Question 1

To reassure and educate pregnant clients about changes in their breasts,nurses should be aware that:

Accepted Answer

A) The visibility of blood vessels that form an intertwining blue network indicates full function of Montgomery's tubercles and possibly infection of the tubercles. 
B) The mammary glands do not develop until 2 weeks before labor. 
C) Lactation is inhibited until the estrogen level declines after birth. 
D) Colostrum is the yellowish oily substance used to lubricate the nipples for breastfeeding. 
A) The visibility of blood vessels that form an intertwining blue network indicates full function of Montgomery's tubercles and possibly infection of the tubercles. 
B) The mammary glands do not develop until 2 weeks before labor. 
C) Lactation is inhibited until the estrogen level declines after birth. 
D) Colostrum is the yellowish oily substance used to lubricate the nipples for breastfeeding. C

Question 2

To reassure and educate pregnant clients 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 likely will 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 likely will occur. B

Question 3

A woman is in for a routine prenatal checkup. You are assessing her urine for proteinuria. You know that which findings are considered normal? Choose all that apply.

Accepted Answer

A) Dipstick assessment of trace to +1 
B) 300 mg/24 hours 
A) Dipstick assessment of trace to +1 
B) 300 mg/24 hours A,B

Question 4

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 5

____________________ is when the fetus begins to descend and drop into the pelvis.

Accepted Answer

The answer of ____________________ is when the fetus begins to...

Question 6

The diagnosis of pregnancy is based on which positive signs of pregnancy? Choose all that apply.

Accepted Answer

A) Identification of fetal heartbeat 
B) Palpation of fetal outline 
C) Visualization of the fetus 
D) Verification of fetal movement 
E) Positive hCG test 
A) Identification of fetal heartbeat 
B) Palpation of fetal outline 
C) Visualization of the fetus 
D) Verification of fetal movement 
E) Positive hCG test

Question 7

To reassure and educate pregnant clients 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 8

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 9

The mucous plug that forms in the endocervical canal is called the:

Accepted Answer

A) Operculum. 
B) Leucorrhea. 
C) Funic souffle. 
D) Ballottement. 
A) Operculum. 
B) Leucorrhea. 
C) Funic souffle. 
D) Ballottement.

Question 10

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 11

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

Question 12

Some pregnant clients may complain of changes in their voice and impaired hearing. The nurse can tell these clients that these are common reactions to:

Accepted Answer

A) A decreased estrogen level. 
B) Displacement of the diaphragm,resulting in thoracic breathing. 
C) Congestion and swelling,which occur because the upper respiratory tract has become more vascular. 
D) Increased blood volume. 
A) A decreased estrogen level. 
B) Displacement of the diaphragm,resulting in thoracic breathing. 
C) Congestion and swelling,which occur because the upper respiratory tract has become more vascular. 
D) Increased blood volume.

Question 13

The nurse providing care to the pregnant woman should know that all are normal gastrointestinal changes in pregnancy except:

Accepted Answer

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

Question 14

Human chorionic gonadotropin (hCG) is an important biochemical marker for pregnancy and therefore the basis for many tests. A maternity nurse should be aware that:

Accepted Answer

A) hCG can be detected as early as 2.5 weeks after conception. 
B) The 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) The 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 15

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 16

A woman's obstetric history indicates that she is pregnant for the fourth time and all of her children from previous pregnancies are living. One was born at 39 weeks of gestation,twins were born at 34 weeks of gestation,and another child was born at 35 weeks of gestation. What is her gravidity and parity using the GTPAL system?

Accepted Answer

A) 3-1-1-1-3 
B) 4-1-2-0-4 
C) 3-0-3-0-3 
D) 4-2-1-0-3 
A) 3-1-1-1-3 
B) 4-1-2-0-4 
C) 3-0-3-0-3 
D) 4-2-1-0-3

Question 17

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 18

To reassure and educate their pregnant clients about changes in their blood pressure,maternity nurses should be aware that:

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 client's position and changing from arm to arm for different measurements produces the most accurate composite blood pressure reading at each visit. 
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 client's position and changing from arm to arm for different measurements produces the most accurate composite blood pressure reading at each visit. 
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 19

A woman is at 14 weeks of gestation. The nurse would expect to palpate the fundus at which level?

Accepted Answer

A) Not palpable above the symphysis at this time 
B) Slightly above the symphysis pubis 
C) At the level of the umbilicus 
D) Slightly above the umbilicus 
A) Not palpable above the symphysis at this time 
B) Slightly above the symphysis pubis 
C) At the level of the umbilicus 
D) Slightly above the umbilicus

Question 20

Which statement about a condition of pregnancy is accurate?

Accepted Answer

A) Insufficient salivation (ptyalism) is caused by increases in estrogen. 
B) Acid indigestion (pyrosis) begins early but declines throughout pregnancy. 
C) Hyperthyroidism often develops (temporarily) because hormone production increases. 
D) Nausea and vomiting rarely have harmful effects on the fetus and may be beneficial. 
A) Insufficient salivation (ptyalism) is caused by increases in estrogen. 
B) Acid indigestion (pyrosis) begins early but declines throughout pregnancy. 
C) Hyperthyroidism often develops (temporarily) because hormone production increases. 
D) Nausea and vomiting rarely have harmful effects on the fetus and may be beneficial.

Exam 10: Anatomy and Physiology of Pregnancy

To reassure and educate pregnant clients about changes in their breasts,nurses should be aware that:

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

A woman is in for a routine prenatal checkup. You are assessing her urine for proteinuria. You know that which findings are considered normal? Choose all that apply.

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?

____________________ is when the fetus begins to descend and drop into the pelvis.

The diagnosis of pregnancy is based on which positive signs of pregnancy? Choose all that apply.

To reassure and educate pregnant clients about changes in the cervix,vagina,and position of the fetus,nurses should be aware that:

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

The mucous plug that forms in the endocervical canal is called the:

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

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

Some pregnant clients may complain of changes in their voice and impaired hearing. The nurse can tell these clients that these are common reactions to:

The nurse providing care to the pregnant woman should know that all are normal gastrointestinal changes in pregnancy except:

Human chorionic gonadotropin (hCG) is an important biochemical marker for pregnancy and therefore the basis for many tests. A maternity nurse should be aware that:

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

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

To reassure and educate their pregnant clients about changes in their blood pressure,maternity nurses should be aware that:

A woman is at 14 weeks of gestation. The nurse would expect to palpate the fundus at which level?

Which statement about a condition of pregnancy is accurate?

Contemporary Maternity Nursing

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Genetics,Conception,and Fetal Development

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Pregnancy at Risk: Preexisting Conditions

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Labor and Birth Processes

Management of Discomfort

Fetal Assessment During Labor

Nursing Care During Labor and Birth

Labor and Birth at Risk

Maternal Physiologic Changes

Nursing Care During the Fourth Trimester

Transition to Parenthood

Postpartum Complications

Physiologic Adaptations of the Newborn

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Newborn Nutrition and Feeding

Infants With Gestational Age-Related Problems

The Newborn at Risk: Acquired and Congenital Problems

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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

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The Infant and Family

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