Question 1

During auscultation of fetal heart tones (FHTs),the nurse determines that the rate is 136 beats per minute.The nurse's next action should be to:

Accepted Answer

A)  document the results, which are within normal range. 
B)  take the maternal pulse to verify these findings as the uterine souffle. 
C)  have the patient change positions and count the FHTs again. 
D)  notify the physician immediately for possible fetal distress. 
A)  document the results, which are within normal range. 
B)  take the maternal pulse to verify these findings as the uterine souffle. 
C)  have the patient change positions and count the FHTs again. 
D)  notify the physician immediately for possible fetal distress.

Question 2

During a prenatal visit at 30 weeks of gestation,the patient mentions to the nurse,"The baby has not moved very much since yesterday." The nurse notices that fetal movement is not as active as it was the last visit,and notifies the physician.What should the nurse prepare to do next?

Accepted Answer

A)  Admit the woman to a hospital. 
B)  Administer a nonstress test for fetal monitoring. 
C)  Start an intravenous infusion. 
D)  Have the patient walk around the hallways and then check fetal movement again. 
A)  Admit the woman to a hospital. 
B)  Administer a nonstress test for fetal monitoring. 
C)  Start an intravenous infusion. 
D)  Have the patient walk around the hallways and then check fetal movement again.

Question 3

A woman who is 8 weeks pregnant is visiting the clinic for a checkup.Her systolic blood pressure is 30 mm Hg higher than her prepregnancy systolic blood pressure.The nurse should:

Accepted Answer

A)  consider this a normal finding. 
B)  expect the blood pressure to decrease as the estrogen levels increase throughout the pregnancy. 
C)  consider this an abnormal finding because blood pressure is typically lower at this point in the pregnancy. 
D)  recommend that she decrease her salt intake in an attempt to decrease her peripheral vascular resistance. 
A)  consider this a normal finding. 
B)  expect the blood pressure to decrease as the estrogen levels increase throughout the pregnancy. 
C)  consider this an abnormal finding because blood pressure is typically lower at this point in the pregnancy. 
D)  recommend that she decrease her salt intake in an attempt to decrease her peripheral vascular resistance.

Question 4

Which of these statements best describes the action of the hormone progesterone during pregnancy?

Accepted Answer

A)  It produces the hormone human chorionic gonadotropin. 
B)  It stimulates duct formation in the breast. 
C)  It promotes sloughing of the endometrial wall. 
D)  It maintains the endometrium around the fetus. 
A)  It produces the hormone human chorionic gonadotropin. 
B)  It stimulates duct formation in the breast. 
C)  It promotes sloughing of the endometrial wall. 
D)  It maintains the endometrium around the fetus.

Question 5

When auscultating the anterior thorax of a pregnant woman,the nurse notices the presence of a murmur over the second,third,and fourth intercostal spaces.It is continuous but can be obliterated by pressure with the stethoscope or finger on the thorax just lateral to the murmur.The nurse interprets this finding to be:

Accepted Answer

A)  the murmur of aortic stenosis. 
B)  most likely a mammary souffle. 
C)  associated with aortic insufficiency. 
D)  an indication of a patent ductus arteriosus. 
A)  the murmur of aortic stenosis. 
B)  most likely a mammary souffle. 
C)  associated with aortic insufficiency. 
D)  an indication of a patent ductus arteriosus.

Question 6

When the nurse is assessing the deep tendon reflexes (DTRs)on a woman who is 32 weeks pregnant,which of these would be considered a normal finding on a 0 to 4+ scale?

Accepted Answer

A)  Absent DTRs 
B)  2+ 
C)  4+ 
D)  Brisk reflexes and the presence of clonus 
A)  Absent DTRs 
B)  2+ 
C)  4+ 
D)  Brisk reflexes and the presence of clonus

Question 7

A woman in her 25th week of gestation comes to the clinic for her prenatal visit.The nurse notices that her face and lower extremities are swollen,and her blood pressure is 154/94 mm Hg.She states that she has had headaches and blurry vision but thought she was just tired.What should the nurse suspect?

