NURS 345 Exam 2 Practice Questions
and Correct Answers
O Health promotion leading to positive health behaviors may depend on what 3 things?
(KTC) ✅knowledge
Techniques
Community supports
Match the following to the correct definition: (knowledge, techniques, community
supports)
1. Environmental or regulatory measures available to support health-promoting
behaviors within a social context
2. Strategies to apply new knowledge
3. Learning new information about benefits or risks of behaviors ✅community supports
Techniques
Knowledge
What are 4 successful pregnancy outcomes? (VANF) ✅viability
Acceptable birth weight
No congenital defects
Favorable long-term health outlook
What are the 4 hormones of pregnancy? (HGPE) ✅human placental lactogen
(placental)
Human growth hormone (placental)
Progesterone
Estrogen
What role does progesterone play in pregnancy? ✅relax smooth muscle of uterus for
expansion and prevent premature contractions
Progesterone slows the ____ ___ during pregnancy which increases absorption of ____
and ____. One consequence is _____. ✅GI tract
Iron
Calcium
Constipation
What hormone promotes the growth of the uterus and breasts during pregnancy and
renders the CT in the pelvic region more flexible in preparation for birth? ✅estrogen
During pregnancy, does the BMR increase or decrease? What is this caused by?
✅increase
,Greater oxygen demand of fetus and maternal support tissues
The fetus prefers _____ for its primary energy source. The mother adaptation allows the
mother to use ____ as the primary fuel source, which allows ____ to be available for the
fetus. Increased/decreased nutrient intake by the mother ensures these higher
metabolic needs are met ✅glucose
Fat
Glucose
Increased
What 5 changes of blood occur during pregnancy? (PHHPV) ✅plasma volume doubles
Hemodilution
Lower H&H
Lower serum proteins
Lower vitamins
When does the plasma volume double in pregnancy? If this does not occur, what 3
things can happen as a result? (SSL) ✅2nd trimester
Spontaneous abortion
Stillbirth
Low birth weight
Hemodilution in pregnancy is caused by what? ✅increased plasma volume
Plasma components such as ____, ____ ___, and _____ appear at lower levels during
pregnancy because there is a greater volume of _____ (plasma) relative to
concentrations of ____ (components)
Cardiac hypertrophy occurs to accommodate this increased blood volume accompanied
by an increased ventilatory rate ✅hemoglobin, serum proteins, and vitamins
Solvent
Solute
Does GFR increase or decrease during pregnancy to accommodate the expanded
maternal blood volume being filtered and to carry away fetal waste products? As a
result, small amounts of what 3 things are seen in the urine? (GAW) ✅increased
Glucose
AA
Water-soluble vitamins
What renal and CV change is a serious potential problem of pregnancy?
✅preeclampsia
A woman who excretes large amounts of ____ may experience a more serious problem
called preeclampsia (pregnancy induced HTN) which needs strict medical monitoring.
✅protein
,Progesterone may slow ___ motility during pregnancy, which leads to _____, ______,
and _____ _____ ____. In late pregnancy, these problems may be exacerbated by the
____ of the uterus and fetus as they compress the abdominal cavity ✅constipation,
HB, and delayed gastric emptying
Weight
What 3 things contribute to maternal weight gain during pregnancy? (CMP) ✅1.
Changes in maternal body composition such as increased blood and fluid volume
2. Maternal support tissues (greater size of breasts and uterus)
3. Products of conception (fetus and placenta)
Low birth weight is a weight less than ___ lbs at birth ✅5.5
What term describes an infant born at a lower birth weight than expected for the length
of gestation? ✅small for gestational age (SGA)
What are 4 potential consequences of inadequate weight gain during pregnancy?
(LSPD) ✅low birth weight
Small for gestational age
Prolonged hospitalization after birth
Die/ill during 1st year of life
Recommendations are to delay pregnancy for how long after gastric bypass surgery?
