NURS 2910 – PrepU Exam Questions
With Verified Answers
Chapter 11: Maternal Adaptation During Pregnancy - ANSWER
The nurse is caring for a client at 8 weeks' gestation who states, "I did not plan
for this right now and I am not happy or excited about this pregnancy. I am not
sure what to do." Which response by the nurse is best?
A. "You will become excited and happy when you feel the baby move."
B. "Many women feel this way during the first trimester."
C. "We can refer you to a clinic for potential termination if you desire."
D. "Do not worry. Once you hold this baby, everything will be fine." - ANSWER B.
"Many women feel this way during the first trimester."
What is a positive sign of pregnancy?
A. Positive pregnancy test
B. Fetal movement felt by examiner
C. Hegar sign
D. Uterine contractions - ANSWER B. Fetal movement felt by examiner
A pregnant client in her third trimester, lying supine on the examination table,
suddenly grows very short of breath and dizzy. Concerned, she asks the nurse
what is happening. Which response should the nurse prioritize?
A. Cerebral arteries are growing congested with blood.
B. The uterus requires more blood in a supine position.
C. Blood is trapped in the vena cava in a supine position.
D. Sympathetic nerve responses cause dyspnea when a woman lies supine. -
ANSWER C. Blood is trapped in the vena cava in a supine position.
A pregnant client reports an increase in a thick, whitish vaginal discharge.
Which response by the nurse would be most appropriate?
A. "You should refrain from any sexual activity."
B. "You need to be assessed for a fungal infection."
C. "This discharge is normal during pregnancy."
D. "Use a local antifungal agent regularly." - ANSWER C. "This discharge is
normal during pregnancy."
,The nurse is assessing a pregnant woman in her second trimester. Which tasks
would indicate to the nurse that the client is successfully incorporating the
maternal role into her personality?
A. The woman demonstrates concern for herself and her fetus as a unit.
B. The client identifies what she must give up to assume her new role.
C. The woman acknowledges the fetus as a separate entity within her.
D. The client demonstrates unconditional acceptance without rejection. -
ANSWER C. The woman acknowledges the fetus as a separate entity within her.
A client presents to the clinic because she thinks she may be pregnant. On
examination, the nurse notes that the client's cervix and vaginal mucosa appear
a bluish-purple color. The nurse interprets this finding as which sign?
A. Chadwick sign
B. Hegar sign
C. Goodell sign
D. Braxton sign - ANSWER A. Chadwick sign
A woman is 10 weeks' pregnant and tells the nurse that this pregnancy was
unplanned and she has no real family support. The nurse's most therapeutic
response would be to:
A. Encourage her to identify someone that she can talk to and share the
pregnancy experience.
B. Tell her to move home so her family will be nearby to help her.
C. Remind her that she is still early in the pregnancy and she will feel better
about it as the pregnancy progresses.
D. Offer to meet with the client on a regular basis to provide her someone to talk
to about her concerns. - ANSWER A. Encourage her to identify someone that she
can talk to and share the pregnancy experience.
A 22-year-old client comes to the walk-in clinic complaining of fatigue, breast
heaviness and extreme tenderness, and a clear vaginal discharge. What
question would the nurse ask this client?
A. Have you been sexually active in the past 2 months?
B. Do you have a family history of breast cancer?
C. Do you have vaginal itching?
D. Are you taking oral contraceptives? - ANSWER A. Have you been sexually
active in the past 2 months?
A client at 40 weeks' gestation informs the nurse that she is tired of being
pregnant. What is the best response from the nurse?
, A. "Do you need to speak with someone about your feelings?"
B. "That is a very normal feeling, especially at this point in pregnancy."
C. "Most woman would have asked to be induced by this point. Is that what you
want?"
D. "Are you getting enough rest? If you don't take time for rest, that is why you
might be tired." - ANSWER B. "That is a very normal feeling, especially at this
point in pregnancy."
Which information provided by a client would be considered a presumptive sign
of pregnancy?
A. Reports of increased hunger
B. Weight gain
C. Breast tenderness
D. Ballottement - ANSWER C. Breast tenderness
A client in her 29th week of gestation reports dizziness and clamminess when
assuming a supine position. During the assessment, the nurse observes there is
a marked decrease in the client's blood pressure. Which intervention should the
nurse implement to help alleviate this client's condition?
A. Keep the client's legs slightly elevated.
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. - ANSWER D. Place the client in the
left lateral position.
During late pregnancy, the nurse teaches a pregnant woman to lay on her left
side to avoid what condition?
A. Supine hypotension syndrome
B. Preeclampsia
C. Frequent urination
D. Heartburn - ANSWER A. Supine hypotension syndrome
A urinalysis is done on a client in her third trimester. Which result would be
considered abnormal?
A. Trace of glucose
B. 2+ Protein in urine
C. Specific gravity of 1.010
D. Straw-like color - ANSWER B. 2+ Protein in urine
A nurse is assessing a pregnant client. The nurse understands that hormonal
changes occur during pregnancy. Which hormones would the nurse most likely
identify as being inhibited during the pregnancy?
