MIDTERM POST TEST 1 Flashcards

1
Q

A nurse in the hospital is caring for a patient who suspects she is pregnant. Which of the following signs of pregnancy would be considered presumptive?

A

Amenorrhea

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2
Q

A nurse is looking over the health history of a client who is currently pregnant.

The provider indicated that the client showed probable signs of pregnancy. Which of the following findings should the nurse expect? (SELECT ALL THAT APPLY).

A

+ Goodell’s Sign

+ Ballottement

+ Chadwick’s sign

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3
Q

Nurse Elsa is caring for patient in her third trimester. She comes into the clinic complaining of shortness of breath.

Nurse Elsa knows that this is not unusual due to:

A

Increased pressure on the diaphragm due to enlarged uterus

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4
Q

A client comes into the clinic with a dark pigmented line extending from the pubic area to the umbilicus. The nurse knows that this is a normal skin change in a pregnant women called:

A

Linea Nigra

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5
Q

The nurse has completed a presentation for newly pregnant women about the changes of pregnancy.

Which participant’s statement reflects accurate comprehension of the information?

A

“A positive Goodell’s sign is a probable change of pregnancy.”

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6
Q

Shiny purplish lines that appear on the abdomen, breasts, thighs, and buttocks of pregnant women because of stretching the skin.

A

Striae gravidarum

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7
Q

A patient who is experiencing her first pregnancy has just completed the initial prenatal examination with a certified nurse-midwife. Which statement indicates that the patient has a correct understanding of her condition?

A

“Because we heard the baby’s heartbeat, I am undoubtedly pregnant.”

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8
Q

A nurse is caring for a patient who wants to know when the best time to take an accurate home pregnancy test is. The nurse correctly replies by saying:

A

Right away when you wake up in the morning

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9
Q

A nurse is reviewing the record of a client who has just been told that a pregnancy test is positive. The physician has documented the presence of a Goodell’s sign. The nurse determines this sign indicates:

A

A softening of the cervix.

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10
Q

The patient in the prenatal clinic tells the nurse that she is sure that she is pregnant because she has not had a menstrual cycle for three months, and her breasts are getting bigger. What response by the nurse is best?

A

“Lack of menses can be caused by many things. We need to do a pregnancy test.”

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11
Q

The adolescent patient reports to the clinic nurse that her period is late but that her home pregnancy test is negative. Which response is most appropriate?

A

“You might be pregnant, but it might be too early for your home test be accurate.”

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12
Q

What represents a positive sign of pregnancy if exhibited by a pregnant woman?

A

Fetal heartbeat auscultated with Doppler

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13
Q

When assessing the fetal heart rate (FHR) of a woman at 30 weeks of gestation, the nurse counts a rate of 82 beats/min. Initially the nurse should:

A

Assess the woman’s radial pulse.

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14
Q

A nurse teaches a pregnant woman about the presumptive, probable, and positive signs of pregnancy. The woman demonstrates an understanding of the nurse’s instructions if she states that a positive sign of pregnancy is:

A

Fetal movement palpated by the nurse-midwife.

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15
Q

During a client’s physical examination, the nurse notes that the lower uterine segment is soft on palpation. The nurse would document this finding as the:

A

Hegar sign

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16
Q

Brownish pigmentation over the bridge of the nose and the cheeks during pregnancy and in some women who are taking oral contraceptives.

A

Melasma

17
Q

A nurse-midwife is performing an assessment of a pregnant client and is assessing the client for the presence of ballottement. Which of the following would the nurse implement to test for the presence of ballottement?

A

Initiating a gentle upward tap on the cervix.

18
Q

At a prenatal visit at 36 weeks’ gestation, a client complains of discomfort with irregularly occurring contractions, The nurse instructs the client to:

A

Walk around until it subsides.