Question 1

A nursing instructor informs the class of the many benefits of prenatal care.What benefits does the instructor include?

Accepted Answer

A)  Allows women informed decision making 
B)  Decreased pregnancy-related maternal death 
C)  Improved pregnancy outcomes 
D)  Increased cost associated with more frequent visits 
E)  Increased early identification of abnormal findings 
A)  Allows women informed decision making 
B)  Decreased pregnancy-related maternal death 
C)  Improved pregnancy outcomes 
D)  Increased cost associated with more frequent visits 
E)  Increased early identification of abnormal findings

Question 2

A nurse reads in a pregnant woman's chart that she is "para 3." What does the nurse understand about this woman's obstetrical history?

Accepted Answer

A)  Is now in her third trimester 
B)  Currently pregnant with triplets 
C)  Three babies born alive 
D)  Three pregnancies delivered past 24 weeks of gestation 
A)  Is now in her third trimester 
B)  Currently pregnant with triplets 
C)  Three babies born alive 
D)  Three pregnancies delivered past 24 weeks of gestation

Question 3

A nurse is working with a pregnant woman who has the nursing diagnosis of altered family processes.What statement by the patient indicates that a major goal for this diagnosis has been met?

Accepted Answer

A)  "At least I'm getting better sleep now that I don't urinate every 2 hours." 
B)  "My husband has been doing more around the house so I can rest more." 
C)  "The kids are really excited about getting a new baby brother or sister." 
D)  "We finally have the nursery painted and furnished so it's ready for baby." 
A)  "At least I'm getting better sleep now that I don't urinate every 2 hours." 
B)  "My husband has been doing more around the house so I can rest more." 
C)  "The kids are really excited about getting a new baby brother or sister." 
D)  "We finally have the nursery painted and furnished so it's ready for baby."

Question 4

A nurse is using the RADAR model when working with women in the perinatal clinic.What actions does the nurse include when assessing patients with this model?

Accepted Answer

A)  Ask only when injuries are suspicious. 
B)  Assess the patient's safety. 
C)  Document findings in the chart. 
D)  Review options and referrals with the patient. 
E)  Routinely screen every patient. 
A)  Ask only when injuries are suspicious. 
B)  Assess the patient's safety. 
C)  Document findings in the chart. 
D)  Review options and referrals with the patient. 
E)  Routinely screen every patient.

Question 5

The nurse includes screening for intimate partner violence in the first prenatal visit for all patients.Which of the following is an appropriate question for the nurse to ask?

Accepted Answer

A)  "I need to ask you, do you feel safe from abuse right now?" 
B)  "Is your partner threatening or harming you in any way right now?" 
C)  "This is something we ask everyone: Do you have any abuse in your life right now?" 
D)  "We ask everyone this: Do you feel safe in your living environment and relationships?" 
A)  "I need to ask you, do you feel safe from abuse right now?" 
B)  "Is your partner threatening or harming you in any way right now?" 
C)  "This is something we ask everyone: Do you have any abuse in your life right now?" 
D)  "We ask everyone this: Do you feel safe in your living environment and relationships?"

Question 6

The perinatal nurse explains to a group of nursing students that there are positive signs of pregnancy.Which of the following does the nurse include in this explanation?

Accepted Answer

A)  Fetal heartbeat 
B)  Fetal movement palpated by the examiner 
C)  Intermittent uterine contractions 
D)  Positive pregnancy test 
E)  Visualization of the fetus 
A)  Fetal heartbeat 
B)  Fetal movement palpated by the examiner 
C)  Intermittent uterine contractions 
D)  Positive pregnancy test 
E)  Visualization of the fetus

Question 7

The nursing faculty member explains to a class of nursing students that the ethnic/cultural group with the highest rate of teen pregnancy is which group?

