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 biologic fact of pregnancy-has feelings 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 biologic fact of the pregnancy. 
D)  "I am pregnant"-"I am going to have a baby"-"I am going to be a mother." 
A)  Accepts the fetus as distinct from herself-accepts the biologic fact of pregnancy-has feelings 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 biologic fact of the pregnancy. 
D)  "I am pregnant"-"I am going to have a baby"-"I am going to be a mother." D

Question 2

Who is most likely to experience the phenomenon of someone other than the mother-to-be having pregnancy-like symptoms such as nausea and weight gain?

Accepted Answer

A)  Mother of the pregnant woman 
B)  Couple's teenage daughter 
C)  Sister of the pregnant woman 
D)  Expectant father 
A)  Mother of the pregnant woman 
B)  Couple's teenage daughter 
C)  Sister of the pregnant woman 
D)  Expectant father D

Question 3

A woman who is 16 weeks pregnant has come in for a follow-up visit with her significant other.To reassure the client regarding fetal well-being,which is the highest priority action for the nurse to perform?

Accepted Answer

A)  Assess the fetal heart tones with a Doppler stethoscope. 
B)  Measure the girth of the woman's abdomen. 
C)  Complete an ultrasound examination (sonogram). 
D)  Offer the woman and her family the opportunity to listen to the fetal heart tones. 
A)  Assess the fetal heart tones with a Doppler stethoscope. 
B)  Measure the girth of the woman's abdomen. 
C)  Complete an ultrasound examination (sonogram). 
D)  Offer the woman and her family the opportunity to listen to the fetal heart tones. D

Question 4

A client at 34 weeks of gestation seeks guidance from the nurse regarding personal hygiene.Which information should the nurse provide?

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 5

In her work with pregnant women of different cultures,a nurse practitioner has observed various practices that seemed unfamiliar.The nurse practitioner has learned that 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 6

A client has arrived for her first prenatal appointment.She asked the nurse to explain exactly how long the pregnancy will be.What is the nurse's best response?

Accepted Answer

A)  Normal pregnancy is 10 lunar months. 
B)  Pregnancy is made up of four trimesters. 
C)  Pregnancy is considered term at 36 weeks. 
D)  Estimated date of delivery (ED
D)  is 40 completed weeks. 
A)  Normal pregnancy is 10 lunar months. 
B)  Pregnancy is made up of four trimesters. 
C)  Pregnancy is considered term at 36 weeks. 
D)  Estimated date of delivery (ED
D)  is 40 completed weeks.

Question 7

With regard to medications,herbs,boosters,and other substances normally encountered by pregnant women,what is important for the nurse to be aware of?

Accepted Answer

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

Question 8

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 9

All pregnant women should be instructed to recognize and report potential complications for each trimester of pregnancy. Match the sign or symptom with a possible cause.

-Hyperemesis gravidarum

Accepted Answer

A) Severe vomiting in early pregnancy 
B) Epigastric pain in late pregnancy 
C) Severe backache and flank pain 
D) Decreased fetal movement 
E) Glycosuria 
A) Severe vomiting in early pregnancy 
B) Epigastric pain in late pregnancy 
C) Severe backache and flank pain 
D) Decreased fetal movement 
E) Glycosuria

Question 10

Which client might be well advised to continue condom use during intercourse throughout her pregnancy?

Accepted Answer

A)  Unmarried pregnant women 
B)  Women at risk for acquiring or transmitting STIs 
C)  All pregnant women 
D)  Women at risk for candidiasis 
A)  Unmarried pregnant women 
B)  Women at risk for acquiring or transmitting STIs 
C)  All pregnant women 
D)  Women at risk for candidiasis

Question 11

Which signs and symptoms should a woman immediately report to her health care provider?
(Select all that apply).

Accepted Answer

A)  Vaginal bleeding 
B)  Rupture of membranes 
C)  Heartburn accompanied by severe headache 
D)  Decreased libido 
E)  Urinary frequency 
A)  Vaginal bleeding 
B)  Rupture of membranes 
C)  Heartburn accompanied by severe headache 
D)  Decreased libido 
E)  Urinary frequency

Question 12

A pregnant woman at 10 weeks of gestation jogs three or four times per week.She is concerned about the effect of the exercise on the fetus.Which guidance should the nurse provide?

