PCN 103 - Test 1 Ch 25 Health Promotion and Pregnancy, Ch 26 Labor and Delivery,
Ch 27 Care of the Mother and Newborn Exam 100% Pass
1. The nurse explains that implantation is the embedding of the fertilized ovum in the
uterine mucosa. This implantation usually occurs in the:
a. lower uterine wall.
b. side of the uterus.
c. fundus of the uterus.
d. body of the uterus. - Answer ANS: C
Implantation usually occurs in the fundus of the uterus.
REF: Page 769 TOP: Implantation
2. When the patient is diagnosed with a tubal pregnancy the nurse knows that in this
pregnancy the patient will more than likely:
a. carry the pregnancy to term and have a cesarean delivery.
b. have to remain in bed for the remainder of the pregnancy.
c. spontaneously abort this ectopic pregnancy.
d. need surgery to remove the zygote. - Answer ANS: D
Any pregnancy in which implantation occurs outside of the uterine cavity is termed
ectopic. Tubal pregnancies typically must be resolved by surgical removal of the zygote.
REF: Page 769 TOP: Pregnancy
3. The nurse is using a diagram to explain the development of the embryonic stage of
pregnancy, which generally lasts about:
a. 3 weeks.
b. 4 weeks.
c. 6 weeks.
,d. 8 weeks. - Answer ANS: D
The embryonic stage includes the first 8 weeks.
REF: Page 770 TOP: Pregnancy
4. The nurse is worried about the client who is in the first trimester of pregnancy and
has been exposed to German measles, because this disease is capable of:
a. causing a spontaneous abortion.
b. causing birth defects.
c. causing high fever and convulsions.
d. interfering with placental implantation. - Answer ANS: B
Rubella is a known teratogen, which can cause birth defects.
REF: Page 770 TOP: Teratogen
5. The nurse tells the client that the placenta serves as an endocrine gland, secreting
estrogen, progesterone, and:
a. follicle-stimulating hormone (FSH).
b. alpha-fetoprotein (AFP).
c. human chorionic gonadotropin (HCG).
d. luteinizing hormone (LH). - Answer ANS: C
The placenta secretes HCG.
REF: Page 770 TOP: Placenta function
6. The nurse is teaching a class of pregnant women and explains to them that the fetus
is guarded against most bacterial invasions by the:
a. yolk sac.
b. placental barrier.
c. cotyledons.
d. chorionic villa. - Answer ANS: B
,The placental barrier protects the embryo/fetus from most bacteria, but not from viruses
or drugs.
REF: Page 770 TOP: Placental barrier Step:
Implementation
7. The nurse explains that the maternity cycle is divided into three periods. The
intrapartal period covers:
a. beginning of pregnancy to midterm.
b. conception to third trimester.
c. onset of labor to delivery of the baby.
d. onset of labor to delivery of the placenta. - Answer ANS: D
The intrapartal period of the maternity cycle encompasses the onset of labor to delivery
of the placenta.
REF: Page 785 TOP: Intrapartal period
8. A woman who has just found out she is pregnant relates that the first day of her last
menstrual period was July 10. The nurse can reassure her that her expected date of
birth (EDB) will be:
a. April 10.
b. April 17.
c. May 10.
d. October 17. - Answer ANS: B
To determine the EDB, the woman would count from the first day of her last menstrual
period. Count back 3 months and forward 7 days.
REF: Page 787
TOP: Estimated date of birth (EDB)
, 9. Which is a positive sign of pregnancy?
a. Positive pregnancy test
b. Positive Chadwick's sign
c. Ultrasonic tracing of the fetus
d. Goodell's sign - ANS: C
An ultrasonic tracing of the fetus is a positive sign of pregnancy. All the other items
listed are probable signs of pregnancy.
REF: Page 787, Box 25-4
TOP: Positive signs of pregnancy
10. When the patient complains of frequency of urination the nurse explains that
frequency of urination early in the pregnancy occurs due to:
a. increased fluid intake.
b. the fetus's kidneys functioning.
c. fluid retention
d. increased circulating volume. - Answer ANS: D
Frequency of urination is caused early in pregnancy by the increase in circulating
volume and by the enlarging uterus placing pressure on the bladder.
REF: Pages 771, 780, Table 25-1 TOP: Frequency of urination
11. The pregnant woman asks about sexual activity during her pregnancy. The nurse
states that sexual activity should be:
a. avoided after the first trimester.
b. ceased in the case of vaginal bleeding.
c. continued throughout the pregnancy.
d. limited to activity that does not include intercourse. - Answer ANS: B
Sexual activity should cease until the cause of the vaginal bleeding is diagnosed.
REF: Page 795 TOP: Sexual activity during pregnancy
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