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Maternal-Newborn chapter 6 test bank Questions and Correct Answers.
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Maternal-Newborn chapter 6 test bank Questions and Correct Answers.
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Maternal-Newborn chapter 6 test bankQuestions and Correct Answers
During vital sign assessment of a pregnant patient in her third trimester, the patient complains of feeling
faint, dizzy, and agitated. Which nursing intervention is most appropriate?
A: have the patient stand up and retake her blood pressure
B: have the patient sit down and hold her arm in a dependent position
C: have the patient turn to her left side and recheck her blood pressure in 5 minutes
D: have the patient lie supine for 5 minutes and recheck her blood pressure on both
arms - correct answers:C: have the patient turn to her left side and recheck her blood pressure in 5
minutes
Blood pressure is affected by positioning during pregnancy. The supine position may cause occlusion of
the vena cava and descending aorta. Turning the pregnant woman to a lateral recumbent position
alleviates pressure on the blood vessels and quickly corrects supine hypotension. Pressures are
significantly higher when the patient is standing. This would cause an increase in systolic and diastolic
pressures. The arm should be supported at the same level of the heart. The supine position may cause
occlusion of the vena cava and descending aorta, creating hypotension.
While providing education to a primiparous patient regarding the normal changes of pregnancy, what is
an important information for the nurse to share regarding Braxton Hicks contractions?
A: these contractions may indicate preterm labor
B: these are contractions that never cause any discomfort
C: Braxton hicks contractions only start during the third trimester
D: these occur throughout pregnancy, but you may not feel them until the 3rd trimester - correct
answers:D: these occur throughout pregnancy, but you may not feel them until the 3rd trimester
Throughout pregnancy, the uterus undergoes irregular contractions called Braxton Hicks contractions.
During the first two trimesters, the contractions are infrequent and usually not felt by the woman until
the third trimester. Braxton Hicks contractions do not indicate preterm labor. Braxton Hicks contractions
, can cause some discomfort, especially in the third trimester. Braxton Hicks contractions occur
throughout the whole pregnancy.
Which finding is a positive sign of pregnancy?
A: amenorrhea
B: breast changes
C: fetal movement felt by the woman
D: visualization of fetus by ultrasound - correct answers:D: visualization of fetus by ultrasound
The only positive signs of pregnancy are auscultation of fetal heart tones, visualization of the fetus by
ultrasound, and fetal movement felt by the examiner. Amenorrhea is a presumptive sign of pregnancy.
Breast changes are a presumptive sign of pregnancy. Fetal movement is a presumptive sign of pregnancy.
A patient in her first trimester complains of nausea and vomiting. The patient asks, "Why is this
happening?" What is the nurse's best response?
A: "It is due to an increase in gastric motility."
B: "It may be due to changes in hormones."
C: "It is related to an increase in glucose levels."
D: "It is caused by a decrease in gastric secretions." - correct answers:B: "It may be due to changes in
hormones."
Nausea and vomiting are believed to be caused by increased levels of hormones, decreased gastric
motility, and hypoglycemia. Gastric motility decreases during pregnancy. Glucose levels decrease in the
first trimester. Gastric secretions decrease, but this is not the main cause of nausea and vomiting.
The patient has just learned that she is pregnant and overhears the gynecologist saying that she has a
positive Chadwick's sign. When the patient asks the nurse what this means, how would the nurse
respond?
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