Chapter 12 Nursing Management During Pregnancy

Chapter 12 Nursing Management During Pregnancy Test Bank for Maternity and Pediatric Nursing, 4th Edition by Ricci, Kyle, And Carman

1. A woman in the 34th week of pregnancy says to the nurse, "I still feel like having intercourse with my husband." The woman's pregnancy has been uneventful. The nurse responds based on the understanding that: A. it is safe to have intercourse at this time. B. intercourse at this time is likely to cause rupture of membranes. C. there are other ways that the couple can satisfy their needs. D. intercourse at this time is likely to result in premature labor. Answer: A Rationale: Sexual activity is permissible during pregnancy unless there is a history of vaginal bleeding, placenta previa, risk of preterm labor, multiple gestation, incompetent cervix, premature rupture of membranes, or presence of infection. Rupture of membranes or premature labor is unlikely since the woman's pregnancy has been uneventf au b l irbs .o co f ma / r te . sAt lternative sexual positions may be necessary as the woman's abdomen increases in size. Question format: Multiple Choice Chapter 12: Nursing Management During Pregnancy Cognitive Level: Apply Client Needs: Health Promotion and Maintenance Reference: p. 398 2. On the first prenatal visit, examination of the woman's internal genitalia reveals a bluish coloration of the cervix and vaginal mucosa. The nurse documents this finding as: A. Hagar sign. B. Goodall sign. C. Chadwick sign. D. Homans sign. Answer: C Rationale: Chadwick sign refers to the bluish coloration of the cearbviribx.coamn/dtesvt aginal mucosa. Hegar sign refers to softening of the isthmus. Goodell sign refers to softening of the cervix. Homans sign indicates pain on dorsiflexion of the foot. Question format: Multiple Choice Chapter 12: Nursing Management During Pregnancy Cognitive Level: Apply Client Needs: Health Promotion and Maintenance Reference: p. 375 3. A nurse isteaching a pregnant couple about birth education. The nurse determinesthat the teaching was successful when the couple makes which statement? A. "We'll have the knowledge to ensure a pain-free birth." B. "We'll know what to do to actively take part in our child's birth." C. "We won't be anxious, so the birth will be uncomplicated." D. "We will be in total control of the birth process." Answer: B Rationale: The primary focus of birth education is to provide infoarbmirba.ctoimo/ntesatnd support to clients and their families to foster a more active role in the upcoming birth. Some methods of birth education focus on pain-free childbirth. Information provided in birth education classes helps to minimize anxiety and provide the couple with control over the situation, but elimination of anxiety or total control is unrealistic. Question format: Multiple Choice Chapter 12: Nursing Management During Pregnancy Cognitive Level: Analyze Client Needs: Health Promotion and Maintenance Reference: p. 404 4. When assessing a woman at follow-up prenatal visits, the nurs ae biwrb.o cou mld /tea sn t ticipate which procedure to be performed? A. hemoglobin and hematocrit B. urine for culture C. fetal ultrasound D. fundal height measurement Answer: D