Nursing care related to physiological and psychological changes during pregnancy

Question 1

1. Which of the following tasks is the most important task of the first trimester of pregnancy?
A. Accepting the pregnancy
B. Accepting a coming child
C. Making plans for the baby
D. Sharing time with a significant other

Answer 1

A. Accepting the pregnancy

Question 2

2. As a pregnant woman lies on the examining table, she grows very short of breath and dizzy. The nurse
   recognizes which as the probable cause?
   A. Her cerebral arteries are growing congested with blood.
   B. The uterus requires more blood in a supine position.
   C, Blood is trapped in the vena cava in a supine position.
   D. Sympathetic nerve responses cause dyspnea when a woman lies supine.

Answer 2

C. Blood is trapped in venecava in supine position.

Question 3

3. Blood volume normally increases during pregnancy. The extent of this increase is what percentage of prepregnancy
volume?
A. 1% to 10%
B. 20% to 30%
C. 30% to 50%
D. 70% to 90%

Answer 3

C. 30% to 50%

Question 4

4. A woman during her first trimester questions how much longer she will have urinary frequency. Which should the nurse advise her regarding urinary frequency?
   A. It is a common complaint during the first trimester and again later in the third trimester.
   B. It is a common concern reported during the entire pregnancy.
   C. It will subside after the first trimester.
   D. It is a concern until the last trimester of pregnancy.

Answer 4

A. It is a common complain during first trimester and again in third trimester.

Question 5

5.Which of the following assessment data is a most accurate indication that a woman is pregnant?
A. A positive pregnancy test
B. Presence of fetal heartbeat
C. Absence of menstruation
D. Quickening

Answer 5

B. Presenceof fetal heart beat

Question 6

6. A pregnant client will start to feel the fetus move at what age of gestation?
A. 16 to 20 weeks
B. 10 to12 weeks
C. 8 to 10 weeks
D. 6 to 8 weeks

Answer 6

A. 16 to 20 weeks

Question 7

7. The rebounding of fetus on the examiner’s fingers on palpation is known as:
A. Braxton Hicks contractions
B. Hegar’s Sign
C. Ballottement
D. Goodell’s sign

Answer 7

C. Ballottement

Question 8

8. The nurse measures the fundal height of a client at 20 weeks’ gestation. The nurse expects to note uterine height to be:
   A. Halfway between the symphysis pubis and the umbilicus
   B. At the level of the umbilicus
   C. Slightly below the xiphoid process
   D. At the level of the xiphoid process

Answer 8

B. At the level of the umbilicus

Question 9

9. The nurse checks the patient for positive signs of pregnancy. Select all that apply.
A. Positive pregnancy test
B. Quickening
C. Fetal heart detected by fetoscope
D. Braxton Hicks contractions
E. Fetal outline via ultrasound

Answer 9

C. Fetal heart detected by fetoscope

E. Fetal outline via ultrasound

Question 10

10. Anna, pregnant at 16 weeks, just had her prenatal check-up. She asks the nurse when she should come for another visit. The nurse is correct in saying that she should schedule her next visit:
A. After 2 weeks
B. After 4 weeks
C. After 2 months
D. When her bag of water breaks

Answer 10

B. After 4 weeks