With Verified Answers
Chapter 11: Maternal Adaptation During Pregnancy - ANSWER
The nurse is caring for a client at 8 weeks' gestation who states, "I did not plan
for this right now and I am not happy or excited about this pregnancy. I am not
sure what to do." Which response by the nurse is best?
A. "You will become excited and happy when you feel the baby move."
B. "Many women feel this way during the first trimester."
C. "We can refer you to a clinic for potential termination if you desire."
D. "Do not worry. Once you hold this baby, everything will be fine." - ANSWER B.
"Many women feel this way during the first trimester."
What is a positive sign of pregnancy?
A. Positive pregnancy test
B. Fetal movement felt by examiner
C. Hegar sign
D. Uterine contractions - ANSWER B. Fetal movement felt by examiner
A pregnant client in her third trimester, lying supine on the examination table,
suddenly grows very short of breath and dizzy. Concerned, she asks the nurse
what is happening. Which response should the nurse prioritize?
A. Cerebral arteries are growing congested with blood.
B. The uterus requires more blood in a supine position.
C. Blood is trapped in the vena cava in a supine position.
D. Sympathetic nerve responses cause dyspnea when a woman lies supine. -
ANSWER C. Blood is trapped in the vena cava in a supine position.
A pregnant client reports an increase in a thick, whitish vaginal discharge.
Which response by the nurse would be most appropriate?
A. "You should refrain from any sexual activity."
B. "You need to be assessed for a fungal infection."
C. "This discharge is normal during pregnancy."
D. "Use a local antifungal agent regularly." - ANSWER C. "This discharge is
normal during pregnancy."
,The nurse is assessing a pregnant woman in her second trimester. Which tasks
would indicate to the nurse that the client is successfully incorporating the
maternal role into her personality?
A. The woman demonstrates concern for herself and her fetus as a unit.
B. The client identifies what she must give up to assume her new role.
C. The woman acknowledges the fetus as a separate entity within her.
D. The client demonstrates unconditional acceptance without rejection. -
ANSWER C. The woman acknowledges the fetus as a separate entity within her.
A client presents to the clinic because she thinks she may be pregnant. On
examination, the nurse notes that the client's cervix and vaginal mucosa appear
a bluish-purple color. The nurse interprets this finding as which sign?
A. Chadwick sign
B. Hegar sign
C. Goodell sign
D. Braxton sign - ANSWER A. Chadwick sign
A woman is 10 weeks' pregnant and tells the nurse that this pregnancy was
unplanned and she has no real family support. The nurse's most therapeutic
response would be to:
A. Encourage her to identify someone that she can talk to and share the
pregnancy experience.
B. Tell her to move home so her family will be nearby to help her.
C. Remind her that she is still early in the pregnancy and she will feel better
about it as the pregnancy progresses.
D. Offer to meet with the client on a regular basis to provide her someone to talk
to about her concerns. - ANSWER A. Encourage her to identify someone that she
can talk to and share the pregnancy experience.
A 22-year-old client comes to the walk-in clinic complaining of fatigue, breast
heaviness and extreme tenderness, and a clear vaginal discharge. What
question would the nurse ask this client?
A. Have you been sexually active in the past 2 months?
B. Do you have a family history of breast cancer?
C. Do you have vaginal itching?
D. Are you taking oral contraceptives? - ANSWER A. Have you been sexually
active in the past 2 months?
A client at 40 weeks' gestation informs the nurse that she is tired of being
pregnant. What is the best response from the nurse?
, A. "Do you need to speak with someone about your feelings?"
B. "That is a very normal feeling, especially at this point in pregnancy."
C. "Most woman would have asked to be induced by this point. Is that what you
want?"
D. "Are you getting enough rest? If you don't take time for rest, that is why you
might be tired." - ANSWER B. "That is a very normal feeling, especially at this
point in pregnancy."
Which information provided by a client would be considered a presumptive sign
of pregnancy?
A. Reports of increased hunger
B. Weight gain
C. Breast tenderness
D. Ballottement - ANSWER C. Breast tenderness
A client in her 29th week of gestation reports dizziness and clamminess when
assuming a supine position. During the assessment, the nurse observes there is
a marked decrease in the client's blood pressure. Which intervention should the
nurse implement to help alleviate this client's condition?
A. Keep the client's legs slightly elevated.
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. - ANSWER D. Place the client in the
left lateral position.
During late pregnancy, the nurse teaches a pregnant woman to lay on her left
side to avoid what condition?
A. Supine hypotension syndrome
B. Preeclampsia
C. Frequent urination
D. Heartburn - ANSWER A. Supine hypotension syndrome
A urinalysis is done on a client in her third trimester. Which result would be
considered abnormal?
A. Trace of glucose
B. 2+ Protein in urine
C. Specific gravity of 1.010
D. Straw-like color - ANSWER B. 2+ Protein in urine
A nurse is assessing a pregnant client. The nurse understands that hormonal
changes occur during pregnancy. Which hormones would the nurse most likely
identify as being inhibited during the pregnancy?