Accepted Answer

A)  Eclampsia 
B)  Preeclampsia 
C)  Diabetes type 1 
D)  Preterm labor 
A)  Eclampsia 
B)  Preeclampsia 
C)  Diabetes type 1 
D)  Preterm labor

Question 8

A 25-year-old woman is in the clinic for her first prenatal visit.The nurse will prepare to obtain which laboratory screening test at this time?

Accepted Answer

A)  Urine toxicology 
B)  Complete blood cell count 
C)  Alpha-fetoprotein 
D)  Carrier screening for cystic fibrosis 
A)  Urine toxicology 
B)  Complete blood cell count 
C)  Alpha-fetoprotein 
D)  Carrier screening for cystic fibrosis

Question 9

A patient is being seen at the clinic for her 10-week prenatal visit.She asks when she will be able to hear the baby's heartbeat.The nurse should reply:

Accepted Answer

A)  "The baby's heartbeat is not usually heard until the second trimester." 
B)  "The baby's heartbeat may be heard anywhere from the ninth to the twelfth week." 
C)  "It is often difficult to hear the heartbeat at this point, but we can try." 
D)  "It is normal to hear the heartbeat at six weeks. We may be able to hear it today." 
A)  "The baby's heartbeat is not usually heard until the second trimester." 
B)  "The baby's heartbeat may be heard anywhere from the ninth to the twelfth week." 
C)  "It is often difficult to hear the heartbeat at this point, but we can try." 
D)  "It is normal to hear the heartbeat at six weeks. We may be able to hear it today."

Question 10

Which of these is considered a normal and expected finding when the nurse is performing a physical examination on a pregnant woman?

Accepted Answer

A)  A palpable, full thyroid 
B)  Edema in one lower leg 
C)  Significant diffuse enlargement of the thyroid 
D)  Pale mucous membranes of the mouth 
A)  A palpable, full thyroid 
B)  Edema in one lower leg 
C)  Significant diffuse enlargement of the thyroid 
D)  Pale mucous membranes of the mouth

Question 11

The nurse is palpating the uterus of a woman who is 8 weeks pregnant.Which of these findings would be considered to be most consistent with this stage of pregnancy?

Accepted Answer

A)  The uterus seems slightly enlarged and softened. 
B)  It reaches to the pelvic brim and is about the size of a grapefruit. 
C)  It rises above the pelvic brim and is about the size of a cantaloupe. 
D)  It is about the size of an avocado, approximately 8 cm across the fundus. 
A)  The uterus seems slightly enlarged and softened. 
B)  It reaches to the pelvic brim and is about the size of a grapefruit. 
C)  It rises above the pelvic brim and is about the size of a cantaloupe. 
D)  It is about the size of an avocado, approximately 8 cm across the fundus.

Question 12

During a group prenatal teaching session,the nurse teaches Kegel exercises.Which of these statements would be appropriate for this teaching session? Select all that apply.

Accepted Answer

A)  "Kegel exercises help to keep your uterus strong during the pregnancy." 
B)  "Kegel exercises should be performed twice a day." 
C)  "Kegel exercises should be performed 50 to 100 times a day." 
D)  "To perform Kegel exercises, squeeze slowly to a peak at the count of eight, and then release slowly to a count of eight." 
E)  "To perform Kegel exercises, perform rapidly alternating squeeze-release exercises up to the count of eight." 
A)  "Kegel exercises help to keep your uterus strong during the pregnancy." 
B)  "Kegel exercises should be performed twice a day." 
C)  "Kegel exercises should be performed 50 to 100 times a day." 
D)  "To perform Kegel exercises, squeeze slowly to a peak at the count of eight, and then release slowly to a count of eight." 
E)  "To perform Kegel exercises, perform rapidly alternating squeeze-release exercises up to the count of eight."

Question 13

During a woman's 34th week of pregnancy,she is told that she has preeclampsia.The nurse knows that which of these statements about preeclampsia is true?

