NUR202 Exam 1 Questions and Correct
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With regard to chromosome abnormalities, nurses should be aware that:
a. They occur in approximately 10% of newborns.
b. Abnormalities of number are the leading cause of pregnancy loss.
c. Down syndrome is a result of an abnormal chromosome structure.
d. Unbalanced translocation results in a mild abnormality that the child will outgrow.
→ b
With regard to the development of the respiratory system, maternity nurses should be aware
that:
a. The respiratory system does not begin developing until after the embryonic stage
b. The infant's lungs are considered mature when the L/S ratio is 1:1, at about 32 weeks
c. Maternal hypertension can reduce maternal-placental blood flow, accelerating lung
maturity
d. Fetal respiratory movements are not visible on ultrasound scans until at least 16 weeks
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→ C
→
→ (fetal lungs are considered mature at 35 weeks, fetal respiratory movements are not
visible on ultrasound exams until 11 weeks)
The mucous plug that forms in the endocervical canal is called the:
a. Operculum
b. Leukorrhea
c. Funic souffle
d. Ballottement
→ A
→
→ (leukorrhea is normal pregnant discharge, funic souffle is the blowing sound heard
while listening to fetal heartbeat, ballottement is a palpation pregnancy test)
In understanding and guiding a woman through her acceptance of pregnancy, a maternity
nurse should be aware that:
a. Nonacceptance of the pregnancy very often equates to rejection of the child.
b. Mood swings most likely are the result of worries about finances and a changed lifestyle as
well as profound hormonal changes.
c. ambivalent feelings during pregnancy usually are seen only in emotionally immature or very
young mothers.
→ B
With regard to the initial physical exam of a woman beginning prenatal care, maternity
nurses should be aware that:
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a. Only women who show physical signs or meet the sociologic profile should be assessed for
physical abuse
b. The woman should empty her bladder before the pelvic examination
c. The distribution, amount, and quality of body hair are of no particular importance
d. The size of the uterus is discounted in the initial examination because it is just going to get
bigger soon
→ B
Maternal nutritional status is an especially significant factor of the many factors that influence
the outcome of pregnancy because:
a. It is very difficult to adjust because of people's ingrained eating habits.
b. It is an important preventive measure for a variety of problems.
c. Women love obsessing about their weight and diets.
d. A woman's preconception weight becomes irrelevant
→ B
A client asks her nurse, "My doctor told me that he is concerned with the grade of my placenta
because I am overdue. What does that mean?" The best response by the nurse is:
a. "Your placenta changes as your pregnancy progresses, and it is given a score that indicates
the amount of calcium deposits it has. The more calcium deposits, the higher the grade, or
number, that is assigned to the placenta. It also means that less blood and oxygen can be
delivered to your baby."
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b. "Your placenta isn't working properly, and your baby is in danger."
c. "This means that we will need to perform an amniocentesis to detect if you have any
placental damage."
d. "Don't worry about it. Everything is fine."
→ A
The nurse should explain that transvaginal diagnostic tests may be indicated for a number of
situations, including (select all that apply):
a. Multifetal gestation
b. Obesity
c. Fetal abnormalities
d. Amniotic fluid volume
e. Ectopic pregnancy
→ ABCE
When assessing a woman in labor, the nurse is aware that the relationship of the fetal body
parts to one another is called fetal:
a. Lie
b. Presentation
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