Question 1

The nurse cautions the patient that,because of hormonal changes in late pregnancy,the pelvic joints relax.What does this result in?

Accepted Answer

A)  Waddling gait 
B)  Joint instability 
C)  Urinary frequency 
D)  Back pain 
E)  Aching in cervical spine 
A)  Waddling gait 
B)  Joint instability 
C)  Urinary frequency 
D)  Back pain 
E)  Aching in cervical spine A,B

Question 2

After the examination is completed,the patient asks the nurse why Chadwick's sign occurs during pregnancy.What would the nurse explain as the cause of Chadwick's sign?

Accepted Answer

A)  Enlargement of the uterus 
B)  Progesterone action on the breasts 
C)  Increasing activity of the fetus 
D)  Vascular congestion in the pelvic area 
A)  Enlargement of the uterus 
B)  Progesterone action on the breasts 
C)  Increasing activity of the fetus 
D)  Vascular congestion in the pelvic area D

Question 3

During the second prenatal visit,the nurse attempts to locate the fetal heartbeat with an electronic Doppler device.How early might fetal heart tones be detected with an electronic Doppler device?

Accepted Answer

A)  4 weeks 
B)  8 weeks 
C)  10 weeks 
D)  14 weeks 
A)  4 weeks 
B)  8 weeks 
C)  10 weeks 
D)  14 weeks C

Question 4

A woman who is 37 weeks pregnant reports feeling dizzy when lying on her back.What does the nurse explain as the most likely cause of this symptom?

Accepted Answer

A)  Supine hypotension syndrome 
B)  Gestational diabetes 
C)  Pregnancy-induced hypertension 
D)  Malnutrition 
A)  Supine hypotension syndrome 
B)  Gestational diabetes 
C)  Pregnancy-induced hypertension 
D)  Malnutrition

Question 5

The nurse encourages adequate intake of folic acid for women of childbearing age before and during pregnancy.What is folic acid thought to decrease the incidence of in fetal development?

Accepted Answer

A)  Structural heart defects 
B)  Craniofacial deformities 
C)  Limb deformities 
D)  Neural tube defects 
A)  Structural heart defects 
B)  Craniofacial deformities 
C)  Limb deformities 
D)  Neural tube defects

Question 6

A pregnant woman is experiencing nausea in the early morning.What recommendations would the nurse offer to alleviate this symptom?

Accepted Answer

A)  Eat three well-balanced meals per day and limit snacks. 
B)  Drink a full glass of fluid at the beginning of each meal. 
C)  Have crackers handy at the bedside, and eat a few before getting out of bed. 
D)  Eat a bland diet and avoid concentrated sweets. 
A)  Eat three well-balanced meals per day and limit snacks. 
B)  Drink a full glass of fluid at the beginning of each meal. 
C)  Have crackers handy at the bedside, and eat a few before getting out of bed. 
D)  Eat a bland diet and avoid concentrated sweets.

Question 7

At what age is a woman who becomes pregnant for the first time described as an "elderly primip"?

Accepted Answer

A)  After 25 years old 
B)  After 28 years old 
C)  After 30 years old 
D)  After 35 years old 
A)  After 25 years old 
B)  After 28 years old 
C)  After 30 years old 
D)  After 35 years old

Question 8

The nurse has explained physiological changes that occur during pregnancy.Which statement indicates that the woman understands the information?

Accepted Answer

A)  "Blood pressure goes up toward the end of pregnancy." 
B)  "My breathing will get deeper and a little faster." 
C)  "I'll notice a decreased pigmentation in my skin." 
D)  "There will be a curvature in the upper spine area." 
A)  "Blood pressure goes up toward the end of pregnancy." 
B)  "My breathing will get deeper and a little faster." 
C)  "I'll notice a decreased pigmentation in my skin." 
D)  "There will be a curvature in the upper spine area."

Question 9

The nurse assesses the progress from the announcement stage of fatherhood to the acceptance stage when the patient reports which actions by the father?

