front 1 An expectant father asks the nurse, “Which part of the mature sperm contains the male chromosome?” What is the correct response by the nurse | back 1 The head of the sperm |
front 2 One of the assessments performed in the birth room is checking the umbilical cord for blood vessels. Which finding is considered to be within normal limits? | back 2 Two arteries and one vein |
front 3 What is the purpose of the ovum’s zona pellucida | back 3 Prevents multiple sperm from fertilizing the ovum |
front 4 The nurse is explaining the process of cell division during the preembryonic period to a group of nursing students. Which statement best describes the characteristics of the morula? | back 4 Solid ball composed of the first cells formed after fertilization |
front 5 The upper uterus is the best place for the fertilized ovum to implant due to which anatomical adaptation? | back 5 Developing baby is best nourished. |
front 6 Some of the embryo’s intestines remain within the umbilical cord during the embryonic period because the | back 6 abdomen is too small to contain all the organs while they are developing. |
front 7 A patient who is 16 weeks pregnant with her first baby asks how long it will be before she feels the baby move. Which is the nurse’s best answer? | back 7 Within the next month you should start to feel fluttering sensations.” |
front 8 Which statement best describes the changes that occur during the fetal period of development? | back 8 Maturation of organ systems |
front 9 An expectant mother says to the nurse, “When my sister’s baby was born, it was covered in a cheese-like coating. What is the purpose of this coating?” The correct response by the nurse is to explain that the purpose of vernix caseosa is to | back 9 protect the fetal skin from amniotic fluid |
front 10 An expectant mother, diagnosed with oligohydramnios, asks the nurse what this condition means for the baby. Which statement should the nurse provide for the patient? | back 10 Oligohydramnios can cause poor fetal lung development. |
front 11 The nurse is conducting a staff in-service on multifetal pregnancy. Which statement regarding dizygotic twin development should the nurse include in the teaching session? | back 11 Dizygotic twins arise from two fertilized ova and may be the same sex or different sexes. |
front 12 An infant is diagnosed with fetal anemia. Which information would support this clinical diagnosis? | back 12 Passive immunity |
front 13 The nurse is explaining the function of the placenta to a pregnant patient. Which statement indicates to the nurse that further clarification is necessary? | back 13 “The placenta helps maintain a stable temperature for my baby |
front 14 The nurse is assessing a newborn immediately after birth. After assigning the first Apgar score of 9, the nurse notes two vessels in the umbilical cord. What is the nurse’s next action? | back 14 Assess for other abnormalities of the infant. |
front 15 A pregnant patient asks the nurse how her baby gets oxygen to breathe. What is the nurse’s best response? | back 15 Oxygen-rich blood is delivered through the umbilical vein to the baby.” |
front 16 Which physical characteristics decrease as the fetus nears term?(SATA) | back 16 Vernix caseosa Lanugo |
front 17 Along with gas exchange and nutrient transfer, the placenta produces many hormones necessary for normal pregnancy, including which of the following? | back 17 Estrogen Progesteron Testosterone |
front 18 The nurse is planning a prenatal class on fetal development which characteristics of prenatal development should the nurse include for a fetus of 24 weeks based on fertilization age (SATA) | back 18 Skin wrinkled and red Testes descending toward the inguinal rings Surfactant production nears mature levels |
front 19 The nurse is explaining fetal circulation to a group of nursing students. Which information should be included in the teaching session? | back 19 The foramen ovale shunts blood from the right atrium to the left atrium. The ductus venosus shunts blood from the liver to the inferior vena cava. |
front 20 A nurse is conducting prenatal education classes for a group of expectant parents. Which information should the nurse include in her discussion of the purpose of amniotic fluid? | back 20 Cushions the fetus Allows for buoyancy for fetal movement Maintains a stable temperature for the fetus |
front 21 During vital sign assessment of a pregnant patient in her third trimester, the patient complains of feeling faint, dizzy, and agitated. Which nursing intervention is most appropriate? | back 21 Have the patient turn to her left side and recheck her blood pressure in 5 minutes |
front 22 A pregnant woman has come to the emergency department with complaints of nasal congestion and epistaxis. Which is the correct interpretation of these symptoms by the health care provider | back 22 Estrogen causes increased blood supply to the mucous membranes and can result in congestion and nosebleeds. |
front 23 While providing education to a primiparous patient regarding the normal changes of pregnancy, what is an important information for the nurse to share regarding Braxton Hicks contractions? | back 23 These occur throughout pregnancy, but you may not feel them until the third trimester. |
