

Question 4

Because of its possible teratogenic effect on the fetus,which medication is most likely to be changed during pregnancy?

Accepted Answer

A)  acetaminophen 
B)  Coumadin 
C)  methyldopa 
D)  hydralazine 
A)  acetaminophen 
B)  Coumadin 
C)  methyldopa 
D)  hydralazine

Question 5

Increased levels of progesterone lead to which change in the lungs and thorax typically occurring during pregnancy?

Accepted Answer

A)  expansion of the diaphragm by 2 cm 
B)  expansion of the circumference of the thorax by 5-7 cm 
C)  increase in tidal volume by 10% 
D)  increase in PaO2 and PaCO2 levels by 30% 
A)  expansion of the diaphragm by 2 cm 
B)  expansion of the circumference of the thorax by 5-7 cm 
C)  increase in tidal volume by 10% 
D)  increase in PaO2 and PaCO2 levels by 30%

Question 6

Which change in the retina most likely indicates a hypertensive disorder of pregnancy?

Accepted Answer

A)  arterial constriction 
B)  exudates 
C)  hemorrhage 
D)  vascular tortuosity 
A)  arterial constriction 
B)  exudates 
C)  hemorrhage 
D)  vascular tortuosity

Question 7

Which hematological finding for a pregnant woman requires immediate referral for further evaluation?

Accepted Answer

A)  increased white blood cell (WB
C)  and red blood cell (RB
C)  volume 
B)  increased fibrinogen and clotting factors VII through X 
C)  low platelets, hemolysis, and elevated liver enzymes 
D)  increased plasma volume and decreased hematocrit 
A)  increased white blood cell (WB
C)  and red blood cell (RB
C)  volume 
B)  increased fibrinogen and clotting factors VII through X 
C)  low platelets, hemolysis, and elevated liver enzymes 
D)  increased plasma volume and decreased hematocrit

Question 8

Your patient reports severe nausea and vomiting,which started during the second month of her pregnancy,and a weight loss of 10 pounds over the past month.She most likely is experiencing

Accepted Answer

A)  food allergies. 
B)  morning sickness. 
C)  hyperemesis gravidarum. 
D)  toxemia. 
A)  food allergies. 
B)  morning sickness. 
C)  hyperemesis gravidarum. 
D)  toxemia.

Question 9

Thalassemia is more commonly found in infants with which ethnic backgrounds?

Accepted Answer

A)  African American, Middle Eastern, Haitian 
B)  Ashkenazi Jews, Greek, Italian 
C)  Asian, Asian Indian, Mediterranean 
D)  Cajun, American Indian, French Canadian 
A)  African American, Middle Eastern, Haitian 
B)  Ashkenazi Jews, Greek, Italian 
C)  Asian, Asian Indian, Mediterranean 
D)  Cajun, American Indian, French Canadian

Question 10

The incidences of small-for-gestational-age infants,preterm labor,spontaneous abortions,and lower Apgar scores are higher than normal among pregnant women who

Accepted Answer

A)  exercise vigorously. 
B)  ingest alcohol. 
C)  smoke. 
D)  drink coffee. 
A)  exercise vigorously. 
B)  ingest alcohol. 
C)  smoke. 
D)  drink coffee.

Question 11

During pregnancy,hypertension at any time is abnormal.Hypertension is defined as

Accepted Answer

A)  120/80 
B)  130/90 
C)  140/90 
D)  150/100 
A)  120/80 
B)  130/90 
C)  140/90 
D)  150/100

Question 12

Softening of the uterine isthmus occurring at 8 weeks' gestation is called

Accepted Answer

A)  Chadwick's sign. 
B)  Goodell's sign. 
C)  Hegar's sign. 
D)  McDonald's sign. 
A)  Chadwick's sign. 
B)  Goodell's sign. 
C)  Hegar's sign. 
D)  McDonald's sign.

Question 13

Normal changes during pregnancy that affect the heart and peripheral vasculature include

Accepted Answer

A)  increase in cardiac output primarily resulting from an increase in plasma levels. 
B)  increase in heart rate by 30-35 beats per minute. 
C)  lower diastolic pressure in the third trimester. 
D)  supine hypertension. 
A)  increase in cardiac output primarily resulting from an increase in plasma levels. 
B)  increase in heart rate by 30-35 beats per minute. 
C)  lower diastolic pressure in the third trimester. 
D)  supine hypertension.

Question 14

At 16 weeks in a pregnancy,the fundus of the uterus is palpated approximately

Accepted Answer

A)  at the umbilicus. 
B)  just above the symphysis pubis. 
C)  midway between the symphysis pubis and the umbilicus. 
D)  midway between the umbilicus and xiphoid process. 
A)  at the umbilicus. 
B)  just above the symphysis pubis. 
C)  midway between the symphysis pubis and the umbilicus. 
D)  midway between the umbilicus and xiphoid process.

Question 15

Which notation indicates that a woman has three living children?

