front 1 A woman who is 7 weeks pregnant tells the nurse that this is not her
first pregnancy. She has a 2-year-old son and had one previous
spontaneous abortion. How would the nurse document the patients
obstetric history using the TPALM system? | back 1 ANS: C |
front 2 A woman calls her health care provider to schedule prenatal visits in
an uncomplicated pregnancy. How frequently will the nurse assist the
patient to schedule these appointments? | back 2 ANS: B |
front 3 During the physical examination for the first prenatal visit, it is
noted that Chadwicks sign is present. What is Chadwicks sign? | back 3 ANS: A |
front 4 After the examination is completed, the patient asks the nurse why
Chadwicks sign occurs during pregnancy. What would the nurse explain
as the cause of Chadwicks sign? | back 4 ANS: D |
front 5 The nurse has explained physiological changes that occur during
pregnancy. Which statement indicates that the woman understands the
information? | back 5 ANS: B |
front 6 A woman reports that her last normal menstrual period began on August
5, 2013. What is this womans expected delivery date using Ngeles
rule? | back 6 ANS: C |
front 7 During the second prenatal visit, the nurse attempts to locate the
fetal heartbeat with an electronic Doppler device. How early might
fetal heart tones be detected with an electronic Doppler
device? | back 7 ANS: C |
front 8 In a routine prenatal visit, the nurse examining a patient who is 37
weeks pregnant notices that the fetal heart rate (FHR) has dropped to
120 beats/min from a rate of 160 beats/min earlier in the pregnancy.
What is the nurses first action? | back 8 ANS: D |
front 9 A womans prepregnant weight is determined to be average for her
height. What will the nurse advise the woman regarding recommended
weight gain during pregnancy? | back 9 ANS: C |
front 10 When the nurse tells a pregnant woman that she needs 1200 mg of
calcium daily during pregnancy, the woman responds, I dont like milk.
What dietary adjustments could the nurse recommend? | back 10 ANS: B |
front 11 A pregnant woman is experiencing nausea in the early morning. What
recommendations would the nurse offer to alleviate this
symptom? | back 11 ANS: C |
front 12 The patient who is 28 weeks pregnant shows a 10-pound weight gain
from 2 weeks ago. What is the nurses initial action? | back 12 ANS: C |
front 13 The patient remarks that she has heard some foods will enhance brain
development of the fetus. The nurse replies that foods high in
docosahexaenoic acid (DHA) are thought to enhance brain development.
What food can the nurse recommend? | back 13 ANS: C |
front 14 The nurse encourages adequate intake of folic acid for women of
childbearing age before and during pregnancy. What is folic acid
thought to decrease the incidence of in fetal development? | back 14 ANS: D |
front 15 A woman tells the nurse that she is quite sure she is pregnant. The
nurse recognizes which as a positive sign of pregnancy? | back 15 ANS: D |
front 16 At her initial prenatal visit a woman asks, When can I hear the babys
heartbeat? At what gestational age can the fetal heartbeat be
auscultated with a specially adapted stethoscope or fetoscope? | back 16 ANS: C |
front 17 A woman pregnant for the first time asks the nurse, When will I begin
to feel the baby move? What is the nurses best response? | back 17 ANS: A |
front 18 A pregnant woman inquires about exercising during pregnancy. What
information should the nurse include when planning to educate this
woman? | back 18 ANS: C |
front 19 An ultrasound confirms that a 16-year-old girl is pregnant. How does
the need for prenatal care and counseling for adolescents different
from other age populations? | back 19 ANS: A |
front 20 At what age is a woman who becomes pregnant for the first time
described as an elderly primip? | back 20 ANS: D |
front 21 The nurse explains that the softening of the cervix and vagina is a
probable sign of pregnancy. What is the appropriate term for this
sign? | back 21 ANS: D |
front 22 When obtaining a prenatal history on a pregnant patient the nurse
notes a family history of sickle cell disease. Given this information,
what lab test can the nurse anticipate the physician will
order? | back 22 ANS: D |
front 23 A pregnant woman is attending her second postpartum visit. Prenatal
lab work indicates she is not immune to the rubella virus. What is the
most appropriate nursing intervention? | back 23 ANS: B |
front 24 A woman who is 37 weeks pregnant reports feeling dizzy when lying on
her back. What does the nurse explain as the most likely cause of this
symptom? | back 24 ANS: A |
front 25 A woman who is 36 weeks pregnant tells the nurse she plans to take a
12-hour flight to Hawaii. What would the nurse recommend that the
patient do during the flight? (Select all that apply.) | back 25 ANS: C, D, E |
front 26 The nurse cautions the patient that, because of hormonal changes in
late pregnancy, the pelvic joints relax. What does this result in?
(Select all that apply.) | back 26 ANS: A, B |
front 27 The nurse assesses the progress from the announcement stage of
fatherhood to the acceptance stage when the patient reports which
actions by the father? (Select all that apply.) | back 27 ANS: B, D, E |
front 28 What nursing interventions are appropriate for the prenatal patient
in terms of prenatal care? (Select all that apply.) | back 28 ANS: A, B, C, D |
front 29 The nurse recognizes which behavior characteristic(s) of women in
their first trimester of pregnancy? (Select all that apply.) | back 29 ANS: A, B, C, E |
front 30 The number of years between menarche and the date of conception is
known as | back 30 ANS: Gynecological age is a term that refers to the number of years between the starting of the menses and the date of conception. |
front 31 The nurse reminds the prenatal patient that she should add ________ kcal to her daily intake to nourish the fetus. | back 31 ANS: |
front 32 The patient confesses to eating crushed ice 10 or 12 times daily. The nurse assesses this behavior as __________. | back 32 ANS: |
front 33 The nurse is aware that ______________ maneuver can assess the position and presentation of the fetus. | back 33 ANS: |
front 34 Fathers go through phases similar to the expectant mother. Place the
following phases in order from first to last. Put a comma and space
between each answer choice (a, b, c, d, etc.) | back 34 ANS: |