Question 1

A pregnant woman at 10 weeks of gestation jogs three or four times per week.Which is true about exercise during pregnancy?

Accepted Answer

A)  There is no need to modify exercise regimes at any time during pregnancy. 
B)  Exercising is contraindicated during the third trimester of pregnancy. 
C)  Exercise routines may need to be modified as pregnancy progresses. 
D)  Walking is recommended during pregnancy,not jogging. 
A)  There is no need to modify exercise regimes at any time during pregnancy. 
B)  Exercising is contraindicated during the third trimester of pregnancy. 
C)  Exercise routines may need to be modified as pregnancy progresses. 
D)  Walking is recommended during pregnancy,not jogging.

Question 2

Which should the nurse be aware of with regard to medications,herbs,immunizations,and other substances during pregnancy?

Accepted Answer

A)  Both prescription and over-the-counter (OT
C) drugs that otherwise are harmless can become hazardous by metabolic deficiencies of the fetus. 
B)  The greatest danger of drug-caused developmental deficits in the fetus is seen in the final trimester. 
C)  Killed-virus vaccines (e.g. ,tetanus)should not be given during pregnancy,but live-virus vaccines (e.g. ,measles)are permissible. 
D)  No convincing evidence exists that second-hand smoke is potentially dangerous to the fetus. 
A)  Both prescription and over-the-counter (OT
C) drugs that otherwise are harmless can become hazardous by metabolic deficiencies of the fetus. 
B)  The greatest danger of drug-caused developmental deficits in the fetus is seen in the final trimester. 
C)  Killed-virus vaccines (e.g. ,tetanus)should not be given during pregnancy,but live-virus vaccines (e.g. ,measles)are permissible. 
D)  No convincing evidence exists that second-hand smoke is potentially dangerous to the fetus.

Question 3

For which sexually transmitted infection (STI)screening should woman have serum testing completed at their first prenatal visit? Select all that apply.Express answers in small letters,followed by a comma and a space-e.g. ,a,b,

Accepted Answer

A)  Chlamydia 
B)  Syphilis 
C)  Gonorrhea 
D)  Hepatitis B virus (HBV) 
E)  Herpes simplex virus (HSV)
F) Human papillomavirus (HPV) 
A)  Chlamydia 
B)  Syphilis 
C)  Gonorrhea 
D)  Hepatitis B virus (HBV) 
E)  Herpes simplex virus (HSV)
F) Human papillomavirus (HPV)

Question 4

What should the nurse be aware of for the initial visit with a patient who is beginning prenatal care?

Accepted Answer

A)  The first interview is a relaxed,get-acquainted affair to gather general impressions. 
B)  Avoid assessing any handicap conditions until the second prenatal visit. 
C)  Be alert to the appearance of potential parenting problems,such as depression or lack of family support. 
D)  Nurses should not ask about illegal drug use;that is left to physicians. 
A)  The first interview is a relaxed,get-acquainted affair to gather general impressions. 
B)  Avoid assessing any handicap conditions until the second prenatal visit. 
C)  Be alert to the appearance of potential parenting problems,such as depression or lack of family support. 
D)  Nurses should not ask about illegal drug use;that is left to physicians.

Question 5

Which statement about pregnancy is accurate?

Accepted Answer

A)  A normal pregnancy lasts about 10 lunar months. 
B)  A trimester is one third of a year. 
C)  The prenatal period extends from fertilization to conception. 
D)  The estimated date of confinement (ED
C) is how long the mother is on bedrest. 
A)  A normal pregnancy lasts about 10 lunar months. 
B)  A trimester is one third of a year. 
C)  The prenatal period extends from fertilization to conception. 
D)  The estimated date of confinement (ED
C) is how long the mother is on bedrest.

Question 6

Which sign or symptom should the nurse teach the pregnant woman to report immediately to her health care provider?

Accepted Answer

A)  Vaginal mucous discharge 
B)  Decreased libido 
C)  Urinary frequency 
D)  Heartburn accompanied by severe headache 
A)  Vaginal mucous discharge 
B)  Decreased libido 
C)  Urinary frequency 
D)  Heartburn accompanied by severe headache

Question 7

Which should the nurse be aware of to care for women receiving prenatal care?

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 blood pressure (BP)of 130 and a diastolic BP of 80 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 blood pressure (BP)of 130 and a diastolic BP of 80 is sufficient to be considered hypertensive.

Question 8

What is the purpose of the pinch test?

