RICCI CHAPTER 11 EXAM QUESTIONS
WITH CORRECT ANSWERS
1. During a vaginal exam, the nurse notes that the lower uterine segment is softened.
The nurse
documents this finding as:
A. Hegar sign.
B. Goodell sign.
C. Chadwick sign.
D. Ortolani sign. - ✅✅ - Answer: A
Rationale: Hegar sign refers to the softening of the lower uterine segment or isthmus.
Bluish
coloration of the cervix is termed Chadwick sign. Goodell sign refers to the softening of
the
cervix. Ortolani sign is a maneuver done to identify developmental dysplasia of the hip
in
infants.
2. The nurse teaches a primigravida client that lightening occurs about 2 weeks before
the onset
of labor. What will the mother likely experience at that time?
A. dysuria
B. dyspnea
C. constipation
D. urinary frequency - ✅✅ - Answer: D
Rationale: Lightening refers to the descent of the fetal head into the pelvis and
engagement. With
this descent, pressure on the diaphragm decreases, easing breathing, but pressure on
the bladder
increases, leading to urinary frequency. Dysuria might indicate a urinary tract infection.
Constipation may occur throughout pregnancy due to decreased peristalsis, but it is
unrelated to
lightening.
16. While talking with a woman in her third trimester, the nurse understands that which
behavior
indicates that the woman is learning to give of oneself?
, A. showing concern for self and fetus as a unit
B. unconditionally accepting the pregnancy without rejection
C. longing to hold infant
D. questioning ability to become a good mother - ✅✅ - Answer: D
Rationale: Learning to give of oneself would be demonstrated when the woman
questions her
ability to become a good mother to the infant. Showing concern for herself and fetus as
a unit
reflects the task of ensuring safe passage throughout pregnancy and birth.
Unconditionally
accepting the pregnancy reflects the task of seeking acceptance of the infant by others.
Longing
to hold the infant reflects the task of seeking acceptance of self in the maternal role to
the infant.
17. A nurse is assessing a client who may be pregnant. The nurse reviews the client's
history for
presumptive signs. Which signs would the nurse most likely note? Select all that apply.
A. amenorrhea
B. nausea
C. abdominal enlargement
D. Braxton-Hicks contractions
E. fetal heart sounds - ✅✅ - Answer: A, B
Rationale: Presumptive signs include amenorrhea, nausea, breast tenderness, urinary
frequency
and fatigue. Abdominal enlargement and Braxton-Hicks contractions are probable signs
of
pregnancy. Fetal heart sounds are a positive sign of pregnancy.
18. After teaching a refresher class to a group of prenatal clinic nurses about
pregnancy, insulin,
and glucose, the nurse determines that additional teaching is needed when the group
identifies
which hormone as being involved with opposing insulin?
A. prolactin
B. estrogen
C. progesterone
D. aldosterone - ✅✅ - Answer: D
Rationale: Prolactin, estrogen, and progesterone are all thought to oppose insulin. As a
result,
glucose is less likely to enter the mother's cells and is more likely to cross over the
placenta to
the fetus. Aldosterone does not oppose insulin.
3. A gravida 2 para 1 client in the 10th week of her pregnancy says to the nurse, "I've
never
WITH CORRECT ANSWERS
1. During a vaginal exam, the nurse notes that the lower uterine segment is softened.
The nurse
documents this finding as:
A. Hegar sign.
B. Goodell sign.
C. Chadwick sign.
D. Ortolani sign. - ✅✅ - Answer: A
Rationale: Hegar sign refers to the softening of the lower uterine segment or isthmus.
Bluish
coloration of the cervix is termed Chadwick sign. Goodell sign refers to the softening of
the
cervix. Ortolani sign is a maneuver done to identify developmental dysplasia of the hip
in
infants.
2. The nurse teaches a primigravida client that lightening occurs about 2 weeks before
the onset
of labor. What will the mother likely experience at that time?
A. dysuria
B. dyspnea
C. constipation
D. urinary frequency - ✅✅ - Answer: D
Rationale: Lightening refers to the descent of the fetal head into the pelvis and
engagement. With
this descent, pressure on the diaphragm decreases, easing breathing, but pressure on
the bladder
increases, leading to urinary frequency. Dysuria might indicate a urinary tract infection.
Constipation may occur throughout pregnancy due to decreased peristalsis, but it is
unrelated to
lightening.
16. While talking with a woman in her third trimester, the nurse understands that which
behavior
indicates that the woman is learning to give of oneself?
, A. showing concern for self and fetus as a unit
B. unconditionally accepting the pregnancy without rejection
C. longing to hold infant
D. questioning ability to become a good mother - ✅✅ - Answer: D
Rationale: Learning to give of oneself would be demonstrated when the woman
questions her
ability to become a good mother to the infant. Showing concern for herself and fetus as
a unit
reflects the task of ensuring safe passage throughout pregnancy and birth.
Unconditionally
accepting the pregnancy reflects the task of seeking acceptance of the infant by others.
Longing
to hold the infant reflects the task of seeking acceptance of self in the maternal role to
the infant.
17. A nurse is assessing a client who may be pregnant. The nurse reviews the client's
history for
presumptive signs. Which signs would the nurse most likely note? Select all that apply.
A. amenorrhea
B. nausea
C. abdominal enlargement
D. Braxton-Hicks contractions
E. fetal heart sounds - ✅✅ - Answer: A, B
Rationale: Presumptive signs include amenorrhea, nausea, breast tenderness, urinary
frequency
and fatigue. Abdominal enlargement and Braxton-Hicks contractions are probable signs
of
pregnancy. Fetal heart sounds are a positive sign of pregnancy.
18. After teaching a refresher class to a group of prenatal clinic nurses about
pregnancy, insulin,
and glucose, the nurse determines that additional teaching is needed when the group
identifies
which hormone as being involved with opposing insulin?
A. prolactin
B. estrogen
C. progesterone
D. aldosterone - ✅✅ - Answer: D
Rationale: Prolactin, estrogen, and progesterone are all thought to oppose insulin. As a
result,
glucose is less likely to enter the mother's cells and is more likely to cross over the
placenta to
the fetus. Aldosterone does not oppose insulin.
3. A gravida 2 para 1 client in the 10th week of her pregnancy says to the nurse, "I've
never
