Question 1

During auscultation of FHTs, the nurse determines that the heart rate is 136 beats per minute.The nurse's next action should be to:

Accepted Answer

A) Document the results, which are within normal range 
B) Take the maternal pulse to verify these findings as the uterine soufflé 
C) Have the patient change positions and count the FHTs again 
D) Immediately notify the physician for possible fetal distress 
A) Document the results, which are within normal range 
B) Take the maternal pulse to verify these findings as the uterine soufflé 
C) Have the patient change positions and count the FHTs again 
D) Immediately notify the physician for possible fetal distress

Question 2

A patient is being seen at the clinic for her 10-week prenatal visit.She asks when she will be able to hear the baby's heartbeat.The nurse should reply:

Accepted Answer

A) "The baby's heartbeat is not usually heard until the second trimester." 
B) "The baby's heartbeat may be heard any time between 9 and 12 weeks." 
C) "It is often difficult to hear the heartbeat at this point, but we can try." 
D) "It is normal to hear the heartbeat at 6 weeks.We may be able to hear it today." 
A) "The baby's heartbeat is not usually heard until the second trimester." 
B) "The baby's heartbeat may be heard any time between 9 and 12 weeks." 
C) "It is often difficult to hear the heartbeat at this point, but we can try." 
D) "It is normal to hear the heartbeat at 6 weeks.We may be able to hear it today."

Question 3

A woman who is 25 weeks pregnant comes to the clinic for her prenatal visit.The nurse notices that her face and lower extremities are swollen, and her blood pressure is 154/94 mm Hg.The woman states that she has had headaches and blurry vision but thought she was just tired.What should the nurse suspect?

Accepted Answer

A) Eclampsia 
B) Pre-eclampsia 
C) Diabetes type 1 
D) Preterm labour 
A) Eclampsia 
B) Pre-eclampsia 
C) Diabetes type 1 
D) Preterm labour

Question 4

The nurse is palpating the fundus of a pregnant woman.Which statement about palpation of the fundus is true?

Accepted Answer

A) The fundus should be hard and slightly tender to palpation during the first trimester. 
B) Fetal movement may not be felt by the examiner until the end of the second trimester. 
C) After 20 weeks' gestation, the number of centimetres should approximate the number of weeks of gestation. 
D) Fundal height is usually less than the number of weeks of gestation, unless an abnormal condition, such as excessive amniotic fluid, is present. 
A) The fundus should be hard and slightly tender to palpation during the first trimester. 
B) Fetal movement may not be felt by the examiner until the end of the second trimester. 
C) After 20 weeks' gestation, the number of centimetres should approximate the number of weeks of gestation. 
D) Fundal height is usually less than the number of weeks of gestation, unless an abnormal condition, such as excessive amniotic fluid, is present.

Question 5

The nurse knows that the best time to assess a woman's blood pressure during an initial prenatal visit is:

Accepted Answer

A) Before the physical examination but after she has been sitting quietly for some time 
B) At the beginning of the interview as a nonthreatening method of gaining rapport 
C) During the middle of the physical examination when she is the most comfortable 
D) Before beginning the pelvic examination because her blood pressure will be higher after the pelvic examination 
A) Before the physical examination but after she has been sitting quietly for some time 
B) At the beginning of the interview as a nonthreatening method of gaining rapport 
C) During the middle of the physical examination when she is the most comfortable 
D) Before beginning the pelvic examination because her blood pressure will be higher after the pelvic examination

Question 6

Which of these statements best describes the action of the hormone progesterone during pregnancy?

Accepted Answer

A) Progesterone produces the hormone human chorionic gonadotropin. 
B) Duct formation in the breast is stimulated by progesterone. 
C) Progesterone promotes sloughing of the endometrial wall. 
D) Progesterone maintains the endometrium around the fetus. 
A) Progesterone produces the hormone human chorionic gonadotropin. 
B) Duct formation in the breast is stimulated by progesterone. 
C) Progesterone promotes sloughing of the endometrial wall. 
D) Progesterone maintains the endometrium around the fetus.