Accepted Answer

A)  G3 P2, T2 P0, A1 E0 LC2 
B)  G4 P3, T2 P1, A1 E0 LC2 
C)  G6 P4, T2 P2, A1 E1 LC3 
D)  G7 P4, T4 P0, A3 E0 LC4 
A)  G3 P2, T2 P0, A1 E0 LC2 
B)  G4 P3, T2 P1, A1 E0 LC2 
C)  G6 P4, T2 P2, A1 E1 LC3 
D)  G7 P4, T4 P0, A3 E0 LC4

Question 16

Melasma,or chloasma,is better known as the _____________________.

Accepted Answer

mask of pregnancy
The face may

Question 17

During which phase of Leopold's maneuver would you determine the long axis of the fetus in relationship to the long axis of your patient?

Accepted Answer

A)  first maneuver 
B)  second maneuver 
C)  third maneuver 
D)  fourth maneuver 
A)  first maneuver 
B)  second maneuver 
C)  third maneuver 
D)  fourth maneuver

Question 18

A patient asks you about sexual relations during pregnancy.The most accurate answer you can give her is

Accepted Answer

A)  you may be more comfortable on your back in the later stages of the pregnancy. 
B)  you may experience increased sexual arousal during the first trimester. 
C)  it is not known that it will harm your baby or yourself if you have sexual intercourse throughout your pregnancy. 
D)  to be safe, it is best to avoid sexual relations during pregnancy. 
A)  you may be more comfortable on your back in the later stages of the pregnancy. 
B)  you may experience increased sexual arousal during the first trimester. 
C)  it is not known that it will harm your baby or yourself if you have sexual intercourse throughout your pregnancy. 
D)  to be safe, it is best to avoid sexual relations during pregnancy.

Question 19

Primary goals for the health examination of the pregnant patient include all of the following,EXCEPT

Accepted Answer

A)  confirming the pregnancy and gestational age. 
B)  promoting recommended long-term lifestyle changes. 
C)  evaluating general health as a guide for any needed intervention. 
D)  providing education on maintaining and promoting the health of mother and fetus. 
A)  confirming the pregnancy and gestational age. 
B)  promoting recommended long-term lifestyle changes. 
C)  evaluating general health as a guide for any needed intervention. 
D)  providing education on maintaining and promoting the health of mother and fetus.

Question 20

Erythematous plaques that develop into vesicular lesions and may later become pustular are known as

Accepted Answer

A)  chloasma or melasma. 
B)  herpes lesions. 
C)  papular dermatitis. 
D)  prurigo. 
A)  chloasma or melasma. 
B)  herpes lesions. 
C)  papular dermatitis. 
D)  prurigo.

Exam 24: The Pregnant Patient

A pregnant woman must be questioned closely about all of the following,EXCEPT

Which breast change(s)occurs in the first few weeks of pregnancy?

To perform Leopold's maneuver on a patient in order to determine the fetal presentation,you would first palpate her

Because of its possible teratogenic effect on the fetus,which medication is most likely to be changed during pregnancy?

Increased levels of progesterone lead to which change in the lungs and thorax typically occurring during pregnancy?

Which change in the retina most likely indicates a hypertensive disorder of pregnancy?

Which hematological finding for a pregnant woman requires immediate referral for further evaluation?

Your patient reports severe nausea and vomiting,which started during the second month of her pregnancy,and a weight loss of 10 pounds over the past month.She most likely is experiencing

Thalassemia is more commonly found in infants with which ethnic backgrounds?

The incidences of small-for-gestational-age infants,preterm labor,spontaneous abortions,and lower Apgar scores are higher than normal among pregnant women who

During pregnancy,hypertension at any time is abnormal.Hypertension is defined as

Softening of the uterine isthmus occurring at 8 weeks' gestation is called

Normal changes during pregnancy that affect the heart and peripheral vasculature include

At 16 weeks in a pregnancy,the fundus of the uterus is palpated approximately

Which notation indicates that a woman has three living children?

Melasma,or chloasma,is better known as the _____________________.

During which phase of Leopold's maneuver would you determine the long axis of the fetus in relationship to the long axis of your patient?

A patient asks you about sexual relations during pregnancy.The most accurate answer you can give her is

Primary goals for the health examination of the pregnant patient include all of the following,EXCEPT

Erythematous plaques that develop into vesicular lesions and may later become pustular are known as

Critical Thinking And The Nursing Process

Communication Techniques And The Patient Interview

The Complete Health History Including Documentation

Developmental Assessment

Cultural Assessment

Spiritual Assessment

Nutritional Assessment

Physical Examination Techniques

General Survey, vital Signs, and Pain

Skin, hair, and Nails

Head, neck, and Regional Lymph Nodes

Eyes

Ears, nose, mouth, and Throat

Breasts And Regional Nodes

Thorax And Lungs

Heart

Peripheral Vasculature And Lymphatic System

Abdomen

Musculoskeletal System

Mental Status And Neurological Techniques

Female Genitalia

Male Genitalia

Anus, rectum, and Prostate

The Pediatric Patient

The Older Adult Patient

The Complete Health History And Physical Examination

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