Test Bank For Introduction to Maternity and Pediatric Nursing 9th Edition BY Gloria Leifer | Complete Chapter 1 - 34 | 100 % Verified

1.  A woman who is 7 weeks pregnant tells the nurse that this is not her first pregnancy. She has a 2-year-old son and had one previous spontaneous abortion. How would the nurse document the patients obstetric historyusing the TPALM system?

a.  Gravida 2, para 20120

b.  Gravida 3, para 10011

c.  Gravida 3, para 10110

d.  Gravida 2, para 11110

ANS: C

Refer to Box 4-1 in the textbook for the TPALM system of identifying gravida and para.

DIF: Cognitive Level: Application REF: Page 51OBJ: 1 TOP: Definition of Terms

KEY: Nursing Process Step: Implementation

MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

2.  A woman calls her health care provider to schedule prenatal visits in an uncomplicated pregnancy. Howfrequently will the nurse assist the patient to schedule these appointments?

a.  Every 3 weeks until the 6th month, then every 2 weeks until delivery

b.  Every 4 weeks until the 7th month, after which appointments will become more frequent

c.  Monthly until the 8th month

d.  Every 2 to 3 weeks for the entire pregnancy

ANS: B

Monthly visits are scheduled up to 28 weeks, and then visits increase to every 2 to 3 weeks through 36 weeks.From 36 weeks until delivery, visits are weekl

DIF: Cognitive Level: Application REF: Page 49

TOP: Prenatal Visits KEY: Nursing Process Step: Implementation

MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

3.  During the physical examination for the first prenatal visit, it is noted that Chadwicks sign is present. Whatis Chadwicks sign?

a.  Bluish or purplish discoloration of the vulva, vagina, and cervix

b.  Presence of early fetal movements

c.  Darkening of the areola and breast tenderness

d.  Palpation of the fetal outline

ANS: A

Chadwicks sign is the purplish or bluish discoloration of the cervix and vagina.

DIF: Cognitive Level: Knowledge REF:

Page 52 TOP: Normal Physiological Changes in PregnancyKEY: Nursing Process Step: Data Collection

MSC: NCLEX: Physiological Integrity: Physiological Adaptation

4.  After the examination is completed, the patient asks the nurse why Chadwicks sign occurs duringpregnancy. What would the nurse explain as the cause of Chadwicks sign?

a.  Enlargement of the uterus

b.  Progesterone action on the breasts

c.  Increasing activity of the fetus

d.  Vascular congestion in the pelvic area

ANS: D

Chadwicks sign is caused by increased vascular congestion in the cervical and vaginal area.

DIF: Cognitive Level: Comprehension REF: Page 52TOP: Normal Physiological Changes in Pregnancy KEY: Nursing Process Step: Implementation

MSC: NCLEX: Physiological Integrity: Physiological Adaptation

5.  The nurse has explained physiological changes that occur during pregnancy. Which statement indicates thatthe woman understands the information?

a.  Blood pressure goes up toward the end of pregnancy.

b.  My breathing will get deeper and a little faster.

c.  Ill notice a decreased pigmentation in my skin.

d.  There will be a curvature in the upper spine area.

ANS: B

The pregnant woman breathes more deeply, and her respiratory rate may increase slightly.

DIF: Cognitive Level: Comprehension REF: Page 55TOP: Normal Physiological Changes in Pregnancy KEY: Nursing Process Step: Evaluation

MSC: NCLEX: Physiological Integrity: Physiological Adaptation

6.  A woman reports that her last normal menstrual period began on August 5, 2013. What is this womansexpected delivery date using Ngeles rule?

a.  April 30, 2014

b. May 5, 2014

c. May 12, 2014

d. May 26, 2014

ANS: C

To determine the expected date of delivery, count backward 3 months from the first day of the last menstrualperiod, then add 7 days and change the year ifNnUecReSsIsNarGyT. B.COM

DIF: Cognitive Level: Analysis REF: Page 51 OBJ: 5 TOP: Determining Estimated Date of Delivery

KEY: Nursing Process Step: Data Collection

MSC: NCLEX: Health Promotion and Maintenance: Growth and Development

7.  During the second prenatal visit, the nurse attempts to locate the fetal heartbeat with an electronic Dopplerdevice. How early might fetal heart tones be detected with an electronic Doppler device?

a.  4 weeks

b.  8 weeks

c.  10 weeks

d.  14 weeks

ANS: C

The fetal heartbeat can be detected as early as 10 weeks of pregnancy using a Doppler device.

DIF: Cognitive Level: Knowledge REF:

Page 53 TOP: Normal Physiological Changes in PregnancyKEY: Nursing Process Step: Data Collection

MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

8.  In a routine prenatal visit, the nurse examining a patient who is 37 weeks pregnant notices that the fetal heartrate (FHR) has dropped to 120 beats/min from a rate of 160 beats/min earlier in the pregnancy. What is the nurses first action?

a.  Ask if the patient has taken a sedative.

b.  Notify the physician.

c.  Turn the patient to her right side.

d.  Record the rate as a normal finding.

ANS: D

The FHR at term ranges from a low of 110 to 120 beats/min to a high of 150 to 160 beats/min. This should berecorded as normal. The FHR drops in the late stages of pregnancy.

DIF: Cognitive Level: Application REF: Page 53

TOP: Assessing Fetal Heart Tone KEY: Nursing Process Step:

Data CollectionMSC: NCLEX: Physiological Integrity:

Physiological Adaptation

9.  A womans prepregnant weight is determined to be average for her height. What will the nurse advise thewoman regarding recommended weight gain during pregnancy?

a.  10 to 20 pounds

b.  15 to 25 pounds

c.  25 to 35 pounds

d.  28 to 40 pounds

ANS: C

The recommended weight gain for a woman of normal weight before pregnancy is 25 to 35 pounds.

DIF: Cognitive Level: Knowledge REF: Page 60

TOP: Nutrition in Pregnancy KEY: Nursing Process Step: ImplementationMSC: NCLEX: Physiological Integrity:

Physiological Adaptation

10.  When the nurse tells a pregnant woman that she needs 1200 mg of calcium daily during pregnancy, thewoman responds, I dont like milk. What dietary adjustments could the nurse recommend?

a.  Increase intake of organ meats.

b.  Eat more green leafy vegetables.

c.  Choose more fresh fruits, particularly citrus fruits.

d.  Include molasses and whole-grain breads in the diet.

ANS: B