Question 1

Many pregnant women have questions regarding work and travel during pregnancy.Which education is a priority for the nurse to provide?

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 traveling in a car or on an airplane, 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 traveling in a car or on an airplane, women should arrange to walk around at least every hour or so.

Question 2

During the physical examination of a client beginning prenatal care,which initial action is most important for the nurse to perform?

Accepted Answer

A)  Only women who show physical signs or meet the sociologic profile should be assessed for physical abuse. 
B)  The client should empty her bladder before the pelvic examination. 
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 will be increasing in size during the second trimester. 
A)  Only women who show physical signs or meet the sociologic profile should be assessed for physical abuse. 
B)  The client should empty her bladder before the pelvic examination. 
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 will be increasing in size during the second trimester.

Question 3

Which consideration is essential for the nurse to understand regarding follow-up prenatal care visits?

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 BP of 130 mm Hg and a diastolic BP of 80 mm Hg 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 BP of 130 mm Hg and a diastolic BP of 80 mm Hg is sufficient to be considered hypertensive.

Question 4

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

Accepted Answer

A)  How the baby will get out? 
B)  How will the baby eat? 
C)  Will you die having the baby? 
D)  What color eyes will the baby have? 
A)  How the baby will get out? 
B)  How will the baby eat? 
C)  Will you die having the baby? 
D)  What color eyes will the baby have?

Question 5

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.Which guidance should the nurse provide?

Accepted Answer

A)  "Since you're in your second trimester, there's no problem with having one drink with dinner." 
B)  "One drink every night is too much. One drink three times a week should be fine." 
C)  "Since you're in your second trimester, you can drink as much as you like." 
D)  "Because no one knows how much or how little alcohol it takes to cause fetal problems, the best course is to abstain throughout your pregnancy." 
A)  "Since you're in your second trimester, there's no problem with having one drink with dinner." 
B)  "One drink every night is too much. One drink three times a week should be fine." 
C)  "Since you're in your second trimester, you can drink as much as you like." 
D)  "Because no one knows how much or how little alcohol it takes to cause fetal problems, the best course is to abstain throughout your pregnancy."

Question 6

Which statement accurately describes the centering model of care?

Accepted Answer

A)  Group sessions begin with the first prenatal visit. 
B)  Blood pressure (BP), weight, and urine dipsticks are obtained by the nurse at each visit. 
C)  Approximately 8 to 12 women are placed in each gestational-age cohort group. 
D)  Outcomes are similar to traditional prenatal care. 
A)  Group sessions begin with the first prenatal visit. 
B)  Blood pressure (BP), weight, and urine dipsticks are obtained by the nurse at each visit. 
C)  Approximately 8 to 12 women are placed in each gestational-age cohort group. 
D)  Outcomes are similar to traditional prenatal care.

Question 7

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

Question 8

The nurse working with pregnant clients must seek to gain understanding of the process whereby women accept their pregnancy.Which statement regarding this process is most accurate?

Accepted Answer

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

Question 9

Ideally,when should prenatal care begin?

Accepted Answer

A)  Before the first missed menstrual period 
B)  After the first missed menstrual period 
C)  After the second missed menstrual period 
D)  After the third missed menstrual period 
A)  Before the first missed menstrual period 
B)  After the first missed menstrual period 
C)  After the second missed menstrual period 
D)  After the third missed menstrual period

Question 10

Which condition is likely to be identified by the quadruple marker screen?

Accepted Answer

A)  Down syndrome 
B)  Diaphragmatic hernia 
C)  Congenital cardiac abnormality 
D)  Anencephaly 
A)  Down syndrome 
B)  Diaphragmatic hernia 
C)  Congenital cardiac abnormality 
D)  Anencephaly

Question 11

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.

-Hypertension,preeclampsia

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 12

A woman arrives at the clinic for a pregnancy test.Her last menstrual period (LMP)was February 14,2015.What is the client's expected date of birth (EDB)?

Accepted Answer

A)  September 17, 2015 
B)  November 7, 2015 
C)  November 21, 2015 
D)  December 17, 2015 
A)  September 17, 2015 
B)  November 7, 2015 
C)  November 21, 2015 
D)  December 17, 2015

Question 13

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.Which intervention should the nurse recommend?

