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(Combined) Chapter 8: Nursing Care of the Family During Pregnancy NCLEX, Chapter 6: Genetics, conception and fetal development Perry OB Exam 3 questions, Chapter 7 Anatomy and Physiology of Pregnancy **, All With Complete Solutions, Updated 2024/2025.$16.49
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(Combined) Chapter 8: Nursing Care of the Family During Pregnancy NCLEX, Chapter 6: Genetics, conception and fetal development Perry OB Exam 3 questions, Chapter 7 Anatomy and Physiology of Pregnancy **, All With Complete Solutions, Updated 2024/2025.
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(Combined) Chapter 8: Nursing Care of the Family During Pregnancy NCLEX, Chapter 6: Genetics, conception and fetal development Perry OB Exam 3 questions, Chapter 7 Anatomy and Physiology of Pregnancy **, All With Complete Solutions, Updated 2024/2025.
(Combined) Chapter 8: Nursing Care of the Family
During Pregnancy NCLEX, Chapter 6: Genetics,
conception and fetal development Perry OB Exam 3
questions, Chapter 7 Anatomy and Physiology of
Pregnancy **, All With Complete Solutions, Updated
2024/2025.
The nurse caring for a newly pregnant woman would advise her that ideally
prenatal care should begin:
A. Before the first missed menstrual period.
B. After the first missed menstrual period.
C. After the second missed menstrual period.
D. After the third missed menstrual period.
B
(Prenatal care ideally should begin soon after the first missed menstrual period. Regular
prenatal visits offer opportunities to ensure the health of the expectant mother and her
infant.)
Prenatal testing for human immunodeficiency virus (HIV) is recommended for:
A. All women, regardless of risk factors.
B. A woman who has had more than one sexual partner.
C. A woman who has had a sexually transmitted infection.
D. A woman who is monogamous with her partner.
A
(Testing for the antibody to HIV is strongly recommended for all pregnant women. A HIV
test is recommended for all women, regardless of risk factors. Women who test positive
for HIV can be treated, reducing the risk of transmission to the fetus.)
Which symptom is considered a first-trimester warning sign and should be
reported immediately by the pregnant woman to her health care provider?
A. Nausea with occasional vomiting
B. Urinary frequency
C. Fatigue
D. Vaginal bleeding
D
(Signs and symptoms that must be reported include severe vomiting, fever and chills,
burning on urination, diarrhea, abdominal cramping, and vaginal bleeding. These
symptoms may be signs of potential complications of the pregnancy. Nausea with
occasional vomiting, fatigue, and urinary frequency are normal first-trimester
,complaints. Although they may be worrisome or annoying to the mother, they usually
are not indications of pregnancy problems.)
A pregnant woman at 10 weeks of gestation jogs three or four times per week.
She is concerned about the effect of exercise on the fetus. The nurse should
inform her:
A. "You don't need to modify your exercising any time during your pregnancy."
B. "Stop exercising because it will harm the fetus."
C. "You may find that you need to modify your exercise to walking later in your
pregnancy, around the seventh month."
D. "Jogging is too hard on your joints; switch to walking now."
C
(Typically running should be replaced with walking around the seventh month of
pregnancy. The nurse should inform the woman that she may need to reduce her
exercise level as the pregnancy progresses. Physical activity promotes a feeling of well-
being in pregnant women. It improves circulation, promotes relaxation and rest, and
counteracts boredom. Simple measures should be initiated to prevent injuries, such as
warm-up and stretching exercises to prepare the joints for more strenuous exercise.)
The multiple marker test is used to assess the fetus for which condition?
A. Down syndrome
B. Congenital cardiac abnormality
C. Diaphragmatic hernia
D. Anencephaly
A
(The maternal serum level of alpha-fetoprotein is used to screen for Down syndrome,
neural tube defects, and other chromosome anomalies. The multiple marker test would
not detect diaphragmatic hernia, congenital cardiac abnormality, or anencephaly.
Additional testing, such as ultrasonography and amniocentesis, would be required to
diagnose these conditions.)
A woman who is 32 weeks' pregnant is informed by the nurse that a danger sign
of pregnancy could be:
A. Constipation.
B. Alteration in the pattern of fetal movement.
C. Heart palpitations.
D. Edema in the ankles and feet at the end of the day.
B
(An alteration in the pattern or amount of fetal movement may indicate fetal jeopardy.
