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NURS 218 Lesson 2 QUIZ #1

Usuario eliminado 50 preguntas Actualizado el 12 feb 2019

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1An obstetric multipara with triplets is placed on bed rest at 24 weeks’ gestation. Her perinatologist is managing intrauterine growth restriction with serial ultrasounds. This is an example of
1. Aantenatal diagnostics.
2. Bprimary prevention.
3. Csecondary prevention.
4. Dtertiary prevention.
2The nurse is admitting a prenatal patient for diagnostic testing. While eliciting the psychosocial history, the nurse learns the patient smokes a pack of cigarettes daily, drinks a cup of cappuccino with breakfast, has smoked weed in the remote past, and is a social drinker. Which action should the nurse first take?
1. AStrongly advise immediate tobacco cessation
2. BElimination of all caffeinated beverages
3. CSerum and urine testing for drug use and alcohol use
4. DReferral to a 12-step program
3Many females experience problems achieving and maintaining a pregnancy. The ER nursing assessment of a child–bearing–age female shows back pain, elevated blood pressure, and leaking of clear fluid from the vagina. Maternal-fetal complications described above are most often associated with which child-bearing stage?
1. APreconception
2. BFirst trimester
3. CSecond-third trimester
4. DPostpartum
4A 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?
1. A3-1-1-1-3
2. B4-1-2-0-4
3. C3-0-3-0-3
4. D4-2-1-0-3
5A woman at 10 weeks of gestation who is seen in the prenatal clinic with presumptive signs and symptoms of pregnancy likely will have:
1. AAmenorrhea.
2. BPositive pregnancy test.
3. CChadwick’s sign.
4. DHegar’s sign.
6The 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:
1. AA positive pregnancy test.
2. BFetal movement palpated by the nurse-midwife.
3. CBraxton Hicks contractions.
4. DQuickening.
7A woman is at 14 weeks of gestation. The nurse would expect to palpate the fundus at which level?
1. ANot palpable above the symphysis at this time
2. BSlightly above the symphysis pubis
3. CAt the level of the umbilicus
4. DSlightly above the umbilicus
8During a client’s physical examination the nurse notes that the lower uterine segment is soft on palpation. The nurse would document this finding as:
1. AHegar’s sign
2. BMcDonald’s sign
3. CChadwick’s sign
4. DGoodell’s sign
9Cardiovascular system changes occur during pregnancy. Which finding would be considered normal for a woman in her second trimester?
1. ALess audible heart sounds (S1, S2)
2. BIncreased pulse rate
3. CIncreased blood pressure
4. DDecreased red blood cell (RBC) production
10Numerous changes in the integumentary system occur during pregnancy. Which change persists after birth?
1. AEpulis
2. BChloasma
3. CTelangiectasia
4. DStriae gravidarum

11The musculoskeletal system adapts to the changes that occur during pregnancy. A woman can expect to experience what change?
1. AHer center of gravity will shift backward.
2. BShe will have increased lordosis.
3. CShe will have increased abdominal muscle tone.
4. DShe will notice decreased mobility of her pelvic joints.
12A 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?
1. AShe took the pregnancy test too early.
2. BShe takes anticonvulsants.
3. CShe has a fibroid tumor.
4. DShe has been under considerable stress and has a hormone imbalance.
13A woman is in her seventh month of pregnancy. She has been complaining of nasal congestion and occasional epistaxis. The nurse suspects that:
1. AThis is a normal respiratory change in pregnancy caused by elevated levels of estrogen.
2. BThis is an abnormal cardiovascular change, and the nosebleeds are an ominous sign.
3. CThe woman is a victim of domestic violence and is being hit in the face by her partner.
4. DThe woman has been using cocaine intranasally.
14The nurse caring for the pregnant client must understand that the hormone essential for maintaining pregnancy is:
1. AEstrogen.
2. BHuman chorionic gonadotropin (hCG).
3. COxytocin.
4. DProgesterone.
15A patient at 24 weeks of gestation contacts the nurse at her obstetric provider’s office to complain that she has cravings for dirt and gravel. The nurse is aware that this condition is known as ________ and may indicate anemia.
