Deck 9: Physical and Psychological Changes of Pregnancy

Question 1

A 20-year-old patient who is at 10 weeks' gestation is preparing for her first prenatal visit. She confides, "This pregnancy was unplanned. I'm not sure if I want to be pregnant or not. I haven't even told my boyfriend I'm pregnant. And I haven't decided if I'm going to continue the pregnancy." Which of the following statements should the nurse make next?

A)"It's really unusual for a pregnant woman to feel this way early in the pregnancy."
B)"These thoughts are because your mother died when you were four years old."
C)"You should go to a pregnancy support group to be a good mother."
D)"It's common to feel ambiguous about pregnancy in the first trimester."

Answer 1

"It's common to feel ambiguous about pregnancy in the first trimester."

Question 2

The nurse is reviewing the assessment findings of a patient who is 35 weeks' gestation. Which of the following data suggests the need for further investigation?

A)Melasma gravidarum
B)Pseudoanemia
C)Funic souffle
D)Glycosuria

Answer 2

Glycosuria

Question 3

A 25-year-old woman is in the second trimester of her pregnancy. During the interview, you ask her partner what changes they have noticed during the pregnancy. Which of the following s would indicate a typical response to pregnancy?

A)"She has been more tense and anxious than usual, and she is not sleeping well."
B)"She daydreams about what kind of parent she is going to be."
C)"I haven't noticed anything.I just found out she was pregnant."
D)"She has been having dreams at night about misplacing the baby."

Answer 3

"She daydreams about what kind of parent she is going to be."

Question 4

The patient with a normal pre-pregnancy weight asks why she has been told to gain 25-35 pounds during her pregnancy, but her underweight friend was told to gain more weight. The nurse should tell the patient that recommended weight gain during pregnancy should be:

A)25-35 pounds, regardless of a patient's pre-pregnancy weight.
B)More than 25-35 pounds for an overweight patient.
C)More than 25-35 pounds for an underweight woman.
D)The same for a normal-weight woman as for an overweight woman.

Question 5

The nurse is auscultating fetal heart tones in a patient who is 37 weeks' gestation. While in a supine position, the patient states, "I'm getting lightheaded and dizzy, and I feel clammy." Which of the following nursing actions is most appropriate?

A)Place a wedge beneath the patient's right hip.
B)Prepare for administration of packed red blood cells (PRBCs).
C)Help the patient turn onto her right side.
D)Administer supplemental oxygen.

Question 6

The nurse has completed a presentation for newly-pregnant women about the changes of pregnancy. Which participant's statement reflects accurate comprehension of the information?

A)"A positive Goodell's sign is a probable change of pregnancy."
B)"Three positive pregnancy tests in a one week period is considered to be a positive change of pregnancy."
C)"Uterine souffle is a positive change of pregnancy."
D)"Changes in the pelvic organs are presumptive signs of pregnancy."

Question 7

The partner of a pregnant patient at 16 weeks' gestation accompanies her to the clinic. The partner tells you that the baby just doesn't seem real to him, and he's having a hard time relating to his partner's fatigue and food aversions. Which of the following statements would be best for the nurse to make?

A)"If you would concentrate harder, you'd be aware of the reality of this pregnancy."
B)"My husband had no problem with this.What was your childhood like?"
C)"You might need professional psychological counseling.Ask your physician."
D)"Many men feel this way.Feeling the baby move will help make it real."

Question 8

A 28-year-old patient who is pregnant with her first child reports increased dental caries (cavities) since becoming pregnant. How should the nurse explain the likely cause for this change?

A)"When a woman is pregnant, her teeth lose calcium and she is more susceptible to getting cavities."
B)"It may be necessary to pay extra attention to dental care while you're pregnant, especially if you're vomiting frequently."
C)"Each woman experiences changes that affect her teeth while she's pregnant."
D)"During pregnancy, tooth enamel softens and the woman is more susceptible to getting cavities."

Question 9

A patient who is experiencing her first pregnancy has just completed the initial prenatal examination with a certified nurse-midwife. Which statement indicates that the patient has a correct understanding of her condition?

A)"Because we heard the baby's heartbeat, I am undoubtedly pregnant."
B)"Since I haven't felt the baby move yet, we don't know if I'm pregnant."
C)"My last period was two months ago, which means I'm two months along."
D)"The increased size of my uterus means that I am finally pregnant."

Question 10

The nurse is presenting an in-service to nursing staff regarding the provision of culturally competent patient care. Which statement should the nurse include in the presentation?

A)"Many immigrants to a new country will adopt the beliefs and practices of the dominant culture."
B)"Developed countries are becoming increasingly more ethnically diverse."
C)"The rituals and customs of a group reflect the values of the dominant culture."
D)"Identification of cultural values is a task that is unrelated to providing culturally sensitive care."

Question 11

The labor and delivery nurse is talking with a patient who is expected to deliver her baby within the next several hours. The patient and her husband are Lebanese immigrants.
During conversation, the nurse asks the couple if they have chosen a name for their baby. The patient's husband explains that their Muslim beliefs require that they choose the baby's name after the delivery, as it is God's will whether or not the baby will be born. Which nursing response is appropriate?

A)"Thank you for explaining that to me.By sharing your cultural beliefs with me, you're helping me to provide you with the best possible care."
B)"In the United States, you can feel free to choose your baby's name prior to the delivery."
C)"We have a very low rate of complications at this facility."
D)"Are you afraid your baby will not live?"