Question 1

Which time-based description of a stage of development in pregnancy is accurate?

Accepted Answer

A) Viability-22 to 37 weeks since the last menstrual period (LMP) (assuming a fetal weight >500 g) 
B) Term-pregnancy from the beginning of week 38 of gestation to the end of week 42 
C) Preterm-pregnancy from 20 to 28 weeks 
D) Postdate-pregnancy that extends beyond 38 weeks 
A) Viability-22 to 37 weeks since the last menstrual period (LMP) (assuming a fetal weight >500 g) 
B) Term-pregnancy from the beginning of week 38 of gestation to the end of week 42 
C) Preterm-pregnancy from 20 to 28 weeks 
D) Postdate-pregnancy that extends beyond 38 weeks

Question 2

A patient in her first trimester complains of nausea and vomiting.She asks,"Why does this happen?" The nurse's best response is:

Accepted Answer

A) "It is due to an increase in gastric motility." 
B) "It may be due to changes in hormones." 
C) "It is related to an increase in glucose levels." 
D) "It is caused by a decrease in gastric secretions." 
A) "It is due to an increase in gastric motility." 
B) "It may be due to changes in hormones." 
C) "It is related to an increase in glucose levels." 
D) "It is caused by a decrease in gastric secretions."

Question 3

A woman is 6 weeks pregnant.She has had a previous spontaneous abortion at 14 weeks of gestation and a pregnancy that ended at 38 weeks with the birth of a stillborn girl.What is her gravidity and parity using the GTPAL system?
___________________

Accepted Answer

3-1-0-1-0
The correct calculation of thi

Question 4

The musculoskeletal system adapts to the changes that occur during pregnancy.A woman can expect to experience what change?

Accepted Answer

A) Her center of gravity will shift backward. 
B) She will have increased lordosis. 
C) She will have increased abdominal muscle tone. 
D) She will notice decreased mobility of her pelvic joints. 
A) Her center of gravity will shift backward. 
B) She will have increased lordosis. 
C) She will have increased abdominal muscle tone. 
D) She will notice decreased mobility of her pelvic joints.

Question 5

Physiologic anemia often occurs during pregnancy as a result of:

Accepted Answer

A) Inadequate intake of iron. 
B) Dilution of hemoglobin concentration. 
C) The fetus establishing iron stores. 
D) Decreased production of erythrocytes. 
A) Inadequate intake of iron. 
B) Dilution of hemoglobin concentration. 
C) The fetus establishing iron stores. 
D) Decreased production of erythrocytes.

Question 6

Numerous changes in the integumentary system occur during pregnancy.Which change persists after birth?

Accepted Answer

A) Epulis 
B) Chloasma 
C) Telangiectasia 
D) Striae gravidarum 
A) Epulis 
B) Chloasma 
C) Telangiectasia 
D) Striae gravidarum

Question 7

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

Accepted Answer

A) The visibility of blood vessels that form an intertwining blue network indicates full function of Montgomery's tubercles and possibly infection of the tubercles. 
B) The mammary glands do not develop until 2 weeks before labor. 
C) Lactation is inhibited until the estrogen level declines after birth. 
D) Colostrum is the yellowish oily substance used to lubricate the nipples for breastfeeding. 
A) The visibility of blood vessels that form an intertwining blue network indicates full function of Montgomery's tubercles and possibly infection of the tubercles. 
B) The mammary glands do not develop until 2 weeks before labor. 
C) Lactation is inhibited until the estrogen level declines after birth. 
D) Colostrum is the yellowish oily substance used to lubricate the nipples for breastfeeding.

Question 8

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

Accepted Answer

A) A blood pressure cuff that is too small produces a reading that is too low; a cuff that is too large produces a reading that is too high. 
B) Shifting the client's position and changing from arm to arm for different measurements produces the most accurate composite blood pressure reading at each visit. 
C) The systolic blood pressure increases slightly as pregnancy advances; the diastolic pressure remains constant. 
D) Compression of the iliac veins and inferior vena cava by the uterus contributes to hemorrhoids in the later stage of term pregnancy. 
A) A blood pressure cuff that is too small produces a reading that is too low; a cuff that is too large produces a reading that is too high. 
B) Shifting the client's position and changing from arm to arm for different measurements produces the most accurate composite blood pressure reading at each visit. 
C) The systolic blood pressure increases slightly as pregnancy advances; the diastolic pressure remains constant. 
D) Compression of the iliac veins and inferior vena cava by the uterus contributes to hemorrhoids in the later stage of term pregnancy.

