Chapter 13 Lowdermilk Study Guide Test.

Chapter 13 Lowdermilk Study Guide Test. 1. 1. A woman's obstetric history indicates that she is pregnant for the fourth time, and all of her children from previous pregnancies are living. One was born at 39 weeks of gestation, twins were born at 34 weeks of gestation, and another child was born at 35 weeks of gestation. What is her gravidity and parity using the GTPAL system? a. 3-1-1-1-3 b. 4-1-2-0-4 c. 3-0-3-0-3 d. 4-2-1-0-3 2. 2. Which presumptive sign or symptom of pregnancy would a client experience who is approximately 10 weeks of gestation? a. Amenorrhea b. Positive pregnancy test c. Chadwick sign d. Hegar sign b. 4-1-2-0-4 a. Amenorrhea 3. 3. A client is seen at the clinic at 14 weeks of gestation b. Slightly above the sym- for a follow-up appointment. At which level does the nurse expect to palpate the fundus? a. Nonpalpable above the symphysis at 14 weeks of gestation b. Slightly above the symphysis pubis c. At the level of the umbilicus d. Slightly above the umbilicus 4. physis pubis 4. The musculoskeletal system adapts to the changes that occur throughout the pregnancy. Which muscu- loskeletal alteration should the client expect? a. Her center of gravity will shift backward. b. She will have increased lordosis. c. She will have increased abdominal muscle tone. d. She will notice decreased mobility of her pelvic joints. b. She will have increased lordosis. 5. 5. A 31-year-old woman believes that she may be preg- b. Anticonvulsant med- nant. She took an over-the-counter (OTC) pregnancy test 1 week ago after missing her period; the test was positive. During her assessment interview, the nurse inquires about the woman's last menstrual period and asks whether she is taking any medications. The client states that she takes medicine for epilepsy. She has been under considerable stress lately at work and has not been sleeping well. Her physical examination does not indicate that she is pregnant. She has an ultra- sound scan, which confirms that she is not pregnant. What is the most likely cause of the false-positive preg- nancy test result? a. The pregnancy test was taken too early. b. Anticonvulsant medications may cause the false-positive test result. c. The woman has a fibroid tumor. d. She has been under considerable stress and has a hormone imbalance. 6. ications may cause the false-positive test result. 6. A woman is in her seventh month of pregnancy. She has been complaining of nasal congestion and occasional epistaxis. Which statement best describes why this may be happening to this client? a. This respiratory change is normal in pregnancy and caused by an elevated level of estrogen. b. This cardiovascular change is abnormal, and the nosebleeds are an ominous sign. c. The woman is a victim of domestic violence and is being hit in the face by her partner. d. The woman has been intranasally using cocaine. 7. 7. The nurse is providing education to a client regard- ing the normal changes of the breasts during preg- nancy. Which statement regarding these changes is correct? a. The visibility of blood vessels that form an intertwin- ing blue network indicates full function of the Mont- gomery tubercles and possibly an infection of the tu- bercles. b. The mammary glands do not develop until 2 weeks before labor. c. Lactation is inhibited until the estrogen level declines after birth. d. Colostrum is the yellowish oily substance used to lubricate the nipples for breastfeeding. 8. 8. Which hormone is essential for maintaining preg- nancy? a. Estrogen a. This respiratory change is normal in pregnancy and caused by an elevated level of estrogen.