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DAVIS ADVANTAGE FOR MATERNAL-NEWBORN
NURSING
- Since 1995, there has been a significant decrease in the rate of infant death related to which of the following: a. Disorders associated with short gestation and low birth weight b. Accidents c. Sudden infant death d. Newborns affected by complications of placenta, cord, and
membranes - ANSWER -ANS: c
- Tobacco use during pregnancy is associated with adverse effects on the unborn infant, such as intrauterine growth restriction, preterm births, and respiratory problems. By race, which has the highest percentage of smokers? a. American Indian and Alaskan Natives b. Asian or Pacific Islanders c. Non-Hispanic blacks
d. Non-Hispanic whites - ANSWER -ANS: a
- Which of the following women is at the highest risk for health disparity? a. A white, middle-class, 16-year-old woman b. An African American, middle-class, 25-year-old woman c. An African American, upper-middle-class, 19-year-old woman
d. An Asian, low-income, 30-year-old woman - ANSWER -ANS: d
- A neonate born at 36 weeks gestation is classified as which of the following? a. Very premature b. Moderately premature c. Late premature
d. Term - ANSWER -ANS: c
- The perinatal nurse explains to the student nurse that a goal of the Healthy People 2020 report is to: a. Increase proportion of infants who are breastfed to 93.1%. b. Increase proportion of infants who are breastfed to 90.7%. c. Increase proportion of infants who are breastfed to 85.6%. d. Increase proportion of infants who are breastfed to 83.9%. -
ANSWER -ANS: d
- The perinatal nurse explains to the student nurse that __________ is the leading cause of infant death in the United States. a. Sudden Infant Death Syndrome b. Respiratory distress of newborns c. Disorders related to short gestation and low birth weight d. Congenital malformations and chromosomal abnormalities -
ANSWER -ANS: d
- Which of the following statements are true related to teen pregnancies? (Select all that apply.) a. Teen mothers are at higher risk for HIV.
Infants whose mothers were obese during pregnancy are at higher risk for which of the following? (Select all that apply.) a. Childhood diabetes b. Heart defects c. Hypospadias
d. Respiratory distress - ANSWER -ANS: a, b, c
The color of a person's hair is an example of which of the following? a. Genome b. Sex-link inheritance c. Genotype
d. Phenotype - ANSWER -ANS: d
Which of the following statements by a pregnant woman indicates she needs additional teaching on ways to reduce risks to her unborn child from the potential effects of exposure to toxoplasmosis? a. I will avoid rare lamb. b. I will wear a mask when cleaning my cats litter box. c. I understand that exposure to toxoplasmosis can cause blindness in the baby.
d. I will avoid rare beef. - ANSWER -ANS: b
- The fetal circulatory structure that connects the pulmonary artery with the descending aorta is known as which of the following? a. Ductus venosus b. Foramen ovale c. Ductus arteriosus
d. Internal iliac artery - ANSWER -ANS: c
A woman at 40 weeks gestation has a diagnosis of oligohydramnios. Which of the following statements related to oligohydramnios is correct? a. It indicates that there is a 25% increase in amniotic fluid. b. It indicates that there is a 25% reduction of amniotic fluid. c. It indicates that there is a 50% increase in amniotic fluid. d. It indicates that there is a 50% reduction of amniotic fluid. -
ANSWER -ANS: d
- A diagnostic test commonly used to assess problems of the fallopian tubes is: a. Endometrial biopsy b. Ovarian reserve testing c. Hysterosalpingogram
d. Screening for sexually transmitted infections - ANSWER -ANS:
c The nurse is interviewing a gravid woman during the first prenatal visit. The woman confides to the nurse that she lives with a number of pets. The nurse should advise the woman to be
c. Secretion of human chorionic gonadotropin
d. Proliferation of the endometrium - ANSWER -ANS: d
An ultrasound of a fetus heart shows that normal fetal circulation is occurring. Which of the following statements is consistent with the finding? a. A right-to-left shunt is seen between the atria. b. Blood is returning to the placenta via the umbilical vein. c. Blood is returning to the right atrium from the pulmonary system. d. A right-to-left shunt is seen between the umbilical arteries. -
ANSWER -ANS: a
The clinic nurse knows that the part of the endometrial cycle occurring from ovulation to just prior to menses is known as the: a. Menstrual phase b. Proliferative phase c. Secretory phase
d. Ischemic phase - ANSWER -ANS: c
