Prenatal/Infant

Question 1

A pregnant woman reports to the nurse that the first day of her last menstrual period was January 22. Using Nägele’s rule, which of the following dates would be the most accurate estimated date of delivery?

a. September 16
b. September 22
c. October 29
d. October 17

Answer 1

C. October 29th.

Add seven days to first day of LMP and subtract 3 months.

Question 2

Which of the following best describes an abnormality in structure or function that occurs during fetal development?

a. Congenital defect
b. Genetic defect
c. Embryonic defect
d. Chromosomal defect

Answer 2

A. Congenital defect

Others involve abnormal genes or chromosomal placement and defect during embryonic development

Question 3

Which of the following changes is experienced by the urinary system during pregnancy?

a. Increased urinary output secondary to total body water increase
b. Decreased bladder capacity
c. Decreased glomerular filtration rate (GFR) resulting from estrogen and progesterone surge
d. Increased renal excretion of acidic drugs

Answer 3

A. Increased urinary output secondary to total body water increase
The urinary system undergoes dramatic changes during gestation. The changes include a 50% increase in GFR, an increase in the diameter of the ureters, and increase in urinary output related to total body water increase and an increase in bladder capacity.

Question 4

A nurse is caring for a woman who is in labor and the fetus descends to the lower birth canal. The woman is in which of the following stages of labor?

a. First
b. Second
c. Third
d. Fourth

Answer 4

B. Second

During the second stage of labor, the fetus descends through the lower birth canal toward the woman’s perineum.

Question 5

During a prenatal visit, a pregnant woman informs the nurse that she and her husband have chosen godparents for the baby. This finding is based on an assessment of which functional health pattern?

a. Cognitive–perceptual pattern
b. Self-perception–self-concept pattern
c. Health perception–health management pattern
d. Values–beliefs pattern

Answer 5

A. Cognitive–perceptual pattern
For women with strong spiritual needs related to their cultural backgrounds, spiritual interventions will help them integrate various dimensions of their lives, develop the ability to parent successfully, and find meaning in the changes and goals of pregnancy. Identifying godparents will help the woman find meaning in the changes and goals of pregnancy. Such religious beliefs assessments are components of the values–beliefs pattern.