Accepted Answer

A)  Preeclampsia has little effect on the fetus. 
B)  Edema is one of the main indications of preeclampsia. 
C)  Eclampsia only occurs before delivery of the baby. 
D)  Untreated preeclampsia may contribute to restriction of fetal growth. 
A)  Preeclampsia has little effect on the fetus. 
B)  Edema is one of the main indications of preeclampsia. 
C)  Eclampsia only occurs before delivery of the baby. 
D)  Untreated preeclampsia may contribute to restriction of fetal growth.

Question 14

The nurse is palpating the abdomen of a woman who is 35 weeks pregnant and notices that the fetal head is facing downward toward the pelvis.The nurse would document this as fetal:

Accepted Answer

A)  lie. 
B)  variety. 
C)  attitude. 
D)  presentation. 
A)  lie. 
B)  variety. 
C)  attitude. 
D)  presentation.

Question 15

The nurse knows that the best time to assess a woman's blood pressure during an initial prenatal visit is:

Accepted Answer

A)  at the end of the examination when she will be the most relaxed. 
B)  at the beginning of the interview as a nonthreatening method of gaining rapport. 
C)  during the middle of the physical examination when she is the most comfortable. 
D)  before beginning the pelvic examination because her blood pressure will be higher after the pelvic examination. 
A)  at the end of the examination when she will be the most relaxed. 
B)  at the beginning of the interview as a nonthreatening method of gaining rapport. 
C)  during the middle of the physical examination when she is the most comfortable. 
D)  before beginning the pelvic examination because her blood pressure will be higher after the pelvic examination.

Exam 29: The Pregnant Woman

During auscultation of fetal heart tones (FHTs),the nurse determines that the rate is 136 beats per minute.The nurse's next action should be to:

During a prenatal visit at 30 weeks of gestation,the patient mentions to the nurse,"The baby has not moved very much since yesterday." The nurse notices that fetal movement is not as active as it was the last visit,and notifies the physician.What should the nurse prepare to do next?

A woman who is 8 weeks pregnant is visiting the clinic for a checkup.Her systolic blood pressure is 30 mm Hg higher than her prepregnancy systolic blood pressure.The nurse should:

Which of these statements best describes the action of the hormone progesterone during pregnancy?

When the nurse is assessing the deep tendon reflexes (DTRs)on a woman who is 32 weeks pregnant,which of these would be considered a normal finding on a 0 to 4+ scale?

A 25-year-old woman is in the clinic for her first prenatal visit.The nurse will prepare to obtain which laboratory screening test at this time?

A patient is being seen at the clinic for her 10-week prenatal visit.She asks when she will be able to hear the baby's heartbeat.The nurse should reply:

Which of these is considered a normal and expected finding when the nurse is performing a physical examination on a pregnant woman?

The nurse is palpating the uterus of a woman who is 8 weeks pregnant.Which of these findings would be considered to be most consistent with this stage of pregnancy?

During a group prenatal teaching session,the nurse teaches Kegel exercises.Which of these statements would be appropriate for this teaching session? Select all that apply.

During a woman's 34th week of pregnancy,she is told that she has preeclampsia.The nurse knows that which of these statements about preeclampsia is true?

The nurse is palpating the abdomen of a woman who is 35 weeks pregnant and notices that the fetal head is facing downward toward the pelvis.The nurse would document this as fetal:

The nurse knows that the best time to assess a woman's blood pressure during an initial prenatal visit is:

Evidence Based Assessment

Cultural Competence: Cultural Care

The Interview

The Complete Health History

Mental Status Assessment

Substance Use Assessment

Domestic Violence Assessment

Assessment Techniques and the Clinical Setting

General Survey, Measurement, Vital Signs

Pain Assessment: The Fifth Vital Sign

Nutritional Assessment

Skin, Hair, and Nails

Head, Face, and Neck, Including Regional Lymphatics

Eyes

Ears

Nose, Mouth, and Throat

Breasts and Regional Lymphatics

Thorax and Lungs

Heart and Neck Vessels

Peripheral Vascular System and Lymphatic System

Abdomen

Musculoskeletal System

Neurologic System

Male Genitourinary System

Anus, Rectum, and Prostate

Female Genitourinary System

The Complete Health Assessment: Putting It All Together

Bedside Assessment of the Hospitalized Adult

Functional Assessment of the Older Adult

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