Chapter 6 Nursing Care During Pregnancy Complete Test Bank - Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack by Luanne Linnard Palmer. DOCX document preview.
Chapter 6: Nursing Care During Pregnancy
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse cares for a newly diagnosed pregnant woman with a history of three spontaneous abortions in the first trimester and an emergency cesarean section because of breech presentation with her last pregnancy. Which health-care provider is most appropriate to care for this patient?
1) | Family physician |
2) | Obstetrician-gynecologist |
3) | Certified nurse midwife |
4) | Doula |
____ 2. A woman arrives at the clinic and tells the nurse that she thinks she is pregnant. Which symptom, as related by the patient, does the nurse consider the best indicator of pregnancy?
1) | Amenorrhea |
2) | Irritability |
3) | Positive urine human chorionic gonadotropin (hCG; home test) |
4) | Enlarged abdomen |
____ 3. Which information should the nurse include when teaching a pregnant patient who is scheduled to have an abdominal ultrasound?
1) | Pain medication will be administered before the procedure. |
2) | Do not eat or drink anything for 4 hours prior to the procedure. |
3) | The probe will be inserted through the vagina. |
4) | Do not empty your bladder prior to the procedure. |
____ 4. Using Naegele’s rule, calculate the estimated date of delivery for a patient whose first day of the last menstrual period was October 8, 2016.
1) | July 15, 2017 |
2) | January 1, 2017 |
3) | July 1, 2016 |
4) | June 14, 2017 |
____ 5. The nurse is obtaining personal information as part of the patient history. How should the nurse ask the woman about physical abuse and overall safety in her living situation?
1) | “Has your spouse ever hit you?” |
2) | “Are you married?” |
3) | “Tell me about your home life.” |
4) | “How is your marriage?” |
____ 6. A clinical instructor is observing a student nurse obtain a patient history on a new prenatal patient. Which statement allows the clinical instructor to determine that the student nurse effectively understands therapeutic communication?
1) | “Do you use drugs?” |
2) | “Is this your first pregnancy?” |
3) | “Are your parents living?” |
4) | “What is your current living situation?” |
____ 7. During a woman’s initial prenatal visit, she learns that the obstetrician will perform a complete physical examination. What is the best response when the client asks the nurse, “Why is a complete physical examination required?”
1) | “Your overall health will influence your pregnancy. The doctor will need to obtain a complete physical examination.” |
2) | “If you have current health problems the doctor needs to know.” |
3) | “The doctor needs to learn as much as possible about you.” |
4) | “The doctor wants to make sure that you have a healthy pregnancy without complications.” |
____ 8. The nurse reviews a patient’s medical record and notices that the measurement of ischial tuberosity is 8.5 cm. How does the nurse interpret this measurement?
1) | The woman may have difficulty carrying the pregnancy to term. |
2) | The woman has an adequate amount of amniotic fluid. |
3) | The woman may require a cesarean section. |
4) | The woman may experience a difficult labor. |
____ 9. A nurse is reviewing a patient’s order for laboratory tests. Which laboratory test is not part of the routine order set required for pregnant women?
1) | Complete blood cell count (CBC) |
2) | Varicella titer |
3) | Antibody screen |
4) | Serum potassium level |
____ 10. A pregnant woman looks over the required laboratory tests and asks the nurse why they need a rubella titer and varicella titer when she knows that she has already received these immunizations as a child. Which is the nurse’s best response?
1) | “We have to be sure that you actually received these vaccines.” |
2) | “Some people require booster shots to attain full immunity.” |
3) | “Maybe the doctor didn’t notice that you reported having had the vaccines.” |
4) | “Even when people have received the vaccine, they still need to be tested for immunity.” |
____ 11. The nurse reviews a woman’s quadruple screen. Which finding indicates a higher risk for Down syndrome in the fetus?
1) | Elevated alpha-fetoprotein level |
2) | Elevated hCG level |
3) | Elevated unconjugated estriol level |
4) | Low level of inhibin A |
____ 12. Which potential complication is the nurse unlikely to associate with amniocentesis?
1) | Spontaneous abortion |
2) | Leaking of amniotic fluid |
3) | Infection |
4) | Maternal liver damage |
____ 13. At which point will the nurse begin scheduling a pregnant woman for weekly obstetric visits?
1) | 22 weeks |
2) | 28 weeks |
3) | 36 weeks |
4) | 38 weeks |
____ 14. A patient is late for her prenatal visit and when she arrives, she blames symptoms, suggesting a urinary tract infection for her late arrival. Upon examination, the nurse finds mild spotting and notes bruising on the woman’s abdomen. What does the nurse suspect?
