Test Bank Docx Ch5 Physical And Psychological Changes Of - Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack by Luanne Linnard Palmer. DOCX document preview.
Chapter 5: Physical and Psychological Changes of Pregnancy
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. While assisting the physician with a physical examination, the nurse notes which sign or symptom as most definitive of a diagnosis of pregnancy?
1) | Positive Goodell’s sign |
2) | Quickening felt by mother |
3) | Auscultation of fetal heart sounds |
4) | Breast enlargement and tenderness |
____ 2. Which finding indicates the need for further testing before a diagnosis of pregnancy can be confirmed?
1) | Audible fetal heart tones |
2) | Fetal movement felt by the nurse |
3) | Fetal ultrasound showing a growing fetus |
4) | Amenorrhea |
____ 3. The nurse caring for a woman who is beginning the second trimester of pregnancy recognizes the need for further assessment when the woman reports which change in her body?
1) | Constipation |
2) | Feeling short of breath with mild exertion |
3) | Nasal congestion |
4) | A dark line appearing on the abdomen |
____ 4. The nurse is conducting an assessment on a pregnant patient. Which symptom does the nurse recognize as abnormal for a pregnant patient?
1) | Urinary frequency |
2) | Urgency |
3) | Stress incontinence |
4) | Burning on urination |
____ 5. A pregnant woman complains about backaches. Which of the following should the nurse recommend?
1) | Kegel exercises |
2) | Increased fluid intake |
3) | Sleeping on her back |
4) | Wearing low-heeled shoes and using good body mechanics |
____ 6. When talking with the nurse, a pregnant patient points out her darkened areolas, the linea nigra on her abdomen, and the brown patches on her forehead and nose and says, “I’m never going to be able to wear a bikini again.” Which is the nurse’s best response?
1) | “Makeup will help you hide these after you have the baby.” |
2) | “Be sure to point these out to the doctor. You may need to see a dermatologist.” |
3) | “These changes normally go away after you have the baby.” |
4) | “Applying vitamin E oil or cocoa butter will reverse these discolorations.” |
____ 7. The nurse reviews a pregnant patient’s laboratory values and notes a reduced red blood cell count and hemoglobin level. Which symptom should the nurse expect the patient to report?
1) | Insomnia |
2) | Pica |
3) | Fatigue |
4) | Leg pain |
____ 8. During the physical examination of a pregnant woman the health-care provider notes a bluish-purple coloration of the vaginal mucosa and cervix. The nurse knows that this finding indicates which probable sign of pregnancy?
1) | Ballottement |
2) | Chadwick’s sign |
3) | Goodell’s sign |
4) | Hegar’s sign |
____ 9. The nurse is providing teaching to a pregnant patient. Which recommendation will help the patient avoid vena caval syndrome?
1) | Lie on your left side. |
2) | Walk for 30 minutes per day. |
3) | Drink 2 L of water per day. |
4) | Wear low-heeled shoes. |
____ 10. A pregnant woman is being assessed by the nurse and reports pain and swelling in her right calf. Which action should the nurse take?
1) | Call 911. |
2) | Massage the patient’s calf. |
3) | Recommend that the patient go for a walk. |
4) | Notify the health-care provider. |
____ 11. Which finding does the nurse recognize as a normal result of pregnancy?
1) | Reduction in red blood cell count |
2) | Reduced platelet count |
3) | Increased urine glucose level |
4) | Elevated hematocrit value |
____ 12. The nurse reviews the patient’s laboratory values and sees the following:
Hemoglobin | 12.2 g/dL |
Hematocrit | 42.8% |
Serum blood urea nitrogen (BUN) | 18 mg/dL |
Serum creatinine | 0.68 mg/dL |
Alanine transaminase (ALT) | 8 units/L |
Aspartate aminotransferase (AST) | 12 units/L |
Alkaline phosphatase (ALP) | 108 units/L |
Lactate dehydrogenase (LDH) | 635 units/L |
Which conclusion does the nurse draw based on these findings?
1) | The patient is anemic. |
2) | The patient has liver damage. |
3) | The patient has kidney damage. |
4) | The patient is dehydrated. |
____ 13. A woman in her third trimester is reporting an itchy rash on her abdomen, arms, and legs. The nurse realizes that the patient may have what skin condition that is associated with pregnancy?
1) | Impetigo |
2) | Eczema |
3) | Pruritic urticarial papules and plaques |
4) | Linea nigra |
____ 14. A pregnant patient is complaining of constipation. The nurse should recommend that the patient incorporate which food into her diet?
1) | Saltine crackers |
2) | Lean meats |
3) | Eggs |
4) | Nuts |
____ 15. During the woman’s first prenatal visit, she makes many statements about the recommendations she has received from her friends about maintaining her health and the health of the growing fetus. According to Reva Rubin, which maternal task is this woman demonstrating?