Accepted Answer

A)  African Americans 
B)  Asian Americans 
C)  European Americans 
D)  Hispanic Americans 
A)  African Americans 
B)  Asian Americans 
C)  European Americans 
D)  Hispanic Americans

Question 8

A nurse is reviewing the prenatal care schedule for a woman who is 10 weeks pregnant.When does the nurse advise the woman to return for her next appointment?

Accepted Answer

A)  2 weeks 
B)  4 weeks 
C)  6 weeks 
D)  8 weeks 
A)  2 weeks 
B)  4 weeks 
C)  6 weeks 
D)  8 weeks

Question 9

A student nurse asks the OB clinic nurse why a pregnancy test is needed if a woman has missed several menstrual periods in a row.The nurse explains that amenorrhea can be caused by several conditions other than pregnancy,including which of the following?

Accepted Answer

A)  Chronic illness 
B)  Endocrine disorders 
C)  Fatigue 
D)  Infections 
E)  Psychological factors 
A)  Chronic illness 
B)  Endocrine disorders 
C)  Fatigue 
D)  Infections 
E)  Psychological factors

Question 10

The nurse assesses a pregnant patient during the first prenatal visit.Which question by the nurse is the best example of therapeutic communication?

Accepted Answer

A)  "Do you understand the prenatal visit schedule?" 
B)  "Do you use drugs or drink alcohol?" 
C)  "Have you experienced quickening?" 
D)  "To begin, what questions may I answer?" 
A)  "Do you understand the prenatal visit schedule?" 
B)  "Do you use drugs or drink alcohol?" 
C)  "Have you experienced quickening?" 
D)  "To begin, what questions may I answer?"

Question 11

A patient has had a screening test for gestational diabetes and the 1-hour result is 250 mg/dL.What does the nurse conclude about this patient?

Accepted Answer

A)  Results are high; the patient has gestational diabetes. 
B)  Results are inconclusive; will repeat test in one month. 
C)  Results are lower than expected; seek endocrine consult. 
D)  Results are normal; no gestational diabetes. 
A)  Results are high; the patient has gestational diabetes. 
B)  Results are inconclusive; will repeat test in one month. 
C)  Results are lower than expected; seek endocrine consult. 
D)  Results are normal; no gestational diabetes.

Question 12

A nurse uses the CARE model when working with patients.How can this nurse use the model to help reduce racially related disparities in care for pregnant women?

Accepted Answer

A)  Ensure a clear exchange of valuable information. 
B)  Pay due attention to another person. 
C)  Provide resources, authority, or opportunities. 
D)  Support or defend another individual. 
A)  Ensure a clear exchange of valuable information. 
B)  Pay due attention to another person. 
C)  Provide resources, authority, or opportunities. 
D)  Support or defend another individual.

Question 13

The nursing student in the perinatal clinic asks the registered nurse why so many pregnant women seem to be stressed despite their "happy" condition.What response by the nurse is best?

Accepted Answer

A)  "It's the effect of all those hormones." 
B)  "Many are afraid of labor and birth." 
C)  "Most pregnant women don't feel well." 
D)  "Pregnancy is a developmental crisis." 
A)  "It's the effect of all those hormones." 
B)  "Many are afraid of labor and birth." 
C)  "Most pregnant women don't feel well." 
D)  "Pregnancy is a developmental crisis."

Question 14

The student nurse in the perinatal clinic asks why it is so important to screen women for intimate partner violence during the first prenatal visit.What information does the registered nurse provide the student?

Accepted Answer

A)  Approximately one in three women has been a victim of abuse. 
B)  Intimate partner violence is more common than preeclampsia. 
C)  Many women may abuse substances to cope with the violence. 
D)  Partners abuse over 300,000 pregnant women each year. 
E)  Violence rarely occurs for the first time during pregnancy. 
A)  Approximately one in three women has been a victim of abuse. 
B)  Intimate partner violence is more common than preeclampsia. 
C)  Many women may abuse substances to cope with the violence. 
D)  Partners abuse over 300,000 pregnant women each year. 
E)  Violence rarely occurs for the first time during pregnancy.

