Deck 14: Assessing the Mother-To-Be

Question 1

Which factor significantly contributes to the increase in heart rate that occurs during pregnancy?

A) Increase in overall weight
B) Increase in cardiac volume
C) Systolic murmurs
D) All of the above

Answer 1

Increase in cardiac volume

Question 2

The nurse is assessing a pregnant patient at 32 weeks' gestation. The patient reports difficulty sleeping at night because of back pain. Which recommendation may improve the patient's comfort while sleeping?

A) Sleep on stomach
B) Sleep with head elevated on two pillows
C) Lie on left side with legs and back supported by pillows
D) Lie flat on back with legs fully extended

Answer 2

Lie on left side with legs and back supported by pillows

Question 3

The nurse is assessing the diet of an adolescent patient who is pregnant. Which essential nutrient is often lacking in this population that can adversely affect the pregnancy?

A) Carbohydrates
B) Fats
C) Calcium
D) Potassium

Answer 3

Calcium

Question 4

The nurse is assessing a pregnant patient during the first trimester. Which is the likely cause of a burning sensation during urination?

A) Hyperemesis gravidarum
B) Pregnancy-induced hypertension
C) Gestational diabetes
D) Bladder infection

Question 5

Chinese American pregnant patients may consume rice wine during pregnancy per cultural beliefs. Which will the nurse monitor the patient for as a result of the cultural tradition?

A) Increased blood pressure
B) Decreased blood pressure
C) Increased coagulation
D) Decreased coagulation

Question 6

Which is the reason why all vaginal discharge should be assessed during pregnancy?

A) To assess for placenta previa
B) To assess for vaginal infection
C) To assess for premature rupture of membranes
D) All of the above

Question 7

Which is a clinical manifestation that is often assessed for a pregnant patient who is diagnosed with pregnancy-induced hypertension (PIH)?

A) Diarrhea
B) Headache
C) Glucosuria
D) Positive glucose tolerance test

Question 8

Which is a positive sign of pregnancy?

A) Fetal heart rate
B) Positive pregnancy test
C) Quickening
D) Amenorrhea

Question 9

The nurse is assessing a pregnant patient who is 35 weeks pregnant. The patient reports unremitting calf pain. The nurse elicits a positive Homans' sign. Which action by the nurse is appropriate?

A) Notifying the healthcare provider immediately
B) Recommending an increase in milk and milk products in the diet
C) Applying a heating pad to the affected area
D) Massaging the calf

Question 10

Pregnant women older than 35 years have a higher risk of which condition?

A) Gestational diabetes
B) Increased coagulation
C) Gallstone formation
D) Pyrosis

Question 11

The nurse is assessing a pregnant patient who is 24 weeks' gestation who reports painful leg cramps at night. Which dietary recommendations may prevent leg cramps?

A) Decrease iron
B) Increase calcium
C) Decrease vitamin C
D) Increase vitamin B complex

Question 12

An adolescent patient has failed to gain weight in the first trimester of pregnancy. The patient avoids eye contact at her monthly visit and complains of fatigue. Which should the nurse assess this patient for based on the current data?

A) Pregnancy-induced hypertension
B) Gestational diabetes
C) Depression
D) Hydatidiform mole

Question 13

Which pregnancy problem is more likely to occur in an adolescent pregnancy?

A) Morning sickness
B) Pica
C) Cephalopelvic disproportion
D) Striae gravidarum

Question 14

Which cultural belief by Cuban American pregnant patients may lead to excessive weight gain?

A) Eating coffee grounds to relieve morning sickness
B) Eating fruit to ensure a smooth complexion
C) Eating for both the mother and the fetus
D) Eating craved foods or the baby is marked by the shape of the craved food

Question 15

Which effect can diabetes have on the growing fetus?

A) Juvenile diabetes
B) Macrosomia
C) Anemia
D) Tetralogy of Fallot

Question 16

Which is the reason that a pregnant patient may complain of difficulty breathing?

A) Diaphragm displacement
B) Lung edema
C) Increase in tidal volume
D) Decrease in respiratory rate

Question 17

Using Naegele's rule, which is the estimated date of delivery (EDD) of the patient whose last menstrual period (LMP) was January 21?

A) September 24
B) September 31
C) October 28
D) November 13

Question 18

Which is the best definition for chloasma?

A) A darkening of the nipples, areolae, axillae, and vulva.
B) A line of pigmentation that extends from the symphysis pubis to the umbilicus.
C) A hyperpigmentation of the skin that develops on the face.
D) Pinkish-red streaks with slight depressions in the skin that appear over the abdomen, thighs, breasts, and buttocks.

