Exam 3 Ch 8-11 WIT QUESTIONS AND
ANSWERS WRITTEN CORRECTLY
The nurse has learned that which hormone is primarily responsible for maintaining a
pregnancy? - answer✔✔✨-Progresterone
A patient who is 28 weeks pregnant calls the obstetrical clinic and complains of
irregular, painless contractions that last for 10 to 15 seconds. What response by the
nurse is best? - answer✔✔✨-"If they last more than 60 seconds or become regular,
come in."
The nurse caring for perinatal patients understands the term decidua to mean which of
the following? - answer✔✔✨-Endometrial lining of the uterus
A nurse is assessing a patient in the women's clinic for Chadwick's sign. How does the
nurse perform this assessment? - answer✔✔✨-Inspects the vulva and vagina for a
bluish tint
An instructor is explaining to students in the OB rotation that Goodell's sign is which of
the following? - answer✔✔✨-Cervical softening
A nurse is teaching a woman who is in her first trimester of pregnancy about physical
changes she can expect. Which information should the nurse provide? -
answer✔✔✨-Pregnant women are more susceptible to yeast infections.
A woman who gave birth 2 months ago calls the perinatal clinic crying because her hair
is falling out in large amounts. What action by the nurse is most appropriate? -
answer✔✔✨-Reassure the woman that her hair will grow back within a year.
A pregnant woman in the perinatal clinic complains of a diffuse, reddish discoloration of
her palms. What action by the nurse is most appropriate? - answer✔✔✨-Explain
that this is a normal finding.
A woman in her third trimester of pregnancy complains of a painful burning sensation in
her hands and lower arms. Which action by the nurse is best? - answer✔✔✨-Advise
the woman to elevate her hands at night.
1A pregnant woman in the perinatal clinic complains of occasional fainting. Which action
by the nurse is best? - answer✔✔✨-Tell her to lie down on her left side if she has
warning signs.
,1A woman in the emergency department is in her third trimester and is bleeding heavily
from a laceration on her thigh from a car crash. She is pale and diaphoretic. Her blood
pressure is 138/82 mm Hg. What can the nurse conclude from this information? -
answer✔✔✨-Her increased blood volume is maintaining the blood pressure.
A woman in the third trimester of her first pregnancy complains of excessive fatigue. Her
hemoglobin is 11.2 g/dL. What action by the nurse is best? - answer✔✔✨-Assess
the woman's diet for adequate iron and protein.
A woman in her second trimester of pregnancy is in the clinic for a checkup. She
complains of feeling short of breath at times. Her lungs are clear and her oxygen
saturation is 98%. Her vital signs are all normal. What action by the nurse is best? -
answer✔✔✨-Encourage slow, deep breathing.
The perinatal nurse reads the diagnosis of ptyalism in a patient's chart. What teaching
does the nurse plan for this patient? - answer✔✔✨-Lozenges and chewing gum can
help.
A pregnant woman is complaining of frequent heartburn. What statement by the patient
indicates to the nurse that teaching has been effective? - answer✔✔✨-"I will not lie
down for 1 hour after eating."
A student asks the nurse why so many pregnant women get cholecystitis. Which
response by the nurse is best? - answer✔✔✨-"Inefficient emptying leads to stasis of
bile and inflammation, or cholecystitis."
What information should the nurse plan to teach a pregnant woman regarding safety in
the third trimester? - answer✔✔✨-Use handrails when using the stairs.
A pregnant woman calls the clinic to complain of sharp, right-sided lower abdominal
pain. Which question by the nurse would elicit the most relevant information? -
answer✔✔✨-"Do you have a fever, constipation, or any diarrhea?"
According to Rubin (1975), completion of what task is paramount for a pregnant woman
to master in order to have successful integration of the maternal role? -
answer✔✔✨-Incorporating the pregnancy into her total identity
A father accompanies his partner to her OB clinic visit. The woman is near term. The
father confides to the nurse that the patient is cranky, irritable, and yells at him for no
reason. Which action by the nurse is best? - answer✔✔✨-Explain why the woman
needs emotional support.