Accepted Answer

A)  Goes fishing every afternoon 
B)  Has revised his financial plan 
C)  Spends leisure time with his friends 
D)  Traded his sports car for a sedan 
E)  Helped select a crib 
A)  Goes fishing every afternoon 
B)  Has revised his financial plan 
C)  Spends leisure time with his friends 
D)  Traded his sports car for a sedan 
E)  Helped select a crib

Question 10

The patient who is 28 weeks pregnant shows a 10-pound weight gain from 2 weeks ago.What is the nurse's initial action?

Accepted Answer

A)  Assess food intake. 
B)  Weigh the patient again. 
C)  Take the blood pressure. 
D)  Notify the physician. 
A)  Assess food intake. 
B)  Weigh the patient again. 
C)  Take the blood pressure. 
D)  Notify the physician.

Question 11

A woman's prepregnant weight is determined to be average for her height.What will the nurse advise the woman regarding recommended weight gain during pregnancy?

Accepted Answer

A)  10 to 20 pounds 
B)  15 to 25 pounds 
C)  25 to 35 pounds 
D)  28 to 40 pounds 
A)  10 to 20 pounds 
B)  15 to 25 pounds 
C)  25 to 35 pounds 
D)  28 to 40 pounds

Question 12

A woman reports that her last normal menstrual period began on August 5,2013.What is this woman's expected delivery date using Nägele's rule?

Accepted Answer

A)  April 30, 2014 
B)  May 5, 2014 
C)  May 12, 2014 
D)  May 26, 2014 
A)  April 30, 2014 
B)  May 5, 2014 
C)  May 12, 2014 
D)  May 26, 2014

Question 13

The patient confesses to eating crushed ice 10 or 12 times daily.The nurse assesses this behavior as __________.

Accepted Answer

pica
Pica is the cra

Question 14

At her initial prenatal visit a woman asks,"When can I hear the baby's heartbeat?" At what gestational age can the fetal heartbeat be auscultated with a specially adapted stethoscope or fetoscope?

Accepted Answer

A)  4 weeks 
B)  12 weeks 
C)  18 weeks 
D)  24 weeks 
A)  4 weeks 
B)  12 weeks 
C)  18 weeks 
D)  24 weeks

Question 15

Fathers go through phases similar to the expectant mother.Place the following phases in order from first to last.Put a comma and space between each answer choice (a,b,c,d,etc.)

Accepted Answer

A)  Focus phase 
B)  Announcement phase 
C)  Adjustment phase 
A)  Focus phase 
B)  Announcement phase 
C)  Adjustment phase

Question 16

The nurse is aware that ______________ maneuver can assess the position and presentation of the fetus.

Accepted Answer

Leopold's
Leopold's

Question 17

The nurse reminds the prenatal patient that she should add ________ kcal to her daily intake to nourish the fetus.

Accepted Answer

300
The recommended

Question 18

In a routine prenatal visit,the nurse examining a patient who is 37 weeks pregnant notices that the fetal heart rate (FHR)has dropped to 120 beats/min from a rate of 160 beats/min earlier in the pregnancy.What is the nurse's first action?

Accepted Answer

A)  Ask if the patient has taken a sedative. 
B)  Notify the physician. 
C)  Turn the patient to her right side. 
D)  Record the rate as a normal finding. 
A)  Ask if the patient has taken a sedative. 
B)  Notify the physician. 
C)  Turn the patient to her right side. 
D)  Record the rate as a normal finding.

Question 19

The number of years between menarche and the date of conception is known as
___________________ age.

Accepted Answer

gynecological
Gynecological ag

Question 20

An ultrasound confirms that a 16-year-old girl is pregnant.How does the need for prenatal care and counseling for adolescents different from other age populations?

Accepted Answer

A)  A pregnant adolescent is experiencing two major life transitions at the same time. 
B)  Adolescents who get pregnant are more likely to have other chronic health problems. 
C)  Adolescents are at greater risk for multifetal pregnancies. 
D)  At this age, a pregnant adolescent will accept the nurse's advice. 
A)  A pregnant adolescent is experiencing two major life transitions at the same time. 
B)  Adolescents who get pregnant are more likely to have other chronic health problems. 
C)  Adolescents are at greater risk for multifetal pregnancies. 
D)  At this age, a pregnant adolescent will accept the nurse's advice.

