RICCI Chapter 12 Exam Study Guide
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When discussing rest and sleep with a pregnant woman, the nurse would discuss which
position to use for napping? - Answer ✔✔- on her side with the weight of the uterus on
the bed
Resting on the side prevents pressure from the uterus against the vena cava and,
therefore, allows blood to return to the uterus.
Why is a Papanicolaou smear done at the first prenatal visit? - Answer ✔✔- It identifies
abnormal cervical cells.
A Pap smear is a test for cervical cancer. Should abnormal cells be present, the woman
may need to make a decision about her priorities of therapy for cervical disease or
continuing the pregnancy.
During her first prenatal visit, a woman 18 weeks pregnant reports she did not realize
she was pregnant and continued to take her birth control pills. She is concerned about
their effects on her baby. Which of the following would be the best response to her
concerns? - Answer ✔✔- "Because of concerns about the estrogen exposure to the
baby, we will monitor the fetal development."
Studies have demonstrated a correlation between fetal growth problems and increased
estrogen exposure.
A pregnant woman tells you that she wants to avoid saturated fat by using vegetable oil.
What is another advantage of vegetable oil? - Answer ✔✔- Contains linoleic acid
Linoleic acid is a fat important for skin integrity in the mother and for fetal growth.
A woman who professes to be a strict vegetarian voices concerns about her ability to
meet the nutritional needs of her fetus. Which concerns should be addressed in this
session? - Answer ✔✔- The supplementation of Vitamin B12 should be addressed.
Vitamin B12 is almost exclusively met via animal sources.
A woman who is 4 months pregnant has pyrosis. Which suggestion would the nurse
give her? - Answer ✔✔- Eat small meals and do not lie down after meals.
Pyrosis, or heartburn, occurs in pregnancy because the uterine pressure against the
stomach causes regurgitation into the esophagus. Eating small meals and remaining
upright limits the possibility of regurgitation.
, A client in her third trimester reports to the nurse shortness of breath when sleeping.
The nurse informs the client that this is normal and occurs because the growing fetus
puts pressure on the diaphragm. Which measure should the nurse suggest to help
alleviate this problem? - Answer ✔✔- Use extra pillows.
The nurse should instruct the client to use extra pillows at night to keep her more
upright. The nurse can instruct the client to use a firmer mattress if the client is
experiencing backache. The nurse can ask the client to avoid overeating and ingesting
spicy food in case the client is experiencing heartburn.
A client comes to the clinic for her usual prenatal check up. The nurse measures the
fundal height at 24 cm. What is the estimated length of her gestation? - Answer ✔✔- 24
weeks
Fundal height is an approximation of the number of weeks of gestation. Between 20 to
32 weeks, SFH = gestation in weeks + or - 2 cm.
A pregnant woman states that she would like to take a tub bath but has heard from her
aunt that this could be dangerous to the baby. Which instruction should the nurse give
to the client? - Answer ✔✔- Tub baths are fine unless you are unstable on your feet or
are experiencing vaginal bleeding.:
Daily tub baths or showers are recommended. Women should not soak for long periods
in extremely hot water or hot tubs, however, as heat exposure for a lengthy time could
lead to hyperthermia in the fetus and birth defects, specifically esophageal atresia,
omphalocele, and gastroschisis. As pregnancy advances, a woman may have difficulty
maintaining her balance when getting in and out of a bathtub. If so, she should change
to showering or sponge bathing for her own safety. If membranes rupture or vaginal
bleeding is present, tub baths become contraindicated because there might be a danger
of contamination of uterine contents. Soap is not a teratogen to the fetus.
A pregnant patient enjoys exercising at a local health spa once a week. Which patient
comment indicates to the nurse that additional health teaching is needed? - Answer
✔✔- "Nothing feels nicer than a hot tub soak after exercise."
Pregnant women should not soak for long periods in extremely hot water or hot tubs
because heat exposure for a lengthy time could lead to hyperthermia in the fetus and
birth defects, specifically esophageal atresia, omphalocele, and gastroschisis. Playing
table tennis, performing low-impact aerobics, and the environment of the gym are not
comments that indicate the need for additional teaching.
