NURSING 202 EXAM:WITH PEARSON MODULE
C0MFORT/GRADE A+.
With regard to the postpartum changes and developments in a woman's cardiovascular
system, nurses should be aware that:
a. Cardiac output, the pulse rate, and stroke volume all return to prepregnancy normal
values within a few hours of childbirth.
b. Respiratory function returns to nonpregnant levels by 6 to 8 weeks after birth.
c. The lowered white blood cell count after pregnancy can lead to false-positive results
on tests for infections.
d. A hypercoagulable state protects the new mother from thromboembolism, especially
after a cesarean birth. - CORRECT ANSWERS -b
With regard to postpartum ovarian function, nurses should be aware that:
a. Almost 75% of women who do not breastfeed resume menstruating within a month
after birth.
b. Ovulation occurs slightly earlier for breastfeeding women.
c. Because of menstruation/ovulation schedules, contraception considerations can be
postponed until after the puerperium.
d. The first menstrual flow after childbirth usually is heavier than normal. - CORRECT
ANSWERS -d
Which description of postpartum restoration or healing times is accurate?
a. The cervix shortens, becomes firm, and returns to form within a month postpartum.
b. Vaginal rugae reappear by 3 weeks postpartum.
c. Most episiotomies heal within a week.
d. Hemorrhoids usually decrease in size within 2 weeks of childbirth. - CORRECT
ANSWERS -b
As relates to the condition and reconditioning of the urinary system after childbirth,
nurses should be aware that:
a. Kidney function returns to normal a few days after birth.
b. Diastasis recti abdominis is a common condition that alters the voiding reflex.
c. Fluid loss through perspiration and increased urinary output accounts for a weight
loss of more than 2 kg during the puerperium.
d. With adequate emptying of the bladder, bladder tone usually is restored 2 to 3 weeks
after childbirth. - CORRECT ANSWERS -c
Postbirth uterine/vaginal discharge, called lochia:
a. Is similar to a light menstrual period for the first 6 to 12 hours.
b. Is usually greater after cesarean births.
c. Will usually decrease with ambulation and breastfeeding.
d. Should smell like normal menstrual flow unless an infection is present. - CORRECT
ANSWERS -d
,With regard to the postpartum uterus, nurses should be aware that:
a. At the end of the third stage of labor it weighs approximately 500 g.
b. After 2 weeks postpartum it should not be palpable abdominally.
c. After 2 weeks postpartum it weighs 100 g.
d. It returns to its original (prepregnancy) size by 6 weeks postpartum. - CORRECT
ANSWERS -b
With regard to afterbirth pains, nurses should be aware that these pains are:
a. Caused by mild, continuous contractions for the duration of the postpartum period.
b. More common in first-time mothers.
c. More noticeable in births in which the uterus was overdistended.
d. Alleviated somewhat when the mother breastfeeds. - CORRECT ANSWERS -c
Which condition, not uncommon in pregnancy, is likely to require careful medical
assessment during the puerperium?
a. Varicosities of the legs
b. Carpal tunnel syndrome
c. Periodic numbness and tingling of the fingers
d. Headaches - CORRECT ANSWERS -d
Several changes in the integumentary system that appear during pregnancy disappear
after birth, although not always completely. What change is almost certain to be
completely reversed?
a. Nail brittleness
b. Darker pigmentation of the areolae and linea nigra
c. Striae gravidarum on the breasts, abdomen, and thighs
d. Spider nevi - CORRECT ANSWERS -a
A woman gave birth 48 hours ago to a healthy infant girl. She has decided to bottle-
feed. During your assessment you notice that both of her breasts are swollen, warm,
and tender on palpation. The woman should be advised that this condition can best be
treated by:
a. Running warm water on her breasts during a shower.
b. Applying ice to the breasts for comfort.
c. Expressing small amounts of milk from the breasts to relieve pressure.
d. Wearing a loose-fitting bra to prevent nipple irritation. - CORRECT ANSWERS -b
The laboratory results for a postpartum woman are as follows: blood type, A; Rh status,
positive; rubella titer, 1:8 (EIA 0.8); hematocrit, 30%. How would the nurse best interpret
these data?
a. Rubella vaccine should be given.
b. A blood transfusion is necessary.
c. Rh immune globulin is necessary within 72 hours of birth.
d. A Kleihauer-Betke test should be performed. - CORRECT ANSWERS -a
,A woman gave birth vaginally to a 9-pound, 12-ounce girl yesterday. Her primary health
care provider has written orders for perineal ice packs, use of a sitz bath tid, and a stool
softener. What information is most closely correlated with these orders?
