Maternal-Newborn chapter 6 test bank
1. During vital sign assessment of a pregnant patient in her third trimester,
the patient complains of feeling faint, dizzy, and agitated. Which nursing
intervention is most 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 turn to her left side and recheck her blood pressure in 5
minutes
D: have the patient lie supine for 5 minutes and recheck her blood pressure
on both
arms: C: have the patient turn to her left side and recheck her blood pressure in 5
minutes Blood pressure is affected by positioning 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 would cause 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.
2. While providing education to a primiparous patient regarding the normal
changes of pregnancy, what is an important information for the nurse to share
regarding Braxton Hicks contractions?
A: these contractions may indicate preterm labor
B: these are contractions that never cause any discomfort
C: Braxton hicks contractions only start during the third trimester
D: these occur throughout pregnancy, but you may not feel them until the 3rd
trimester: D: these occur throughout pregnancy, but you may not feel them until
the 3rd trimester Throughout pregnancy, the uterus undergoes irregular
contractions called Braxton Hicks contractions. During the first two trimesters, the
contractions are infrequent and usually not felt by the woman until the third
trimester. Braxton Hicks contractions do not indicate preterm labor. Braxton Hicks
contractions can cause some discomfort, especially in the third trimester. Braxton
Hicks contractions occur throughout the whole pregnancy.
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, Maternal-Newborn chapter 6 test bank
3. Which finding is a positive sign of pregnancy?
A: amenorrhea
B: breast changes
C: fetal movement felt by the woman
D: visualization of fetus by ultrasound: D: visualization of fetus by ultrasound The
only positive signs of pregnancy are auscultation of fetal heart tones, visualization
of the fetus by ultrasound, and fetal movement felt by the examiner. Amenorrhea is
a presumptive sign of pregnancy. Breast changes are a presumptive sign of
pregnancy. Fetal movement is a presumptive sign of pregnancy.
4. A patient in her first trimester complains of nausea and vomiting. The
patient asks, "Why is this happening?" What is the nurse's best response?
A: "It is due to an increase in gastric motility."
B: "It may be due to changes in hormones."
C: "It is related to an increase in glucose levels."
D: "It is caused by a decrease in gastric secretions.": B: "It may be due to
changes in hormones." Nausea and vomiting are believed to be caused by
increased levels of hormones, decreased gastric motility, and hypoglycemia.
Gastric motility decreases during pregnancy. Glucose levels decrease in the first
trimester. Gastric secretions decrease, but this is not the main cause of nausea and
vomiting.
5. The patient has just learned that she is pregnant and overhears the
gynecologist saying that she has a positive Chadwick's sign. When the
patient asks the nurse what this means, how would the nurse respond?
A: "Chadwick's sign signifies an increased risk of blood clots in pregnant
women because of a congestion of blood."
B: "That sign means the cervix has softened as the result of tissue changes
that naturally occur with pregnancy."
C: "This means that a mucus plug has formed in the cervical canal to help
protect you from uterine infection."
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1. During vital sign assessment of a pregnant patient in her third trimester,
the patient complains of feeling faint, dizzy, and agitated. Which nursing
intervention is most 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 turn to her left side and recheck her blood pressure in 5
minutes
D: have the patient lie supine for 5 minutes and recheck her blood pressure
on both
arms: C: have the patient turn to her left side and recheck her blood pressure in 5
minutes Blood pressure is affected by positioning 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 would cause 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.
2. While providing education to a primiparous patient regarding the normal
changes of pregnancy, what is an important information for the nurse to share
regarding Braxton Hicks contractions?
A: these contractions may indicate preterm labor
B: these are contractions that never cause any discomfort
C: Braxton hicks contractions only start during the third trimester
D: these occur throughout pregnancy, but you may not feel them until the 3rd
trimester: D: these occur throughout pregnancy, but you may not feel them until
the 3rd trimester Throughout pregnancy, the uterus undergoes irregular
contractions called Braxton Hicks contractions. During the first two trimesters, the
contractions are infrequent and usually not felt by the woman until the third
trimester. Braxton Hicks contractions do not indicate preterm labor. Braxton Hicks
contractions can cause some discomfort, especially in the third trimester. Braxton
Hicks contractions occur throughout the whole pregnancy.
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, Maternal-Newborn chapter 6 test bank
3. Which finding is a positive sign of pregnancy?
A: amenorrhea
B: breast changes
C: fetal movement felt by the woman
D: visualization of fetus by ultrasound: D: visualization of fetus by ultrasound The
only positive signs of pregnancy are auscultation of fetal heart tones, visualization
of the fetus by ultrasound, and fetal movement felt by the examiner. Amenorrhea is
a presumptive sign of pregnancy. Breast changes are a presumptive sign of
pregnancy. Fetal movement is a presumptive sign of pregnancy.
4. A patient in her first trimester complains of nausea and vomiting. The
patient asks, "Why is this happening?" What is the nurse's best response?
A: "It is due to an increase in gastric motility."
B: "It may be due to changes in hormones."
C: "It is related to an increase in glucose levels."
D: "It is caused by a decrease in gastric secretions.": B: "It may be due to
changes in hormones." Nausea and vomiting are believed to be caused by
increased levels of hormones, decreased gastric motility, and hypoglycemia.
Gastric motility decreases during pregnancy. Glucose levels decrease in the first
trimester. Gastric secretions decrease, but this is not the main cause of nausea and
vomiting.
5. The patient has just learned that she is pregnant and overhears the
gynecologist saying that she has a positive Chadwick's sign. When the
patient asks the nurse what this means, how would the nurse respond?
A: "Chadwick's sign signifies an increased risk of blood clots in pregnant
women because of a congestion of blood."
B: "That sign means the cervix has softened as the result of tissue changes
that naturally occur with pregnancy."
C: "This means that a mucus plug has formed in the cervical canal to help
protect you from uterine infection."
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