Question 1

What represents a typical progression through the phases of a woman's establishing a relationship with the fetus?

Accepted Answer

A)  Accepts the fetus as distinct from herself-accepts the biological fact of pregnancy-has a feeling of caring and responsibility 
B)  Fantasizes about the child's gender and personality-views the child as part of herself-becomes introspective 
C)  Views the child as part of herself-has feelings of well-being-accepts the biological fact of pregnancy 
D)  Accepts she is pregnant-acknowledges that she is going to have a baby-accepts she is going to be a mother 
A)  Accepts the fetus as distinct from herself-accepts the biological fact of pregnancy-has a feeling of caring and responsibility 
B)  Fantasizes about the child's gender and personality-views the child as part of herself-becomes introspective 
C)  Views the child as part of herself-has feelings of well-being-accepts the biological fact of pregnancy 
D)  Accepts she is pregnant-acknowledges that she is going to have a baby-accepts she is going to be a mother D

Question 2

During the first trimester,a pregnant woman may expect which change in her sexual desire?

Accepted Answer

A)  Her sexual desire is increased,related to enlarging breasts. 
B)  Her sexual desire is decreased,related to nausea and fatigue. 
C)  There is no change in sexual desire. 
D)  Her sexual desire is increased,related to increased levels of female hormones. 
A)  Her sexual desire is increased,related to enlarging breasts. 
B)  Her sexual desire is decreased,related to nausea and fatigue. 
C)  There is no change in sexual desire. 
D)  Her sexual desire is increased,related to increased levels of female hormones. B

Question 3

Which infections can be identified for pregnant women through laboratory analysis of a vaginal or rectal smear? Select all that apply.Express answer with small letters,followed by a comma and a space-e.g. ,a,b,

Accepted Answer

A)  Gonorrhea 
B)  HIV 
C)  Chlamydia 
D)  Group B streptococcus (GBS) 
E)  Syphilis
F) Human papillomavirus (HPV) 
A)  Gonorrhea 
B)  HIV 
C)  Chlamydia 
D)  Group B streptococcus (GBS) 
E)  Syphilis
F) Human papillomavirus (HPV) A,C,D,F

Question 4

Which tests will be conducted in the prenatal period to identify fetus(es)at risk for developing erythroblastosis fetalis or hyperbilirubiemia in the neonatal period? Select all that apply.Express answers in small letters,followed by a comma and a space-e.g. ,a,b,

Accepted Answer

A)  Blood type 
B)  Rh 
C)  Hemoglobin 
D)  Hematocrit 
E)  Differential
F) WBC
G) Presence of antibodies 
A)  Blood type 
B)  Rh 
C)  Hemoglobin 
D)  Hematocrit 
E)  Differential
F) WBC
G) Presence of antibodies

Question 5

A woman arrives at the clinic for a pregnancy test.The first day of her last menstrual period (LMP)was February 14,2012.What would be her baby's expected date of birth (EDB)?

Accepted Answer

A)  May 21,2012 
B)  November 7,2013 
C)  November 21,2012 
D)  May 2,2013 
A)  May 21,2012 
B)  November 7,2013 
C)  November 21,2012 
D)  May 2,2013

Question 6

Cultural rituals and practices during pregnancy seem to have one purpose in common.Which statement best describes that purpose?

Accepted Answer

A)  To promote family unity 
B)  To ward off the "evil eye" 
C)  To appease the gods of fertility 
D)  To protect the mother and fetus during pregnancy 
A)  To promote family unity 
B)  To ward off the "evil eye" 
C)  To appease the gods of fertility 
D)  To protect the mother and fetus during pregnancy

Question 7

Which should the nurse be aware of with regard to work and travel during pregnancy?

