NSG 222 – Family Nursing Pregnancy Care Practice Questions, Answers & Rationales

NSG 222 – Family Nursing Pregnancy Care Practice Questions, Answers & Rationales   1. A client reports a missed menstrual period and asks which hormone is detected by mostpregnancy tests. Which response is correct? A. Estrogen B. Progesterone C. Human chorionic gonadotropin (hCG) D. Follicle-stimulating hormone (FSH) Correct Answer: C. Human chorionic gonadotropin (hCG) Rationale: Pregnancy tests detect hCG, a hormone produced after implantation. hCG can be measured in urine or blood and rises during early pregnancy. 2. Which finding is considered a positive sign of pregnancy? A. Amenorrhea B. Nausea and vomiting C. Positive urine pregnancy test D. Fetal cardiac activity identified by Doppler Correct Answer: D. Fetal cardiac activity identified by Doppler Rationale: Positive signs are findings that can be attributed only to a fetus, such as fetal cardiac activity, fetal movement palpated by an examiner, or visualization of the fetus by ultrasound. 3. A pregnant client reports heartburn that becomes worse after meals and when lying down. Whichteaching is most appropriate? A. Eat large meals before bedtime B. Lie flat immediately after eating C. Eat smaller meals and remain upright after eating D. Increase intake of spicy and fatty foods Correct Answer: C. Eat smaller meals and remain upright after eating Rationale: Pregnancy-related reflux can improve with smaller meals, avoiding personal trigger foods, and remaining upright after meals. Elevating the head during sleep may also help. 4. Which vaginal discharge is commonly expected during an uncomplicated pregnancy? A. Thin, foul-smelling discharge with pelvic pain B. Increased whitish discharge without itching or irritation C. Thick green discharge with fever D. Bloody discharge with severe abdominal pain Correct Answer: B. Increased whitish discharge without itching or irritation Rationale: Leukorrhea, an increased whitish vaginal discharge, is common during pregnancy. Odor, itching, burning, pain, or abnormal color may indicate infection or another problem. 5. A pregnant client reports urinary frequency during early pregnancy. Which explanation by thenurse is most appropriate? A. It always indicates a urinary tract infection B. Pregnancy-related physiologic changes can increase urinary frequency C. It occurs because the kidneys stop filtering normally D. It indicates gestational diabetes in every case Correct Answer: B. Pregnancy-related physiologic changes can increase urinary frequency Rationale: Increased renal blood flow and glomerular filtration, along with hormonal and anatomic changes, can contribute to urinary frequency during pregnancy.