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Maternity Exam 1 questions & actual answers.
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Maternity Exam 1 questions & actualanswers.
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4 ANS - 1. An antenatal client is informing the nurse of her prenatal signs and symptoms. Which of the
following findings would the nurse determine are presumptive signs of pregnancy? Select all that apply.
1. Amenorrhea.
2. Breast tenderness.
3. Quickening.
4. Frequent urination.
5. Uterine growth.
2. Fibrinogen levels will be elevated slightly in a 40-week pregnant woman because coagulation factors
like fib- rinogen increase to help prevent ex- cessive blood loss during delivery. ANS - 2. The nurse is
assessing the laboratory report of a 40-week gestation client. Which of the following values would the
nurse expect to find elevated above prepregnancy levels?
1. Glucose.
2. Fibrinogen.
3. Hematocrit.
4. Bilirubin
3. This question is important to ask in order to determine a prenatal client's health teaching needs. ANS
- 3. When analyzing the need for health teaching of a prenatal multigravida, the nurse should ask which
of the following questions?
1. "What are the ages of your children?"
2. "What is your marital status?"
3. "Do you ever drink alcohol?"
4. "Do you have any allergies?"
,4. "Your weight gain is exactly what we would expect it to be at this time."
The weight gain is within normal for the first trimester. ANS - 4. A woman whose prenatal weight was
105 lb weighs 109 lb at her 12-week visit. Which of the following comments by the nurse is appropriate
at this time?
1. "We expect you to gain 1 lb per week, so your weight is a little low at this time."
2. "Most women gain no weight during the first trimester, so I would suggest you
eat fewer desserts for the next few weeks."
3. "You entered the pregnancy well underweight, so we should check your diet to
make sure you are getting the nutrients you need."
4. "Your weight gain is exactly what we would expect it to be at this time."
1. Greasy foods should be avoided ANS - 5. Because nausea and vomiting are such common complaints
of pregnant women, the nurse provides anticipatory guidance to a 6-week gestation client by telling her
to do which of the following?
1. Avoid eating greasy foods.
2. Drink orange juice before rising.
3. Drink 2 glasses of water with each meal.
4. Eat 3 large meals plus a bedtime snack.
2. "We could do a blood test to check."
This response is correct. Serum preg- nancy tests are more sensitive than urine tests are. ANS - 6. A
client enters the prenatal clinic. She states that she missed her period yesterday and used a home
pregnancy test this morning. She states that the results were nega- tive, but "I still think I am pregnant."
Which of the following statements would be appropriate for the nurse to make at this time?
1. "Your period is probably just irregular."
2. "We could do a blood test to check."
3. "Home pregnancy test results are very accurate."
4. "My recommendation would be to repeat the test in one week."
1.
,The client will have a Pap smear done. ANS - 7. A gravida, G1 P0000, is having her first prenatal physical
examination. Which
of the following assessments should the nurse inform the client that she will have that day?
1. Pap smear.
2. Mammogram.
3. Glucose challenge test.
4. Biophysical profile
2. Methods to relieve backaches
It is appropriate for the nurse to pro- vide anticipatory guidance regarding methods to relieve back pain.
ANS - 8. A 10-week gravid client is being seen in the prenatal clinic. For the nurse caring for this patient,
providing anticipatory guidance for which of the following should be a priority?
1. Pain management during labor.
2. Methods to relieve backaches.
3. Breastfeeding positions.
4. Characteristics of the newborn.
3. "It is a bluish coloration of your cervix and vagina."
A positive Chadwick's sign means that the client's cervix and vagina are a bluish color. It is a probable
sign of pregnancy. ANS - 9. A client asks the nurse what was meant when the physician told her she had
a posi- tive Chadwick's sign. Which of the following information about the finding would be appropriate
for the nurse to convey at this time?
1. "It is a purplish stretch mark on your abdomen."
2. "It means that you are having heart palpitations."
3. "It is a bluish coloration of your cervix and vagina."
4. "It means the doctor heard abnormal sounds when you breathed in."
1. Chorionic gonadotropin
High levels of the hormone chorionic gonadotropin in the bloodstream and urine of the woman is a
probable sign of pregnancy. ANS - 10. A client enters the prenatal clinic. She states that she believes
she is pregnant. Which of the following hormone elevations will indicate a high probability that the
client is pregnant?
, 1. Chorionic gonadotropin.
2. Oxytocin.
3. Prolactin.
4. Luteinizing hormone.
2. "Would you please describe what you felt for me?"
The nurse should query the young woman about what she felt ANS - 11. A 16-year-old, G1 P0000, is
being seen at her 10-week gestation visit. She tells the nurse that she felt the baby move that morning.
Which of the following responses by the nurse is appropriate?
1. "That is very exciting. The baby must be very healthy." 2. "Would you please describe what you felt
for me?"
3. "That is impossible. The baby is not big enough yet." 4. "Would you please let me see if I can feel the
baby?"
3. "How do you feel about the results?"
It is important for the nurse to ask the young woman how she feels about being pregnant. She may
decide not to continue with the pregnancy ANS - 12. A 20-year-old client states that the at-home
pregnancy test that she took this morn- ing was positive. Which of the following comments by the nurse
is appropriate at this time?
1. "Congratulations, you and your family must be so happy."
2. "Have you told the baby's father yet?"
3. "How do you feel about the results?"
4. "Please tell me when your last menstrual period was."
3. Fatigue
Most women complain of fatigue during the first trimester ANS - 13. A client is in the 10th week of her
pregnancy. Which of the following symptoms would the nurse expect the client to exhibit?
1. Backache. 2. Dyspnea. 3. Fatigue. 4. Diarrhea.
1. 12
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