Question 9

A first-time mother at 18 weeks of gestation comes for her regularly scheduled prenatal visit.The client tells the nurse that she is afraid that she is going into premature labor because she is beginning to have regular contractions.The nurse explains that this is the Braxton Hicks sign and teaches the client that this type of contraction:

Accepted Answer

A) Is painless. 
B) Increases with walking. 
C) Causes cervical dilation. 
D) Impedes oxygen flow to the fetus. 
A) Is painless. 
B) Increases with walking. 
C) Causes cervical dilation. 
D) Impedes oxygen flow to the fetus.

Question 10

A woman who has completed one pregnancy with a fetus (or fetuses)reaching the stage of fetal viability is called a:

Accepted Answer

A) Primipara. 
B) Primigravida. 
C) Multipara. 
D) Nulligravida. 
A) Primipara. 
B) Primigravida. 
C) Multipara. 
D) Nulligravida.

Question 11

Appendicitis may be difficult to diagnose in pregnancy because the appendix is:

Accepted Answer

A) Displaced upward and laterally, high and to the right. 
B) Displaced upward and laterally, high and to the left. 
C) Deep at McBurney point. 
D) Displaced downward and laterally, low and to the right. 
A) Displaced upward and laterally, high and to the right. 
B) Displaced upward and laterally, high and to the left. 
C) Deep at McBurney point. 
D) Displaced downward and laterally, low and to the right.

Question 12

During a client's physical examination the nurse notes that the lower uterine segment is soft on palpation.The nurse would document this finding as:

Accepted Answer

A) Hegar's sign 
B) McDonald's sign 
C) Chadwick's sign 
D) Goodell's sign 
A) Hegar's sign 
B) McDonald's sign 
C) Chadwick's sign 
D) Goodell's sign

Question 13

A 31-year-old woman believes that she may be pregnant.She took an OTC pregnancy test 1 week ago after missing her period; the test was positive.During her assessment interview,the nurse inquires about the woman's last menstrual period and asks whether she is taking any medications.The woman states that she takes medicine for epilepsy.She has been under considerable stress lately at work and has not been sleeping well.She also has a history of irregular periods.Her physical examination does not indicate that she is pregnant.She has an ultrasound scan,which reveals that she is not pregnant.What is the most likely cause of the false-positive pregnancy test result?

Accepted Answer

A) She took the pregnancy test too early. 
B) She takes anticonvulsants. 
C) She has a fibroid tumor. 
D) She has been under considerable stress and has a hormone imbalance. 
A) She took the pregnancy test too early. 
B) She takes anticonvulsants. 
C) She has a fibroid tumor. 
D) She has been under considerable stress and has a hormone imbalance.

Question 14

During pregnancy,many changes occur as a direct result of the presence of the fetus.Which of these adaptations meet this criteria?

Accepted Answer

A) Leukorrhea 
B) Development of the operculum 
C) Quickening 
D) Ballottement 
E) Lightening 
A) Leukorrhea 
B) Development of the operculum 
C) Quickening 
D) Ballottement 
E) Lightening

Exam 7: Anatomy and Physiology of Pregnancy

Which time-based description of a stage of development in pregnancy is accurate?

A patient in her first trimester complains of nausea and vomiting.She asks,"Why does this happen?" The nurse's best response is:

A woman is 6 weeks pregnant.She has had a previous spontaneous abortion at 14 weeks of gestation and a pregnancy that ended at 38 weeks with the birth of a stillborn girl.What is her gravidity and parity using the GTPAL system? ___________________

The musculoskeletal system adapts to the changes that occur during pregnancy.A woman can expect to experience what change?

Physiologic anemia often occurs during pregnancy as a result of:

Numerous changes in the integumentary system occur during pregnancy.Which change persists after birth?

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

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

A woman who has completed one pregnancy with a fetus (or fetuses)reaching the stage of fetal viability is called a:

Appendicitis may be difficult to diagnose in pregnancy because the appendix is:

During a client's physical examination the nurse notes that the lower uterine segment is soft on palpation.The nurse would document this finding as:

During pregnancy,many changes occur as a direct result of the presence of the fetus.Which of these adaptations meet this criteria?

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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