1. APtyalism
2. BPyrosis
3. CPica
4. DDecreased peristalsis
16A woman who has completed one pregnancy with a fetus (or fetuses) reaching the stage of fetal viability is called a:
1. APrimipara.
2. BPrimigravida.
3. CMultipara.
4. DNulligravida.
17Which time-based description of a stage of development in pregnancy is accurate?
1. AViability—22 to 37 weeks since the last menstrual period (LMP) (assuming a fetal weight >500 g)
2. BEarly Term—pregnancy from the beginning of week 37 of gestation to the end of week 38
3. CPreterm—pregnancy from 20 to 28 weeks
4. DPostdate—pregnancy that extends beyond 38 weeks
18Human chorionic gonadotropin (hCG) is an important biochemical marker for pregnancy and the basis for many tests. A maternity nurse should be aware that:
1. AhCG can be detected 2.5 weeks after conception.
2. BThe hCG level increases gradually and uniformly throughout pregnancy.
3. CMuch lower than normal increases in the level of hCG may indicate a postdate pregnancy.
4. DA higher than normal level of hCG may indicate an ectopic pregnancy or Down syndrome.
19To reassure and educate pregnant clients about changes in the uterus, nurses should be aware that:
1. ALightening occurs near the end of the second trimester as the uterus rises into a different position.
2. BThe woman’s increased urinary frequency in the first trimester is the result of exaggerated uterine antireflexion caused by softening.
3. CBraxton Hicks contractions become more painful in the third trimester, particularly if the woman tries to exercise.
4. DThe uterine souffle is the movement of the fetus.
20To reassure and educate pregnant clients about changes in the cervix, vagina, and position of the fetus, nurses should be aware that:
1. ABecause of a number of changes in the cervix, abnormal Papanicolaou (Pap) tests are much easier to evaluate.
2. BQuickening is a technique of palpating the fetus to engage it in passive movement.
3. CThe 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.
4. DIncreased vascularity of the vagina increases sensitivity and may lead to a high degree of arousal, especially in the second trimester.
21The mucous plug that forms in the endocervical canal is called the:
1. AOperculum.
2. BLeukorrhea.
3. CFunic souffle.
4. DBallottement.
22To reassure and educate pregnant clients about changes in their breasts, nurses should be aware that:
1. AThe visibility of blood vessels that form an intertwining blue network indicates full function of Montgomery’s tubercles and possibly infection of the tubercles.
2. BThe mammary glands do not develop until 2 weeks before labor.
3. CLactation is inhibited until the estrogen level declines after birth.
4. DColostrum is the yellowish oily substance used to lubricate the nipples for breastfeeding.
23To reassure and educate pregnant clients about changes in their cardiovascular system, maternity nurses should be aware that:
1. AA pregnant woman experiencing disturbed cardiac rhythm, such as sinus arrhythmia requires close medical and obstetric observation, no matter how healthy she otherwise may appear.
2. BChanges in heart size and position and increases in blood volume create auditory changes from 20 weeks to term.
3. CPalpitations are twice as likely to occur in twin gestations.
4. DAll of the above changes likely will occur.
24To reassure and educate their pregnant clients about changes in their blood pressure, maternity nurses should be aware that:
1. AA 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.
2. BShifting the client’s position and changing from arm to arm for different measurements produces the most accurate composite blood pressure reading at each visit.
3. CThe systolic blood pressure increases slightly as pregnancy advances; the diastolic pressure remains constant.
4. DCompression of the iliac veins and inferior vena cava by the uterus contributes to hemorrhoids in the later stage of term pregnancy.
25Some pregnant clients may complain of changes in their voice and impaired hearing. The nurse can tell these clients that these are common reactions to:
1. AA decreased estrogen level.
2. BDisplacement of the diaphragm, resulting in thoracic breathing.
3. CCongestion and swelling, which occur because the upper respiratory tract has become more vascular.
4. DIncreased blood volume.
26To reassure and educate pregnant clients about the functioning of their kidneys in eliminating waste products, maternity nurses should be aware that:
1. AIncreased urinary output makes pregnant women less susceptible to urinary infection.
2. BIncreased 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.
3. CRenal (kidney) function is more efficient when the woman assumes a supine position.
4. DUsing diuretics during pregnancy can help keep kidney function regular.
27Which statement about a condition of pregnancy is accurate?
