Chapter 15: Pregnancy; O'Meara: Maternity, Newborn, and Women's Hea
PREPU Level 5
Study online at https://quizlet.com/_bn5yhr
1. A pregnant client reports chewing on a. serum iron level
ice throughout the day. Which labo-
ratory value would the nurse evalu- Pregnant clients who crave ice often have an iron de-
ate? ficiency. A low serum iron level needs to be checked.
The client's electrolyte values are not associated with
a. serum iron level cravings for ice.
b. serum potassium level
c. serum glucose level
d. serum sodium level
2. The fluid-filled, inner membrane sac a. amnion
surrounding the fetus is which struc-
ture? The fluid-filled, inner membrane sac surrounding the
fetus is the amnion. The chorion is the outer mem-
a. amnion brane surrounding the fetus. The endometrium is the
b. chorion inner lining of the uterus. The decidua is the name
c. endometrium used for the endometrium during pregnancy.
d. decidua
3. A pregnant client at 32 weeks' ges- c. "Sex during pregnancy is a common concern. What
tation remarks during a routine pre- do you mean by difficult?"
natal visit, "Sex is becoming difficult
for us." Which would be the best re- Frank discussion about how sexual feelings and be-
sponse by the nurse? haviors may change during pregnancy can help pre-
vent and alleviate problems. The nurse should seek
a. "If you and your partner are hav- more information from the pregnant client regarding
ing problems, maybe decreasing the the difficulties that are encountered. Decreasing the
frequency of sex would be helpful." frequency of sex or telling the client to abstain until
b. "Intercourse this late in pregnancy after the birth does not address the cause of the
can be difficult. Do you think that ab- difficulty. Discomfort should not be an issue, and if
staining is possible?" present should be investigated.
c. "Sex during pregnancy is a com-
, Chapter 15: Pregnancy; O'Meara: Maternity, Newborn, and Women's Hea
PREPU Level 5
Study online at https://quizlet.com/_bn5yhr
mon concern. What do you mean by
difficult?"
d. "You should expect to have dis-
comfort with sex because of the
pregnancy. Discuss this with your ob-
stetrician."
4. A client in her 29th week of gesta- d. Place the client in the left lateral position.
tion reports dizziness and clammi-
ness when assuming a supine po- The symptoms experienced by the client indicate
sition. During the assessment, the supine hypotension syndrome. When the pregnant
nurse observes there is a marked woman assumes a supine position, the expanding
decrease in the client's blood pres- uterus exerts pressure on the inferior vena. The nurse
sure. Which intervention should the should place the client in the left lateral position
nurse implement to help alleviate to correct this syndrome and optimize cardiac out-
this client's condition? put and uterine perfusion. Elevating the client's legs,
placing the client in an orthopneic position, or keep-
a. Keep the client's legs slightly ele- ing the head of the bed elevated will not help alleviate
vated. the client's condition.
b. Place the client in an orthopneic
position.
c. Keep the head of the client's bed
slightly elevated.
d. Place the client in the left lateral
position.
5. A pregnant client at 34 weeks' ges- a. Eat five to six small meals per day.
tation reports a burning sensation b. Do not eat fried, fatty foods.
in the lower esophagus. What action c. Do not lie down immediately after eating.
would the nurse recommend to in-
crease her comfort? Select all that The client is experiencing pyrosis. Eating small fre-
quent meals, avoiding fried foods, and not laying
, Chapter 15: Pregnancy; O'Meara: Maternity, Newborn, and Women's Hea
PREPU Level 5
Study online at https://quizlet.com/_bn5yhr
apply. down immediately after eating will minimize the dis-
comfort. Large quantities of carbohydrates and not
a. Eat five to six small meals per day. taking liquids with meals will not change the discom-
b. Do not eat fried, fatty foods. fort being experienced.
c. Do not lie down immediately after
eating.
d. Eat a large amount of carbohy-
drates.
e. Do not drink liquids with meals.
6. The nurse teaches a primigravida d. urinary frequency
client that lightening occurs about
2 weeks before the onset of labor. Lightening refers to the descent of the fetal head into
What will the mother likely experi- the pelvis and engagement. With this descent, pres-
ence at that time? sure on the diaphragm decreases, easing breathing,
but pressure on the bladder increases, leading to uri-
a. dysuria nary frequency. Dysuria might indicate a urinary tract
b. dyspnea infection. Constipation may occur throughout preg-
c. constipation nancy due to decreased peristalsis, but it is unrelated
d. urinary frequency to lightening.
7. How many weeks into her pregnancy 28 weeks
should a woman who is Rho(D)-neg-
ative be screened for antibodies and For women who are Rh-negative, Rho(D) immune
given Rho(D) immune globulin? globulin is given at 28 weeks to prevent isoimmuniza-
tion.
