Question 1

A pregnant woman has come to the emergency department with complaints of nasal congestion and epistaxis.What is the correct interpretation of these symptoms by the practitioner?

Accepted Answer

A)  These conditions are abnormal. Refer the patient to an ear, nose, and throat specialist. 
B)  Nasal stuffiness and nosebleeds are caused by a decrease in progesterone. 
C)  Estrogen relaxes the smooth muscles in the respiratory tract, so congestion and epistaxis are within normal limits. 
D)  Estrogen causes increased blood supply to the mucous membranes and can result in congestion and nosebleeds.

Question 2

A step in maternal role attainment that relates to the woman giving up certain aspects of her previous life is termed

Accepted Answer

A)  Looking for a fit 
B)  Roleplaying 
C)  Fantasy 
D)  Grief work

Question 3

The nurse who practices in a prenatal clinic understands that a major concern of lower socioeconomic groups is to

Accepted Answer

A)  Maintain group health insurance on their families. 
B)  Meet health needs as they occur. 
C)  Practice preventive health care. 
D)  Maintain an optimistic view of life.

Question 4

A pregnant couple has formulated a birth plan and is reviewing it with the nurse at an expectant parent's class.Which aspect of their birth plan would be considered unrealistic and require further discussion with the nurse?

Accepted Answer

A)  "My husband and I have agreed that my sister will be my coach since he becomes anxious with regard to medical procedures and blood. He will be nearby and check on me every so often to make sure everything is OK." 
B)  "We plan to use the techniques taught in the Lamaze classes to reduce the pain experienced during labor." 
C)  "We want the labor and birth to take place in a birthing room. My husband will come in the minute the baby is born." 
D)  "We do not want the fetal monitor used during labor, since it will interfere with movement and doing effleurage."

Question 5

What comment by a new mother exhibits understanding of her toddler's response to a new sibling?

Accepted Answer

A)  "I can't believe he is sucking his thumb again." 
B)  "He is being difficult, and I don't have time to deal with him." 
C)  "My husband is going to stay with the baby so I can take our son to the park tomorrow." 
D)  "When we brought the baby home, we made our son stop sleeping in the crib."

Question 6

Prenatal testing for the human immunodeficiency virus (HIV)is recommended for which women?

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

Question 7

While providing education to a primiparous woman regarding the normal changes of pregnancy,it is important for the nurse to explain that the uterus undergoes irregular contractions.These are known as _____________ contractions.

Accepted Answer

The answer of While providing education to a primiparous woman...

Question 8

Which situation best describes a man "trying on" fathering behaviors?

Accepted Answer

A)  Spending more time with his siblings 
B)  Coaching a Little League baseball team 
C)  Reading books on newborn care 
D)  Exhibiting physical symptoms related to pregnancy

Question 9

A patient notices that the doctor writes "positive Chadwick's sign" on her chart.She asks the nurse what this means.The nurse's best response is

Accepted Answer

A)  "It refers to the bluish color of the cervix in pregnancy." 
B)  "It means the cervix is softening." 
C)  "The doctor was able to flex the uterus against the cervix." 
D)  "That refers to a positive sign of pregnancy."

Question 10

In some Middle Eastern and African cultures,female genital mutilation is a prerequisite for marriage.Women who now live in North America need care from nurses who are knowledgeable about the procedure and comfortable with the abnormal appearance of her genitalia.When caring for this woman,the nurse can formulate a diagnosis with the understanding that the woman may be at risk for (select all that apply)

Accepted Answer

A)  Obstructed labor 
B)  Increased signs of pain response 
C)  Laceration 
D)  Hemorrhage 
E)  Infection

Question 11

To relieve a leg cramp,the patient should be instructed to

Accepted Answer

A)  Massage the affected muscle. 
B)  Stretch and point the toe. 
C)  Dorsiflex the foot. 
D)  Apply a warm pack.

Question 12

Which complaint by a patient at 35 weeks of gestation requires additional assessment?

Accepted Answer

A)  Shortness of breath when climbing stairs 
B)  Abdominal pain 
C)  Ankle edema in the afternoon 
D)  Backache with prolonged standing

Question 13

A patient who is 7 months pregnant states,"I'm worried that something will happen to my baby." The nurse's best response is

Accepted Answer

A)  "There is nothing to worry about." 
B)  "The doctor is taking good care of you and your baby." 
C)  "Tell me about your concerns." 
D)  "Your baby is doing fine."

Question 14

The maternity nurse understands that vascular volume increases 40% to 60% during pregnancy to

Accepted Answer

A)  Compensate for decreased renal plasma flow. 
B)  Provide adequate perfusion of the placenta. 
C)  Eliminate metabolic wastes of the mother. 
D)  Prevent maternal and fetal dehydration.

Question 15

A woman in her first trimester of pregnancy can expect to visit her physician every 4 weeks so that

Accepted Answer

A)  She develops trust in the health care team. 
B)  Her questions about labor can be answered. 
C)  The condition of the expectant mother and fetus can be monitored. 
D)  Problems can be eliminated.

Question 16

In order to prevent neural tube defects,updated recommendations include an intake of 0.4 mg to 0.8 mg of ___________________ each day from one month prior to conception until 8 to 10 weeks of pregnancy.

Accepted Answer

The answer of In order to prevent neural tube defects,updated...

Question 17

A pregnant woman reports that she works in a long-term care setting and is concerned about the impending flu season.She asks about receiving the flu vaccine.As the nurse,you are aware that some immunizations are safe to administer during pregnancy,whereas others are not.Which vaccines could this patient receive? Select all that apply.

Accepted Answer

A)  Tetanus 
B)  Hepatitis A and B 
C)  Measles, mumps, rubella (MMR) 
D)  Influenza 
E)  Varicella

Question 18

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.

Question 19

Alterations in hormonal balance and mechanical stretching are responsible for several changes in the integumentary system during pregnancy.Stretch marks often occur on the abdomen and breasts.These are referred to as

Accepted Answer

A)  Chloasma 
B)  Linea nigra 
C)  Striae gravidarum 
D)  Angiomas

Question 20

During pregnancy there are a number of changes that occur as a direct result of the presence of the fetus.Which of these adaptations meet this criteria? Select all that apply.

Accepted Answer

A)  Leukorrhea 
B)  Development of the operculum 
C)  Quickening 
D)  Ballottement 
E)  Lightening

Exam 13: Adaptations to Pregnancy