Question 19

Development of varicose veins is caused by increased pressure on leg veins as a result of the weight of the uterus. Which is not recommended for pregnant women?

A) Elevating feet whenever possible
B) Wearing support hose
C) Wearing flat shoes with arch support
D) Wearing knee-high stockings

Question 20

Which is the reason for conducting a clean-catch midstream urine analysis for glucose during pregnancy?

A) To monitor for infection
B) To monitor for pregnancy-induced hypertension
C) To monitor for gestational diabetes
D) To monitor for an ectopic pregnancy

Question 21

The nurse is conducting a prenatal assessment on a pregnant patient. When does the nurse expect the patient to first notice fetal movement?

A) 10 to 12 weeks' gestation
B) 14 to 16 weeks' gestation
C) 18 to 20 weeks' gestation
D) 22 to 24 weeks' gestation

Question 22

The nurse is assessing a pregnant patient who is 30 weeks' gestation. The patient reports feeling very warm during the day, although everyone else in her office says it is cold. Which is the best explanation for the discrepancy in temperature?

A) Viral infection
B) Increased basal metabolic rate
C) Bacterial infection
D) Increased blood pressure

Question 23

The nurse is assessing a pregnant patient's hemoglobin level. Which finding indicates the diagnosis of anemia?

A) Less than 10 g/dL
B) Less than 12 g/dL
C) Less than 14 g/dL
D) Less than 16 g/dL

Question 24

The nurse is conducting a physical assessment on a pregnant patient who asks, "When should I expect the secretion of my colostrum?" Which should the nurse include in the response to the patient?

A) First trimester of pregnancy
B) Second trimester of pregnancy
C) Third trimester of pregnancy
D) 3 days after birth of newborn

Question 25

The nurse is assessing a pregnant patient who is older than 35 years. Which pregnancy conditions is the patient at an increased risk for developing? Select all that apply.

A) Gestational diabetes
B) Pregnancy-induced hypertension
C) Placental abruption
D) Placenta previa
E) Intrapartal fetal distress

Question 26

Which equipment is necessary when performing a pelvic examination for a pregnant patient? Select all that apply.

A) Stethoscope
B) Tape measure
C) Fetoscope
D) Speculum
E) Lubricant

Question 27

Which presumptive sign of pregnancy often begins at 12 weeks' gestation?

A) Nausea
B) Quickening
C) Amenorrhea
D) Fatigue

Question 28

Which positions will the nurse place the pregnant patient in during a head-to-toe physical assessment? Select all that apply.

A) Standing
B) Sitting
C) Prone
D) Supine
E) Lithotomy

Question 29

The nurse is assessing several pregnant patients at the antepartum clinic. Which pregnant patient, based on culture and ethnicity, may participate in pica practices?

A) African American patient
B) Amish patient
C) Appalachian patient
D) Arab American patient

Question 30

Which of these is pregnancy broken up into?

A) Three semesters
B) Three trimesters
C) Three terms
D) Three quarters

Question 31

The nurse is assessing a pregnant patient who is 26 weeks gestation. The patient reports a change in fetal activity. Which is a possible reason for this assessment finding? Select all that apply.

A) Fetal distress
B) Intrauterine fetal demise
C) Preterm labor
D) Infection
E) Hyperemesis gravidarum

Question 32

The nurse is conducting an assessment for a postpartum patient who gave birth 36 hours ago. The patient has a temperature of greater than 38° Centigrade. Which are possible causes for this assessment finding? Select all that apply.

A) Dehydration
B) Mastitis
C) Endometritis
D) Endometriosis
E) Urinary tract infection

Question 33

Which is not a normal finding during pregnancy?

A) Yellowing of the nails
B) Brownish coloring on face
C) Dark purple vulva
D) Darkening of nipples

Question 34

A pregnant patient asks the nurse, "Why am I getting spider marks on my legs now that I am pregnant?" Which is the rationale for the appearance of the angiomas?

A) Increased estrogen levels
B) Increased weight of the uterus on leg vessel
C) Decreased exercise during pregnancy
D) Peripheral edema

Question 35

Which are characteristics of lochia from day 3 to 4 postpartum to day 10 postpartum? Select all that apply.

A) Rubra
B) Pink serous
C) Brown serous
D) White alba
E) Yellow alba

Question 36

Which is the average length of pregnancy?

A) 200 days
B) 240 days
C) 280 days
D) 320 days

Question 37

The nurse is assessing a pregnant patient who states, "I am gaining too much weight and getting stretch marks."The nurse explains that stretch marks will turn which color after the pregnancy?

A) Yellow
B) Black and blue
C) Pink
D) White