Question 1

Which time-based description of a stage of development in pregnancy is correct?

Accepted Answer

A)  Viability-22 to 37 weeks of gestation since the last menstrual period (assuming a fetal weight greater than 500 g) 
B)  Term-pregnancy from the beginning of 38 weeks of gestation to the end of 42 weeks of gestation 
C)  Preterm-pregnancy from 20 to 28 weeks of gestation 
D)  Postdate-pregnancy that extends beyond 38 weeks of gestation 
A)  Viability-22 to 37 weeks of gestation since the last menstrual period (assuming a fetal weight greater than 500 g) 
B)  Term-pregnancy from the beginning of 38 weeks of gestation to the end of 42 weeks of gestation 
C)  Preterm-pregnancy from 20 to 28 weeks of gestation 
D)  Postdate-pregnancy that extends beyond 38 weeks of gestation

Question 2

A first-time mother at 18 weeks of gestation is in for her regularly scheduled prenatal visit.The client tells the nurse that she is afraid that she is going into premature labor because she is beginning to have regular contractions.The nurse explains that these are Braxton Hicks contractions.What other information is important for the nurse to share?

Accepted Answer

A)  Braxton Hicks contractions should be painless. 
B)  They may increase in frequency with walking. 
C)  These contractions might cause cervical dilation. 
D)  Braxton Hicks contractions will impede oxygen flow to the fetus. 
A)  Braxton Hicks contractions should be painless. 
B)  They may increase in frequency with walking. 
C)  These contractions might cause cervical dilation. 
D)  Braxton Hicks contractions will impede oxygen flow to the fetus.

Question 3

The diagnosis of pregnancy is based on which positive signs of pregnancy?
(Select all that apply).

Accepted Answer

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)  Identification of fetal heartbeat 
B)  Palpation of fetal outline 
C)  Visualization of the fetus 
D)  Verification of fetal movement 
E)  Positive hCG test

Question 4

Pregnancy is a hypercoagulable state in which women are at a fivefold to sixfold increased risk for thromboembolic disease.The tendency for blood to clot is greater,attributable to an increase in various clotting factors.Which of these come into play during pregnancy?
(Select all that apply).

Accepted Answer

A)  Factor VII 
B)  Factor VIII 
C)  Factor IX 
D)  Factor XIII 
E)  Fibrinogen 
A)  Factor VII 
B)  Factor VIII 
C)  Factor IX 
D)  Factor XIII 
E)  Fibrinogen

Question 5

A patient in her first trimester complains of nausea and vomiting.She asks,"Why does this happen?" What is the nurse's best response?

Accepted Answer

A)  "Nausea and vomiting are due to an increase in gastric motility." 
B)  "Nausea and vomiting may be due to changes in hormones." 
C)  "Nausea and vomiting are related to an increase in glucose levels." 
D)  "Nausea and vomiting are caused by a decrease in gastric secretions." 
A)  "Nausea and vomiting are due to an increase in gastric motility." 
B)  "Nausea and vomiting may be due to changes in hormones." 
C)  "Nausea and vomiting are related to an increase in glucose levels." 
D)  "Nausea and vomiting are caused by a decrease in gastric secretions."

Question 6

Some pregnant clients may complain of changes in their voice and impaired hearing.What should the nurse explain to the client concerning these findings?

Accepted Answer

A)  Voice changes are caused by decreased estrogen levels. 
B)  Displacement of the diaphragm results in thoracic breathing. 
C)  Voice changes and impaired hearing are due to the results of congestion and swelling of the upper respiratory tract. 
D)  Increased blood volume causes changes in the voice. 
A)  Voice changes are caused by decreased estrogen levels. 
B)  Displacement of the diaphragm results in thoracic breathing. 
C)  Voice changes and impaired hearing are due to the results of congestion and swelling of the upper respiratory tract. 
D)  Increased blood volume causes changes in the voice.

Question 7

Which finding in the urinalysis of a pregnant woman is considered a variation of normal?

Accepted Answer

A)  Proteinuria 
B)  Glycosuria 
C)  Bacteria in the urine 
D)  Ketones in the urine 
A)  Proteinuria 
B)  Glycosuria 
C)  Bacteria in the urine 
D)  Ketones in the urine

Question 8

Which hormone is essential for maintaining pregnancy?

Accepted Answer

A)  Estrogen 
B)  hCG 
C)  Oxytocin 
D)  Progesterone 
A)  Estrogen 
B)  hCG 
C)  Oxytocin 
D)  Progesterone

Question 9

Cardiac output increases from 30% to 50% by the 32nd week of pregnancy.What is the rationale for this change?

Accepted Answer

A)  To compensate for the decreased renal plasma flow 
B)  To provide adequate perfusion of the placenta 
C)  To eliminate metabolic wastes of the mother 
D)  To prevent maternal and fetal dehydration 
A)  To compensate for the decreased renal plasma flow 
B)  To provide adequate perfusion of the placenta 
C)  To eliminate metabolic wastes of the mother 
D)  To prevent maternal and fetal dehydration

Question 10

Numerous changes in the integumentary system occur during pregnancy.Which change persists after birth?

Accepted Answer

A)  Epulis 
B)  Chloasma 
C)  Telangiectasia 
D)  Striae gravidarum 
A)  Epulis 
B)  Chloasma 
C)  Telangiectasia 
D)  Striae gravidarum

Question 11

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 12

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 13

A client is seen at the clinic at 14 weeks of gestation for a follow-up appointment.At which level does the nurse expect to palpate the fundus?

Accepted Answer

A)  Nonpalpable above the symphysis at 14 weeks of gestation 
B)  Slightly above the symphysis pubis 
C)  At the level of the umbilicus 
D)  Slightly above the umbilicus 
A)  Nonpalpable above the symphysis at 14 weeks of gestation 
B)  Slightly above the symphysis pubis 
C)  At the level of the umbilicus 
D)  Slightly above the umbilicus

Question 14

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 aS₂½ 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 aS₂½ 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.

Exam 13: Anatomy and Physiology of Pregnancy

Which time-based description of a stage of development in pregnancy is correct?

The diagnosis of pregnancy is based on which positive signs of pregnancy? (Select all that apply).

Pregnancy is a hypercoagulable state in which women are at a fivefold to sixfold increased risk for thromboembolic disease.The tendency for blood to clot is greater,attributable to an increase in various clotting factors.Which of these come into play during pregnancy? (Select all that apply).

A patient in her first trimester complains of nausea and vomiting.She asks,"Why does this happen?" What is the nurse's best response?

Some pregnant clients may complain of changes in their voice and impaired hearing.What should the nurse explain to the client concerning these findings?

Which finding in the urinalysis of a pregnant woman is considered a variation of normal?

Which hormone is essential for maintaining pregnancy?

Cardiac output increases from 30% to 50% by the 32nd week of pregnancy.What is the rationale for this change?

Numerous changes in the integumentary system occur during pregnancy.Which change persists after birth?

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?

A client is seen at the clinic at 14 weeks of gestation for a follow-up appointment.At which level does the nurse expect to palpate the fundus?

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

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

Filters