Ch. 16 The Childbearing Period Flashcards
A pregnant woman reports to the nurse that the first day of her last menstrual period was January 22. Using Nagele’s rule, which of the following dates would be the most accurate estimated date of delivery?
A. September 16
B. September 22
C. October 29
D. October 17
C. October 29
Which of the following best describes an abnormality in structure or function that occurs during fetal development?
A. Congenital defect
B. Genetic defect
C. Embryonic defect
D. Chromosomal defect
A. Congenital
During which week would pregnancy begin to pose health concerns for the fetus?
A. 36 weeks
B. 38 weeks
C. 40 weeks
D. 42 weeks
D. 42 weeks
Which of the following changes is experienced by the urinary system during pregnancy?
A. Increased urinary output secondary to total body water increase
B. Decreased bladder capacity
C. Decreased glomerular filtration rate (GFR) resulting from estrogen and progesterone surge
D. Increased renal excretion of acidic drugs
A. Increased urinary output secondary to total body water increase
During a routine clinic visit, a pregnant woman expresses concern about reflux she is experiencing. Which statement should be made by the nurse when addressing the woman’s concern?
A. “Frequent heartburn may be a sign of fetal distress and an ultrasound should be performed immediately.”
B. “Frequent heartburn is caused by high levels of hormones during pregnancy.”
C. “Frequent heartburn is a result of GI system changes that occur during pregnancy.”
D. Frequent heartburn during pregnancy requires immediate consultation with a gastroenterologist.”
C. “Frequent heartburn is a result of GI system changes that occur during pregnancy.”
The client who is taking prescribed _______ would require preconception management to minimize the potential for drug-related birth defects.
A. Antiemetics
B. Antiepileptics
C. Iron
D. Non-narcotic analgesics
B. Antiepileptics
A nurse is caring for a pregnant woman who has a pre-pregnancy body mass index (BMI) of 27. Which of the following instructions should the nurse provide the woman regarding weight gain during pregnancy?
A. “You should gain 11 to 20 pounds during your pregnancy.”
B. “You should gain 15 to 25 pounds during your pregnancy.”
C. “You should gain 25 to 35 pounds during your pregnancy.”
D. “You should gain 28 to 40 pounds during your pregnancy.”
B. “You should gain 15 to 25 pounds during your pregnancy.”
A nurse is caring for a woman who is in labor. The nurse anticipates that the labor will progress through which of the following sequences?
A. Dilation stage, pressure stage, placental stage, recovery stage
B. Dilation stage, pushing stage, pain stage, recovery stage
C. Dilation stage, pushing stage, placental stage, recovery stage
D. Dilation stage, pushing stage, placental stage, refractory stage
C. Dilation stage, pushing stage, placental stage, recovery stage
A nurse is caring for a woman who is in labor and the fetus descends to the lower birth canal. The woman is in which of the following stages of labor?
A. First
B. Second
C. Third
D. Fourth
B. Second
A nurse is caring for a woman during the fourth stage of labor. Which of the following best describes an action the nurse would take during this stage?
A. Providing constant reinforcement and education about the labor process and assisting the woman with pushing
B. Explaining unusual interventions such as the use of a fetal heart monitor
C. Assisting with labor discomfort by modeling breathing
D. Teaching the new mother positioning of the infant to assist with breastfeeding
D. Teaching the new mother positioning of the infant to assist with breastfeeding
Which of the following statements about race and culture in the U.S. is correct?
A. The United States ranks 22nd in the world for infant mortality rate
B. Ethnic minority populations have higher rates of low-birth-weight infants
C. Black infants are more likely to have cleft palates than Native American infants
D. Whites have more fraternal twin pregnancies than non-Whites
B. Ethnic minority populations have higher rates of low-birth-weight infants
During the second prenatal visit, the pregnant woman informs the nurse that she has stopped smoking. This finding is based on an assessment of which functional health pattern?
A. Cognitive-perceptual pattern
B. Self-perception-self-concept pattern
C. Health perception - health management pattern
D. Values-beliefs pattern
C. Health perception - health management pattern
A pregnant woman who is at the end of 20 weeks of gestation is at a prenatal visit. Which of the following changes in weight from pre-pregnancy would require the nurse to take additional action?
A. 6 pound increase
B. 11 pound increase
C. 14 pound increase
D. 20 pound increase
A. 6 pound increase
During a prenatal visit, a nurse discovers that a Black woman has been occasionally craving and eating clay. Which of the following actions should be taken by the nurse?
A. Tell the client that many pregnant women crave such non food substances, and it is not a problem
B. Ignore the comment because pica is acceptable in some rural black cultures
C. Encourage the client to eat it with plenty of water because of the risk of constipation
D. Stress the importance of an appropriate diet and avoiding pica in a culturally sensitive way
D. Stress the importance of an appropriate diet and avoiding pica in a culturally sensitive way
A nurse is assessing the nutritional-metabolic patterns of a pregnant woman. Which of the following findings would be of concern to the nurse?
A. The woman drinks about 1 gallon of water a day
B. The woman works out at the gym daily
C. The woman doesn’t like vegetables
D. The woman usually eats three meals a day in addition to two snacks a day
C. The woman doesn’t like vegetables
A woman who is 23 weeks pregnant is concerned because her baby is moving less than it was a few weeks ago. Which of the following statements would be the most appropriate response by the nurse?