The nurse is explaining to a student that a pregnant woman needs to complete a
process called "binding in." Which is the best explanation of this phenomenon? -
answer✔✔✨-Incorporating the pregnancy into the woman's reality
,A woman is in her second trimester of pregnancy. Which behaviors by the woman's
family or friends would best indicate to the nurse that they are accepting the unborn
child? - answer✔✔✨-An older sibling is talking about "my baby brother or sister."
A woman is in the first trimester of her first pregnancy and confides to the nurse that she
is not really sure if she is happy because so many things in her life will change. She is
not sure she is willing to alter her current lifestyle. What action by the nurse is most
appropriate? - answer✔✔✨-Reassure the woman that ambivalence is normal now.
To provide anticipatory psychosocial guidance to a woman entering her third trimester,
what topic should the nurse plan to include? - answer✔✔✨-She may worry about
impending childbirth but see it as a relief.
A nurse works with pregnant adolescents during pregnancy and for the first 2 years
afterward. Which teen demonstrates the most successful resolution of the conflict
between normal growth and development tasks and tasks associated with being a new
mother? - answer✔✔✨-Attends alternative school with an on-site day care
A woman is in her fourth month of pregnancy and is in the clinic for a scheduled visit.
She confides to the nurse that her husband seems detached and is no longer interested
in hearing about the pregnancy. Which action by the nurse is best? - answer✔✔✨-
Explain that paternal reactions vary widely.
A nurse is working with a woman in her second trimester and her partner. The partner
comes to clinic appointments but spends his time texting on his cell phone in the waiting
room. The woman states that this behavior makes her sad. Which action by the nurse is
best? - answer✔✔✨-Invite the father into the exam room to listen to the baby's
heartbeat.
A nurse manager on the high-risk OB unit wants to improve the experience of women
admitted for lengthy stays. What action by the manager is best? - answer✔✔✨-
Develop a program to help women attain developmental tasks.
A woman has given birth to a child with a cleft lip. What action by the patient would best
indicate that goals for the diagnosis of dysfunctional grieving have been at least partially
met? - answer✔✔✨-Birth announcements include photo and wording to explain cleft
lip.
A pregnant woman has the nursing diagnosis of risk for ineffective role performance.
What statement by the patient indicates that she is meeting a maternal task associated
with the second trimester? - answer✔✔✨-"This baby seems so real to me since I
feel him move."
, A woman in the first trimester of her first pregnancy is upset and worried about physical
changes, the labor and birth process, and being able to care for a newborn. Which
action by the nurse is best? - answer✔✔✨-Provide information about childbirth
preparation classes.
The nursing instructor explains to a class of students that the pituitary gland has many
functions related to pregnancy. Which of the following functions are performed by
hormones secreted by this gland? (Select all that apply.) - answer✔✔✨--Influence
ovarian follicular development
-Maintain the pregnancy
-Prompt ovulation
-Stimulate the uterine lining
The nurse is explaining to a student that several physiological factors cause a pregnant
woman to be prone to venous thrombosis and embolic phenomena. What factors are
included? (Select all that apply.) - answer✔✔✨--Increased blood factors
-Venous stasis
A nurse is providing anticipatory guidance to a pregnant woman regarding normal
changes in the nose and nasal passages. What information should the nurse provide?
(Select all that apply.) - answer✔✔✨--Blow your nose gently.
-Increase your fluid intake.
-Stuffiness is common.
A patient is complaining of constipation. What teaching should the nurse plan to
provide? (Select all that apply.) - answer✔✔✨--Drink 8 to 10 glasses of water each
day.
-Don't strain to move your bowels.
-Increase your fiber intake.
A pregnant woman had several urinary tract infections (UTIs) in her last pregnancy and
wants to avoid them during this pregnancy. What advice by the nurse is best? (Select all
that apply.) - answer✔✔✨--Drink 8 to 10 glasses of water daily.
-Void every 2 to 3 hours while awake.
In providing anticipatory guidance to a couple expecting their first child, which tasks and
activities does the nurse discuss with the parents? (Select all that apply.) -
answer✔✔✨--Honing communication and listening skills
-Negotiating household roles and daily tasks
-Reorganizing the house for a new member
-Reviewing patterns of money management
A nurse is providing anticipatory guidance to a pregnant woman who has another child.
