Chapter 26 Health Promotion and Pregnancy

Chapter 26: Health Promotion and Pregnancy
Cooper: Foundation of Nursing

MULTIPLE CHOICE

1. Where does implantation of the fertilized ovum usually occur?
a. Lower uterine wall
b. Side of the uterus
c. Fundus of the uterus
d. Body of the uterus
ANS: C
Implantation usually occurs in the fundus of the uterus.

DIF: Cognitive Level: Knowledge REF: p. 762 OBJ: 1
TOP: Implantation KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance

2. A patient has been diagnosed with a tubal pregnancy. What is the typical outcome of a tubal
pregnancy?
a. The patient will carry the pregnancy to term and have a cesarean delivery.
b. The patient will have to remain in bed for the remainder of the pregnancy.
c. The patient will spontaneously abort this ectopic pregnancy.
d. The patient will require surgery to remove the zygote.
ANS: D
Any pregnancy where implantation occurs outside the uterine cavity is called ectopic. Tubal
pregnancies usually must be resolved by surgical removal of the zygote.

DIF: Cognitive Level: Analysis REF: p. 762 OBJ: 1
TOP: Pregnancy KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity

3. How long does the embryonic stage of pregnancy typically last?
a. 3 weeks
b. 4 weeks
c. 6 weeks
d. 8 weeks
ANS: D
The embryonic stage encompasses the first 8 weeks.

DIF: Cognitive Level: Knowledge REF: p. 763 OBJ: 1
TOP: Pregnancy KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance

4. Why is the nurse concerned about a patient in her first trimester of pregnancy being exposed
to German measles?
a. The disease is capable of causing a spontaneous abortion.
b. The disease is capable of causing birth defects.
c. The disease is capable of causing high fever and convulsions.

, d. The disease is capable of interfering with placental implantation.

ANS: B
Rubella is a known teratogen, which can cause birth defects.

DIF: Cognitive Level: Application REF: p. 763 OBJ: 1
TOP: Teratogen KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance

5. Which hormone is secreted by the placenta?
a. Follicle-stimulating hormone (FSH)
b. Alpha-fetoprotein (AFP)
c. Human chorionic gonadotropin (HCG)
d. Luteinizing hormone (LH)
ANS: C
The placenta functions as an endocrine gland, secreting estrogen, progesterone, and HCG.

DIF: Cognitive Level: Comprehension REF: p. 763 OBJ: 2
TOP: Placenta function KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance

6. What protects the fetus from most bacterial infections?
a. The yolk sac
b. The placental barrier
c. The cotyledons
d. The chorionic villa
ANS: B
The placental barrier protects the embryo/fetus from most bacteria, but not from viruses or
drugs. The cotyledons are sections that make up the placenta. The chorionic villa are tiny
vascular projections on the chorionic surface that help form the placenta.

DIF: Cognitive Level: Comprehension REF: p. 763 OBJ: 2
TOP: Placental barrier KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance

7. What period of the maternity cycle does the intrapartal period cover?
a. Beginning of pregnancy to midterm
b. Conception to third trimester
c. Onset of labor to delivery of the baby
d. Onset of labor to delivery of the placenta
ANS: D
The intrapartal period of the maternity cycle covers the onset of labor to delivery of the
placenta. The antepartal period begins at conception and continues until the onset of labor.
The postpartal period begins after the delivery of the placenta and continues for approximately
6 weeks, until the reproductive organs return to their prepregnancy state.

DIF: Cognitive Level: Knowledge REF: p. 777 OBJ: 3
TOP: Intrapartal period KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance