Question 1

Which renal system adaptation is an anticipated anatomic change of pregnancy?

Accepted Answer

A)  Increased urinary output makes pregnant women less susceptible to urinary infections. 
B)  Increased bladder sensitivity and then compression of the bladder by the enlarging uterus result in the urge to urinate even when the bladder is almost empty. 
C)  Renal (kidney)function is more efficient when the woman assumes a supine position. 
D)  Using diuretic agents during pregnancy can help keep kidney function regular. 
A)  Increased urinary output makes pregnant women less susceptible to urinary infections. 
B)  Increased bladder sensitivity and then compression of the bladder by the enlarging uterus result in the urge to urinate even when the bladder is almost empty. 
C)  Renal (kidney)function is more efficient when the woman assumes a supine position. 
D)  Using diuretic agents during pregnancy can help keep kidney function regular.

Question 2

To reassure and educate their pregnant clients regarding changes in their blood pressure,nurses should be cognizant of what?

Accepted Answer

A)  A blood pressure cuff that is too small produces a reading that is too low;a cuff that is too large produces a reading that is too high. 
B)  Shifting the client's position and changing from arm to arm for different measurements produces the most accurate composite blood pressure reading at each visit. 
C)  Systolic blood pressure slightly increases as the pregnancy advances;diastolic pressure remains constant. 
D)  Compression of the iliac veins and inferior vena cava by the uterus contributes to hemorrhoids in the later stage of a term pregnancy. 
A)  A blood pressure cuff that is too small produces a reading that is too low;a cuff that is too large produces a reading that is too high. 
B)  Shifting the client's position and changing from arm to arm for different measurements produces the most accurate composite blood pressure reading at each visit. 
C)  Systolic blood pressure slightly increases as the pregnancy advances;diastolic pressure remains constant. 
D)  Compression of the iliac veins and inferior vena cava by the uterus contributes to hemorrhoids in the later stage of a term pregnancy.

Question 3

hCG is an important biochemical marker for pregnancy and therefore the basis for many tests.Which statement regarding hCG is true?

Accepted Answer

A)  hCG can be detected as early as weeks after conception. 
B)  hCG levels gradually and uniformly increase throughout pregnancy. 
C)  Significantly lower-than-normal increases in the levels of hCG may indicate a postdate pregnancy. 
D)  Higher-than-normal levels of hCG may indicate an ectopic pregnancy or Down syndrome. 
A)  hCG can be detected as early as weeks after conception. 
B)  hCG levels gradually and uniformly increase throughout pregnancy. 
C)  Significantly lower-than-normal increases in the levels of hCG may indicate a postdate pregnancy. 
D)  Higher-than-normal levels of hCG may indicate an ectopic pregnancy or Down syndrome.

Question 4

A 31-year-old woman believes that she may be pregnant.She took an over-the-counter (OTC)pregnancy test 1 week ago after missing her period;the test was positive.During her assessment interview,the nurse asks about the woman's last menstrual period and whether she is taking any medications.The client states that she takes medicine for epilepsy.She has been under considerable stress lately at work and has not been sleeping well.Her physical examination does not indicate that she is pregnant.She has an ultrasound scan,which confirms that she is not pregnant.What is the most likely cause of the false-positive pregnancy test result?

Accepted Answer

A)  The pregnancy test was taken too early. 
B)  Anticonvulsant medications may cause the false-positive test result. 
C)  The woman has a fibroid tumor. 
D)  She has been under considerable stress and has a hormone imbalance. 
A)  The pregnancy test was taken too early. 
B)  Anticonvulsant medications may cause the false-positive test result. 
C)  The woman has a fibroid tumor. 
D)  She has been under considerable stress and has a hormone imbalance.

Question 5

The nurse is providing health education to a pregnant client regarding the cardiovascular system.Which information is correct and important to share?

Accepted Answer

A)  A pregnant woman experiencing disturbed cardiac rhythm requires close medical and obstetric observation no matter how healthy she may appear otherwise. 
B)  Changes in heart size and position and increases in blood volume create auditory changes from 20 weeks of gestation to term. 
C)  Palpitations are twice as likely to occur in twin gestations. 
D)  All of the above changes will likely occur. 
A)  A pregnant woman experiencing disturbed cardiac rhythm requires close medical and obstetric observation no matter how healthy she may appear otherwise. 
B)  Changes in heart size and position and increases in blood volume create auditory changes from 20 weeks of gestation to term. 
C)  Palpitations are twice as likely to occur in twin gestations. 
D)  All of the above changes will likely occur.

