Components of Nursing Care 4th Edition Connie Durham,
Roberta Chapman, Linda Miller Test Bank Chapter 1-19 |
Complete Guide Newest Version 2024
A woman presents for prenatal care at 6 weeks gestation by LMP. Which of the following
findings would the nurse expect to see?
a. Multiple pillow orthopnea;
b. Maternal ambivalence
c. Fundus at the umbilicus
d. Pedal and ankle edema - ANSANS: b
A woman presents for prenatal care at 6 weeks gestation by LMP. Which of the following
findings would the nurse expect to see?
a. Multiple pillow orthopnea;
b. Maternal ambivalence
c. Fundus at the umbilicus
d. Pedal and ankle edema - ANSANS: b
A woman presents to the prenatal clinic at 30 weeks gestation reporting dysuria, frequency, and
urgency with urination. Appropriate nursing actions include:
a. Obtain clean-catch urine to assess for a possible urinary tract infection.
b. Reassure the woman that the signs are normal urinary changes in the third trimester.
c. Teach the woman to decrease fluid intake to manage these symptoms.
d. Perform a Leopolds maneuver to assess fetal position and station. - ANSANS: a
A woman seeks care at an infertility clinic. Which of the following tests may this woman undergo
to determine what, if any, infertility problem she may have? (Select all that apply.)
a. Chorionic villus sampling
b. Endometrial biopsy
c. Hysterosalpingogram
d. Serum FSH analysis - ANSANS. b, c, d
An 18-year-old woman at 23 weeks gestation tells the nurse that she has fainted two times. The
nurse teaches about the warning signs that often precede syncope so that she can sit or lie
down to prevent personal injury. Warning signs include (select all that apply):
a. Sweating
b. Nausea
c. Chills
d. Yawning - ANSANS: a, b, d
An ethical dilemma unique to perinatal nursing is the:
a. Innate conflict between maternal and fetal rights
b. Intensive use of technology
c. Shortage of health-care resources
,Davis Advantage for Maternal-Newborn Nursing Critical
Components of Nursing Care 4th Edition Connie Durham,
Roberta Chapman, Linda Miller Test Bank Chapter 1-19 |
Complete Guide Newest Version 2024
d. Risk of violation of the principle of veracity - ANSANS: a
An example of a cultural prescriptive belief during pregnancy is:
a. Remain active during pregnancy
b. Coldness in any form should be avoided
c. Do not have your picture taken
d. Avoid sexual intercourse during the third trimester - ANSANS: a
An example of a cultural prescriptive belief during pregnancy is:
a. Remain active during pregnancy
b. Coldness in any form should be avoided
c. Do not have your picture taken
d. Avoid sexual intercourse during the third trimester - ANSANS: a
An overweight or obese pre-pregnancy weight increases the risk for which poor maternal
outcomes? (Select all that apply.)
a. Preeclampsia
b. Hemorrhage
c. Difficult delivery
d. Vaginal infections - ANSANS: a, b, c
An ultrasound of a fetus heart shows that normal fetal circulation is occurring. Which of the
following statements is consistent with the finding?
a. A right-to-left shunt is seen between the atria.
b. Blood is returning to the placenta via the umbilical vein.
c. Blood is returning to the right atrium from the pulmonary system.
d. A right-to-left shunt is seen between the umbilical arteries. - ANSANS: a
Asking the pregnant woman about her use of recreational drugs is an essential component of
the prenatal history. Harmful fetal effects that may occur from recreational drugs include (select
all that apply):
a. Miscarriage/spontaneous abortion
b. Low birth weight
c. Macrosomia
d. Post-term labor/birth - ANSANS: a, b
At the end of her 32-week prenatal visit, a woman reports discomfort with intercourse and tells
you shyly that she wants to maintain a sexual relationship with her partner. The best response is
to:
a. Reassure woman/couple of normalcy of response
b. Suggest alternative positions for sexual intercourse and alternative sexual activity to sexual
intercourse
, Davis Advantage for Maternal-Newborn Nursing Critical
Components of Nursing Care 4th Edition Connie Durham,
Roberta Chapman, Linda Miller Test Bank Chapter 1-19 |
Complete Guide Newest Version 2024
c. Recommend cessation of intercourse until after delivery due to advanced gestationd. Suggest
woman discuss this with her care provider at her next appointment - ANSANS: b
Blood volume expansion during pregnancy leads to:
a. Iron-deficiency anemia
b. Maternal iron stores being insufficient to meet the demands for iron in fetal development
c. Plasma fibrin increase of 40% and fibrinogen increase of 50%
d. Physiological anemia of pregnancy - ANSANS: d
Cathy is pregnant for the second time. Her son, Steven, has just turned 2 years old. She asks
you what she should do to help him get ready for the expected birth. What is the nurses most
appropriate response?
a. Steven will probably not understand any explanations about the arrival of the new baby, so
Cathy should do nothing.
b. If Stevens sleeping arrangements need to be changed, it should be done well in advance of
the birth.
c. Steven should come to the next prenatal visit and listen to the fetal heartbeat to encourage
sibling
attachment.
d. Steven should be encouraged to plan an elaborate welcome for the newborn. - ANSANS: b
Cathy is pregnant for the second time. Her son, Steven, has just turned 2 years old. She asks
you what she should do to help him get ready for the expected birth. What is the nurses most
appropriate response?
a. Steven will probably not understand any explanations about the arrival of the new baby, so
Cathy should do nothing.
b. If Stevens sleeping arrangements need to be changed, it should be done well in advance of
the birth.
c. Steven should come to the next prenatal visit and listen to the fetal heartbeat to encourage
sibling attachment.
d. Steven should be encouraged to plan an elaborate welcome for the newborn. - ANSANS: b
During a routine prenatal visit in the third trimester, a woman reports she is dizzy and
lightheaded when she is lying on her back. The most appropriate nursing action would be to:
a. Order an EKG.
b. Report this abnormal finding immediately to her care provider.
c. Teach the woman to avoid lying on her back and to rise slowly because of supine
hypotension.
d. Order a nonstress test to assess fetal well-being. - ANSANS: c
During preconception counseling, the clinic nurse explains that the time period when the fetus is
most vulnerable to the effects of teratogens occurs from:
a. 2 to 8 weeks