Question 1

Which presumptive sign or symptom of pregnancy would a woman at 10 weeks of gestation most likely have?

Accepted Answer

A)  Amenorrhea 
B)  Positive pregnancy test 
C)  Chadwick's sign 
D)  Hegar's sign 
A)  Amenorrhea 
B)  Positive pregnancy test 
C)  Chadwick's sign 
D)  Hegar's sign A

Question 2

A woman is in for a routine prenatal checkup.You are assessing her urinary system.Which finding is considered abnormal?

Accepted Answer

A)  Decreased blood urea nitrogen (BUN) 
B)  Increased glomerular filtration rate (GFR) 
C)  Increased bladder capacity 
D)  Increased proteinuria 
A)  Decreased blood urea nitrogen (BUN) 
B)  Increased glomerular filtration rate (GFR) 
C)  Increased bladder capacity 
D)  Increased proteinuria D

Question 3

Which hormone is essential for maintaining pregnancy?

Accepted Answer

A)  Estrogen 
B)  Human chorionic gonadotropin (hCG) 
C)  Oxytocin 
D)  Progesterone 
A)  Estrogen 
B)  Human chorionic gonadotropin (hCG) 
C)  Oxytocin 
D)  Progesterone D

Question 4

A woman is at 14 weeks of gestation.The nurse would expect to palpate the fundus at which level?

Accepted Answer

A)  The fundus is not palpable above the symphysis at this time. 
B)  Slightly above the symphysis pubis 
C)  At the level of the umbilicus 
D)  Slightly above the umbilicus 
A)  The fundus is not palpable above the symphysis at this time. 
B)  Slightly above the symphysis pubis 
C)  At the level of the umbilicus 
D)  Slightly above the umbilicus

Question 5

A woman's obstetrical history indicates that she is pregnant for the fourth time and all of her children from previous pregnancies are living.One was born at 39 weeks of gestation,twins were born at 34 weeks of gestation,and another child was born at 35 weeks of gestation.What is her gravidity and parity using the GTPAL system?

Accepted Answer

A)  3-1-1-1-3 
B)  4-1-2-0-4 
C)  3-0-3-0-3 
D)  4-2-1-0-3 
A)  3-1-1-1-3 
B)  4-1-2-0-4 
C)  3-0-3-0-3 
D)  4-2-1-0-3

Question 6

Over-the-counter (OTC)pregnancy tests usually rely on which technology to test for human chorionic gonadotropin (hCG)?

Accepted Answer

A)  Radioimmunoassay 
B)  Radioreceptor assay 
C)  Latex agglutination test 
D)  Enzyme-linked immunosorbent assay (ELIS
A)  
A)  Radioimmunoassay 
B)  Radioreceptor assay 
C)  Latex agglutination test 
D)  Enzyme-linked immunosorbent assay (ELIS
A)

Question 7

During a patient's physical examination the nurse notes that the lower uterine segment is soft on palpation.How would the nurse document this finding?

Accepted Answer

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

Question 8

Which change in the blood pressure of pregnant women should the nurse be aware of in order to educate the patient?

Accepted Answer

A)  A blood pressure cuff that is too small produces a reading that is too low;a cuff that is too large produces a reading that is too high. 
B)  Shifting the patient's position and changing from arm to arm for different measurements produces the most accurate composite blood pressure reading. 
C)  The systolic blood pressure increases slightly as pregnancy advances;the diastolic pressure remains constant. 
D)  Compression of the iliac veins and inferior vena cava by the uterus contributes to hemorrhoids in the later stage of term pregnancy. 
A)  A blood pressure cuff that is too small produces a reading that is too low;a cuff that is too large produces a reading that is too high. 
B)  Shifting the patient's position and changing from arm to arm for different measurements produces the most accurate composite blood pressure reading. 
C)  The systolic blood pressure increases slightly as pregnancy advances;the diastolic pressure remains constant. 
D)  Compression of the iliac veins and inferior vena cava by the uterus contributes to hemorrhoids in the later stage of term pregnancy.

Question 9

What should the nurse teach the patient in relation to Braxton Hicks contractions?

Accepted Answer

A)  They are painless. 
B)  They increase with walking. 
C)  They cause cervical dilation. 
D)  They impede oxygen flow to the fetus. 
A)  They are painless. 
B)  They increase with walking. 
C)  They cause cervical dilation. 
D)  They impede oxygen flow to the fetus.

Question 10

Some pregnant patients may complain of changes in their voice and impaired hearing.To what can the nurse ascribe these common reactions?

Accepted Answer

A)  Decreased estrogen level 
B)  Displacement of the diaphragm,resulting in abdominal breathing 
C)  Increased vascularity of the upper respiratory tract 
D)  Increased blood volume 
A)  Decreased estrogen level 
B)  Displacement of the diaphragm,resulting in abdominal breathing 
C)  Increased vascularity of the upper respiratory tract 
D)  Increased blood volume

Question 11

What is the term given to a woman who has completed one pregnancy with a fetus (or fetuses)reaching the stage of fetal viability?