1) | Seeking safe passage for herself and her fetus |
2) | Securing acceptance for herself as a mother and for her fetus |
3) | Learning to give of herself and to accept herself as a mother to the infant |
4) | Committing herself to the child as she progresses through pregnancy |
____ 16. The nurse learns that a pregnant patient lost her mother when she was a teenager and recognizes that the absence of a mother figure will cause this patient to have difficulty with which of Reva Rubin’s four maternal tasks?
1) | Seeking safe passage for herself and her fetus |
2) | Securing acceptance for herself as a mother and for her fetus |
3) | Learning to give of herself and to accept herself as a mother to the infant |
4) | Committing herself to the child as she progresses through pregnancy |
____ 17. The nurse is talking with a pregnant patient at her 36-week appointment about preparations for the baby’s arrival. The patient says that she has prepared the nursery, gone to childbirth classes, read several books, and has accumulated all of the care items and clothing she will need. Which Reva Rubin maternal task is this woman demonstrating?
1) | Seeking safe passage for herself and her fetus |
2) | Securing acceptance for herself as a mother and for her fetus |
3) | Learning to give of herself and to accept herself as a mother to the infant |
4) | Committing herself to the child as she progresses through pregnancy |
____ 18. A 16-year-old patient is acting indifferent when the nurse is asking questions about her pregnancy. This is consistent with what expected behavior of pregnant teens?
1) | Inconsistency |
2) | Acceptance |
3) | Ambivalence |
4) | Commitment |
____ 19. A pregnant woman is talking to the nurse about skin abnormalities that she has noticed since she got pregnant. She points to brown patches on her forehead, cheeks, and nose and asks if they are permanent. How should the nurse respond?
1) | “Those brown patches are called melasma. The severity can be decreased with sunscreen use. They should disappear after childbirth.” |
2) | “Those brown patches are called linea nigra. They are the result of dry skin. They should disappear after childbirth.” |
3) | “Those brown patches are called melasma. I recommend that you have the doctor take a look at them.” |
4) | “Those brown patches are called linea nigra. They are common in pregnancy.” |
____ 20. A pregnant patient is crying and says to the nurse, “I am so fat! I don’t even recognize myself anymore.” Which is the best therapeutic response by the nurse?
1) | “A gluten-free diet will help you lose some weight.” |
2) | “Why do you think you’re fat?” |
3) | “Weight gain is expected during pregnancy.” |
4) | “You need to exercise more to avoid excessive weight gain.” |
____ 21. The nurse caring for a woman who is 40 weeks pregnant reports having thick vaginal discharge that appeared to be a mixture of blood and mucus. The nurse interprets this finding as a sign of:
1) | Yeast infection |
2) | Early labor |
3) | Preterm labor |
4) | Miscarriage |
____ 22. A woman in her second trimester of pregnancy tells the nurse that she has noticed an increase in her libido recently but is concerned that sexual intercourse will harm the baby. What is the best response by the nurse?
1) | “Sexual intercourse will only harm the baby in the third trimester.” |
2) | “Sexual intercourse can sometimes cause preterm labor.” |
3) | “Sexual intercourse is safe if your partner is on top.” |
4) | “Sexual intercourse will not harm your baby.” |
____ 23. The emergency department nurse admits an adolescent who is complaining of abdominal pain and denies pregnancy. Assessment findings include a distended, pregnant-appearing abdomen and fetal heart tones. How does the nurse interpret these contradictory findings?
1) | Denial of pregnancy until late in gestation is not uncommon in adolescence. |
2) | The adolescent is mentally ill and incapable of recognizing pregnancy. |
3) | The adolescent is developmentally delayed and does not recognize pregnancy. |
4) | Further testing is needed to determine the cause of the assessment findings. |
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 24. The nurse is educating a patient about preventing yeast infections. What teaching points should be included? (Select all that apply.)
1) | Wear cotton underwear. |
2) | Clean the vagina by douching. |
3) | Clean the vulva with unscented soap and water. |
4) | Avoid petroleum-based lubricants. |
5) | Avoid douching. |
____ 25. Sibling response to a new baby is influenced by the child’s age and other factors. Which of the following are correctly paired responses for each age group? (Select all that apply.)
1) | Toddlers: become clingy and irritable; baby is only a story |
2) | Toddlers: sense of loss; being replaced; jealous |
3) | Preschool child: sense of loss; being replaced; jealous |
4) | Preschool child: interested and ask questions about conception, pregnancy, and childbirth |
5) | Older children: interested and ask questions about conception, pregnancy, and childbirth |
____ 26. Couvade syndrome is a sympathetic response to pregnancy experienced by spouses or partners of pregnant women. What symptoms would likely be reported? (Select all that apply.)
1) | Anxiety |
2) | Feet swelling |
3) | Nausea |
4) | Weight gain |
5) | Hair loss |
Chapter 5: Physical and Psychological Changes of Pregnancy
Document Information
Connected Book
Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack
By Luanne Linnard Palmer
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