Question 6

Pregnancy hormones prepare the vagina for stretching during labor and birth.Which change related to the pelvic viscera should the nurse share with the client?

Accepted Answer

A)  Because of several changes in the cervix,abnormal Papanicolaou (Pap)tests are easier to evaluate. 
B)  Quickening is a technique of palpating the fetus to engage it in passive movement. 
C)  The deepening color of the vaginal mucosa and cervix (Chadwick sign)usually appears in the second trimester or later as the vagina prepares to stretch during labor. 
D)  Increased vascularity of the vagina increases sensitivity and may lead to a high degree of arousal,especially in the second trimester. 
A)  Because of several changes in the cervix,abnormal Papanicolaou (Pap)tests are easier to evaluate. 
B)  Quickening is a technique of palpating the fetus to engage it in passive movement. 
C)  The deepening color of the vaginal mucosa and cervix (Chadwick sign)usually appears in the second trimester or later as the vagina prepares to stretch during labor. 
D)  Increased vascularity of the vagina increases sensitivity and may lead to a high degree of arousal,especially in the second trimester.

Question 7

During pregnancy,many changes occur as a direct result of the presence of the fetus.Which of these adaptations meet this criterion? (Select all that apply. )

Accepted Answer

A)  Leukorrhea 
B)  Development of the operculum 
C)  Quickening 
D)  Ballottement 
E)  Lightening 
A)  Leukorrhea 
B)  Development of the operculum 
C)  Quickening 
D)  Ballottement 
E)  Lightening

Question 8

Which statement regarding the probable signs of pregnancy is most accurate?

Accepted Answer

A)  Determined by ultrasound 
B)  Observed by the health care provider 
C)  Reported by the client 
D)  Confirmed by diagnostic tests 
A)  Determined by ultrasound 
B)  Observed by the health care provider 
C)  Reported by the client 
D)  Confirmed by diagnostic tests

Question 9

Which clinical finding in a primiparous client at 32 weeks of gestation might be an indication of anemia?

Accepted Answer

A)  Ptyalism 
B)  Pyrosis 
C)  Pica 
D)  Decreased peristalsis 
A)  Ptyalism 
B)  Pyrosis 
C)  Pica 
D)  Decreased peristalsis

Exam 13: Anatomy and Physiology of Pregnancy

Which renal system adaptation is an anticipated anatomic change of pregnancy?

To reassure and educate their pregnant clients regarding changes in their blood pressure,nurses should be cognizant of what?

hCG is an important biochemical marker for pregnancy and therefore the basis for many tests.Which statement regarding hCG is true?

The nurse is providing health education to a pregnant client regarding the cardiovascular system.Which information is correct and important to share?

Pregnancy hormones prepare the vagina for stretching during labor and birth.Which change related to the pelvic viscera should the nurse share with the client?

During pregnancy,many changes occur as a direct result of the presence of the fetus.Which of these adaptations meet this criterion? (Select all that apply. )

Which statement regarding the probable signs of pregnancy is most accurate?

Which clinical finding in a primiparous client at 32 weeks of gestation might be an indication of anemia?

21st Century Maternity and Womens Health Nursing

Community Care: the Family and Culture

Nursing and Genomics

Assessment and Health Promotion

Violence Against Women

Reproductive System Concerns

Sexually Transmitted and Other Infections

Contraception and Abortion

Infertility

Problems of the Breast

Structural Disorders and Neoplasms of the Reproductive System

Conception and Fetal Development

Nursing Care of the Family During Pregnancy

Maternal and Fetal Nutrition

Labor and Birth Processes

Maximizing Comfort for the Laboring Woman

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Postpartum Physiologic Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Physiologic and Behavioral Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

Assessment of High Risk Pregnancy

Hypertensive Disorders

Hemorrhagic Disorders

Endocrine and Metabolic Disorders

Medical-Surgical Disorders

Mental Health Disorders and Substance Abuse

Labor and Birth Complications

Postpartum Complications

Nursing Care of the High Risk Newborn

Acquired Problems of the Newborn

Hemolytic Disorders and Congenital Anomalies

Perinatal Loss, bereavement, and Grief

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