Question 1

During a routine prenatal visit, a client, 36 weeks pregnant, states she has difficulty breathing and feels like her pulse rate is really fast. The nurse finds her pulse to be 100 beats per minute (increased from baseline readings of 70 to 74 beats per minute and irregular, with bilateral crackles in the lower lung bases. Which nursing diagnosis would be the priority for this client?

Accepted Answer

A)   Ineffective tissue perfusion related to supine hypotensive syndrome
B)   Impaired gas exchange related to pulmonary congestion
C)   Activity intolerance related to increased metabolic requirements
D)   Anxiety related to fear of pregnancy outcome B

Question 2

A client's maternal serum alpha-fetoprotein (MSAFP. level was unusually elevated at 17 weeks. The nurse suspects which of the following?

Accepted Answer

A)   Fetal hypoxia
B)   Open spinal defects
C)   Down syndrome
D)   Maternal hypertension B

Question 3

A pregnant woman is flying across the country to visit her family. After teaching the woman about traveling during pregnancy, which statement indicates that the teaching was successful?

Accepted Answer

A)   "I'll sit in a window seat so I can focus on the sky to help relax me."
B)   "I won't drink too much fluid so I don't have to urinate so often."
C)   "I'll get up and walk around the airplane about every 2 hours."
D)   "I'll do some upper arm stretches while sitting in my seat." C

Question 4

When assessing a pregnant woman in her last trimester, which question would be most appropriate to use to gather information about weight gain and fluid retention?

Accepted Answer

A)   "What's your usual dietary intake for a typical day?"
B)   "What size maternity clothes are you wearing now?"
C)   "How puffy does your face look by the end of a day?"
D)   "How swollen do your ankles appear before you go to bed?

Question 5

When describing perinatal education to a pregnant woman and her partner, the nurse emphasizes that the primary goal of these classes is to:

Accepted Answer

A)   Equip a couple with the knowledge to experience a pain-free childbirth
B)   Provide knowledge and skills to actively participate in birth and parenting
C)   Eliminate anxiety so that they can have an uncomplicated birth
D)   Empower the couple to totally control the birth process

Question 6

Which of the following would the nurse include when teaching a pregnant woman about chorionic villus sampling?

Accepted Answer

A)   "The results should be available in about a week."
B)   "You'll have an ultrasound first and then the test."
C)   "Afterwards, you can resume your exercise program."
D)   "This test is very helpful for identifying spinal defects."

Question 7

A pregnant woman in the 36th week of gestation complains that her feet are quite swollen at the end of the day. After careful assessment, the nurse determines that this is an expected finding at this stage of pregnancy. Which intervention would be most appropriate for the nurse to suggest?

Accepted Answer

A)   "Limit your intake of fluids."
B)   "Eliminate salt from your diet."
C)   "Try elevating your legs when you sit."
D)   "Wear Spandex-type full-length pants."

Question 8

When assessing a woman at follow-up prenatal visits, the nurse would anticipate which of the following to be performed?

Accepted Answer

A)   Hemoglobin and hematocrit
B)   Urine for culture
C)   Fetal ultrasound
D)   Fundal height measurement

Question 9

A woman in the 34th week of pregnancy says to the nurse, "I still feel like having intercourse with my husband." The woman's pregnancy has been uneventful. The nurse responds based on the understanding that:

Accepted Answer

A)   It is safe to have intercourse at this time.
B)   Intercourse at this time is likely to cause rupture of membranes.
C)   There are other ways that the couple can satisfy their needs.
D)   Intercourse at this time is likely to result in premature labor.

Question 10

A biophysical profile has been completed on a pregnant woman. The nurse interprets which score as normal?

Accepted Answer

A)   9
B)   7
C)   5
D)   3

Question 11

A client who is 4 months pregnant is at the prenatal clinic for her initial visit. Her history reveals she has 7-year-old twins who were born at 34 weeks gestation, a 2-year old son born at 39 weeks gestation, and a spontaneous abortion 1 year ago at 6 weeks gestation. Using the GTPAL method, the nurse would document her obstetric history as:

Accepted Answer

A)   3 2 1 0 3
B)   3 1 2 2 3
C)   4 1 1 1 3
D)   4 2 1 3 1

Question 12

A nurse is reviewing the medical record of a pregnant woman and notes that she is gravid II. The nurse interprets this to indicate the number of:

Accepted Answer

A)   Deliveries
B)   Pregnancies
C)   Spontaneous abortions
D)   Pre-term births

Question 13

A nurse measures a pregnant woman's fundal height and finds it to be 28 cm. The nurse interprets this to indicate which of the following?

Accepted Answer

A)   14 weeks' gestation
B)   20 weeks' gestation
C)   28 weeks' gestation
D)   36 weeks' gestation

Question 14

A client's last menstrual period was April 11. Using Nagele's rule, her expected date of birth (EDB). would be:

Accepted Answer

A)   January 4
B)   January 18
C)   January 25
D)   February 24

Question 15

A nurse is working with a pregnancy woman to schedule follow-up visits for her pregnancy. Which statement by the woman indicates that she understands the scheduling?

Accepted Answer

A)   "I need to make visits every 2 months until I'm 36 weeks pregnant."
B)   "Once I get to 28 weeks, I have to come twice a month."
C)   "From now until I'm 28 weeks, I'll be coming once a month."
D)   "I'll make sure to get a day off every 2 weeks to make my visits."

Question 16

After teaching a group of students about the different perinatal education methods, the instructor determines that the teaching was successful when the students identify which of the following as the Bradley method?

Accepted Answer

A)   Psychoprophylactic method
B)   Partner-coached method
C)   Natural childbirth method
D)   Mind prevention method

Question 17

When preparing a woman for an amniocentesis, the nurse would instruct her to do which of the following?

Accepted Answer

A)   Shower with an antiseptic scrub.
B)   Swallow the preprocedure sedative.
C)   Empty her bladder.
D)   Lie on her left side.

Question 18

A nursing instructor is describing the various childbirth methods. Which of the following would the instructor include as part of the Lamaze method?

Accepted Answer

A)   Focus on the pleasurable sensations of childbirth
B)   Concentration on sensations while turning on to own bodies
C)   Interruption of the fear-tension-pain cycle
D)   Use of specific breathing and relaxation techniques

Question 19

A pregnant woman in her second trimester tells the nurse, "I've been passing a lot of gas and feel bloated." Which of the following suggestions would be helpful for the woman?

Accepted Answer

A)   "Watch how much beans and onions you eat."
B)   "Limit the amount of fluid you drink with meals"
C)   "Try exercising a little more."
D)   "Some say that eating mints can help."
E)   "Cut down on your intake of cheeses."

Question 20

After teaching a group of students about the discomforts of pregnancy, the students demonstrate understanding of the information when they identify which as common during the first trimester? (Select all that apply.)

Accepted Answer

A)   Urinary frequency
B)   Breast tenderness
C)   Cravings
D)   Backache
E)   Leg cramps

Exam 12: Nursing Management During Pregnancy