Chapter 04: Prenatal Care and Adaptations to Pregnancy
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Course
INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING
Institution
INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING
MULTIPLE CHOICE
1. A pregnant woman inquires about exercising during pregnancy. What information should the nurse include when planning to educate this woman?
a. Exercise elevates the mother’s temperature and improves fetal circulation.
b. Exercise increases catecholamines, which can prev...
Keenan-Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada, 1st Edition
MULTIPLE CHOICE
1. A pregnant woman inquires about exercising during pregnancy. What information should
the nurse include when planning to educate this woman?
a. Exercise elevates the mother’s temperature and improves fetal circulation.
b. Exercise increases catecholamines, which can prevent preterm labour.
c. A regular schedule of moderate exercise during pregnancy is beneficial.
d. Pregnant women should limit water intake during exercise.
ANS: C
It is recommended that pregnant women take part in 150 minutes of moderate
intensity physical activity per week and should be accumulated over a minimum of 3
days per week, although daily activity is encouraged.
DIF: Cognitive Level: Comprehension REF: 74 | 75 OBJ: 10
TOP: Exercise During Pregnancy KEY: Nursing Process Step: Planning
2. An ultrasound confirms that a 16 -year-old girl is pregnant. How does the need for
prenatal care and counselling for adolescents differ from other age populations?
a. A pregnant adolescent is experiencing two major life transitions at the same time.
b. Adolescents who get pregnant are more likely to have other chronic health
problems.
c. Adolescents are at greater risk for multifetal pregnancies.
d. At this age, a pregnant adolescent will accept the nurse’s advice.
ANS: A
The pregnant adolescent must cope with two of life’s most stress-laden transitions
simultaneously: adolescence and parenthood.
DIF: Cognitive Level: Comprehension REF: 82 OBJ: 15
, TOP: Psychological Adaptations to Pregnancy
KEY: Nursing Process Step: Planning
3. At what age is a woman who becomes pregnant for the first time described as an “elderly
primip”?
a. After 25 years old
b. After 28 years old
c. After 30 years old
d. After 35 years old
ANS: D
A woman over the age of 35 who becomes pregnant for the first time is described as
an “elderly primip.”
DIF: Cognitive Level: Knowledge REF: 82 OBJ: 15
TOP: Elderly Primip KEY: Nursing Process Step: N/A
4. The nurse explains that the softening of the cervix and vagina is a probable sign of
pregnancy. What is the appropriate term for this sign?
a. Chadwick
b. Hegar
c. McDonald
d. Goodell
ANS: D
Goodell sign is one of the probable signs of pregnancy and describes a softened cervix
and vagina.
DIF: Cognitive Level: Knowledge REF: 63 OBJ: 1 | 6 | 7
TOP: Signs of Pregnancy KEY: Nursing Process Step:
Implementation
5. When obtaining a prenatal history on a pregnant patient the nurse notes a family history
of sickle cell disease. Given this information, what lab test can the nurse anticipate the
HCP will order?
a. Endovaginal ultrasound
, b. Pap test
c. Complete blood count
d. Hemoglobin electrophoresis
ANS: D
Hemoglobin electrophoresis identifies the presence of sickle cell trait or disease (in
women of African or Mediterranean descent). It is ordered in the first trimester, if
indicated.
DIF: Cognitive Level: Comprehension REF: 61 OBJ: 3
TOP: Prenatal laboratory tests KEY: Nursing Process Step:
Implementation
6. A woman who is 7 weeks pregnant tells the nurse that this is not her first pregnancy. She
has a 2-year-old son born at 34 weeks’ gestation and had one previous spontaneous
abortion. How would the nurse document the patient’s obstetric history using the GTPAL
system?
a. 2-1-0-0-1
b. 3-1-0-1-1
c. 3-0-1-1-1
d. 2-0-1-1-1
ANS: C
Refer to Box 4.1 in the textbook for the GTPAL system for identifying obstetric
history.
DIF: Cognitive Level: Application REF: 58 OBJ: 1
TOP: Definition of Terms KEY: Nursing Process Step: Implementation
7. At her initial prenatal visit, a woman asks, “When can I hear the baby’s heartbeat?” At
what gestational age can the fetal heartbeat be auscultated with a Doppler?
a. 4 weeks
b. 10 weeks
c. 18 weeks
d. 24 weeks
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