FA Davis Maternity Final '24|Questions With Correct
Answers|Verified
While assisting the physician with a physical examination, the nurse notes which sign or
symptom as most definitive of a diagnosis of pregnancy? - ✔️Auscultation of fetal heart
sounds
Which nursing assessment finding indicates the need for further testing before a
diagnosis of pregnancy can be confirmed? - ✔️Amenorrhea
The nurse caring for a woman who is beginning the second trimester of pregnancy
recognizes the need for further assessment when the woman reports which change in
her body? - ✔️Nasal congestion
The nurse caring for a woman who is in the third trimester of pregnancy suspects a
urinary tract infection on the basis of which reported symptom? - ✔️Burning on
urination
A pregnant woman tells the nurse how clumsy she feels. Which teaching will the nurse
provide? - ✔️Wearing low-heeled shoes and using good body mechanics
When talking with the nurse, a pregnant patient points out her darkened areolas, the
linea nigra on her abdomen, and the brown patches on her forehead and nose and
says, "I'm never going to be able to wear a bikini again." Which is the nurse's best
response? - ✔️"These changes normally go away after you have the baby."
The nurse reviews a pregnant patient's laboratory values and notes a reduced red blood
cell count and hemoglobin level. Which symptom reported by the patient results from
these findings? - ✔️Fatigue
After assessing the cardiovascular system of a pregnant woman, the nurse recognizes
the need to report which finding to the provider? - ✔️Blood pressure of 152/94 mm Hg
Which symptom reported to the nurse by the patient needs to be brought to the
attention of the health-care provider? - ✔️Vaginal itching
The nurse reviews the patient's laboratory findings and suspects anemia when noting
which result? - ✔️Red blood cell count 4.1
Which finding does the nurse recognize as a normal result of pregnancy? - ✔️Reduced
platelet count
The nurse reviews the patient's laboratory values and sees the following:
Hemoglobin 12.2 g/dL
,Hematocrit 42.8%
Serum blood urea nitrogen (BUN) 18 mg/dL
Serum creatinine 0.68 mg/dL
Alanine transaminase (ALT) 8 units/L
Aspartate aminotransferase (AST) 12 units/L
Alkaline phosphatase (ALP) 108 ImU/mL
Lactate dehydrogenase (LDH) 635 units/L
Which conclusion does the nurse draw on the basis of these findings? - ✔️The patient
is dehydrated.
During the woman's first prenatal visit, she makes many statements about the
recommendations she has received from her friends about maintaining her health and
the health of the growing fetus. According to Reva Rubin, which maternal task is this
woman demonstrating? - ✔️Seeking safe passage for herself and her fetus
The nurse learns that a pregnant patient lost her mother when she was a teenager and
recognizes that the absence of a mother figure will cause this patient to have difficulty
with which of Reva Rubin's four maternal tasks? - ✔️Securing acceptance for herself
as a mother and for her fetus
Upon examining a woman in the late second trimester of pregnancy, the nurse notes
circular bruises around each wrist and circular bruises above the umbilicus. What
should the nurse suspect? - ✔️Physical abuse from the father of the baby
A pregnant woman is telling the nurse about her other children's reaction to news of the
pregnancy but says she is waiting to tell her toddler until she's further along. Which is
the nurse's best response? - ✔️"That's a wise decision because toddlers have no
concept of time."
When the nurse cares for a pregnant adolescent, which psychosocial assessment takes
priority before teaching self-care? - ✔️Developmental level
The emergency department nurse admits an adolescent who is complaining of
abdominal pain and denies pregnancy. Assessment findings include a distended,
pregnant-appearing abdomen and fetal heart tones. How does the nurse interpret these
contradictory findings? - ✔️Denial of pregnancy until late in gestation is not uncommon
in adolescence.
The nurses is caring for a pregnant Indian woman. Which observations does the nurse
attribute to the woman's cultural beliefs? (Select all that apply.) - ✔️-The woman
believes it is her husband's responsibility to satisfy her food cravings.
-The woman continues to carry heavy loads.
-The woman does not believe doctors are necessary during pregnancy.
,The nurse working with a culturally diverse obstetric patient population recognizes
which common cultural practices? (Select all that apply.) - ✔️-Hispanic and Indian
women tend to remain physically active.
-Japanese women do not freely discuss problems with morning sickness.
-Hispanic women rely on older women in the family for advice.
-Indian women expect others to satisfy food cravings.
