10.10.1: Review Questions

Review Questions

1 .

The nurse is educating the pregnant person on the effects of the placenta hormones. What information does the nurse include in the teaching about relaxin? Select all that apply.

1. makes the ligaments softer and more flexible
2. helps decrease peripheral vascular resistance
3. plays a role in the appearance of the linea nigra
4. helps the skin stretch
5. regulates metabolism
6. increases leukorrhea

2 .

The nurse is providing patient education regarding lower back discomfort during pregnancy. Identify the relief measure the nurse would discuss with the pregnant person.

1. pelvic tilt exercise
2. sit in a hot tub
3. sleep on a soft mattress
4. wear a girdle

3 .

What are probable signs of pregnancy? Select all that apply.

1. amenorrhea
2. fetal movement
3. Goodell sign
4. positive pregnancy test
5. skin hyperpigmentation

4 .

The nurse is auscultating the fetal heart rate (FHR) on a patient at 37 weeks’ gestation. The nurse notes a line of darkened pigmentation on the pregnant person’s abdomen starting at the symphysis pubis and ending at the sternum. How does the nurse document this finding?

1. cholasma
2. linea nigra
3. spider nevi
4. striae gravidarum

5 .

The nurse receives a phone call from a pregnant person at 36 weeks’ gestation stating they have noticed some thin pink lines on the lower abdomen and wants to know if this is normal. The nurse recognizes the pregnant person is asking about what skin condition?

1. linea nigra
2. striae gravidarum
3. palmar erythema
4. pruritis

6 .

The nurse is providing care to a pregnant person at 34 weeks’ gestation who is experiencing heartburn. The pregnant person asks why they are experiencing heartburn so often. What is the appropriate nurse’s response to the pregnant person’s question?

1. Heartburn is common during pregnancy because of the increase in food cravings.
2. Heartburn increases during pregnancy because of the increase in salivation.
3. Heartburn occurs because the cardiac sphincter relaxes, allowing stomach acid to come up into the esophagus.
4. The increase in a pregnant person’s metabolism causes an increase in stomach acid and heartburn.

7 .

The nurse is caring for a pregnant person at 28 weeks’ gestation who has started noticing an increase in vaginal discharge that does not have an odor. What is the appropriate response by the nurse to the pregnant person’s concern?

1. The discharge is because of the weight of the uterus on your bladder.
2. The discharge means you have a urinary tract infection.
3. A slight increase in vaginal discharge is expected at 28 weeks of gestation.
4. There is nothing to worry about.

8 .

The nurse is providing care to a pregnant person at 32 weeks’ gestation. The nurse expects to observe what change in the pregnant person’s spine?

1. sclerosis
2. scoliosis
3. kyphosis
4. lordosis

9 .

The nurse is providing education to a pregnant person at 10 weeks’ gestation who is experiencing nausea and vomiting. The nurse is aware the nausea and vomiting are due to which hormone produced by the placenta?

1. relaxin
2. human chorionic gonadotropin
3. human placental lactogen
4. luteinizing hormone

10 .

Reva Rubin identified several maternal tasks the pregnant person undertakes during pregnancy. What actions by the pregnant person are included in these tasks? Select 4 that apply.

1. develops attachment to the fetus
2. schedules a childbirth class
3. encourages the partner’s attachment to the fetus
4. acknowledges the fetus as a separate person
5. discusses the deployment with their family
6. places the needs of the fetus above their own

11 .

The nurse is providing education about the newborn to a pregnant person and the soon-to-be grandparents. What information is the most important for the nurse to discuss to assist the extended family in adapting to their new role?

1. how to bathe the newborn
2. extended family role expectations
3. childbirth preparation
4. breast-feeding

12 .

The nurse is providing education to a pregnant person regarding the nausea and vomiting of pregnancy. Identify the relief measures the nurse would discuss. Select all that apply.

1. avoid dairy products
2. avoid strong odors
3. drink fluids between meals
4. drink sweet fluids
5. eat small, frequent meals
6. eat dry toast after getting out of bed

13 .

The nurse is answering a phone call from a pregnant person. The pregnant person informs the nurse she has had several sharp pains in the right lower abdomen this week. What is the priority question the nurse should ask the pregnant person?

1. How many weeks pregnant are you?
2. How much water are you drinking every day?
3. When was your last bowel movement?
4. Are you lactose intolerant?

14 .

The nurse is providing second trimester education on self-care measures to a group of pregnant persons and their support persons. What information is most important for the nurse to include at this time? Select 3 that apply.

1. good hygiene
2. wearing maternity clothing
3. limiting fluid near bedtime
4. leg cramps
5. sexuality
6. sleep and rest

15 .

The nurse explains to the patient at 28 weeks’ gestation not to lie flat on their back during the remainder of the pregnancy. What does this precaution prevent?

1. acid reflux
2. headaches
3. pregnancy-induced hypertension
4. vena cava syndrome

16 .

At 16 weeks of gestation a pregnant person states, “The most dangerous time is the first 3 months, so I shouldn’t have to worry from now on about any dangers to the baby.” What is the nurse's most appropriate response?

1. There are teratogens with the potential to harm your baby at any time during the pregnancy.
2. We really won’t be able to say for sure before you have an ultrasound.
3. You are correct. You are past the critical point.
4. You don’t seem very concerned about your baby’s welfare.

17 .

The nurse is providing prenatal education to a pregnant person who is 10 weeks pregnant. The nurse informs the pregnant person the placenta supports continual gestation until term by producing what?

1. glucose
2. hormones
3. oxygen
4. waste

18 .

The prenatal nurse is discussing the functions of the placenta with a pregnant person at 6 weeks’ gestation. What statement by the pregnant person indicates to the nurse the patient understands the information?

1. The placenta filters hormones to support the pregnancy.
2. The placenta is responsible for fetal waste disposal.
3. The placenta prevents all viruses from harming the fetus.
4. The placenta regulates glucose levels in the fetus.

19 .

The prenatal nurse is discussing fetal circulation with a student nurse. What statement by the student indicates to the prenatal nurse the student understands the information?

1. The ductus arteriosus attaches the umbilical artery to the hepatic artery.
2. The ductus venosus attaches the pulmonary artery to the aorta.
3. The foramen ovale is located in the ventricular septum.
4. There are two arteries and one vein in the umbilical cord.

20 .

Why do infants born at 25 weeks' gestation have a poor survival rate?

1. Cardiac development is incomplete.
2. Fetal lung alveoli are not present in sufficient numbers.
3. Gastrointestinal development is incomplete.
4. Sucking reflex is not present.

21 .

Identify the obstetric health care providers who attend births in private homes. Select all that apply.

1. OB/GYN
2. family practice physician
3. maternal-fetal medicine specialist
4. certified nurse-midwife
5. professional midwife
6. traditional birth attendant

22 .

Identify the physician who is certified to provide the most comprehensive perinatal care.

1. family practice
2. obstetrician
3. surgeon
4. maternal-fetal medicine

23 .

Where should a pregnant person at 34 weeks with preeclampsia deliver?

1. Level I hospital
2. Level II hospital
3. home
4. in-hospital birthing center

24 .

Identify the health care provided during a home birth. Select all that apply.

1. labor support
2. trained birth attendant
3. neonatal intensive care
4. breast-feeding assistance
5. postpartum instructions
6. social services

25 .

Identify the birthing place providing the most comprehensive labor, birth, and immediate postpartum and newborn care.

1. hospital with LDRP and NICU units
2. in-hospital birthing center
3. free-standing birthing center
4. home birth