Question 1

A patient's prepregnant weight was 131 lb, within the desirable range for her height. What is the expected weight for this pregnant patient?

Accepted Answer

A)  131 lb at 1 week postpartum 
B)  140 lb at the end of the first trimester 
C)  145 lb at the end of the second trimester 
D)  176 lb at the beginning of the third trimester 
A)  131 lb at 1 week postpartum 
B)  140 lb at the end of the first trimester 
C)  145 lb at the end of the second trimester 
D)  176 lb at the beginning of the third trimester C

Question 2

What is the meaning of "G5, T1, P0, A3, L1" found in a patient's history?

Accepted Answer

A)  One birth at term 
B)  Three living children 
C)  Five grown children 
D)  One delivery not at term 
A)  One birth at term 
B)  Three living children 
C)  Five grown children 
D)  One delivery not at term A

Question 3

Which physiologic changes are associated with pregnancy? (Select all that apply.)

Accepted Answer

A)  Increase in brittleness of fingernails 
B)  1500 mL increase in blood volume 
C)  Periodic shortness of breath later in pregnancy 
D)  Edematous and bleeding gums 
E)  Painless vaginal bleeding
F) Waddling gait 
A)  Increase in brittleness of fingernails 
B)  1500 mL increase in blood volume 
C)  Periodic shortness of breath later in pregnancy 
D)  Edematous and bleeding gums 
E)  Painless vaginal bleeding
F) Waddling gait B, C, D, F

Question 4

A nurse documents as abnormal which finding of a pregnant patient?

Accepted Answer

A)  Facial swelling in a woman who is 20 weeks pregnant 
B)  1+ pitting ankle edema in a woman who is 26 weeks pregnant 
C)  Pinkish-red blotches of the hands in a woman at 32 weeks gestation 
D)  Blotchy, brownish pigmentation of the face in a woman at 36 weeks gestation 
A)  Facial swelling in a woman who is 20 weeks pregnant 
B)  1+ pitting ankle edema in a woman who is 26 weeks pregnant 
C)  Pinkish-red blotches of the hands in a woman at 32 weeks gestation 
D)  Blotchy, brownish pigmentation of the face in a woman at 36 weeks gestation

Question 5

Which complication of pregnancy does a nurse suspect when the patient reports painless vaginal bleeding at 32 weeks of gestation?

Accepted Answer

A)  Placenta previa 
B)  Eclampsia 
C)  Abruptio placentae 
D)  Premature rupture of membranes 
A)  Placenta previa 
B)  Eclampsia 
C)  Abruptio placentae 
D)  Premature rupture of membranes

Question 6

A patient at 20 weeks of gestation is concerned about a discharge from her nipples. What is the nurse's appropriate response to this patient?

Accepted Answer

A)  "That is expected. It is milk production that begins at the onset of pregnancy." 
B)  "A nipple discharge is unusual. I advise you to consult your obstetrician." 
C)  "I suggest you decrease your fluid intake for several days to see if this makes a difference." 
D)  "After the first trimester a thin, yellow fluid called colostrum may be secreted from the nipples." 
A)  "That is expected. It is milk production that begins at the onset of pregnancy." 
B)  "A nipple discharge is unusual. I advise you to consult your obstetrician." 
C)  "I suggest you decrease your fluid intake for several days to see if this makes a difference." 
D)  "After the first trimester a thin, yellow fluid called colostrum may be secreted from the nipples."

Question 7

In prioritizing patient care, the nurse would give immediate attention to the pregnant patient with which clinical manifestation?

Accepted Answer

A)  Darkened eyelids 
B)  Seeing spots 
C)  Excessive eye dryness 
D)  Pale conjunctiva 
A)  Darkened eyelids 
B)  Seeing spots 
C)  Excessive eye dryness 
D)  Pale conjunctiva

Question 8

What does a nurse teach pregnant patients about the effects of smoking while pregnant? (Select all that apply.)

Accepted Answer

A)  Fluid retention increases. 
B)  Prematurity risk increases. 
C)  Low infant birth weight risk increases. 
D)  Anemia develops. 
E)  Vitamin C deficiency develops.
F) Craving of starch, baking soda, or clay develops. 
A)  Fluid retention increases. 
B)  Prematurity risk increases. 
C)  Low infant birth weight risk increases. 
D)  Anemia develops. 
E)  Vitamin C deficiency develops.
F) Craving of starch, baking soda, or clay develops.

