chapter 14 + 15

Question 1

The _______ is responsible for three important functions: circulation, protection, and hormone production.

Answer 1

placenta

Question 2

White blood cell productions typically __________ during pregnancy

Answer 2

increase

Question 3

BP during pregnancy typically increases related to increased blood volume
True or False

Answer 3

False

Question 4

Levels of hCG continue to rise during pregnancy, returning to normal after delivery
True or False

Answer 4

False

Question 5

the first system to develop in the embryo is the _______ system

Answer 5

cardiovascular

Question 6

the exaggerated curve to the lumbar spine that is commonly seen in pregnant women is known as ___________.

Answer 6

lordosis

Question 7

striae gravidarum is a normal occurrence during pregnancy that affects skin pigmentation and vasculature
True or False

Answer 7

True

Question 8

Pigmentation changes often seen on the face during pregnancy called ___________.

Answer 8

chloasma

Question 9

a normal umbilical cord contains two veins and one artery

Answer 9

False

Question 10

The embryo stage of development occurs from day 10 to week 8
True or False

Answer 10

True

Question 11

A nurse is teaching a group of clients who are pregnant about measures to relieve backache during pregnancy. Which of the following measures should the nurse include? (Select all that apply.)

• avoid any lifting
• perform Kegel exercises twice a day
• perform the pelvic rock exercise every day
• use proper body mechanics
• avoid constrictive clothing

Answer 11

perform the pelvic rock exercise every day

use proper body mechanics

Question 12

a nurse is caring for a client who is pregnant and reviewing manifestations of complications the client should promptly report to the provider. Which of the following complications should the nurse include?

• vaginal bleeding
• swelling of the ankles
• heartburn after eating
• lightheadedness when lying on back

Answer 12

vaginal bleeding

Question 13

a client who is at 7 weeks of gestation is experiencing nausea and vomiting in the morning. which of the following information should the nurse include?

• eat crackers or plain toast before getting out of bed
• awaken during the night to eat a snack
• skip breakfast and eat lunch after nausea has subsided
• eat a large evening meal

Answer 13

eat crackers or plain toast before getting out of bed

Question 14

a nurse is teaching a client who is at 6 weeks of gestation about common discomforts of pregnancy. which of the following findings should the nurse include? (select all that apply.)

• breast tenderness
• urinary frequency
• epistaxis
• dysuria
• epigastric pain

Answer 14

• breast tenderness
• urinary frequency
• epistaxis

Question 15

a client who is at 8 weeks of gestation tells the nurse, “I am not sure I am happy about being pregnant.” which of the following responses should the nurse make?

• “I will inform the provider that you are having these feelings.”
• “It is normal to have these feelings during the first few months of pregnancy.”
• “You should be happy that you are going to bring new life into the world.”
• “I am going to make an appointment with the counselor for you to discuss these thoughts.”

Answer 15

• “It is normal to have these feelings during the first few months of pregnancy.”

Question 16

a nurse in a prenatal clinic is providing education to a client who is at 8 weeks of gestation. the client states, “I don’t like milk.” which of the following foods should the nurse recommend as a good source of calcium?

• dark green leafy vegetables
• deep red or orange vegetables
• white bread and rice
• meat, poultry, and fish

Answer 16

dark green leafy vegetables

Question 17

a nurse in a prenatal clinic is caring for four clients. which of the following clients’ weight gain should the nurse report to the provider?

• 1.8 kg (4 lb) weight gain and is in the first trimester
• 3.6 kg (8 lb) weight gain and is in the first trimester
• 6.8 kg (15 lb) weight gain and is in the second trimester
• 11.3 kg (25 lb) weight gain and is the third trimester

Answer 17

• 3.6 kg (8 lb) weight gain and is in the first trimester

Question 18

a nurse in a clinic is teaching a client of childbearing age about recommended folic acid supplements. which of the following defects can occur in the fetus or neonate as a result of folic acid deficiency?

• iron deficiency anemia
• poor bone formation
• macrocosmic fetus
• neural tube defects

Answer 18

• neural tube defects

Question 19

a nurse is reviewing a new prescription for iron supplements with a client who is at 8 weeks of gestation and has iron deficiency anemia. whic hof the following beverages should the nurse instruct the client to take the iron supplements with?