✅at least a year
For a woman with a normal BMI (18.5-24.9), she should gain between ___-___ lbs
during pregnancy? ✅25-35
For a woman with a underweight BMI (<18.5), she should gain between ___-___ lbs
during pregnancy? ✅28-40
For a woman with an overweight BMI (25-29.9), she should gain between ___-___ lbs
during pregnancy? ✅15-25
For a woman with an obese BMI (> 30), she should gain between ___-___ lbs during
pregnancy? ✅11-20
Failure to gain adequately during the ___ trimester is associated with poor infant birth
rate, even if the net gain falls within the recommendations ✅2nd
T/F With overweight and obese pregnant women, they should try to lose weight while
pregnant? ✅false!!
Weight gain still needed for fetus and support tissue but without increasing total body fat
, Overweight and obese pregnant women have an increased risk for what 3 things?
(OPG) ✅operative delivery
Postpartum weight gain
Gestational diabetes
Pregnant women need increases in all nutrients EXCEPT what 7 nutrients? (VVVPFCB)
✅vitamin D
Vitamin E
Vitamin K
Phosphorus
Fluoride
Calcium
Biotin
Pregnant women need to increase their energy intake by 340 kcal/day during the ____
trimester and 452 kcal/day during the ____ trimester ✅2nd
3rd
Why does a mother need to increase energy intake during pregnancy?
✅accommodates the rise in maternal BMR and synthesis and support of the maternal
and fetal tissues
If a mother has an inadequate calorie intake during pregnancy, the infant may have
what 2 things? ✅smaller birth weight and birth length
T/F mothers must increase their protein intake to 71 g/day to build and maintain tissues
of pregnancy ✅true
What should a pregnant mother take to supplement potential vitamins deficiencies
during pregnancy? ✅prenatal type multivitamin-mineral supplement as recommended
by primary health care provider or dietitian
Excessive preformed vitamin __ or vitamin __ during pregnancy can cause birth defects
✅A
D
What vitamin should a mother increase during pregnancy to prevent neural tube
defects? ✅folate
A ____ mg iron supplement is necessary beginning in the ____ trimester to prevent
___-____ ______ ✅30
2nd
Iron-deficiency anemia
and Correct Answers
O Health promotion leading to positive health behaviors may depend on what 3 things?
(KTC) ✅knowledge
Techniques
Community supports
Match the following to the correct definition: (knowledge, techniques, community
supports)
1. Environmental or regulatory measures available to support health-promoting
behaviors within a social context
2. Strategies to apply new knowledge
3. Learning new information about benefits or risks of behaviors ✅community supports
Techniques
Knowledge
What are 4 successful pregnancy outcomes? (VANF) ✅viability
Acceptable birth weight
No congenital defects
Favorable long-term health outlook
What are the 4 hormones of pregnancy? (HGPE) ✅human placental lactogen
(placental)
Human growth hormone (placental)
Progesterone
Estrogen
What role does progesterone play in pregnancy? ✅relax smooth muscle of uterus for
expansion and prevent premature contractions
Progesterone slows the ____ ___ during pregnancy which increases absorption of ____
and ____. One consequence is _____. ✅GI tract
Iron
Calcium
Constipation
What hormone promotes the growth of the uterus and breasts during pregnancy and
renders the CT in the pelvic region more flexible in preparation for birth? ✅estrogen
During pregnancy, does the BMR increase or decrease? What is this caused by?
✅increase
,Greater oxygen demand of fetus and maternal support tissues
The fetus prefers _____ for its primary energy source. The mother adaptation allows the
mother to use ____ as the primary fuel source, which allows ____ to be available for the
fetus. Increased/decreased nutrient intake by the mother ensures these higher
metabolic needs are met ✅glucose
Fat
Glucose
Increased
What 5 changes of blood occur during pregnancy? (PHHPV) ✅plasma volume doubles
Hemodilution
Lower H&H
Lower serum proteins
Lower vitamins
When does the plasma volume double in pregnancy? If this does not occur, what 3
things can happen as a result? (SSL) ✅2nd trimester
Spontaneous abortion
Stillbirth
Low birth weight
Hemodilution in pregnancy is caused by what? ✅increased plasma volume
Plasma components such as ____, ____ ___, and _____ appear at lower levels during
pregnancy because there is a greater volume of _____ (plasma) relative to
concentrations of ____ (components)
Cardiac hypertrophy occurs to accommodate this increased blood volume accompanied
by an increased ventilatory rate ✅hemoglobin, serum proteins, and vitamins
Solvent
Solute
Does GFR increase or decrease during pregnancy to accommodate the expanded
maternal blood volume being filtered and to carry away fetal waste products? As a
result, small amounts of what 3 things are seen in the urine? (GAW) ✅increased
Glucose
AA
Water-soluble vitamins
What renal and CV change is a serious potential problem of pregnancy?