Accepted Answer

A)  "You don't need to modify your exercising any time during your pregnancy." 
B)  "Stop exercising because it will harm the fetus." 
C)  "You may find that you need to modify your exercise to walking later in your pregnancy, around the seventh month." 
D)  "Jogging is too hard on your joints; switch to walking now." 
A)  "You don't need to modify your exercising any time during your pregnancy." 
B)  "Stop exercising because it will harm the fetus." 
C)  "You may find that you need to modify your exercise to walking later in your pregnancy, around the seventh month." 
D)  "Jogging is too hard on your joints; switch to walking now."

Question 13

A woman is 3 months pregnant.At her prenatal visit she tells the nurse that she does not know what is happening; one minute she is happy that she is pregnant and the next minute she cries for no reason.Which response by the nurse is most appropriate?

Accepted Answer

A)  "Don't worry about it; you'll feel better in a month or so." 
B)  "Have you talked to your husband about how you feel?" 
C)  "Perhaps you really don't want to be pregnant." 
D)  "Hormone changes during pregnancy commonly result in mood swings." 
A)  "Don't worry about it; you'll feel better in a month or so." 
B)  "Have you talked to your husband about how you feel?" 
C)  "Perhaps you really don't want to be pregnant." 
D)  "Hormone changes during pregnancy commonly result in mood swings."

Question 14

The number of routine laboratory tests during follow-up visits is limited; however,those that are performed are essential.Which statements regarding group B Streptococcus (GBS)testing are correct?
(Select all that apply).

Accepted Answer

A)  Performed between 32 and 34 weeks of gestation. 
B)  Performed between 35 and 37 weeks of gestation. 
C)  All women should be tested. 
D)  Only women planning a vaginal birth should be tested. 
E)  Women with a history of GBS should be retested. 
A)  Performed between 32 and 34 weeks of gestation. 
B)  Performed between 35 and 37 weeks of gestation. 
C)  All women should be tested. 
D)  Only women planning a vaginal birth should be tested. 
E)  Women with a history of GBS should be retested.

Question 15

Which statement regarding multifetal pregnancy is incorrect?

Accepted Answer

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

Question 16

While assessing the vital signs of a pregnant woman in her third trimester,the client complains of feeling faint,dizzy,and agitated.Which nursing intervention is appropriate?

Accepted Answer

A)  Have the patient stand up, and then retake her BP. 
B)  Have the patient sit down, and then hold her arm in a dependent position. 
C)  Have the patient lie supine for 5 minutes, and then recheck her BP on both arms. 
D)  Have the patient turn to her left side, and then recheck her BP in 5 minutes. 
A)  Have the patient stand up, and then retake her BP. 
B)  Have the patient sit down, and then hold her arm in a dependent position. 
C)  Have the patient lie supine for 5 minutes, and then recheck her BP on both arms. 
D)  Have the patient turn to her left side, and then recheck her BP in 5 minutes.

Question 17

What should the nurse be cognizant of concerning the client'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 accepted by the father. 
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 accepted by the father. 
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 18

A woman has just moved to the United States from Mexico.She is 3 months pregnant and has arrived for her first prenatal visit.During her assessment interview,the nurse learns that the client has not had any immunizations.Which immunizations should she receive at this point in her pregnancy?
(Select all that apply).

Accepted Answer

A)  Tetanus 
B)  Diphtheria 
C)  Chickenpox 
D)  Rubella 
E)  Hepatitis B 
A)  Tetanus 
B)  Diphtheria 
C)  Chickenpox 
D)  Rubella 
E)  Hepatitis B

Question 19

During the initial visit with a client who is beginning prenatal care,which action should be the highest priority for the nurse?

Accepted Answer

A)  The first interview is a relaxed, get-acquainted affair during which the nurse gathers some general impressions of his or her new client. 
B)  If the nurse observed handicapping conditions, he or she should be sensitive and not inquire about them because the client will do that in her own time. 
C)  The nurse should be alert to the appearance of potential parenting problems, such as depression or lack of family support. 
D)  Because of legal complications, the nurse should not ask about illegal drug use; that is left to the physician. 
A)  The first interview is a relaxed, get-acquainted affair during which the nurse gathers some general impressions of his or her new client. 
B)  If the nurse observed handicapping conditions, he or she should be sensitive and not inquire about them because the client will do that in her own time. 
C)  The nurse should be alert to the appearance of potential parenting problems, such as depression or lack of family support. 
D)  Because of legal complications, the nurse should not ask about illegal drug use; that is left to the physician.

