A 23-year-old African-American woman is pregnant with her
first child. Based on the statistics for infant mortality, which
plan is most important for the nurse to implement?
a. Perform a nutrition assessment.
b. Refer the woman to a social worker.
c. Advise the woman to see an obstetrician, not a midwife.
d. Explain to the woman the importance of keeping her prenatal
care appointments. Correct Answer d. Explain to the woman
the importance of keeping her prenatal care appointments.
A 27-year-old pregnant woman had a preconceptual body mass
index (BMI) of 19. What is this clients total recommended
weight gain during pregnancy?
a. 20 kg (44 lb)
b. 16 kg (35 lb)
c. 12.5 kg (27.5 lb)
d. 10 kg (22 lb) Correct Answer c. 12.5 kg (27.5 lb)
A 3-year-old girls mother is 6 months pregnant. What concern is
this child most likely to verbalize?
a. How the baby will get out?
b. How will the baby eat?
c. Will you die having the baby?
d. What color eyes will the baby have? Correct Answer b. How
will the baby eat?
,A 31-year-old woman believes that she may be pregnant. She
took an over-the-counter (OTC) pregnancy test 1 week ago after
missing her period; the test was positive. During her assessment
interview, the nurse inquires about the womans last menstrual
period and asks whether she is taking any medications. The
client states that she takes medicine for epilepsy. She has been
under considerable stress lately at work and has not been
sleeping well. Her physical examination does not indicate that
she is pregnant. She has an ultrasound scan, which confirms that
she is not pregnant. What is the most likely cause of the false-
positive pregnancy test result?
a. The pregnancy test was taken too early.
b. Anticonvulsant medications may cause the false-positive test
result.
c. The woman has a fibroid tumor.
d. She has been under considerable stress and has a hormone
imbalance. Correct Answer b. Anticonvulsant medications may
cause the false-positive test result.
A 32-year-old woman is pregnant for the third time. One child
was born with cystic fibrosis, and the other child is healthy. The
client and her husband wonder what chance this child has of
having cystic fibrosis. This type of testing is most commonly
known as what?
a. Occurrence risk
b. Recurrence risk
c. Predictive testing
d. Predisposition testing Correct Answer b. Recurrence risk
,A 38-year-old Hispanic woman vaginally delivered a 9-pound,
6-ounce baby girl after being in labor for 43 hours. The baby
died 3 days later from sepsis. On what grounds could the woman
have a legitimate legal case for negligence?
a. Inexperienced maternity nurse was assigned to care for the
client.
b. Client was past her due date by 3 days.
c. Standard of care was not met.
d. Client refused electronic fetal monitoring. Correct Answer c.
Standard of care was not met.
A 62-year-old woman has not been to the clinic for an annual
examination for 5 years. The recent death of her husband
reminded her that she should come for a visit. Her family
physician has retired, and she is going to see the women's health
nurse practitioner for her visit. What should the nurse do to
facilitate a positive health care experience for this client?
a. Remind the woman that she is long overdue for her
examination and that she should come in annually.
b. Carefully listen, and allow extra time for this womans health
history interview.
c. Reassure the woman that a nurse practitioner is just as good as
her old physician.
d. Encourage the woman to talk about the death of her husband
and her fears about her own death. Correct Answer b. Carefully
listen, and allow extra time for this womans health history
interview.
, A blind woman has arrived for an examination. Her guide dog
assists her to the examination room. She appears nervous and
says, Ive never had a pelvic examination. What response from
the nurse would be most appropriate?
a. Dont worry. It will be over before you know it.
b. Try to relax. Ill be very gentle, and I wont hurt you.
c. Your anxiety is common. I was anxious when I first had a
pelvic examination.
d. Ill let you touch each instrument that Ill use during the
examination as I tell you how it will be used. Correct Answer
d. Ill let you touch each instrument that Ill use during the
examination as I tell you how it will be used.
A client arrives for her initial prenatal examination. This is her
first child. She asks the nurse, How does my baby get air inside
my uterus? What is the correct response by the nurse?
a. The babys lungs work in utero to exchange oxygen and
carbon dioxide.
b. The baby absorbs oxygen from your blood system.
c. The placenta provides oxygen to the baby and excretes carbon
dioxide into your bloodstream.
d. The placenta delivers oxygen-rich blood through the
umbilical artery to the babys abdomen. Correct Answer c. The
placenta provides oxygen to the baby and excretes carbon
dioxide into your bloodstream.
A client at 24 weeks of gestation says she has a glass of wine
with dinner every evening. Why should the nurse counsel her to
eliminate all alcohol intake?
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