Question 1

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 biologic 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 biologic 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 biologic 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 biologic fact of pregnancy. 
D)  "I am pregnant."-"I am going to have a baby."-"I am going to be a mother." D

Question 2

A woman who is 14 weeks pregnant tells the nurse that she always had a glass of wine with dinner before she became pregnant.She has abstained during her first trimester and would like to know if it is safe for her to have a drink with dinner now.The nurse would tell her:

Accepted Answer

A)  "Since you're in your second trimester, there's no problem with having one drink with dinner." 
B)  "One drink every night is too much. One drink three times a week should be fine." 
C)  "Since you're in your second trimester, you can drink as much as you like." 
D)  "Because no one knows how much or how little alcohol it takes to cause fetal problems, the best course is to abstain throughout your pregnancy." 
A)  "Since you're in your second trimester, there's no problem with having one drink with dinner." 
B)  "One drink every night is too much. One drink three times a week should be fine." 
C)  "Since you're in your second trimester, you can drink as much as you like." 
D)  "Because no one knows how much or how little alcohol it takes to cause fetal problems, the best course is to abstain throughout your pregnancy." D

Question 3

To provide the patient with accurate information about dental care during pregnancy,maternity nurses should be aware that:

Accepted Answer

A)  dental care can be dropped from the priority list because the woman has enough to worry about and is getting a lot of calcium anyway. 
B)  dental surgery, in particular, is contraindicated because of the psychologic stress it engenders. 
C)  if dental treatment is necessary, the woman will be most comfortable with it in the second trimester. 
D)  dental care interferes with the expectant mother's need to practice conscious relaxation. 
A)  dental care can be dropped from the priority list because the woman has enough to worry about and is getting a lot of calcium anyway. 
B)  dental surgery, in particular, is contraindicated because of the psychologic stress it engenders. 
C)  if dental treatment is necessary, the woman will be most comfortable with it in the second trimester. 
D)  dental care interferes with the expectant mother's need to practice conscious relaxation. C

Question 4

Signs and symptoms that a woman should report immediately to her health care provider include: (Select all that apply.)

Accepted Answer

A)  vaginal bleeding. 
B)  rupture of membranes. 
C)  heartburn accompanied by severe headache. 
D)  decreased libido. 
E)  Urinary frequency. 
A)  vaginal bleeding. 
B)  rupture of membranes. 
C)  heartburn accompanied by severe headache. 
D)  decreased libido. 
E)  Urinary frequency.

Question 5

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 6

The nurse caring for a newly pregnant woman would advise her that ideally prenatal care should begin:

Accepted Answer

A)  before the first missed menstrual period. 
B)  after the first missed menstrual period. 
C)  after the second missed menstrual period. 
D)  after the third missed menstrual period. 
A)  before the first missed menstrual period. 
B)  after the first missed menstrual period. 
C)  after the second missed menstrual period. 
D)  after the third missed menstrual period.

Question 7

Prenatal testing for human immunodeficiency virus (HIV)is recommended for:

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 8

With regard to medications,herbs,shots,and other substances normally encountered by pregnant women,the maternity nurse should be aware that:

Accepted Answer

A)  both prescription and over-the-counter (OT
C)  drugs that otherwise are harmless can be made hazardous by metabolic deficiencies of the fetus. 
B)  the greatest danger of drug-caused developmental deficits in the fetus is seen in the final trimester. 
C)  killed-virus vaccines (e.g., tetanus) should not be given during pregnancy, but live-virus vaccines (e.g., measles) are permissible. 
D)  no convincing evidence exists that secondhand smoke is potentially dangerous to the fetus. 
A)  both prescription and over-the-counter (OT
C)  drugs that otherwise are harmless can be made hazardous by metabolic deficiencies of the fetus. 
B)  the greatest danger of drug-caused developmental deficits in the fetus is seen in the final trimester. 
C)  killed-virus vaccines (e.g., tetanus) should not be given during pregnancy, but live-virus vaccines (e.g., measles) are permissible. 
D)  no convincing evidence exists that secondhand smoke is potentially dangerous to the fetus.

