Preparing a family to childbirth and parenting

Question 1

1. The nurse is developing a teaching plan for a client entering the third trimester of her pregnancy. The nurse should include which of the following in the plan? Select all that apply.
   a. Differentiating the fetus from the self.
   b. Ambivalence concerning pregnancy.
   c. Experimenting with mothering roles.
   d. Realignment of roles and tasks.
   e. Trying various caregiver roles.
   f. Concern about labor and delivery

Answer 1

C. experimenting with mothering roles
D. Realignment of roles and tasks
E. Trying various caregiver roles
F. Concern about labor and delivery

Question 2

2. A new antenatal G 6, P 4, Ab 1 client attends her first prenatal visit with her husband. The nurse is assessing this couple’s psychological response to their pregnancy. Which of the following requires the most immediate follow up?
   a. The couple are concerned with financial changes this pregnancy causes.
   b. The couple expresses ambivalence about the current pregnancy.
   c. The father of the baby states that the pregnancy has changed the mother’s focus.
   d. The father of the baby is irritated that the mother is not like she was before pregnancy

Answer 2

C. The father of the baby is irritated that the mother is not like she was before pregnancy.

Question 3

3. When preparing a prenatal class about endocrine changes that normally occur during pregnancy, the nurse should include information about which of the following subjects?
   a. Human placental lactogen maintains the corpus luteum.
   b. Progesterone is responsible for hyperpigmentation and vascular skin changes.
   c. Estrogen relaxes smooth muscle in the respiratory tract.
   d. The thyroid enlarges with an increase in basal metabolic rate

Answer 3

B. Progesterone is responsible for hyperpigmentation and vascular skin changes.

Question 4

4. When developing a series of parent classes on fetal development, which of the following should the nurse include as being developed by the end of the third month (9 to 12 weeks)?
   a. External genitalia.
   b. Myelinization of nerves.
   c. Brown fat stores.
   d. Air ducts and alveoli.

Answer 4

A. External genitalia

Question 5

5. A primigravid client attending parenthood classes tells the nurse that there is a history of twins in her family. What should the nurse tell the client?
   a. Monozygotic twins result from fertilization of two ova by different sperm.
   b. Monozygotic twins occur by chance regardless of race or heredity.
   c. Dizygotic twins are usually of the same sex.
   d. Dizygotic twins occur more often in primigravid than in multigravid client

Answer 5

B. Monozygotic twins occur by chnace regardless of race and heredity.

Question 6

6. A primigravid client in a Preparation for Parenting class asks how much blood is lost during an uncomplicated delivery. The nurse should tell the woman:
   a. “The maximum blood loss considered within normal limits is 500 mL.”
   b. “The minimum blood loss considered within normal limits is 1,000 mL.”
   c. “Blood loss during a delivery is rarely estimated unless there is a hemorrhage.”
   d. “It would be very unusual if you lost more than 100 mL of blood during the delivery.”

Answer 6

A. The maximum blood loss considered within normal limits is 500 ml.

Question 7

7. Which of the following statements by a primigravid client about the amniotic fluid and sac indicates the need for further teaching?
   a. “The amniotic fluid helps to dilate the cervix once labor begins.”
   b. “Fetal nutrients are provided by the amniotic fluid.”
   c. “Amniotic fluid provides a cushion against impact of the maternal abdomen.”
   d. “The fetus is kept at a stable temperature by the amniotic fluid and sac.”

Answer 7

B. Fetal nutrients are provided by the amniotic fluid.

Question 8

8. During a childbirth preparation class, a primigravid client at 36 weeks’ gestation tells the nurse, “My lower back has really been bothering me lately.” Which of the following exercises suggested by the nurse would be most helpful?
   a. Pelvic rocking.
   b. Deep breathing.
   c. Tailor sitting.
   d. Squatting

Answer 8

A. Pelvic rocking

Question 9

9. After instructing participants in a childbirth education class about methods for coping with discomforts in the first stage of labor, the nurse determines that one of the pregnant clients needs further instruction when she says that she has been practicing which of the following?
   a. Biofeedback.
   b. Effleurage.
   c. Guided imagery.
   d. Pelvic tilt exercises

Answer 9

D. Pelvic tilt exercises

Question 10

10. After a Preparation for parenting class session, a pregnant client tells the nurse that she has had some yellow-gray frothy vaginal discharge and local itching. The nurse’s best action is to advise the client to do which of the following?
    a. Use an over-the-counter cream for yeast infections.
    b. Schedule an appointment at the clinic for an examination.
    c. Administer a vinegar douche under low pressure.
    d. Prepare for preterm labor and delivery

Answer 10

B. Schedule an appointment at the clinic for an examination.