Question 9

The nurse recognizes which clinical manifestation as a positive sign of pregnancy?

Accepted Answer

A)  Cessation of menstruation 
B)  Visualization of the fetus by ultrasound 
C)  Nausea and increased abdominal girth 
D)  Positive pregnancy test (hCG) 
A)  Cessation of menstruation 
B)  Visualization of the fetus by ultrasound 
C)  Nausea and increased abdominal girth 
D)  Positive pregnancy test (hCG)

Question 10

A pregnant patient's weight before pregnancy was 148 lb. Her expected weight during the first trimester is ______ to ______ lb.

Accepted Answer

151; 153
3- to 5-lb weight gai

Question 11

The nurse documents which clinical finding as an expected change associated with advancing pregnancy?

Accepted Answer

A)  Slight persistent ankle edema 
B)  Hypoplasia of the thyroid gland 
C)  Increased diaphragmatic excursion 
D)  Heart murmur after 20 weeks of gestation 
A)  Slight persistent ankle edema 
B)  Hypoplasia of the thyroid gland 
C)  Increased diaphragmatic excursion 
D)  Heart murmur after 20 weeks of gestation

Question 12

What manifestations does a nurse anticipate when assessing a patient with preeclampsia? (Select all that apply.)

Accepted Answer

A)  Systolic blood pressure greater than 140 mm Hg 
B)  Increase in systolic blood pressure of 20 mm Hg over baseline 
C)  Diastolic blood pressure greater than 90 mm Hg 
D)  Increase in diastolic blood pressure of 15 mm Hg over baseline 
E)  2 lb increase in weight in 1 week
F) 9 lb increase in weight in 1 month 
A)  Systolic blood pressure greater than 140 mm Hg 
B)  Increase in systolic blood pressure of 20 mm Hg over baseline 
C)  Diastolic blood pressure greater than 90 mm Hg 
D)  Increase in diastolic blood pressure of 15 mm Hg over baseline 
E)  2 lb increase in weight in 1 week
F) 9 lb increase in weight in 1 month

Question 13

In assessing a patient for modifiable risk factors, the nurse correlates which finding with a high-risk pregnancy?

Accepted Answer

A)  15-year-old mother 
B)  Low socioeconomic status 
C)  Previous birth of infant with isoimmunization 
D)  Weight less than 100 lb 
A)  15-year-old mother 
B)  Low socioeconomic status 
C)  Previous birth of infant with isoimmunization 
D)  Weight less than 100 lb

Question 14

A pregnant woman's weight before becoming pregnant was 137 lb. What weight is expected for this woman during her second trimester?

Accepted Answer

A)  149 lb 
B)  151 lb 
C)  155 lb 
D)  164 lb 
A)  149 lb 
B)  151 lb 
C)  155 lb 
D)  164 lb

Question 15

A nurse instructs the patient about which expected skin changes during pregnancy?

Accepted Answer

A)  Nipples becoming thicker 
B)  Hands and feet becoming pale and cool 
C)  Blotchy, brown pigmentation of the abdomen 
D)  Stretch marks on the expanding abdomen 
A)  Nipples becoming thicker 
B)  Hands and feet becoming pale and cool 
C)  Blotchy, brown pigmentation of the abdomen 
D)  Stretch marks on the expanding abdomen

Question 16

A nurse assesses fetal heart rates when patients are examined in the maternity clinic. The nurse determines which fetus needs further assessment?

Accepted Answer

A)  The fetus with a heart rate of 150 beats/min 
B)  The fetus with a heart rate of 140 beats/min 
C)  The fetus with a heart rate of 130 beats/min 
D)  The fetus with a heart rate of 110 beats/min 
A)  The fetus with a heart rate of 150 beats/min 
B)  The fetus with a heart rate of 140 beats/min 
C)  The fetus with a heart rate of 130 beats/min 
D)  The fetus with a heart rate of 110 beats/min

Question 17

To perform Leopold maneuvers, the nurse uses which assessment technique?

Accepted Answer

A)  Percussing over the symphysis pubis 
B)  Auscultating all four abdominal quadrants 
C)  Palpating the fundus 
D)  Measuring from symphysis pubis to the umbilicus 
A)  Percussing over the symphysis pubis 
B)  Auscultating all four abdominal quadrants 
C)  Palpating the fundus 
D)  Measuring from symphysis pubis to the umbilicus

Question 18

The nurse correlates which clinical manifestation with the diagnosis of polyhydramnios?

