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Test Bank Maternal Child Nursing Care, 6th Edition,
Shannon Perry, Marilyn Hockenberry, Deitra
Lowdermilk, David Wilson, Kathryn Alden, Mary
Catherine Cashion Latest Updated Examination
Study Guide 2023/2024 question and 100% correct
well detailed answers.
Chapter 07: Anatomy and Physiology of Pregnancy
MULTIPLE CHOICE
1. A woman's obstetric history indicates that she is pregnant for the fourth
time and all of her children fromprevious pregnancies are living. One was
born at 39 weeks of gestation, twins were born at 34 weeks of gestation,
and another child was born at 35 weeks of gestation. What is her gravidity
and parity using the GTPAL system?
a. 3-1-1-1-3 c. 3-0-3-0-3
b. 4-1-2-0-4 d. 4-2-1-0-3
ANS: B
The correct calculation of this woman's gravidity and parity is 4-1-2-0-4. The
numbers reflect the woman'sgravidity and parity information. Using the
GPTAL system, her information is calculated as:
G: The first number reflects the total number of times the woman has been
pregnant; she is pregnant for thefourth time.
T: This number indicates the number of pregnancies carried to term, not the
number of deliveries at term; onlyone of her pregnancies has resulted in a
fetus at term.
P: This is the number of pregnancies that resulted in a preterm birth; the
woman has had two pregnancies inwhich she delivered preterm.
A: This number signifies whether the woman has had any abortions or
miscarriages before the period ofviability; she has not.
L: This number signifies the number of children born that currently are living;
the woman has four children
2. A woman at 10 weeks of gestation who is seen in the prenatal clinic with
presumptive signs and symptomsof pregnancy likely will have:
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a. Amenorrhoea. c. Chadwicks sign.
b. Positive pregnancy test. d. Hegars sign.
ANS: A
Amenorrhoea is a presumptive sign of pregnancy. Presumptive signs of
pregnancy are felt by the woman. A positive pregnancy test, the presence of
Chadwicks sign, and the presence of Hegars sign all are probable signsof
pregnancy.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 170
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and
Maintenance
3. Cardiovascular system changes occur during pregnancy. Which finding
would be considered normal for awoman in her second trimester?
a. Less audible heart sounds (S1, S2)
b. Increased pulse rate
c. Increased blood pressure
d. Decreased red blood cell (RBC) production
ANS: B
Between 14 and 20 weeks of gestation, the pulse increases about 10 to 15
beats/min, which persists to term. Splitting of S1 and S2 is more audible. In the
first trimester, blood pressure usually remains the same as at the prepregnancy
level, but it gradually decreases up to about 20 weeks of gestation. During the
second trimester, both the systolic and the diastolic pressures decrease by about
5 to 10 mm Hg. Production of RBCs accelerates during pregnancy.
4. A woman is in her seventh month of pregnancy. She has been
complaining of nasal congestion andoccasional epistaxis. The nurse
suspects that:
a. This is a normal respiratory change in pregnancy caused by elevated
levels of estrogen.
b. This is an abnormal cardiovascular change, and the nosebleeds are an
ominous sign.
c. The woman is a victim of domestic violence and is being hit in the face
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by her partner.
d. The woman has been using cocaine intranasally.
ANS: A
Elevated levels of estrogen cause capillaries to become engorged in the
respiratory tract. This may result in edema in the nose, larynx, trachea, and
bronchi. This congestion may cause nasal stuffiness and epistaxis.
Cardiovascular changes in pregnancy may cause edema in lower extremities.
Determining that the woman is a victim of domestic violence and was hit in the
face cannot be made on the basis of the sparse facts provided. Ifthe woman had
been hit in the face, she most likely would have additional physical findings.
Determination of the use of cocaine by the woman cannot be made on the basis
of the sparse facts provided.
5. Which time-based description of a stage of development in pregnancy is
accurate?
a. Viability22 to 37 weeks since the last menstrual period (LMP)
(assuming a fetal weight >500 g)
b. Termpregnancy from the beginning of week 38 of gestation to the end
of week 42
c. Pretermpregnancy from 20 to 28 weeks
d. Postdatepregnancy that
extends beyond 38 weeksANS: B
Term is 38 to 42 weeks of gestation. Viability is the ability of the fetus to live
outside the uterus before comingto term, or 22 to 24 weeks since LMP.
Preterm is 20 to 37 weeks of gestation. Postdate or postterm is a pregnancy
that extends beyond 42 weeks or what is considered the limit of full term.
6. The mucous plug that forms in the endocervical canal is called the:
a. Operculum. c. Funic souffle.
b. Leukorrhea. d. Ballottement.
ANS: A
Test Bank Maternal Child Nursing Care, 6th Edition,
Shannon Perry, Marilyn Hockenberry, Deitra
Lowdermilk, David Wilson, Kathryn Alden, Mary
Catherine Cashion Latest Updated Examination
Study Guide 2023/2024 question and 100% correct
well detailed answers.
Chapter 07: Anatomy and Physiology of Pregnancy
MULTIPLE CHOICE
1. A woman's obstetric history indicates that she is pregnant for the fourth
time and all of her children fromprevious pregnancies are living. One was
born at 39 weeks of gestation, twins were born at 34 weeks of gestation,
and another child was born at 35 weeks of gestation. What is her gravidity
and parity using the GTPAL system?
a. 3-1-1-1-3 c. 3-0-3-0-3
b. 4-1-2-0-4 d. 4-2-1-0-3
ANS: B
The correct calculation of this woman's gravidity and parity is 4-1-2-0-4. The
numbers reflect the woman'sgravidity and parity information. Using the
GPTAL system, her information is calculated as:
G: The first number reflects the total number of times the woman has been
pregnant; she is pregnant for thefourth time.
T: This number indicates the number of pregnancies carried to term, not the
number of deliveries at term; onlyone of her pregnancies has resulted in a
fetus at term.
P: This is the number of pregnancies that resulted in a preterm birth; the
woman has had two pregnancies inwhich she delivered preterm.
A: This number signifies whether the woman has had any abortions or
miscarriages before the period ofviability; she has not.
L: This number signifies the number of children born that currently are living;
the woman has four children
2. A woman at 10 weeks of gestation who is seen in the prenatal clinic with
presumptive signs and symptomsof pregnancy likely will have:
, l
a. Amenorrhoea. c. Chadwicks sign.
b. Positive pregnancy test. d. Hegars sign.
ANS: A
Amenorrhoea is a presumptive sign of pregnancy. Presumptive signs of
pregnancy are felt by the woman. A positive pregnancy test, the presence of
Chadwicks sign, and the presence of Hegars sign all are probable signsof
pregnancy.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 170
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and
Maintenance
3. Cardiovascular system changes occur during pregnancy. Which finding
would be considered normal for awoman in her second trimester?
a. Less audible heart sounds (S1, S2)
b. Increased pulse rate
c. Increased blood pressure
d. Decreased red blood cell (RBC) production
ANS: B
Between 14 and 20 weeks of gestation, the pulse increases about 10 to 15
beats/min, which persists to term. Splitting of S1 and S2 is more audible. In the
first trimester, blood pressure usually remains the same as at the prepregnancy
level, but it gradually decreases up to about 20 weeks of gestation. During the
second trimester, both the systolic and the diastolic pressures decrease by about
5 to 10 mm Hg. Production of RBCs accelerates during pregnancy.
4. A woman is in her seventh month of pregnancy. She has been
complaining of nasal congestion andoccasional epistaxis. The nurse
suspects that:
a. This is a normal respiratory change in pregnancy caused by elevated
levels of estrogen.
b. This is an abnormal cardiovascular change, and the nosebleeds are an
ominous sign.
c. The woman is a victim of domestic violence and is being hit in the face
, l
by her partner.
d. The woman has been using cocaine intranasally.
ANS: A
Elevated levels of estrogen cause capillaries to become engorged in the
respiratory tract. This may result in edema in the nose, larynx, trachea, and
bronchi. This congestion may cause nasal stuffiness and epistaxis.
Cardiovascular changes in pregnancy may cause edema in lower extremities.
Determining that the woman is a victim of domestic violence and was hit in the
face cannot be made on the basis of the sparse facts provided. Ifthe woman had
been hit in the face, she most likely would have additional physical findings.
Determination of the use of cocaine by the woman cannot be made on the basis
of the sparse facts provided.
5. Which time-based description of a stage of development in pregnancy is
accurate?
a. Viability22 to 37 weeks since the last menstrual period (LMP)
(assuming a fetal weight >500 g)
b. Termpregnancy from the beginning of week 38 of gestation to the end
of week 42
c. Pretermpregnancy from 20 to 28 weeks
d. Postdatepregnancy that
extends beyond 38 weeksANS: B
Term is 38 to 42 weeks of gestation. Viability is the ability of the fetus to live
outside the uterus before comingto term, or 22 to 24 weeks since LMP.
Preterm is 20 to 37 weeks of gestation. Postdate or postterm is a pregnancy
that extends beyond 42 weeks or what is considered the limit of full term.
6. The mucous plug that forms in the endocervical canal is called the:
a. Operculum. c. Funic souffle.
b. Leukorrhea. d. Ballottement.
ANS: A
