Question 1

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 C

Question 2

The musculoskeletal system adapts to the changes that occur throughout the pregnancy.Which musculoskeletal alteration should the client expect?

Accepted Answer

A)  Her center of gravity will shift backward. 
B)  She will have increased lordosis. 
C)  She will have increased abdominal muscle tone. 
D)  She will notice decreased mobility of her pelvic joints. 
A)  Her center of gravity will shift backward. 
B)  She will have increased lordosis. 
C)  She will have increased abdominal muscle tone. 
D)  She will notice decreased mobility of her pelvic joints. B

Question 3

Of which physiologic alteration of the uterus during pregnancy is it important for the nurse to alert the patient?

Accepted Answer

A)  Lightening occurs near the end of the second trimester as the uterus rises into a different position. 
B)  Woman's increased urinary frequency in the first trimester is the result of exaggerated uterine antireflexion caused by softening. 
C)  Braxton Hicks contractions become more painful in the third trimester, particularly if the woman tries to exercise. 
D)  Uterine souffle is the movement of the fetus. 
A)  Lightening occurs near the end of the second trimester as the uterus rises into a different position. 
B)  Woman's increased urinary frequency in the first trimester is the result of exaggerated uterine antireflexion caused by softening. 
C)  Braxton Hicks contractions become more painful in the third trimester, particularly if the woman tries to exercise. 
D)  Uterine souffle is the movement of the fetus. B

Question 4

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 5

The nurse is providing education to a client regarding the normal changes of the breasts during pregnancy.Which statement regarding these changes is correct?

Accepted Answer

A)  The visibility of blood vessels that form an intertwining blue network indicates full function of the Montgomery tubercles and possibly an infection of the tubercles. 
B)  The mammary glands do not develop until 2 weeks before labor. 
C)  Lactation is inhibited until the estrogen level declines after birth. 
D)  Colostrum is the yellowish oily substance used to lubricate the nipples for breastfeeding. 
A)  The visibility of blood vessels that form an intertwining blue network indicates full function of the Montgomery tubercles and possibly an infection of the tubercles. 
B)  The mammary glands do not develop until 2 weeks before labor. 
C)  Lactation is inhibited until the estrogen level declines after birth. 
D)  Colostrum is the yellowish oily substance used to lubricate the nipples for breastfeeding.

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 a number of 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 a number of 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

What is the correct term used to describe the mucous plug that forms in the endocervical canal?

Accepted Answer

A)  Operculum 
B)  Leukorrhea 
C)  Funic souffle 
D)  Ballottement 
A)  Operculum 
B)  Leukorrhea 
C)  Funic souffle 
D)  Ballottement

Question 8

A pregnant client tells her nurse that she is worried about the blotchy,brownish coloring over her cheeks,nose,and forehead.The nurse can reassure her that this is a normal condition related to hormonal changes.What is the correct term for this integumentary finding?

Accepted Answer

A)  Melasma 
B)  Linea nigra 
C)  Striae gravidarum 
D)  Palmar erythema 
A)  Melasma 
B)  Linea nigra 
C)  Striae gravidarum 
D)  Palmar erythema

Question 9

Which presumptive sign or symptom of pregnancy would a client experience who is approximately 10 weeks of gestation?

Accepted Answer

A)  Amenorrhea 
B)  Positive pregnancy test 
C)  Chadwick sign 
D)  Hegar sign 
A)  Amenorrhea 
B)  Positive pregnancy test 
C)  Chadwick sign 
D)  Hegar sign

Question 10

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, such as sinus arrhythmia, 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, such as sinus arrhythmia, 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 11

A woman is in her seventh month of pregnancy.She has been complaining of nasal congestion and occasional epistaxis.Which statement best describes why this may be happening to this client?

Accepted Answer

A)  This respiratory change is normal in pregnancy and caused by an elevated level of estrogen. 
B)  This cardiovascular change is abnormal, and the nosebleeds are an ominous sign. 
C)  The woman is a victim of domestic violence and is being hit in the face by her partner. 
D)  The woman has been intranasally using cocaine. 
A)  This respiratory change is normal in pregnancy and caused by an elevated level of estrogen. 
B)  This cardiovascular change is abnormal, and the nosebleeds are an ominous sign. 
C)  The woman is a victim of domestic violence and is being hit in the face by her partner. 
D)  The woman has been intranasally using cocaine.

Question 12

Which statement best describes the rationale for the physiologic anemia that occurs during pregnancy?

Accepted Answer

A)  Physiologic anemia involves an inadequate intake of iron. 
B)  Dilution of hemoglobin concentration occurs in pregnancy with physiologic anemia. 
C)  Fetus establishes the iron stores. 
D)  Decreased production of erythrocytes occur. 
A)  Physiologic anemia involves an inadequate intake of iron. 
B)  Dilution of hemoglobin concentration occurs in pregnancy with physiologic anemia. 
C)  Fetus establishes the iron stores. 
D)  Decreased production of erythrocytes occur.