A clinic nurse explains to the pregnant woman that the amount of amniotic fluid present at 24 weeks gestation is approximately: a. 500 mL b. 750 mL c. 800 mL
d. 1000 mL - ANSWER -ANS: c
Information provided by the nurse that addresses the function of the amniotic fluid is that the amniotic fluid helps the fetus to maintain a normal body temperature and also: a. Facilitates asymmetrical growth of the fetal limbs b. Cushions the fetus from mechanical injury c. Promotes development of muscle tone
d. Promotes adherence of fetal lung tissue - ANSWER -ANS: b
During preconception counseling, the clinic nurse explains that the time period when the fetus is most vulnerable to the effects of teratogens occurs from: a. 2 to 8 weeks b. 4 to 12 weeks c. 5 to 10 weeks
d. 6 to 15 weeks - ANSWER -ANS: a
- A major fetal development characteristic at 16 weeks gestation is: a. The average fetal weight is 450 grams b. Lanugo covers entire body c. Brown fat begins to develop
d. Teeth begin to form - ANSWER -ANS: d
- Karen, a 26-year-old woman, has come for preconception counseling and asks about caring for her cat as she has heard that she should not touch the cat during pregnancy. The clinic nurses best response is:
d. The couple has close friends who gave birth within the last
year. - ANSWER -ANS: a
The perinatal nurse explains to the student nurse that in the fetal circulation, the lowest level of oxygen concentration is found in
the umbilical arteries. - ANSWER -ANS: True
- After birth, the perinatal nurse explains to the new mother that __________ is the hormone responsible for stimulating milk
production. - ANSWER -ANS: prolactin
- During prenatal class, the childbirth educator describes the two membranes that envelop the fetus. The __________ contains the amniotic fluid, and the __________ is the thick, outer
membrane. - ANSWER -ANS: amnion; chorion
- The perinatal nurse is teaching nursing students about fetal circulation and explains that fetal blood flows through the superior vena cava into the right __________ via the __________. -
ANSWER -ANS: atrium; foramen ovale
The perinatal nurse explains to the student nurse that the growing embryo is called a __________ beginning at 8 weeks of
gestational age. - ANSWER -ANS: fetus
The perinatal nurse defines a __________ as any substance that adversely affects the growth and development of the
embryo/fetus. - ANSWER -ANS: teratogen
__________ __________ __________ is when sperm and oocytes are mixed outside the womans body and then placed into the
fallopian tube via laparoscopy. - ANSWER -ANS: Gamete
intrafallopian transfer A woman seeks care at an infertility clinic. Which of the following tests may this woman undergo to determine what, if any, infertility problem she may have? (Select all that apply.) a. Chorionic villus sampling b. Endometrial biopsy c. Hysterosalpingogram
d. Serum FSH analysis - ANSWER -ANS. b, c, d
A couple who has been attempting to become pregnant for 5 years is seeking assistance from an infertility clinic. The nurse assesses the clients emotional responses to their infertility. Which of the following responses would the nurse expect to find? (Select all that apply.) a. Anger at others who have babies. b. Feelings of failure because they cannot make a baby. c. Sexual excitement because they want to conceive a baby. d. Guilt on the part of one partner because he or she is unable to
give the other a baby. - ANSWER -ANS: a, b, d
Which of the following places a couple at higher risk for conceiving a child with a genetic abnormality? (Select all that apply.) a. Maternal age over 35 years b. Partner who has a genetic disorder c. Maternal type 1 diabetes
d. Are trying to conceal this pregnancy as long as possible -
ANSWER -ANS: b, d
Folic acid supplementation during pregnancy is to: a. Improve the bone density of pregnant women b. Decrease the incidence of neural tube defects in the fetus c. Decrease the incidence of Down syndrome in the fetus
d. Improve calcium uptake in pregnant women - ANSWER -ANS:
b The positive signs of pregnancy are: a. All physiological and anatomical changes of pregnancy b. All subjective signs of pregnancy c. All those physiological changes perceived by the woman herself d. The objective signs of pregnancy that can only be attributed to
the fetus - ANSWER -ANS: d
During a routine prenatal visit in the third trimester, a woman reports she is dizzy and lightheaded when she is lying on her back. The most appropriate nursing action would be to: a. Order an EKG. b. Report this abnormal finding immediately to her care provider. c. Teach the woman to avoid lying on her back and to rise slowly because of supine hypotension.