Accepted Answer

A)  Difficulty palpating fetal parts 
B)  Increased fetal movement 
C)  Weight gain of less than estimated by gestational age 
D)  Increase of 2 cm in fundal height in 1 week 
A)  Difficulty palpating fetal parts 
B)  Increased fetal movement 
C)  Weight gain of less than estimated by gestational age 
D)  Increase of 2 cm in fundal height in 1 week

Question 19

If a patient's last menstrual period was May 13, her estimated date of birth is ________.

Accepted Answer

February 20
May 13 m

Question 20

A woman who is 16 weeks pregnant with her first child is concerned because she has not felt the fetus move. What is the most appropriate explanation for a nurse to give this patient?

Accepted Answer

A)  Movement of a fetus in the first pregnancy often does not occur until the twenty-fourth week of pregnancy. 
B)  A referral to an obstetrician should be made for further evaluation of this finding. 
C)  Movement of the fetus is not expected until the nineteenth week of pregnancy. 
D)  Movement of the fetus is related to fundal height; the greater the fundal height, the sooner the fetal movement. 
A)  Movement of a fetus in the first pregnancy often does not occur until the twenty-fourth week of pregnancy. 
B)  A referral to an obstetrician should be made for further evaluation of this finding. 
C)  Movement of the fetus is not expected until the nineteenth week of pregnancy. 
D)  Movement of the fetus is related to fundal height; the greater the fundal height, the sooner the fetal movement.

Exam 20: Assessment of the Pregnant Patient

A patient's prepregnant weight was 131 lb, within the desirable range for her height. What is the expected weight for this pregnant patient?

What is the meaning of "G5, T1, P0, A3, L1" found in a patient's history?

Which physiologic changes are associated with pregnancy? (Select all that apply.)

A nurse documents as abnormal which finding of a pregnant patient?

Which complication of pregnancy does a nurse suspect when the patient reports painless vaginal bleeding at 32 weeks of gestation?

A patient at 20 weeks of gestation is concerned about a discharge from her nipples. What is the nurse's appropriate response to this patient?

In prioritizing patient care, the nurse would give immediate attention to the pregnant patient with which clinical manifestation?

What does a nurse teach pregnant patients about the effects of smoking while pregnant? (Select all that apply.)

The nurse recognizes which clinical manifestation as a positive sign of pregnancy?

A pregnant patient's weight before pregnancy was 148 lb. Her expected weight during the first trimester is ______ to ______ lb.

The nurse documents which clinical finding as an expected change associated with advancing pregnancy?

What manifestations does a nurse anticipate when assessing a patient with preeclampsia? (Select all that apply.)

In assessing a patient for modifiable risk factors, the nurse correlates which finding with a high-risk pregnancy?

A pregnant woman's weight before becoming pregnant was 137 lb. What weight is expected for this woman during her second trimester?

A nurse instructs the patient about which expected skin changes during pregnancy?

A nurse assesses fetal heart rates when patients are examined in the maternity clinic. The nurse determines which fetus needs further assessment?

To perform Leopold maneuvers, the nurse uses which assessment technique?

The nurse correlates which clinical manifestation with the diagnosis of polyhydramnios?

If a patient's last menstrual period was May 13, her estimated date of birth is ________.

A woman who is 16 weeks pregnant with her first child is concerned because she has not felt the fetus move. What is the most appropriate explanation for a nurse to give this patient?

Introduction to Health Assessment

Obtaining a Health History

Techniques and Equipment for Physical Assessment

General Inspection and Measurement of Vital Signs

Cultural Assessment

Pain Assessment

Mental Health Assessment

Nutritional Assessment

Skin, Hair, and Nails

Head, Eyes, Ears, Nose, and Throat

Lungs and Respiratory System

Heart and Peripheral Vascular System

Abdomen and Gastrointestinal System

Musculoskeletal System

Neurologic System

Breasts and Axillae

Reproductive System and the Perineum

Developmental Assessment Throughout the Life Span

Assessment of the Infant, Child, and Adolescent

Assessment of the Older Adult

Conducting a Head-to-Toe Examination

Documenting the Comprehensive Health Assessment

Adapting Health Assessment to the Hospitalized Patient

Filters

A pregnant patient's weight before pregnancy was 148 lb. Her expected weight during the first trimester is to lb.