Question 1

A woman who is 28 weeks pregnant has edema in her lower legs bilaterally after working 8 hours a day as a cashier at a local grocery store.What should the nurse tell her?

Accepted Answer

A) "You will be at risk for development of varicose veins when your legs are edematous." 
B) "I would like to listen to your heart sounds.Edema can indicate a problem with your heart." 
C) "Edema is usually the result of too much salt and fluids in your diet.You may need to try to cut down on salty foods." 
D) "As your baby grows,it slows blood return from your legs,causing the swelling.This often occurs with prolonged standing." 
A) "You will be at risk for development of varicose veins when your legs are edematous." 
B) "I would like to listen to your heart sounds.Edema can indicate a problem with your heart." 
C) "Edema is usually the result of too much salt and fluids in your diet.You may need to try to cut down on salty foods." 
D) "As your baby grows,it slows blood return from your legs,causing the swelling.This often occurs with prolonged standing."

Question 2

A patient who is in her first trimester of pregnancy tells the nurse that she is experiencing significant nausea and vomiting,and asks when it will improve.The nurse should reply:

Accepted Answer

A) "Did your mother have significant nausea and vomiting?" 
B) "Many women experience nausea and vomiting until the third trimester." 
C) "Usually,by the beginning of the second trimester,the nausea and vomiting improve." 
D) "At about the time you begin to feel the baby move,the nausea and vomiting will subside." 
A) "Did your mother have significant nausea and vomiting?" 
B) "Many women experience nausea and vomiting until the third trimester." 
C) "Usually,by the beginning of the second trimester,the nausea and vomiting improve." 
D) "At about the time you begin to feel the baby move,the nausea and vomiting will subside."

Question 3

The nurse knows that the best time to assess a woman's blood pressure during an initial prenatal visit is:

Accepted Answer

A) at the end of history-taking,before the physical exam,when she will be the most relaxed. 
B) at the beginning of the interview,as a nonthreatening method of establishing rapport. 
C) during the middle of the physical examination,when she is the most comfortable. 
D) before beginning the pelvic examination,because her blood pressure will be higher after the pelvic examination. 
A) at the end of history-taking,before the physical exam,when she will be the most relaxed. 
B) at the beginning of the interview,as a nonthreatening method of establishing rapport. 
C) during the middle of the physical examination,when she is the most comfortable. 
D) before beginning the pelvic examination,because her blood pressure will be higher after the pelvic examination.

Question 4

When performing the examination of a woman who is 8 weeks pregnant,the nurse notes that her cervix is a bluish colour.The nurse would document this finding as:

Accepted Answer

A) Hegar's sign. 
B) Homan's sign. 
C) Chadwick's sign. 
D) Goodell's sign. 
A) Hegar's sign. 
B) Homan's sign. 
C) Chadwick's sign. 
D) Goodell's sign.

Question 5

The nurse is palpating the abdomen of a woman who is 35 weeks pregnant,and notes that the fetal head is facing downward toward the pelvis.The nurse would document this as:

Accepted Answer

A) fetal lie. 
B) fetal variety. 
C) fetal attitude. 
D) fetal presentation. 
A) fetal lie. 
B) fetal variety. 
C) fetal attitude. 
D) fetal presentation.

Question 6

A patient who is 20 weeks pregnant tells the nurse that she feels more short of breath as her pregnancy progresses.The nurse recognizes that which of the following is true?

Accepted Answer

A) High levels of estrogen cause shortness of breath. 
B) Feelings of shortness of breath are abnormal during pregnancy. 
C) The hormones of pregnancy cause an increased respiratory effort. 
D) The patient should get more exercise in an attempt to increase her respiratory reserve. 
A) High levels of estrogen cause shortness of breath. 
B) Feelings of shortness of breath are abnormal during pregnancy. 
C) The hormones of pregnancy cause an increased respiratory effort. 
D) The patient should get more exercise in an attempt to increase her respiratory reserve.

Question 7

A woman in week 25 of her pregnancy has come to the clinic with a complaint of 3 weeks of bouts of severe vomiting.The nurse notes that she is showing signs of dehydration.Her blood pressure is lower than usual,and she is extremely fatigued.The nurse recognizes that this patient is experiencing:

Accepted Answer

A) pre-eclampsia. 
B) polyhydramnios. 
C) proteinuria. 
D) hyperemesis. 
A) pre-eclampsia. 
B) polyhydramnios. 
C) proteinuria. 
D) hyperemesis.

Question 8

During the assessment of a woman in week 22 of her pregnancy,the nurse is unable to hear fetal heart tones with the Doppler device.The nurse should:

Accepted Answer

A) wait 10 minutes and try again. 
B) notify the physician immediately. 
C) use a fetoscope to identify fetal heart tones. 
D) use ultrasonography to verify cardiac activity. 
A) wait 10 minutes and try again. 
B) notify the physician immediately. 
C) use a fetoscope to identify fetal heart tones. 
D) use ultrasonography to verify cardiac activity.

Question 9

A 25-year-old woman is visiting the clinic for her first prenatal visit.Which laboratory screening is appropriate at this time?

Accepted Answer

A) Human chorionic gonadotropin 
B) Complete blood cell count 
C) a-Fetoprotein 
D) Carrier screening for cystic fibrosis 
A) Human chorionic gonadotropin 
B) Complete blood cell count 
C) a-Fetoprotein 
D) Carrier screening for cystic fibrosis

Question 10

The nurse knows that classic symptoms associated with pre-eclampsia include:

Accepted Answer

A) proteinuria,headaches,and seizures. 
B) elevated blood pressure and proteinuria. 
C) elevated liver enzymes and high platelet count. 
D) neurological signs,elevated blood pressure,and edema. 
A) proteinuria,headaches,and seizures. 
B) elevated blood pressure and proteinuria. 
C) elevated liver enzymes and high platelet count. 
D) neurological signs,elevated blood pressure,and edema.

