DAVIS ADVANTAGE FOR PEDIATRIC NURSING:
CHAPTER 20 CERTIFICATION EVALUATION
EXAMS 2026 SOLVED QUESTIONS WITH FULL
SOLUTION
◉ A transvaginal ultrasound can be used for which of the following?
Select all that apply.
To diagnose pregnancy.
To perform a PAP smear.
To obtain an estimated due date (EDD).
To rule out abnormalities in the pregnancy.
To identify STIs or other infections.
Answer: To diagnose pregnancy.
To obtain an estimated due date (EDD).
To rule out abnormalities in the pregnancy.
◉ When discussing personal comfort with pregnant patients, which
of the following should be discouraged?
Douching
External genital cleansing
Wearing loose, cotton clothing
,Resting in a side-lying position.
Answer: Douching
◉ Maria is 32 weeks pregnant and complaining of varicosities in her
legs. What should be included in her routine assessments due to this
complication?
Nothing should change with her assessments; this is a normal part
of pregnancy.
A recommendation to the provider for physical therapy.
Education on prevention and checking peripheral pulses.
Assessments for pregnancy-induced hypertension..
Answer: Education on prevention and checking peripheral pulses.
◉ Krystin is 38 weeks pregnant and in the office today complaining
of shortness of breath. What is the first nursing action you should
take as her nurse today?
Reassure her this is a normal part of pregnancy, and she should
simply raise her arms over her head and breathe slow and deep
when it happens.
Call 911 and have her transferred to the emergency room.
Put her on a rebreather mask with oxygen running at 10 L/min.
Obtain a full set of vital signs and ask Krystin to tell you more about
the shortness of breath she is having..
, Answer: Obtain a full set of vital signs and ask Krystin to tell you
more about the shortness of breath she is having.
◉ Since discovering she was pregnant 6 weeks ago, Martina has
called her OB office several times a week for numerous complaints
and concerns, all of which were normal or unfounded. Now in her
15th week of pregnancy, she insists on being seen for an ultrasound
because she is worried the baby has something wrong with it. What
is Martina suffering from?
This is a normal response to pregnancy in some women and is not
concerning.
She is suffering from post-traumatic stress disorder (PTSD) and
should be referred to counseling.
She is experiencing pregnancy-related anxiety and should be
referred to counseling.
She is at increased risk for postpartum depression and may harm
herself..
Answer: She is experiencing pregnancy-related anxiety and should
be referred to counseling.
◉ Juanita is 11 weeks pregnant with an unintended pregnancy with
her life partner Joel. They've begun discussing where the baby will
sleep and are making plans for Juanita to stay home for the first few
years and not work. What maternal process of pregnancy is Juanita
displaying?
Binding-in
CHAPTER 20 CERTIFICATION EVALUATION
EXAMS 2026 SOLVED QUESTIONS WITH FULL
SOLUTION
◉ A transvaginal ultrasound can be used for which of the following?
Select all that apply.
To diagnose pregnancy.
To perform a PAP smear.
To obtain an estimated due date (EDD).
To rule out abnormalities in the pregnancy.
To identify STIs or other infections.
Answer: To diagnose pregnancy.
To obtain an estimated due date (EDD).
To rule out abnormalities in the pregnancy.
◉ When discussing personal comfort with pregnant patients, which
of the following should be discouraged?
Douching
External genital cleansing
Wearing loose, cotton clothing
,Resting in a side-lying position.
Answer: Douching
◉ Maria is 32 weeks pregnant and complaining of varicosities in her
legs. What should be included in her routine assessments due to this
complication?
Nothing should change with her assessments; this is a normal part
of pregnancy.
A recommendation to the provider for physical therapy.
Education on prevention and checking peripheral pulses.
Assessments for pregnancy-induced hypertension..
Answer: Education on prevention and checking peripheral pulses.
◉ Krystin is 38 weeks pregnant and in the office today complaining
of shortness of breath. What is the first nursing action you should
take as her nurse today?
Reassure her this is a normal part of pregnancy, and she should
simply raise her arms over her head and breathe slow and deep
when it happens.
Call 911 and have her transferred to the emergency room.
Put her on a rebreather mask with oxygen running at 10 L/min.
Obtain a full set of vital signs and ask Krystin to tell you more about
the shortness of breath she is having..
, Answer: Obtain a full set of vital signs and ask Krystin to tell you
more about the shortness of breath she is having.
◉ Since discovering she was pregnant 6 weeks ago, Martina has
called her OB office several times a week for numerous complaints
and concerns, all of which were normal or unfounded. Now in her
15th week of pregnancy, she insists on being seen for an ultrasound
because she is worried the baby has something wrong with it. What
is Martina suffering from?
This is a normal response to pregnancy in some women and is not
concerning.
She is suffering from post-traumatic stress disorder (PTSD) and
should be referred to counseling.
She is experiencing pregnancy-related anxiety and should be
referred to counseling.
She is at increased risk for postpartum depression and may harm
herself..
Answer: She is experiencing pregnancy-related anxiety and should
be referred to counseling.
◉ Juanita is 11 weeks pregnant with an unintended pregnancy with
her life partner Joel. They've begun discussing where the baby will
sleep and are making plans for Juanita to stay home for the first few
years and not work. What maternal process of pregnancy is Juanita
displaying?
Binding-in