Question 15

A woman undergoing her first prenatal visit for a current pregnancy is reluctant to discuss her past obstetrical history with the nurse.Which action by the nurse is best?

Accepted Answer

A)  Document the woman's refusal to answer these particular questions in the chart. 
B)  Explain that past obstetrical experiences frequently recur in later pregnancies. 
C)  Inform the woman that the clinic cannot provide comprehensive care without a complete history. 
D)  Tell the woman that you need the information in order to continue with the prenatal visit. 
A)  Document the woman's refusal to answer these particular questions in the chart. 
B)  Explain that past obstetrical experiences frequently recur in later pregnancies. 
C)  Inform the woman that the clinic cannot provide comprehensive care without a complete history. 
D)  Tell the woman that you need the information in order to continue with the prenatal visit.

Question 16

A prenatal nurse manager wants to help pregnant women in the clinic decrease their stress.Which action by the manager would be best?

Accepted Answer

A)  Conduct childbirth preparation classes on site 
B)  Display pictures of fetal development 
C)  Institute primary nursing care for all patients 
D)  Partner with a counseling service for referrals 
A)  Conduct childbirth preparation classes on site 
B)  Display pictures of fetal development 
C)  Institute primary nursing care for all patients 
D)  Partner with a counseling service for referrals

Question 17

A woman is having a triple-screen test during her second trimester of pregnancy.The nurse teaches the patient that this test includes which of the following?

Accepted Answer

A)  Free beta-human chorionic gonadotropin 
B)  Inhibin A 
C)  Maternal serum alpha-fetoprotein 
D)  Nuchal translucency testing 
E)  Unconjugated estriol 
A)  Free beta-human chorionic gonadotropin 
B)  Inhibin A 
C)  Maternal serum alpha-fetoprotein 
D)  Nuchal translucency testing 
E)  Unconjugated estriol

Question 18

A pregnant woman's last normal menstrual period started on June 8,2013.Calculate her expected date of birth (EDB)using Naegle's rule.Her EDB is what date?

Accepted Answer

March 15,2013
The calculation is based o

Question 19

The nurse is explaining to students in the perinatal clinic that some adolescents are at higher risk of teen pregnancy than others.Which teens does the nurse include in these high-risk groups?

Accepted Answer

A)  Homeless teens 
B)  Incarcerated teens 
C)  Teens from two-parent homes 
D)  Teens with reliable information 
E)  Teens with religious affiliations 
A)  Homeless teens 
B)  Incarcerated teens 
C)  Teens from two-parent homes 
D)  Teens with reliable information 
E)  Teens with religious affiliations

Question 20

The nurse explains to a newly diagnosed pregnant woman at 10 weeks' gestation that her rubella titer indicates that she is not immune.Which of the following should the nurse teach the patient?

Accepted Answer

A)  Avoid contact with all children until after you have given birth. 
B)  Be retested in 3 months and obtain the vaccination if not immune. 
C)  Do not become pregnant for 4 weeks after you receive the vaccination. 
D)  Receive the rubella vaccine during the postpartum period. 
E)  Seek medical care immediately for fever, runny nose, or rash. 
A)  Avoid contact with all children until after you have given birth. 
B)  Be retested in 3 months and obtain the vaccination if not immune. 
C)  Do not become pregnant for 4 weeks after you receive the vaccination. 
D)  Receive the rubella vaccine during the postpartum period. 
E)  Seek medical care immediately for fever, runny nose, or rash.

Exam 9: The Prenatal Assessment

A nursing instructor informs the class of the many benefits of prenatal care.What benefits does the instructor include?

A nurse reads in a pregnant woman's chart that she is "para 3." What does the nurse understand about this woman's obstetrical history?

A nurse is working with a pregnant woman who has the nursing diagnosis of altered family processes.What statement by the patient indicates that a major goal for this diagnosis has been met?

