Maternal Child Nursing Care - Chapter 8: Nursing Care of the Family During Pregnancy, Quizzes of Nursing

Download Maternal Child Nursing Care - Chapter 8: Nursing Care of the Family During Pregnancy and more Quizzes Nursing in PDF only on Docsity! Maternal Child Nursing Care - Chapter 8: Nursing Care of the Family During Pregnancy A 3-year-old girls mother is 6 months pregnant. What concern is this child likely to v erbalize? A) How the baby will get out B) What the baby will eat C) Whether her mother will die D) What color eyes the baby has - CORRECT ANSWERS B) What the baby will eat A pregnant woman at 10 weeks of gestation jogs three or four times per week. She is concerned about the effect of exercise on the fetus. The nurse should inform her: A) You don't need to modify your exercising any time during your pregnancy. B) Stop exercising because it will harm the fetus. C) You may find that you need to modify your exercise to walking later in your pregnancy, around the seventh month. D) Jogging is too hard on your joints; switch to walking now. - CORRECT ANSWERS C) You may find that you need to modify your exercise to walking later in your pregnancy, around the seventh month. A pregnant woman at 18 weeks of gestation calls the clinic to report that she has been experiencing occasional backaches of mild-to-moderate intensity. The nurse would recommend that she: A) Do Kegel exercises B) Do pelvic rock exercises C) Use a softer mattress D) Stay in bed for 24 hours - CORRECT ANSWERS B) Do pelvic rock exercises A woman has just moved to the United States from Mexico. She is 3 months pregnant and has arrived for her first prenatal visit. During her assessment interview, you discover that she has not had any immunizations. Which immunizations should she receive at this point in her pregnancy (Select all that apply)? A) Tetanus B) Diphtheria C) Chickenpox D) Rubella E) Hepatitis B - CORRECT ANSWERS A) Tetanus B) Diphtheria E) Hepatitis B A) An increase, because of enlarging breasts B) A decrease, because of nausea and fatigue C) No change D) An increase, because of increased levels of female hormones - CORRECT ANSWERS B) A decrease, because of nausea and fatigue For what reason would breastfeeding be contraindicated? A) Hepatitis B B) Everted nipples C) History of breast cancer 3 years ago D) Human immunodeficiency virus (HIV) positive - CORRECT ANSWERS D) Human immunodeficiency virus (HIV) positive In her work with pregnant women of various cultures, a nurse practitioner has observed various practices that seemed strange or unusual. She has learned that cultural rituals and practices during pregnancy seem to have one purpose in common. Which statement best describes that purpose? A) To promote family unity B) To ward off the evil eye C) To appease the gods of fertility D) To protect the mother and fetus during pregnancy - CORRECT ANSWERS D) To protect the mother and fetus during pregnancy In response to requests by the U.S. Public Health Service for new models of prenatal care, an innovative new approach to prenatal care known as centering pregnancy was developed. Which statement would accurately apply to the centering model of care? A) Group sessions begin with the first prenatal visit. B) At each visit, blood pressure, weight, and urine dipsticks are obtained by the nurse. C) Eight to 12 women are placed in gestational-age cohort groups. D) Outcomes are similar to those of traditional prenatal care. - CORRECT ANSWERS C) Eight to 12 women are placed in gestational-age cohort groups. In understanding and guiding a woman through her acceptance of pregnancy, a maternity nurse should be aware that: A) Nonacceptance of the pregnancy very often equates to rejection of the child. B) Mood swings most likely are the result of worries about finances and a changed lifestyle as well as profound hormonal changes. C) Ambivalent feelings during pregnancy usually are seen only in emotionally immature or very young mothers. D) Conflicts such as not wanting to be pregnant or childrearing and career-related decisions need not be addressed during pregnancy because they will resolve themselves naturally after birth. - CORRECT ANSWERS B) Mood swings most likely are the result of worries about finances and a changed lifestyle as well as profound hormonal changes. Prenatal testing for human immunodeficiency virus (HIV) is recommended for: A) All women, regardless of risk factors. B) A woman who has had more than one sexual partner. C) A woman who has had a sexually transmitted infection. D) A woman who is monogamous with her partner. - CORRECT ANSWERS A) All women, regardless of risk factors. Signs and symptoms that a woman should report immediately to her health care provider include (Select all that apply): A) Vaginal bleeding. B) Rupture of membranes. C) Heartburn accompanied by severe headache. D) Decreased libido. E) Urinary frequency. - CORRECT ANSWERS A) Vaginal bleeding. B) Rupture of membranes. C) Heartburn accompanied by severe headache. The multiple marker test is used to assess the fetus for which condition? A) Down syndrome B) Diaphragmatic hernia C) Congenital cardiac abnormality D) Anencephaly - CORRECT ANSWERS A) Down syndrome The nurse caring for a newly pregnant woman would advise her that ideally prenatal care should begin: A) Before the first missed menstrual period. B) After the first missed menstrual period. C) After