Ricci Chapter 12 - Test Bank - 4th Edition Questions and Answers | Latest Version | 2024/2025 | 100% Pass

Ricci Chapter 12 - Test Bank - 4th Edition Questions and Answers | Latest Version | 2024/2025 | 100% Pass 1. A woman in her 34th week of pregnancy tells the nurse, "I still desire intimacy with my husband." The nurse responds understanding that: A. it's safe to have intercourse now. B. intercourse could lead to membrane rupture. C. there are other ways for the couple to fulfill their needs. D. intercourse could induce premature labor. Answer: A Rationale: Sexual activity during pregnancy is generally safe unless there are specific complications like vaginal bleeding, placenta previa, risk of preterm labor, multiple gestation, incompetent cervix, premature rupture of membranes, or infection. Given her uneventful pregnancy so far, membrane rupture or premature labor is unlikely. Adjustments in sexual positions may be needed due to increasing abdominal size. 2. During the initial prenatal visit, examination reveals a bluish hue on the cervix and vaginal mucosa. The nurse documents this finding as: A. Hagar sign. B. Goodall sign. C. Chadwick sign. D. Homans sign. Answer: C Rationale: Chadwick sign refers to the bluish discoloration of the cervix and vaginal mucosa during pregnancy. Hagar sign indicates softening of the isthmus. Goodell sign refers to cervix softening. Homans sign involves pain upon dorsiflexion of the foot. 3. A nurse educates a pregnant couple on childbirth preparation. The nurse confirms successful teaching when the couple states: A. "We'll ensure a painless birth." B. "We'll actively participate in our child's birth." C. "We won't be anxious, so the birth will be simple." D. "We'll have complete control over the birth process." Answer: B Rationale: Birth education aims to empower couples by providing knowledge and strategies for active participation in childbirth. While some methods aim for pain-free childbirth, eliminating anxiety or having absolute control over the birth process is impractical. 4. During follow-up prenatal visits, the nurse anticipates performing which procedure? A. Hemoglobin and hematocrit testing B. Urine culture C. Fetal ultrasound D. Fundal height measurement Answer: D Rationale: Fundal height measurement is routinely conducted at each prenatal visit to assess fetal growth and gestational progress. Hemoglobin and hematocrit tests are initially performed and repeated as needed based on clinical indications. Urinalysis screens for various substances, while fetal ultrasound is used periodically for detailed fetal assessment. 5. At a routine prenatal visit, a client at 36 weeks reports difficulty breathing and rapid pulse. The nurse finds her pulse irregular at 100 beats per minute (up from a baseline of 70-74 bpm) with bilateral lower lung base crackles. The priority nursing diagnosis for this client is: A. Ineffective tissue perfusion related to supine hypotensive syndrome B. Impaired gas exchange related to pulmonary congestion C. Activity intolerance related to increased metabolic demands D. Anxiety related to concerns about pregnancy outcome Answer: B Rationale: Symptoms indicate impaired gas exchange due to pulmonary congestion. While dyspnea can occur in late pregnancy from uterine pressure on the diaphragm, these findings suggest significant respiratory compromise. There's no evidence of supine hypotensive syndrome, increased metabolic demands, or anxiety. 6. Preparing a woman for an amniocentesis, the nurse advises her to: A. Use an antiseptic scrub in the shower. B. Take a pre-procedure sedative orally. C. Empty her bladder. D. Lie on her left side. Answer: C Rationale: Emptying the bladder before an amniocentesis reduces the risk of bladder puncture during the procedure. Showering with an antiseptic scrub or pre-procedure sedation is unnecessary. Positioning