Accepted Answer

A)  Women should sit for as long as possible and cross their legs at the knees from time to time for exercise. 
B)  Women should avoid seat belts and shoulder restraints in the car because they press on the fetus. 
C)  Metal detectors at airport security checkpoints can harm the fetus if the woman passes through them a number of times. 
D)  While working or travelling in a car or on a plane,women should arrange to walk around at least every hour or so. 
A)  Women should sit for as long as possible and cross their legs at the knees from time to time for exercise. 
B)  Women should avoid seat belts and shoulder restraints in the car because they press on the fetus. 
C)  Metal detectors at airport security checkpoints can harm the fetus if the woman passes through them a number of times. 
D)  While working or travelling in a car or on a plane,women should arrange to walk around at least every hour or so.

Question 8

Which should the nurse know to aid in understanding and guiding a woman through her acceptance of pregnancy?

Accepted Answer

A)  Nonacceptance of the pregnancy very often equates to rejection of the child. 
B)  Mood swings most likely are the result of a changed lifestyle as well as profound hormonal changes. 
C)  Ambivalent feelings usually are seen only in emotionally immature or very young mothers. 
D)  Conflicts such as not wanting to be pregnant or child-rearing and career-related decisions will resolve themselves naturally after birth. 
A)  Nonacceptance of the pregnancy very often equates to rejection of the child. 
B)  Mood swings most likely are the result of a changed lifestyle as well as profound hormonal changes. 
C)  Ambivalent feelings usually are seen only in emotionally immature or very young mothers. 
D)  Conflicts such as not wanting to be pregnant or child-rearing and career-related decisions will resolve themselves naturally after birth.

Question 9

Which blood pressure (BP)finding during the second trimester indicates a risk for hypertension?

Accepted Answer

A)  Baseline BP 120/80,current BP 126/85 
B)  Baseline BP 100/70,current BP 140/90 
C)  Baseline BP 140/85,current BP 130/80 
D)  Baseline BP 110/60,current BP 110/60 
A)  Baseline BP 120/80,current BP 126/85 
B)  Baseline BP 100/70,current BP 140/90 
C)  Baseline BP 140/85,current BP 130/80 
D)  Baseline BP 110/60,current BP 110/60

Question 10

What is the pregnant woman's partner's main role in the pregnancy?

Accepted Answer

A)  Provide financial support 
B)  Protect the pregnant woman from "old wives' tales" 
C)  Support and nurture the pregnant woman 
D)  Make sure the pregnant woman keeps prenatal appointments 
A)  Provide financial support 
B)  Protect the pregnant woman from "old wives' tales" 
C)  Support and nurture the pregnant woman 
D)  Make sure the pregnant woman keeps prenatal appointments

Question 11

Which is a danger sign of pregnancy at 32 weeks of gestation?

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

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

Question 13

What should the nurse know with regard to the father's acceptance of the pregnancy and preparation for childbirth?

Accepted Answer

A)  For most men,pregnancy is a time of fantasy and intense learning. 
B)  The father's attachment to the fetus cannot be as strong as that of the mother. 
C)  During the last 2 months of pregnancy,most expectant fathers suddenly get very protective of their established lifestyle and resist making changes to the home. 
D)  Typically,men remain ambivalent about fatherhood right up to the birth of their child. 
A)  For most men,pregnancy is a time of fantasy and intense learning. 
B)  The father's attachment to the fetus cannot be as strong as that of the mother. 
C)  During the last 2 months of pregnancy,most expectant fathers suddenly get very protective of their established lifestyle and resist making changes to the home. 
D)  Typically,men remain ambivalent about fatherhood right up to the birth of their child.

Question 14

Which is true with regard to a woman'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 the father of the child. 
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 be 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 the father of the child. 
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 be 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 15

For which women would prenatal testing for the human immunodeficiency virus (HIV)be recommended?

Accepted Answer

A)  All women,regardless of risk factors 
B)  A woman who has had more than one sexual partner 
C)  A woman who has had a sexually transmitted infection 
D)  A woman who is monogamous with her partner 
A)  All women,regardless of risk factors 
B)  A woman who has had more than one sexual partner 
C)  A woman who has had a sexually transmitted infection 
D)  A woman who is monogamous with her partner

Question 16

What should the nurse be aware of with regard to the initial physical examination of a woman beginning prenatal care?

