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introductory Maternity & Pediatric Nursing, 5th Edition by Hatfield
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TEST BANK INTRODUCTORY MATERNITY & PEDIATRIC NURSING NANCY HATFIELD & CYNTHIA KINCHELOE 5 th Edition
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Test Bank - Introductory Maternity and Pediatric Nursing, (5th Edition 2024) by Nancy Hatfield Cynthia Kincheloe| Updated
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Complete test bank for introductory maternity and pediatric nursing, 5th edition by hatfield, kincheloe (9781975163785-isbn) All chapters are included instant download
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Test Bank for Introductory Maternity & PediatricNursing, 5th Edition by Hatfield, 9781975163785,
Covering Chapters 1-42 | Includes Rationales
The normal volume of amniotic fluid is approximately _______ mL at 37 weeks of gestation -
ANSWER: 1,000
What will the prenatal visit schedule for a woman with an uncomplicated pregnancy? - ANSWER:
Every 4 weeks until 28 weeks, then every 2 weeks until 36 weeks, then weekly until delivery
The usual location of fertilization is? - ANSWER: the fallopian tube
Twins that share the same placenta in the uterus are? - ANSWER: monozygotic
A nurse in a prenatal clinic overhears a newly licensed nurse discussing conception with a client.
Which of the following statements by the newly licensed nurse requires intervention by the nurse? -
ANSWER: Sperm remain viable in the woman's reproductive tract for 4 to 5 days
A nurse is caring for a patient who tells the nurse that she thinks she might be pregnant because she
is able to feel the baby move. Which of the following statements should the nurse make? - ANSWER:
This is a probable sign of pregnancy
A nurse is caring for a client who has just learned she is pregnant. The nurse should reinforce with the
client to call her provider if she experiences which of the following manifestations? - ANSWER: Facial
edema
The three phases of pregnancy are - ANSWER: antepartum, intrapartum and postpartum
The muscular layer of the uterus that is the functional unit in pregnancy and labor is the ? - ANSWER:
myometrium
A client who is at 8 weeks of gestation tells the nurse that she isn't sure she is happy about being
pregnant. Which of the following responses should the nurse make? - ANSWER: It is normal to have
these feelings during the first few months of pregnancy
Which one of the following is a fetal shunt that aids in fetal circulation? - ANSWER: Foramen ovale
The ovaries secrete the following hormones during the menstrual cycle? - ANSWER: Progesterone and
Estrogen
What hormone initiates the maturation of the ovarian follicle? - ANSWER: FSH
A nurse in a prenatal clinic is reviewing the medical record of a client who is at 28 weeks of gestation.
The client's history reveals on pregnancy terminated by elective abortion at 9 weeks; the birth of
,twins at 36 weeks; and a spontaneous abortion at 15 weeks gestation. According to the GTPAL
system, which of the following decreases her present party? - ANSWER: G4 T0 P1 A2 L2
Most fetal blood bypasses circulation to the lungs by way of the - ANSWER: foramen ovale
The hormone first detected by a blood test about 11 days after conception and in urine tests about
12-14 days after conception is? - ANSWER: hCG
A decrease in estrogen and progesterone during the menstrual cycle results in what? - ANSWER:
Shedding of the endometrium
A pregnant woman states, "My husband hopes I will give him a boy because we have three girls".
What will the nurse explain to this woman? - ANSWER: If a sperm carrying a Y chromosome fertilizes
an ovum, then a boy is produced
During the physical examination for the first prenatal visit, it is noted that Chadwick's sign is present.
