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9/7/24, 6:47 C8 - maternal baby testPM bank
MATERNAL CHILD NURSING CARE 6TH EDITION PERRY TEST BANK
Chapter 08: Nursing Care of the Family During Pregnancy
Perry: Maternal Child Nursing Care, 6th Edition
MULTIPLE CHOICE
1. The nurse caring for a newly pregnant woman would advise her that ideally prenatal care
should begin:
a.
before the first missed menstrual period.
b.
after the first missed menstrual period.
c.
after the second missed menstrual period.
d.
after the third missed menstrual period.
ANS: B
Prenatal care ideally should begin soon after the first missed menstrual period. Regular
prenatal visits offer opportunities to ensure the health of the expectant mother and her infant.
PTS: 1 DIF: Cognitive Level: Knowledge OBJ: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
2. Prenatal testing for human immunodeficiency virus (HIV) is recommended for:
a.
all women, regardless of risk factors.
b.
a woman who has had more than one sexual partner.
c.
a woman who has had a sexually transmitted infection.
d.
a woman who is monogamous with her partner.
ANS: A
Testing for the antibody to HIV isNsUtrRoSnIgNlGyTrBec.CoOmMmended for all pregnant
women. A HIV test is recommended for all women, regardless of risk factors. Women who
test positive for HIV can be treated, reducing the risk of transmission to the fetus.
PTS: 1 DIF: Cognitive Level: Comprehension OBJ: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
3. Which symptom is considered a warning sign and should be reported immediately by the
pregnant woman to her health care provider?
a.
Nausea with occasional vomiting
b.
Fatigue
c.
Urinary frequency
d.
Vaginal bleeding
ANS: D
Signs and symptoms that must be reported include severe vomiting, fever and chills, burning
on urination, diarrhea, abdominal cramping, and vaginal bleeding. These symptoms may be
signs of potential complications of the pregnancy. Nausea with occasional vomiting, fatigue,
and urinary frequency are normal first-trimester complaints. Although they may be worrisome
or annoying to the mother, they usually are not indications of pregnancy problems.
PTS: 1 DIF: Cognitive Level: Comprehension OBJ: Nursing Process: Planning
MSC: Client Needs: Physiologic Integrity
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, 9/7/24, 6:47 C8 - maternal baby test
PM bank
MATERNAL CHILD NURSING CARE 6TH EDITION PERRY TEST BANK
4. A pregnant woman at 10 weeks of gestation jogs three or four times per week. She is
concerned about the effect of exercise on the fetus. The nurse should inform her:
a.
“You don’t need to modify your exercising any time during your pregnancy.”
b.
“Stop exercising because it will harm the fetus.”
c.
“You may find that you need to modify your exercise to walking later in your
pregnancy, around the seventh month.”
d.
“Jogging is too hard on your joints; switch to walking now.”
ANS: C
Typically running should be replaced with walking around the seventh month of pregnancy.
The nurse should inform the woman that she may need to reduce her exercise level as the
pregnancy progresses. Physical activity promotes a feeling of well-being in pregnant women.
It improves circulation, promotes relaxation and rest, and counteracts boredom. Simple
measures should be initiated to prevent injuries, such as warm-up and stretching exercises to
prepare the joints for more strenuous exercise.
PTS: 1 DIF: Cognitive Level: Application OBJ: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
5. The multiple marker test is used to assess the fetus for which condition?
a.
Down syndrome
b.
Diaphragmatic hernia
c.
Congenital cardiac abnormality
d.
Anencephaly
ANS: A
The maternal serum level of alpha-fetoprotein is used to screen for Down syndrome, neural
tube defects, and other chromosomNUe RanSIoNmGaTlBie.sC.OTMhe multiple marker test
would not detect diaphragmatic hernia, congenital cardiac abnormality, or anencephaly.
Additional testing, such as ultrasonography and amniocentesis, would be required to
diagnose these conditions.
PTS: 1 DIF: Cognitive Level: Knowledge
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
6. A woman who is 32 weeks’ pregnant is informed by the nurse that a danger sign of pregnancy
could be:
a.
constipation.
b.
alteration in the pattern of fetal movement.
c.
heart palpitations.
d.
edema in the ankles and feet at the end of the day.
ANS: B
An alteration in the pattern or amount of fetal movement may indicate fetal jeopardy.
Constipation, heart palpitations, and ankle and foot edema are normal discomforts of
pregnancy that occur in the second and third trimesters.
PTS: 1 DIF: Cognitive Level: Comprehension OBJ: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
7. A woman who is 14 weeks pregnant tells the nurse that she always had a glass of wine with
dinner before she became pregnant. She has abstained during her first trimester and would like
to know if it is safe for her to have a drink with dinner now. The nurse would tell her:
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