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Chapter 10: Promoting a Healthy Pregnancy Nursing School Test Banks
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Chapter 10: PromotŤng a Search … Healthy Pregnancy
NursŤng School Test Banks
Chapter 10: Promoting a Healthy Pregnancy
MULTIPLE CHOICE
1. The prenatal clinic nurse visits with a 32-year-old man.
His partner is pregnant with her first child and is now at 12
weeks of gestation. The man states that he has been
experiencing nausea and vomiting, fatigue, and weight
gain. Which action by the nurse is most appropriate?
A. Ask the womans health-care provider to prescribe the
man anti-nausea medication.
B. Assess for cancer risk factors, as weight gain and
vomiting are unusual together.
C. Encourage the man to make an appointment with his
primary health-care provider.
D. Explain that these symptoms are normal and often seen
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,in men with pregnant partners.
ANS: D
Couvade syndrome is when a male partner experiences the
same maternal signs and symptoms as the woman. The
nurse should reassure the man that this is an often-
occurring finding. The nurse would not need to encourage
the man to make an appointment with his health-care
provider unless the symptoms became severe. The womans
primary health-care provider does not need to prescribe
anti-emetics, nor does the nurse need to assess the man
further for cancer risk factors.
Cognitive Level: Application/Applying
Content Area: Pediatrics/Maternity
Patient Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process: Implementation
Difficulty: Easy
PTS: 1
2. After questioning a pregnant woman about her fluid
intake, the nurse discovers that the patient is drinking four
glasses of diet cola per day. Which response by the nurse
is best?
A. As long as you get enough fluid, soda is all right to
drink.
B. Less than two cups of caffeine a day is probably OK.
C. The major worry with soda is the sugar content.
D. You really should switch to decaffeinated colas.
ANS: B
The primary sources of caffeine for pregnant women are
coffee, tea, and soda. Research shows that small amounts
of caffeine (less than 2 cups a day) are probably safe;
however, higher amounts cause central nervous system
stimulation and can increase the chance of spontaneous
abortions, stress the fetuss metabolic system, and
decrease blood flow to the placenta. Women should be
encouraged to restrict their intake of caffeinated
beverages and taught that even decaffeinated beverages
still contain some caffeine.
2/37
,Cognitive Level: Comprehension/Understanding
Content Area: Pediatrics/Maternity
Patient Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Difficulty: Moderate
PTS: 1
3. A perinatal nurse is assessing a pregnant womans
medications and finds that one of them is categorized as
Category D. What information should the nurse provide
this patient?
A. Studies have not found human fetal risk, although
animal fetuses are harmed by it.
B. There are no associated fetal risks with this drug and it
is safe to take in pregnancy.
C. There havent been any studies of this drug in human
fetuses; I wouldnt take it.
D. We have to decide if the benefits of this drug outweigh
the risk, as it can harm the fetus.
ANS: D
There are five categories of drugs based on fetal risk:
Category A: no associated fetal risk, safe to take during
pregnancy; Category B: no associated fetal risk in animals,
fetal risk in humans not identified; Category C: evidence of
adverse effects in animal fetuses, fetal risk in humans not
identified; Category D: evidence of adverse effects and
fetal risk in humans, benefits and risks must be considered
before prescribing; and Category X: evidence of fetal risk
and congenital anomalies in humans, risks outweigh the
benefits, should not be prescribed during pregnancy.
Cognitive Level: Comprehension/Understanding
Content Area: Pediatrics/Maternity
Patient Needs: Physiological Integrity: Pharmacological
and Parenteral Therapies
Integrated Process: Teaching/Learning
Difficulty: Moderate
PTS: 1
4. The nurse explains to the prenatal class attendees that
at full term about 10 to 11% of the maternal weight gain is
3/37
, attributed to which of the following?
A. Blood, uterine, and breast tissue
B. Fetal tissue
C. Maternal reserves
D. Placental fluid
ANS: D
During early pregnancy, maternal weight gain is related to
an increased blood volume, which is necessary to supply
the enlarging uterus and to support fetal growth and
development. As the pregnancy progresses, enlargement
of the placenta and fetal body add to the womans increase
in weight. By term, maternal extracellular fluid, blood,
uterine tissue, and breast tissue comprise 35% of the
gestational weight gain; the maternal reserves comprise
27%; fetal tissue comprises 27%; and placental fluid
comprises 11% of the total maternal weight gain
(Cunningham et al., 2010).
Cognitive Level: Comprehension/Understanding
Content Area: Pediatrics/Maternity
Patient Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Difficulty: Easy
PTS: 1
5. The prenatal clinic nurse meets with a 30-year-old
woman who is experiencing her first pregnancy. The
patients quadruple-marker screen result is positive at 17
weeks of gestation. Which action by the nurse is most
important?
A. Call the social worker for a consultation.
B. Document the findings in the womans chart.
C. Facilitate a referral to a genetics counselor.
D. Prepare the woman for intrauterine death.
ANS: C
Feedback: All women should be offered screening with
maternal serum markers. The triple-marker screen and the
quadruple-marker screen test for the presence of alpha-
fetoprotein, estradiol, human chorionic gonadotropin, and
other markers. These tests screen for potential neural tube
defects, Down syndrome, and trisomy 18. If the screen is
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