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Maternity > chapter 14 + 15 > Flashcards

chapter 14 + 15 Flashcards

1
Q

The _______ is responsible for three important functions: circulation, protection, and hormone production.

A

placenta

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2
Q

White blood cell productions typically __________ during pregnancy

A

increase

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3
Q

BP during pregnancy typically increases related to increased blood volume
True or False

A

False

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4
Q

Levels of hCG continue to rise during pregnancy, returning to normal after delivery
True or False

A

False

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5
Q

the first system to develop in the embryo is the _______ system

A

cardiovascular

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6
Q

the exaggerated curve to the lumbar spine that is commonly seen in pregnant women is known as ___________.

A

lordosis

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7
Q

striae gravidarum is a normal occurrence during pregnancy that affects skin pigmentation and vasculature
True or False

A

True

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8
Q

Pigmentation changes often seen on the face during pregnancy called ___________.

A

chloasma

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9
Q

a normal umbilical cord contains two veins and one artery

A

False

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10
Q

The embryo stage of development occurs from day 10 to week 8
True or False

A

True

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11
Q

A nurse is teaching a group of clients who are pregnant about measures to relieve backache during pregnancy. Which of the following measures should the nurse include? (Select all that apply.)

  • avoid any lifting
  • perform Kegel exercises twice a day
  • perform the pelvic rock exercise every day
  • use proper body mechanics
  • avoid constrictive clothing
A

perform the pelvic rock exercise every day

use proper body mechanics

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12
Q

a nurse is caring for a client who is pregnant and reviewing manifestations of complications the client should promptly report to the provider. Which of the following complications should the nurse include?

  • vaginal bleeding
  • swelling of the ankles
  • heartburn after eating
  • lightheadedness when lying on back
A

vaginal bleeding

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13
Q

a client who is at 7 weeks of gestation is experiencing nausea and vomiting in the morning. which of the following information should the nurse include?

  • eat crackers or plain toast before getting out of bed
  • awaken during the night to eat a snack
  • skip breakfast and eat lunch after nausea has subsided
  • eat a large evening meal
A

eat crackers or plain toast before getting out of bed

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14
Q

a nurse is teaching a client who is at 6 weeks of gestation about common discomforts of pregnancy. which of the following findings should the nurse include? (select all that apply.)

  • breast tenderness
  • urinary frequency
  • epistaxis
  • dysuria
  • epigastric pain
A
  • breast tenderness
  • urinary frequency
  • epistaxis
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15
Q

a client who is at 8 weeks of gestation tells the nurse, “I am not sure I am happy about being pregnant.” which of the following responses should the nurse make?

  • “I will inform the provider that you are having these feelings.”
  • “It is normal to have these feelings during the first few months of pregnancy.”
  • “You should be happy that you are going to bring new life into the world.”
  • “I am going to make an appointment with the counselor for you to discuss these thoughts.”
A
  • “It is normal to have these feelings during the first few months of pregnancy.”
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16
Q

a nurse in a prenatal clinic is providing education to a client who is at 8 weeks of gestation. the client states, “I don’t like milk.” which of the following foods should the nurse recommend as a good source of calcium?

  • dark green leafy vegetables
  • deep red or orange vegetables
  • white bread and rice
  • meat, poultry, and fish
A

dark green leafy vegetables

17
Q

a nurse in a prenatal clinic is caring for four clients. which of the following clients’ weight gain should the nurse report to the provider?

  • 1.8 kg (4 lb) weight gain and is in the first trimester
  • 3.6 kg (8 lb) weight gain and is in the first trimester
  • 6.8 kg (15 lb) weight gain and is in the second trimester
  • 11.3 kg (25 lb) weight gain and is the third trimester
A
  • 3.6 kg (8 lb) weight gain and is in the first trimester
18
Q

a nurse in a clinic is teaching a client of childbearing age about recommended folic acid supplements. which of the following defects can occur in the fetus or neonate as a result of folic acid deficiency?

  • iron deficiency anemia
  • poor bone formation
  • macrocosmic fetus
  • neural tube defects
A
  • neural tube defects
19
Q

a nurse is reviewing a new prescription for iron supplements with a client who is at 8 weeks of gestation and has iron deficiency anemia. whic hof the following beverages should the nurse instruct the client to take the iron supplements with?

