Maternal Child Nursing 5th Edition by McKinney- ISBN- 978-0323401708 TEST BANK Chapter 13: Adaptations to Pregnancy Verified 2024 Practice Questions and 100% Correct Answers with Explanations for Exam Preparation, Graded A+

Maternal Child Nursing 5th Edition by McKinney- ISBN- 978-0323401708 TEST BANK Chapter 13: Adaptations to Pregnancy Verified 2024 Practice Questions and 100% Correct Answers with Explanations for Exam Preparation, Graded A+ A pregnant woman’s mother is worried that her daughter is not “big enough” at 20 weeks. The nurse palpates and measures the fundal height at 20 cm, which is even with the woman’s umbilicus. What should the nurse report to the woman and her mother? a. “The body of the uterus is at the belly button level, just where it should be at this time.” b. “You’re right. We’ll inform the practitioner immediately.” c. “When you come for next month’s appointment, we’ll check you again to make sure that the baby is growing.” d. “Lightening has occurred, so the fundal height is lower than expected.” ANS: A At 20 weeks, the fundus is usually located at the umbilical level. Because the uterus grows in a predictable pattern, obstetric nurses should know that the uterus of 20 weeks of gestation is located at the level of the umbilicus. There is no need to inform the practitioner. The nurse should reassure both mother and patient that the findings are normal. The descent of the fetal head (lightening) occurs in late pregnancy. PTS: 1 DIF: Cognitive Level: Application/Applying REF: p. 214 | p. 229 OBJ: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance 2. While the nurse assesses the vital signs of a pregnant woman in her third trimester, the patient complains of feeling faint, dizzy, and agitated. Which nursing intervention is appropriate? a. Have the patient stand up and retake her blood pressure. b. Have the patient sit down and hold her arm in a dependent position. c. Have the patient lie supine for 5 minutes and recheck her blood pressure on both arms. d. Have the patient turn to her left side and recheck her blood pressure in 5 minutes. ANS: D Blood pressure is affected by positions during pregnancy. The supine position may cause occlusion of the vena cava and descending aorta. Turning the pregnant woman to a lateral recumbent position alleviates pressure on the blood vessels and quickly corrects supine hypotension. Pressures are significantly higher when the patient is standing. This option causes an increase in systolic and diastolic pressures. The arm should be supported at the same level of the heart. The supine position may cause occlusion of the vena cava and descending aorta, creating hypotension. PTS: 1 DIF: Cognitive Level: Application/Applying REF: p. 216 OBJ: Nursing Process: Implementation MSC: Client Needs: Physiologic Integrity