Midterm Exam P1.2 Flashcards

1
Q

Which of the following foods will supply iron to pregnant women, EXCEPT:
A Ampalaya
B Malunggay
C Cabbage
D Kamote tops

A
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2
Q

Jodi complains of morning sickness. Which of the following food will you advise her to include in her diet?
A Liquid, high of calorie, protein and fat
B Semisolid, high in protein and low in CHO
C Solid, low CHO and fat
D Solid, dry high CHO and low fat

A
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3
Q

All of the following common discomforts have their initial onset during the second trimester of pregnancy, EXCEPT:
A. Backache
B. Dyspnea
C. Varicose veins
D. Fatigue

A
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4
Q

Which of the following symptoms should be reported by Jodi to her health care provider immediately?
A. Ankle edema
B. Heartburn
C. Urinary frequency
D. Vaginal bleeding

A
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5
Q

The expectant mother must be instructed of which of the following danger signs in pregnancy, EXCEPT:
A Chills, fever, headache
B Weight gain of 27 lbs. at term
C Pain in the abdomen
D Slight vaginal bleeding

A
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6
Q

Antenatal education is an integral part of maternity care. Which of the following would be stressed during classes for expectant mothers?
A Preparation for labor and delivery
B Understand the effects of new roles in the family
C Understand the needs of a newborn
D All of the above

A
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7
Q

Which of the following are priority topics of childbirth classes during the 4th-12th weeks of gestational period?
1. Sexuality in pregnancy
2. Self care
3. Relief measures of discomforts
4. Breastfeeding
A. 1, 2, 3
B. 2, 3, 4
C. 1, 3, 4
D. 1,2,4

A
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8
Q

During the second trimester, recurrent ankle edema is developed in the afternoon. Which nursing instruction is NOT appropriate when teaching the pregnant woman how to relieve her ankle edema?
A Elevate legs and feet for a short period of time several times daily
B Avoid tight clothing, tight socks, and knee high stockings
C Lie down on the left side when resting or sleeping
D Restrict fluid intake during the late afternoon

A
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9
Q

To help prevent leg cramps from disturbing her sleep , which of the following nursing action should the nurse instruct the pregnant mother?
A Extend her legs and dorsiflex her foot before bedtime
B Elevate and support legs on pillow while sleeping
C Massage calves before bedtime
D Drink warm milk before bedtime

A
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10
Q

Which of the following nursing measures would be most appropriate for occasional lower back pains during pregnancy?
A. Teach how to apply sacral pressure
B Encourage frequent long walks
C Teach pelvic rocking exercises
D Suggest to set on straight back chairs

A
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11
Q

The pregnant woman explains to the nurse that she must work to augment the family income. Which of the following is the nurse’s appropriate response?
A “If you have to work there is nothing anyone can do about it.”
B “You can stop working after the 7th month and apply for unemployment.”
C “You can work as long as possible.”
D “You can work as long as rest period should be planned to prevent unnecessary fatigue.”

A
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12
Q

Which statement best expresses the underlying concept of Prenatal Care?
A Continuous supervision during pregnancy makes early diagnosis and treatment of discomforts during pregnancy.
B Adverse conditions affecting childbearing can be prevented and to some extent be minimized.
C Help the mother and family accept pregnancy as normal physiological occurrence.
D Regular contact with members of the health team gives support to the mother as she goes through pregnancy.

A
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13
Q

The client has come to the clinic because she suspects that she is pregnant. Which of the following would be most definitive to confirm the diagnosis?
A Client’s report of amenorrhea for 3 weeks
B Positive Hegar’s sign
C Pigmentations changes of the breasts
D Palpation of fetal movement by the care provider

A
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14
Q

Which of the following if reported by the client would indicate danger sign in pregnancy in the first trimester?
A Dizziness and blurred vision
B Occasional nausea and vomiting
C No fetal movement
D Ankle edema

A
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15
Q

Which of the following is included as the pillars of for safe motherhood?
1. Antenatal care
2. Clean and safe delivery
3. Essential obstetric care
4. Family planning
A. 1,3,
B. 1,2,3
C. 1,2,4
D. 1,2,3,4

A
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16
Q

A couple who wants to conceive but has been unsuccessful during the last 2 years has undergone many diagnostic procedures. When discussing the situation with the nurse, one partner states, “We know several friends in our age group and all of them have their own child already, Why can’t we have one?”. Which of the following would be the most pertinent nursing diagnosis for this couple?
A. Fear related to the unknown
B. Pain related to numerous procedures.
C. Ineffective family coping related to infertility.
D. Self-esteem disturbance related to infertility.

A
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17
Q

Which of the following urinary symptoms does the pregnant woman most frequently experience during the first trimester?
A. Dysuria
B. Frequency
C. Incontinence
D. Burning

A
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18
Q

Heartburn and flatulence, common in the second trimester, are most likely the result of which of the following?
A. Increased plasma HCG levels
B. Decreased intestinal motility
C. Decreased gastric acidity
D. Elevated estrogen levels

A
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19
Q

On which of the following areas would the nurse expect to observe chloasma?
A. Breast, areola, and nipples
B. Chest, neck, arms, and legs
C. Abdomen, breast, and thighs
D. Cheeks, forehead, and nose

A
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20
Q

A pregnant client states that she “waddles” when she walks. The nurse’s explanation is based on which of the following as the cause?
A. The large size of the newborn
B. Pressure on the pelvic muscles
C. Relaxation of the pelvic joints
D. Excessive weight gain