Exam 4: Prenatal Care and Adaptations to Pregnancy

The nurse cautions the patient that,because of hormonal changes in late pregnancy,the pelvic joints relax.What does this result in?

After the examination is completed,the patient asks the nurse why Chadwick's sign occurs during pregnancy.What would the nurse explain as the cause of Chadwick's sign?

During the second prenatal visit,the nurse attempts to locate the fetal heartbeat with an electronic Doppler device.How early might fetal heart tones be detected with an electronic Doppler device?

A woman who is 37 weeks pregnant reports feeling dizzy when lying on her back.What does the nurse explain as the most likely cause of this symptom?

The nurse encourages adequate intake of folic acid for women of childbearing age before and during pregnancy.What is folic acid thought to decrease the incidence of in fetal development?

A pregnant woman is experiencing nausea in the early morning.What recommendations would the nurse offer to alleviate this symptom?

At what age is a woman who becomes pregnant for the first time described as an "elderly primip"?

The nurse has explained physiological changes that occur during pregnancy.Which statement indicates that the woman understands the information?

The nurse assesses the progress from the announcement stage of fatherhood to the acceptance stage when the patient reports which actions by the father?

The patient who is 28 weeks pregnant shows a 10-pound weight gain from 2 weeks ago.What is the nurse's initial action?

A woman's prepregnant weight is determined to be average for her height.What will the nurse advise the woman regarding recommended weight gain during pregnancy?

A woman reports that her last normal menstrual period began on August 5,2013.What is this woman's expected delivery date using Nägele's rule?

The patient confesses to eating crushed ice 10 or 12 times daily.The nurse assesses this behavior as __________.

At her initial prenatal visit a woman asks,"When can I hear the baby's heartbeat?" At what gestational age can the fetal heartbeat be auscultated with a specially adapted stethoscope or fetoscope?

Fathers go through phases similar to the expectant mother.Place the following phases in order from first to last.Put a comma and space between each answer choice (a,b,c,d,etc.)

The nurse is aware that ______________ maneuver can assess the position and presentation of the fetus.

The nurse reminds the prenatal patient that she should add ________ kcal to her daily intake to nourish the fetus.

In a routine prenatal visit,the nurse examining a patient who is 37 weeks pregnant notices that the fetal heart rate (FHR)has dropped to 120 beats/min from a rate of 160 beats/min earlier in the pregnancy.What is the nurse's first action?

The number of years between menarche and the date of conception is known as ___________________ age.

An ultrasound confirms that a 16-year-old girl is pregnant.How does the need for prenatal care and counseling for adolescents different from other age populations?

The Past, Present, and Future

Human Reproductive Anatomy and Physiology

Fetal Development

Nursing Care of Women with Complications During Pregnancy

Nursing Care of Mother and Infant During Labor and Birth

Nursing Management of Pain During Labor and Birth

Nursing Care of Women with Complications During Labor and Birth

The Family After Birth

Nursing Care of Women with Complications After Birth

The Nurse’s Role in Women’s Health Care

The Term Newborn

Preterm and Postterm Newborns

The Newborn with a Perinatal Injury or Congenital Malformation

An Overview of Growth, Development, and Nutrition

The Infant

The Toddler

The Preschool Child

The School-Age Child

The Adolescent

The Child’s Experience of Hospitalization

Health Care Adaptations for the Child and Family

The Child with a Sensory or Neurological Condition

The Child with a Musculoskeletal Condition

The Child with a Respiratory Disorder

The Child with a Cardiovascular Disorder

The Child with a Condition of the Blood, Blood-Forming Organs, or Lymphatic System

The Child with a Gastrointestinal Condition

The Child with a Genitourinary Condition

The Child with a Skin Condition

The Child with a Metabolic Condition

Childhood Communicable Diseases, Bioterrorism, Natural Disasters and the Maternal-Child Patient

The Child with an Emotional or Behavioral Condition

Complementary and Alternative Therapies in Maternity and Pediatric Nursing

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