front 24 What is the physiologic reason for vascular volume increasing by 40% to 60% during pregnancy | back 24 Provides adequate perfusion of the placenta |
front 25 Physiologic anemia often occurs during pregnancy due to | back 25 dilution of hemoglobin concentration |
front 26 Which finding is a positive sign of pregnancy? | back 26 Visualization of fetus by ultrasound |
front 27 A patient in her first trimester complains of nausea and vomiting. The patient asks, “Why is this happening?” What is the nurse’s best response? | back 27 It may be due to changes in hormones.” |
front 28 The patient has just learned that she is pregnant and overhears the gynecologist saying that she has a positive Chadwick’s sign.When the patient asks the nurse what this means, how would the nurse respond? | back 28 This sign occurs normally in pregnancy when estrogen causes increased blood flow in the area of the cervix |
front 29 An expected change during pregnancy is a darkly pigmented vertical midabdominal line. The nurse recognizes this alteration as | back 29 linea nigra. |
front 30 What is the best explanation that the nurse can provide to a patient who is concerned that she has “pseudoanemia” of pregnancy? | back 30 Inform her that because of the pregnancy, her to a substantial dilution effect on her serum blood levels, and that most women experience this condition. |
front 31 Which physiologic finding is consistent with normal pregnancy? | back 31 Cardiac output increases during pregnancy. |
front 32 A pregnant woman complains of frequent heartburn. The patient states that she has never had these symptoms before and wonders why this is happening now. The most appropriate response by the nurse is to | back 32 explain to the patient that physiologic changes by the pregnancy make her more likely to experience these types of symptoms. |
front 33 Which physiologic adaptation of pregnancy may lead to increased constipation during the pregnancy | back 33 Decreased motility in the intestines |
front 34 Which physiologic findings related to gallbladder function may lead to the development of gallstones during pregnancy? | back 34 Prolonged emptying time |
front 35 Which of these findings would indicate a potential complication related to renal function during pregnancy? | back 35 Increase in serum creatinine level |
front 36 A pregnant woman notices that she is beginning to develop dark skin patches on her face. She denies using any different type of facial products as a cleansing solution or makeup. What would the priority nursing intervention be in response to this situation? | back 36 Let the patient know that this is a common finding that occurs during pregnancy |
front 37 A patient reports to the clinic nurse that she has not had a period in over 12 weeks, she is tired, and her breasts are sore all of the time. The patient’s urine test is positive for hCG. What is the correct nursing action related to this information? | back 37 Determine if there are any factors that might prohibit her from seeking medical care. |
front 38 Which comment made by a patient in her first trimester indicates ambivalent feelings? | back 38 I wanted to become pregnant, but I’m scared about being a mother. |
front 39 A patient who is 7 months pregnant states, “I’m worried that something wil happen to my baby which is the nurses best response | back 39 “Tell me about your concerns.” |
front 40 What is the term for the step in maternal role attainment that relates to the woman giving up certain aspects of her previous life? | back 40 Grief work |
front 41 An expectant patient in her third trimester reports that she developed a strong tie to her baby from the beginning and now is really in tune to her baby’s temperament. The nurse interprets this as the development of which maternal task of pregnancy? | back 41 Developing attachment with the baby |
front 42 Which situation best describes a man trying on fathering behaviors? | back 42 Coaching a little league baseball team |
front 43 A 36-year-old divorcee with a successful modeling career finds out that her 18-year-old daughter is expecting her first child. Which is a major factor in determining how this woman will respond to becoming a grandmother? | back 43 Her age |
front 44 Which comment made by a new mother to her own mother is most likely to encourage the grandmother’s participation in the infant’s care? | back 44 The baby is spitting up a lot. What should I do?” |
front 45 Which comment made by a new mother exhibits understanding of her toddler’s response to a new sibling? | back 45 My husband is going to stay with the baby so I can take Michael to the park tomorrow |
front 46 An expectant couple asks the nurse about intercourse during pregnancy and whether it is safe for the baby. What information should the nurse provide | back 46 Intercourse and orgasm are often contraindicated if a history of or signs of preterm labor are present. |
front 47 A pregnant patient comes into the medical clinic stating that her family and friends are telling her that she is always talking about the pregnancy and nothing else. She is concerned that something is wrong with her. What psychological beahabviribo.rciosmsh/eteesxthibiting? | back 47 Introversion |