Question 7

A patient's pregnancy test yields a positive result, and she wants to know when the baby is due.The first day of her last menstrual period was June 14, and that period ended June 20.Using Nägele's rule, what is her expected date of delivery?

Accepted Answer

A) March 7 
B) March 14 
C) March 21 
D) March 27 
A) March 7 
B) March 14 
C) March 21 
D) March 27

Question 8

During a woman's 34th week of pregnancy, she is told that she has pre-eclampsia.The nurse knows which statement concerning pre-eclampsia is true?

Accepted Answer

A) Pre-eclampsia has little effect on the fetus. 
B) Edema is one of the main indications of pre-eclampsia. 
C) Eclampsia only occurs before delivery of the baby. 
D) Untreated pre-eclampsia may contribute to restriction of fetal growth. 
A) Pre-eclampsia has little effect on the fetus. 
B) Edema is one of the main indications of pre-eclampsia. 
C) Eclampsia only occurs before delivery of the baby. 
D) Untreated pre-eclampsia may contribute to restriction of fetal growth.

Question 9

The nurse is palpating the uterus of a woman who is 8 weeks pregnant.Which finding would be considered to be most consistent with this stage of pregnancy?

Accepted Answer

A) The uterus seems slightly enlarged and softened. 
B) It reaches the pelvic brim and is approximately the size of a grapefruit. 
C) The uterus rises above the pelvic brim and is approximately the size of a cantaloupe. 
D) It is about the size of an avocado, approximately 8 cm across the fundus. 
A) The uterus seems slightly enlarged and softened. 
B) It reaches the pelvic brim and is approximately the size of a grapefruit. 
C) The uterus rises above the pelvic brim and is approximately the size of a cantaloupe. 
D) It is about the size of an avocado, approximately 8 cm across the fundus.

Question 10

When performing an examination of a woman who is 34 weeks pregnant, the nurse notices a midline linear protrusion in the abdomen over the area of the rectus abdominis muscles as the woman raises her head and shoulders off of the bed.Which response by the nurse is correct?

Accepted Answer

A) The presence of diastasis recti should be documented. 
B) This condition should be discussed with the physician because it will most likely need to be surgically repaired. 
C) The possibility that the woman has a hernia attributable to the increased pressure within the abdomen from the pregnancy should be suspected. 
D) The woman should be told that she may have a difficult time with delivery because of the weakness in her abdominal muscles. 
A) The presence of diastasis recti should be documented. 
B) This condition should be discussed with the physician because it will most likely need to be surgically repaired. 
C) The possibility that the woman has a hernia attributable to the increased pressure within the abdomen from the pregnancy should be suspected. 
D) The woman should be told that she may have a difficult time with delivery because of the weakness in her abdominal muscles.

Question 11

When auscultating the anterior thorax of a pregnant woman, the nurse notices the presence of a murmur over the second, third, and fourth intercostal spaces.The murmur is continuous but can be obliterated by pressure with the stethoscope or finger on the thorax just lateral to the murmur.The nurse interprets this finding to be:

Accepted Answer

A) Murmur of aortic stenosis 
B) Most likely a mammary soufflé 
C) Associated with aortic insufficiency 
D) Indication of a patent ductus arteriosus 
A) Murmur of aortic stenosis 
B) Most likely a mammary soufflé 
C) Associated with aortic insufficiency 
D) Indication of a patent ductus arteriosus

During auscultation of FHTs, the nurse determines that the heart rate is 136 beats per minute.The nurse's next action should be to:

A patient is being seen at the clinic for her 10-week prenatal visit.She asks when she will be able to hear the baby's heartbeat.The nurse should reply:

The nurse is palpating the fundus of a pregnant woman.Which statement about palpation of the fundus is true?

The nurse knows that the best time to assess a woman's blood pressure during an initial prenatal visit is:

Which of these statements best describes the action of the hormone progesterone during pregnancy?