  • ice water
  • low-fat or whole milk
  • tea or coffee
  • orange juice
A

orange juice

20
Q

a nurse is reviewing PP nutrition needs with a group of clients who have begun breastfeeding their newborns. which of the following statements by a member of the group indicates an understanding of the teaching?

  • “I am glad I can have my morning coffee.”
  • “I should take folic acid to increase my milk supply.”
  • “I will continue adding 330 calories per day to my diet”
  • “I will continue my calcium supplements because I don’t like milk.”
A
  • “I will continue my calcium supplements because I don’t like milk.”
21
Q

a nurse is reviewing findings of a client’s biophysical profile (BPPPP). the nurse should expect which of the following variables to be included in this test? (select all that apply.)

  • fetal weight
  • fetal breathing movement
  • fetal tone
  • fetal position
  • amniotic fluid volume
A

fetal breathing movement
fetal tone
amniotic fluid volume

22
Q

a nurse is caring for a client who is preterm labor and is scheduled to undergo an amniocentesis. the nurse should evaluate which of the following tests to assess fetal lung maturity?

  • Alpha-fetoprotein (AFP)
  • Lecithin/sphingomyelin (L/S) ratio
  • Kleihauer-Betke test
  • Indirect Coombs’ test
A
  • Lecithin/sphingomyelin (L/S) ratio
23
Q

a nurse is caring for a client who is pregnant and undergoing a nonstress test. the client asks why the nurse is using an acoustic vibration device. which of the following responses should the nurse make?

  • “it is used to stimulate uterine contractions”
  • “it will decrease the incidence of uterine contraction.”
  • “it lulls the fetus to sleep.”
  • “it awakens a sleeping fetus.”
A

“it awakens a sleeping fetus”

24
Q

a nurse is teaching a client who is pregnant about the amniocentesis procedure. which of the following statements should the nurse include in the teaching?

  • “you will lay on your right side during this procedure”
  • “you should not eat anything for 24 hours prior to the procedure”
  • “you should empty your bladder prior to the procedure”
  • “the test is done to determine gestational age.”
A
  • “you should empty your bladder prior to the procedure”
25
Q

a nurse is caring for a client who is pregnant and is to undergo a contraction stress test (CST). which of the following findings are indications for this procedure? (select all that apply.)

  • decreased fetal movement
  • intrauterine growth restriction (IUGR)
  • postmaturity
  • placenta previa
  • amniotic fluid emboli
A
  • decreased fetal movement
  • intrauterine growth restriction (IUGR)
  • postmaturity
26
Q

a nurse is caring for a client who is pregnant and states that their last menstrual period was April 1st. which of the following is the client’s estimated date of delivery?

  • January 8
  • January 15
  • February 8
  • February 15
A

January 8

27
Q

a nurse in a prenatal clinic is caring for a client who is in the first trimester of pregnancy. the client’s health record includes this data: G3 T1 P0 A1 L1. how should the nurse interpret this information? (select all that apply.)

  • client has delivered one newborn at term
  • client has experienced no preterm labor
  • client has been through active labor
  • client has had two prior pregnancies
  • client has one living child
A
  • client has delivered one newborn at term
  • client has had two prior pregnancies
  • client has one living child
28
Q

a nurse is reviewing the health record of a client who is pregnant. the provider indicated the client exhibits probable signs of pregnancy. which of the following findings should the nurse expect? (select all that apply.)

  • Montgomery’s gland
  • Goodell’s sign
  • Ballottement
  • Chadwick’s sign
  • Quickening
A
  • Goodell’s sign
  • Ballottement
  • Chadwick’s sign
29
Q

a nurse in a prenatal clinic is caring for a client who is pregnant and experiencing episodes of maternal hypotension. the client asks the nurse what causes these episodes. which of the following responses should the nurse make?

  • “this is due to an increase in blood volume”
  • “this is due to pressure from the uterus on the diaphragm.”
  • “this is due to the weight of the uterus on the vena cava.”
  • “this is due to increased cardiac output.”
A

“this is due to the weight of the uterus on the vena cava

30
Q

a nurse in a clinic receives a phone call from a client who would like to be tested in the clinic to confirm a pregnancy. which of the following information should the nurse provide to the client?

  • “you should wait until 4 weeks after conception to be tested.”
  • “you should be off any medications for 24 hours prior to the test.”
  • “you should be NPO for at least 8 hours prior to the test.”
  • “you should collect urine from the first morning void”
A
  • “you should collect urine from the first morning void”

Maternity (2 decks)

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