Chapter 14 Nursing Care of the Family During Pregnancy-( Test Questions )

Question 1

Ideally, when should prenatal care begin?

Answer 1

After the first missed menstrual period

Question 2

A woman arrives at the clinic for a pregnancy test. Her last menstrual period (LMP) was February 14, 2015. What is the client’s expected date of birth (EDB)?

Answer 2

11-21-2015

Question 3

Which women should undergo prenatal testing for the human immunodeficiency virus (HIV)?

Answer 3

All women, regardless of risk factors

Question 4

Which sign or symptom is considered a first-trimester warning sign and should be immediately reported by the pregnant woman to her health care provider?

Answer 4

Vaginal Bleeding

Question 5

Which client might be well advised to continue condom use during intercourse throughout her pregnancy?

Answer 5

Women at risk for acquiring or transmitting STIs

Question 6

Which condition is likely to be identified by the quadruple marker screen?

Answer 6

Down Syndrome

Question 7

A pregnant woman at 18 weeks of gestation calls the clinic to report that she has been experiencing occasional backaches of mild-to-moderate intensity. Which intervention should the nurse recommend?

Answer 7

Pelvic Rock Exercises

Question 8

A woman is 3 months pregnant. At her prenatal visit she tells the nurse that she does not know what is happening; one minute she is happy that she is pregnant and the next minute she cries for no reason. Which response by the nurse is most appropriate?

Answer 8

Hormone changes during pregnancy commonly result in mood swings.

Question 9

What is the primary role of the nonpregnant partner during pregnancy?

Answer 9

To support and nurture the pregnant woman

Question 10

During the first trimester, which of the following changes regarding her sexual drive should a client be taught to expect?

Answer 10

Decreased sexual drive, because of nausea and fatigue

Question 11

A 3-year-old girl’s mother is 6 months pregnant. What concern is this child most likely to verbalize?

Answer 11

How will the baby eat?

Question 12

In her work with pregnant women of different cultures, a nurse practitioner has observed various practices that seemed unfamiliar. The nurse practitioner has learned that cultural rituals and practices during pregnancy seem to have one purpose in common. Which statement bestdescribes that purpose?

Answer 12

To protect the mother and fetus during pregnancy

Question 13

A client has arrived for her first prenatal appointment. She asked the nurse to explain exactly how long the pregnancy will be. What is the nurse’s best response?

Answer 13

Normal pregnancy is 10 lunar months.

Question 14

What should the nurse be cognizant of concerning the client’s reordering of personal relationships during pregnancy?

Answer 14

Women usually express two major relationship needs during pregnancy: feeling loved and valued and having the child accepted by the father.

Question 15

What represents a typical progression through the phases of a woman’s establishing a relationship with the fetus?

Answer 15

I am pregnant”—“I am going to have a baby”—“I am going to be a mother.”

Question 16

Who is most likely to experience the phenomenon of someone other than the mother-to-be having pregnancy-like symptoms such as nausea and weight gain?

Answer 16

Expectant Father

Question 17

During the initial visit with a client who is beginning prenatal care, which action should be the highest priority for the nurse?

Answer 17

The nurse should be alert to the appearance of potential parenting problems, such as depression or lack of family support.

Question 18

A pregnant couple has formulated a birth plan and is reviewing it with the nurse at an expectant parent’s class. Which aspect of their birth plan should be considered potentially unrealistic and require further discussion with the nurse?

Answer 18

Regardless of the circumstances, we do not want the fetal monitor used during labor because it will interfere with movement and doing effleurage.”

Question 19

During the physical examination of a client beginning prenatal care, which initial action is most important for the nurse to perform?

Answer 19

The client should empty her bladder before the pelvic examination.

Question 20

A woman who is 16 weeks pregnant has come in for a follow-up visit with her significant other. To reassure the client regarding fetal well-being, which is the highest priority action for the nurse to perform?

Answer 20

Offer the woman and her family the opportunity to listen to the fetal heart tones.

Question 21

What is the primary role of the doula during labor?

Answer 21

Helps the woman perform Lamaze breathing techniques and to provide support to the woman and her partner

Question 22

A client at 34 weeks of gestation seeks guidance from the nurse regarding personal hygiene. Which information should the nurse provide?

