OB Exam 2 Flashcards
(83 cards)
A woman is in her seventh month of pregnancy. She has been complaining of nasal congestion and
occasional epistaxis. The nurse suspects that:
This is a normal respiratory change in pregnancy caused by elevated levels of estrogen
The nurse caring for the pregnant client must understand that the hormone essential for maintaining
pregnancy is:
Progesterone.
A patient at 24 weeks of gestation contacts the nurse at her obstetric providers office to complain that she
has cravings for dirt and gravel. The nurse is aware that this condition is known as ________ and may indicate
anemia.
PICA
Which time-based description of a stage of development in pregnancy is accurate?
Termpregnancy from the beginning of week 38 of gestation to the end of week 42
The diagnosis of pregnancy is based on which positive signs of pregnancy (Select all that apply)?
a. Identification of fetal heartbeat
b. Palpation of fetal outline
c. Visualization of the fetus
d. Verification of fetal movement
e. Positive hCG test
A,C,D
A woman is in for a routine prenatal checkup. You are assessing her urine for proteinuria. Which findings
are considered normal (Select all that apply)?
a. Dipstick assessment of trace to +1
b. <300 mg/24 hours
c. Dipstick assessment of +2
d. >300 mg/24 hours
A,B
During pregnancy, many changes occur as a direct result of the presence of the fetus. Which of these adaptations meet this criteria? a. Leukorrhea b. Development of the operculum c. Quickening d. Ballottement e. Lightening
C,D,E
Prenatal testing for human immunodeficiency virus (HIV) is recommended for:
all women regardless of risk factors
Which symptom is considered a first-trimester warning sign and should be reported immediately by the
pregnant woman to her health care provider?
vaginal bleeding
The multiple marker test is used to assess the fetus for which condition?
downs syndrome
A woman who is 32 weeks pregnant is informed by the nurse that a danger sign of pregnancy could be
Alteration in the pattern of fetal movement
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. The nurse would tell her:
Because no one knows how much or how little alcohol it takes to cause fetal problems, the best
course is to abstain throughout your pregnancy.
When discussing work and travel during pregnancy with a pregnant patient, nurses should instruct them
that:
While working or traveling in a car or on a plane, women should arrange to walk around at least
every hour or so.
Which statement about multifetal pregnancy is inaccurate?
Twin pregnancies come to term with the same frequency as single pregnancies
While you are assessing the vital signs of a pregnant woman in her third trimester, the patient complains of
feeling faint, dizzy, and agitated. Which nursing intervention is appropriate?
Have the patient turn to her left side and recheck her blood pressure in 5 minutes.
Signs and symptoms that a woman should report immediately to her health care provider include (Select all
that apply):
a. Vaginal bleeding.
b. Rupture of membranes.
c. Heartburn accompanied by severe headache.
d. Decreased libido.
e. Urinary frequency.
A,B,C
A woman has just moved to the United States from Mexico. She is 3 months pregnant and has arrived for
her first prenatal visit. During her assessment interview, you discover that she has not had any immunizations.
Which immunizations should she receive at this point in her pregnancy (Select all that apply)?
a. Tetanus
b. Diphtheria
c. Chickenpox
d. Rubella
e. Hepatitis B
A,B,E
To prevent gastrointestinal upset, clients should be instructed to take iron supplements
At bedtime.
While taking a diet history, the nurse might be told that the expectant mother has cravings for ice chips,
cornstarch, and baking soda. This represents a nutritional problem known as:
PICA
When counseling a client about getting enough iron in her diet, the maternity nurse should tell her that:
Constipation is common with iron supplements
Most women with uncomplicated pregnancies can use the nurse as their primary source for nutritional
information. The nurse or midwife should refer a client to a registered dietitian for in-depth nutritional
counseling in the following situations (Select all that apply).
a. Preexisting or gestational illness such as diabetes
b. Ethnic or cultural food patterns
c. Obesity
d. Vegetarian diet
e. Allergy to tree nuts
A,B,C,D
A woman arrives at the clinic seeking confirmation that she is pregnant. The following information is
obtained: She is 24 years old with a body mass index (BMI) of 17.5. She admits to having used cocaine several
times during the past year and drinks alcohol occasionally. Her blood pressure (BP) is 108/70 mm Hg, her
pulse rate is 72 beats/min, and her respiratory rate is 16 breaths/min. The family history is positive for diabetes
mellitus and cancer. Her sister recently gave birth to an infant with a neural tube defect (NTD). Which
characteristics place the woman in a high risk category?
Family history, BMI, drug/alcohol abuse
A 39-year-old primigravida thinks that she is about 8 weeks pregnant, although she has had irregular
menstrual periods all her life. She has a history of smoking approximately one pack of cigarettes a day, but she
tells you that she is trying to cut down. Her laboratory data are within normal limits. What diagnostic technique
could be used with this pregnant woman at this time?
Ultrasound examination
The nurse sees a woman for the first time when she is 30 weeks pregnant. The woman has smoked
throughout the pregnancy, and fundal height measurements now are suggestive of growth restriction in the
fetus. In addition to ultrasound to measure fetal size, what other tool would be useful in confirming the
diagnosis?
Doppler blood flow analysis