Question 13

Which gastrointestinal alteration of pregnancy is a normal finding?

Accepted Answer

A)  Insufficient salivation (ptyalism) is caused by increases in estrogen. 
B)  Acid indigestion (pyrosis) begins early but declines throughout pregnancy. 
C)  Hyperthyroidism often develops (temporarily) because hormone production increases. 
D)  Nausea and vomiting rarely have harmful effects on the fetus and may be beneficial. 
A)  Insufficient salivation (ptyalism) is caused by increases in estrogen. 
B)  Acid indigestion (pyrosis) begins early but declines throughout pregnancy. 
C)  Hyperthyroidism often develops (temporarily) because hormone production increases. 
D)  Nausea and vomiting rarely have harmful effects on the fetus and may be beneficial.

Question 14

To provide optimal prenatal care,a blood pressure reading should be obtained at every prenatal visit.Calculating the mean arterial pressure (MAP)can increase the value of this diagnostic finding.MAP readings for a pregnant woman at term are 90+ = 5.8 mm Hg.The nurse has just obtained a BP of 106/70 mm Hg on a 37-week primiparous client.The formula for the MAP reading is (systolic + [2 ´ diastolic])¸ 3.The MAP reading for this client is _____ mm Hg.

Accepted Answer

82
(106 + [2 ´ 70])¸ 3
(106 +

Question 15

What is the correct term for a woman who has completed one pregnancy with a fetus (or fetuses)reaching the stage of fetal viability?

Accepted Answer

A)  Primipara 
B)  Primigravida 
C)  Multipara 
D)  Nulligravida 
A)  Primipara 
B)  Primigravida 
C)  Multipara 
D)  Nulligravida

Question 16

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 inquires about the woman's last menstrual period and asks 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 17

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 18

A woman's obstetric history indicates that she is pregnant for the fourth time,and all of her children from previous pregnancies are living.One was born at 39 weeks of gestation,twins were born at 34 weeks of gestation,and another child was born at 35 weeks of gestation.What is her gravidity and parity using the GTPAL system?

Accepted Answer

A)  3-1-1-1-3 
B)  4-1-2-0-4 
C)  3-0-3-0-3 
D)  4-2-1-0-3 
A)  3-1-1-1-3 
B)  4-1-2-0-4 
C)  3-0-3-0-3 
D)  4-2-1-0-3

Question 19

Why might it be more difficult to diagnose appendicitis during pregnancy?

Accepted Answer

A)  The appendix is displaced upward and laterally, high and to the right. 
B)  The appendix is displaced upward and laterally, high and to the left. 
C)  The appendix is deep at the McBurney's point. 
D)  The appendix is displaced downward and laterally, low and to the right. 
A)  The appendix is displaced upward and laterally, high and to the right. 
B)  The appendix is displaced upward and laterally, high and to the left. 
C)  The appendix is deep at the McBurney's point. 
D)  The appendix is displaced downward and laterally, low and to the right.

Question 20

A woman is in for a routine prenatal checkup.The nurse is assessing her urine for glycosuria and proteinuria.Which findings are considered normal?
(Select all that apply).

Accepted Answer

A)  Dipstick assessment of trace to +1 
B)  300 mg/24 hours 
E)  Albumin < 30 mg/24 hours 
A)  Dipstick assessment of trace to +1 
B)  300 mg/24 hours 
E)  Albumin < 30 mg/24 hours

Exam 13: Anatomy and Physiology of Pregnancy

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

The musculoskeletal system adapts to the changes that occur throughout the pregnancy.Which musculoskeletal alteration should the client expect?

Of which physiologic alteration of the uterus during pregnancy is it important for the nurse to alert the patient?

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

The nurse is providing education to a client regarding the normal changes of the breasts during pregnancy.Which statement regarding these changes is correct?

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?

What is the correct term used to describe the mucous plug that forms in the endocervical canal?

A pregnant client tells her nurse that she is worried about the blotchy,brownish coloring over her cheeks,nose,and forehead.The nurse can reassure her that this is a normal condition related to hormonal changes.What is the correct term for this integumentary finding?

Which presumptive sign or symptom of pregnancy would a client experience who is approximately 10 weeks of gestation?

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

A woman is in her seventh month of pregnancy.She has been complaining of nasal congestion and occasional epistaxis.Which statement best describes why this may be happening to this client?

Which statement best describes the rationale for the physiologic anemia that occurs during pregnancy?

Which gastrointestinal alteration of pregnancy is a normal finding?

What is the correct term for a woman who has completed one pregnancy with a fetus (or fetuses)reaching the stage of fetal viability?

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

Why might it be more difficult to diagnose appendicitis during pregnancy?

A woman is in for a routine prenatal checkup.The nurse is assessing her urine for glycosuria and proteinuria.Which findings are considered normal? (Select all that apply).

21st Century Maternity and Women’s 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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