Question 1

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 2

To reassure and educate pregnant patients 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 3

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 4

During a patient'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 5

To reassure and educate pregnant patients 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 6

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 7

To reassure and educate pregnant patients 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 will likely 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 will likely occur.

Question 8

A woman is 6 weeks pregnant.She 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 9

During pregnancy,many changes occur as a direct result of the presence of the fetus.Which of these adaptations meet this criterion? (Select all that apply.)

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

Question 10

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 11

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 12

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 13

A woman is in her seventh month of pregnancy.She has been reporting 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

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

To reassure and educate pregnant patients about changes in the cervix,vagina,and position of the fetus,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:

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

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

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

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

A woman is 6 weeks pregnant.She 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 pregnancy,many changes occur as a direct result of the presence of the fetus.Which of these adaptations meet this criterion? (Select all that apply.)

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

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

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

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

21st Century Maternity Nursing

The Family, culture, spirituality, and Home Care

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

High-Risk Perinatal Care: Preexisting Conditions

High-Risk Perinatal Care: Gestational Conditions

Labor and Birth Processes

Maximizing Comfort for the Laboring Woman

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Labor and Birth Complications

Postpartum 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 and Physical Assessment of the Child and Family

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

Impact of Chronic Illness, disability, or End-Of-Life Care for the Child and Family

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

The Child With Respiratory Dysfunction

The Child With Gastrointestinal Dysfunction

The Child With Cardiovascular Dysfunction

The Child With Hematologic or Immunologic Dysfunction

The Child With Cancer

The Child With Genitourinary Dysfunction

The Child With Cerebral Dysfunction

The Child With Endocrine Dysfunction

The Child With Musculoskeletal or Articular Dysfunction

The Child With Neuromuscular or Muscular Dysfunction

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