Question 1

Some pregnant clients may complain of changes in their voice and impaired hearing.The nurse can tell these clients that these are common reactions to:

Accepted Answer

A) A decreased estrogen level. 
B) Displacement of the diaphragm, resulting in thoracic breathing. 
C) Congestion and swelling, which occur because the upper respiratory tract has become more vascular. 
D) Increased blood volume. 
A) A decreased estrogen level. 
B) Displacement of the diaphragm, resulting in thoracic breathing. 
C) Congestion and swelling, which occur because the upper respiratory tract has become more vascular. 
D) Increased blood volume. C

Question 2

The diagnosis of pregnancy is based on which positive signs of pregnancy (Select all that apply)?

Accepted Answer

A) Identification of fetal heartbeat 
B) Palpation of fetal outline 
C) Visualization of the fetus 
D) Verification of fetal movement 
E) Positive hCG test 
A) Identification of fetal heartbeat 
B) Palpation of fetal outline 
C) Visualization of the fetus 
D) Verification of fetal movement 
E) Positive hCG test A,C,D

Question 3

The nurse teaches a pregnant woman about the presumptive,probable,and positive signs of pregnancy.The woman demonstrates understanding of the nurse's instructions if she states that a positive sign of pregnancy is:

Accepted Answer

A) A positive pregnancy test. 
B) Fetal movement palpated by the nurse-midwife. 
C) Braxton Hicks contractions. 
D) Quickening. 
A) A positive pregnancy test. 
B) Fetal movement palpated by the nurse-midwife. 
C) Braxton Hicks contractions. 
D) Quickening. B

Question 4

To reassure and educate pregnant clients about changes in the cervix,vagina,and position of the fetus,nurses should be aware that:

Accepted Answer

A) Because of a number of changes in the cervix, abnormal Papanicolaou (Pap) tests are much easier to evaluate. 
B) Quickening is a technique of palpating the fetus to engage it in passive movement. 
C) The deepening color of the vaginal mucosa and cervix (Chadwick's sign) usually appears in the second trimester or later as the vagina prepares to stretch during labor. 
D) Increased vascularity of the vagina increases sensitivity and may lead to a high degree of arousal, especially in the second trimester. 
A) Because of a number of changes in the cervix, abnormal Papanicolaou (Pap) tests are much easier to evaluate. 
B) Quickening is a technique of palpating the fetus to engage it in passive movement. 
C) The deepening color of the vaginal mucosa and cervix (Chadwick's sign) usually appears in the second trimester or later as the vagina prepares to stretch during labor. 
D) Increased vascularity of the vagina increases sensitivity and may lead to a high degree of arousal, especially in the second trimester.

Question 5

The maternity nurse understands that vascular volume increases 40% to 60% during pregnancy to:

Accepted Answer

A) Compensate for decreased renal plasma flow. 
B) Provide adequate perfusion of the placenta. 
C) Eliminate metabolic wastes of the mother. 
D) Prevent maternal and fetal dehydration. 
A) Compensate for decreased renal plasma flow. 
B) Provide adequate perfusion of the placenta. 
C) Eliminate metabolic wastes of the mother. 
D) Prevent maternal and fetal dehydration.

Question 6

A woman's obstetric history indicates that she is pregnant for the fourth time and all of her children from previous pregnancies are living.One was born at 39 weeks of gestation,twins were born at 34 weeks of gestation,and another child was born at 35 weeks of gestation.What is her gravidity and parity using the GTPAL system?

Accepted Answer

A) 3-1-1-1-3 
B) 4-1-2-0-4 
C) 3-0-3-0-3 
D) 4-2-1-0-3 
A) 3-1-1-1-3 
B) 4-1-2-0-4 
C) 3-0-3-0-3 
D) 4-2-1-0-3

Question 7

Which statement about a condition of pregnancy is accurate?

Accepted Answer

A) Insufficient salivation (ptyalism) is caused by increases in estrogen. 
B) Acid indigestion (pyrosis) begins early but declines throughout pregnancy. 
C) Hyperthyroidism often develops (temporarily) because hormone production increases. 
D) Nausea and vomiting rarely have harmful effects on the fetus and may be beneficial. 
A) Insufficient salivation (ptyalism) is caused by increases in estrogen. 
B) Acid indigestion (pyrosis) begins early but declines throughout pregnancy. 
C) Hyperthyroidism often develops (temporarily) because hormone production increases. 
D) Nausea and vomiting rarely have harmful effects on the fetus and may be beneficial.

Question 8

The mucous plug that forms in the endocervical canal is called the:

Accepted Answer

A) Operculum. 
B) Leukorrhea. 
C) Funic souffle. 
D) Ballottement. 
A) Operculum. 
B) Leukorrhea. 
C) Funic souffle. 
D) Ballottement.