1. AInsufficient salivation (ptyalism) is caused by increases in estrogen.
2. BAcid indigestion (pyrosis) begins early but declines throughout pregnancy.
3. CHyperthyroidism often develops (temporarily) because hormone production increases.
4. DNausea and vomiting rarely have harmful effects on the fetus and may be beneficial.
28 A first-time mother at 18 weeks of gestation comes 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:
1. AIs painless.
2. BIncreases with walking.
3. CCauses cervical dilation.
4. DImpedes oxygen flow to the fetus.
29Which finding in the urine analysis of a pregnant woman is considered a variation of normal?
1. AProteinuria
2. BGlycosuria
3. CBacteria in the urine.
4. DKetones in the urine.
30The maternity nurse understands that vascular volume increases 40% to 60% during pregnancy to:
1. ACompensate for decreased renal plasma flow.
2. BProvide adequate perfusion of the placenta.
3. CEliminate metabolic wastes of the mother.
4. DPrevent maternal and fetal dehydration.
31Physiologic anemia often occurs during pregnancy as a result of:
1. AInadequate intake of iron.
2. BDilution of hemoglobin concentration.
3. CThe fetus establishing iron stores.
4. DDecreased production of erythrocytes.
32A patient in her first trimester complains of nausea and vomiting. She asks, “Why does this happen?” The nurse’s best response is:
1. A“It is due to an increase in gastric motility.”
2. B“It may be due to changes in hormones.”
3. C“It is related to an increase in glucose levels.”
4. D“It is caused by a decrease in gastric secretions.”
33The diagnosis of pregnancy is based on which positive signs of pregnancy (Select all that apply)?
1. AIdentification of fetal heartbeat
2. BPalpation of fetal outline
3. CVisualization of the fetus
4. DVerification of fetal movement
5. EPositive hCG test
34During pregnancy, many changes occur as a direct result of the presence of the fetus. Which of these adaptations meet this criteria?
1. ALeukorrhea
2. BDevelopment of the operculum
3. CQuickening
4. DBallottement
5. ELightening
35The nurse caring for a newly pregnant woman would advise her that ideally prenatal care should begin:
1. ABefore the first missed menstrual period.
2. BAfter the first missed menstrual period.
3. CAfter the second missed menstrual period.
4. DAfter the third missed menstrual period.
36Prenatal testing for human immunodeficiency virus (HIV) is recommended for:
1. AAll women, regardless of risk factors.
2. BA woman who has had more than one sexual partner.
3. CA woman who has had a sexually transmitted infection.
4. DA woman who is monogamous with her partner.
37Which symptom is considered a first-trimester warning sign and should be reported immediately by the pregnant woman to her health care provider?
1. ANausea with occasional vomiting
2. BFatigue
3. CUrinary frequency
4. DVaginal bleeding
38A pregnant woman at 10 weeks of gestation jogs three or four times per week. She is concerned about the effect of exercise on the fetus. The nurse should inform her:
1. A“You don’t need to modify your exercising any time during your pregnancy.”
2. B“Stop exercising because it will harm the fetus.”
3. C“You may find that you need to modify your exercise to walking later in your pregnancy, around the seventh month.”
4. D“Jogging is too hard on your joints; switch to walking now.”
39A woman who is 32 weeks’ pregnant is informed by the nurse that a danger sign of pregnancy could be:
1. AConstipation.
2. BAlteration in the pattern of fetal movement.
3. CHeart palpitations.
4. DEdema in the ankles and feet at the end of the day.
40A woman who is 14 weeks pregnant tells the nurse that she always had a glass of wine with dinner before she became pregnant. She has abstained during her first trimester and would like to know if it is safe for her to have a drink with dinner now. The nurse would tell her:
1. A“Since you’re in your second trimester, there’s no problem with having one drink with dinner.”
2. B“One drink every night is too much. One drink three times a week should be fine.”
3. C“Since you’re in your second trimester, you can drink as much as you like.”
4. D“Because no one knows how much or how little alcohol it takes to cause fetal problems, the best course is to abstain throughout your pregnancy.”
