1. Asd17-year-
oldsdclientsdarrivessdforsdansdannualsdexaminationsdandsdreportssdnosdchangessdsincesdthesdlastsdexa
m;sdhowever,sdthesdnursesdassessessdasdpositivesdChadwicksdsign,sdslightlysdenlargedsduterus,sd
andsdsubsequentsdpositivesdurinesdpregnancysdtest.sdWhichsdtasksdshouldsdthesdnursesdprioriti
zesdtosdassistsdthissdclientsdwhosdissddenyingsdanysdpossi-sdbilitysdthatsdshesdissdpregnant?
a) Tellings d hers d partners d ands d family
b) Acceptingsdthesdpregnancy
c) Preparings d fors d parenthood
d) Acceptings d thes d baby:s d b)sdAcceptingsdthesdpregnancy
Acceptancesdofsdpregnancysdissdmulti-
factorial,sdandsdhowsdthesdwomansdrespondssdtosdthesdpregnancysdissdcertainlysdinfluencedsdbysdhersdagesdandsdifsdthesdpregnancysdwassdplanned
.sdAssdasdteenager,sdshesdmaysdnotsdhavesdbeensdtryingsdtosdgetsdpregnantsdandsdmaysdnotsdwantsdtosdacceptsdthesdrolesdandsdexperience.sdBabysdandsdp
arenthoodsddecisionssdshouldsdallsdoccursdlater.
Pg.sd355
2. Asdnursesdissdcaringsdforsdasdpregnantsdclientsdwhosdhassdbeensddiagnosedsdwithsdlordosis.sdTh
esdnursesdofferssdpreventivesdmeasuressdforsdwhichsdconsequencesdofsdlordosissdwhensdcaringsd
forsdthissdclient?
a) chronicsdbackache
b) edemas d ins d lowers d extremities
c) melasmasd(chloasma)
d) diastasissdrecti:sda)sdchronicsdbackache
Thesdnursesdshouldsdprovidesdpreventivesdmeasuressdforsdchronicsdbackachesdassdasdconsequencesdofsdlordosissdwhensdcaringsdforsdthissdclient.sdM
,elasmasd(chloasma)sdissdcharacterizedsdbysddarkenedsdareassdonsdthesdface,sdparticularlysdoversdthesdnosesdandsdcheeks.sdIt
issdalsosdknownsdassdthesdmarksdofsdpregnancy.sdChloasmasdissdnotsdcausedsdbysdlordosis.sdDiastasissdrectisdoccurssdassdthesdpregnancysdprogres
sessdwhensdthesdrectussdmusclesdstretchessdtosdthesdpointsdthatsditsdseparates.sdItsdissdnotsdcausedsdbysdlordosis.sdEdemasdinsdlowersdextremitiessdoccu
rssdduesdtosdansdimpededsdvenoussdreturnsdcausedsdbysdthesdpressuresdofsdthesdgrowingsdfetussdonsdpelvicsdandsdfemoralsdareas.sdItsdissdnotsdcausedsdbysd
lordosis.
Pg.sd341
3. Whatsdwouldsdthesdnursesdrecommendsdtosdasdpregnantsdclientsdatsd35sdweeks'sdgestationsdwhosdr
eportssdirregularsdcontractionssdandsdlowersdbackache?
a) Suggests d thats d shes d trys d somes d isometrics d exercisess d tos d relieves d thes d backs d pain.
,b) Asks d hers d ifs d shes d iss d havings d urinarys d frequencys d thats d mays d indicates d ans d infection.
c) Haves d as d familys d members d rubs d hers d backs d ands d places d moists d heats d ons d it.
d) Liesddownsdandsdrestsdandsdseesdifsdthesdcontractionssdstopsdandsdpainsdsubsides.:sdd)sdLies d downs
andsdrestsdandsdseesdifsdthesdcontractionssdstopsdandsdpainsdsubsides.
d
Ifsdasdclientsdissdlesssdthansd37sdweekssdandsdhavingsdcontractionssdthatsdwillsdnotsdgosdaway,sdshesdmaysdbesdinsdpretermsdlaborsdandsdthissdneedssdtosd
besdreported.sdThesdfirstsdthingsdforsdhersdtosddosdissdliesddownsdandsdrestsdtosdseesdifsdthesdcontractionssdgosdaway.sdLowersdbackachesdandsdcrampingsdorsd
painsdneedsdtosdbesdtakensdseriouslysdandsdreportedsdtosdthesdhealthsdcaresdprovidersdifsdtheysdpersis
Pg.sd336
4. Duringsdasdprenatalsdvisit,sdthesdnursesdinspectssdthesdskinsdofsdthesdclient'ssdabdomen.sdWh
ichsdwouldsdthesdnursesdidentifysdassdansdabnormalsdfinding?
