Chapter 13 – Anatomy of Physiology of Pregnancy-( Test Questions) Flashcards
A woman’s obstetric history indicates that she is pregnant for the fourth time, and all of her children from previous pregnancies are living. One was born at 39 weeks of gestation, twins were born at 34 weeks of gestation, and another child was born at 35 weeks of gestation. What is her gravidity and parity using the GTPAL system?
4-1-2-0
Which presumptive sign or symptom of pregnancy would a client experience who is approximately 10 weeks of gestation?
Amenorrhea
. A client is seen at the clinic at 14 weeks of gestation for a follow-up appointment. At which level does the nurse expect to palpate the fundus?
Above the symphysis pubis
The musculoskeletal system adapts to the changes that occur throughout the pregnancy. Which musculoskeletal alteration should the client expect?
She will have increased lordosis.
A 31-year-old woman believes that she may be pregnant. She took an over-the-counter (OTC) pregnancy test 1 week ago after missing her period; the test was positive. During her assessment interview, the nurse inquires about the woman’s last menstrual period and asks whether she is taking any medications. The client states that she takes medicine for epilepsy. She has been under considerable stress lately at work and has not been sleeping well. Her physical examination does not indicate that she is pregnant. She has an ultrasound scan, which confirms that she is not pregnant. What is the most likely cause of the false-positive pregnancy test result?
Anticonvulsant medications may cause the false-positive test result.
A woman is in her seventh month of pregnancy. She has been complaining of nasal congestion and occasional epistaxis. Which statement best describes why this may be happening to this client?
This respiratory change is normal in pregnancy and caused by an elevated level of estrogen.
The nurse is providing education to a client regarding the normal changes of the breasts during pregnancy. Which statement regarding these changes is correct?
Lactation is inhibited until the estrogen level declines after birth. .
Which hormone is essential for maintaining pregnancy?
Progesterone
Which clinical finding in a primiparous client at 32 weeks of gestation might be an indication of anemia?
Pica
Why might it be more difficult to diagnose appendicitis during pregnancy?
The appendix is displaced upward and laterally, high and to the right.
The nurse is providing health education to a pregnant client regarding the cardiovascular system. Which information is correct and important to share?
Changes in heart size and position and increases in blood volume create auditory changes from 20 weeks of gestation to
Which statement regarding the probable signs of pregnancy is most accurate?
Observed by the health care provider
Which time-based description of a stage of development in pregnancy is correct?
Term—pregnancy from the beginning of 38 weeks of gestation to the end of 42 weeks of gestation
hCG is an important biochemical marker for pregnancy and therefore the basis for many tests. Which statement regarding hCG is true?
Higher-than-normal levels of hCG may indicate an ectopic pregnancy or Down syndrome.
Of which physiologic alteration of the uterus during pregnancy is it important for the nurse to alert the patient?
Woman’s increased urinary frequency in the first trimester is the result of exaggerated uterine antireflexion caused by softening.
What is the correct term used to describe the mucous plug that forms in the endocervical canal?
Operculum
Some pregnant clients may complain of changes in their voice and impaired hearing. What should the nurse explain to the client concerning these findings?
Voice changes and impaired hearing are due to the results of congestion and swelling of the upper respiratory tract.
Which renal system adaptation is an anticipated anatomic change of pregnancy?
Increased bladder sensitivity and then compression of the bladder by the enlarging uterus result in the urge to urinate even when the bladder is almost empty.
A pregnant client tells her nurse that she is worried about the blotchy, brownish coloring over her cheeks, nose, and forehead. The nurse can reassure her that this is a normal condition related to hormonal changes. What is the correct term for this integumentary finding?
Melasma
Which gastrointestinal alteration of pregnancy is a normal finding?
Nausea and vomiting rarely have harmful effects on the fetus and may be beneficial
A first-time mother at 18 weeks of gestation is in for her regularly scheduled prenatal visit. The client tells the nurse that she is afraid that she is going into premature labor because she is beginning to have regular contractions. The nurse explains that these are Braxton Hickscontractions. What other information is important for the nurse to share?
Braxton Hicks contractions should be painless.
Pregnancy hormones prepare the vagina for stretching during labor and birth. Which change related to the pelvic viscera should the nurse share with the client?
Increased vascularity of the vagina increases sensitivity and may lead to a high degree of arousal, especially in the second trimester.
Numerous changes in the integumentary system occur during pregnancy. Which change persists after birth?
Striae gravidarum
What is the correct term for a woman who has completed one pregnancy with a fetus reaching viability?
Primipara