At a prenatal visit, a primigravida asks the nurse how she will know her labor has
started. The nurse knows that what indicates the beginning of true labor?
a. Contractions that are relieved by walking.
b. Discomfort in the abdomen and groin.
c. A decrease in vaginal discharge.
d. Regular contractions becoming more frequent and intense. - ✔️Answer: d. Regular
contractions becoming more frequent and intense.
Rationale: In true labor, contractions gradually develop a regular pattern and become
more frequent, longer, and more intense.
The nurse is caring for a woman in the first stage of labor. What will the nurse remind
the patient about contractions during this stage of labor?
a. They get the infant positioned for delivery.
b. They push the infant into the vagina.
c. They dilate and efface the cervix.
d. They get the mother prepared for true labor. - ✔️Answer: c. They dilate and efface
the cervix.
Rationale: The first stage of labor describes the time from the onset of labor until full
dilation of the cervix.
What is the function of contractions during the second stage of labor?
a. Align the infant into the proper position for delivery.
b. Dilate and efface the cervix.
c. Push the infant out of the mothers body.
, d. Separate the placenta from the uterine wall. - ✔️Answer: c. Push the infant out of the
mothers body.
Rationale: The contractions push the infant out of the mothers body as the second
stage of labor ends with the birth of the infant.
What marks the end of the third stage of labor?
a. Full cervical dilation.
b. Expulsion of the placenta and membranes.
c. Birth of the infant.
d. Engagement of the head. - ✔️Answer: b. Expulsion of the placenta and membranes.
Rationale: The third stage of labor extends from the birth of the infant until the placenta
is detached and expelled.
The nurse observes the patient bearing down with contractions and crying out, The
baby is coming! What is the best nursing intervention?
a. Find the physician.
b. Stay with the woman and use the call bell to get help.
c. Send the womans partner to locate a registered nurse.
d. Assist with deep breathing to slow the labor process. - ✔️Answer: b. Stay with the
woman and use the call bell to get help.
Rationale: If birth appears to be imminent, the nurse should not leave the woman and
should summon help with the call bell.
What is the most important nursing intervention during the fourth stage of labor?
a. Monitor the frequency and intensity of contractions.
b. Provide comfort measures.
c. Assess for hemorrhage.
d. Promote bonding. - ✔️Answer: c. Assess for hemorrhage.
Rationale: Immediately after giving birth, every woman is assessed for signs of
hemorrhage.
Answers|Verified
While assisting the physician with a physical examination, the nurse notes which sign or
symptom as most definitive of a diagnosis of pregnancy? - ✔️Auscultation of fetal heart
sounds
Which nursing assessment finding indicates the need for further testing before a
diagnosis of pregnancy can be confirmed? - ✔️Amenorrhea
The nurse caring for a woman who is beginning the second trimester of pregnancy
recognizes the need for further assessment when the woman reports which change in
her body? - ✔️Nasal congestion
The nurse caring for a woman who is in the third trimester of pregnancy suspects a
urinary tract infection on the basis of which reported symptom? - ✔️Burning on
urination
A pregnant woman tells the nurse how clumsy she feels. Which teaching will the nurse
provide? - ✔️Wearing low-heeled shoes and using good body mechanics
When talking with the nurse, a pregnant patient points out her darkened areolas, the
linea nigra on her abdomen, and the brown patches on her forehead and nose and
says, "I'm never going to be able to wear a bikini again." Which is the nurse's best
response? - ✔️"These changes normally go away after you have the baby."
The nurse reviews a pregnant patient's laboratory values and notes a reduced red blood
cell count and hemoglobin level. Which symptom reported by the patient results from
these findings? - ✔️Fatigue
After assessing the cardiovascular system of a pregnant woman, the nurse recognizes
the need to report which finding to the provider? - ✔️Blood pressure of 152/94 mm Hg
Which symptom reported to the nurse by the patient needs to be brought to the
attention of the health-care provider? - ✔️Vaginal itching
The nurse reviews the patient's laboratory findings and suspects anemia when noting
which result? - ✔️Red blood cell count 4.1
Which finding does the nurse recognize as a normal result of pregnancy? - ✔️Reduced
platelet count
The nurse reviews the patient's laboratory values and sees the following:
Hemoglobin 12.2 g/dL
,Hematocrit 42.8%
Serum blood urea nitrogen (BUN) 18 mg/dL
Serum creatinine 0.68 mg/dL
Alanine transaminase (ALT) 8 units/L
Aspartate aminotransferase (AST) 12 units/L
Alkaline phosphatase (ALP) 108 ImU/mL
Lactate dehydrogenase (LDH) 635 units/L
Which conclusion does the nurse draw on the basis of these findings? - ✔️The patient
is dehydrated.