• ice water
• low-fat or whole milk
• tea or coffee
• orange juice

Answer 19

orange juice

Question 20

a nurse is reviewing PP nutrition needs with a group of clients who have begun breastfeeding their newborns. which of the following statements by a member of the group indicates an understanding of the teaching?

• “I am glad I can have my morning coffee.”
• “I should take folic acid to increase my milk supply.”
• “I will continue adding 330 calories per day to my diet”
• “I will continue my calcium supplements because I don’t like milk.”

Answer 20

• “I will continue my calcium supplements because I don’t like milk.”

Question 21

a nurse is reviewing findings of a client’s biophysical profile (BPPPP). the nurse should expect which of the following variables to be included in this test? (select all that apply.)

• fetal weight
• fetal breathing movement
• fetal tone
• fetal position
• amniotic fluid volume

Answer 21

fetal breathing movement
fetal tone
amniotic fluid volume

Question 22

a nurse is caring for a client who is preterm labor and is scheduled to undergo an amniocentesis. the nurse should evaluate which of the following tests to assess fetal lung maturity?

• Alpha-fetoprotein (AFP)
• Lecithin/sphingomyelin (L/S) ratio
• Kleihauer-Betke test
• Indirect Coombs’ test

Answer 22

• Lecithin/sphingomyelin (L/S) ratio

Question 23

a nurse is caring for a client who is pregnant and undergoing a nonstress test. the client asks why the nurse is using an acoustic vibration device. which of the following responses should the nurse make?

• “it is used to stimulate uterine contractions”
• “it will decrease the incidence of uterine contraction.”
• “it lulls the fetus to sleep.”
• “it awakens a sleeping fetus.”

Answer 23

“it awakens a sleeping fetus”

Question 24

a nurse is teaching a client who is pregnant about the amniocentesis procedure. which of the following statements should the nurse include in the teaching?

• “you will lay on your right side during this procedure”
• “you should not eat anything for 24 hours prior to the procedure”
• “you should empty your bladder prior to the procedure”
• “the test is done to determine gestational age.”

Answer 24

• “you should empty your bladder prior to the procedure”

Question 25

a nurse is caring for a client who is pregnant and is to undergo a contraction stress test (CST). which of the following findings are indications for this procedure? (select all that apply.) - decreased fetal movement - intrauterine growth restriction (IUGR) - postmaturity - placenta previa - amniotic fluid emboli

Answer 25

- decreased fetal movement - intrauterine growth restriction (IUGR) - postmaturity

Question 26

a nurse is caring for a client who is pregnant and states that their last menstrual period was April 1st. which of the following is the client's estimated date of delivery? - January 8 - January 15 - February 8 - February 15

Answer 26

January 8

Question 27

a nurse in a prenatal clinic is caring for a client who is in the first trimester of pregnancy. the client's health record includes this data: G3 T1 P0 A1 L1. how should the nurse interpret this information? (select all that apply.) - client has delivered one newborn at term - client has experienced no preterm labor - client has been through active labor - client has had two prior pregnancies - client has one living child

Answer 27

- client has delivered one newborn at term - client has had two prior pregnancies - client has one living child

Question 28

a nurse is reviewing the health record of a client who is pregnant. the provider indicated the client exhibits probable signs of pregnancy. which of the following findings should the nurse expect? (select all that apply.) - Montgomery's gland - Goodell's sign - Ballottement - Chadwick's sign - Quickening

Answer 28

- Goodell's sign - Ballottement - Chadwick's sign

Question 29

a nurse in a prenatal clinic is caring for a client who is pregnant and experiencing episodes of maternal hypotension. the client asks the nurse what causes these episodes. which of the following responses should the nurse make? - "this is due to an increase in blood volume" - "this is due to pressure from the uterus on the diaphragm." - "this is due to the weight of the uterus on the vena cava." - "this is due to increased cardiac output."

Answer 29

"this is due to the weight of the uterus on the vena cava

Question 30

a nurse in a clinic receives a phone call from a client who would like to be tested in the clinic to confirm a pregnancy. which of the following information should the nurse provide to the client? - "you should wait until 4 weeks after conception to be tested." - "you should be off any medications for 24 hours prior to the test." - "you should be NPO for at least 8 hours prior to the test." - "you should collect urine from the first morning void"

Answer 30

- "you should collect urine from the first morning void"