Physiologic Adaptations To Pregnancy

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Question 1
Free
Multiple Choice

A pregnant client's mother is worried that her daughter is not "big enough" at 20 weeks of gestation. The nurse palpates and measures the fundal height at 20 cm, which is even with the woman's umbilicus. Which should the nurse report to the client and her mother?

Choose correct answer/s
A

"You're right. We'll inform the practitioner immediately."

B

"Lightening has occurred, so the fundal height is lower than expected."

C

"The body of the uterus is at the belly button level, just where it should be at this time."

D

"When you come for next month's appointment, we'll check you again to make sure that the baby is growing."

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Question 2
Free
Multiple Choice

While the vital signs of a pregnant client in her third trimester are being assessed, the client complains of feeling faint, dizzy, and agitated. Which nursing intervention is appropriate?

Choose correct answer/s
A

Have the client stand up and retake her blood pressure.

B

Have the client sit down and hold her arm in a dependent position.

C

Have the client turn to her left side and recheck her blood pressure in 5 minutes.

D

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

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Question 3
Free
Multiple Choice

A pregnant client 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?

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A

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

B

These conditions are abnormal. Refer the client 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 4
Free
Multiple Choice

Which suggestion is appropriate for the pregnant client who is experiencing heartburn?

Choose correct answer/s
A

Drink plenty of fluids at bedtime.

B

Eat only three meals a day so the stomach is empty between meals.

C

Drink coffee or orange juice immediately on arising in the morning.

D

Use Tums or Alkamints to obtain relief, as directed by the health care provider.

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Question 5
Free
Multiple Choice

While providing education to a primiparous client regarding the normal changes of pregnancy, what is important for the nurse to explain about 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 6
Multiple Choice

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

Choose correct answer/s
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 7
Multiple Choice

Physiologic anemia often occurs during pregnancy because of:

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 8
Multiple Choice

Which 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 9
Multiple Choice

A client is currently pregnant; she has a 5-year-old son and a 3-year-old daughter. She had one other pregnancy that terminated at 8 weeks. Which are her gravida and para?

Choose correct answer/s
A
3, 2
B
4, 3
C
4, 2
D
3, 3
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Question 10
Multiple Choice

A client's last menstrual period was June 10. What is her estimated date of birth (EDD)?

Choose correct answer/s
A
April 7
B
March 17
C
March 27
D
April 17
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Question 11
Multiple Choice

Why should a woman in her first trimester of pregnancy expect to visit her health care provider every 4 weeks?

Choose correct answer/s
A
Problems can be eliminated.
B
She develops trust in the health care team.
C
Her questions about labor can be answered.
D
The conditions of the expectant mother and fetus can be monitored.
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Question 12
Multiple Choice

A client in her first trimester complains of nausea and vomiting. She asks, "Why does this happen?" 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 13
Multiple Choice

Which advice to the client is one of the most effective methods for preventing venous stasis?

Choose correct answer/s
A
Sit with the legs crossed.
B
Rest often with the feet elevated.
C
Sleep with the foot of the bed elevated.
D
Wear elastic stockings in the afternoon.
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Question 14
Multiple Choice

A client notices that the health care provider writes "positive Chadwick's sign" on her chart. She asks the nurse what this means. Which is the nurse's best response?

Choose correct answer/s
A
"It means the cervix is softening."
B
"That refers to a positive sign of pregnancy."
C
"It refers to the bluish color of the cervix in pregnancy."
D
"The doctor was able to flex the uterus against the cervix."
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Question 15
Multiple Choice

Which is the gravida and para for a client who delivered triplets 2 years ago and is now pregnant again?

Choose correct answer/s
A
2, 3
B
1, 2
C
2, 1
D
1, 3
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Question 16
Multiple Choice

To relieve a leg cramp, what should the client be instructed to perform?

Choose correct answer/s
A
Dorsiflex the foot.
B
Apply a warm pack.
C
Stretch and point the toe.
D
Massage the affected muscle.
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Question 17
Multiple Choice

A client, 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:

Choose correct answer/s
A
appropriate for gestational age.
B
a sign of impending complications.
C
lower than normal for gestational age.
D
higher than normal for gestational age.
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Question 18
Multiple Choice

Which complaint made by a client at 35 weeks of gestation requires additional assessment?

Choose correct answer/s
A
Abdominal pain
B
Ankle edema in the afternoon
C
Backache with prolonged standing
D
Shortness of breath when climbing stairs
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Question 19
Multiple Choice

A gravida client at 32 weeks of gestation reports that she has severe lower back pain. What should the nurse's assessment include?

Choose correct answer/s
A
Palpation of the lumbar spine
B
Exercise pattern and duration
C
Observation of posture and body mechanics
D
Ability to sleep for at least 6 hours uninterrupted
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Question 20
Multiple Choice

A pregnant woman is the mother of two children. Her first pregnancy ended in a stillbirth at 32 weeks of gestation, her second pregnancy with the birth of her daughter at 36 weeks, and her third pregnancy with the birth of her son at 41 weeks. Using the five-digit system to describe this woman's current obstetric history, what should the nurse record?

Choose correct answer/s
A
4-1-2-0-2
B
3-1-2-0-2
C
4-2-1-0-1
D
3-1-1-1-3
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