Question 1

A pregnant patient's weight before pregnancy was 163 lb. The nurse expects the patient to weigh ______ to ______ lb during the second trimester.

Accepted Answer

178; 183
A 3- to 5-lb weight gain is exp

Question 2

A patient who is 30 weeks pregnant tells the nurse, "I have had low blood pressure all my life, and now it is 136/74. What's wrong with me?" What is the most appropriate response by this nurse?

Accepted Answer

A)  "A woman's blood pressure usually drops several points during pregnancy, but yours hasn't." 
B)  "The blood pressure increases because your blood volume increases to supply you and the baby with enough blood." 
C)  "Yes, this is a significant change from your baseline, and I advise you to see your obstetrician at your earliest convenience." 
D)  "If you spend more time lying down, I think your blood pressure should return to normal in a few days." 
A)  "A woman's blood pressure usually drops several points during pregnancy, but yours hasn't." 
B)  "The blood pressure increases because your blood volume increases to supply you and the baby with enough blood." 
C)  "Yes, this is a significant change from your baseline, and I advise you to see your obstetrician at your earliest convenience." 
D)  "If you spend more time lying down, I think your blood pressure should return to normal in a few days."

Question 3

A pregnant woman who drinks alcoholic beverages while pregnant increases the risk for which disorder?

Accepted Answer

A)  Low infant birth weight 
B)  Birth defects 
C)  Abruptio placentae 
D)  Gestational diabetes mellitus 
A)  Low infant birth weight 
B)  Birth defects 
C)  Abruptio placentae 
D)  Gestational diabetes mellitus

Question 4

In measuring fundal height, the nurse documents which finding as abnormal?

Accepted Answer

A)  29 cm at week 30 
B)  28 cm at week 26 
C)  34 cm at week 38 
D)  26 cm at week 24 
A)  29 cm at week 30 
B)  28 cm at week 26 
C)  34 cm at week 38 
D)  26 cm at week 24

Question 5

A pregnant patient presents to the clinic with a 3 lb/week weight gain for 2 successive weeks. The nurse is most concerned that this patient is demonstrating signs of which condition?

Accepted Answer

A)  Gestational diabetes mellitus 
B)  Preeclampsia 
C)  Placenta enlargement 
D)  Multiple gestations 
A)  Gestational diabetes mellitus 
B)  Preeclampsia 
C)  Placenta enlargement 
D)  Multiple gestations

Question 6

How does a nurse determine the Goodell sign?

Accepted Answer

A)  Assesses the softening of the lower uterine segment 
B)  Palpates for softening of the cervix 
C)  Assesses the breasts for fullness and tenderness 
D)  Inspects the cervix for a bluish coloration 
A)  Assesses the softening of the lower uterine segment 
B)  Palpates for softening of the cervix 
C)  Assesses the breasts for fullness and tenderness 
D)  Inspects the cervix for a bluish coloration

Question 7

Using Nägele's rule, what is the estimated delivery date of a patient whose last menstrual period started on December 1?

Accepted Answer

A)  August 1 
B)  August 10 
C)  September 4 
D)  September 8 
A)  August 1 
B)  August 10 
C)  September 4 
D)  September 8

Question 8

How does a nurse describe abruptio placentae when teaching a class to pregnant women?

Accepted Answer

A)  A premature separation of the implanted placenta before birth of the fetus 
B)  An accumulation of amniotic fluid associated with decreased fetal movement 
C)  An attachment of the placenta in the lower uterine segment near the cervical os 
D)  Related to premature rupture of membranes with purulent vaginal discharge 
A)  A premature separation of the implanted placenta before birth of the fetus 
B)  An accumulation of amniotic fluid associated with decreased fetal movement 
C)  An attachment of the placenta in the lower uterine segment near the cervical os 
D)  Related to premature rupture of membranes with purulent vaginal discharge

Question 9

In reviewing the results of physical examination of a 25-year-old pregnant patient, a nurse recognizes which finding as expected?

Accepted Answer

A)  Small, round, oval cervix 
B)  Pale, symmetrical cervix 
C)  Smooth, bluish-colored cervix 
D)  Slit-shaped, pink cervix 
A)  Small, round, oval cervix 
B)  Pale, symmetrical cervix 
C)  Smooth, bluish-colored cervix 
D)  Slit-shaped, pink cervix

Question 10

A nurse refers which pregnant patient for additional assessment?

Accepted Answer

A)  A woman at 36 weeks of gestation who has 30% effacement of the cervix 
B)  A woman at 19 weeks of gestation who has noticed fetal movement every day this week 
C)  A woman at 20 weeks of gestation who has gained 4 lb in the last 2 weeks 
D)  A woman at 28 weeks of gestation who has a systolic blood pressure of 40 mg Hg over baseline 
A)  A woman at 36 weeks of gestation who has 30% effacement of the cervix 
B)  A woman at 19 weeks of gestation who has noticed fetal movement every day this week 
C)  A woman at 20 weeks of gestation who has gained 4 lb in the last 2 weeks 
D)  A woman at 28 weeks of gestation who has a systolic blood pressure of 40 mg Hg over baseline

A pregnant patient's weight before pregnancy was 163 lb. The nurse expects the patient to weigh to lb during the second trimester.

A patient who is 30 weeks pregnant tells the nurse, "I have had low blood pressure all my life, and now it is 136/74. What's wrong with me?" What is the most appropriate response by this nurse?

A pregnant woman who drinks alcoholic beverages while pregnant increases the risk for which disorder?

In measuring fundal height, the nurse documents which finding as abnormal?

A pregnant patient presents to the clinic with a 3 lb/week weight gain for 2 successive weeks. The nurse is most concerned that this patient is demonstrating signs of which condition?

How does a nurse determine the Goodell sign?

Using Nägele's rule, what is the estimated delivery date of a patient whose last menstrual period started on December 1?

How does a nurse describe abruptio placentae when teaching a class to pregnant women?

In reviewing the results of physical examination of a 25-year-old pregnant patient, a nurse recognizes which finding as expected?

A nurse refers which pregnant patient for additional assessment?

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

Exam 20: Assessment of the Pregnant Patient

A pregnant patient's weight before pregnancy was 163 lb. The nurse expects the patient to weigh ______ to ______ lb during the second trimester.

A patient who is 30 weeks pregnant tells the nurse, "I have had low blood pressure all my life, and now it is 136/74. What's wrong with me?" What is the most appropriate response by this nurse?

A pregnant woman who drinks alcoholic beverages while pregnant increases the risk for which disorder?

In measuring fundal height, the nurse documents which finding as abnormal?

A pregnant patient presents to the clinic with a 3 lb/week weight gain for 2 successive weeks. The nurse is most concerned that this patient is demonstrating signs of which condition?

How does a nurse determine the Goodell sign?

Using Nägele's rule, what is the estimated delivery date of a patient whose last menstrual period started on December 1?

How does a nurse describe abruptio placentae when teaching a class to pregnant women?

In reviewing the results of physical examination of a 25-year-old pregnant patient, a nurse recognizes which finding as expected?

A nurse refers which pregnant patient for additional assessment?

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 163 lb. The nurse expects the patient to weigh to lb during the second trimester.