Which information should the nurse plan to include? (Select all that apply.) -
answer✔✔✨--Teen: may feel resentment and embarrassment
ANSWERS WRITTEN CORRECTLY
The nurse has learned that which hormone is primarily responsible for maintaining a
pregnancy? - answer✔✔✨-Progresterone
A patient who is 28 weeks pregnant calls the obstetrical clinic and complains of
irregular, painless contractions that last for 10 to 15 seconds. What response by the
nurse is best? - answer✔✔✨-"If they last more than 60 seconds or become regular,
come in."
The nurse caring for perinatal patients understands the term decidua to mean which of
the following? - answer✔✔✨-Endometrial lining of the uterus
A nurse is assessing a patient in the women's clinic for Chadwick's sign. How does the
nurse perform this assessment? - answer✔✔✨-Inspects the vulva and vagina for a
bluish tint
An instructor is explaining to students in the OB rotation that Goodell's sign is which of
the following? - answer✔✔✨-Cervical softening
A nurse is teaching a woman who is in her first trimester of pregnancy about physical
changes she can expect. Which information should the nurse provide? -
answer✔✔✨-Pregnant women are more susceptible to yeast infections.
A woman who gave birth 2 months ago calls the perinatal clinic crying because her hair
is falling out in large amounts. What action by the nurse is most appropriate? -
answer✔✔✨-Reassure the woman that her hair will grow back within a year.
A pregnant woman in the perinatal clinic complains of a diffuse, reddish discoloration of
her palms. What action by the nurse is most appropriate? - answer✔✔✨-Explain
that this is a normal finding.
A woman in her third trimester of pregnancy complains of a painful burning sensation in
her hands and lower arms. Which action by the nurse is best? - answer✔✔✨-Advise
the woman to elevate her hands at night.
1A pregnant woman in the perinatal clinic complains of occasional fainting. Which action
by the nurse is best? - answer✔✔✨-Tell her to lie down on her left side if she has
warning signs.
,1A woman in the emergency department is in her third trimester and is bleeding heavily
from a laceration on her thigh from a car crash. She is pale and diaphoretic. Her blood
pressure is 138/82 mm Hg. What can the nurse conclude from this information? -
answer✔✔✨-Her increased blood volume is maintaining the blood pressure.
A woman in the third trimester of her first pregnancy complains of excessive fatigue. Her
hemoglobin is 11.2 g/dL. What action by the nurse is best? - answer✔✔✨-Assess
the woman's diet for adequate iron and protein.
A woman in her second trimester of pregnancy is in the clinic for a checkup. She
complains of feeling short of breath at times. Her lungs are clear and her oxygen
saturation is 98%. Her vital signs are all normal. What action by the nurse is best? -
answer✔✔✨-Encourage slow, deep breathing.
The perinatal nurse reads the diagnosis of ptyalism in a patient's chart. What teaching
does the nurse plan for this patient? - answer✔✔✨-Lozenges and chewing gum can
help.
A pregnant woman is complaining of frequent heartburn. What statement by the patient
indicates to the nurse that teaching has been effective? - answer✔✔✨-"I will not lie
down for 1 hour after eating."
A student asks the nurse why so many pregnant women get cholecystitis. Which
response by the nurse is best? - answer✔✔✨-"Inefficient emptying leads to stasis of
bile and inflammation, or cholecystitis."
What information should the nurse plan to teach a pregnant woman regarding safety in
the third trimester? - answer✔✔✨-Use handrails when using the stairs.
A pregnant woman calls the clinic to complain of sharp, right-sided lower abdominal
pain. Which question by the nurse would elicit the most relevant information? -
answer✔✔✨-"Do you have a fever, constipation, or any diarrhea?"
According to Rubin (1975), completion of what task is paramount for a pregnant woman
to master in order to have successful integration of the maternal role? -
answer✔✔✨-Incorporating the pregnancy into her total identity
A father accompanies his partner to her OB clinic visit. The woman is near term. The
father confides to the nurse that the patient is cranky, irritable, and yells at him for no
reason. Which action by the nurse is best? - answer✔✔✨-Explain why the woman
needs emotional support.