A
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21
Q

Which of the following common emotional reactions to pregnancy would the nurse expect to occur during the first trimester?
A. Introversion, egocentrism, narcissism
B. Awkwardness, clumsiness, and unattractiveness
C. Anxiety, passivity, extroversion
D. Ambivalence, fear, fantasies

A
22
Q

During which of the following would the focus of classes be mainly on physiologic changes, fetal development, sexuality, during pregnancy, and nutrition?
A. Pre pregnant period
B. First trimester
C. Second trimester
D. Third trimester

A
23
Q

Which of the following would cause a false-positive result on a pregnancy test?
A. The test was performed less than 10 days after an abortion
B. The test was performed too early or too late in the pregnancy
C. The urine sample was stored too long at room temperature
D. A spontaneous abortion or a missed abortion is impending

A
24
Q

FHR can be auscultated with a fetoscope as early as which of the following?
A. 5 weeks gestation
B. 10 weeks gestation
C. 15 weeks gestation
D. 20 weeks gestation

A
25
Q

Which of the following fundal heights indicates less than 12 weeks’ gestation when the date of the LMP is unknown?
A. Uterus in the pelvis
B. Uterus at the xiphoid
C. Uterus in the abdomen
D. Uterus at the umbilicus

A
26
Q

Amenorrhea
A. Presumptive Sign
B. Probable Sign
C. Positive Sign

A
27
Q

Breast Changes
A. Presumptive Sign
B. Probable Sign
C. Positive Sign

A
28
Q

Quickening
A. Presumptive Sign
B. Probable Sign
C. Positive Sign

A
29
Q

Braxton Hicks Contraction
A. Presumptive Sign
B. Probable Sign
C. Positive Sign

A
30
Q

Abdominal Striae
A. Presumptive Sign
B. Probable Sign
C. Positive Sign

A
31
Q

Positive pregnancy test
A. Presumptive Sign
B. Probable Sign
C. Positive Sign

A
32
Q

Goodles sign
A. Presumptive Sign
B. Probable Sign
C. Positive Sign

A
33
Q

Hegar’s Sign
A. Presumptive Sign
B. Probable Sign
C. Positive Sign

A
34
Q

Ballotment
A. Presumptive Sign
B. Probable Sign
C. Positive Sign

A
35
Q

Fetal movements
A. Presumptive Sign
B. Probable Sign
C. Positive Sign

A
36
Q

Fetal outline is present
A. Presumptive Sign
B. Probable Sign
C. Positive Sign

A
37
Q

Fetal heart rate is present
A. Presumptive Sign
B. Probable Sign
C. Positive Sign

A
38
Q

Chadwick’s sign
A. Presumptive Sign
B. Probable Sign
C. Positive Sign

A
39
Q

Linea Negra
A. Presumptive Sign
B. Probable Sign
C. Positive Sign

A
40
Q

Urinary Frequency
A. Presumptive Sign
B. Probable Sign
C. Positive Sign

A
41
Q

Chadwick’s sign
A. Increased carbon dioxide transfered to her by the fetus
B. Hemodilution
C. Nausea vomiting, increased HCG
D. Absence of Menstruation
E. Whitish, gray mousy odor discharge

A
42
Q

Braxton Hicks
A. Increased carbon dioxide transfered to her by the fetus
B. Hemodilution
C. Nausea vomiting, increased HCG
D. Absence of Menstruation
E. Whitish, gray mousy odor discharge

A
43
Q

Colostrum
A. Increased carbon dioxide transfered to her by the fetus
B. Hemodilution
C. Nausea vomiting, increased HCG
D. Absence of Menstruation
E. Whitish, gray mousy odor discharge

A
44
Q

Leukorrhea
A. Increased carbon dioxide transfered to her by the fetus
B. Hemodilution
C. Nausea vomiting, increased HCG
D. Absence of Menstruation
E. Whitish, gray mousy odor discharge

A
45
Q

Amenorrhea
A. Increased carbon dioxide transfered to her by the fetus
B. Hemodilution
C. Nausea vomiting, increased HCG
D. Absence of Menstruation
E. Whitish, gray mousy odor discharge

A
46
Q

Operculum
A. Mucus plug to seal off bacteria
B. Response to increased estrogen level
C. Increased vascularity that produces bluish color of the vagina
D. Rhythmic painless contraction
E. Produced by 12 weeks of pregnancy, antibody-rich milk

A
47
Q

Nasal congestion
A. Mucus plug to seal off bacteria
B. Response to increased estrogen level
C. Increased vascularity that produces bluish color of the vagina
D. Rhythmic painless contraction
E. Produced by 12 weeks of pregnancy, antibody-rich milk

A
48
Q

Hyperventilation
A. Mucus plug to seal off bacteria
B. Response to increased estrogen level
C. Increased vascularity that produces bluish color of the vagina
D. Rhythmic painless contraction
E. Produced by 12 weeks of pregnancy, antibody-rich milk

A
49
Q

Physiologic anemia
A. Mucus plug to seal off bacteria
B. Response to increased estrogen level
C. Increased vascularity that produces bluish color of the vagina
D. Rhythmic painless contraction
E. Produced by 12 weeks of pregnancy, antibody-rich milk

A
50
Q

Early morning sickness
A. Mucus plug to seal off bacteria
B. Response to increased estrogen level
C. Increased vascularity that produces bluish color of the vagina
D. Rhythmic painless contraction
E. Produced by 12 weeks of pregnancy, antibody-rich milk

A