A woman's obstetric history indicates that she is pregnant for the fourth time and all of her children from previous pregnancies are living. One was born at 39 weeks of gestation, twins were born at 34 weeks of gestation, and another child was born at 35 weeks of gestation. What is her gravidity an...
NURS 218 Exam 2 Questions with
Correct Answers
A woman's obstetric history indicates that she is pregnant for the fourth time and all of
her children from previous pregnancies are living. One was born at 39 weeks of
gestation, twins were born at 34 weeks of gestation, and another child was born at 35
weeks of gestation. What is her gravidity and parity using the GTPAL system? -
Answer-4-1-2-0-4
A woman at 10 weeks of gestation who is seen in the prenatal clinic with presumptive
signs and symptoms of pregnancy likely will have: - Answer-Amenorrhea.
The nurse teaches a pregnant woman about the presumptive, probable, and positive
signs of pregnancy. The woman demonstrates understanding of the nurse's instructions
if she states that a positive sign of pregnancy is: - Answer-Fetal movement palpated by
the nurse-midwife.
A woman is at 14 weeks of gestation. The nurse would expect to palpate the fundus at
which level? - Answer-Slightly above the symphysis pubis.
During a patient's physical examination the nurse notes that the lower uterine segment
is soft on palpation. The nurse would document this finding as: - Answer-Hegar's sign.
Cardiovascular system changes occur during pregnancy. Which finding would be
considered normal for a woman in her second trimester? - Answer-Increased pulse rate.
Numerous changes in the integumentary system occur during pregnancy. Which
change persists after birth? - Answer-Striae gravidarum.
The musculoskeletal system adapts to the changes that occur during pregnancy. A
woman can expect to experience what change? - Answer-She will have increased
lordosis.
9. A 31-year-old woman believes that she may be pregnant. She took an OTC
pregnancy test 1 week ago after missing her period; the test was positive. During her
assessment interview, the nurse enquires about the woman's last menstrual period and
asks whether she is taking any medications. The woman states that she takes medicine
for epilepsy. She has been under considerable stress lately at work and has not been
sleeping well. She also has a history of irregular periods. Her physical examination does
not indicate that she is pregnant. She has an ultrasound scan that reveals she is not
pregnant. What is the most likely cause of the false-positive pregnancy test result? -
Answer-She takes anticonvulsants.
,A woman is in her seventh month of pregnancy. She has been reporting nasal
congestion and occasional epistaxis. The nurse suspects that: - Answer-This is a
normal respirator change in pregnancy caused by elevated levels of estrogen.
The nurse caring for the pregnant patient must understand that the hormone essential
for maintaining pregnancy is: - Answer-Progesterone.
A patient at 24 weeks of gestation contacts the nurse at her obstetric provider's office to
complain that she has cravings for dirt and gravel. The nurse is aware that this condition
is known as ________ and may indicate anemia. - Answer-Pica.
Appendicitis may be difficult to diagnose in pregnancy because the appendix is: -
Answer-Displaced upward and laterally, high and to the right.
A woman who has completed one pregnancy with a fetus (or fetuses) reaching the
stage of fetal viability is called a: - Answer-Primipara.
Which time-based description of a stage of development in pregnancy is accurate? -
Answer-Full term- pregnancy from the beginning of week 39 of gestation to the end of
week 40.
Human chorionic gonadotropin (hCG) is an important biochemical marker for pregnancy
and the basis for many tests. A maternity nurse should be aware that: - Answer-A
higher than normal level of hCG may indicate an ectopic pregnancy or Down syndrome.
To reassure and educate pregnant patients about changes in the uterus, nurses should
be aware that: - Answer-The women's increased urinary frequency in the first trimester
is the result of exaggerated uterine ante flexion caused by softening.
To reassure and educate pregnant patients about changes in the cervix, vagina, and
position of the fetus, nurses should be aware that: - Answer-Increased vascularity of the
vagina increased sensitivity and may lead to a high degree of arousal, especially in the
second trimester.
The mucous plug that forms in the endocervical canal is called the: - Answer-
Operculum.
To reassure and educate pregnant patients about changes in their breasts, nurses
should be aware that: - Answer-Lactation is inhibited until the estrogen level declines
after birth.
To reassure and educate pregnant patients about changes in their cardiovascular
system, maternity nurses should be aware that: - Answer-Changes in heart size and
position and increases in blood volume create auditory changes from 20 weeks to term.
, To reassure and educate their pregnant patients about changes in their blood pressure,
maternity nurses should be aware that: - Answer-Compression of the iliac veins and
inferior vena cava by the uterus contributes to hemorrhoids in the later stage of term
pregnancy.
Some pregnant patients may complain of changes in their voice and impaired hearing.
The nurse can tell these patients that these are common reactions to: - Answer-
Congestion and swelling, which occur because the upper respiratory tract has become
more vascular.
To reassure and educate pregnant patients about the functioning of their kidneys in
eliminating waste products, maternity nurses should be aware that: - Answer-Increased
bladder sensitivity and then compression of the bladder by the enlarging uterus results
in the urge to urinate even f the bladder is almost empty.
Which statement about a condition of pregnancy is accurate? - Answer-Nausea and
vomiting rarely have harmful effects on the fetus and may be beneficial.
A first-time mother at 18 weeks of gestation comes for her regularly scheduled prenatal
visit. The patient tells the nurse that she is afraid that she is going into premature labor
because she is beginning to have regular contractions. The nurse explains that this is
the Braxton Hicks sign and teaches the patient that this type of contraction: - Answer-Is
painless.
Which finding in the urine analysis of a pregnant woman is considered a variation of
normal? - Answer-Glycosuria.
The maternity nurse understands that vascular volume increases 40% to 45% during
pregnancy to: - Answer-Provide adequate perfusion of the placenta.
Physiologic anemia often occurs during pregnancy as a result of: - Answer-Dilution of
hemoglobin concentration.
A patient in her first trimester complains of nausea and vomiting. She asks, "Why does
this happen?" The nurse's best response is: - Answer-"It may be due to changes in
hormones."
The diagnosis of pregnancy is based on which positive signs of pregnancy? (Select all
that apply.) - Answer--Identification of fetal heartbeat.
-Visualization of the fetus.
-Verification of fetal movement.
During pregnancy, many changes occur as a direct result of the presence of the fetus.
Which of these adaptations meet this criterion? (Select all that apply.) - Answer--
Quickening.
-Ballottement.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller lectknancy. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $20.49. You're not tied to anything after your purchase.