Question 9

MATCHING
All pregnant women should be instructed to recognize and report potential complications for each trimester of pregnancy. Match the sign or symptom with a possible cause.

-Hypertension,preeclampsia

Accepted Answer

A) Severe vomiting in early pregnancy 
B) Epigastric pain in late pregnancy 
C) Severe backache and flank pain 
D) Decreased fetal movement 
E) Glycosuria 
A) Severe vomiting in early pregnancy 
B) Epigastric pain in late pregnancy 
C) Severe backache and flank pain 
D) Decreased fetal movement 
E) Glycosuria

Question 10

Which statement about multifetal pregnancy is inaccurate?

Accepted Answer

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

Question 11

With regard to follow-up visits for women receiving prenatal care,nurses should be aware that:

Accepted Answer

A)  the interview portions become more intensive as the visits become more frequent over the course of the pregnancy. 
B)  monthly visits are scheduled for the first trimester, every 2 weeks for the second trimester, and weekly for the third trimester. 
C)  during the abdominal examination, the nurse should be alert for supine hypotension. 
D)  for pregnant women, a systolic blood pressure (BP) of 130 and a diastolic BP of 80 is sufficient to be considered hypertensive. 
A)  the interview portions become more intensive as the visits become more frequent over the course of the pregnancy. 
B)  monthly visits are scheduled for the first trimester, every 2 weeks for the second trimester, and weekly for the third trimester. 
C)  during the abdominal examination, the nurse should be alert for supine hypotension. 
D)  for pregnant women, a systolic blood pressure (BP) of 130 and a diastolic BP of 80 is sufficient to be considered hypertensive.

Question 12

With regard to the initial visit with a patient who is beginning prenatal care,nurses should be aware that:

Accepted Answer

A)  the first interview is a relaxed, get-acquainted affair in which nurses gather some general impressions. 
B)  if nurses observe handicapping conditions, they should be sensitive and not enquire about them because the patient will do that in her own time. 
C)  nurses should be alert to the appearance of potential parenting problems, such as depression or lack of family support. 
D)  because of legal complications, nurses should not ask about illegal drug use; that is left to physicians. 
A)  the first interview is a relaxed, get-acquainted affair in which nurses gather some general impressions. 
B)  if nurses observe handicapping conditions, they should be sensitive and not enquire about them because the patient will do that in her own time. 
C)  nurses should be alert to the appearance of potential parenting problems, such as depression or lack of family support. 
D)  because of legal complications, nurses should not ask about illegal drug use; that is left to physicians.

Question 13

As relates to the father's acceptance of the pregnancy and preparation for childbirth,the maternity nurse should know that:

Accepted Answer

A)  the father goes through three phases of acceptance of his own. 
B)  the father's attachment to the fetus cannot be as strong as that of the mother because it does not start until after birth. 
C)  in 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)  the father goes through three phases of acceptance of his own. 
B)  the father's attachment to the fetus cannot be as strong as that of the mother because it does not start until after birth. 
C)  in 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.

Question 14

MATCHING
All pregnant women should be instructed to recognize and report potential complications for each trimester of pregnancy. Match the sign or symptom with a possible cause.

-Fetal jeopardy or intrauterine fetal death

Accepted Answer

A) Severe vomiting in early pregnancy 
B) Epigastric pain in late pregnancy 
C) Severe backache and flank pain 
D) Decreased fetal movement 
E) Glycosuria 
A) Severe vomiting in early pregnancy 
B) Epigastric pain in late pregnancy 
C) Severe backache and flank pain 
D) Decreased fetal movement 
E) Glycosuria

Question 15

The phenomenon of someone other than the mother-to-be experiencing pregnancy-like symptoms such as nausea and weight gain applies to the:

Accepted Answer

A)  mother of the pregnant woman. 
B)  couple's teenage daughter. 
C)  sister of the pregnant woman. 
D)  expectant father. 
A)  mother of the pregnant woman. 
B)  couple's teenage daughter. 
C)  sister of the pregnant woman. 
D)  expectant father.

Question 16

Which behavior indicates that a woman is "seeking safe passage" for herself and her infant?