a) lineasdnigra
b) bruising
c) striae
d) darkenings d ofs d thes d umbilicus:s d b)sdbruising
Bruisingsdwouldsdnotsdbesdasdnormalsdfinding.sdEvidencesdofsdbruisingsdmightsdsuggestsddomesticsdviolence.sdLineasdnigra,sdstriae,sdandsddarkenin
gsdofsdthesdumbilicussdaresdnormalsdfindings.
Pg.sd341
5. Ins d preparings d fors d as d prenatals d classs d tos d discusss d thes d hormonals d changess d duringsdp
regnancy,sdwhichsdinformationsdwouldsdthesdnursesdmostsdlikelysdinclude?
a) Takings d hormonals d replacements d therapys d cans d improves d thes d discomforts d ofs d thes d
changes.
b) Over-the-
countersdantacidssdcansdbesdusedsdtosdtreatsdacidsdrefluxsdwithsdthesdhealthsdcaresdprovider'ssd
, knowledge.
c) Usings d herbss d wills d helps d eases d thes d discomfort.
d) Mosts d ofs d thes d hormonals d changess d ares d permanents d afters d thes d pregnancys d iss d com-
sd pleted.:sdb)sdOver-the-countersdantacidssdcansdbesdusedsdtosdtreatsdacidsdrefluxsdwithsdthesdhealthsdcaresdprovider'ssdknowledge.
Elevatedsdprogesteronesdlevelssdcausesdsmoothsdmusclesdrelaxation,sdwhichsdcansdresultsdinsdrelaxationsdofsdthesdcardiacsdsphinctersdandsdrefluxsdofsdt
hesdstomachsdcontentssdintosdthesdlowersdesophagus.sdOTCsdantacidssdwillsdusuallysdrelievesdthesdsymptomssdbutsdshouldsdbesddiscussedsdwithsdth
esdhealthsdcaresdprovidersdfirst.sdThesdhormonalsdchangessdaresdnecessarysdforsdthesdpregnancysdtosdcontinue,sdand
oldsdclientsdarrivessdforsdansdannualsdexaminationsdandsdreportssdnosdchangessdsincesdthesdlastsdexa
m;sdhowever,sdthesdnursesdassessessdasdpositivesdChadwicksdsign,sdslightlysdenlargedsduterus,sd
andsdsubsequentsdpositivesdurinesdpregnancysdtest.sdWhichsdtasksdshouldsdthesdnursesdprioriti
zesdtosdassistsdthissdclientsdwhosdissddenyingsdanysdpossi-sdbilitysdthatsdshesdissdpregnant?
a) Tellings d hers d partners d ands d family
b) Acceptingsdthesdpregnancy
c) Preparings d fors d parenthood
d) Acceptings d thes d baby:s d b)sdAcceptingsdthesdpregnancy
Acceptancesdofsdpregnancysdissdmulti-
factorial,sdandsdhowsdthesdwomansdrespondssdtosdthesdpregnancysdissdcertainlysdinfluencedsdbysdhersdagesdandsdifsdthesdpregnancysdwassdplanned
.sdAssdasdteenager,sdshesdmaysdnotsdhavesdbeensdtryingsdtosdgetsdpregnantsdandsdmaysdnotsdwantsdtosdacceptsdthesdrolesdandsdexperience.sdBabysdandsdp
arenthoodsddecisionssdshouldsdallsdoccursdlater.
Pg.sd355
2. Asdnursesdissdcaringsdforsdasdpregnantsdclientsdwhosdhassdbeensddiagnosedsdwithsdlordosis.sdTh
esdnursesdofferssdpreventivesdmeasuressdforsdwhichsdconsequencesdofsdlordosissdwhensdcaringsd
forsdthissdclient?
