Deck 11: The Expectant Family: Needs and Care

Question 1

The nurse is caring for a pregnant patient. The patient's husband has come to the prenatal visit. Which question is best for the nurse to use to assess the adaptation to pregnancy by the father-to-be?

A)"What kind of work do you do?"
B)"What furniture have you gotten for the baby?"
C)"How moody has your wife been lately?"
D)"How are you feeling about becoming a father?"

Answer 1

"How are you feeling about becoming a father?"

Question 2

A pregnant patient who swims 3-5 times per week asks the nurse if she should stop this activity. What is the appropriate nursing response?

A)"You should decrease the number of times you swim per week."
B)"You should continue your exercise program because it would be beneficial."
C)"You should discontinue your exercise program immediately."
D)"You should increase the number of times you swim per week."

Answer 2

"You should continue your exercise program because it would be beneficial."

Question 3

The nurse is explaining the importance of fetal activity assessment to the patient. What should the nurse do to best reinforce the significance of fetal kick counting to the patient?

A)Perform daily phone calls to the patient at work or home.
B)Review the patient's written record of fetal movement at each visit.
C)Ask the patient to remember to count the fetal movements.
D)Explain the

Answer 3

Review the patient's written record of fetal movement at each visit.

Question 4

A patient who is at 10 weeks' gestation tells her nurse, "I'm making too much saliva, and I spit on people every time I talk! What's wrong with me?" How should the nurse respond?

A)"Let's schedule you for a doctor's appointment, because excessive salivation can signal a complication of pregnancy."
B)"That's called ptyalism, and it's usually caused by increased salt intake during the second trimester."
C)"You should avoid astringent mouthwashes and chewing gum."
D)"Excess salivation commonly occurs during the first trimester, although the cause is unknown."

Question 5

The patient in her first trimester of pregnancy is experiencing nausea. To promote self-care, the nurse should help the pregnant patient understand that the nausea might be relieved by:

A)Eating spicy foods.
B)Not eating until two hours after rising.
C)Eating small, frequent meals.
D)Avoiding carbonated beverages.

Question 6

Upon arriving at the prenatal clinic in the morning, the nurse receives messages from four patients. Which patient complaint should be addressed first?

A)Primip at 9 weeks' gestation with increased fatigue and nocturia
B)Multip at 30 weeks' gestation with vaginal bleeding after performing yoga
C)Primip at 24 weeks' gestation with ankle edema
D)Multip at 35 weeks' gestation with new onset of hemorrhoids

Question 7

The nurse is teaching an early pregnancy class for patients in the first trimester of pregnancy. Which statement requires immediate intervention by the nurse?

A)"When my nausea is bad, I will drink some ginger tea."
B)"The fatigue I am experiencing will improve in the second trimester."
C)"It is normal for my vaginal discharge to get green-colored."
D)"I will urinate less often during the middle of my pregnancy."

Question 8

A 32-year-old primipara who is 8 weeks' gestation asks you if she should expect any respiratory changes as her pregnancy progresses. What should the nurse tell her?

A)"By the third trimester, you will no longer feel as though you're short of breath."
B)"If you develop shortness of breath, it should improve in the last few weeks of your pregnancy, as lightening occurs."
C)"Shortness of breath is an abnormal finding during any stage of pregnancy, and it's considered a serious complication."
D)"You may experience shortness of breath due to stretching of the round ligament."

Question 9

The pregnant patient is in her 21^st week of pregnancy and is planning a vacation with her family. She asks the nurse which method of travel would be recommended for her to use. How should the nurse respond? "The safest method of travel is to:

A)"Take an automobile."
B)"Fly on an airplane."
C)"Travel by train."
D)"Not travel this late in pregnancy."

Question 10

A 43-year-old client has just had a positive pregnancy test. She cries and states, "I just don't know what I'll do. I can't be pregnant." Which of the following nursing diagnoses would be the most appropriate?

A)Self-esteem disturbance related to advanced maternal age
B)Knowledge deficit related to advanced maternal age
C)Decisional conflict related to unexpected pregnancy
D)Depression related to unexpected pregnancy

Question 11

A patient in her third trimester of pregnancy reports frequent leg cramps. What strategy would be most appropriate for the nurse to suggest?

A)Point the toes of the affected leg.
B)Increase intake of protein-rich foods.
C)Limit activity for several days.
D)Flex the foot to stretch the calf.

Question 12

A 23-year-old patient is 10 weeks' gestation with her first pregnancy. She expresses worry over feeling no sexual desire for her husband and asks if this is normal. How should the nurse respond?

A)"That sounds normal.In many cases, sexual desire decreases in the first trimester, but it increases again during the second trimester."
B)"That's unusual.Usually, there are minimal changes in sexual desire throughout a healthy pregnancy."
C)"That sounds normal.During the first trimester, sexual desire often decreases; however, by the third trimester, sexual desire is usually greater than before pregnancy."
D)"That's unusual.Throughout a healthy pregnancy, sexual desire usually increases with each trimester."

Question 13

The nurse is preparing a class for expectant fathers. Which information should the nurse include?

A)Siblings adjust readily to the new baby.
B)Sexual activity is safe for normal pregnancy.
C)The expectant mother decides the feeding method.
D)Fathers are expected to be involved in labor and birth.

Question 14

The pregnant patient has asked the nurse what kinds of medications cause birth defects. Which statement would best this question?

A)"Birth defects are very rare.Don't worry; your doctor will watch for problems."
B)"To be safe, don't take any medication without talking to your doctor."
C)"Too much vitamin C is one of the most common issues but is avoidable."
D)"Almost all medications will cause birth defects in the first trimester."