Exam 1 Practice Questions ~ Moore

Question 1

The nurse explains to a patient who has missed a second menstrual cycle that a combination of presumptive and probable signs is used to make a practical diagnosis of pregnancy. Which signs are expected by the nurse when making a practical diagnosis? Select all that apply.

1. Elevated hCG levels in blood and urine
2. Brownish pigmentation on the face
3. Fetal movement detected by the examiner
4. Bluish-purple coloration of vagina and cervix
5. Occasional mild contractions

Answer 1

1. elevated hCG levels in blood and urine
2. brownish pigment on the face
3. bluish-purple coloration of vagina + cervix (Chadwick’s sign)
4. occasional mild contractions (Braxton Hicks contractions)

Question 2

A patient in the third trimester of pregnancy expresses concern to the nurse about changes to her muscles, joints, and bones. Which conditions does the nurse reassure the patient are normal changes of pregnancy? Select all that apply.
A. Waddling gait
B. Low back pain
C. Increased risk of falls
D. Fractures
E. Severe muscle aches

Answer 2

A, B, C

Question 3

A patient at 13 weeks gestation asks the nurse how her baby is nourished during pregnancy. Which information does the nurse use to explain the process to the mother?

A. Fetal waste products and CO2 pass through the placenta to the mother.
B. The placenta is a special organ developed to create nutrients and oxygen.
C. The mother’s blood and fetus’s blood mix for an exchange of nutrients.
D. Glucose, amino acids, and oxygen pass through the placenta from mother to baby.

Answer 3

D

Asking about NOURISHMENT

Question 4

A client who is 7 weeks gestation is experiencing nausea and vomiting in the morning. Which of the flowing information should the nurse include?

A. Eat crackers or plain toast before getting out of bed
B. Awaken during the night to eat a snack
C. Skip breakfast and eat lunch after nausea has subsided
D. Eat a large evening meal

Answer 4

A

Question 5

A nurse manager is reviewing ways to prevent a TORCH infection during pregnancy with a group of newly licensed nurses. Which of the following statements by a nurse indicates understanding of the teaching?
A. Obtain an immunization against rubella early in pregnancy.
B. Seek prophylactic treatment if cytomegalovirus is detected during pregnancy.
C. A client should avoid crowded places during pregnancy.
D. A client should avoid consuming undercooked meat while pregnant.

Answer 5

D