✅preeclampsia
A woman who excretes large amounts of ____ may experience a more serious problem
called preeclampsia (pregnancy induced HTN) which needs strict medical monitoring.
✅protein
,Progesterone may slow ___ motility during pregnancy, which leads to _____, ______,
and _____ _____ ____. In late pregnancy, these problems may be exacerbated by the
____ of the uterus and fetus as they compress the abdominal cavity ✅constipation,
HB, and delayed gastric emptying
Weight
What 3 things contribute to maternal weight gain during pregnancy? (CMP) ✅1.
Changes in maternal body composition such as increased blood and fluid volume
2. Maternal support tissues (greater size of breasts and uterus)
3. Products of conception (fetus and placenta)
Low birth weight is a weight less than ___ lbs at birth ✅5.5
What term describes an infant born at a lower birth weight than expected for the length
of gestation? ✅small for gestational age (SGA)
What are 4 potential consequences of inadequate weight gain during pregnancy?
(LSPD) ✅low birth weight
Small for gestational age
Prolonged hospitalization after birth
Die/ill during 1st year of life
Recommendations are to delay pregnancy for how long after gastric bypass surgery?
✅at least a year
For a woman with a normal BMI (18.5-24.9), she should gain between ___-___ lbs
during pregnancy? ✅25-35
For a woman with a underweight BMI (<18.5), she should gain between ___-___ lbs
during pregnancy? ✅28-40
For a woman with an overweight BMI (25-29.9), she should gain between ___-___ lbs
during pregnancy? ✅15-25
For a woman with an obese BMI (> 30), she should gain between ___-___ lbs during
pregnancy? ✅11-20
Failure to gain adequately during the ___ trimester is associated with poor infant birth
rate, even if the net gain falls within the recommendations ✅2nd
T/F With overweight and obese pregnant women, they should try to lose weight while
pregnant? ✅false!!
Weight gain still needed for fetus and support tissue but without increasing total body fat
, Overweight and obese pregnant women have an increased risk for what 3 things?
(OPG) ✅operative delivery
Postpartum weight gain
Gestational diabetes
Pregnant women need increases in all nutrients EXCEPT what 7 nutrients? (VVVPFCB)
✅vitamin D
Vitamin E
Vitamin K
Phosphorus
Fluoride
Calcium
Biotin
Pregnant women need to increase their energy intake by 340 kcal/day during the ____
trimester and 452 kcal/day during the ____ trimester ✅2nd
3rd
Why does a mother need to increase energy intake during pregnancy?
✅accommodates the rise in maternal BMR and synthesis and support of the maternal
and fetal tissues
If a mother has an inadequate calorie intake during pregnancy, the infant may have
what 2 things? ✅smaller birth weight and birth length
T/F mothers must increase their protein intake to 71 g/day to build and maintain tissues
of pregnancy ✅true
What should a pregnant mother take to supplement potential vitamins deficiencies
during pregnancy? ✅prenatal type multivitamin-mineral supplement as recommended
by primary health care provider or dietitian
Excessive preformed vitamin __ or vitamin __ during pregnancy can cause birth defects
✅A
D
What vitamin should a mother increase during pregnancy to prevent neural tube
defects? ✅folate
A ____ mg iron supplement is necessary beginning in the ____ trimester to prevent
___-____ ______ ✅30
2nd
Iron-deficiency anemia