8. The nurse is planning a seminar that a. refusing alcohol
focuses on the 2030 National Health b. importance to stop smoking
Goals during pregnancy for clients c. maintaining health appointments
who are in the first trimester of preg- e. abstaining from drugs and substances
nancy. Which information should the
PREPU Level 5
Study online at https://quizlet.com/_bn5yhr
1. A pregnant client reports chewing on a. serum iron level
ice throughout the day. Which labo-
ratory value would the nurse evalu- Pregnant clients who crave ice often have an iron de-
ate? ficiency. A low serum iron level needs to be checked.
The client's electrolyte values are not associated with
a. serum iron level cravings for ice.
b. serum potassium level
c. serum glucose level
d. serum sodium level
2. The fluid-filled, inner membrane sac a. amnion
surrounding the fetus is which struc-
ture? The fluid-filled, inner membrane sac surrounding the
fetus is the amnion. The chorion is the outer mem-
a. amnion brane surrounding the fetus. The endometrium is the
b. chorion inner lining of the uterus. The decidua is the name
c. endometrium used for the endometrium during pregnancy.
d. decidua
3. A pregnant client at 32 weeks' ges- c. "Sex during pregnancy is a common concern. What
tation remarks during a routine pre- do you mean by difficult?"
natal visit, "Sex is becoming difficult
for us." Which would be the best re- Frank discussion about how sexual feelings and be-
sponse by the nurse? haviors may change during pregnancy can help pre-
vent and alleviate problems. The nurse should seek
a. "If you and your partner are hav- more information from the pregnant client regarding
ing problems, maybe decreasing the the difficulties that are encountered. Decreasing the
frequency of sex would be helpful." frequency of sex or telling the client to abstain until
b. "Intercourse this late in pregnancy after the birth does not address the cause of the
can be difficult. Do you think that ab- difficulty. Discomfort should not be an issue, and if
staining is possible?" present should be investigated.
c. "Sex during pregnancy is a com-
, Chapter 15: Pregnancy; O'Meara: Maternity, Newborn, and Women's Hea
PREPU Level 5
Study online at https://quizlet.com/_bn5yhr
mon concern. What do you mean by
difficult?"
d. "You should expect to have dis-
comfort with sex because of the
pregnancy. Discuss this with your ob-
stetrician."
4. A client in her 29th week of gesta- d. Place the client in the left lateral position.
tion reports dizziness and clammi-
ness when assuming a supine po- The symptoms experienced by the client indicate
sition. During the assessment, the supine hypotension syndrome. When the pregnant
nurse observes there is a marked woman assumes a supine position, the expanding
decrease in the client's blood pres- uterus exerts pressure on the inferior vena. The nurse
sure. Which intervention should the should place the client in the left lateral position
nurse implement to help alleviate to correct this syndrome and optimize cardiac out-
this client's condition? put and uterine perfusion. Elevating the client's legs,
placing the client in an orthopneic position, or keep-
a. Keep the client's legs slightly ele- ing the head of the bed elevated will not help alleviate
vated. the client's condition.
b. Place the client in an orthopneic
position.
c. Keep the head of the client's bed
slightly elevated.
d. Place the client in the left lateral
position.
5. A pregnant client at 34 weeks' ges- a. Eat five to six small meals per day.
tation reports a burning sensation b. Do not eat fried, fatty foods.
in the lower esophagus. What action c. Do not lie down immediately after eating.
would the nurse recommend to in-
crease her comfort? Select all that The client is experiencing pyrosis. Eating small fre-
quent meals, avoiding fried foods, and not laying
, Chapter 15: Pregnancy; O'Meara: Maternity, Newborn, and Women's Hea
PREPU Level 5
Study online at https://quizlet.com/_bn5yhr
apply. down immediately after eating will minimize the dis-
comfort. Large quantities of carbohydrates and not
a. Eat five to six small meals per day. taking liquids with meals will not change the discom-
b. Do not eat fried, fatty foods. fort being experienced.
c. Do not lie down immediately after
eating.
d. Eat a large amount of carbohy-
drates.
e. Do not drink liquids with meals.
6. The nurse teaches a primigravida d. urinary frequency
client that lightening occurs about
2 weeks before the onset of labor. Lightening refers to the descent of the fetal head into
What will the mother likely experi- the pelvis and engagement. With this descent, pres-
ence at that time? sure on the diaphragm decreases, easing breathing,
but pressure on the bladder increases, leading to uri-
a. dysuria nary frequency. Dysuria might indicate a urinary tract
b. dyspnea infection. Constipation may occur throughout preg-
c. constipation nancy due to decreased peristalsis, but it is unrelated
d. urinary frequency to lightening.
7. How many weeks into her pregnancy 28 weeks
should a woman who is Rho(D)-neg-
ative be screened for antibodies and For women who are Rh-negative, Rho(D) immune
given Rho(D) immune globulin? globulin is given at 28 weeks to prevent isoimmuniza-
tion.
8. The nurse is planning a seminar that a. refusing alcohol
focuses on the 2030 National Health b. importance to stop smoking
Goals during pregnancy for clients c. maintaining health appointments
who are in the first trimester of preg- e. abstaining from drugs and substances
nancy. Which information should the
