STUDY EXAMS FOR MATERNAL CHILD NURSING CARE - CHAPTER 8

STUDY EXAMS FOR MATERNAL CHILD NURSING CARE - CHAPTER 8 The nurse caring for a newly pregnant woman would advise her that ideally prenatal care should begin: A) Before the first missed menstrual period. B) After the first missed menstrual period. C) After the second missed menstrual period. D) After the third missed menstrual period. - CORRECT ANSWER-B) After the first missed menstrual period. Prenatal testing for human immunodeficiency virus (HIV) is recommended for: A) All women, regardless of risk factors. B) A woman who has had more than one sexual partner. C) A woman who has had a sexually transmitted infection. D) A woman who is monogamous with her partner. - CORRECT ANSWER-A) All women, regardless of risk factors. Which symptom is considered a first-trimester warning sign and should be reported immediately by the pregnant woman to her health care provider? A) Nausea with occasional vomiting B) Fatigue C) Urinary frequency D) Vaginal bleeding - CORRECT ANSWER-D) Vaginal bleeding A pregnant woman at 10 weeks of gestation jogs three or four times per week. She is concerned about the effect of exercise on the fetus. The nurse should inform her: A) You don't need to modify your exercising any time during your pregnancy. B) Stop exercising because it will harm the fetus. C) You may find that you need to modify your exercise to walking later in your pregnancy, around the seventh month. D) Jogging is too hard on your joints; switch to walking now. - CORRECT ANSWER-C) You may find that you need to modify your exercise to walking later in your pregnancy, around the seventh month. The multiple marker test is used to assess the fetus for which condition? A) Down syndrome B) Diaphragmatic hernia C) Congenital cardiac abnormality D) Anencephaly - CORRECT ANSWER-A) Down syndrome A woman who is 32 weeks pregnant is informed by the nurse that a danger sign of pregnancy could be: A) Constipation. B) Alteration in the pattern of fetal movement. C) Heart palpitations. D) Edema in the ankles and feet at the end of the day. - CORRECT ANSWER-B) Alteration in the pattern of fetal movement. A woman who is 14 weeks pregnant tells the nurse that she always had a glass of wine with dinner before she became pregnant. She has abstained during her first trimester and would like to know if it is safe for her to have a drink with dinner now. The nurse would tell her: A) Since you're in your second trimester, there's no problem with having one drink with dinner. B) One drink every night is too much. One drink three times a week should be fine. C) Since you're in your second trimester, you can drink as much as you like. D) Because no one knows how much or how little alcohol it takes to cause fetal problems, the best course is to abstain throughout your pregnancy. - CORRECT ANSWER-D) Because no one knows how much or how little alcohol it takes to cause fetal problems, the best course is to abstain throughout your pregnancy. A pregnant woman at 18 weeks of gestation calls the clinic to report that she has been experiencing occasional backaches of mild-to-moderate intensity. The nurse would recommend that she: A) Do Kegel exercises B) Do pelvic rock exercises C) Use a softer mattress D) Stay in bed for 24 hours - CORRECT ANSWER-B) Do pelvic rock exercises For what reason would breastfeeding be contraindicated? A) Hepatitis B B) Everted nipples C) History of breast cancer 3 years ago D) Human immunodeficiency virus (HIV) positive - CORRECT ANSWER-D) Human immunodeficiency virus (HIV) positive A woman is 3 months pregnant. At her prenatal visit, she tells the nurse that she doesn't know what is happening; one minute shes happy that she is pregnant, and the next minute she cries for no reason. Which response by the nurse is most appropriate? A) Don't worry about it; you'll feel better in a month or so. B) Have you talked to your husband about how you feel? C) Perhaps you really don't want to be pregnant. D) Hormonal changes during pregnancy commonly result in mood swings. - CORRECT ANSWER-D) Hormonal changes during pregnancy commonly result in mood swings. The nurse should be aware that the partners main role in pregnancy is to: A) Provide financial support. B) Protect the pregnant woman from old wives tales. C) Support and nurture the pregnant woman. D) Make sure the pregnant woman keeps prenatal appointments. - CORRECT ANSWER-C) Support and nurture the pregnant woman. During the first trimester, a woman can expect which of the following changes in her sexual desire? A) An increase, because of enlarging breasts B) A decrease, because of nausea and fatigue C) No change D) An increase, because of increased levels of female hormones - CORRECT ANSWER-B) A decrease, because of nausea and fatigue Which behavior indicates that a woman is seeking safe passage for herself and her infant? A) She keeps all prenatal appointments B) She eats for two C) She drives her car slowly D) She wears only low-heeled shoes - CORRECT ANSWER-A) She keeps all prenatal appointments A 3-year-old girls mother is 6 months pregnant. What concern is this child likely to verbalize? A) How the baby will get out B) What the baby will eat C) Whether her mother will die D) What color eyes the baby has - CORRECT ANSWER-B) What the baby will eat In her work with pregnant women of various cultures, a nurse practitioner has observed various practices that seemed strange or unusual. She has learned that cultural rituals and practices during pregnancy seem to have one purpose in common. Which statement best describes that purpose? A) To promote family unity B) To ward off the evil eye C) To appease the gods of fertility D) To protect the mother and fetus during pregnancy - CORRECT ANSWER-D) To protect the mother and fetus during pregnancy What type of cultural concern is the most likely deterrent to many women seeking prenatal care? A) Religion B) Modesty C) Ignorance