1) | Preterm labor |
2) | Placental abruption |
3) | Pre-eclampsia |
4) | Domestic abuse |
____ 15. The nurse caring for a woman at 32 weeks’ gestation finds elevated protein and nitrate levels in the urine. What will the nurse assess for next?
1) | Symptoms of preeclampsia |
2) | Symptoms of a urinary tract infection |
3) | Symptoms of gestational diabetes |
4) | Inadequate nutrition |
____ 16. The patient arrives late to her appointment with excuses of car trouble. During the examination the patient appears anxious, has visible bruising to her neck and chest, and announces that she has vaginal spotting. Which is the most appropriate question for the nurse to ask?
1) | “Did you drive yourself to this appointment?” |
2) | “Do you think you can properly care for your baby?” |
3) | “Did you recently fall?” |
4) | “Do you feel safe at home with your spouse?” |
____ 17. The nurse is unable to locate fetal heart tones in a woman who is at 10 weeks’ gestation. What is the nurse’s priority action?
1) | Reassuring the woman that this is a normal finding |
2) | Notifying the provider immediately |
3) | Recommending complete bed rest |
4) | Scheduling the patient for an abdominal ultrasound |
____ 18. A nurse is advising a patient on options available for selecting a health-care provider for medical care during pregnancy and birth. Which statement made by the nurse indicates that he or she needs further education regarding certified nurse midwives (CNMs)?
1) | “A CNM can provide a low-technology approach to the birthing process.” |
2) | “A CNM can provide postpartum care.” |
3) | “A CNM can perform a cesarean section.” |
4) | “A CNM can provide prenatal planning.” |
____ 19. A nurse is discussing rubella immunity with a pregnant woman. Which statement indicates that the nurse needs further education regarding rubella immunity?
1) | “Rubella is a virus that can cause congenital defects.” |
2) | “If you are not immune, you should be careful of foreign travel.” |
3) | “You will be screened for rubella early in pregnancy.” |
4) | “You may receive a rubella vaccine during pregnancy.” |
____ 20. A nurse is discussing nuchal translucency testing (NTT) with a pregnant patient who is at 12 weeks’ gestation. Which statement made by the nurse indicates that further education is needed?
1) | “NTT screens for chromosomal abnormalities.” |
2) | “NTT is performed by an ultrasound.” |
3) | “NTT is performed during 11 and 13 weeks’ gestation.” |
4) | “NTT measures the translucent area on the back of the knees.” |
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 21. The nurse reviews a pregnant patient’s medical record and sees G5, T2, P5, A1, L5. Which statements reflect an accurate analysis of this information? (Select all that apply.)
1) | The woman has been pregnant a total of five times, including the current pregnancy. |
2) | The woman requested to have one pregnancy terminated. |
3) | Two of the children born alive died after birth. |
4) | One pregnancy resulted in the birth of quintuplets. |
5) | The woman adopted one of her children. |
____ 22. The nurse is examining a woman who is at 20 weeks’ gestation. Which findings does the nurse consider appropriate at this stage of pregnancy? (Select all that apply.)
1) | Fundal height – 20 cm |
2) | Fetal heart rate – 148 bpm |
3) | Quickening |
4) | +1 glycosuria |
5) | 3-lb weight loss |
____ 23. A nurse is discussing chorionic villus sampling (CVS) with a pregnant patient. Which statements should the nurse include regarding CVS? (Select all that apply.)
1) | “CVS is done between 11 and 13 weeks.” |
2) | “CVS is done with ultrasound guidance.” |
3) | “CVS has possible complications such as spontaneous abortion and infection.” |
4) | “CVS uses cells to determine genetic disorders.” |
5) | “CVS is obtained with blood work.” |
____ 24. A nurse is scheduling laboratory testing for a woman who is between 24 and 28 weeks’ gestation. What tests should the nurse include? (Select all that apply.)
1) | Glucose challenge test |
2) | Rh antibody |
3) | Group B streptococci |
4) | CBC |
5) | Serum calcium |
Completion
Complete each statement.
25. The nurse is caring for a woman who is 16 weeks pregnant. One child was born at term, and a set of triplets were born at 26 weeks’ gestation (one of whom died at 3 years of age). She experienced two spontaneous abortions prior to 8 weeks of pregnancy and had one therapeutic abortion many years ago as a young teen. Document the GTPAL for this patient by filling in the appropriate number for each letter.
G___T___P___A___L___
Chapter 6: Nursing Care During Pregnancy
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Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack
By Luanne Linnard Palmer