41A pregnant woman at 18 weeks of gestation calls the clinic to report that she has been experiencing occasional backaches of mild-to-moderate intensity. The nurse would recommend that she:
1. ADo Kegel exercises.
2. BDo pelvic rock exercises.
3. CUse a softer mattress.
4. DStay in bed for 24 hours.
42For what reason would breastfeeding be contraindicated?
1. AHepatitis B
2. BEverted nipples
3. CHistory of breast cancer 3 years ago
4. DHuman immunodeficiency virus (HIV) positive
43A woman is 3 months pregnant. At her prenatal visit, she tells the nurse that she doesn’t know what is happening; one minute she’s happy that she is pregnant, and the next minute she cries for no reason. Which response by the nurse is most appropriate?
1. A“Don’t worry about it; you’ll feel better in a month or so.”
2. B“Have you talked to your husband about how you feel?”
3. C“Perhaps you really don’t want to be pregnant.”
4. D“Hormonal changes during pregnancy commonly result in mood swings.”
44 In understanding and guiding a woman through her acceptance of pregnancy, a maternity nurse should be aware that:
1. ANonacceptance of the pregnancy very often equates to rejection of the child.
2. BMood swings most likely are the result of worries about finances and a changed lifestyle as well as profound hormonal changes.
3. CAmbivalent feelings during pregnancy usually are seen only in emotionally immature or very young mothers.
4. DConflicts such as not wanting to be pregnant or childrearing and career-related decisions need not be addressed during pregnancy because they will resolve themselves naturally after birth.
45With regard to the initial physical examination of a woman beginning prenatal care, maternity nurses should be cognizant of:
1. AOnly women who show physical signs or meet the sociologic profile should be assessed for physical abuse.
2. BThe woman should empty her bladder before the pelvic examination is performed.
3. CThe distribution, amount, and quality of body hair are of no particular importance.
4. DThe size of the uterus is discounted in the initial examination.
46With regard to follow-up visits for women receiving prenatal care, nurses should be aware that:
1. AThe interview portions become more intensive as the visits become more frequent over the course of the pregnancy.
2. BMonthly visits are scheduled for the first trimester, every 2 weeks for the second trimester, and weekly for the third trimester.
3. CDuring the abdominal examination, the nurse should be alert for supine hypotension.
4. DFor pregnant women, a systolic blood pressure (BP) of 130 and a diastolic BP of 80 is sufficient to be considered hypertensive.
47While teaching the expectant mother about personal hygiene during pregnancy, maternity nurses should be aware that:
1. ATub bathing is permitted even in late pregnancy unless membranes have ruptured.
2. BThe perineum should be wiped from back to front.
3. CBubble bath and bath oils are permissible because they add an extra soothing and cleansing action to the bath.
4. DExpectant mothers should use specially treated soap to cleanse the nipples.
48With regard to medications, herbs, shots, and other substances normally encountered by pregnant women, the maternity nurse should be aware that:
1. ABoth prescription and over-the-counter (OTC) drugs that otherwise are harmless can be made hazardous by metabolic deficiencies of the fetus.
2. BThe greatest danger of drug-caused developmental deficits in the fetus is seen in the final trimester.
3. CKilled-virus vaccines (e.g., tetanus) should not be given during pregnancy, but live-virus vaccines (e.g., measles) are permissible.
4. DNo convincing evidence exists that secondhand smoke is potentially dangerous to the fetus.
49While 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?
1. AHave the patient stand up and retake her blood pressure.
2. BHave the patient sit down and hold her arm in a dependent position.
3. CHave the patient lie supine for 5 minutes and recheck her blood pressure on both arms.
4. DHave the patient turn to her left side and recheck her blood pressure in 5 minutes.
50Signs and symptoms that a woman should report immediately to her health care provider include (Select all that apply):
1. AVaginal bleeding.
2. BRupture of membranes.
3. CHeartburn accompanied by severe headache.
4. DDecreased libido.
5. EUrinary frequency.

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Descripción: Covers antepartum.
Autor: Usuario eliminado
Idioma: English
Visitas: 42
Historial: Creado el 12 feb 2019 · actualizado el 12 feb 2019
Etiquetas: el usuario ha eliminado su información de asignaturas
Valoración: Aún sin valoraciones
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NURS 218 Lesson 2 QUIZ #1

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