1. During vital sign C: have the patient turn to her left side and recheck
assessment of a pregnant her blood pressure in 5 minutes
patient in her third
trimester, the patient
complains
of feeling faint, dizzy, and agitat- Blood pressure is attected by positioning
during pregnancy.
ed. Which nursing The supine position may cause occlusion of the
intervention is most vena cava and descending aorta. Turning the
appropriate? pregnant woman to a lateral recumbent position
alleviates pressure on the blood
A: have the patient stand up and vessels and quickly corrects supine
hypotension. Pressures
retake her blood pressure are significantly higher when the patient is standing.
This
B: have the patient sit down and would cause an increase in systolic and
diastolic pressures.
hold her arm in a dependent po- The arm should be supported at the same
level of the heart.
sition changes of pregnan- cy, what is
C: have the patient turn to an important infor-
her left side and recheck
her blood pressure in 5
minutes
D: have the patient lie
supine for 5 minutes and
recheck her blood pressure
on both
arms
2. While providing education
to a primiparous patient
regarding the normal
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, Maternal-Newborn Chapter 6 Test Bank Exam.
The supine position may cause occlusion of the
vena cava and descending aorta, creating
hypotension. D: these occur throughout pregnancy, but you may
not feel them until the 3rd trimester
Throughout pregnancy, the uterus undergoes
irregular con-
mation for the nurse to share re- tractions called Braxton Hicks contractions.
During the first
garding Braxton Hicks two trimesters, the contractions are infrequent and
contrac- tions? usually not felt by the woman until the third
trimester. Braxton Hicks contractions do not
A: these contractions may indicate preterm labor. Braxton Hicks contractions
indi- cate preterm labor can cause some discomfort, especially in the third
B: these are contractions trimester. Braxton Hicks contractions occur
that never cause any throughout the whole pregnancy.
discomfort
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, Maternal-Newborn Chapter 6 Test Bank Exam.
C: Braxton hicks
contractions only start
during the third
trimester
D: these occur throughout
preg- nancy, but you may
not feel them until the 3rd
trimester D: visualization of fetus by ultrasound
3. Which finding is a positive The only positive signs of pregnancy are auscultation
sign of pregnancy? of fetal heart tones, visualization of the fetus by
ultrasound, and fetal movement felt by the
A: amenorrhea examiner. Amenorrhea is a presump- tive sign of
B: breast changes pregnancy. Breast changes are a presumptive sign
C: fetal movement felt of pregnancy. Fetal movement is a presumptive sign
by the woman of
D: visualization of fetus by ultra- pregnancy.
sound
4. A patient in her first B: "It may be due to changes in hormones."
trimester complains of
nausea and vom- iting. Nausea and vomiting are believed to be caused by
The patient asks, "Why is increased levels of hormones, decreased gastric
this happening?" What is motility, and hypo- glycemia. Gastric motility
the nurse's best response? decreases during pregnancy. Glu- cose levels
decrease in the first trimester. Gastric secretions
A: "It is due to an increase in gas- decrease, but this is not the main cause of
nausea and
tric motility." D: "It is caused by a decrease in
B: "It may be due to changes gastric secretions."
in hormones."
C: "It is related to an 5.
increase in glucose levels."
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