Constipation, heart palpitations, and ankle and foot edema are normal discomforts of
pregnancy that occur in the second and third trimesters.)
A woman who is 14 weeks pregnant tells the nurse that she always had a glass of
wine with dinner before she became pregnant. She has abstained during her first
,trimester and would like to know if it is safe for her to have a drink with dinner
now. The nurse would tell her:
A. "Since you're in your second trimester, there's no problem with having one
drink with dinner."
B. "One drink every night is too much. One drink three times a week should be
fine."
C. "Since you're in your second trimester, you can drink as much as you like."
D. "Because no one knows how much or how little alcohol it takes to cause fetal
problems, the best course is to abstain throughout your pregnancy."
D
(The statement "Because no one knows how much or how little alcohol it takes to cause
fetal problems, the best course is to abstain throughout your pregnancy" is accurate. A
safe level of alcohol consumption during pregnancy has not yet been established.
Although the consumption of occasional alcoholic beverages may not be harmful to the
mother or her developing fetus, complete abstinence is strongly advised.)
A pregnant woman at 18 weeks of gestation calls the clinic to report that she has
been experiencing occasional backaches of mild-to-moderate intensity. The
nurse would recommend that she:
A. Do Kegel exercises.
B. Do pelvic rock exercises.
C. Use a softer mattress.
D. Stay in bed for 24 hours.
B
(Pelvic rock exercises may help stretch and strengthen the abdominal and lower back
muscles and relieve low back pain. Kegel exercises increase the tone of the pelvic area,
not the back. A softer mattress may not provide the support needed to maintain proper
alignment of the spine and may contribute to back pain. Stretching and other exercises
to relieve back pain should be performed several times a day.)
For what reason would breastfeeding be contraindicated?
A. Hepatitis B
B. Everted nipples
C. History of breast cancer 3 years ago
D. Human immunodeficiency virus (HIV) positive
D
(Women who are HIV positive are discouraged from breastfeeding. Although hepatitis B
antigen has not been shown to be transmitted through breast milk, as an added
precaution infants born to HBsAg-positive women should receive the hepatitis B vaccine
and immune globulin immediately after birth. Everted nipples are functional for
breastfeeding. Newly diagnosed breast cancer would be a contraindication to
breastfeeding.)
, A woman is 3 months pregnant. At her prenatal visit, she tells the nurse that she
doesn't know what is happening; one minute she's happy that she is pregnant,
and the next minute she cries for no reason. Which response by the nurse is
most appropriate?
A. "Don't worry about it; you'll feel better in a month or so."
B. "Have you talked to your husband about how you feel?"
C. "Perhaps you really don't want to be pregnant."
D. "Hormonal changes during pregnancy commonly result in mood swings."
D
(The statement "Hormonal changes during pregnancy commonly result in mood swings"
is accurate and the most appropriate response by the nurse. The statement "Don't
worry about it; you'll feel better in a month or so" dismisses the client's concerns and is
not the most appropriate response. Although women should be encouraged to share
their feelings, "Have you talked to your husband about how you feel" is not the most
appropriate response and does not provide the client with a rationale for the
psychosocial dynamics of her pregnancy. "Perhaps you really don't want to be
pregnant" is completely inappropriate and deleterious to the psychologic well-being of
the woman. Hormonal and metabolic adaptations often cause mood swings in
pregnancy. The woman's responses are normal. She should be reassured about her
feelings.)
The nurse should be aware that the partner's main role in pregnancy is to:
A. Provide financial support.
B. Protect the pregnant woman from "old wives' tales."
C. Support and nurture the pregnant woman.
D. Make sure the pregnant woman keeps prenatal appointments.
C
(The partner's main role in pregnancy is to nurture the pregnant woman and respond to
her feelings of vulnerability. In older societies, the man enacted the ritual couvade.
Changing cultural and professional attitudes have encouraged fathers' participation in
the birth experience over the past 30 years.)
During the first trimester, a woman can expect which of the following changes in
her sexual desire?
A. An increase, because of enlarging breasts
B. A decrease, because of nausea and fatigue
C. No change
D. An increase, because of increased levels of female hormones
B
(Maternal physiologic changes such as breast enlargement, nausea, fatigue, abdominal
changes, perineal enlargement, leukorrhea, pelvic vasocongestion, and orgasmic
responses may affect sexuality and sexual expression. Libido may be depressed in the
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