MATERNITY AND WOMEN'S HEALTH CARE
Maternity And Women’s Health Care, 13th Edition
Covering Chapters 1-37 | All Chapters | Latest Update
2025
……………………………………………………………………………………………………………………………………………………………
A couple has been counseled for genetic anomalies. They ask you, "What is karyotyping?" Your best
response is
✓ "Karyotyping will provide information about the gender of the baby, and the number and
structure of the chromosomes."
With regard to the estimation and interpretation of the recurrence of risks for genetic disorders,
nurses should be aware that
✓ the risk factor remains the same no matter how many affected children are already in the
family.
With regard to abnormalities of chromosomes, nurses should be aware that
✓ abnormalities of number are the leading cause of pregnancy loss.
A key finding from the Human Genome Project is
✓ approximately 20,000 to 25,000 genes make up the genome.
Most of the genetic tests now offered in clinical practice are tests for
✓ single-gene disorders.
A woman's cousin gave birth to an infant with a congenital heart anomaly. The woman asks the nurse
when such anomalies occur during development. Which response by the nurse is most accurate?
✓ "They occur between the third and fifth weeks of development."
A woman is 8 months pregnant. She tells the nurse that she knows her baby listens to her, but her
husband thinks she is imagining things. Which response by the nurse is most appropriate?
✓ "A baby in utero does respond to the mother's voice."
A maternity nurse should be aware of which fact about amniotic fluid?
✓ It serves as a source of oral fluid and as a repository for waste from the fetus.
A woman at 35 weeks of gestation has had an amniocentesis. The results reveal that surface-active
phospholipids are present in the amniotic fluid. The nurse is aware that this finding indicates
✓ lung maturity.
, The nurse should teach a pregnant woman that which substances are teratogens? (Select all that
apply.)
✓ Cigarette smoke
Isotretinoin (Retin A)
Rubella
If exhibited by a pregnant woman, what represents a positive sign of pregnancy?
✓ Fetal heartbeat auscultated with Doppler/fetoscope
Which hematocrit (Hct) and hemoglobin (Hgb) results represent(s) the lowest acceptable values for a
woman in the third-trimester of pregnancy?
✓ 33% Hct; 11 g/dL Hgb
When assessing the fetal heart rate (FHR) of a woman at 30 weeks of gestation, the nurse counts a
rate of 82 beats/min. Initially the nurse should
✓ assess the woman's radial pulse.
A nurse is reviewing information related to home pregnancy tests so as to prepare for a patient
teaching session. Which statement by the patient indicates that additional instruction is needed
following the teaching session?
✓ The patient states there is no need for concern as home pregnancy test results are 100%
correct.
A nurse teaches a pregnant woman about the presumptive, probable, and positive signs of pregnancy.
The woman demonstrates an understanding of the nurse's instructions if she states that a positive
sign of pregnancy is
✓ fetal movement palpated by the nurse-midwife.
During a client's physical examination, the nurse notes that the lower uterine segment is soft on
palpation. The nurse would document this finding as
✓ Hegar sign.
Cardiovascular system changes occur during pregnancy. Which finding would be considered normal
for a woman in her second trimester?
✓ Increased pulse rate
A woman who has completed one pregnancy with a fetus (or fetuses) reaching the stage of fetal
viability is called a
✓ primipara.
Which presumptive signs (felt by the woman) or probable sign (observed by the examiner) of
pregnancy is not matched with another possible cause?
✓ Goodell sign: Cervical polyps
Maternity And Women’s Health Care, 13th Edition
Covering Chapters 1-37 | All Chapters | Latest Update
2025
……………………………………………………………………………………………………………………………………………………………
A couple has been counseled for genetic anomalies. They ask you, "What is karyotyping?" Your best
response is
✓ "Karyotyping will provide information about the gender of the baby, and the number and
structure of the chromosomes."
With regard to the estimation and interpretation of the recurrence of risks for genetic disorders,
nurses should be aware that
✓ the risk factor remains the same no matter how many affected children are already in the
family.
With regard to abnormalities of chromosomes, nurses should be aware that
✓ abnormalities of number are the leading cause of pregnancy loss.
A key finding from the Human Genome Project is
✓ approximately 20,000 to 25,000 genes make up the genome.
Most of the genetic tests now offered in clinical practice are tests for
✓ single-gene disorders.
A woman's cousin gave birth to an infant with a congenital heart anomaly. The woman asks the nurse
when such anomalies occur during development. Which response by the nurse is most accurate?
✓ "They occur between the third and fifth weeks of development."
A woman is 8 months pregnant. She tells the nurse that she knows her baby listens to her, but her
husband thinks she is imagining things. Which response by the nurse is most appropriate?
✓ "A baby in utero does respond to the mother's voice."
A maternity nurse should be aware of which fact about amniotic fluid?
✓ It serves as a source of oral fluid and as a repository for waste from the fetus.
A woman at 35 weeks of gestation has had an amniocentesis. The results reveal that surface-active
phospholipids are present in the amniotic fluid. The nurse is aware that this finding indicates
✓ lung maturity.
, The nurse should teach a pregnant woman that which substances are teratogens? (Select all that
apply.)
✓ Cigarette smoke
Isotretinoin (Retin A)
Rubella
If exhibited by a pregnant woman, what represents a positive sign of pregnancy?
✓ Fetal heartbeat auscultated with Doppler/fetoscope
Which hematocrit (Hct) and hemoglobin (Hgb) results represent(s) the lowest acceptable values for a
woman in the third-trimester of pregnancy?
✓ 33% Hct; 11 g/dL Hgb
When assessing the fetal heart rate (FHR) of a woman at 30 weeks of gestation, the nurse counts a
rate of 82 beats/min. Initially the nurse should
✓ assess the woman's radial pulse.
A nurse is reviewing information related to home pregnancy tests so as to prepare for a patient
teaching session. Which statement by the patient indicates that additional instruction is needed
following the teaching session?
✓ The patient states there is no need for concern as home pregnancy test results are 100%
correct.
A nurse teaches a pregnant woman about the presumptive, probable, and positive signs of pregnancy.
The woman demonstrates an understanding of the nurse's instructions if she states that a positive
sign of pregnancy is
✓ fetal movement palpated by the nurse-midwife.
During a client's physical examination, the nurse notes that the lower uterine segment is soft on
palpation. The nurse would document this finding as
✓ Hegar sign.
Cardiovascular system changes occur during pregnancy. Which finding would be considered normal
for a woman in her second trimester?
✓ Increased pulse rate
A woman who has completed one pregnancy with a fetus (or fetuses) reaching the stage of fetal
viability is called a
✓ primipara.
Which presumptive signs (felt by the woman) or probable sign (observed by the examiner) of
pregnancy is not matched with another possible cause?
✓ Goodell sign: Cervical polyps
