Ch. 13, Mckinney 3rd Physiologic Adaptations to Pregnancy

Question 1

A pregnant woman’s mother is worried that her daughter is not “big enough” at 20 weeks. The nurse palpates and measures the fundal height at 20 cm, which is even with the woman’s umbilicus. What should the nurse report to the woman and her mother?

Answer 1

The body of the uterus is at the belly button level, just where it should be at this time.

Question 2

While you are assessing the vital signs of a pregnant woman in her third trimester, the client complains of feeling faint, dizzy, and agitated. Which nursing intervention is appropriate?

Answer 2

Have the patient turn to her left side and recheck her blood pressure in 5 minutes.

Question 3

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?

Answer 3

Estrogen causes increased blood supply to the mucous membranes and can result in congestion and nosebleeds.

Question 4

Which finding in the urine analysis of a pregnant woman is considered a variation of normal?

Answer 4

Glycosuria

Question 5

Which suggestion is appropriate for the pregnant woman who is experiencing nausea and vomiting?

Answer 5

Use Tums or Alkamints to obtain relief, as directed by a physician

Question 6

The capacity of the uterus in a term pregnancy is how many times its prepregnant capacity?

Answer 6

500

Question 7

The maternity nurse understands that vascular volume increases 30% to 50% during pregnancy to

Answer 7

provide adequate perfusion of the placenta

Question 8

Physiologic anemia often occurs during pregnancy as a result of:

Answer 8

dilution of hemoglobin cocentration

Question 9

While assessing her client, what does the nurse interpret as a positive sign of pregnancy

Answer 9

Visualization of fetus by ultrasound

Question 10

A woman is currently pregnant; she has a 5-year-old son and a 3-year-old daughter. She had one other pregnancy that terminated at 8 weeks. Her gravida and para are:

Answer 10

gravida 4 para 2.

Question 11

A client’s last menstrual period was June 10. Her estimated date of delivery (EDD) is:

Answer 11

17-Mar

Question 12

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

Answer 12

the condition of the expectant mother and fetus can be monitored.

Question 13

A client in her first trimester complains of nausea and vomiting. She asks, “Why does this happen?” The nurse’s best response is

Answer 13

may be due to changes in hormones

Question 14

One of the most effective methods for preventing venous stasis is to

Answer 14

rest often with the feet elevated

Question 15

A client 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

Answer 15

It refers to the bluish color of the cervix in pregnancy.

Question 16

Determine the gravida and para for a woman who delivered triplets 2 years ago and is now pregnant again.

Answer 16

gravida 2 para 1

Question 17

To relieve a leg cramp, the client should be instructed to:

Answer 17

dorsiflex the foot

Question 18

A woman who is gravida 2 para 1 comes for a prenatal visit at 20 weeks of gestation. Her fundus is palpated 3 cm below the umbilicus. This finding is:

Answer 18

lower than normal for gestational age

Question 19

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

Answer 19

abdominal pain

Question 20

A gravida client at 32 weeks of gestation reports that she has severe lower back pain. The nurse’s assessment should include:

Answer 20

observation of posture and body machanics

Question 21

Pelvic congestion during pregnancy may lead to heightened sexual interest and increased orgasmic experiences.

Answer 21

TRUE

Question 22

While providing education to a primiparous client 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.

Answer 22

Braxton Hicks

Question 23

A pregnant client 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 client receive? Choose those that apply.

Answer 23

tetanus,hep a&B, influenza