A. “Your infant is in distress. We should call an ambulance.”
B. “You need to be more active; take a dance class once a week.”
C. “At this point in your pregnancy, the baby moves less frequently because of lack of space in the uterus.”
D. “You probably counted incorrectly.”
C. “At this point in your pregnancy, the baby moves less frequently because of lack of space in the uterus.”
Which of the following mothers would be most likely to bond appropriately with their infant?
A. A mother who feels unloved will bond appropriately because now the baby will love her
B. A mother who feels great about herself will show love toward the infant and bond appropriately
C. A mother who feels empty by the birth of her child will bond appropriately once she holds the baby
D. A mother who feels ugly will bond appropriately with her child because her child will bring self-esteem
B. A mother who feels great about herself will show love toward the infant and bond appropriately
During the first prenatal visit, the pregnant woman informs the nurse that she cannot wait to start wearing maternity clothes. This finding is based on an assessment of which functional health pattern?
A. Cognitive-perceptual pattern
B. Self-perception - self-concept pattern
C. Health perception - health management pattern
D. Values-beliefs pattern
B. Self-perception - self-concept pattern
A nurse is caring for a client who is 30 weeks pregnant at a prenatal visit. Which of the following statements made by the client would be of concern to the nurse and warrant further explanation and close follow-up?
A. “I have been feeling more tired lately.”
B. “My husband complains every time I ask him to do something for me.”
C. “Sometimes, the smell of food makes me nauseous.”
D. “I need to get up to two times a night to go to the bathroom.”
B. “My husband complains every time I ask him to do something for me.”
A woman who is 30 weeks pregnant tells the nurse that she and her husband are having sexual difficulties. Which of the following actions should the nurse take?
A. Tell the woman she should not be sexually active at this point in her pregnancy because it may harm the fetus
B. Ask her to elaborate on the difficulties
C. Tell her that they should modify their positions during intercourse and that will take care of the problem
D. Tell her men like the way pregnant women look
B. Ask her to elaborate on the difficulties
During a prenatal visit, a pregnant woman informs the nurse that she and her husband have chosen godparents for the baby. This finding is based on an assessment of which functional health pattern?
A. Cognitive-perceptual pattern
B. Self-perception - self-concept pattern
C. Health perception - health management pattern
D. Values-beliefs pattern
D. Values-beliefs pattern
A pregnant woman is having a TORCH screening done at today’s prenatal visit. She states she is anxious to get the results back because she recently had unprotected sex with someone she just met and is afraid she might have HIV. Which of the following statements would be the best response by the nurse?
A. “You will know your HIV status in about 1 week when the results come back.”
B. “You will require additional testing for HIV as it is not tested for with the TORCH screen.”
C. “You will need to be tested for HIV after you deliver because pregnancy can produce false HIV results.”
D. “You need to be exposed for at least 6 months before being tested for HIV in order for the results to be accurate.”
B. “You will require additional testing for HIV as it is not tested for with the TORCH screen.”
A nurse makes a home visit to monitor the blood pressure of a pregnant woman who is single. Which finding would be of most concern to the nurse?
A. The bedroom is located on the second floor
B. She has a pet cat
C. There is an area rug in the living room
D. She has a 1-year old child
B. She has a pet cat
A client who is 36 weeks of gestation is at her prenatal visit. The nurse tells the client that she will be screened for group B Streptococcus during today’s visit. Which of the following statements would be made by the nurse when providing client education about this screening test?
A. “Screening for group B Streptococcus is necessary as this infection can cause complications with pregnancy and to the unborn infant.”
B. “This screening will help us to determine if your unborn infant will be susceptible to respiratory distress when he or she is born.”
C. “Screening for group B Streptococcus will help us identify if you have been exposed to this or any other infections during your pregnancy.”
D. “This screening is necessary to determine if there is any Rh blood group incompatibility between you and your unborn child.”
A. “Screening for group B Streptococcus is necessary as this infection can cause complications with pregnancy and to the unborn infant.”
A woman is Rh negative and the father of her baby is Rh negative. The woman states that her friend told her that she would need a “shot” to keep her baby alive. Which of the following statements would be the best response by the nurse?
A. “Yes, you will need an injection of RhoGAM at 28 weeks of gestation and within 72 hours after birth.”
B. “Because the father of the baby is also Rh negative, your baby will not inherit Rh positive blood cells and you will not need the injection.”
C. “Yes, you will need the injection because this is your first pregnancy. You will not need it with subsequent pregnancies.”
D. “No, you will not need the injection because you are White. Rh incompatibility affects only Black women.”
B. “Because the father of the baby is also Rh negative, your baby will not inherit Rh positive blood cells and you will not need the injection.”
A woman who just found out she is pregnant starts crying. She tells the nurse that over the last 3 days she was not feeling herself, so she took some Tylenol. She states if she knew she was pregnant, she never would have taken the medication. Which of the following actions should be taken by the nurse?
A. Tell the client that there is a high probability that her baby will have a birth defect
B. Tell the client not to worry because research indicates that in recommended doses Tylenol is safe
C. Tell the client not to worry because she did not know she was pregnant, but in the future, she should use herbal products instead of over-the-counter medication
D. Tell the client that there is a high probability of a stillbirth
B. Tell the client not to worry because research indicates that in recommended doses Tylenol is safe