a. The woman is a gravida 2, para 2.
b. The woman had a vacuum-assisted birth.
c. The woman received epidural anesthesia.
d. The woman has an episiotomy. - CORRECT ANSWERS -d
A 25-year-old multiparous woman gave birth to an infant boy 1 day ago. Today her
husband brings a large container of brown seaweed soup to the hospital. When the
nurse enters the room, the husband asks for help with warming the soup so that his wife
can eat it. The nurse's most appropriate response is to ask the woman:
a. "Didn't you like your lunch?"
b. "Does your doctor know that you are planning to eat that?"
c. "What is that anyway?"
d. "I'll warm the soup in the microwave for you." - CORRECT ANSWERS -d
A primiparous woman is to be discharged from the hospital tomorrow with her infant girl.
Which behavior indicates a need for further intervention by the nurse before the woman
can be discharged?
a. The woman leaves the infant on her bed while she takes a shower.
b. The woman continues to hold and cuddle her infant after she has fed her.
c. The woman reads a magazine while her infant sleeps.
d. The woman changes her infant's diaper and then shows the nurse the contents of the
diaper. - CORRECT ANSWERS -a
In many hospitals new mothers are routinely presented with gift bags containing
samples of infant formula. This practice:
a. Is inconsistent with the Baby Friendly Hospital Initiative.
b. Promotes longer periods of breastfeeding.
c. Is perceived as supportive to both bottle-feeding and breastfeeding mothers.
d. Is associated with earlier cessation of breastfeeding. - CORRECT ANSWERS -a
In assessing the knowledge of a pregestational woman with type 1 diabetes concerning
changing insulin needs during pregnancy, the nurse recognizes that further teaching is
warranted when the client states:
a."I will need to increase my insulin dosage during the first 3 months of pregnancy."
b."Insulin dosage will likely need to be increased during the second and third
trimesters."
c."Episodes of hypoglycemia are more likely to occur during the first 3 months."
d."Insulin needs should return to normal within 7 to 10 days after birth if I am bottle-
feeding." - CORRECT ANSWERS -a
Preconception counseling is critical to the outcome of diabetic pregnancies because
poor glycemic control before and during early pregnancy is associated with:
, a. Frequent episodes of maternal hypoglycemia.
b. Congenital anomalies in the fetus.
c. Polyhydramnios.
d. Hyperemesis gravidarum. - CORRECT ANSWERS -b
In planning for the care of a 30-year-old woman with pregestational diabetes, the nurse
recognizes that the most important factor affecting pregnancy outcome is the:
a. Mother's age.
b. Number of years since diabetes was diagnosed.
c. Amount of insulin required prenatally.
d. Degree of glycemic control during pregnancy. - CORRECT ANSWERS -d
Concerning the use and abuse of legal drugs or substances, nurses should be aware
that:
a. Although cigarette smoking causes a number of health problems, it has little direct
effect on maternity-related health.
b. Caucasian women are more likely to experience alcohol-related problems.
c. Coffee is a stimulant that can interrupt body functions and has been related to birth
defects.
d. Prescription psychotherapeutic drugs taken by the mother do not affect the fetus;
otherwise, they would not have been prescribed. - CORRECT ANSWERS -b
Screening at 24 weeks of gestation reveals that a pregnant woman has gestational
diabetes mellitus (GDM). In planning her care, the nurse and the woman mutually agree
that an expected outcome is to prevent injury to the fetus as a result of GDM. The nurse
identifies that the fetus is at greatest risk for:
a. Macrosomia.
b. Congenital anomalies of the central nervous system.
c. Preterm birth.
d. Low birth weight. - CORRECT ANSWERS -a
A 26-year-old primigravida has come to the clinic for her regular prenatal visit at 12
weeks. She appears thin and somewhat nervous. She reports that she eats a well-
balanced diet, although her weight is 5 pounds less than it was at her last visit. The
results of laboratory studies confirm that she has a hyperthyroid condition. Based on the
available data, the nurse formulates a plan of care. What nursing diagnosis is most
appropriate for the woman at this time?
a. Deficient fluid volume
b. Imbalanced nutrition: less than body requirements
c. Imbalanced nutrition: more than body requirements
d. Disturbed sleep pattern - CORRECT ANSWERS -b
Maternal phenylketonuria (PKU) is an important health concern during pregnancy
because:
a. It is a recognized cause of preterm labor.