a) chronicsdbackache
b) edemas d ins d lowers d extremities
c) melasmasd(chloasma)
d) diastasissdrecti:sda)sdchronicsdbackache
Thesdnursesdshouldsdprovidesdpreventivesdmeasuressdforsdchronicsdbackachesdassdasdconsequencesdofsdlordosissdwhensdcaringsdforsdthissdclient.sdM
,elasmasd(chloasma)sdissdcharacterizedsdbysddarkenedsdareassdonsdthesdface,sdparticularlysdoversdthesdnosesdandsdcheeks.sdIt
issdalsosdknownsdassdthesdmarksdofsdpregnancy.sdChloasmasdissdnotsdcausedsdbysdlordosis.sdDiastasissdrectisdoccurssdassdthesdpregnancysdprogres
sessdwhensdthesdrectussdmusclesdstretchessdtosdthesdpointsdthatsditsdseparates.sdItsdissdnotsdcausedsdbysdlordosis.sdEdemasdinsdlowersdextremitiessdoccu
rssdduesdtosdansdimpededsdvenoussdreturnsdcausedsdbysdthesdpressuresdofsdthesdgrowingsdfetussdonsdpelvicsdandsdfemoralsdareas.sdItsdissdnotsdcausedsdbysd
lordosis.
Pg.sd341
3. Whatsdwouldsdthesdnursesdrecommendsdtosdasdpregnantsdclientsdatsd35sdweeks'sdgestationsdwhosdr
eportssdirregularsdcontractionssdandsdlowersdbackache?
a) Suggests d thats d shes d trys d somes d isometrics d exercisess d tos d relieves d thes d backs d pain.
,b) Asks d hers d ifs d shes d iss d havings d urinarys d frequencys d thats d mays d indicates d ans d infection.
c) Haves d as d familys d members d rubs d hers d backs d ands d places d moists d heats d ons d it.
d) Liesddownsdandsdrestsdandsdseesdifsdthesdcontractionssdstopsdandsdpainsdsubsides.:sdd)sdLies d downs
andsdrestsdandsdseesdifsdthesdcontractionssdstopsdandsdpainsdsubsides.
d
Ifsdasdclientsdissdlesssdthansd37sdweekssdandsdhavingsdcontractionssdthatsdwillsdnotsdgosdaway,sdshesdmaysdbesdinsdpretermsdlaborsdandsdthissdneedssdtosd
besdreported.sdThesdfirstsdthingsdforsdhersdtosddosdissdliesddownsdandsdrestsdtosdseesdifsdthesdcontractionssdgosdaway.sdLowersdbackachesdandsdcrampingsdorsd
painsdneedsdtosdbesdtakensdseriouslysdandsdreportedsdtosdthesdhealthsdcaresdprovidersdifsdtheysdpersis
Pg.sd336
4. Duringsdasdprenatalsdvisit,sdthesdnursesdinspectssdthesdskinsdofsdthesdclient'ssdabdomen.sdWh
ichsdwouldsdthesdnursesdidentifysdassdansdabnormalsdfinding?
a) lineasdnigra
b) bruising
c) striae
d) darkenings d ofs d thes d umbilicus:s d b)sdbruising
Bruisingsdwouldsdnotsdbesdasdnormalsdfinding.sdEvidencesdofsdbruisingsdmightsdsuggestsddomesticsdviolence.sdLineasdnigra,sdstriae,sdandsddarkenin
gsdofsdthesdumbilicussdaresdnormalsdfindings.
Pg.sd341
5. Ins d preparings d fors d as d prenatals d classs d tos d discusss d thes d hormonals d changess d duringsdp
regnancy,sdwhichsdinformationsdwouldsdthesdnursesdmostsdlikelysdinclude?
a) Takings d hormonals d replacements d therapys d cans d improves d thes d discomforts d ofs d thes d
changes.
b) Over-the-
countersdantacidssdcansdbesdusedsdtosdtreatsdacidsdrefluxsdwithsdthesdhealthsdcaresdprovider'ssd
, knowledge.
c) Usings d herbss d wills d helps d eases d thes d discomfort.
d) Mosts d ofs d thes d hormonals d changess d ares d permanents d afters d thes d pregnancys d iss d com-
sd pleted.:sdb)sdOver-the-countersdantacidssdcansdbesdusedsdtosdtreatsdacidsdrefluxsdwithsdthesdhealthsdcaresdprovider'ssdknowledge.
Elevatedsdprogesteronesdlevelssdcausesdsmoothsdmusclesdrelaxation,sdwhichsdcansdresultsdinsdrelaxationsdofsdthesdcardiacsdsphinctersdandsdrefluxsdofsdt
hesdstomachsdcontentssdintosdthesdlowersdesophagus.sdOTCsdantacidssdwillsdusuallysdrelievesdthesdsymptomssdbutsdshouldsdbesddiscussedsdwithsdth
esdhealthsdcaresdprovidersdfirst.sdThesdhormonalsdchangessdaresdnecessarysdforsdthesdpregnancysdtosdcontinue,sdand