d. Order a nonstress test to assess fetal well-being. - ANSWER -
ANS: c
Blood volume expansion during pregnancy leads to: a. Iron-deficiency anemia b. Maternal iron stores being insufficient to meet the demands for iron in fetal development c. Plasma fibrin increase of 40% and fibrinogen increase of 50%
d. Physiological anemia of pregnancy - ANSWER -ANS: d
Intimate partner violence (IPV) against women consists of actual or threatened physical or sexual violence and psychological and emotional abuse. Screening for IPV during pregnancy is recommended for: a. Pregnant women with a history of domestic violence b. All pregnant women c. All low-income pregnant women
d. Pregnant adolescents - ANSWER -ANS: b
A woman presents to the prenatal clinic at 30 weeks gestation reporting dysuria, frequency, and urgency with urination. Appropriate nursing actions include: a. Obtain clean-catch urine to assess for a possible urinary tract infection. b. Reassure the woman that the signs are normal urinary changes in the third trimester. c. Teach the woman to decrease fluid intake to manage these symptoms. d. Perform a Leopolds maneuver to assess fetal position and
station. - ANSWER -ANS: a
a. Cholelithiasis b. Influenza c. Urinary tract infection
d. Indigestion - ANSWER -ANS: a
The clinic nurse reviews the complete blood count results for a 30-year-old woman who is now 33 weeks gestation. Tamaras hemoglobin value is 11.2 g/dL, and her hematocrit is 38%. The clinic nurse interprets these findings as: a. Normal adult values b. Normal pregnancy values for the third trimester c. Increased adult values
d. Increased values for 33 weeks gestation - ANSWER -ANS: b
The clinic nurse is aware that the pregnant womans blood volume increases by: a. 20% to 25% b. 30% to 35% c. 40% to 45%
d. 50% to 55% - ANSWER -ANS: c
The clinic nurse uses Leopold maneuvers to determine the fetal lie, presentation, and position. The nurses hands are placed on the maternal abdomen to gently palpate the fundal region of the uterus. This action is best described as the: a. First maneuver b. Second maneuver
c. Third maneuver
d. Fourth maneuver - ANSWER -a. First maneuver
The clinic nurse talks with Kathy about her possible pregnancy. Kathy has experienced amenorrhea for 2 months, nausea during the day with vomiting every other morning, and breast tenderness. These symptoms are best described as: a. Positive signs of pregnancy b. Presumptive signs of pregnancy c. Probable signs of pregnancy
d. Possible signs of pregnancy - ANSWER -ANS: b
Lina is an 18-year-old woman at 20 weeks gestation. This is her first pregnancy. Lina is complaining of fatigue and listlessness. Her vital signs are within a normal range: BP = 118/60, pulse = 70, and respiratory rate 16 breaths per minute. Linas fundal height is at the umbilicus, and she states that she is beginning to feel fetal movements. Her weight gain is 25 pounds over the prepregnant weight (110 lb), and her height is 5 feet 4 inches. The perinatal nurses best approach to care at this visit is to: a. Ask Lina to keep a 3-day food diary to bring in to her next visit in 1 week. b. Explain to Lina that weight gain is not a concern in pregnancy, and she should not worry. c. Teach Lina about the expected normal weight gain during pregnancy (approximately 20 pounds by 20 weeks gestation). d. Explain to Lina the possible concerns related to excessive weight gain in pregnancy, including the risk of gestational di -
ANSWER -ANS: a
A nurse is reviewing diet with a pregnant woman in her second trimester. Which of the following foods should the nurse advise the patient to avoid consuming during her pregnancy? a. Brie cheese b. Bartlett pears c. Sweet potatoes
d. Grilled lamb - ANSWER -ANS: a
The nurse is working in a prenatal clinic caring for a patient at 14 weeks gestation, G2 P1001. Which of the following findings should the nurse highlight for the nurse midwife? a. Body mass index of 23 b. Blood pressure of 100/ c. Hematocrit of 29%
d. Pulse rate of 76 bpm - ANSWER -ANS: c
A gravida, G4 P1203, fetal heart rate 150s, is 14 weeks pregnant, fundal height 1 cm above the symphysis. She denies experiencing quickening. Which of the following nursing conclusions made by the nurse is correct? a. The woman is experiencing a normal pregnancy. b. The woman may be having difficulty accepting this pregnancy. c. The woman must see a nutritionist as soon as possible.
d. The woman will likely miscarry the conceptus. - ANSWER -
ANS: a
- A patient at 37 weeks gestation is being seen in the prenatal clinic. Where would the nurse expect the fundal height to be palpated? a. At the xiphoid process b. At a point between the umbilicus and the xiphoid c. At the umbilicus
d. At a level directly above the symphysis pubis - ANSWER -
ANS: a A nurse is performing an assessment on a pregnant woman during a prenatal visit. Which of the following findings would lead the nurse to report to the obstetrician that the patient may be experiencing intrauterine growth restriction (IUGR)? a. Leopolds maneuvers: Hard round object in the fundus, flat object on left of uterus, small parts on right of uterus, soft round object above the symphysis b. Weight gain: 6-pound increase over 4-week period c. Fundal height measurement: 22 cm at 26 weeks gestation d. Alpha-fetoprotein assessment: level is one-half normal, accompanied by complaints of severe nausea and vomiting -
ANSWER -ANS: c
A pregnant woman informs the nurse that her last normal menstrual period was on July 6, 2007. Using Naegeles rule, which of the following would the nurse determine to be the patients estimated date of delivery: a. January 9, 2008 b. April 13, 2008 c. April 20, 2008
