Question 1

The diagnosis of pregnancy is based on which positive sign of pregnancy?

Accepted Answer

A)  Positive hCG test 
B)  Palpation of fetal outline 
C)  Ballottement 
D)  Verification of fetal movement

Question 2

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

Accepted Answer

A)  Her centre 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 3

A 31-year-old woman believes that she may be pregnant.She took an over-the counter (OTC)pregnancy test 1 week ago after missing her period;the test was positive.During her assessment interview the nurse inquires about the woman's last menstrual period and asks whether she is taking any medications.The woman states that she takes medicine for epilepsy.She has been under considerable stress lately at work and has not been sleeping well.She also has a history of irregular periods.Her physical examination does not indicate that she is pregnant.She has an ultrasound scan,which reveals that she is not pregnant.What is the most likely cause of the false-positive pregnancy test result?

Accepted Answer

A)  She took the pregnancy test too early. 
B)  She takes anticonvulsants. 
C)  She has a fibroid tumour. 
D)  She has been under considerable stress and has a hormone imbalance.

Question 4

Which is important for the nurse to know in order to be able to reassure and educate pregnant patients about the functioning of their kidneys in eliminating waste products during pregnancy?

Accepted Answer

A)  Increased urinary output makes pregnant women less susceptible to urinary infection. 
B)  Increased bladder sensitivity and later compression of the bladder by the enlarging uterus result 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 5

Which should the nurse be aware of in order to reassure and educate pregnant patients about changes in the uterus during pregnancy?

Accepted Answer

A)  Lightening occurs near the end of the second trimester as the uterus rises into a different position. 
B)  The woman's increased urinary frequency in the first trimester is the result of exaggerated uterine anteflexion. 
C)  Braxton Hicks contractions become more painful in the third trimester,particularly if the woman tries to exercise. 
D)  The uterine souffle is the movement of the fetus.

Question 6

Why may appendicitis be difficult to diagnose in pregnancy?

Accepted Answer

A)  The appendix is displaced upward and laterally,high and to the right. 
B)  The appendix is displaced upward and laterally,high and to the left. 
C)  The appendix is deep at McBurney point. 
D)  The appendix is displaced downward and laterally,low and to the right.

Question 7

The nurse teaches a pregnant woman about the presumptive,probable,and positive signs of pregnancy.The woman demonstrates understanding of the nurse's instructions if she states which is a positive sign of pregnancy?

Accepted Answer

A)  A positive pregnancy test 
B)  Fetal movement palpated by the nurse 
C)  Braxton Hicks contractions 
D)  Quickening

Question 8

Which gastrointestinal change during pregnancy would alert the nurse that the woman requires further assessment?

Accepted Answer

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

Question 9

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

Question 10

Human chorionic gonadotropin (hCG)is an important biochemical marker for pregnancy and is thus the basis for many tests.Which should the nurse be aware of in relation to hCG?

Accepted Answer

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

Exam 10: Anatomy and Physiology of Pregnancy