Question 9

The nurse caring for the pregnant client must understand that the hormone essential for maintaining pregnancy is:

Accepted Answer

A) Estrogen. 
B) Human chorionic gonadotropin (hCG). 
C) Oxytocin. 
D) Progesterone. 
A) Estrogen. 
B) Human chorionic gonadotropin (hCG). 
C) Oxytocin. 
D) Progesterone.

Question 10

Cardiovascular system changes occur during pregnancy.Which finding would be considered normal for a woman in her second trimester?

Accepted Answer

A) Less audible heart sounds (S1, S2) 
B) Increased pulse rate 
C) Increased blood pressure 
D) Decreased red blood cell (RB
C)  production 
A) Less audible heart sounds (S1, S2) 
B) Increased pulse rate 
C) Increased blood pressure 
D) Decreased red blood cell (RB
C)  production

Question 11

Human chorionic gonadotropin (hCG)is an important biochemical marker for pregnancy and the basis for many tests.A maternity nurse should be aware that:

Accepted Answer

A) hCG can be detected 2.5 weeks after conception. 
B) The hCG level increases gradually and uniformly throughout pregnancy. 
C) Much lower than normal increases in the level of hCG may indicate a postdate pregnancy. 
D) A higher than normal level of hCG may indicate an ectopic pregnancy or Down syndrome. 
A) hCG can be detected 2.5 weeks after conception. 
B) The hCG level increases gradually and uniformly throughout pregnancy. 
C) Much lower than normal increases in the level of hCG may indicate a postdate pregnancy. 
D) A higher than normal level of hCG may indicate an ectopic pregnancy or Down syndrome.

Question 12

To reassure and educate pregnant clients about changes in their cardiovascular system,maternity nurses should be aware that:

Accepted Answer

A) A pregnant woman experiencing disturbed cardiac rhythm, such as sinus arrhythmia requires close medical and obstetric observation, no matter how healthy she otherwise may appear. 
B) Changes in heart size and position and increases in blood volume create auditory changes from 20 weeks to term. 
C) Palpitations are twice as likely to occur in twin gestations. 
D) All of the above changes likely will occur. 
A) A pregnant woman experiencing disturbed cardiac rhythm, such as sinus arrhythmia requires close medical and obstetric observation, no matter how healthy she otherwise may appear. 
B) Changes in heart size and position and increases in blood volume create auditory changes from 20 weeks to term. 
C) Palpitations are twice as likely to occur in twin gestations. 
D) All of the above changes likely will occur.

Question 13

To reassure and educate pregnant clients about changes in the uterus,nurses should be aware that:

Accepted Answer

A) Lightening occurs near the end of the second trimester as the uterus rises into a different position. 
B) The woman's increased urinary frequency in the first trimester is the result of exaggerated uterine antireflexion caused by softening. 
C) Braxton Hicks contractions become more painful in the third trimester, particularly if the woman tries to exercise. 
D) The uterine souffle is the movement of the fetus. 
A) Lightening occurs near the end of the second trimester as the uterus rises into a different position. 
B) The woman's increased urinary frequency in the first trimester is the result of exaggerated uterine antireflexion caused by softening. 
C) Braxton Hicks contractions become more painful in the third trimester, particularly if the woman tries to exercise. 
D) The uterine souffle is the movement of the fetus.

Question 14

Which finding in the urine analysis of a pregnant woman is considered a variation of normal?

Accepted Answer

A) Proteinuria 
B) Glycosuria 
C) Bacteria in the urine. 
D) Ketones in the urine. 
A) Proteinuria 
B) Glycosuria 
C) Bacteria in the urine. 
D) Ketones in the urine.

Question 15

To reassure and educate pregnant clients about the functioning of their kidneys in eliminating waste products,maternity nurses should be aware that:

Accepted Answer

A) Increased urinary output makes pregnant women less susceptible to urinary infection. 
B) Increased bladder sensitivity and then compression of the bladder by the enlarging uterus results in the urge to urinate even if the bladder is almost empty. 
C) Renal (kidney) function is more efficient when the woman assumes a supine position. 
D) Using diuretics during pregnancy can help keep kidney function regular. 
A) Increased urinary output makes pregnant women less susceptible to urinary infection. 
B) Increased bladder sensitivity and then compression of the bladder by the enlarging uterus results in the urge to urinate even if the bladder is almost empty. 
C) Renal (kidney) function is more efficient when the woman assumes a supine position. 
D) Using diuretics during pregnancy can help keep kidney function regular.

Question 16

A woman at 10 weeks of gestation who is seen in the prenatal clinic with presumptive signs and symptoms of pregnancy likely will have:

Accepted Answer

A) Amenorrhea. 
B) Positive pregnancy test. 
C) Chadwick's sign. 
D) Hegar's sign. 
A) Amenorrhea. 
B) Positive pregnancy test. 
C) Chadwick's sign. 
D) Hegar's sign.

Question 17

A patient at 24 weeks of gestation contacts the nurse at her obstetric provider's office to complain that she has cravings for dirt and gravel.The nurse is aware that this condition is known as ________ and may indicate anemia.