C0MFORT/GRADE A+.
With regard to the postpartum changes and developments in a woman's cardiovascular
system, nurses should be aware that:
a. Cardiac output, the pulse rate, and stroke volume all return to prepregnancy normal
values within a few hours of childbirth.
b. Respiratory function returns to nonpregnant levels by 6 to 8 weeks after birth.
c. The lowered white blood cell count after pregnancy can lead to false-positive results
on tests for infections.
d. A hypercoagulable state protects the new mother from thromboembolism, especially
after a cesarean birth. - CORRECT ANSWERS -b
With regard to postpartum ovarian function, nurses should be aware that:
a. Almost 75% of women who do not breastfeed resume menstruating within a month
after birth.
b. Ovulation occurs slightly earlier for breastfeeding women.
c. Because of menstruation/ovulation schedules, contraception considerations can be
postponed until after the puerperium.
d. The first menstrual flow after childbirth usually is heavier than normal. - CORRECT
ANSWERS -d
Which description of postpartum restoration or healing times is accurate?
a. The cervix shortens, becomes firm, and returns to form within a month postpartum.
b. Vaginal rugae reappear by 3 weeks postpartum.
c. Most episiotomies heal within a week.
d. Hemorrhoids usually decrease in size within 2 weeks of childbirth. - CORRECT
ANSWERS -b
As relates to the condition and reconditioning of the urinary system after childbirth,
nurses should be aware that:
a. Kidney function returns to normal a few days after birth.
b. Diastasis recti abdominis is a common condition that alters the voiding reflex.
c. Fluid loss through perspiration and increased urinary output accounts for a weight
loss of more than 2 kg during the puerperium.
d. With adequate emptying of the bladder, bladder tone usually is restored 2 to 3 weeks
after childbirth. - CORRECT ANSWERS -c
Postbirth uterine/vaginal discharge, called lochia:
a. Is similar to a light menstrual period for the first 6 to 12 hours.
b. Is usually greater after cesarean births.
c. Will usually decrease with ambulation and breastfeeding.
d. Should smell like normal menstrual flow unless an infection is present. - CORRECT
ANSWERS -d
,With regard to the postpartum uterus, nurses should be aware that:
a. At the end of the third stage of labor it weighs approximately 500 g.
b. After 2 weeks postpartum it should not be palpable abdominally.
c. After 2 weeks postpartum it weighs 100 g.
d. It returns to its original (prepregnancy) size by 6 weeks postpartum. - CORRECT
ANSWERS -b
With regard to afterbirth pains, nurses should be aware that these pains are:
a. Caused by mild, continuous contractions for the duration of the postpartum period.
b. More common in first-time mothers.
c. More noticeable in births in which the uterus was overdistended.
d. Alleviated somewhat when the mother breastfeeds. - CORRECT ANSWERS -c
Which condition, not uncommon in pregnancy, is likely to require careful medical
assessment during the puerperium?
a. Varicosities of the legs
b. Carpal tunnel syndrome
c. Periodic numbness and tingling of the fingers
d. Headaches - CORRECT ANSWERS -d
Several changes in the integumentary system that appear during pregnancy disappear
after birth, although not always completely. What change is almost certain to be
completely reversed?
a. Nail brittleness
b. Darker pigmentation of the areolae and linea nigra
c. Striae gravidarum on the breasts, abdomen, and thighs
d. Spider nevi - CORRECT ANSWERS -a
A woman gave birth 48 hours ago to a healthy infant girl. She has decided to bottle-
feed. During your assessment you notice that both of her breasts are swollen, warm,
and tender on palpation. The woman should be advised that this condition can best be
treated by:
a. Running warm water on her breasts during a shower.
b. Applying ice to the breasts for comfort.
c. Expressing small amounts of milk from the breasts to relieve pressure.
d. Wearing a loose-fitting bra to prevent nipple irritation. - CORRECT ANSWERS -b
The laboratory results for a postpartum woman are as follows: blood type, A; Rh status,
positive; rubella titer, 1:8 (EIA 0.8); hematocrit, 30%. How would the nurse best interpret
these data?
a. Rubella vaccine should be given.
b. A blood transfusion is necessary.
c. Rh immune globulin is necessary within 72 hours of birth.
d. A Kleihauer-Betke test should be performed. - CORRECT ANSWERS -a
,A woman gave birth vaginally to a 9-pound, 12-ounce girl yesterday. Her primary health
care provider has written orders for perineal ice packs, use of a sitz bath tid, and a stool
softener. What information is most closely correlated with these orders?
