Exam 1 – Lippincott Questions With Complete Solutions
A Catholic nurse who works in a genetics clinic is counseling a
couple who has just been told that their baby has a genetic
disorder. The couple states that they would like to terminate the
pregnancy. What is the most appropriate response by the nurse?
"You can always give the child up for adoption."
"Here is a list of resources for you to contact."
"Termination of the pregnancy for any reason is a sin."
"You should think about this for another week or so." Correct
Answer "Here is a list of resources for you to contact."
A client at 32 weeks' gestation tells the nurse that she has been
experiencing shortness of breath when walking up the steps at
home. She is concerned that something is wrong. What is the
nurse's best response?
"The enlarging uterus pushes against your diaphragm and this
makes breathing shallow."
"Oxygen requirements are increasing in your body because the
fetus is growing."
"Don't worry about this because it is a normal change that
occurs with pregnancy."
"You only have a few more weeks until the birth and then you
will breathe fine again." Correct Answer "The enlarging
uterus pushes against your diaphragm and this makes breathing
shallow."
A client in her second trimester of pregnancy visits a health care
facility. The client frequently engages in aerobic exercise and
asks the nurse about doing so during her pregnancy. Which
,precaution should the nurse instruct the pregnant client to take
when practicing aerobic exercises?
Maintain tolerable intensity of exercise.
Reduce the amount of exercise.
Begin a new exercise regimen.
Wear support hose when exercising. Correct Answer Maintain
tolerable intensity of exercise.
A client in her third trimester of pregnancy visits the health care
center and asks why she is constipated. The nurse would include
which most likely cause when responding to the client?
pressure on intestine by the growing fetus
relaxation of cardioesophageal sphincter
pressure of fetal head on the bladder
engorgement of veins by the weight of the uterus Correct
Answer pressure on intestine by the growing fetus
A client reports that her last menstrual period was on August 1.
Using Naegele rule, what would the nurse anticipate as the
client's due date?
May 24
June 6
September 15
May 8 Correct Answer May 8
A client who is 2 months pregnant tells the nurse, "I find that I'm
always going to the bathroom to urinate." Which respons by the
nurse would be appropriate?
"Your baby is making urine so this is adding to what's in your
bladder."
, "Your growing uterus is putting pressure on your bladder
causing you to go."
"Your urine is more concentrated now, so you have to go more
often."
"Your kidneys now have less cells to filter the fluid that goes
through." Correct Answer "Your growing uterus is putting
pressure on your bladder causing you to go."
A client's menstrual period is two weeks late. She has been
feeling tired and has had episodes of nausea in the morning.
What classification of pregnancy symptoms is this client
experiencing?
positive
probable
presumptive
no classification Correct Answer presumptive
A couple comes to the clinic for preconception counseling and
care. As part of the visit, the nurse teaches the couple about
fertilization and initial development, stating that the zygote
formed by the union of the ovum and sperm consists of how
many chromosomes?
23
46
22
44 Correct Answer 46
A couple is discussing starting a family with the nurse. When
should the nurse suggest genetic counseling?
before the second child
in the second trimester
A Catholic nurse who works in a genetics clinic is counseling a
couple who has just been told that their baby has a genetic
disorder. The couple states that they would like to terminate the
pregnancy. What is the most appropriate response by the nurse?
"You can always give the child up for adoption."
"Here is a list of resources for you to contact."
"Termination of the pregnancy for any reason is a sin."
"You should think about this for another week or so." Correct
Answer "Here is a list of resources for you to contact."
A client at 32 weeks' gestation tells the nurse that she has been
experiencing shortness of breath when walking up the steps at
home. She is concerned that something is wrong. What is the
nurse's best response?
"The enlarging uterus pushes against your diaphragm and this
makes breathing shallow."
"Oxygen requirements are increasing in your body because the
fetus is growing."
"Don't worry about this because it is a normal change that
occurs with pregnancy."
"You only have a few more weeks until the birth and then you
will breathe fine again." Correct Answer "The enlarging
uterus pushes against your diaphragm and this makes breathing
shallow."
A client in her second trimester of pregnancy visits a health care
facility. The client frequently engages in aerobic exercise and
asks the nurse about doing so during her pregnancy. Which
,precaution should the nurse instruct the pregnant client to take
when practicing aerobic exercises?
Maintain tolerable intensity of exercise.
Reduce the amount of exercise.
Begin a new exercise regimen.
Wear support hose when exercising. Correct Answer Maintain
tolerable intensity of exercise.
A client in her third trimester of pregnancy visits the health care
center and asks why she is constipated. The nurse would include
which most likely cause when responding to the client?
pressure on intestine by the growing fetus
relaxation of cardioesophageal sphincter
pressure of fetal head on the bladder
engorgement of veins by the weight of the uterus Correct
Answer pressure on intestine by the growing fetus
A client reports that her last menstrual period was on August 1.
Using Naegele rule, what would the nurse anticipate as the
client's due date?
May 24
June 6
September 15
May 8 Correct Answer May 8
A client who is 2 months pregnant tells the nurse, "I find that I'm
always going to the bathroom to urinate." Which respons by the
nurse would be appropriate?
"Your baby is making urine so this is adding to what's in your
bladder."
, "Your growing uterus is putting pressure on your bladder
causing you to go."
"Your urine is more concentrated now, so you have to go more
often."
"Your kidneys now have less cells to filter the fluid that goes
through." Correct Answer "Your growing uterus is putting
pressure on your bladder causing you to go."
A client's menstrual period is two weeks late. She has been
feeling tired and has had episodes of nausea in the morning.
What classification of pregnancy symptoms is this client
experiencing?
positive
probable
presumptive
no classification Correct Answer presumptive
A couple comes to the clinic for preconception counseling and
care. As part of the visit, the nurse teaches the couple about
fertilization and initial development, stating that the zygote
formed by the union of the ovum and sperm consists of how
many chromosomes?
23
46
22
44 Correct Answer 46
A couple is discussing starting a family with the nurse. When
should the nurse suggest genetic counseling?
before the second child
in the second trimester
