Maternal-Newborn Chapter 7 Test Bank
Questions With Accurate Answers
A gravida 1 patient at 32 weeks of gestation requires that she has severe lower
back pain. What should the nurse's assessment include?
A: palpation of the lumbar spine
B: exercise pattern and duration
C: observation of posture and body mechanics
D: ability to sleep for at least 6 hours uninterrupted correct answer C: observation
of posture and body mechanics
Correct posture and body mechanics can reduce lower back pain caused by
increasing lordosis. Pregnancy should not cause alterations in the spine. Any
assessment for malformation should be done early in pregnancy. Certain
exercises can help relieve back pain. Rest is important for overall well-being;
however, the primary concern related to back pain is a thorough evaluation of
posture and body mechanics.
A nurse is teaching a client who is at 6 weeks of gestation about common
discomforts of pregnancy. Which of the following findings should the nurse
include? (Select all that apply)
A: breast tenderness
B: urinary frequency
C: epistaxis
D: dysuria
E: epigastric pain correct answer A: breast tenderness
,B: urinary frequency
C: epistaxis
Breast tenderness, urinary frequency, and epistaxis are common discomforts that
occur during the first trimester of pregnancy.
A patient in her third trimester of pregnancy is asking about safe travel. Which
statement should the nurse provide regarding safe travel during pregnancy?
A: "only travel by car during pregnancy"
B: "avoid use of the seat belt during the third trimester"
C: "yip can travel by plane until your 38th week of gestation"
D: "if you are traveling by car stop to walk every 1-2 hours" correct answer D: "if
you are traveling by car stop to walk every 1-2 hours"
Car travel is safe during normal pregnancies. Suggest that the woman stop to walk
every 1 to 2 hours so she can empty her bladder. Walking also helps decrease the
risk of thrombosis that is elevated during pregnancy. Seat belts should be worn
throughout the pregnancy. Instruct the woman to fasten the seat belt snugly,
with the lap belt under her abdomen and across her thighs and the shoulder belt
in a diagonal position across her chest and above the bulge of her uterus. Travel
by plane is generally safe up to 36 weeks if there are no complications of the
pregnancy, so only traveling by car is an inaccurate statement.
A patient who comes one pack of cigarettes daily has a positive pregnancy test.
The nurse will explain that smoking during pregnancy increases the risk of which
condition?
, A: congenital anomalies
B: death before or after birth
C: neonatal hypoglycemia
D: neonatal withdrawal syndrome correct answer B: death before or after birth
Smoking during pregnancy increases the risk for spontaneous abortion, low birth
weight, abruptio placentae, placenta previa, preterm birth, perinatal mortality,
and SIDS. Smoking does not appear to cause congenital anomalies, hypoglycemia,
or withdrawal syndrome.
A patient with an IUD in place has a positive pregnancy test. When planning care,
the nurse will base decisions on which anticipated action?
A: a therapeutic abortion will need to be scheduled since fetal damage is
inevitable
B: hormonal analysis will be done to determine the underlying cause of the false-
positive test result
C: the IUD will need to be removed to avoid complications such as miscarriage or
infection
D: the IUD will need to remain in place to avoid injuring the fetus correct answer
C: the IUD will need to be removed to avoid complications such as miscarriage or
infection
Pregnancy with an IUD in place is unusual; however, it can occur and cause
complications such as spontaneous abortion and infection. A therapeutic abortion
is not indicated unless infection occurs.
Questions With Accurate Answers
A gravida 1 patient at 32 weeks of gestation requires that she has severe lower
back pain. What should the nurse's assessment include?
A: palpation of the lumbar spine
B: exercise pattern and duration
C: observation of posture and body mechanics
D: ability to sleep for at least 6 hours uninterrupted correct answer C: observation
of posture and body mechanics
Correct posture and body mechanics can reduce lower back pain caused by
increasing lordosis. Pregnancy should not cause alterations in the spine. Any
assessment for malformation should be done early in pregnancy. Certain
exercises can help relieve back pain. Rest is important for overall well-being;
however, the primary concern related to back pain is a thorough evaluation of
posture and body mechanics.
A nurse is teaching a client who is at 6 weeks of gestation about common
discomforts of pregnancy. Which of the following findings should the nurse
include? (Select all that apply)
A: breast tenderness
B: urinary frequency
C: epistaxis
D: dysuria
E: epigastric pain correct answer A: breast tenderness
,B: urinary frequency
C: epistaxis
Breast tenderness, urinary frequency, and epistaxis are common discomforts that
occur during the first trimester of pregnancy.
A patient in her third trimester of pregnancy is asking about safe travel. Which
statement should the nurse provide regarding safe travel during pregnancy?
A: "only travel by car during pregnancy"
B: "avoid use of the seat belt during the third trimester"
C: "yip can travel by plane until your 38th week of gestation"
D: "if you are traveling by car stop to walk every 1-2 hours" correct answer D: "if
you are traveling by car stop to walk every 1-2 hours"
Car travel is safe during normal pregnancies. Suggest that the woman stop to walk
every 1 to 2 hours so she can empty her bladder. Walking also helps decrease the
risk of thrombosis that is elevated during pregnancy. Seat belts should be worn
throughout the pregnancy. Instruct the woman to fasten the seat belt snugly,
with the lap belt under her abdomen and across her thighs and the shoulder belt
in a diagonal position across her chest and above the bulge of her uterus. Travel
by plane is generally safe up to 36 weeks if there are no complications of the
pregnancy, so only traveling by car is an inaccurate statement.
A patient who comes one pack of cigarettes daily has a positive pregnancy test.
The nurse will explain that smoking during pregnancy increases the risk of which
condition?
, A: congenital anomalies
B: death before or after birth
C: neonatal hypoglycemia
D: neonatal withdrawal syndrome correct answer B: death before or after birth
Smoking during pregnancy increases the risk for spontaneous abortion, low birth
weight, abruptio placentae, placenta previa, preterm birth, perinatal mortality,
and SIDS. Smoking does not appear to cause congenital anomalies, hypoglycemia,
or withdrawal syndrome.
A patient with an IUD in place has a positive pregnancy test. When planning care,
the nurse will base decisions on which anticipated action?
A: a therapeutic abortion will need to be scheduled since fetal damage is
inevitable
B: hormonal analysis will be done to determine the underlying cause of the false-
positive test result
C: the IUD will need to be removed to avoid complications such as miscarriage or
infection
D: the IUD will need to remain in place to avoid injuring the fetus correct answer
C: the IUD will need to be removed to avoid complications such as miscarriage or
infection
Pregnancy with an IUD in place is unusual; however, it can occur and cause
complications such as spontaneous abortion and infection. A therapeutic abortion
is not indicated unless infection occurs.