Accepted Answer

A)  Primipara 
B)  Primigravida 
C)  Multipara 
D)  Nulligravida 
A)  Primipara 
B)  Primigravida 
C)  Multipara 
D)  Nulligravida

Question 12

Which time-based description of a stage of development in pregnancy is accurate?

Accepted Answer

A)  Viability-22 to 37 weeks since the last menstrual period (LMP)(assuming a fetal weight greater than 500 g) 
B)  Term-pregnancy from the beginning of week 37 to the end of week 40 plus 6 days' gestation 
C)  Preterm-pregnancy from 20 to 28 weeks 
D)  Postdate-pregnancy that extends beyond 38 weeks 
A)  Viability-22 to 37 weeks since the last menstrual period (LMP)(assuming a fetal weight greater than 500 g) 
B)  Term-pregnancy from the beginning of week 37 to the end of week 40 plus 6 days' gestation 
C)  Preterm-pregnancy from 20 to 28 weeks 
D)  Postdate-pregnancy that extends beyond 38 weeks

Question 13

What is the term given to the mucous plug that forms in the endocervical canal?

Accepted Answer

A)  Operculum 
B)  Leucorrhea 
C)  Funic souffle 
D)  Ballottement 
A)  Operculum 
B)  Leucorrhea 
C)  Funic souffle 
D)  Ballottement

Question 14

A woman is in her seventh month of pregnancy.She has been complaining of nasal congestion and occasional epistaxis.How should the nurse interpret this complaint?

Accepted Answer

A)  This is a normal change in pregnancy caused by elevated levels of estrogen. 
B)  This is an abnormal cardiovascular alteration as nosebleeds are an ominous sign. 
C)  She is a victim of domestic violence and is being hit in the face by her partner. 
D)  She has most likely been using cocaine intranasally. 
A)  This is a normal change in pregnancy caused by elevated levels of estrogen. 
B)  This is an abnormal cardiovascular alteration as nosebleeds are an ominous sign. 
C)  She is a victim of domestic violence and is being hit in the face by her partner. 
D)  She has most likely been using cocaine intranasally.

Question 15

Which is important for the nurse to know in order to be able to reassure and educate pregnant patients about changes in their cardiovascular system during pregnancy?

Accepted Answer

A)  A pregnant woman experiencing disturbed cardiac rhythm,such as sinus arrhythmia,requires close medical and obstetrical observation. 
B)  Changes in heart size and position and increases in blood volume create auditory changes from 20 weeks to term. 
C)  Palpitations are twice as likely to occur in twin gestations. 
D)  Blood pressure increases until about 24 to 32 weeks of gestation. 
A)  A pregnant woman experiencing disturbed cardiac rhythm,such as sinus arrhythmia,requires close medical and obstetrical observation. 
B)  Changes in heart size and position and increases in blood volume create auditory changes from 20 weeks to term. 
C)  Palpitations are twice as likely to occur in twin gestations. 
D)  Blood pressure increases until about 24 to 32 weeks of gestation.

Question 16

A woman is 6 weeks pregnant.She has had a previous spontaneous abortion at 14 weeks of gestation and a pregnancy that ended at 38 weeks with the birth of a stillborn girl.What is her gravidity and parity using the GTPAL system?

Accepted Answer

A)  2-0-0-1-1 
B)  2-1-0-1-0 
C)  3-1-0-1-0 
D)  3-0-1-1-0 
A)  2-0-0-1-1 
B)  2-1-0-1-0 
C)  3-1-0-1-0 
D)  3-0-1-1-0

Question 17

Which statement about a condition of pregnancy is accurate?

Accepted Answer

A)  Insufficient salivation (ptyalism)is caused by increases in estrogen. 
B)  Acid indigestion (pyrosis)begins early but declines throughout pregnancy. 
C)  Hyperthyroidism often develops (temporarily)because hormone production increases. 
D)  Nausea and vomiting rarely have harmful effects on the fetus and may be beneficial. 
A)  Insufficient salivation (ptyalism)is caused by increases in estrogen. 
B)  Acid indigestion (pyrosis)begins early but declines throughout pregnancy. 
C)  Hyperthyroidism often develops (temporarily)because hormone production increases. 
D)  Nausea and vomiting rarely have harmful effects on the fetus and may be beneficial.

Question 18

Cardiovascular system changes occur during pregnancy.Which finding would be considered normal for a woman in her second trimester?

Accepted Answer

A)  Less audible heart sounds (S1,S2) 
B)  Increased pulse rate 
C)  Increased blood pressure 
D)  Decreased red blood cell (RB
C) production 
A)  Less audible heart sounds (S1,S2) 
B)  Increased pulse rate 
C)  Increased blood pressure 
D)  Decreased red blood cell (RB
C) production

Question 19

Which is important for the nurse to know in order to be able to reassure and educate pregnant patients about changes in their breasts?

