Chapter 07 Nursing Care of the Family during Pregnancy

Chapter 07  Nursing Care of the Family during Pregnancy

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. The nurse caring for the newly pregnant woman would advise her that ideally prenatal care should begin:
a.
Before the first missed menstrual period.
b.
After the first missed menstrual period.
c.
After the second missed menstrual period.
d.
After the third missed menstrual period.

ANS: B

Feedback
A
Regular prenatal visits, ideally beginning soon after the first missed menstrual period, offer opportunities to ensure the health of the expectant mother and her infant.
B
Prenatal care ideally should begin soon after the first missed menstrual period.
C
Regular prenatal visits, ideally beginning soon after the first missed menstrual period, offer opportunities to ensure the health of the expectant mother and her infant.
D
Regular prenatal visits, ideally beginning soon after the first missed menstrual period, offer opportunities to ensure the health of the expectant mother and her infant.

DIF: Cognitive Level: Knowledge REF: 191
OBJ: Client Needs: Health Promotion and Maintenance TOP: Nursing Process: Planning

2. With regard to follow-up visits for women receiving prenatal care, nurses should be aware that:
a.
The interview portions become more intensive as the visits become more frequent over the course of the pregnancy.
b.
Monthly visits are scheduled for the first trimester, every 2 weeks for the second trimester, and weekly for the third trimester.
c.
During the abdominal examination, the nurse should be alert for supine hypotension.
d.
For pregnant women a systolic blood pressure (BP) of 130 and a diastolic BP of 80 is sufficient to be considered hypertensive.

ANS: C

Feedback
A
The interview portion of follow-up examinations is less extensive than in the initial prenatal visits, during which so much new information must be gathered.
B
Monthly visits are routinely scheduled for the first and second trimesters; visits increase to every 2 weeks at week 28 and to once a week at week 36.
C
The woman lies on her back during the abdominal examination, possibly compressing the vena cava and aorta, which can cause a decrease in blood pressure and a feeling of faintness.
D
For pregnant women hypertension is defined as a systolic BP of 140 or higher and a diastolic BP of 90 or higher.

DIF: Cognitive Level: Comprehension REF: 202
OBJ: Client Needs: Physiologic Integrity TOP: Nursing Process: Assessment

3. A woman arrives at the clinic for a pregnancy test. The first day of her last menstrual period (LMP) was February 14, 2010. Her expected date of birth (EDB) would be:
a.
September 17, 2010.
b.
November 7, 2010.
c.
November 21, 2010.
d.
December 17, 2010.

ANS: C

Feedback
A
Using Nägele’s rule, the EDB is calculated by subtracting 3 months from the first day of the LMP and adding 7 days + 1 year to the day of the LMP. Therefore, with an LMP of February 14, 2010:

February 14, 2010 – 3 months = November 14, 2009 + 7 days = November 21, 2009 + 1 year = November 21, 2010
B
Using Nägele’s rule, the EDB is calculated by subtracting 3 months from the first day of the LMP and adding 7 days + 1 year to the day of the LMP. Therefore, with an LMP of February 14, 2010:

February 14, 2010 – 3 months = November 14, 2009 + 7 days = November 21, 2009 + 1 year = November 21, 2010
C
Using Nägele’s rule, this is the correct expected date of birth.
D
Using Nägele’s rule, the EDB is calculated by subtracting 3 months from the first day of the LMP and adding 7 days + 1 year to the day of the LMP. Therefore, with an LMP of February 14, 2010:

February 14, 2010 – 3 months = November 14, 2009 + 7 days = November 21, 2009 + 1 year = November 21, 2010

DIF: Cognitive Level: Knowledge REF: 192
OBJ: Client Needs: Health Promotion and Maintenance TOP: Nursing Process: Assessment

4. Prenatal testing for the human immunodeficiency virus (HIV) is recommended for which women?
a.
All women, regardless of risk factors
b.
A woman who has had more than one sexual partner
c.
A woman who has had a sexually transmitted infection
d.
A woman who is monogamous with her partner

ANS: A

Feedback
A
Testing for the antibody to HIV is strongly recommended for all pregnant women.
B
An HIV test is recommended for all women, regardless of risk factors. The incidence of perinatal transmission from an HIV-positive mother to her fetus ranges from 25% to 35%. Women who test positive for HIV can then be treated.
C
An HIV test is recommended for all women, regardless of risk factors. The incidence of perinatal transmission from an HIV-positive mother to her fetus ranges from 25% to 35%. Women who test positive for HIV can then be treated.
D
An HIV test is recommended for all women, regardless of risk factors. The incidence of perinatal transmission from an HIV-positive mother to her fetus ranges from 25% to 35%. Women who test positive for HIV can then be treated.

DIF: Cognitive Level: Comprehension REF: 202
OBJ: Client Needs: Health Promotion and Maintenance TOP: Nursing Process: Planning

5. With regard to work and travel during pregnancy, nurses should be aware that:
a.
Women should sit for as long as possible and cross their legs at the knees from time to time for exercise.
b.
Women should avoid seat belts and shoulder restraints in the car, because they press on the fetus.
c.
Metal detectors at airport security checkpoints can harm the fetus if the woman passes through them a number of times.
d.
While working or traveling in a car or on a plane, women should arrange to walk around at least every hour or so.

ANS: D

Feedback
A
Pregnant women should avoid sitting or standing for long periods and crossing the legs at the knees.
B
Pregnant women must wear lap belts and shoulder restraints. The most common injury to the fetus comes from injury to the mother.
C
Metal detectors at airport security checkpoints do not harm fetuses.
D
Periodic walking helps prevent thrombophlebitis.

DIF: Cognitive Level: Comprehension REF: 216
OBJ: Client Needs: Health Promotion and Maintenance TOP: Nursing Process: Planning