Exam Prep Ch7 Promoting A Healthy Pregnancy - Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack by Luanne Linnard Palmer. DOCX document preview.
Chapter 7: Promoting a Healthy Pregnancy
Multiple Choice
Identify the choice that best completes the statement or answers the question.
___ 1. Which nursing intervention is most appropriate when providing care to pregnant women who complain of nasal stuffiness and congestion?
1) | Nasal decongestant |
2) | Saline nasal spray |
3) | Antihistamine |
4) | Nonsteroidal anti-inflammatory drug (NSAID) |
____ 2. A young woman in her second trimester tells the nurse that she frequently has to urinate throughout the night. Which term accurately describes what this patient is experiencing?
1) | Oliguria |
2) | Dysuria |
3) | Nocturia |
4) | Anuria |
____ 3. The nurse is conducting an educational program on the importance of personal hygiene to a group of newly expecting mothers. Which statement made by one of the participants indicates the need for further teaching?
1) | “I will use the jacuzzi every day.” |
2) | “I will continue taking daily baths.” |
3) | “I will stop using the sauna and start taking more baths.” |
4) | “I will take daily showers; I hate taking baths.” |
____ 4. A nurse prepares a prenatal class for a group of adolescents in the first trimester of pregnancy. The nurse includes diet and nutrition information for which potential pregnancy complications?
1) | Large-for-gestational-age (LGA) infant |
2) | Small-for-gestational-age (SGA) infant |
3) | Anorexia |
4) | Gestational diabetes |
____ 5. Which vitamin helps prevent neural tube defects in the developing fetus?
1) | Iron |
2) | Folate |
3) | Protein |
4) | Calcium |
____ 6. The nurse is speaking with a patient at a routine prenatal visit at 12 weeks’ gestation. The patient asks the nurse how much weight gain is recommended in order to maintain a healthy pregnancy. Which of the following statements made by the patient demonstrate a good understanding of maintaining a healthy weight during pregnancy?
1) | “I should gain 35 pounds because I am underweight.” |
2) | “I should gain 40 pounds because I am a normal weight.” |
3) | “I shouldn’t gain any weight because I am underweight.” |
4) | “I shouldn’t gain any weight because I am obese.” |
____ 7. A 26-year-old patient comes to the clinic for her 36-week checkup. The nurse explains the procedure to the patient and places a monitor on the woman’s abdomen. Which test is the nurse performing?
1) | Fetal kick counts |
2) | Fundal height measurement |
3) | Nonstress test (NST) |
4) | Amniocentesis |
____ 8. A 17-year-old female presents to a family planning clinic seeking to terminate the pregnancy. Which action should the nurse take next?
1) | Perform an ultrasound and schedule the abortion. |
2) | Refuse to schedule the abortion. |
3) | Notify the patient’s parents. |
4) | Check state laws and proceed accordingly. |
____ 9. The nurse is caring for a patient who presents to the prenatal clinic for the first time at 10 weeks’ gestation. What screening should the nurse recommend after discovering that she recently adopted a kitten from her neighbor?
1) | West Nile virus |
2) | Measles virus |
3) | Toxoplasmosis |
4) | Parvovirus |
____ 10. The nurse understands that normal adolescent development can have implications on the way in which a teen experiences pregnancy and prenatal care. Which nursing intervention is MOST appropriate when preparing the adolescent for prenatal care and pregnancy?
1) | Use direct, concrete communication. |
2) | Discuss the adolescent's financial stability. |
3) | Use abstract concepts. |
4) | Discuss the adolescent's future. |
____ 11. Which term should the nurse use when talking with other members of the health-care team about the ingestion of raw starch or similar substances?
1) | Pagophagy |
2) | Amylophagy |
3) | Geophagy |
4) | Autophagy |
____ 12. Which nursing intervention is most appropriate when providing care to a pregnant woman with increased leukorrhea?
1) | Perform Kegel exercises once a day. |
2) | Wear cotton underwear and shower daily to prevent infection. |
3) | Schedule rest periods throughout the day. |
4) | Avoid straining at defecation. |
____ 13. The nurse is helping a couple enroll in a childbirth class. The couple indicates that they would like to take a class that uses the Bradley method. The nurse knows that this childbirth class will mainly focus on which technique?
1) | Breathing patterns |
2) | Breastfeeding |
3) | Muscle control |
4) | Positioning |
____ 14. The nurse is caring for a patient in her first trimester who frequently complains of heartburn. What nursing intervention would provide the most relief to this patient?