Accepted Answer

A)  The visibility of blood vessels that form an intertwining blue network indicates full function of Montgomery's tubercles and possibly infection of the tubercles. 
B)  The mammary glands do not develop until 2 weeks before labour. 
C)  Lactation is inhibited until the estrogen level declines after birth. 
D)  Colostrum is the yellowish oily substance used to lubricate the nipples for breastfeeding. 
A)  The visibility of blood vessels that form an intertwining blue network indicates full function of Montgomery's tubercles and possibly infection of the tubercles. 
B)  The mammary glands do not develop until 2 weeks before labour. 
C)  Lactation is inhibited until the estrogen level declines after birth. 
D)  Colostrum is the yellowish oily substance used to lubricate the nipples for breastfeeding.

Question 20

Which should the nurse be aware of in order to reassure and educate pregnant patients about changes in the cervix,vagina,and position of the fetus during pregnancy?

Accepted Answer

A)  Because of a number of changes in the cervix,abnormal Papanicolaou (Pap)tests are much easier to evaluate. 
B)  Quickening is a technique of palpating the fetus to engage it in passive movement. 
C)  The deepening colour of the vaginal mucosa and cervix (Chadwick's sign)usually appears in the second trimester or later as the vagina prepares to stretch during labour. 
D)  Increased vascularity of the vagina increases sensitivity and may lead to a high degree of arousal,especially in the second trimester. 
A)  Because of a number of changes in the cervix,abnormal Papanicolaou (Pap)tests are much easier to evaluate. 
B)  Quickening is a technique of palpating the fetus to engage it in passive movement. 
C)  The deepening colour of the vaginal mucosa and cervix (Chadwick's sign)usually appears in the second trimester or later as the vagina prepares to stretch during labour. 
D)  Increased vascularity of the vagina increases sensitivity and may lead to a high degree of arousal,especially in the second trimester.

Exam 10: Anatomy and Physiology of Pregnancy

Which presumptive sign or symptom of pregnancy would a woman at 10 weeks of gestation most likely have?

A woman is in for a routine prenatal checkup.You are assessing her urinary system.Which finding is considered abnormal?

Which hormone is essential for maintaining pregnancy?

A woman is at 14 weeks of gestation.The nurse would expect to palpate the fundus at which level?

Over-the-counter (OTC)pregnancy tests usually rely on which technology to test for human chorionic gonadotropin (hCG)?

During a patient's physical examination the nurse notes that the lower uterine segment is soft on palpation.How would the nurse document this finding?

Which change in the blood pressure of pregnant women should the nurse be aware of in order to educate the patient?

What should the nurse teach the patient in relation to Braxton Hicks contractions?

Some pregnant patients may complain of changes in their voice and impaired hearing.To what can the nurse ascribe these common reactions?

What is the term given to a woman who has completed one pregnancy with a fetus (or fetuses)reaching the stage of fetal viability?

Which time-based description of a stage of development in pregnancy is accurate?

What is the term given to the mucous plug that forms in the endocervical canal?

A woman is in her seventh month of pregnancy.She has been complaining of nasal congestion and occasional epistaxis.How should the nurse interpret this complaint?

Which is important for the nurse to know in order to be able to reassure and educate pregnant patients about changes in their cardiovascular system during pregnancy?

A woman is 6 weeks pregnant.She has had a previous spontaneous abortion at 14 weeks of gestation and a pregnancy that ended at 38 weeks with the birth of a stillborn girl.What is her gravidity and parity using the GTPAL system?

Which statement about a condition of pregnancy is accurate?

Cardiovascular system changes occur during pregnancy.Which finding would be considered normal for a woman in her second trimester?

Which is important for the nurse to know in order to be able to reassure and educate pregnant patients about changes in their breasts?

Which should the nurse be aware of in order to reassure and educate pregnant patients about changes in the cervix,vagina,and position of the fetus during pregnancy?

Contemporary Perinatal and Pediatric Nursing in Canada

The Family and Culture

Community Care

Perinatal Nursing in Canada

Health Promotion

Health Assessment

Reproductive Health

Infertility, Contraception, and Abortion

Preconception, Genetics, Conception, and Fetal Development

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Maternal and Fetal Nutrition

Pregnancy Risk Factors and Assessment

Pregnancy at Risk: Gestational Conditions

Pregnancy at Risk: Pre-Existing Conditions

Labour and Birth Processes

Nursing Care of the Family During Labour and Birth

Pain Management During Labour

Fetal Health Surveillance During Labour

Labour and Birth at Risk

Maternal Physiological Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Postpartum Complications

Physiological Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

Infants with Gestational Age Related Problems

The Newborn at Risk: Acquired and Congenital Problems

Pediatric Nursing in Canada

Family, Social, Cultural, and Religious Influences on Children’s Health

Developmental Influences on Child Health Promotion

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Pediatric Variations of Nursing Interventions

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