A nurse is using the RADAR model when working with women in the perinatal clinic.What actions does the nurse include when assessing patients with this model?

The nurse includes screening for intimate partner violence in the first prenatal visit for all patients.Which of the following is an appropriate question for the nurse to ask?

The perinatal nurse explains to a group of nursing students that there are positive signs of pregnancy.Which of the following does the nurse include in this explanation?

The nursing faculty member explains to a class of nursing students that the ethnic/cultural group with the highest rate of teen pregnancy is which group?

A nurse is reviewing the prenatal care schedule for a woman who is 10 weeks pregnant.When does the nurse advise the woman to return for her next appointment?

A student nurse asks the OB clinic nurse why a pregnancy test is needed if a woman has missed several menstrual periods in a row.The nurse explains that amenorrhea can be caused by several conditions other than pregnancy,including which of the following?

The nurse assesses a pregnant patient during the first prenatal visit.Which question by the nurse is the best example of therapeutic communication?

A patient has had a screening test for gestational diabetes and the 1-hour result is 250 mg/dL.What does the nurse conclude about this patient?

A nurse uses the CARE model when working with patients.How can this nurse use the model to help reduce racially related disparities in care for pregnant women?

The nursing student in the perinatal clinic asks the registered nurse why so many pregnant women seem to be stressed despite their "happy" condition.What response by the nurse is best?

The student nurse in the perinatal clinic asks why it is so important to screen women for intimate partner violence during the first prenatal visit.What information does the registered nurse provide the student?

A woman undergoing her first prenatal visit for a current pregnancy is reluctant to discuss her past obstetrical history with the nurse.Which action by the nurse is best?

A prenatal nurse manager wants to help pregnant women in the clinic decrease their stress.Which action by the manager would be best?

A woman is having a triple-screen test during her second trimester of pregnancy.The nurse teaches the patient that this test includes which of the following?

A pregnant woman's last normal menstrual period started on June 8,2013.Calculate her expected date of birth (EDB)using Naegle's rule.Her EDB is what date?

The nurse is explaining to students in the perinatal clinic that some adolescents are at higher risk of teen pregnancy than others.Which teens does the nurse include in these high-risk groups?

The nurse explains to a newly diagnosed pregnant woman at 10 weeks' gestation that her rubella titer indicates that she is not immune.Which of the following should the nurse teach the patient?

Traditional and Community Nursing Care for Women, Families, and Children

Contemporary Issues in Women’s, Families’, and Children’s Health Care

The Evolving Family

Caring for Women, Families, and Children Across the Life Span

Reproductive Anatomy and Physiology

Human Sexuality and Fertility

Conception and Development of the Embryo and Fetus

Physiological and Psychosocial Changes During Pregnancy

Promoting a Healthy Pregnancy

Caring for the Woman Experiencing Complications During Pregnancy

The Process of Labor and Birth

Promoting Patient Comfort During Labor and Birth

Caring for the Woman Experiencing Complications During Labor and Birth

Caring for the Postpartal Woman and Her Family

Caring for the Woman Experiencing Complications During the Postpartal Period

Physiological Transition of the Newborn

Caring for the Normal Newborn

Caring for the Newborn at Risk

Caring for the Developing Child

Caring for the Child in the Hospital,the Community,and Across Care Settings

Caring for the Child With a Psychosocial or Condition

Caring for the Child With a Respiratory Condition

Caring for the Child With a Gastrointestinal Condition

Caring for the Child With an Immunological or Infectious Condition

Caring for the Child With a Cardiovascular Condition

Caring for the Child With an Endocrinological or Metabolic Condition

Caring for the Child With a Neurological or Sensory Condition

Caring for the Child With a Musculoskeletal Condition

Caring for the Child With a Integumentary Condition

Caring for the Child With a Genitourinary Condition

Caring for the Child With a Hematological Condition

Caring for the Child With Cancer

Caring for the Child With a Chronic Condition or the Dying Child

Caring for the Critically Ill Child

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