The nurse is explaining to a student that a pregnant woman needs to complete a
process called "binding in." Which is the best explanation of this phenomenon? -
answer✔✔✨-Incorporating the pregnancy into the woman's reality
,A woman is in her second trimester of pregnancy. Which behaviors by the woman's
family or friends would best indicate to the nurse that they are accepting the unborn
child? - answer✔✔✨-An older sibling is talking about "my baby brother or sister."
A woman is in the first trimester of her first pregnancy and confides to the nurse that she
is not really sure if she is happy because so many things in her life will change. She is
not sure she is willing to alter her current lifestyle. What action by the nurse is most
appropriate? - answer✔✔✨-Reassure the woman that ambivalence is normal now.
To provide anticipatory psychosocial guidance to a woman entering her third trimester,
what topic should the nurse plan to include? - answer✔✔✨-She may worry about
impending childbirth but see it as a relief.
A nurse works with pregnant adolescents during pregnancy and for the first 2 years
afterward. Which teen demonstrates the most successful resolution of the conflict
between normal growth and development tasks and tasks associated with being a new
mother? - answer✔✔✨-Attends alternative school with an on-site day care
A woman is in her fourth month of pregnancy and is in the clinic for a scheduled visit.
She confides to the nurse that her husband seems detached and is no longer interested
in hearing about the pregnancy. Which action by the nurse is best? - answer✔✔✨-
Explain that paternal reactions vary widely.
A nurse is working with a woman in her second trimester and her partner. The partner
comes to clinic appointments but spends his time texting on his cell phone in the waiting
room. The woman states that this behavior makes her sad. Which action by the nurse is
best? - answer✔✔✨-Invite the father into the exam room to listen to the baby's
heartbeat.
A nurse manager on the high-risk OB unit wants to improve the experience of women
admitted for lengthy stays. What action by the manager is best? - answer✔✔✨-
Develop a program to help women attain developmental tasks.
A woman has given birth to a child with a cleft lip. What action by the patient would best
indicate that goals for the diagnosis of dysfunctional grieving have been at least partially
met? - answer✔✔✨-Birth announcements include photo and wording to explain cleft
lip.
A pregnant woman has the nursing diagnosis of risk for ineffective role performance.
What statement by the patient indicates that she is meeting a maternal task associated
with the second trimester? - answer✔✔✨-"This baby seems so real to me since I
feel him move."
, A woman in the first trimester of her first pregnancy is upset and worried about physical
changes, the labor and birth process, and being able to care for a newborn. Which
action by the nurse is best? - answer✔✔✨-Provide information about childbirth
preparation classes.
The nursing instructor explains to a class of students that the pituitary gland has many
functions related to pregnancy. Which of the following functions are performed by
hormones secreted by this gland? (Select all that apply.) - answer✔✔✨--Influence
ovarian follicular development
-Maintain the pregnancy
-Prompt ovulation
-Stimulate the uterine lining
The nurse is explaining to a student that several physiological factors cause a pregnant
woman to be prone to venous thrombosis and embolic phenomena. What factors are
included? (Select all that apply.) - answer✔✔✨--Increased blood factors
-Venous stasis
A nurse is providing anticipatory guidance to a pregnant woman regarding normal
changes in the nose and nasal passages. What information should the nurse provide?
(Select all that apply.) - answer✔✔✨--Blow your nose gently.
-Increase your fluid intake.
-Stuffiness is common.
A patient is complaining of constipation. What teaching should the nurse plan to
provide? (Select all that apply.) - answer✔✔✨--Drink 8 to 10 glasses of water each
day.
-Don't strain to move your bowels.
-Increase your fiber intake.
A pregnant woman had several urinary tract infections (UTIs) in her last pregnancy and
wants to avoid them during this pregnancy. What advice by the nurse is best? (Select all
that apply.) - answer✔✔✨--Drink 8 to 10 glasses of water daily.
-Void every 2 to 3 hours while awake.
In providing anticipatory guidance to a couple expecting their first child, which tasks and
activities does the nurse discuss with the parents? (Select all that apply.) -
answer✔✔✨--Honing communication and listening skills
-Negotiating household roles and daily tasks
-Reorganizing the house for a new member
-Reviewing patterns of money management
A nurse is providing anticipatory guidance to a pregnant woman who has another child.
Which information should the nurse plan to include? (Select all that apply.) -
answer✔✔✨--Teen: may feel resentment and embarrassment