front 48 A patient relates a story of how her boyfriend is feeling her aches and pains associated with her pregnancy. She is concerned that her boyfriend is making fun of her concerns. How would you respond to this patient statement? | back 48 Explain that her boyfriend may be experiencing couvade syndrome and that this is a normal finding seen with male partners. |
front 49 The nurse is assessing a patient in her 37th week of pregnancy for the psychological responses commonly experienced as birth nears. Which psychological responses should the nurse expect to evaluate?(SATA) | back 49 The patient is excited to see her baby. The patient expresses concern about how to know if labor has started The patient and her spouse are concerned about getting to the birth center in time. |
front 50 The nurse is teaching a pregnant patient about signs of possible pregnancy complications. Which should the nurse include in the teaching plan? | back 50 Report watery vaginal discharge. Report puffiness of the face or around the eyes Report visual disturbances, such as spots before the eyes. |
front 51 Which findings are presumptive signs of pregnancy? | back 51 Quickening Goodell’s sign Chadwick’s sign |
front 52 Which suggestion is most helpful for the pregnant patient who is experiencing heartburn? | back 52 Use Tums or Rolaids to obtain relief, as directed by the health care provider. |
front 53 What is the rationale for a woman in her first trimester of pregnancy to expect to visit her health care provider every 4 weeks? | back 53 The conditions of the expectant mother and fetus can be monitored. |
front 54 Which advice to the patient is one of the most effective methods for preventing venous stasis? | back 54 Rest often with the feet elevated. |
front 55 What is the gravida and para for a patient who delivered triplets 2 years ago and is now pregnant again | back 55 2, 1 |
front 56 A patient, gravida 2, para 1, comes for a prenatal visit at 20 weeks of gestation. Her fundus is palpated 3 cm below the umbilicus. This finding is | back 56 lower than normal for gestational age. |
front 57 Which complaint made by a patient at 35 weeks of gestation requires additional assessment? | back 57 Abdominal pain |
front 58 A gravida 1 patient at 32 weeks of gestation reports that she has severe lower back pain. What should the nurse’s assessment include? | back 58 Observation of posture and body mechanics |
front 59 Which laboratory result would be a cause for concern if exhibited by a patient at her first prenatal visit during the second month of her pregnancy | back 59 Rubella titer, 1:6 |
front 60 A patient in her third trimester of pregnancy is asking about safe travel. Which statement should the nurse provide regarding safe travel during pregnancy? | back 60 If you are traveling by car stop to walk every 1 to 2 hours |
front 61 When a pregnant woman develops ptyalism, which guidance should the nurse provide? | back 61 Chew gum or suck on lozenges between meals. |
front 62 When documenting a patient encounter, which term will the nurse use to describe the woman who is in the 28th week of her first pregnancy? | back 62 Primigravida |
front 63 You are performing assessments for an obstetric patient who is 5 months pregnant with her third child. Which finding would cause you to suspect that the patient was at risk? | back 63 Fundal height is below the umbilicus. |
front 64 Determine the obstetric history of a patient in her fifth pregnancy who has had two spontaneous abortions in the first trimester, one infant at 32 weeks gestation and one infant at 38 weeks gestation | back 64 G5 T1 P1 A2 L2 |
front 65 Use Nägele’s rule to determine the EDD (estimated day of birth) for a patient whose last menstrual period started on April 12. | back 65 January 19 |
front 66 Which of the patient health behaviors in the first trimester would the nurse identify as a risk factor in pregnancy? | back 66 Relaxing in a hot tub for 30 minutes a day, several days a week |
front 67 A patient who smokes one pack of cigarettes daily has a positive pregnancy test. The nurse will explain that smoking during pregnancy increases the risk of which condition | back 67 Death before or after birth |
front 68 A patient with an IUD in place has a positive pregnancy test. When planning care, the nurse will base decisions on which anticipated action? | back 68 The IUD will need to be removed to avoid complications such as miscarriage or infection. |
front 69 The health care provider reports that the primigravida’s fundus can be palpated at the umbilicus. Which priority question will the nurse include in the patient’s assessment? | back 69 Have you felt a fluttering sensation in your lower pelvic area yet?” |
front 70 The nurse is scheduling the next appointment for a healthy primigravida currently at 28 weeks gestation. When will the nurse schedule the next prenatal visit? | back 70 2 weeks |
front 71 Which information is covered by early pregnancy classes offered in the first and second trimesters | back 71 Coping with common discomforts of pregnancy |
front 72 Which is the method of childbirth that helps prevent the fear-tension-pain cycle by using slow abdominal breathing in early labor and rapid chest breathing in advanced labor? | back 72 Dick-Read |
front 73 Which type of cutaneous stimulation involves massage of the abdomen | back 73 Effleurage |
front 74 What does a birth plan help the parents accomplish | back 74 Taking an active part in planning the birth experience |
front 75 A relaxation technique that can be used during the childbirth experience to decrease maternal pain perception is | back 75 assisting the patient in breathing methods aimed at taking control of pain perception based on the contraction pattern |
front 76 Which technique would provide the best pain relief for pregnant woman with an occiput posterior position? | back 76 Sacral pressure |
front 77 The labor nurse is reviewing breathing techniques with a primiparous patient admitted for induction of labor. When is the best time to encourage the laboring patient to use slow, deep chest breathing with contractions? | back 77 During labor, when she can no longer talk through contractions |
front 78 In a prenatal education class, the nurse is reviewing the importance of using relaxation techniques during labor. Which patient statement will the nurse need to correct? | back 78 We will practice relaxation techniques only in a quiet setting so I can focus. |
front 79 A pregnant patient reports that she works in a long-term care setting and is concerned about the impending flu season. She asks about receiving the flu vaccine. As the nurse, you are aware that some immunizations are safe to administer during pregnancy, whereas others are not. Which vaccines could this patient receive? (SATA) | back 79 Tetanus Influenza Hepatitis A and B |
front 80 The nurse is planning care for a patient in her first trimester of pregnancy. The patient is experiencing nausea and vomiting. Which interventions should the nurse plan to share with this patient?(SATA) | back 80 Suck on hard candy. Drink fluids frequently but separate from meals Eat crackers or dry cereal before arising in the morning |
front 81 Which factors contribute to the presence of edema in the pregnant patient?(SATA) | back 81 Diet consisting of processed foods Last trimester of pregnancy Decreased venous return |
front 82 The prenatal nurse educator is teaching couples the technique of applying sacral pressure during labor. Which should be included in the teaching session?(SATA) | back 82 the technique can be combined with heat to the area. Tennis balls may be used to apply the pressure to the sacral area. The hand may be moved slowly or remain positioned directly over the sacrum. |
front 83 When planning a healthy diet with a pregnant patient, what should the nurse’s first action be? | back 83 Review the patient’s current dietary intake. |
front 84 The nurse is meeting with a patient with an elevated BMI regarding an optimal diet for pregnancy. Which major source of nutrients should be a significant component of this patient’s diet? | back 84 Complex carbohydrates |
front 85 In order to increase the absorption of iron by a pregnant patient, which beverage should an iron preparation be given with? | back 85 Orange juice |
front 86 When should iron supplementation during a normal pregnancy begin? | back 86 In the second trimester |
front 87 A patient in her fifth month of pregnancy asks the nurse, “How many more calories should I be eating daily?” What is the correct response by the nurse | back 87 340 more calories a day |
front 88 A pregnant patient’s diet may not meet her need for folate. Which food choice is an excellent source of this nutrient? | back 88 Green leafy vegetables |
front 89 A pregnant patient asks the nurse if she can double her prenatal vitamin dose because she does not like to eat vegetables. What is the nurse’s response regarding the danger of taking excessive vitamins? | back 89 Has toxic effects on the fetus |
front 90 The nurse is conducting a prenatal nutrition education class for a group of nursing students. Which statement best describes the condition known as pica? | back 90 Ingestion of nonfood substances |
front 91 Which effect is a common response to both smoking and cocaine use in the pregnant patient? | back 91 vasoconstriction |
front 92 Which is the most important reason for evaluating the pattern of weight gain in pregnancy? | back 92 Identifies potential nutritional problems or complications of pregnancy |
front 93 A pregnant patient would like to know which foods, other than dairy products, contain the most calcium. Which food group would the nurse recommend? | back 93 Legumes |
front 94 To determine cultural influences on a patient’s diet, what is the nurse’s primary action? | back 94 Identify the food preferences and methods of food preparation common to the patient’s culture. |
front 95 In teaching a pregnant adolescent about nutrition, what should the nurse include in the care plan? | back 95 Determine the weight gain needed to meet adolescent growth and add 35 lb. |
front 96 The traditional diet of Asian women includes little meat and few dairy products and may be low in calcium and iron. The nurse can assist a patient increase her intake of these foods by which action | back 96 Suggest that she eat more tofu, bok choy, and broccoli. |