An adolescent asks which sport would be safe for her to learn during pregnancy. Which
activity should the nurse suggest to the patient? - Answer ✔✔- Swimming
with Compete Solutions A+ Pass
When discussing rest and sleep with a pregnant woman, the nurse would discuss which
position to use for napping? - Answer ✔✔- on her side with the weight of the uterus on
the bed
Resting on the side prevents pressure from the uterus against the vena cava and,
therefore, allows blood to return to the uterus.
Why is a Papanicolaou smear done at the first prenatal visit? - Answer ✔✔- It identifies
abnormal cervical cells.
A Pap smear is a test for cervical cancer. Should abnormal cells be present, the woman
may need to make a decision about her priorities of therapy for cervical disease or
continuing the pregnancy.
During her first prenatal visit, a woman 18 weeks pregnant reports she did not realize
she was pregnant and continued to take her birth control pills. She is concerned about
their effects on her baby. Which of the following would be the best response to her
concerns? - Answer ✔✔- "Because of concerns about the estrogen exposure to the
baby, we will monitor the fetal development."
Studies have demonstrated a correlation between fetal growth problems and increased
estrogen exposure.
A pregnant woman tells you that she wants to avoid saturated fat by using vegetable oil.
What is another advantage of vegetable oil? - Answer ✔✔- Contains linoleic acid
Linoleic acid is a fat important for skin integrity in the mother and for fetal growth.
A woman who professes to be a strict vegetarian voices concerns about her ability to
meet the nutritional needs of her fetus. Which concerns should be addressed in this
session? - Answer ✔✔- The supplementation of Vitamin B12 should be addressed.
Vitamin B12 is almost exclusively met via animal sources.
A woman who is 4 months pregnant has pyrosis. Which suggestion would the nurse
give her? - Answer ✔✔- Eat small meals and do not lie down after meals.
Pyrosis, or heartburn, occurs in pregnancy because the uterine pressure against the
stomach causes regurgitation into the esophagus. Eating small meals and remaining
upright limits the possibility of regurgitation.
, A client in her third trimester reports to the nurse shortness of breath when sleeping.
The nurse informs the client that this is normal and occurs because the growing fetus
puts pressure on the diaphragm. Which measure should the nurse suggest to help
alleviate this problem? - Answer ✔✔- Use extra pillows.
The nurse should instruct the client to use extra pillows at night to keep her more
upright. The nurse can instruct the client to use a firmer mattress if the client is
experiencing backache. The nurse can ask the client to avoid overeating and ingesting
spicy food in case the client is experiencing heartburn.
A client comes to the clinic for her usual prenatal check up. The nurse measures the
fundal height at 24 cm. What is the estimated length of her gestation? - Answer ✔✔- 24
weeks
Fundal height is an approximation of the number of weeks of gestation. Between 20 to
32 weeks, SFH = gestation in weeks + or - 2 cm.
A pregnant woman states that she would like to take a tub bath but has heard from her
aunt that this could be dangerous to the baby. Which instruction should the nurse give
to the client? - Answer ✔✔- Tub baths are fine unless you are unstable on your feet or
are experiencing vaginal bleeding.:
Daily tub baths or showers are recommended. Women should not soak for long periods
in extremely hot water or hot tubs, however, as heat exposure for a lengthy time could
lead to hyperthermia in the fetus and birth defects, specifically esophageal atresia,
omphalocele, and gastroschisis. As pregnancy advances, a woman may have difficulty
maintaining her balance when getting in and out of a bathtub. If so, she should change
to showering or sponge bathing for her own safety. If membranes rupture or vaginal
bleeding is present, tub baths become contraindicated because there might be a danger
of contamination of uterine contents. Soap is not a teratogen to the fetus.
A pregnant patient enjoys exercising at a local health spa once a week. Which patient
comment indicates to the nurse that additional health teaching is needed? - Answer
✔✔- "Nothing feels nicer than a hot tub soak after exercise."
Pregnant women should not soak for long periods in extremely hot water or hot tubs
because heat exposure for a lengthy time could lead to hyperthermia in the fetus and
birth defects, specifically esophageal atresia, omphalocele, and gastroschisis. Playing
table tennis, performing low-impact aerobics, and the environment of the gym are not
comments that indicate the need for additional teaching.
An adolescent asks which sport would be safe for her to learn during pregnancy. Which
activity should the nurse suggest to the patient? - Answer ✔✔- Swimming