Question 20

What is important for the nurse to recognize regarding the new father and his acceptance of the pregnancy and preparation for childbirth?

Accepted Answer

A)  The father goes through three phases of acceptance of his own. 
B)  The father's attachment to the fetus cannot be as strong as that of the mother because it does not start until after the birth. 
C)  In 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)  The father goes through three phases of acceptance of his own. 
B)  The father's attachment to the fetus cannot be as strong as that of the mother because it does not start until after the birth. 
C)  In 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.

Exam 14: Nursing Care of the Family During Pregnancy

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

Who is most likely to experience the phenomenon of someone other than the mother-to-be having pregnancy-like symptoms such as nausea and weight gain?

A woman who is 16 weeks pregnant has come in for a follow-up visit with her significant other.To reassure the client regarding fetal well-being,which is the highest priority action for the nurse to perform?

A client at 34 weeks of gestation seeks guidance from the nurse regarding personal hygiene.Which information should the nurse provide?

In her work with pregnant women of different cultures,a nurse practitioner has observed various practices that seemed unfamiliar.The nurse practitioner has learned that cultural rituals and practices during pregnancy seem to have one purpose in common.Which statement best describes that purpose?

A client has arrived for her first prenatal appointment.She asked the nurse to explain exactly how long the pregnancy will be.What is the nurse's best response?

With regard to medications,herbs,boosters,and other substances normally encountered by pregnant women,what is important for the nurse to be aware of?

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

All pregnant women should be instructed to recognize and report potential complications for each trimester of pregnancy. Match the sign or symptom with a possible cause. -Hyperemesis gravidarum

Which client might be well advised to continue condom use during intercourse throughout her pregnancy?

Which signs and symptoms should a woman immediately report to her health care provider? (Select all that apply).

A pregnant woman at 10 weeks of gestation jogs three or four times per week.She is concerned about the effect of the exercise on the fetus.Which guidance should the nurse provide?

A woman is 3 months pregnant.At her prenatal visit she tells the nurse that she does not know what is happening; one minute she is happy that she is pregnant and the next minute she cries for no reason.Which response by the nurse is most appropriate?

The number of routine laboratory tests during follow-up visits is limited; however,those that are performed are essential.Which statements regarding group B Streptococcus (GBS)testing are correct? (Select all that apply).

Which statement regarding multifetal pregnancy is incorrect?

While assessing the vital signs of a pregnant woman in her third trimester,the client complains of feeling faint,dizzy,and agitated.Which nursing intervention is appropriate?

What should the nurse be cognizant of concerning the client's reordering of personal relationships during pregnancy?

During the initial visit with a client who is beginning prenatal care,which action should be the highest priority for the nurse?

What is important for the nurse to recognize regarding the new father and his acceptance of the pregnancy and preparation for childbirth?

21st Century Maternity and Women’s Health Nursing

Community Care: The Family and Culture

Nursing and Genomics

Assessment and Health Promotion

Violence Against Women

Reproductive System Concerns

Sexually Transmitted and Other Infections

Contraception and Abortion

Infertility

Problems of the Breast

Structural Disorders and Neoplasms of the Reproductive System

Conception and Fetal Development

Anatomy and Physiology of Pregnancy

Maternal and Fetal Nutrition

Labor and Birth Processes

Maximizing Comfort for the Laboring Woman

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Postpartum Physiologic Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Physiologic and Behavioral Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

Assessment of High Risk Pregnancy

Hypertensive Disorders

Hemorrhagic Disorders

Endocrine and Metabolic Disorders

Medical-Surgical Disorders

Mental Health Disorders and Substance Abuse

Labor and Birth Complications

Postpartum Complications

Nursing Care of the High Risk Newborn

Acquired Problems of the Newborn

Hemolytic Disorders and Congenital Anomalies

Perinatal Loss, Bereavement, and Grief

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