Accepted Answer

A)  Only women who show physical signs or meet the sociological profile should be assessed for physical abuse. 
B)  The woman should empty her bladder before the pelvic examination is performed. 
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 is just going to get bigger soon. 
A)  Only women who show physical signs or meet the sociological profile should be assessed for physical abuse. 
B)  The woman should empty her bladder before the pelvic examination is performed. 
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 is just going to get bigger soon.

Question 17

What should the nurse teach the mother to properly promote personal hygiene?

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 18

Which should the nurse be aware of with regard to dental care during pregnancy?

Accepted Answer

A)  Dental care need not be a priority because the woman is getting a lot of calcium anyway. 
B)  Dental surgery,in particular,is contraindicated because of psychological stress. 
C)  The woman will be most comfortable with dental treatment in the second trimester. 
D)  Dental care interferes with the need to practice conscious relaxation. 
A)  Dental care need not be a priority because the woman is getting a lot of calcium anyway. 
B)  Dental surgery,in particular,is contraindicated because of psychological stress. 
C)  The woman will be most comfortable with dental treatment in the second trimester. 
D)  Dental care interferes with the need to practice conscious relaxation.

Question 19

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

Accepted Answer

A)  How the baby will "get out" 
B)  What the baby will eat 
C)  Whether her mother will die 
D)  What colour eyes the baby has 
A)  How the baby will "get out" 
B)  What the baby will eat 
C)  Whether her mother will die 
D)  What colour eyes the baby has

Question 20

Which immunization is safe to administer to a pregnant woman?

Accepted Answer

A)  Tetanus 
B)  Mumps 
C)  Chickenpox 
D)  Rubella 
A)  Tetanus 
B)  Mumps 
C)  Chickenpox 
D)  Rubella

Exam 11: Nursing Care During Pregnancy

What represents a typical progression through the phases of a woman's establishing a relationship with the fetus?

During the first trimester,a pregnant woman may expect which change in her sexual desire?

Which infections can be identified for pregnant women through laboratory analysis of a vaginal or rectal smear? Select all that apply.Express answer with small letters,followed by a comma and a space-e.g. ,a,b,

Which tests will be conducted in the prenatal period to identify fetus(es)at risk for developing erythroblastosis fetalis or hyperbilirubiemia in the neonatal period? Select all that apply.Express answers in small letters,followed by a comma and a space-e.g. ,a,b,

A woman arrives at the clinic for a pregnancy test.The first day of her last menstrual period (LMP)was February 14,2012.What would be her baby's expected date of birth (EDB)?

Cultural rituals and practices during pregnancy seem to have one purpose in common.Which statement best describes that purpose?

Which should the nurse be aware of with regard to work and travel during pregnancy?

Which should the nurse know to aid in understanding and guiding a woman through her acceptance of pregnancy?

Which blood pressure (BP)finding during the second trimester indicates a risk for hypertension?

What is the pregnant woman's partner's main role in the pregnancy?

Which is a danger sign of pregnancy at 32 weeks of gestation?

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

What should the nurse know with regard to the father's acceptance of the pregnancy and preparation for childbirth?

Which is true with regard to a woman's reordering of personal relationships during pregnancy?

For which women would prenatal testing for the human immunodeficiency virus (HIV)be recommended?

What should the nurse be aware of with regard to the initial physical examination of a woman beginning prenatal care?

What should the nurse teach the mother to properly promote personal hygiene?

Which should the nurse be aware of with regard to dental care during pregnancy?

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

Which immunization is safe to administer to a pregnant woman?

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

Anatomy and Physiology of Pregnancy

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

Communication, History, Physical, and Developmental Assessment

Pain Assessment and Management

The Infant and Family

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

The Adolescent and Family

Chronic Illness, Complex Conditions, and End-of-Life Care

Cognitive and Sensory Impairment

Family-Centred Home Care

Reaction to Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

Gastrointestinal Dysfunction

Cardiovascular Dysfunction

Hematological or Immunological Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

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