During the woman's first prenatal visit, she makes many statements about the
recommendations she has received from her friends about maintaining her health and
the health of the growing fetus. According to Reva Rubin, which maternal task is this
woman demonstrating? - ✔️Seeking safe passage for herself and her fetus
The nurse learns that a pregnant patient lost her mother when she was a teenager and
recognizes that the absence of a mother figure will cause this patient to have difficulty
with which of Reva Rubin's four maternal tasks? - ✔️Securing acceptance for herself
as a mother and for her fetus
Upon examining a woman in the late second trimester of pregnancy, the nurse notes
circular bruises around each wrist and circular bruises above the umbilicus. What
should the nurse suspect? - ✔️Physical abuse from the father of the baby
A pregnant woman is telling the nurse about her other children's reaction to news of the
pregnancy but says she is waiting to tell her toddler until she's further along. Which is
the nurse's best response? - ✔️"That's a wise decision because toddlers have no
concept of time."
When the nurse cares for a pregnant adolescent, which psychosocial assessment takes
priority before teaching self-care? - ✔️Developmental level
The emergency department nurse admits an adolescent who is complaining of
abdominal pain and denies pregnancy. Assessment findings include a distended,
pregnant-appearing abdomen and fetal heart tones. How does the nurse interpret these
contradictory findings? - ✔️Denial of pregnancy until late in gestation is not uncommon
in adolescence.
The nurses is caring for a pregnant Indian woman. Which observations does the nurse
attribute to the woman's cultural beliefs? (Select all that apply.) - ✔️-The woman
believes it is her husband's responsibility to satisfy her food cravings.
-The woman continues to carry heavy loads.
-The woman does not believe doctors are necessary during pregnancy.
,The nurse working with a culturally diverse obstetric patient population recognizes
which common cultural practices? (Select all that apply.) - ✔️-Hispanic and Indian
women tend to remain physically active.
-Japanese women do not freely discuss problems with morning sickness.
-Hispanic women rely on older women in the family for advice.
-Indian women expect others to satisfy food cravings.
At a prenatal visit, a primigravida asks the nurse how she will know her labor has
started. The nurse knows that what indicates the beginning of true labor?
a. Contractions that are relieved by walking.
b. Discomfort in the abdomen and groin.
c. A decrease in vaginal discharge.
d. Regular contractions becoming more frequent and intense. - ✔️Answer: d. Regular
contractions becoming more frequent and intense.
Rationale: In true labor, contractions gradually develop a regular pattern and become
more frequent, longer, and more intense.
The nurse is caring for a woman in the first stage of labor. What will the nurse remind
the patient about contractions during this stage of labor?
a. They get the infant positioned for delivery.
b. They push the infant into the vagina.
c. They dilate and efface the cervix.
d. They get the mother prepared for true labor. - ✔️Answer: c. They dilate and efface
the cervix.
Rationale: The first stage of labor describes the time from the onset of labor until full
dilation of the cervix.
What is the function of contractions during the second stage of labor?
a. Align the infant into the proper position for delivery.
b. Dilate and efface the cervix.
c. Push the infant out of the mothers body.
, d. Separate the placenta from the uterine wall. - ✔️Answer: c. Push the infant out of the
mothers body.
Rationale: The contractions push the infant out of the mothers body as the second
stage of labor ends with the birth of the infant.
What marks the end of the third stage of labor?
a. Full cervical dilation.
b. Expulsion of the placenta and membranes.
c. Birth of the infant.
d. Engagement of the head. - ✔️Answer: b. Expulsion of the placenta and membranes.
Rationale: The third stage of labor extends from the birth of the infant until the placenta
is detached and expelled.
The nurse observes the patient bearing down with contractions and crying out, The
baby is coming! What is the best nursing intervention?
a. Find the physician.
b. Stay with the woman and use the call bell to get help.
c. Send the womans partner to locate a registered nurse.
d. Assist with deep breathing to slow the labor process. - ✔️Answer: b. Stay with the
woman and use the call bell to get help.
Rationale: If birth appears to be imminent, the nurse should not leave the woman and
should summon help with the call bell.
What is the most important nursing intervention during the fourth stage of labor?
a. Monitor the frequency and intensity of contractions.
b. Provide comfort measures.
c. Assess for hemorrhage.
d. Promote bonding. - ✔️Answer: c. Assess for hemorrhage.
Rationale: Immediately after giving birth, every woman is assessed for signs of
hemorrhage.