a. The woman is a gravida 2, para 2.
b. The woman had a vacuum-assisted birth.
c. The woman received epidural anesthesia.
d. The woman has an episiotomy. - CORRECT ANSWERS -d
A 25-year-old multiparous woman gave birth to an infant boy 1 day ago. Today her
husband brings a large container of brown seaweed soup to the hospital. When the
nurse enters the room, the husband asks for help with warming the soup so that his wife
can eat it. The nurse's most appropriate response is to ask the woman:
a. "Didn't you like your lunch?"
b. "Does your doctor know that you are planning to eat that?"
c. "What is that anyway?"
d. "I'll warm the soup in the microwave for you." - CORRECT ANSWERS -d
A primiparous woman is to be discharged from the hospital tomorrow with her infant girl.
Which behavior indicates a need for further intervention by the nurse before the woman
can be discharged?
a. The woman leaves the infant on her bed while she takes a shower.
b. The woman continues to hold and cuddle her infant after she has fed her.
c. The woman reads a magazine while her infant sleeps.
d. The woman changes her infant's diaper and then shows the nurse the contents of the
diaper. - CORRECT ANSWERS -a
In many hospitals new mothers are routinely presented with gift bags containing
samples of infant formula. This practice:
a. Is inconsistent with the Baby Friendly Hospital Initiative.
b. Promotes longer periods of breastfeeding.
c. Is perceived as supportive to both bottle-feeding and breastfeeding mothers.
d. Is associated with earlier cessation of breastfeeding. - CORRECT ANSWERS -a
In assessing the knowledge of a pregestational woman with type 1 diabetes concerning
changing insulin needs during pregnancy, the nurse recognizes that further teaching is
warranted when the client states:
a."I will need to increase my insulin dosage during the first 3 months of pregnancy."
b."Insulin dosage will likely need to be increased during the second and third
trimesters."
c."Episodes of hypoglycemia are more likely to occur during the first 3 months."
d."Insulin needs should return to normal within 7 to 10 days after birth if I am bottle-
feeding." - CORRECT ANSWERS -a
Preconception counseling is critical to the outcome of diabetic pregnancies because
poor glycemic control before and during early pregnancy is associated with:
, a. Frequent episodes of maternal hypoglycemia.
b. Congenital anomalies in the fetus.
c. Polyhydramnios.
d. Hyperemesis gravidarum. - CORRECT ANSWERS -b
In planning for the care of a 30-year-old woman with pregestational diabetes, the nurse
recognizes that the most important factor affecting pregnancy outcome is the:
a. Mother's age.
b. Number of years since diabetes was diagnosed.
c. Amount of insulin required prenatally.
d. Degree of glycemic control during pregnancy. - CORRECT ANSWERS -d
Concerning the use and abuse of legal drugs or substances, nurses should be aware
that:
a. Although cigarette smoking causes a number of health problems, it has little direct
effect on maternity-related health.
b. Caucasian women are more likely to experience alcohol-related problems.
c. Coffee is a stimulant that can interrupt body functions and has been related to birth
defects.
d. Prescription psychotherapeutic drugs taken by the mother do not affect the fetus;
otherwise, they would not have been prescribed. - CORRECT ANSWERS -b
Screening at 24 weeks of gestation reveals that a pregnant woman has gestational
diabetes mellitus (GDM). In planning her care, the nurse and the woman mutually agree
that an expected outcome is to prevent injury to the fetus as a result of GDM. The nurse
identifies that the fetus is at greatest risk for:
a. Macrosomia.
b. Congenital anomalies of the central nervous system.
c. Preterm birth.
d. Low birth weight. - CORRECT ANSWERS -a
A 26-year-old primigravida has come to the clinic for her regular prenatal visit at 12
weeks. She appears thin and somewhat nervous. She reports that she eats a well-
balanced diet, although her weight is 5 pounds less than it was at her last visit. The
results of laboratory studies confirm that she has a hyperthyroid condition. Based on the
available data, the nurse formulates a plan of care. What nursing diagnosis is most
appropriate for the woman at this time?
a. Deficient fluid volume
b. Imbalanced nutrition: less than body requirements
c. Imbalanced nutrition: more than body requirements
d. Disturbed sleep pattern - CORRECT ANSWERS -b
Maternal phenylketonuria (PKU) is an important health concern during pregnancy
because:
a. It is a recognized cause of preterm labor.