What is Chadwick's sign? - ANSWER: Bluish or purplish discoloration of the vulva, vagina, and cervix
A nurse is preparing to measure the uterine funds of a client who is at 32 weeks of gestation. The
nurse can expect to find that the measurement will be at ____ cm - ANSWER: 32
What organ does the ducts venous shunt blood away from in fetal circulation? - ANSWER: Liver
A woman reports that her last menstrual period began on August 5, 2019. What is the woman's
expected delivery date using Naegele's rule? - ANSWER: May 12, 2020
A woman's emotional reaction during the second trimester of pregnancy may be characterized by? -
ANSWER: fantasies about the baby's appearance
The functions of the placenta are to: - ANSWER: 1. Supply oxygen to the fetus
2. produce hormones
3. provide protection from infection
A nurse is reinforcing teaching with a client about how to reduce the risk of giving birth to a newborn
who has a neutral tube defect. Which of the following instructions should the nurse include in the
teaching? - ANSWER: Eat foods fortified with folic acid
The substance that provides support and protection for the vessels inside the umbilical cord is? -
ANSWER: Wharton's Jelly
The major male hormone of reproduction, testosterone, is produced in the ? - ANSWER: adrenal
glands
A woman comes into the clinic for her first prenatal visit. Her obstetrical history is recorded. She has a
10-month-old son delivered five days before his due date, a five-year-old son that was born at 36
weeks of age, and a seven-year-old daughter born at 38 weeks. She has also lost a pregnancy at 12
weeks. Using GTPAL what is her history - ANSWER: G4 T2 P1 A1 L3
What is the total number of chromosomes in a mature sperm or mature ovum? - ANSWER: 23
At how many weeks gestational does the fetal lungs start to produce surfactant - ANSWER: 25 weeks
The primary purpose of amniotic fluid is to - ANSWER: protect the fetus during development
The fertilized ovum usually implants in the - ANSWER: upper portion of the fallopian tube
Woman have all their ova at the time they are born - ANSWER: true
, The nurse reminds the prenatal patient that she should add ___ kcal to her daily intake to nourish the
fetus in the first trimester - ANSWER: 300
A nurse in a prenatal clinic is determining a clients estimated date of delivery using Naegele's rule.
The first day of her last menstrual period was May 4, 2020. Which of the following dates should the
nurse tell the client is her estimated date of delivery? - ANSWER: February 11, 2021
A nurse is reinforcing nutritional teaching with a client who is 8 weeks of gestation. Which of the
following statements should the nurse include? - ANSWER: You should increase your folic acid intake
during your pregnancy
During which time frame does the embryonic stage last? - ANSWER: Two through 8 weeks after
conception
A nurse is reinforcing teaching about common discomfort of pregnancy during the first trimester with
a client who is pregnant. Which of the following manifestations should the nurse include in the
teaching? - ANSWER: urinary frequency
The nurse assesses the progress from the announcement stage of fatherhood to the acceptance stage
when the patient reports which actions by the father? - ANSWER: 1. Have revised his financial plan
2. Helped select a crib
3. Traded his sports car for a sedian
A nurse is reinforcing teaching about immunizations with a woman in her first trimester of pregnancy
whose diagnostic testing indicates she does not have immunity to rubella. The nurse should
recommend that the client receive a measles, mumps, rubella (MMR) vaccine at which of the
following times? - ANSWER: Prior to discharge from the hospital after giving birth
The primary goal of prenatal care is to assure the woman of - ANSWER: the healthiest outcome
possible
When will the embryo's heart being beating? - ANSWER: By the end of week 3
What of the following is considered a positive sign of pregnancy - ANSWER: positive urine pregnancy
test
According to the FDA, medications in this category are contraindicated for use in pregnancy -
ANSWER: Category X
Ovulation cycle in order: - ANSWER: 1. Increase of FSH
2. Secretion of LH
3. Release of an egg
4. Release of progesterone by corpus luteum
5. Fertilization of the ovum
6. Implantation into the endometrium
A nurse is reinforcing teaching about fetal development with a group of women who are pregnant.
Which of the following statements should the nurse include in the teaching? - ANSWER: very fine
hairs, called lanugo, cover your baby's entire body by week 36 of pregnancy
The three germ layers of the embryo are the - ANSWER: ectoderm, mesoderm, and endoderm
A nurse is caring for a female client who is scheduled to have a pelvic examination. The client tells the
nurse, "I'm really nervous because I've never had a pelvic exam before," Which of the following is an
appropriate therapeutic response by the nurse? - ANSWER: Tell me more about your concerns
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