front 97 Which patient would require additional calories and nutrients? | back 97 A 20-year-old female who had a vaginal birth 5 months ago and is breastfeeding |
front 98 A patient postdelivery is concerned about getting back to her prepregnancy weight as soon as possible. She had only gained 15 lb during her pregnancy. Which assessment factor would be of concern at her 6-week postpartum checkup? | back 98 Patient has lost 30 lb during the 6-week period prior to her scheduled checkup. |
front 99 Which clinical finding is associated with inadequate maternal weight gain during pregnancy | back 99 Low-birth-weight infant |
front 100 A pregnant patient arrives for her first prenatal visit at the clinic. She informs the nurse that weight gain during pregnancy. Preeclampsia is based on maternal hypertension, proteinuria, and edema states.she has been taking an additional 400 mcg of folic acid prior to becoming pregnant. Based on the patient’s history, she has reached 8 weeks’ gestation. Which recommendation would the nurse provide regarding folic acid supplementation? | back 100 Tell the patient that she no longer has to take additional folic acid because it will be included in her prenatal vitamins. |
front 101 Which patient is most at risk for a low-birth-weight infant? | back 101 18-year-old, 64 inches tall, body mass index is <18.5 |
front 102 Changes in the diet of the pregnant patient who has phenylketonuria would include | back 102 eliminating drinks containing aspartame. |
front 103 When explaining the recommended weight gain to your patient, the nurse’s teaching should include which statement? | back 103 Weight gain in pregnancy is based on the patient’s prepregnant body mass index.” |
front 104 Which patient has correctly increased her caloric intake from her recommended pregnancy intake to the amount necessary to sustain breastfeeding in the first 6 postpartum months? | back 104 From 2200 to 2530 calories per day |
front 105 A pregnant woman of normal weight enters her 13th week of pregnancy. If the patient eats and exercises as directed, what will the nurse anticipate as the ongoing weight gain for the remaining trimesters? | back 105 1 lb every week |
front 106 A patient with a BMI of 32 has a positive pregnancy test. What is the maximum number of pounds that the nurse will advise the patient gain during the pregnancy? | back 106 20 lb |
front 107 A pregnant patient with significant iron-deficiency anemia is prescribed iron supplements.The patient explains to the nurse that she cannot take iron because it makes her nauseous.What is the best response by the nurse? | back 107 Try taking the iron at bedtime on an empty stomach.” |
front 108 Which guidance related to a healthy diet during pregnancy will the nurse provide to a patient in her 1st trimester? | back 108 “Every day you need to have at least 6 ounces of protein from sources such as meat, fish, eggs, beans, nuts, soybean products, and tofu.” |
front 109 For the pregnant patient who is a vegan, what combination of foods will the nurse advise to meet the nutritional needs for all essential amino acids? | back 109 Grains and legumes |
front 110 A pregnant patient has lactose intolerance. Which recommendation will the nurse provide to best help the patient meet dietary needs for calcium? | back 110 Add foods such as nuts, dried fruit, and broccoli to the diet. |
front 111 The nurse is reviewing a list of foods high in folic acid with a patient who is considering becoming pregnant. The nurse determines that the patient understands the teaching when the patient states she will include which list of foods in her diet? | back 111 Spinach, orange juice, and fortified bran flakes |
front 112 A patient at 8 weeks’ gestation complains to the nurse, “I feel sick almost every morning. And I throw up at least two or three times a week.” What is the nurse’s best guidance for this patient? | back 112 Try eating peanut butter on whole wheat bread right before going to bed.” |
front 113 The nurse is teaching a patient taking prenatal vitamins how to avoid constipation. Which should the nurse plan to include in the teaching session?(SATA) | back 113 Recommend a diet high in fruits and vegetables. Encourage an increase in fluid consumption during the day Increase the intake of whole grains and whole grain products |
front 114 The nurse is teaching a breastfeeding patient about substances to avoid while she is breastfeeding. Which substances should the nurse include in the teaching session?(SATA) | back 114 Caffeine Alcohol Appetite suppressants |
front 115 The nurse is advising a lactose-intolerant pregnant patient about calcium intake. Which calcium sources are approximately equivalent to 1 cup of milk (SATA) | back 115 3/4 cup yogurt 1 1/4 oz of hard cheese 1 1/4 cups of ice cream |
front 116 The nurse is teaching a pregnant patient about food safety during pregnancy and lactation.Which statements by the patient indicate she understood the teaching(SATA) | back 116 I will limit my intake of shrimp to 12 oz a week.” I will avoid the soft cheeses made with unpasteurized milk I will not eat any swordfish or shark while I am pregnant or nursing. |