Chapter 14 Nursing Care of the Family During Pregnancy

Chapter 14  Nursing Care of the Family During Pregnancy

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. Ideally, when should prenatal care 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
Prenatal care should begin soon after the first missed menstrual period. This offers the greatest opportunities to ensure the health of the expectant mother and her infant. Prenatal care before missing the first menstrual period is too early. It is unlikely the woman is even aware of the pregnancy. Ideally, prenatal visits should begin soon after the first period is missed. Beginning prenatal care after the third missed menstrual period is too late. The woman will have completed the first trimester by that time.

DIF: Cognitive Level: Remember REF: p. 301 TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance

2. A woman arrives at the clinic for a pregnancy test. Her last menstrual period (LMP) was February 14, 2015. What is the client’s expected date of birth (EDB)?
a.
September 17, 2015
b.
November 7, 2015
c.
November 21, 2015
d.
December 17, 2015

ANS: C
Using the Nägele’s rule, the EDB is calculated by subtracting 3 months from the month of the LMP and adding 7 days + 1 year to the day of the LMP. Therefore, with an LMP of February 14, 2015, her due date is November 21, 2015. September 17, 2015, is too short a period to complete a normal pregnancy. Using the Nägele’s rule, an EDB of November 7, 2015, is 2 weeks early. December 17, 2015, is almost a month past the correct EDB.

DIF: Cognitive Level: Apply REF: p. 302
TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance

3. Which women should undergo prenatal testing for the human immunodeficiency virus (HIV)?
a.
All women, regardless of risk factors
b.
Women who have had more than one sexual partner
c.
Women who have had a sexually transmitted infection (STI)
d.
Woman who are monogamous with one partner

ANS: A
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: Understand REF: pp. 312, 313 TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance

4. Which sign or symptom is considered a first-trimester warning sign and should be immediately reported by the pregnant woman to her health care provider?
a.
Nausea with occasional vomiting
b.
Fatigue
c.
Urinary frequency
d.
Vaginal bleeding

ANS: D
Signs and symptoms that must be reported include severe vomiting, fever and chills, burning on urination, diarrhea, abdominal cramping, and vaginal bleeding. These symptoms may be signs of complications of the pregnancy. Nausea with occasional vomiting is a normal first-trimester complaint. Although it may be worrisome or annoying to the mother, it is not usually an indication of a problem with the pregnancy. Fatigue is common during the first trimester. Because of physiologic changes that happen during pregnancy, clients should be taught that urinary frequency is normal.

DIF: Cognitive Level: Understand REF: p. 314 TOP: Nursing Process: Planning
MSC: Client Needs: Physiologic Integrity

5. Which client might be well advised to continue condom use during intercourse throughout her pregnancy?
a.
Unmarried pregnant women
b.
Women at risk for acquiring or transmitting STIs
c.
All pregnant women
d.
Women at risk for candidiasis

ANS: B
The objective of safer sex is to provide prophylaxis against the acquisition and transmission of STIs. Because these diseases may be transmitted to the woman and then to her fetus, condom use is recommended throughout the pregnancy if the woman is at risk for acquiring an STI. Pregnant women are encouraged to practice safer sex behaviors. An unmarried pregnant woman may be in a monogamous relationship and not require the use of a condom. The client should be educated as to what may place both herself and her fetus at risk. Any pregnant woman can develop candidiasis, which is an infection not related to condom use.

DIF: Cognitive Level: Apply REF: p. 330 TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance