Question 1

During the first trimester,a pregnant woman can expect which of the following changes in her sexual desire?

Accepted Answer

A)  Her sexual desire is increased, related to enlarging breasts. 
B)  Her sexual desire is decreased, related to nausea and fatigue. 
C)  There is no change in sexual desire. 
D)  Her sexual desire is increased, related to increased levels of female hormones. 
A)  Her sexual desire is increased, related to enlarging breasts. 
B)  Her sexual desire is decreased, related to nausea and fatigue. 
C)  There is no change in sexual desire. 
D)  Her sexual desire is increased, related to increased levels of female hormones. B

Question 2

What should the nurse know with regard to the father's acceptance of the pregnancy and preparation for childbirth?

Accepted Answer

A)  For most men, pregnancy is a time of fantasy and intense learning. 
B)  The father's attachment to the fetus cannot be as strong as that of the mother. 
C)  During the last 2 months of pregnancy, most expectant fathers suddenly get very protective of their established lifestyle and resist making changes to the home. 
D)  Typically, men remain ambivalent about fatherhood right up to the birth of their child. 
A)  For most men, pregnancy is a time of fantasy and intense learning. 
B)  The father's attachment to the fetus cannot be as strong as that of the mother. 
C)  During the last 2 months of pregnancy, most expectant fathers suddenly get very protective of their established lifestyle and resist making changes to the home. 
D)  Typically, men remain ambivalent about fatherhood right up to the birth of their child. A

Question 3

Which of the following should the nurse be aware of with regard to dental care during pregnancy?

Accepted Answer

A)  Dental care need not be a priority because the woman is getting a lot of calcium anyway. 
B)  Dental surgery, in particular, is contraindicated because of psychological stress. 
C)  The woman will be most comfortable with dental treatment in the second trimester. 
D)  Dental care interferes with the need to practice conscious relaxation. 
A)  Dental care need not be a priority because the woman is getting a lot of calcium anyway. 
B)  Dental surgery, in particular, is contraindicated because of psychological stress. 
C)  The woman will be most comfortable with dental treatment in the second trimester. 
D)  Dental care interferes with the need to practice conscious relaxation.

Question 4

With regard to work and travel during pregnancy,the nurse should be aware of which of the following?

Accepted Answer

A)  Women should sit for as long as possible and cross their legs at the knees from time to time for exercise. 
B)  Women should avoid seat belts and shoulder restraints in the car because they press on the fetus. 
C)  Metal detectors at airport security checkpoints can harm the fetus if the woman passes through them a number of times. 
D)  While working or travelling in a car or on a plane, women should arrange to walk around at least every hour or so. 
A)  Women should sit for as long as possible and cross their legs at the knees from time to time for exercise. 
B)  Women should avoid seat belts and shoulder restraints in the car because they press on the fetus. 
C)  Metal detectors at airport security checkpoints can harm the fetus if the woman passes through them a number of times. 
D)  While working or travelling in a car or on a plane, women should arrange to walk around at least every hour or so.

Question 5

A 3-year-old girl's mother is 6 months pregnant.What concern is this child likely to express?

Accepted Answer

A)  How the baby will "get out" 
B)  What the baby will eat 
C)  Whether her mother will die 
D)  What colour eyes the baby has 
A)  How the baby will "get out" 
B)  What the baby will eat 
C)  Whether her mother will die 
D)  What colour eyes the baby has

Question 6

What should the nurse teach the mother to properly promote personal hygiene?

Accepted Answer

A)  Tub bathing is permitted even in late pregnancy unless membranes have ruptured. 
B)  The perineum should be wiped from back to front. 
C)  Bubble bath and bath oils are permissible because they add an extra soothing and cleansing action to the bath. 
D)  Expectant mothers should use specially treated soap to cleanse the nipples. 
A)  Tub bathing is permitted even in late pregnancy unless membranes have ruptured. 
B)  The perineum should be wiped from back to front. 
C)  Bubble bath and bath oils are permissible because they add an extra soothing and cleansing action to the bath. 
D)  Expectant mothers should use specially treated soap to cleanse the nipples.

Question 7

A woman arrives at the clinic for a pregnancy test.The first day of her last menstrual period ( LMP )was February 14,2012.What would be her expected date of birth ( EDB )?

Accepted Answer

A)  May 21, 2012 
B)  November 7, 2013 
C)  November 21, 2012 
D)  May 2, 2013 
A)  May 21, 2012 
B)  November 7, 2013 
C)  November 21, 2012 
D)  May 2, 2013

Question 8

For which of the following reasons would breastfeeding be contraindicated?

Accepted Answer

A)  A woman has hepatitis B . 
B)  A woman has everted nipples. 
C)  A woman has a history of breast cancer 3 years ago. 
D)  A woman is human immunodeficiency virus (HIV) positive. 
A)  A woman has hepatitis B . 
B)  A woman has everted nipples. 
C)  A woman has a history of breast cancer 3 years ago. 
D)  A woman is human immunodeficiency virus (HIV) positive.

Question 9

With regard to the initial physical examination of a woman beginning prenatal care,the nurse should be aware of which of the following?

Accepted Answer

A)  Only women who show physical signs or meet the sociological profile should be assessed for physical abuse. 
B)  The woman should empty her bladder before the pelvic examination is performed. 
C)  The distribution, amount, and quality of body hair are of no particular importance. 
D)  The size of the uterus is discounted in the initial examination because it is just going to get bigger soon. 
A)  Only women who show physical signs or meet the sociological profile should be assessed for physical abuse. 
B)  The woman should empty her bladder before the pelvic examination is performed. 
C)  The distribution, amount, and quality of body hair are of no particular importance. 
D)  The size of the uterus is discounted in the initial examination because it is just going to get bigger soon.

Question 10

A woman is 3 months pregnant.At her prenatal visit she tells the nurse that she doesn't know what is happening; one minute she's happy that she is pregnant,and the next minute she cries for no reason.Which response by the nurse is most appropriate?

Accepted Answer

A)  "Don't worry about it; you'll feel better in a month or so." 
B)  "Have you talked to your husband about how you feel?" 
C)  "Perhaps you really don't want to be pregnant." 
D)  "Hormonal changes during pregnancy commonly result in mood swings." 
A)  "Don't worry about it; you'll feel better in a month or so." 
B)  "Have you talked to your husband about how you feel?" 
C)  "Perhaps you really don't want to be pregnant." 
D)  "Hormonal changes during pregnancy commonly result in mood swings."

Question 11

Which of the following should the nurse know to assist in understanding and guiding a woman through her acceptance of pregnancy?

Accepted Answer

A)  Nonacceptance of the pregnancy very often equates to rejection of the child. 
B)  Mood swings most likely are the result of a changed lifestyle as well as profound hormonal changes. 
C)  Ambivalent feelings usually are seen only in emotionally immature or very young mothers. 
D)  Conflicts such as not wanting to be pregnant or childrearing and career-related decisions will resolve themselves naturally after birth. 
A)  Nonacceptance of the pregnancy very often equates to rejection of the child. 
B)  Mood swings most likely are the result of a changed lifestyle as well as profound hormonal changes. 
C)  Ambivalent feelings usually are seen only in emotionally immature or very young mothers. 
D)  Conflicts such as not wanting to be pregnant or childrearing and career-related decisions will resolve themselves naturally after birth.

Question 12

Which statement about pregnancy is accurate?

Accepted Answer

A)  A normal pregnancy lasts about 10 lunar months. 
B)  A trimester is one third of a year. 
C)  The prenatal period extends from fertilization to conception. 
D)  The estimated date of confinement ( EDC ) is how long the mother is on bed rest. 
A)  A normal pregnancy lasts about 10 lunar months. 
B)  A trimester is one third of a year. 
C)  The prenatal period extends from fertilization to conception. 
D)  The estimated date of confinement ( EDC ) is how long the mother is on bed rest.

Question 13

Which sign or symptom should the nurse teach the pregnant woman to report immediately to her health care provider?

Accepted Answer

A)  Vaginal mucous discharge 
B)  Decreased libido 
C)  Urinary frequency 
D)  Heartburn accompanied by severe headache 
A)  Vaginal mucous discharge 
B)  Decreased libido 
C)  Urinary frequency 
D)  Heartburn accompanied by severe headache

Question 14

The multiple marker test is used to assess the fetus for which condition?

Accepted Answer

A)  Down syndrome 
B)  Diaphragmatic hernia 
C)  Congenital cardiac abnormality 
D)  Anencephaly 
A)  Down syndrome 
B)  Diaphragmatic hernia 
C)  Congenital cardiac abnormality 
D)  Anencephaly

Question 15

Which blood pressure (BP)finding during the second trimester indicates a risk for pregnancy-induced hypertension?

Accepted Answer

A)  Baseline BP 120/80, current BP 126/85 
B)  Baseline BP 100/70, current BP 130/85 
C)  Baseline BP 140/85, current BP 130/80 
D)  Baseline BP 110/60, current BP 110/60 
A)  Baseline BP 120/80, current BP 126/85 
B)  Baseline BP 100/70, current BP 130/85 
C)  Baseline BP 140/85, current BP 130/80 
D)  Baseline BP 110/60, current BP 110/60

Question 16

With regard to a woman's reordering of personal relationships during pregnancy,the nurse should be aware of which of the following?

Accepted Answer

A)  Because of the special motherhood bond, a woman's relationship with her mother is even more important than with the father of the child. 
B)  Nurses need not get involved in any sexual issues the couple has during pregnancy, particularly if they have trouble communicating them to each other. 
C)  Women usually express two major relationship needs during pregnancy: feeling loved and valued and having the child be accepted by the father. 
D)  The woman's sexual desire is likely to be highest in the first trimester because of the excitement and because intercourse is physically easier. 
A)  Because of the special motherhood bond, a woman's relationship with her mother is even more important than with the father of the child. 
B)  Nurses need not get involved in any sexual issues the couple has during pregnancy, particularly if they have trouble communicating them to each other. 
C)  Women usually express two major relationship needs during pregnancy: feeling loved and valued and having the child be accepted by the father. 
D)  The woman's sexual desire is likely to be highest in the first trimester because of the excitement and because intercourse is physically easier.

Question 17

Which statement about multifetal pregnancy is accurate?

Accepted Answer

A)  The expectant mother rarely develops anemia because the fetuses have a greater supply of iron. 
B)  Twin pregnancies come to term with the same frequency as single pregnancies. 
C)  Counsel the mother to increase her nutritional intake and gain more weight. 
D)  Backache and varicose veins often are less pronounced. 
A)  The expectant mother rarely develops anemia because the fetuses have a greater supply of iron. 
B)  Twin pregnancies come to term with the same frequency as single pregnancies. 
C)  Counsel the mother to increase her nutritional intake and gain more weight. 
D)  Backache and varicose veins often are less pronounced.

Question 18

Prenatal testing for the human immunodeficiency virus (HIV)is recommended for which of the following?

Accepted Answer

A)  All women, regardless of risk factors 
B)  A woman who has had more than one sexual partner 
C)  A woman who has had a sexually transmitted infection 
D)  A woman who is monogamous with her partner 
A)  All women, regardless of risk factors 
B)  A woman who has had more than one sexual partner 
C)  A woman who has had a sexually transmitted infection 
D)  A woman who is monogamous with her partner

Question 19

What represents a typical progression through the phases of a woman's establishing a relationship with the fetus?

Accepted Answer

A)  Accepts the fetus as distinct from herself-accepts the biological fact of pregnancy-has a feeling of caring and responsibility 
B)  Fantasizes about the child's gender and personality-views the child as part of herself-becomes introspective 
C)  Views the child as part of herself-has feelings of well-being-accepts the biological fact of pregnancy 
D)  "I am pregnant."- "I am going to have a baby."-"I am going to be a mother." 
A)  Accepts the fetus as distinct from herself-accepts the biological fact of pregnancy-has a feeling of caring and responsibility 
B)  Fantasizes about the child's gender and personality-views the child as part of herself-becomes introspective 
C)  Views the child as part of herself-has feelings of well-being-accepts the biological fact of pregnancy 
D)  "I am pregnant."- "I am going to have a baby."-"I am going to be a mother."

