Antenatal Care

Question 1

During a woman’s 34th week of pregnancy, she is told that she has pre-eclampsia. The nurse knows that which of the following statements about preeclampsia is true?

Answer 1

Untreated preeclampsia may progress to eclampsia, which is manifested by generalised tonic–clonic seizures.

Question 2

A woman in the 15th week of pregnancy has had bouts of severe vomiting for 3 weeks. She comes to the clinic today and the nurse notes that she is showing signs of dehydration. Her blood pressure is lower than usual and she is extremely fatigued. The nurse recognises that this patient is experiencing:

Answer 2

hyperemesis.

Question 3

Nausea and vomiting are not uncommon in pregnancy. when are they usually resolve by?

Answer 3

between weeks 12 and 16

Question 4

Which of the following findings would be most consistent with an 8-week pregnant uterus?

Answer 4

It is about the size of an avocado, approximately 8 cm across the fundus.

Question 5

Which of the following findings would be most consistent with an 6-week pregnant uterus?

Answer 5

uterus is slightly enlarged and softened

Question 6

Which of the following findings would be most consistent with an 10-week pregnant uterus?

Answer 6

10-week uterus is about the size of a grapefruit and may reach to the pelvic brim

Question 7

Which of the following findings would be most consistent with an 12-week pregnant uterus?

Answer 7

12-week uterus will fill the pelvis. At 12 weeks, the uterus is sized from the abdomen.

Question 8

Which of the following recommendations would be the most appropriate preventative measure to suggest to a primigravid woman at 30 weeks’ gestation who is experiencing occasional heartburn?

Answer 8

Eat smaller and more frequent meals during the day.

Question 9

Which two dipstick tests are generally performed on urine at a prenatal visit?

Answer 9

Protein and glucose

Question 10

A woman, who is at her 25th week of gestation, comes to the clinic for her prenatal visit. The nurse notes that her face is swollen and her blood pressure is 144/94 mmHg. She states that she has had headaches and blurry vision but thought she was just tired. What should the nurse suspect?

Answer 10

Pre-eclampsia

Question 11

what are the Classic symptoms of pre-eclampsia

Answer 11

1.elevated blood pressure
2.proteinuri
3.Onset and worsening symptoms may be sudden

Question 12

When palpating the fundus, the nurse knows that:

Answer 12

after 20 weeks’ gestation, the number of centimetres should approximate the number of weeks’ gestation.

Question 13

Which of the following best describes the action of the hormone progesterone during pregnancy?

Answer 13

It maintains the endometrium around the fetus

Question 14

A patient who is in her first trimester of pregnancy tells the nurse that she is experiencing significant nausea and vomiting and asks when it will improve. The nurse should reply:

Answer 14

‘Usually, by the beginning of the second trimester, the nausea and vomiting improve.’

Question 15

The nurse knows that classic symptoms associated with preeclampsia include:

Answer 15

elevated blood pressure and proteinuria.

Question 16

The nurse knows that the best time to assess a woman’s blood pressure during an initial prenatal visit is:

Answer 16

at the end of the examination when she will be the most relaxed.

Question 17

During auscultation of the fetal heart, the nurse determines that the rate is 136 beats per minute. The nurse’s next action should be to:

Answer 17

document the results, which are within normal range.

Question 18

When examining the face of a 28-week pregnant woman, the nurse notes the presence of a butterfly-shaped increase in pigmentation on the face. The proper term for this finding in the documentation is:

Answer 18

chloasma.

Question 19

During a health history of a woman who is pregnant with her first child, the woman states, ‘I just cannot stop crunching on ice! What’s wrong with me?’ The nurse recognises that:

Answer 19

the woman is experiencing pica, craving for non-food items, which is sometimes associated with anaemia.

Question 20

A patient, who is 24 weeks pregnant, asks about wearing a seatbelt while driving. The nurse should reply

Answer 20

‘Place the lap belt below the uterus and use the shoulder strap at the same time.’

Question 21

Newly expectant parents, ask the nurse how they can prepare their 3yr old preschool daughter for the new baby. All of the following would be useful except:

Answer 21

Transfer their child to her new room and bed just before the expected birth of the baby.

Question 22

A female patient has nausea, breast tenderness, fatigue and amenorrhoea. Her last menstrual period was 6 weeks ago. The nurse recognises that this patient is experiencing _____ signs of pregnancy.

Answer 22

presumptive

Question 23

A woman who is 28 weeks pregnant has oedema in her lower legs bilaterally after working 8 hours a day as a cashier at a local grocery store. What should the nurse recommend to her?

Answer 23

‘As your baby grows, it slows blood return from your legs, causing the swelling. This often occurs with prolonged standing.’

Question 24

The nurse auscultates a functional systolic murmur; grade II/IV, on a woman in week 30 of her pregnancy. The remainder of her physical assessment is within normal limits. The nurse would:

Answer 24

know that this is a normal finding resulting from the increase in blood volume during pregnancy.

Question 25

Which of the following is true regarding pregnancy after age 35 years?

Answer 25

The occurrence of Down syndrome is much more frequent after age 35 years.

Question 26

A patient who is 20 weeks pregnant tells the nurse that she feels more shortness of breath as her pregnancy progresses. The nurse recognises that which of the following is true?

Answer 26

The hormones of pregnancy cause an increased respiratory effort.

Question 27

During the examination of a woman in her second trimester of pregnancy, the nurse notes the presence of a small amount of yellow drainage from the nipples. The nurse knows that this is:

Answer 27

most likely colostrum and considered a normal finding at this stage of the pregnancy.

Question 28

A patient is being seen at the clinic for her 10-week prenatal visit. She asks when she will be able to hear the baby’s heart beat. The nurse should reply:

Answer 28

‘The baby’s heart beat may be heard anywhere from the ninth to twelfth week.’

Question 29

Which of the following correctly describes the average length of pregnancy?

Answer 29

280 days from the first day of the last menstrual period

Question 30

A woman in her second trimester of pregnancy complains of heartburn and indigestion. The nurse should offer which explanation for these problems?

Answer 30

The enlarging uterus and altered oesophageal sphincter tone predispose the woman to have heartburn.

Question 31

The nurse is palpating the abdomen of a woman who is 35 weeks’ pregnant and notes that the fetal head is facing downward toward the pelvis. The nurse would document this as fetal:

Answer 31

presentation.

Question 32

A 25-year-old woman is in the clinic for her first prenatal visit. Which laboratory screening is appropriate at this time?

Answer 32

Complete blood cell count

Question 33

A woman who is 8 weeks pregnant is visiting the clinic for a checkup. Her systolic blood pressure is 30 mmHg higher than her pre-pregnancy blood pressure. The nurse would:

Answer 33

consider this an abnormal finding because blood pressure is typically lower at this point in the pregnancy

Question 34

Which of the following is considered a normal and expected finding when the nurse is performing a physical examination on a pregnant woman?

Answer 34

A palpable, full thyroid

Question 35

When performing the examination of a woman who is 8 weeks pregnant, the nurse notes that the cervix is a bluish colour. The nurse would document this finding as _____ sign.

Answer 35

Chadwick’s