Question 11

When performing an examination of a woman who is 34 weeks pregnant,the nurse notes that as the woman raises her head and shoulders off of the bed,there is a midline linear protrusion in the abdomen over the area of the rectus abdominis muscles.The nurse would:

Accepted Answer

A) document the presence of diastasis recti. 
B) discuss this condition with the physician,because it will most likely need to be surgically repaired. 
C) suspect that the woman has a hernia from the increased pressure within the abdomen from pregnancy. 
D) tell the woman that she may have a difficult time with delivery because of the weakness in her abdominal muscles. 
A) document the presence of diastasis recti. 
B) discuss this condition with the physician,because it will most likely need to be surgically repaired. 
C) suspect that the woman has a hernia from the increased pressure within the abdomen from pregnancy. 
D) tell the woman that she may have a difficult time with delivery because of the weakness in her abdominal muscles.

Question 12

In week 34 of pregnancy,a woman is told that she has pre-eclampsia.The nurse knows that which of the following statements about pre-eclampsia is true?

Accepted Answer

A) Pre-eclampsia has little effect on the fetus. 
B) Edema is one of the main indications of pre-eclampsia. 
C) Eclampsia only occurs before delivery of the baby. 
D) Untreated pre-eclampsia may progress to eclampsia,which is manifested by generalized tonic-clonic seizures 
A) Pre-eclampsia has little effect on the fetus. 
B) Edema is one of the main indications of pre-eclampsia. 
C) Eclampsia only occurs before delivery of the baby. 
D) Untreated pre-eclampsia may progress to eclampsia,which is manifested by generalized tonic-clonic seizures

Question 13

During an internal examination of a woman during her first prenatal visit,the nurse notes that the cervix is soft.This is known as:

Accepted Answer

A) Hegar's sign. 
B) Chadwick's sign. 
C) Homan's sign. 
D) Goodell's sign. 
A) Hegar's sign. 
B) Chadwick's sign. 
C) Homan's sign. 
D) Goodell's sign.

Question 14

Which of the following findings is considered normal and expected when the nurse is performing a physical examination on a pregnant woman?

Accepted Answer

A) A palpable,full thyroid 
B) Spontaneously bleeding gingiva 
C) Significant,diffuse enlargement of the thyroid 
D) Pale,hypertrophied mucous membranes of the mouth 
A) A palpable,full thyroid 
B) Spontaneously bleeding gingiva 
C) Significant,diffuse enlargement of the thyroid 
D) Pale,hypertrophied mucous membranes of the mouth

Exam 30: Pregnancy

A woman who is 28 weeks pregnant has edema in her lower legs bilaterally after working 8 hours a day as a cashier at a local grocery store.What should the nurse tell her?

A patient who is in her first trimester of pregnancy tells the nurse that she is experiencing significant nausea and vomiting,and asks when it will improve.The nurse should reply:

The nurse knows that the best time to assess a woman's blood pressure during an initial prenatal visit is:

When performing the examination of a woman who is 8 weeks pregnant,the nurse notes that her cervix is a bluish colour.The nurse would document this finding as:

The nurse is palpating the abdomen of a woman who is 35 weeks pregnant,and notes that the fetal head is facing downward toward the pelvis.The nurse would document this as:

A patient who is 20 weeks pregnant tells the nurse that she feels more short of breath as her pregnancy progresses.The nurse recognizes that which of the following is true?

A woman in week 25 of her pregnancy has come to the clinic with a complaint of 3 weeks of bouts of severe vomiting.The nurse notes that she is showing signs of dehydration.Her blood pressure is lower than usual,and she is extremely fatigued.The nurse recognizes that this patient is experiencing:

During the assessment of a woman in week 22 of her pregnancy,the nurse is unable to hear fetal heart tones with the Doppler device.The nurse should:

A 25-year-old woman is visiting the clinic for her first prenatal visit.Which laboratory screening is appropriate at this time?

The nurse knows that classic symptoms associated with pre-eclampsia include:

When performing an examination of a woman who is 34 weeks pregnant,the nurse notes that as the woman raises her head and shoulders off of the bed,there is a midline linear protrusion in the abdomen over the area of the rectus abdominis muscles.The nurse would:

In week 34 of pregnancy,a woman is told that she has pre-eclampsia.The nurse knows that which of the following statements about pre-eclampsia is true?

During an internal examination of a woman during her first prenatal visit,the nurse notes that the cervix is soft.This is known as:

Which of the following findings is considered normal and expected when the nurse is performing a physical examination on a pregnant woman?

Critical Thinking and Evidence-Informed Assessment

Health Promotion in the Context of Health Assessment

Cultural Competence: Cultural Care and Social Considerations in Health Assessment

The Interview

The Complete Health History

Mental Health Assessment

Substance Use in the Context of Health Assessment

Interpersonal Violence Assessment

Assessment Techniques and the Clinical Setting

General Survey, measurement, and Vital Signs

Pain Assessment

Nutritional Assessment and Nursing Practice

Skin, hair, and Nails

Head and Neck, including Regional Lymphatic System

Eyes

Ears

Nose, mouth, and Throat

Breasts and Regional Lymphatic System

Thorax and Lungs

Heart and Neck Vessels

Peripheral Vascular System and Lymphatic System

Abdomen

Anus,rectum and Prostate

Musculoskeletal System

Neurological System

Male Genitourinary System

Female Genitourinary System

The Complete Health Assessment: Putting It All Together

Bedside Assessment of the Hospitalized Patient

Functional Assessment of the Older Adult

Filters