Accepted Answer

A)  To check the sensitivity of the nipples 
B)  To determine whether the nipple is everted or inverted 
C)  To calculate the adipose buildup in the abdomen 
D)  To see whether the fetus has become inactive 
A)  To check the sensitivity of the nipples 
B)  To determine whether the nipple is everted or inverted 
C)  To calculate the adipose buildup in the abdomen 
D)  To see whether the fetus has become inactive

Question 9

A pregnant woman at 18 weeks of gestation calls the clinic to report that she has been experiencing occasional backaches of mild-to-moderate intensity.What should the nurse recommend to the woman?

Accepted Answer

A)  Do Kegel exercises. 
B)  Do pelvic rock exercises. 
C)  Use a softer mattress. 
D)  Stay in bed for 24 hours. 
A)  Do Kegel exercises. 
B)  Do pelvic rock exercises. 
C)  Use a softer mattress. 
D)  Stay in bed for 24 hours.

Question 10

The nurse caring for the newly pregnant woman would advise her that ideally prenatal care should begin at what time?

Accepted Answer

A)  Prenatal care should begin before the first missed menstrual period. 
B)  Prenatal care should begin after the first missed menstrual period. 
C)  Prenatal care should begin after the second missed menstrual period. 
D)  Prenatal care should begin after the third missed menstrual period. 
A)  Prenatal care should begin before the first missed menstrual period. 
B)  Prenatal care should begin after the first missed menstrual period. 
C)  Prenatal care should begin after the second missed menstrual period. 
D)  Prenatal care should begin after the third missed menstrual period.

Question 11

For which reason would breastfeeding be contraindicated?

Accepted Answer

A)  A woman has hepatitis B. 
B)  A woman has everted nipples. 
C)  A woman has a history of breast cancer 3 years ago. 
D)  A woman is human immunodeficiency virus (HIV)positive. 
A)  A woman has hepatitis B. 
B)  A woman has everted nipples. 
C)  A woman has a history of breast cancer 3 years ago. 
D)  A woman is human immunodeficiency virus (HIV)positive.

Question 12

Which statement about multifetal pregnancy is accurate?

Accepted Answer

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

Question 13

What is the name of the phenomenon of the expectant father experiencing pregnancy-like symptoms such as nausea?

Accepted Answer

A)  Hyperemesis 
B)  Couvade 
C)  Identification syndrome 
D)  Psychological bingeing 
A)  Hyperemesis 
B)  Couvade 
C)  Identification syndrome 
D)  Psychological bingeing

Question 14

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 15

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.What is the basis for the nurse's response?

Accepted Answer

A)  It is alright to have one drink with dinner after the first trimester. 
B)  Weekly alcohol intake is not to exceed three drinks per week during any month of pregnancy. 
C)  Alcohol intake in pregnancy is to be limited to beer or wine. 
D)  It is best to abstain from any alcohol intake during pregnancy. 
A)  It is alright to have one drink with dinner after the first trimester. 
B)  Weekly alcohol intake is not to exceed three drinks per week during any month of pregnancy. 
C)  Alcohol intake in pregnancy is to be limited to beer or wine. 
D)  It is best to abstain from any alcohol intake during pregnancy.

Question 16

Which symptom is considered a first-trimester warning sign and should be reported immediately by the pregnant woman to her health care provider?

Accepted Answer

A)  Nausea with occasional vomiting 
B)  Fatigue 
C)  Urinary frequency 
D)  Vaginal bleeding 
A)  Nausea with occasional vomiting 
B)  Fatigue 
C)  Urinary frequency 
D)  Vaginal bleeding

Exam 11: Nursing Care During Pregnancy

A pregnant woman at 10 weeks of gestation jogs three or four times per week.Which is true about exercise during pregnancy?

Which should the nurse be aware of with regard to medications,herbs,immunizations,and other substances during pregnancy?

For which sexually transmitted infection (STI)screening should woman have serum testing completed at their first prenatal visit? Select all that apply.Express answers in small letters,followed by a comma and a space-e.g. ,a,b,

What should the nurse be aware of for the initial visit with a patient who is beginning prenatal care?

Which statement about pregnancy is accurate?

Which sign or symptom should the nurse teach the pregnant woman to report immediately to her health care provider?

Which should the nurse be aware of to care for women receiving prenatal care?

What is the purpose of the pinch test?

A pregnant woman at 18 weeks of gestation calls the clinic to report that she has been experiencing occasional backaches of mild-to-moderate intensity.What should the nurse recommend to the woman?

The nurse caring for the newly pregnant woman would advise her that ideally prenatal care should begin at what time?

For which reason would breastfeeding be contraindicated?

Which statement about multifetal pregnancy is accurate?

What is the name of the phenomenon of the expectant father experiencing pregnancy-like symptoms such as nausea?

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

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.What is the basis for the nurse's response?

Which symptom is considered a first-trimester warning sign and should be reported immediately by the pregnant woman to her health care provider?

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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