Answer 22

Tub bathing is permitted even in late pregnancy unless membranes have ruptured.

Question 23

The client is instructed to place her thumb and forefinger on the areola and gently press inward. What is the purpose of this exercise?

Answer 23

To determine whether the nipple is everted or inverted.

Question 24

Dental care during pregnancy is an important component of good prenatal care. Which instruction regarding dental health should the nurse provide?

Answer 24

If dental treatment is necessary, then the woman will be most comfortable with it in the second trimester.

Question 25

Many pregnant women have questions regarding work and travel during pregnancy. Which education is a priority for the nurse to provide?

Answer 25

While working or traveling in a car or on an airplane, women should arrange to walk around at least every hour or so.

Question 26

Which statement accurately describes the centering model of care?

Answer 26

Approximately 8 to 12 women are placed in each gestational-age cohort group.

Question 27

A pregnant woman at 10 weeks of gestation jogs three or four times per week. She is concerned about the effect of the exercise on the fetus. Which guidance should the nurse provide?

Answer 27

You may find that you need to modify your exercise to walking later in your pregnancy, around the seventh month.

Question 28

Which sign of a potential complication is the most important for the nurse to share with the client?

Answer 28

Alteration in the pattern of fetal movement.

Question 29

A woman who is 14 weeks pregnant tells the nurse that she always had a glass of wine with dinner before she became pregnant. She has abstained during her first trimester and would like to know if it is safe for her to have a drink with dinner now. Which guidance should the nurse provide?

Answer 29

Because no one knows how much or how little alcohol it takes to cause fetal problems, the best course is to abstain throughout your pregnancy.

Question 30

Which behavior indicates that a woman is “seeking safe passage” for herself and her infant?

Answer 30

She keeps all prenatal appointments.

Question 31

What type of cultural concern is the most likely deterrent to many women seeking prenatal care?

Answer 31

Modesty

Question 32

The nurse working with pregnant clients must seek to gain understanding of the process whereby women accept their pregnancy. Which statement regarding this process is most accurate?

Answer 32

Mood swings are most likely the result of worries about finances and a changed lifestyle, as well as profound hormonal changes

Question 33

What is important for the nurse to recognize regarding the new father and his acceptance of the pregnancy and preparation for childbirth?

Answer 33

The father goes through three phases of acceptance of his own.

Question 34

Which consideration is essential for the nurse to understand regarding follow-up prenatal care visits?

Answer 34

During the abdominal examination, the nurse should be alert for supine hypotension.

Question 35

With regard to medications, herbs, boosters, and other substances normally encountered by pregnant women, what is important for the nurse to be aware of?

Answer 35

Both prescription and over-the-counter (OTC) drugs can be made hazardous by metabolic deficiencies of the fetus.

Question 36

Which statement regarding multifetal pregnancy is incorrect?

Answer 36

Twin pregnancies come to term with the same frequency as single pregnancies.

Question 37

While assessing the vital signs of a pregnant woman in her third trimester, the client complains of feeling faint, dizzy, and agitated. Which nursing intervention is appropriate?

Answer 37

Have the patient turn to her left side, and then recheck her BP in 5 minutes.

Question 38

Which signs and symptoms should a woman immediately report to her health care provider?(Select all that apply.)

Answer 38

a. Vaginal bleeding b. Rupture of membranes c. Heartburn accompanied by severe headache frequency

Question 39

A woman has just moved to the United States from Mexico. She is 3 months pregnant and has arrived for her first prenatal visit. During her assessment interview, the nurse learns that the client has not had any immunizations. Which immunizations should she receive at this point in her pregnancy? (Select all that apply.)

Answer 39

a. Tetanus b. Diphtheria e. Hepatitis

Question 40

The number of routine laboratory tests during follow-up visits is limited; however, those that are performed are essential. Which statements regarding group B Streptococcus (GBS) testing are correct? (Select all that apply.)

Answer 40

b. Performed between 35 and 37 weeks of gestation. d. Only women planning a vaginal birth should be tested. e. Women with a history of GBS should be retested.

Question 41

What is the expected date of birth (EDB) for a woman whose LMP was September 10, 2014?

Answer 41

June 17, 2015