Accepted Answer

A)  She keeps all prenatal appointments. 
B)  She "eats for two." 
C)  She drives her car slowly. 
D)  She wears only low-heeled shoes. 
A)  She keeps all prenatal appointments. 
B)  She "eats for two." 
C)  She drives her car slowly. 
D)  She wears only low-heeled shoes.

Question 17

MATCHING
All pregnant women should be instructed to recognize and report potential complications for each trimester of pregnancy. Match the sign or symptom with a possible cause.

-Hyperemesis gravidarum

Accepted Answer

A) Severe vomiting in early pregnancy 
B) Epigastric pain in late pregnancy 
C) Severe backache and flank pain 
D) Decreased fetal movement 
E) Glycosuria 
A) Severe vomiting in early pregnancy 
B) Epigastric pain in late pregnancy 
C) Severe backache and flank pain 
D) Decreased fetal movement 
E) Glycosuria

Question 18

When discussing work and travel during pregnancy with a pregnant patient,nurses should instruct them that:

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 traveling in a car or on a plane, women should arrange to walk around at least every 2 hours 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 traveling in a car or on a plane, women should arrange to walk around at least every 2 hours or so.

Question 19

In her work with pregnant women of various cultures,a nurse practitioner has observed various practices that seemed strange or unusual.She has learned that cultural rituals and practices during pregnancy seem to have one purpose in common.Which statement best describes that purpose?

Accepted Answer

A)  To promote family unity 
B)  To ward off the "evil eye" 
C)  To appease the gods of fertility 
D)  To protect the mother and fetus during pregnancy 
A)  To promote family unity 
B)  To ward off the "evil eye" 
C)  To appease the gods of fertility 
D)  To protect the mother and fetus during pregnancy

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.The nurse should inform her:

Accepted Answer

A)  "You don't need to modify your exercising 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 to walking later in your pregnancy, around the seventh month." 
D)  "Jogging is too hard on your joints; switch to walking now." 
A)  "You don't need to modify your exercising 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 to walking later in your pregnancy, around the seventh month." 
D)  "Jogging is too hard on your joints; switch to walking now."

Exam 8: Nursing Care of the Family During Pregnancy

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

A woman who is 14 weeks pregnant tells the nurse that she always had a glass of wine with dinner before she became pregnant.She has abstained during her first trimester and would like to know if it is safe for her to have a drink with dinner now.The nurse would tell her:

To provide the patient with accurate information about dental care during pregnancy,maternity nurses should be aware that:

Signs and symptoms that a woman should report immediately to her health care provider include: (Select all that apply.)

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

The nurse caring for a newly pregnant woman would advise her that ideally prenatal care should begin:

Prenatal testing for human immunodeficiency virus (HIV)is recommended for:

With regard to medications,herbs,shots,and other substances normally encountered by pregnant women,the maternity nurse should be aware that:

MATCHING All pregnant women should be instructed to recognize and report potential complications for each trimester of pregnancy. Match the sign or symptom with a possible cause. -Hypertension,preeclampsia

Which statement about multifetal pregnancy is inaccurate?

With regard to follow-up visits for women receiving prenatal care,nurses should be aware that:

With regard to the initial visit with a patient who is beginning prenatal care,nurses should be aware that:

As relates to the father's acceptance of the pregnancy and preparation for childbirth,the maternity nurse should know that:

MATCHING All pregnant women should be instructed to recognize and report potential complications for each trimester of pregnancy. Match the sign or symptom with a possible cause. -Fetal jeopardy or intrauterine fetal death

The phenomenon of someone other than the mother-to-be experiencing pregnancy-like symptoms such as nausea and weight gain applies to the:

Which behavior indicates that a woman is "seeking safe passage" for herself and her infant?

MATCHING All pregnant women should be instructed to recognize and report potential complications for each trimester of pregnancy. Match the sign or symptom with a possible cause. -Hyperemesis gravidarum

When discussing work and travel during pregnancy with a pregnant patient,nurses should instruct them that:

In her work with pregnant women of various cultures,a nurse practitioner has observed various practices that seemed strange or unusual.She has learned that cultural rituals and practices during pregnancy seem to have one purpose in common.Which statement best describes that purpose?

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.The nurse should inform her:

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

Anatomy and Physiology of 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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