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Maternal Adaptations To Pregnancy

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Question 1
Free
Multiple Choice

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?

Choose correct answer/s
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 turn to her left side and recheck her blood pressure in 5 minutes.

D

Have the patient lie supine for 5 minutes and recheck her blood pressure on both arms.

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Question 2
Free
Multiple Choice

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?

Choose correct answer/s
A

Nasal stuffiness and nosebleeds are caused by a decrease in progesterone.

B

These conditions are abnormal. Refer the patient to an ear, nose, and throat specialist.

C

Estrogen relaxes the smooth muscles in the respiratory tract, so congestion and epistaxis are within normal limits.

D

Estrogen causes increased blood supply to the mucous membranes and can result in congestion and nosebleeds.

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Question 3
Free
Multiple Choice

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?

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A

These contractions may indicate preterm labor.

B

These are contractions that never cause any discomfort.

C

Braxton Hicks contractions only start during the third trimester.

D

These occur throughout pregnancy, but you may not feel them until the third trimester.

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Question 4
Free
Multiple Choice

What is the physiologic reason for vascular volume increasing by 40% to 60% during pregnancy?

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A

Prevents maternal and fetal dehydration

B

Eliminates metabolic wastes of the mother

C

Provides adequate perfusion of the placenta

D

Compensates for decreased renal plasma flow

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Question 5
Free
Multiple Choice

Physiologic anemia often occurs during pregnancy due to

Choose correct answer/s
A

inadequate intake of iron.

B

the fetus establishing iron stores.

C

dilution of hemoglobin concentration.

D

decreased production of erythrocytes.

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Question 6
Multiple Choice

Which finding is a positive sign of pregnancy?

Choose correct answer/s
A
Amenorrhea
B
Breast changes
C
Fetal movement felt by the woman
D
Visualization of fetus by ultrasound
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Question 7
Multiple Choice

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?

Choose correct answer/s
A
"It is due to an increase in gastric motility."
B
"It may be due to changes in hormones."
C
"It is related to an increase in glucose levels."
D
"It is caused by a decrease in gastric secretions."
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Question 8
Multiple Choice

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?

Choose correct answer/s
A
"Chadwick's sign signifies an increased risk of blood clots in pregnant women because of a congestion of blood."
B
"That sign means the cervix has softened as the result of tissue changes that naturally occur with pregnancy."
C
"This means that a mucus plug has formed in the cervical canal to help protect you from uterine infection."
D
"This sign occurs normally in pregnancy, when estrogen causes increased blood flow in the area of the cervix."
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Question 9
Multiple Choice

An expected change during pregnancy is a darkly pigmented vertical midabdominal line. The nurse recognizes this alteration as

Choose correct answer/s
A
epulis.
B
linea nigra.
C
melasma.
D
striae gravidarum.
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Question 10
Multiple Choice

What is the best explanation that the nurse can provide to a patient who is concerned that she has "pseudoanemia" of pregnancy?

Choose correct answer/s
A
Have her write down her concerns and tell her that you will ask the physician to respond once the lab results have been evaluated.
B
Tell her that this is a benign self-limiting condition that can be easily corrected by switching to a high-iron diet.
C
Inform her that because of the pregnancy, her blood volume has increased, leading to a substantial dilution effect on her serum blood levels, and that most women experience this condition.
D
Contact the physician and get a prescription for iron pills to correct this condition.
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Question 11
Multiple Choice

Which physiologic finding is consistent with normal pregnancy?

Choose correct answer/s
A
Systemic vascular resistance increases as blood pressure decreases.
B
Cardiac output increases during pregnancy.
C
Blood pressure remains consistent independent of position changes.
D
Maternal vasoconstriction occurs in response to increased metabolism.
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Question 12
Multiple Choice

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

Choose correct answer/s
A
examine her dietary intake pattern and tell her to avoid certain foods.
B
tell her that this is a normal finding during early pregnancy and will resolve as she gets closer to term.
C
explain to the patient that physiologic changes caused by the pregnancy make her more likely to experience these types of symptoms.
D
refer her to her health care provider for additional testing because this is an abnormal finding.
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Question 13
Multiple Choice

Which physiologic adaptation of pregnancy may lead to increased constipation during the pregnancy?

Choose correct answer/s
A
Increased emptying time in the intestines
B
Abdominal distention and bloating
C
Decreased absorption of water
D
Decreased motility in the intestines
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Question 14
Multiple Choice

Which physiologic findings related to gallbladder function may lead to the development of gallstones during pregnancy?

Choose correct answer/s
A
Decrease in alkaline phosphatase levels compared with nonpregnant women
B
Increase in albumin and total protein as a result of hemodilution
C
Hypertonicity of gallbladder tissue
D
Prolonged emptying time
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Question 15
Multiple Choice

Which of these findings would indicate a potential complication related to renal function during pregnancy?

Choose correct answer/s
A
Increase in glomerular filtration rate (GFR)
B
Increase in serum creatinine level
C
Decrease in blood urea nitrogen (BUN)
D
Mild proteinuria
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Question 16
Multiple Choice

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?

Choose correct answer/s
A
Refer the patient to a dermatologist for further examination.
B
Ask the patient if she has been eating different types of foods.
C
Take a culture swab and send to the lab for culture and sensitivity (C&S).
D
Let the patient know that this is a common finding that occurs during pregnancy.
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Question 17
Multiple Choice

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?

Choose correct answer/s
A
Ask the patient if she has had any nausea or vomiting in the morning.
B
Schedule the patient to be seen by a health care provider within the next 4 weeks.
C
Send the patient to the maternity screening area of the clinic for a routine ultrasound.
D
Determine if there are any factors that might prohibit her from seeking medical care.
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Question 18
Multiple Choice

Which comment made by a patient in her first trimester indicates ambivalent feelings?

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A
"My body is changing so quickly."
B
"I haven't felt well since this pregnancy began."
C
"I'm concerned about the amount of weight I've gained."
D
"I wanted to become pregnant, but I'm scared about being a mother."
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Question 19
Multiple Choice

A patient who is 7 months pregnant states, "I'm worried that something will happen to my baby." Which is the nurse's best response?

Choose correct answer/s
A
"Your baby is doing fine."
B
"Tell me about your concerns."
C
"There is nothing to worry about."
D
"The doctor is taking good care of you and your baby."
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Question 20
Multiple Choice

What is the term for the step in maternal role attainment that relates to the woman giving up certain aspects of her previous life?

Choose correct answer/s
A
Fantasy
B
Grief work
C
Role playing
D
Looking for a fit
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