Women’s Health Nursing: A Case-Based
Approach 2nd Edition O’Meara PRACTICE
QUESTIONS |ORIGINAL QUESTIONS &
ANSWERS |DETAILED RATIONALES
|HINTED COMPLETE EXAM PREP GRADED
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,1.
A client who is 8 weeks pregnant reports nausea that is worse in the
morning. Which instruction should the nurse provide?
A. Drink a large glass of water immediately after awakening
B. Eat three large meals daily
,C. Eat dry crackers before getting out of bed
D. Avoid eating carbohydrates
Eating a small amount of dry food before rising can reduce
pregnancy-related morning nausea.
2.
Which finding is considered a positive sign of pregnancy?
A. Amenorrhea
B. Positive pregnancy test
C. Breast tenderness
D. Fetal heart activity identified by ultrasound
Positive signs are directly attributable to the fetus, such as fetal
cardiac activity.
3.
A pregnant client asks when fetal movement is usually first perceived
by a person who has been pregnant previously. The nurse should
respond:
A. 6–8 weeks
B. 10–12 weeks
C. 14–18 weeks
D. 24–28 weeks
Clients who have previously been pregnant commonly perceive fetal
movement earlier than first-time pregnant clients.
4.
Which nutrient is especially important before conception and during
early pregnancy to reduce the risk of neural tube defects?
A. Calcium
B. Iron
, C. Vitamin D
D. Folic acid
Folic acid supplementation helps reduce the risk of fetal neural tube
defects.
5.
A pregnant client asks why iron supplementation is prescribed. What
is the best response?
A. “Iron prevents gestational diabetes.”
B. “Iron prevents hypertension.”
C. “Iron supports increased maternal red blood cell production.”
D. “Iron prevents nausea.”
Maternal blood volume and red blood cell production increase during
pregnancy, increasing iron requirements.
6.
Which assessment finding requires the most immediate follow-up in
a pregnant client?
A. Mild ankle edema at the end of the day
B. Urinary frequency during the first trimester
C. Increased breast tenderness
D. Severe headache with visual disturbances
Severe headache and visual changes may indicate severe
hypertensive disease of pregnancy and require prompt evaluation.
7.
A client at 28 weeks' gestation has blood pressure of 164/110 mm
Hg. Which condition should the nurse suspect?
A. Hyperemesis gravidarum
B. Placenta previa