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9/7/24, 6:46 C7 - maternal baby testPM bank
MATERNAL CHILD NURSING CARE 6TH EDITION PERRY TEST BANK
Chapter 07: Anatomy and Physiology of Pregnancy
Perry: Maternal Child Nursing Care, 6th Edition
MULTIPLE CHOICE
1. 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?
a. 3-1-1-1-3
b. 4-1-2-0-4
c. 3-0-3-0-3
d. 4-2-1-0-3
ANS: B
The correct calculation of this woman’s gravidity and parity is 4-1-2-0-4. The numbers reflect
the woman’s gravidity and parity information. Using the GPTAL system, her information is
calculated as:
G: The first number reflects the total number of times the woman has been pregnant; she is
pregnant for the fourth time.
T: This number indicates the number of pregnancies carried to term, not the number of
deliveries at term; only one of her pregnancies has resulted in a fetus at term.
P: This is the number of pregnancies that resulted in a preterm birth; the woman has had two
pregnancies in which she delivered preterm.
A: This number signifies whether the woman has had any abortions or miscarriages before the
period of viability; she has not. NURSINGTB.COM
L: This number signifies the number of children born who are currently living; the woman has
four children.
PTS: 1 DIF: Cognitive Level: Comprehension OBJ: Nursing Process: Diagnosis
MSC: Client Needs: Health Promotion and Maintenance
2. A woman at 10 weeks of gestation who is seen in the prenatal clinic with presumptive signs
and symptoms of pregnancy likely will have:
a. amenorrhea.
b. positive pregnancy test.
c. Chadwick’s sign.
d. Hegar’s sign.
ANS: A
Amenorrhea is a presumptive sign of pregnancy. Presumptive signs of pregnancy are felt by
the woman. A positive pregnancy test, the presence of Chadwick’s sign, and the presence of
Hegar’s sign are all probable signs of pregnancy.
PTS: 1 DIF: Cognitive Level: Comprehension
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
3. 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:
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, 9/7/24, 6:46 C7 - maternal baby test
PM bank
MATERNAL CHILD NURSING CARE 6TH EDITION PERRY TEST BANK
a. a positive pregnancy test.
b. fetal movement palpated by the nurse-midwife.
c. Braxton Hicks contractions.
d. quickening.
ANS: B
Positive signs of pregnancy are attributed to the presence of a fetus, such as hearing the fetal
heartbeat or palpating fetal movement. A positive pregnancy test and Braxton Hicks
contractions are probable signs of pregnancy. Quickening is a presumptive sign of pregnancy.
PTS: 1 DIF: Cognitive Level: Comprehension OBJ: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
4. A woman is at 14 weeks of gestation. The nurse would expect to palpate the fundus at which
level?
a. Not palpable above the symphysis at this time
b. Slightly above the symphysis pubis
c. At the level of the umbilicus
d. Slightly above the umbilicus
ANS: B
In normal pregnancies, the uterus grows at a predictable rate. It may be palpated above the
symphysis pubis sometime between the 12th and 14th weeks of pregnancy. As the uterus
grows, it may be palpated above the symphysis pubis sometime between the 12th and 14th
weeks of pregnancy. The uterus rises gradually to the level of the umbilicus at 22 to 24 weeks
of gestation.
PTS: 1 DIF: CognitiNvUe RLSevINelG: TCBo.mCOprMehension
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
5. 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:
a. Hegar’s sign.
b. McDonald’s sign.
c. Chadwick’s sign.
d. Goodell’s sign.
ANS: A
At approximately 6 weeks of gestation, softening and compressibility of the lower uterine
segment occurs; this is called Hegar’s sign. McDonald’s sign indicates a fast food restaurant.
Chadwick’s sign is the blue-violet coloring of the cervix caused by increased vascularity; this
occurs around the fourth week of gestation. Softening of the cervical tip is called Goodell’s
sign, which may be observed around the sixth week of pregnancy.
PTS: 1 DIF: Cognitive Level: Comprehension
OBJ: Nursing Process: Assessment, Implementation
MSC: Client Needs: Health Promotion and Maintenance
6. Cardiovascular system changes occur during pregnancy. Which finding would be considered
normal for a woman in her second trimester?
a. Less audible heart sounds (S1, S2)
b. Increased pulse rate
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