Question 1

The nurse caring for the pregnant client must understand that the hormone essential for maintaining pregnancy is:

Accepted Answer

A) Estrogen. 
B) Human chorionic gonadotropin (hCG). 
C) Oxytocin. 
D) Progesterone.

Question 2

A woman is in her seventh month of pregnancy. She has been complaining of nasal congestion and occasional epistaxis. The nurse suspects that:

Accepted Answer

A) This is a normal respiratory change in pregnancy caused by elevated levels of estrogen. 
B) This is an abnormal cardiovascular change,and the nosebleeds are an ominous sign. 
C) The woman is a victim of domestic violence and is being hit in the face by her partner. 
D) The woman has been using cocaine intranasally.

Question 3

Over-the-counter (OTC) pregnancy tests usually rely on which technology to test for human chorionic gonadotropin (hCG)?

Accepted Answer

A) Radioimmunoassay 
B) Radioreceptor assay 
C) Latex agglutination test 
D) Enzyme-linked immunosorbent assay (ELIS
A)

Question 4

A first-time mother at 18 weeks of gestation is in for her regularly scheduled prenatal visit. The client tells the nurse that she is afraid that she is going into premature labor because she is beginning to have regular contractions. The nurse explains that this is the Braxton Hicks sign and teaches the client that this type of contraction:

Accepted Answer

A) Is painless. 
B) Increases with walking. 
C) Causes cervical dilation. 
D) Impedes oxygen flow to the fetus.

Question 5

To reassure and educate pregnant clients about the functioning of their kidneys in eliminating waste products,maternity nurses should be aware that:

Accepted Answer

A) Increased urinary output makes pregnant women less susceptible to urinary infection. 
B) Increased bladder sensitivity and then compression of the bladder by the enlarging uterus results 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 6

A woman who has completed one pregnancy with a fetus (or fetuses) reaching the stage of fetal viability is called a:

Accepted Answer

A) Primipara. 
B) Primigravida. 
C) Multipara. 
D) Nulligravida.

Question 7

During a client's physical examination the nurse notes that the lower uterine segment is soft on palpation. The nurse would document this finding as:

Accepted Answer

A) Hegar's sign 
B) McDonald's sign 
C) Chadwick's sign 
D) Goodell's sign

Question 8

Which time-based description of a stage of development in pregnancy is accurate?

Accepted Answer

A) Viability-22 to 37 weeks since the last menstrual period (LMP) (assuming a fetal weight greater than 500 g) 
B) Term-pregnancy from the beginning of week 38 of gestation to the end of week 42 
C) Preterm-pregnancy from 20 to 28 weeks 
D) Postdate-pregnancy that extends beyond 38 weeks

Question 9

A 31-year-old woman believes that she may be pregnant. She took an 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 tumor. 
D) She has been under considerable stress and has a hormone imbalance.

Question 10

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 that a positive sign of pregnancy is:

Accepted Answer

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

Question 11

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

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 antireflexion caused by softening. 
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.

Exam 10: Anatomy and Physiology of Pregnancy