Question 20

A pregnant woman at 10 weeks of gestation jogs three or four times per week.She is concerned about the effect of exercise on the fetus.How should the nurse respond?

Accepted Answer

A)  "You don't need to modify your exercising at any time during your pregnancy." 
B)  "Stop exercising, because it will harm the fetus." 
C)  "You may find that you need to modify your exercise later in your pregnancy." 
D)  "Jogging is too hard on your joints; switch to walking now." 
A)  "You don't need to modify your exercising at any time during your pregnancy." 
B)  "Stop exercising, because it will harm the fetus." 
C)  "You may find that you need to modify your exercise later in your pregnancy." 
D)  "Jogging is too hard on your joints; switch to walking now."

Exam 10: Nursing Care During Pregnancy

During the first trimester,a pregnant woman can expect which of the following changes in her sexual desire?

What should the nurse know with regard to the father's acceptance of the pregnancy and preparation for childbirth?

Which of the following should the nurse be aware of with regard to dental care during pregnancy?

With regard to work and travel during pregnancy,the nurse should be aware of which of the following?

A 3-year-old girl's mother is 6 months pregnant.What concern is this child likely to express?

What should the nurse teach the mother to properly promote personal hygiene?

A woman arrives at the clinic for a pregnancy test.The first day of her last menstrual period ( LMP )was February 14,2012.What would be her expected date of birth ( EDB )?

For which of the following reasons would breastfeeding be contraindicated?

With regard to the initial physical examination of a woman beginning prenatal care,the nurse should be aware of which of the following?

A woman is 3 months pregnant.At her prenatal visit she tells the nurse that she doesn't know what is happening; one minute she's happy that she is pregnant,and the next minute she cries for no reason.Which response by the nurse is most appropriate?

Which of the following should the nurse know to assist in understanding and guiding a woman through her acceptance of pregnancy?

Which statement about pregnancy is accurate?

Which sign or symptom should the nurse teach the pregnant woman to report immediately to her health care provider?

The multiple marker test is used to assess the fetus for which condition?

Which blood pressure (BP)finding during the second trimester indicates a risk for pregnancy-induced hypertension?

With regard to a woman's reordering of personal relationships during pregnancy,the nurse should be aware of which of the following?

Which statement about multifetal pregnancy is accurate?

Prenatal testing for the human immunodeficiency virus (HIV)is recommended for which of the following?

What represents a typical progression through the phases of a woman's establishing a relationship with the fetus?

A pregnant woman at 10 weeks of gestation jogs three or four times per week.She is concerned about the effect of exercise on the fetus.How should the nurse respond?

Contemporary Perinatal Nursing in Canada

The Family and Culture

Community Care

Health Promotion

Health Assessment

Reproductive Health

Infertility, contraception, and Abortion

Preconception, genetics, conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Maternal and Fetal Nutrition

Pregnancy Risk Factors and Assessment: Maternal and Fetal

Pregnancy at Risk: Gestational Conditions

Pregnancy at Risk: Pre-Existing Conditions

Labour and Birth Processes

Comfort Measures for Labour

Fetal Health Surveillance During Labour

Nursing Care During Labour and Birth

Labour and Birth at Risk

Maternal Physiological Changes

Nursing Care During the Fourth Trimester

Transition to Parenthood

Postpartum Complications

Physiological Adaptations of the Newborn

Nursing Care of the Newborn

Newborn Nutrition and Feeding

Infants With Gestational Age-Related Problems

The Newborn at Risk: Acquired and Congenital Problems

Contemporary Pediatric Nursing in Canada

Community-Based Nursing Care of the Child and Family

Family Influences on Child Health Promotion

Social, cultural, and Religious Influences on Child Health Promotion

Developmental Influences on Child Health Promotion

Communication, history, physical, and Developmental Assessment

Pain Assessment and Management

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

Cognitive and Sensory Impairment

Family-Centred Home Care

Reaction to Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

Gastrointestinal Dysfunction

Cardiovascular Dysfunction

Hematological and Immunological Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

Filters