Chapter 10 Flashcards
The nurse caring for the newly pregnant woman would advise her that ideally prenatal care should begin at what time?
a.
Prenatal care should begin before the first missed menstrual period.
b.
Prenatal care should begin after the first missed menstrual period.
c.
Prenatal care should begin after the second missed menstrual period.
d.
Prenatal care should begin after the third missed menstrual period.
B
A woman arrives at the clinic for a pregnancy test. The first day of her last menstrual period (LMP) was February 14, 2012. What would be her expected date of birth (EDB)? a. May 21, 2012 b. November 7, 2013 c. November 21, 2012 d. May 2, 2013
C
Prenatal testing for the human immunodeficiency virus (HIV) is recommended for which of the following?
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
A
Which symptom is considered a first-trimester warning sign and should be reported immediately by the pregnant woman to her health care provider? a. Nausea with occasional vomiting b. Fatigue c. Urinary frequency d. Vaginal bleeding
D
A 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. How should the nurse respond?
a.
“You don’t need to modify your exercising at any time during your pregnancy.”
b.
“Stop exercising, because it will harm the fetus.”
c.
“You may find that you need to modify your exercise later in your pregnancy.”
d.
“Jogging is too hard on your joints; switch to walking now.”
C
Which blood pressure (BP) finding during the second trimester indicates a risk for pregnancy-induced hypertension? a. Baseline BP 120/80, current BP 126/85 b. Baseline BP 100/70, current BP 130/85 c. Baseline BP 140/85, current BP 130/80 d. Baseline BP 110/60, current BP 110/60
B
The multiple marker test is used to assess the fetus for which condition? a. Down syndrome b. Diaphragmatic hernia c. Congenital cardiac abnormality d. Anencephaly
A
A woman who is 32 weeks pregnant is informed by the nurse that a danger sign of pregnancy could be which of the following?
a.
Constipation
b.
Alteration in the pattern of fetal movement
c.
Heart palpitations
d.
Edema in the ankles and feet at the end of the day
B
A 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. What is the nurse’s best response?
a.
“Since you’re in your second trimester, there’s no problem with having one drink with dinner.”
b.
“One drink every night is too much. One drink three times a week should be fine.”
c.
“Since you’re in your second trimester, you can drink as much as you like.”
d.
“It is best to abstain from alcohol as the effects of alcohol on the fetus are inconclusive.”
D
A pregnant woman at 18 weeks of gestation calls the clinic to report that she has been experiencing occasional backaches of mild-to-moderate intensity. What should the nurse recommend to the woman? a. Do Kegel exercises. b. Do pelvic rock exercises. c. Use a softer mattress. d. Stay in bed for 24 hours.
B
For which of the following reasons would breastfeeding be contraindicated?
a.
A woman has hepatitis B.
b.
A woman has everted nipples.
c.
A woman has a history of breast cancer 3 years ago.
d.
A woman is human immunodeficiency virus (HIV) positive.
D
A 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?
a.
“Don’t worry about it; you’ll feel better in a month or so.”
b.
“Have you talked to your husband about how you feel?”
c.
“Perhaps you really don’t want to be pregnant.”
d.
“Hormonal changes during pregnancy commonly result in mood swings.”
D
The nurse should be aware that the partner’s main role in pregnancy is to do which of the following?
a.
Provide financial support.
b.
Protect the pregnant woman from “old wives’ tales.”
c.
Support and nurture the pregnant woman.
d.
Make sure the pregnant woman keeps prenatal appointments.
C
During the first trimester, a pregnant woman can expect which of the following changes in her sexual desire?
a.
Her sexual desire is increased, related to enlarging breasts.
b.
Her sexual desire is decreased, related to nausea and fatigue.
c.
There is no change in sexual desire.
d.
Her sexual desire is increased, related to increased levels of female hormones.
B
Which behaviour indicates that a woman is “seeking safe passage” for herself and her infant? a. She keeps all prenatal appointments. b. She “eats for two.” c. She drives her car slowly. d. She wears only low-heeled shoes.
A