Accepted Answer

A) Ptyalism 
B) Pyrosis 
C) Pica 
D) Decreased peristalsis 
A) Ptyalism 
B) Pyrosis 
C) Pica 
D) Decreased peristalsis

Question 18

A woman is at 14 weeks of gestation.The nurse would expect to palpate the fundus at which level?

Accepted Answer

A) Not palpable above the symphysis at this time 
B) Slightly above the symphysis pubis 
C) At the level of the umbilicus 
D) Slightly above the umbilicus 
A) Not palpable above the symphysis at this time 
B) Slightly above the symphysis pubis 
C) At the level of the umbilicus 
D) Slightly above the umbilicus

Question 19

A woman is in for a routine prenatal checkup.You are assessing her urine for proteinuria.Which findings are considered normal (Select all that apply)?

Accepted Answer

A) Dipstick assessment of trace to +1 
B) 300 mg/24 hours 
A) Dipstick assessment of trace to +1 
B) 300 mg/24 hours

Question 20

A woman is in her seventh month of pregnancy.She has been complaining of nasal congestion and occasional epistaxis.The nurse suspects that:

Accepted Answer

A) This is a normal respiratory change in pregnancy caused by elevated levels of estrogen. 
B) This is an abnormal cardiovascular change, and the nosebleeds are an ominous sign. 
C) The woman is a victim of domestic violence and is being hit in the face by her partner. 
D) The woman has been using cocaine intranasally. 
A) This is a normal respiratory change in pregnancy caused by elevated levels of estrogen. 
B) This is an abnormal cardiovascular change, and the nosebleeds are an ominous sign. 
C) The woman is a victim of domestic violence and is being hit in the face by her partner. 
D) The woman has been using cocaine intranasally.

Exam 7: Anatomy and Physiology of Pregnancy

Some pregnant clients may complain of changes in their voice and impaired hearing.The nurse can tell these clients that these are common reactions to:

The diagnosis of pregnancy is based on which positive signs of pregnancy (Select all that apply)?

The nurse teaches a pregnant woman about the presumptive,probable,and positive signs of pregnancy.The woman demonstrates understanding of the nurse's instructions if she states that a positive sign of pregnancy is:

To reassure and educate pregnant clients about changes in the cervix,vagina,and position of the fetus,nurses should be aware that:

The maternity nurse understands that vascular volume increases 40% to 60% during pregnancy to:

Which statement about a condition of pregnancy is accurate?

The mucous plug that forms in the endocervical canal is called the:

The nurse caring for the pregnant client must understand that the hormone essential for maintaining pregnancy is:

Cardiovascular system changes occur during pregnancy.Which finding would be considered normal for a woman in her second trimester?

Human chorionic gonadotropin (hCG)is an important biochemical marker for pregnancy and the basis for many tests.A maternity nurse should be aware that:

To reassure and educate pregnant clients about changes in their cardiovascular system,maternity nurses should be aware that:

To reassure and educate pregnant clients about changes in the uterus,nurses should be aware that:

Which finding in the urine analysis of a pregnant woman is considered a variation of normal?

To reassure and educate pregnant clients about the functioning of their kidneys in eliminating waste products,maternity nurses should be aware that:

A woman at 10 weeks of gestation who is seen in the prenatal clinic with presumptive signs and symptoms of pregnancy likely will have:

A patient at 24 weeks of gestation contacts the nurse at her obstetric provider's office to complain that she has cravings for dirt and gravel.The nurse is aware that this condition is known as ________ and may indicate anemia.

A woman is at 14 weeks of gestation.The nurse would expect to palpate the fundus at which level?

A woman is in for a routine prenatal checkup.You are assessing her urine for proteinuria.Which findings are considered normal (Select all that apply)?

A woman is in her seventh month of pregnancy.She has been complaining of nasal congestion and occasional epistaxis.The nurse suspects that:

21st Century Maternity Nursing

Community Care: the Family and Culture

Assessment and Health Promotion

Reproductive System Concerns

Infertility,contraception,and Abortion

Genetics, conception, and Fetal Development

Nursing Care of the Family During Pregnancy

Maternal and Fetal Nutrition

Assessment of High Risk Pregnancy

Pregnancy at Risk: Preexisting Conditions

Pregnancy at Risk: Gestational Conditions

Labor and Birth Processes

Pain Management

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Labor and Birth Complications

Maternal Physiologic Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Postpartum Complications

Physiologic and Behavioral Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

The High Risk Newborn

21st Century Pediatric Nursing

Family, social, cultural, and Religious Influences on Child Health Promotion

Developmental and Genetic Influences on Child Health Promotion

Communication, history, and Physical Assessment

Pain Assessment and Management in Children

The Infant and Family

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

The Adolescent and Family

Chronic Illness, disability, and End-Of-Life Care

Impact of Cognitive or Sensory Impairment on the Child and Family

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

Gastrointestinal Dysfunction

Cardiovascular Dysfunction

Hematologic and Immunologic Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

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