1) | Increase fiber intake to 35 g per day. |
2) | Exercise daily. |
3) | Avoid overeating and eat small frequent meals. |
4) | Eat spicy meals more than 3 hours before bedtime. |
____ 15. What should the nurse consider when preparing a birth plan for a patient during the second stage of labor?
1) | Induction preferences |
2) | Placenta delivery |
3) | Pushing positions |
4) | Cord cutting |
____ 16. Which test does the Centers for Disease Control and Prevention (CDC) recommend all pregnant women be screened for at 35 to 37 weeks’ gestation?
1) | Amniotic fluid index |
2) | Group B streptococcus (GBS) |
3) | Amniocentesis |
4) | Biophysical profile (BPP) |
____ 17. A nurse is completing several intake histories for a group of women at the prenatal clinic. Which client does the nurse flag for a possible referral to a high-risk obstetrician?
1) | A 21-year-old patient who recently broke up with her boyfriend |
2) | A 39-year-old patient who is pregnant for the first time |
3) | A 30-year-old patient with anemia |
4) | A 25-year-old patient pregnant with twins |
____ 18. Which professional organization states that pregnant women without complications can continue to work throughout pregnancy?
1) | International Childbirth Education Association |
2) | American Academy of Husband-Coached Childbirth |
3) | American Pregnancy Organization |
4) | American College of Obstetricians and Gynecologists |
____ 19. A 17-year-old patient visits the prenatal clinic at 18 weeks’ gestation. The nurse educates the patient on the recommended intake of iron during pregnancy. What does the nurse recommend she include in her diet?
1) | Lean red meat and beans |
2) | Beans and sweet potatoes |
3) | Yogurt and sweet potatoes |
4) | Red meat and milk |
____ 20. Which childbirth preparation class emphasizes breathing patterns and relaxation techniques that conserve energy for the pushing stage of labor?
1) | The Bradley method |
2) | The Lamaze technique |
3) | The Alexander technique |
4) | Mongan method |
____ 21. During a routine prenatal visit with a patient, the patient asks the nurse if she should increase her caloric intake now that she is 14 weeks pregnant. Which of the following statements is the most appropriate response?
1) | “You should consume fewer calories now that you are in the second trimester.” |
2) | “You should consume 300 more calories a day.” |
3) | “You should decrease the number of calories you are eating.” |
4) | “You should consume 600 more calories a day.” |
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 22. A patient who is pregnant for the first time tells the nurse that she has been craving ice for the past 2 weeks. The nurse understands that this practice of eating can be dangerous. What information does the nurse provide to help the patient manage this type of eating disorder? (Select all that apply.)
1) | Increase access to the non-nutritive substance. |
2) | Use distraction techniques such as walking, calling a friend, or reading a book. |
3) | Substitute chewing gum or healthy, low-calorie snacks. |
4) | Encourage a well-balanced diet with sufficient vitamins and minerals. |
5) | Recommend not telling anyone because this type of disorder is embarrassing. |
____ 23. A pregnant woman with a BMI of 38 presents to the clinic for a routine prenatal checkup. The nurse knows that she is at risk for which potential pregnancy complications? (Select all that apply.)
1) | Gestational diabetes |
2) | Spontaneous abortion |
3) | Hypotension |
4) | Small-for-gestational-age (SGA) fetus |
5) | Cesarean birth |
____ 24. The nurse works in a community health center and completes an intake history for a lesbian couple seeking pregnancy counseling. Identify some of the challenges that lesbian women may face during pregnancy? (Select all that apply.)
1) | Health-care providers exclude or ignore the patient’s partner. |
2) | Health-care providers ask overly personal questions regarding sexuality. |
3) | Pregnant lesbian couples receive the same education as other pregnant couples. |
4) | Health-care providers always include the patient’s partner. |
5) | Medical forms may only have designated spaces for mother and father. |
____ 25. The nurse is conducting a prenatal program at a community health center. What are some of the warning signs that a pregnant patient might experience and must be reported to a health-care provider? (Select all that apply.)
1) | Absence of fetal movement |
2) | Cough |
3) | Fatigue |
4) | Vaginal bleeding |
5) | Preterm labor |
Chapter 7: Promoting a Healthy Pregnancy
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Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack
By Luanne Linnard Palmer