A patient's pregnancy test yields a positive result, and she wants to know when the baby is due.The first day of her last menstrual period was June 14, and that period ended June 20.Using Nägele's rule, what is her expected date of delivery?

During a woman's 34th week of pregnancy, she is told that she has pre-eclampsia.The nurse knows which statement concerning pre-eclampsia is true?

The nurse is palpating the uterus of a woman who is 8 weeks pregnant.Which finding would be considered to be most consistent with this stage of pregnancy?

When performing an examination of a woman who is 34 weeks pregnant, the nurse notices a midline linear protrusion in the abdomen over the area of the rectus abdominis muscles as the woman raises her head and shoulders off of the bed.Which response by the nurse is correct?

Evidence-Based Assessment

Health Promotion in the Context of Health Assessment

Cultural Competence: Cultural Care

The Interview

The Complete Health History

Mental Health Assessment

Substance Use and Health Assessment

Interpersonal Violence Assessments

Assessment Techniques and the Clinical Setting

General Survey, Measurement, Vital Signs

Pain Assessment

Nutritional Assessment

Skin, Hair, and Nails

Head, Face, and Neck, Including Regional Lymphatics

Eyes

Ears

Nose, Mouth, and Throat

Breasts and Regional Lymphatics

Thorax and Lungs

Heart and Neck Vessels

Peripheral Vascular System and Lymphatic System

Abdomen

Anus, Rectum, and Prostate

Musculoskeletal System

Neurological System

Male Genitourinary System

Female Genitourinary System

The Complete Health Assessment: Adult, Infant, Child, and Adolescent

Bedside Assessment of the Hospitalized Patient

Functional Assessment of the Older Adult

Filters

Exam 30: The Pregnant Woman

During auscultation of FHTs, the nurse determines that the heart rate is 136 beats per minute.The nurse's next action should be to:

A patient is being seen at the clinic for her 10-week prenatal visit.She asks when she will be able to hear the baby's heartbeat.The nurse should reply:

The nurse is palpating the fundus of a pregnant woman.Which statement about palpation of the fundus is true?

The nurse knows that the best time to assess a woman's blood pressure during an initial prenatal visit is:

Which of these statements best describes the action of the hormone progesterone during pregnancy?

A patient's pregnancy test yields a positive result, and she wants to know when the baby is due.The first day of her last menstrual period was June 14, and that period ended June 20.Using Nägele's rule, what is her expected date of delivery?

During a woman's 34th week of pregnancy, she is told that she has pre-eclampsia.The nurse knows which statement concerning pre-eclampsia is true?

The nurse is palpating the uterus of a woman who is 8 weeks pregnant.Which finding would be considered to be most consistent with this stage of pregnancy?

When performing an examination of a woman who is 34 weeks pregnant, the nurse notices a midline linear protrusion in the abdomen over the area of the rectus abdominis muscles as the woman raises her head and shoulders off of the bed.Which response by the nurse is correct?

Evidence-Based Assessment

Health Promotion in the Context of Health Assessment

Cultural Competence: Cultural Care

The Interview

The Complete Health History

Mental Health Assessment

Substance Use and Health Assessment

Interpersonal Violence Assessments

Assessment Techniques and the Clinical Setting

General Survey, Measurement, Vital Signs

Pain Assessment

Nutritional Assessment

Skin, Hair, and Nails

Head, Face, and Neck, Including Regional Lymphatics

Eyes

Ears

Nose, Mouth, and Throat

Breasts and Regional Lymphatics

Thorax and Lungs

Heart and Neck Vessels

Peripheral Vascular System and Lymphatic System

Abdomen

Anus, Rectum, and Prostate

Musculoskeletal System

Neurological System

Male Genitourinary System

Female Genitourinary System

The Complete Health Assessment: Adult, Infant, Child, and Adolescent

Bedside Assessment of the Hospitalized Patient

Functional Assessment of the Older Adult

Filters