the second missed menstrual period. D) After the third missed menstrual period. - CORRECT ANSWERS B) After the first missed menstrual period. The nurse should be aware that the partners main role in pregnancy is to: A) Provide financial support. B) Protect the pregnant woman from old wives tales. C) Support and nurture the pregnant woman. D) Make sure the pregnant woman keeps prenatal appointments. - CORRECT ANSWERS C) Support and nurture the pregnant woman. The nurse should have knowledge of the purpose of the pinch test. It is used to: A) Check the sensitivity of the nipples. B) Determine whether the nipple is everted or inverted. C) Calculate the adipose buildup in the abdomen. D) See whether the fetus has become inactive. - CORRECT ANSWERS B) Determine whether the nipple is everted or inverted. C) Metal detectors at airport security checkpoints can harm the fetus if the woman passes through them a number of times. D) While working or traveling in a car or on a plane, women should arrange to walk around at least every hour or so. - CORRECT ANSWERS D) While working or traveling in a car or on a plane, women should arrange to walk around at least every hour or so. Which behavior indicates that a woman is seeking safe passage for herself and her infant? A) She keeps all prenatal appointments B) She eats for two C) She drives her car slowly D) She wears only low-heeled shoes - CORRECT ANSWERS A) She keeps all prenatal appointments Which statement about multifetal pregnancy is inaccurate? A) The expectant mother often develops anemia because the fetuses have a greater demand for iron. B) Twin pregnancies come to term with the same frequency as single pregnancies. C) The mother should be counseled to increase her nutritional intake and gain more weight. D) Backache and varicose veins often are more pronounced. - CORRECT ANSWERS B) Twin pregnancies come to term with the same frequency as single pregnancies. Which statement about pregnancy is accurate? A) A normal pregnancy lasts about 10 lunar months. B) A trimester is one third of a year. C) The prenatal period extends from fertilization to conception. D) The estimated date of confinement (EDC) is how long the mother will have to be bedridden after birth. - CORRECT ANSWERS A) A normal pregnancy lasts about 10 lunar months. Which symptom is considered a first-trimester warning sign and should be reported immediately by the pregnant woman to her health care provider? A) Nausea with occasional vomiting B) Fatigue C) Urinary frequency D) Vaginal bleeding - CORRECT ANSWERS D) Vaginal bleeding While teaching the expectant mother about personal hygiene during pregnancy, maternity nurses should be aware that: A) Tub bathing is permitted even in late pregnancy unless membranes have ruptured. B) The perineum should be wiped from back to front. C) Bubble bath and bath oils are permissible because they add an extra soothing and cleansing action to the bath. D) Expectant mothers should use specially treated soap to cleanse the nipples. - CORRECT ANSWERS A) Tub bathing is permitted even in late pregnancy unless membranes have ruptured. While you are assessing the vital signs of a pregnant woman in her third trimester, the patient complains of feeling faint, dizzy, and agitated. Which nursing intervention is appropriate? A) Have the patient stand up and retake her blood pressure. B) Have the patient sit down and hold her arm in a dependent position. C) Have the patient lie supine for 5 minutes and recheck her blood pressure on both arms. D) Have the patient turn to her left side and recheck her blood pressure in 5 minutes. - CORRECT ANSWERS D) Have the patient turn to her left side and recheck her blood pressure in 5 minutes. With regard to a womans reordering of personal relationships during pregnancy, the maternity nurse should understand that: A) Because of the special motherhood bond, a woman's relationship with her mother is even more important than with the father of the child. B) Nurses need not get involved in any sexual issues the couple has during pregnancy, particularly if they have trouble communicating them to each other. C) Women usually express two major relationship needs during pregnancy: feeling loved and valued and having the child accepted by the father. D) The woman's sexual desire is likely to be highest in the first trimester because of the excitement and because intercourse is physically easier. - CORRECT ANSWERS C) Women usually express two major relationship needs during pregnancy: feeling loved and valued and having the child accepted by the father.= With regard to follow-up visits for women receiving prenatal care, nurses should be aware that: A) The interview portions become more intensive as the visits become more frequent over the course of the pregnancy. B) Monthly visits are scheduled for the first trimester, every 2 weeks for the second trimester, and weekly for the third trimester. C) During the abdominal examination, the nurse should be alert for supine hypotension. D) For pregnant women, a systolic blood pressure (BP) of 130 and a diastolic BP of 80 is sufficient to be considered hypertensive. - CORRECT ANSWERS C) During the abdominal examination, the nurse should be alert for supine hypotension. With regard to medications, herbs, shots, and other substances normally encountered by pregnant women, the maternity nurse should be aware that: