Question 1

While teaching the expectant mother about personal hygiene during pregnancy,maternity nurses should be aware that:

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 2

Which symptom is considered a warning sign and should be reported immediately by the pregnant woman to her health care provider?

Accepted Answer

A)  Nausea with occasional vomiting 
B)  Fatigue 
C)  Urinary frequency 
D)  Vaginal bleeding 
A)  Nausea with occasional vomiting 
B)  Fatigue 
C)  Urinary frequency 
D)  Vaginal bleeding

Question 3

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

Accepted Answer

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

Question 4

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.

-Kidney infection or stones

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 5

A woman who is 32 weeks' pregnant is informed by the nurse that a danger sign of pregnancy could be:

Accepted Answer

A)  constipation. 
B)  alteration in the pattern of fetal movement. 
C)  heart palpitations. 
D)  edema in the ankles and feet at the end of the day. 
A)  constipation. 
B)  alteration in the pattern of fetal movement. 
C)  heart palpitations. 
D)  edema in the ankles and feet at the end of the day.

Question 6

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.

-Gestational diabetes

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 7

The nurse should be aware that the partner's main role in pregnancy is to:

Accepted Answer

A)  provide financial support. 
B)  protect the pregnant woman from "old wives' tales." 
C)  support and nurture the pregnant woman. 
D)  make sure the pregnant woman keeps prenatal appointments. 
A)  provide financial support. 
B)  protect the pregnant woman from "old wives' tales." 
C)  support and nurture the pregnant woman. 
D)  make sure the pregnant woman keeps prenatal appointments.

Question 8

What type of cultural concern is the most likely deterrent to many women seeking prenatal care?

Accepted Answer

A)  Religion 
B)  Modesty 
C)  Ignorance 
D)  Belief that physicians are evil 
A)  Religion 
B)  Modesty 
C)  Ignorance 
D)  Belief that physicians are evil

Question 9

While you are assessing the vital signs of a pregnant woman in her third trimester,the patient complains of feeling faint,dizzy,and agitated.Which nursing intervention is appropriate?

Accepted Answer

A)  Have the patient stand up and retake her blood pressure. 
B)  Have the patient sit down and hold her arm in a dependent position. 
C)  Have the patient lie supine for 5 minutes and recheck her blood pressure on both arms. 
D)  Have the patient turn to her left side and recheck her blood pressure in 5 minutes. 
A)  Have the patient stand up and retake her blood pressure. 
B)  Have the patient sit down and hold her arm in a dependent position. 
C)  Have the patient lie supine for 5 minutes and recheck her blood pressure on both arms. 
D)  Have the patient turn to her left side and recheck her blood pressure in 5 minutes.

Question 10

A woman is 3 months pregnant.At her prenatal visit,she tells the nurse that she does not 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

A pregnant woman at 18 weeks of gestation calls the clinic to report that she has been experiencing occasional backaches of mild-to-moderate intensity.The nurse would recommend that she:

Accepted Answer

A)  do Kegel exercises. 
B)  do pelvic rock exercises. 
C)  use a softer mattress. 
D)  stay in bed for 24 hours. 
A)  do Kegel exercises. 
B)  do pelvic rock exercises. 
C)  use a softer mattress. 
D)  stay in bed for 24 hours.

Question 12

A woman arrives at the clinic for a pregnancy test.The first day of her last menstrual period (LMP)was September 10,2013.Her expected date of birth (EDB)would be?
___________________

Accepted Answer

June 17,2014
Using Nägele's rule,June 17

Question 13

A woman has just moved to the United States from Mexico.She is 3 months pregnant and has arrived for her first prenatal visit.During her assessment interview,you discover that she has not had any immunizations.Which immunizations should she receive at this point in her pregnancy? (Select all that apply.)

Accepted Answer

A)  Tetanus 
B)  Diphtheria 
C)  Chickenpox 
D)  Rubella 
E)  Hepatitis B 
A)  Tetanus 
B)  Diphtheria 
C)  Chickenpox 
D)  Rubella 
E)  Hepatitis B

Question 14

In response to requests by the U.S.Public Health Service for new models of prenatal care,an innovative new approach to prenatal care known as centering pregnancy was developed.Which statement would accurately apply to the centering model of care?

Accepted Answer

A)  Group sessions begin with the first prenatal visit. 
B)  At each visit, blood pressure, weight, and urine dipsticks are obtained by the nurse. 
C)  Eight to twelve women are placed in gestational-age cohort groups. 
D)  Outcomes are similar to those of traditional prenatal care. 
A)  Group sessions begin with the first prenatal visit. 
B)  At each visit, blood pressure, weight, and urine dipsticks are obtained by the nurse. 
C)  Eight to twelve women are placed in gestational-age cohort groups. 
D)  Outcomes are similar to those of traditional prenatal care.

Question 15

With regard to a woman's reordering of personal relationships during pregnancy,the maternity nurse should understand that:

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 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 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 16

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

Accepted Answer

A)  An increase, because of enlarging breasts 
B)  A decrease, because of nausea and fatigue 
C)  No change 
D)  An increase, because of increased levels of female hormones 
A)  An increase, because of enlarging breasts 
B)  A decrease, because of nausea and fatigue 
C)  No change 
D)  An increase, because of increased levels of female hormones

Exam 8: Nursing Care of the Family During Pregnancy

While teaching the expectant mother about personal hygiene during pregnancy,maternity nurses should be aware that:

Which symptom is considered a warning sign and should be reported immediately by the pregnant woman to her health care provider?

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

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. -Kidney infection or stones

A woman who is 32 weeks' pregnant is informed by the nurse that a danger sign of pregnancy could be:

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. -Gestational diabetes

The nurse should be aware that the partner's main role in pregnancy is to:

What type of cultural concern is the most likely deterrent to many women seeking prenatal care?

While you are assessing the vital signs of a pregnant woman in her third trimester,the patient complains of feeling faint,dizzy,and agitated.Which nursing intervention is appropriate?

A woman is 3 months pregnant.At her prenatal visit,she tells the nurse that she does not 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?

A pregnant woman at 18 weeks of gestation calls the clinic to report that she has been experiencing occasional backaches of mild-to-moderate intensity.The nurse would recommend that she:

A woman arrives at the clinic for a pregnancy test.The first day of her last menstrual period (LMP)was September 10,2013.Her expected date of birth (EDB)would be? ___________________

In response to requests by the U.S.Public Health Service for new models of prenatal care,an innovative new approach to prenatal care known as centering pregnancy was developed.Which statement would accurately apply to the centering model of care?

With regard to a woman's reordering of personal relationships during pregnancy,the maternity nurse should understand that:

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

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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