2025/2026
A pregnant patient is experiencing constipation and asks if this is normal. Constipation is normal and
leads to increased absorption of nutrients, particularly iron and calcium, and is caused by an increased
production of what hormone?
Thyroxine
Human placental lactogen
Progesterone
Estrogen - Progesterone
Progesterone is a hormone that signals smooth muscle relaxation, including the muscle cells of the
uterus and the gastrointestinal tract. Smooth muscle relaxation leads to increased transit time and
increased nutrient absorption; however, it also leads to constipation for a majority of pregnant women.
The patient is advised to drink plenty of fluids and follow a diet that will produce soft stools.
An 18-year old African-American patient enters the clinic. She is 21 weeks pregnant. She has been
experiencing dizziness, headaches, severe nausea, and small amounts of blood in her urine. Her hands,
face, and feet look puffy. What is a possible diagnosis for these symptoms?
Diabetes mellitus
Foodborne illness
Maternal phenylketonuria
Preeclampsia - Preeclampsia
,These symptoms indicate preeclampsia. Preeclampsia is pregnancy-induced hypertension and can be
fatal to both the mother and the infant. This patient should immediately see her obstetrician to received
appropriate medical care.
The nurse is performing an initial antepartal assessment on a woman who has missed two periods.
Assessment of this woman for alcohol consumption is best determined by the:
A. CAGE test.
B. T-ACE test.
C. non-stress test.
D. protein dipstick test. - B. The T-ACE test
provides a much more sensitive measure of alcohol intake patterns than that derived from the CAGE
test. The T-ACE test considers the following assessment criteria:
- How many drinks does it Take to make you feel high?
- Have you ever been Annoyed by people criticizing your drinking?
- Have you ever felt you ought to Cut down your drinking?
- Have you ever had a drink first thing in the morning (Eye Opener) to steady your nerves or get rid of a
hangover?
The CAGE test considers data collected from the client on Cutting down on drinking, being Annoyed by
criticism of drinking, feeling Guilty about drinking, and using alcohol as an Eye opener.
The non-stress test evaluates the fetal heart rate response to fetal movement, which is assessed after
the fetus is 20 weeks or more. The protein dipstick is performed at each prenatal visit and measures the
amount of protein in the client's urine. Proteinuria is a symptom seen with pre-eclampsia.
Reference: p. 128
,The nurse, teaching a class on primary prevention at a women's health club, emphasizes participation in:
A. physician visits during illness.
B. recommended immunization schedules.
C. taking antibiotics at the first sign of symptoms.
D. water aerobics to develop muscle building. - B. recommended immunization schedules.
Primary prevention is a concept central to nursing and includes generalized health promotion and
specific protection from disease. Health promotion connotes an active process involving specific
protections, including immunizations, occupational safety, and environmental control, along with a set of
behaviors that enhances health. Physician visits that promote health promotion focus on screening and
wellness visits that include teaching on preventative health practices. Antibiotics should only be taken
when there is evidence of an infection. Water aerobics focuses on flexibility, not muscle building.
Reference: p. 129
The individual's perceived health and well-being and how health is managed describes the:
A. cognitive-perceptual pattern.
B. coping-stress tolerance pattern.
C. health perception-health management pattern.
D. self-perception-self-concept pattern. - C. health perception-health management pattern.
, The health perception-health management pattern provides an overview of the individual's health status
and the health practices that are used to reach the current level of health or wellness. The focus is on
perceived health status and the meaning of health, along with the individual's level of commitment to
maintaining health. The cognitive-perceptual pattern focuses on sensory perceptual and cognitive
patterns. The coping-stress tolerance pattern identifies the general coping pattern and effectiveness on
stress tolerance. The self-perception-self-concept pattern describes the individual's perception of self to
include body comfort, body image, and feeling state as well as self-conception and self-esteem.
Reference: p. 131
In assessing the nutritional-metabolic pattern, the nurse performs an examination of:
A. attention span.
B. blood pressure.
C. mucous membranes.
D. urine color. - C. mucous membranes.
Assessment of the mucous membranes determines hydration status, which is part of the nutrition-
metabolic pattern. Other specific assessment findings for the nutritional-metabolic pattern may point to
an individual who is overweight, underweight, overly hydrated, dehydrated, or experiencing difficulties
in skin integrity, such as skin breakdown or delayed healing. The attention span is part of the self-
perception-self-concept pattern. Measurement of blood pressure is part of the activity-exercise pattern.
Urine color is part of the elimination pattern.
Reference: p. 134
When teaching about proper nutrition to a person with congestive heart failure, which affective
component should be included in the educational plan?
A. Eating with someone