Maternal-Newborn Chapter 6 Test Bank: Multiple Choice Questions and Answers, Exams of Nursing

Download Maternal-Newborn Chapter 6 Test Bank: Multiple Choice Questions and Answers and more Exams Nursing in PDF only on Docsity! Maternal-Newborn chapter 6 test bank 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? 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 - C: have the patient turn to her left side and recheck her blood pressure in 5 minutes Blood pressure is affected by positioning during pregnancy. The supine position may cause occlusion of the vena cava and descending aorta. Turning the pregnant woman to a lateral recumbent position alleviates pressure on the blood vessels and quickly corrects supine hypotension. Pressures are significantly higher when the patient is standing. This would cause an increase in systolic and diastolic pressures. The arm should be supported at the same level of the heart. The supine position may cause occlusion of the vena cava and descending aorta, creating hypotension. 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? 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 3rd trimester - D: these occur throughout pregnancy, but you may not feel them until the 3rd trimester Throughout pregnancy, the uterus undergoes irregular contractions called Braxton Hicks contractions. During the first two trimesters, the contractions are infrequent and usually not felt by the woman until the third trimester. Braxton Hicks contractions do not indicate preterm labor. Braxton Hicks contractions can cause some discomfort, especially in the third trimester. Braxton Hicks contractions occur throughout the whole pregnancy. Which finding is a positive sign of pregnancy? A: amenorrhea B: breast changes C: fetal movement felt by the woman D: visualization of fetus by ultrasound - D: visualization of fetus by ultrasound The only positive signs of pregnancy are auscultation of fetal heart tones, visualization of the fetus by ultrasound, and fetal movement felt by the examiner. Amenorrhea is a presumptive sign of pregnancy. Breast changes are a presumptive sign of pregnancy. Fetal movement is a presumptive sign of pregnancy. 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? 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." - B: "It may be due to changes in hormones." Nausea and vomiting are believed to be caused by increased levels of hormones, decreased gastric motility, and hypoglycemia. Gastric motility decreases during pregnancy. Glucose levels decrease in the first trimester. Gastric secretions decrease, but this is not the main cause of nausea and vomiting. the physician at this time because this is a normal abnormal finding. There is no evidence of complications ensuing from this presentation. Which physiologic adaptation of pregnancy may lead to increased constipation during the pregnancy? A: increased emptying time in the intestines B: abdominal distention and bloating C: decreased absorption of water D: decreased motility in the intestines - D: decreased motility in the intestines Decreased motility in the intestines leading to increased water absorption would cause constipation. Increased emptying time in the intestines leads to increased nutrient absorption. Abdominal distention and bloating are a result of increased emptying time in the intestines. Decreased absorption of water would not cause constipation. 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? 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 - D: let the patient know that this is a common finding that occurs during pregnancy This condition is known as chloasma or melasma (mask of pregnancy) and is a result of pigmentation changes relative to hormones. It can be exacerbated by exposure to the sun. There is no need to refer to a dermatologist. Intake of foods is not associated with exacerbation of this process. There is no need for a C&S to be taken. The patient should be assured that this is a normal finding of pregnancy. 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? 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 - D: determine if there are any factors that might prohibit her from seeking medical care The patient has presumptive and probable indications of pregnancy. However, she has not sought out health care until late in the first or early in the second trimester. The nurse must assess for barriers to seeking health care, physical or emotional, because regular prenatal care is key to a positive pregnancy outcome. Asking if the patient has nausea or vomiting will only add to the list of presumptive signs of pregnancy, and this information will not add to the assessment data to determine whether the patient is pregnant. The patient needs to see a health care provider before the next 4 weeks because she is late in seeking early prenatal care. Ultrasound testing must be prescribed by a health care provider. 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? 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." - B: "Tell me about your concerns." Encouraging the patient to discuss her feelings is the best approach. The nurse should not disregard or belittle the patient's feelings. Responding that your baby is doing fine disregards the patient's feelings and treats them as unimportant. Responding that there is nothing to worry about does not answer the patient's concerns. Saying that the doctor is taking good care of you and your baby is belittling the patient's concerns. 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? A: her age B: her career C: being divorced D: age of the daughter - A: her age Age is a major factor in determining the emotional response of prospective grandparents. Young grandparents may not be happy with the stereotype of grandparents as being old. Career responsibilities may have demands that make the grandparents not as accessible but are not a major factor in determining the woman's response to becoming a grandmother. Being divorced is not a major factor that determines the adaptation of grandparents. The age of the daughter is not a major factor that determines the adaptation of grandparents. The age of the grandparent is a major factor. An expectant couple asks the nurse about intercourse during pregnancy and whether it is safe for the baby. What information should the nurse provide? A: intercourse is safe until the third trimester B: safer sex practices should be used once the membranes rupture C: intercourse should be avoided if any spotting from the vagina occurs afterward D: intercourse and orgasm are often contraindicated if a history of or signs of preterm labor are present - D: intercourse and orgasm are often contraindicated if a history of or signs of preterm labor are present