Question 1

A woman is in for a routine prenatal checkup.You are assessing her urinary system.Which finding is considered normal?

Accepted Answer

A)  Increased blood urea nitrogen (BUN) 
B)  Decreased glomerular filtration rate (GFR) 
C)  Decreased bladder capacity 
D)  Increased proteinuria 
A)  Increased blood urea nitrogen (BUN) 
B)  Decreased glomerular filtration rate (GFR) 
C)  Decreased bladder capacity 
D)  Increased proteinuria D

Question 2

Some pregnant patients may complain of changes in their voice and impaired hearing.To what can the nurse ascribe these common reactions?

Accepted Answer

A)  Decreased estrogen level 
B)  Displacement of the diaphragm, resulting in abdominal breathing 
C)  Increased vascularity of the upper respiratory tract 
D)  Increased blood volume 
A)  Decreased estrogen level 
B)  Displacement of the diaphragm, resulting in abdominal breathing 
C)  Increased vascularity of the upper respiratory tract 
D)  Increased blood volume C

Question 3

A number of changes in the integumentary system occur during pregnancy.What change persists after birth?

Accepted Answer

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

Question 4

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

Accepted Answer

A)  Her centre 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 centre 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

Human chorionic gonadotropin (hCG)is an important biochemical marker for pregnancy and is thus the basis for many tests.Which of the following should the nurse be aware of in relation to hCG?

Accepted Answer

A)  hCG can be detected as early as 2.5 weeks after conception. 
B)  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 as early as 2.5 weeks after conception. 
B)  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 6

Over-the-counter ( OTC )pregnancy tests usually rely on which technology to test for human chorionic gonadotropin ( hCG )?

Accepted Answer

A)  Radioimmunoassay 
B)  Radioreceptor assay 
C)  Latex agglutination test 
D)  Enzyme-linked immunosorbent assay ( ELISA ) 
A)  Radioimmunoassay 
B)  Radioreceptor assay 
C)  Latex agglutination test 
D)  Enzyme-linked immunosorbent assay ( ELISA )

Question 7

Which of the following presumptive signs and symptoms of pregnancy would a woman at 10 weeks of gestation most likely 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 8

Which of the following should the nurse be aware of in order to reassure and educate pregnant patients about changes in the uterus during pregnancy?

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 antiflexion. 
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 antiflexion. 
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 9

A woman is in her seventh month of pregnancy.She has been complaining of nasal congestion and occasional epistaxis.How should the nurse interpret this complaint?

Accepted Answer

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

Question 10

To reassure and educate pregnant patients about the functioning of their kidneys in eliminating waste products,the nurse should be aware of which of the following?

Accepted Answer

A)  Increased urinary output makes pregnant women less susceptible to urinary infection. 
B)  Increased bladder sensitivity and later compression of the bladder by the enlarging uterus result 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 later compression of the bladder by the enlarging uterus result 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 11

Which of the following gastrointestinal changes during pregnancy would alert the nurse that the woman requires further assessment?

Accepted Answer

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

Question 12

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 greater than 500 g) 
B)  Term-pregnancy from the beginning of week 37 of gestation to the end of week 41 
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 greater than 500 g) 
B)  Term-pregnancy from the beginning of week 37 of gestation to the end of week 41 
C)  Preterm-pregnancy from 20 to 28 weeks 
D)  Postdate-pregnancy that extends beyond 38 weeks

Question 13

What is the term given to a woman who has completed one pregnancy with a fetus (or fetuses)reaching the stage of fetal viability?

Accepted Answer

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

Question 14

Why may appendicitis be difficult to diagnose in pregnancy?

Accepted Answer

A)  The appendix is displaced upward and laterally, high and to the right. 
B)  The appendix is displaced upward and laterally, high and to the left. 
C)  The appendix is deep at McBurney point. 
D)  The appendix is displaced downward and laterally, low and to the right. 
A)  The appendix is displaced upward and laterally, high and to the right. 
B)  The appendix is displaced upward and laterally, high and to the left. 
C)  The appendix is deep at McBurney point. 
D)  The appendix is displaced downward and laterally, low and to the right.

Question 15

Which one of the following changes in the blood pressure of pregnant women should the nurse be aware of in order to educate the patient?

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 patient's position and changing from arm to arm for different measurements produces the most accurate composite blood pressure reading. 
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 patient's position and changing from arm to arm for different measurements produces the most accurate composite blood pressure reading. 
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 16

The nurse caring for the pregnant patient must understand that the hormone essential for maintaining pregnancy is which of the following?

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 17

To reassure and educate pregnant patients about changes in their cardiovascular system,the nurse should be aware of which of the following?

Accepted Answer

A)  A pregnant woman experiencing disturbed cardiac rhythm, such as sinus arrhythmia, requires close medical and obstetric observation. 
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)  Blood pressure increases until about 24 to 32 weeks of gestation. 
A)  A pregnant woman experiencing disturbed cardiac rhythm, such as sinus arrhythmia, requires close medical and obstetric observation. 
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)  Blood pressure increases until about 24 to 32 weeks of gestation.

Question 18

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

Question 19

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

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

Question 20

During a patient's physical examination the nurse notes that the lower uterine segment is soft on palpation.How would the nurse document this finding?

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

Exam 9: Anatomy and Physiology of Pregnancy

A woman is in for a routine prenatal checkup.You are assessing her urinary system.Which finding is considered normal?

Some pregnant patients may complain of changes in their voice and impaired hearing.To what can the nurse ascribe these common reactions?

A number of changes in the integumentary system occur during pregnancy.What change persists after birth?

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

Human chorionic gonadotropin (hCG)is an important biochemical marker for pregnancy and is thus the basis for many tests.Which of the following should the nurse be aware of in relation to hCG?

Over-the-counter ( OTC )pregnancy tests usually rely on which technology to test for human chorionic gonadotropin ( hCG )?

Which of the following presumptive signs and symptoms of pregnancy would a woman at 10 weeks of gestation most likely have?

Which of the following should the nurse be aware of in order to reassure and educate pregnant patients about changes in the uterus during pregnancy?

A woman is in her seventh month of pregnancy.She has been complaining of nasal congestion and occasional epistaxis.How should the nurse interpret this complaint?

To reassure and educate pregnant patients about the functioning of their kidneys in eliminating waste products,the nurse should be aware of which of the following?

Which of the following gastrointestinal changes during pregnancy would alert the nurse that the woman requires further assessment?

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

What is the term given to a woman who has completed one pregnancy with a fetus (or fetuses)reaching the stage of fetal viability?

Why may appendicitis be difficult to diagnose in pregnancy?

Which one of the following changes in the blood pressure of pregnant women should the nurse be aware of in order to educate the patient?

The nurse caring for the pregnant patient must understand that the hormone essential for maintaining pregnancy is which of the following?

To reassure and educate pregnant patients about changes in their cardiovascular system,the nurse should be aware of which of the following?

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

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?

During a patient's physical examination the nurse notes that the lower uterine segment is soft on palpation.How would the nurse document this finding?

Contemporary Perinatal Nursing in Canada

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Preconception, genetics, conception, and Fetal Development

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