NSG 355 Module Quizzes JMU 1 Questions With Complete Solutions

Your patient is pregnant for the third time. She has had no abortions, one delivery at 38 weeks and one preterm delivery (delivery before 37 weeks). She has two living children. Using the five digit GTPAL system , select the correct description of her obstetric history. A) G2, T2, P0, A1, L2 B) G1, T2, P0, A2, L2 C) G2, T1, P2, A0, L2 D) G3, T1, P1, A0, L2 correct answer: D) G3, T1, P1, A0, L2 Gravity - 3 , she has two previous babies and is pregnant now Term - 1, she had 1 baby born at term (37 weeks or more) Preterm - 1, she had 1 baby born preterm (less than 37 weeks) Abortions - O, She had no abortions (including miscarriages or other loss) Living - 2, she has two living children During an initial antepartal clinic visit, Ms. Hall reports that her last menstrual period (LMP) began on September 20. Ms. Hall states that she has regular menstrual cycles, every 28 days. Based on Nagele's rule, when is Ms. Hall's estimated date of delivery (EDD). A) June 5 B) June 13 C) June 20 D) June 27 correct answer: D) June 27 Count back three months and add seven days. September 20 - 3 months is June 20, plus seven equals June 27. Which sign/symptom is called a probable sign of pregnancy? A) Amenorrhea B) Frequency of urination C) Heaviness and tingling in breasts D) Chadwick's sign correct answer: D) Chadwick's sign Presumptive signs of pregnancy are felt by the woman and reported to us. Amenorrhea is a presumptive sign of pregnancy, as are breast changes, and urinary frequency. Probable signs of pregnancy are can be objectively observed by someone other than the woman herself. Chadwick's sign, a bluish discoloration of the cervix, is thus a probable sign. Positive signs of pregnancy are definitive: fetal heart tones heard, fetal movement that the provider or nurse feels, or visualizing fetal cardiac activity on an ultrasound are a the only absolutely positive signs of pregnancy. As her pregnancy progresses, Ms. Thompson develops constipation. This is related to what underlying physiological gastrointestinal change? A) Nausea B) Fluid intake C) Increased gastric emptying D) Reduced intestinal motility correct answer: D) Reduced intestinal motility Constipation occurs when bowel movements become less frequent; if you decrease or reduce the rate at which the intestines move contents through the intestines, it will make the bowel movements less frequent. Ms. Russell is now 16 weeks pregnant with her second child. To screen for neural tube defects in the fetus, Ms. Russell will probably undergo which test? A) Chorionic villi sampling (CVS) B) Maternal Serum Alpha-fetoprotein (MSAFP) C) Percutaneous Umbilical Blood Sampling (PUBS) D) Non Stress Test (NST) correct answer: B) Maternal Serum Alpha-fetoprotein (MSAFP) Maternal Serum Alpha-fetoprotein tests are screening tests for neural tube defects and Downs Syndrome. CVS and PUBS are invasive tests that are not appropriate for screening. And a Non Stress Test isn't done until at least 28 weeks of pregnancy. When Ms. Taylor comes to the clinic for her first prenatal visit, she tells the nurse that she doesn't know if she's ready to have a baby even though this was a planned pregnancy. What is the nurse's best response? A) "You may want to discuss these concerns with a psychiatrist." B) "You may be feeling ambivalence, wh