Accepted Answer

A)  Kegel exercises 
B)  Pelvic rock exercises 
C)  Softer mattress 
D)  Bed rest for 24 hours 
A)  Kegel exercises 
B)  Pelvic rock exercises 
C)  Softer mattress 
D)  Bed rest for 24 hours

Question 14

What is the primary role of the nonpregnant partner during pregnancy?

Accepted Answer

A)  To provide financial support 
B)  To protect the pregnant woman from "old wives' tales" 
C)  To support and nurture the pregnant woman 
D)  To make sure the pregnant woman keeps prenatal appointments 
A)  To provide financial support 
B)  To protect the pregnant woman from "old wives' tales" 
C)  To support and nurture the pregnant woman 
D)  To make sure the pregnant woman keeps prenatal appointments

Question 15

The client is instructed to place her thumb and forefinger on the areola and gently press inward.What is the purpose of this exercise?

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 16

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.

-Kidney infection or stones

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 17

During the first trimester,which of the following changes regarding her sexual drive should a client be taught to expect?

Accepted Answer

A)  Increased sexual drive, because of enlarging breasts 
B)  Decreased sexual drive, because of nausea and fatigue 
C)  No change in her sexual drive 
D)  Increased sexual drive, because of increased levels of female hormones 
A)  Increased sexual drive, because of enlarging breasts 
B)  Decreased sexual drive, because of nausea and fatigue 
C)  No change in her sexual drive 
D)  Increased sexual drive, because of increased levels of female hormones

Question 18

Dental care during pregnancy is an important component of good prenatal care.Which instruction regarding dental health should the nurse provide?

Accepted Answer

A)  Regular brushing and flossing may not be necessary during early pregnancy because it may stimulate the woman who is already nauseated to vomit. A cleaning is all that is necessary. 
B)  Dental surgery, in particular, is contraindicated during pregnancy and should be delayed until after delivery. 
C)  If dental treatment is necessary, then the woman will be most comfortable with it in the second trimester. 
D)  If a woman has dental anxiety, then dental care may interfere with the expectant mother's need to practice conscious relaxation and to prepare for labor. 
A)  Regular brushing and flossing may not be necessary during early pregnancy because it may stimulate the woman who is already nauseated to vomit. A cleaning is all that is necessary. 
B)  Dental surgery, in particular, is contraindicated during pregnancy and should be delayed until after delivery. 
C)  If dental treatment is necessary, then the woman will be most comfortable with it in the second trimester. 
D)  If a woman has dental anxiety, then dental care may interfere with the expectant mother's need to practice conscious relaxation and to prepare for labor.

Question 19

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.

-Fetal jeopardy or intrauterine fetal death

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 20

A woman arrives at the clinic for a pregnancy test.The first day of her LMP was September 10,2014.Her expected date of birth (EDB)is __________.

Accepted Answer

June 17,2015
Using the Nägele's rule,Jun

Exam 14: Nursing Care of the Family During Pregnancy

Many pregnant women have questions regarding work and travel during pregnancy.Which education is a priority for the nurse to provide?

During the physical examination of a client beginning prenatal care,which initial action is most important for the nurse to perform?

Which consideration is essential for the nurse to understand regarding follow-up prenatal care visits?

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

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.Which guidance should the nurse provide?

Which statement accurately describes the centering model of care?

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

The nurse working with pregnant clients must seek to gain understanding of the process whereby women accept their pregnancy.Which statement regarding this process is most accurate?

Ideally,when should prenatal care begin?

Which condition is likely to be identified by the quadruple marker screen?

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. -Hypertension,preeclampsia

A woman arrives at the clinic for a pregnancy test.Her last menstrual period (LMP)was February 14,2015.What is the client's expected date of birth (EDB)?

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.Which intervention should the nurse recommend?

What is the primary role of the nonpregnant partner during pregnancy?

The client is instructed to place her thumb and forefinger on the areola and gently press inward.What is the purpose of this exercise?

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. -Kidney infection or stones

During the first trimester,which of the following changes regarding her sexual drive should a client be taught to expect?

Dental care during pregnancy is an important component of good prenatal care.Which instruction regarding dental health should the nurse provide?

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. -Fetal jeopardy or intrauterine fetal death

A woman arrives at the clinic for a pregnancy test.The first day of her LMP was September 10,2014.Her expected date of birth (EDB)is __________.

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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