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Chapter 4 – Prenatal Care and Adaptation to Pregnancy Quiz

1. A woman who is 7 weeks pregnant tells the nurse that this is not her first pregnancy. She has a 2-year-old son and had one previous spontaneous abortion. Using the TPAL system, the patient’s obstetric history would be recorded as:
2. A woman asks the nurse about the frequency of prenatal visits. In an uncomplicated pregnancy, the nurse would tell her that appointments are scheduled:
3. During the physical examination for the first prenatal visit, it is noted that Chadwick’s sign is present. This refers to the:
4. After the examination is completed, the patient asks the nurse why Chadwick’s sign occurs during pregnancy. The nurse would explain that it is caused by the:
5. The nurse has explained physiological changes that occur during pregnancy. Which statement indicates that the woman understands the information?
6. A woman reports that her last normal menstrual period began on August 5, 2010. Using Nägele’s rule, her expected date of delivery would be _____, 2011.
7. During the second prenatal visit, the nurse attempts to locate the fetal heartbeat with an electronic Doppler device. When this instrument is used, fetal heart tones can be detected as early as _____ weeks.
8. In a routine prenatal visit, the nurse examining a patient who is 37 weeks pregnant notices that the fetal heart rate (FHR) has dropped to 120 beats/min from a rate of 160 beats/min earlier in the pregnancy. The nurse should:
9. A woman’s prepregnant weight is average for her height. The nurse would advise the woman that her recommended weight gain during pregnancy would be _____ pounds.
10. When the nurse tells a pregnant woman that she needs 1,200 mg of calcium daily during pregnancy, the woman responds, “I don’t like milk.” What dietary adjustments could the nurse recommend?
11. A pregnant woman is experiencing nausea in the early morning. What recommendations would the nurse offer to alleviate this symptom?
12. The patient who is 28 weeks pregnant shows a 10-pound weight gain from 2 weeks ago. The nurse should initially:
13. The patient remarks that she has heard some foods will enhance brain development of the fetus. The nurse replies that foods high in docosahexaenoic acid (DHA) are thought to enhance brain development. Such foods include:
14. The nurse encourages adequate intake of folic acid because it is thought to decrease the incidence of:
15. A woman tells the nurse that she is quite sure she is pregnant. The nurse recognizes which as a positive sign of pregnancy?
16. At her initial prenatal visit a woman asks, “When can I hear the baby’s heartbeat?” The nurse would respond that the fetal heartbeat can be auscultated with a specially adapted stethoscope or fetoscope at _____ weeks.
17. A woman pregnant for the first time asks the nurse, “When will I begin to feel the baby move?” The nurse would answer:
18. The patient who is 40 weeks pregnant complains of a sense of weakness and dizziness when she lies on her back. The nurse assesses this as an indication of:
19. A pregnant woman inquires about exercising during pregnancy. In planning the teaching for this woman, the nurse should include what information?
20. An ultrasound confirms that a 16-year-old girl is pregnant. The nurse recognizes the need for prenatal care and counseling for adolescents because:
21. The nurse explains that the number of years between menarche and the date of conception is known as _____ age.
22. The woman who becomes pregnant for the first time after the age of ____ years is described as an “elderly primip.”
23. The nurse explains that the softening of the cervix and vagina is a probable sign of pregnancy called _____ sign.
24. A woman who is 36 weeks pregnant tells the nurse she plans to fly to Hawaii, which is a 12-hour flight. What would the nurse recommend that the patient do during the flight? Select all that apply.
25. The nurse cautions the patient that, because of hormonal changes in late pregnancy, the pelvic joints relax. What does this result in? Select all that apply.
26. The nurse assesses the progress from the announcement stage of fatherhood to the acceptance stage when the patient reports which action(s) by the father? Select all that apply.
27. What should the nurse do for the prenatal patient in terms of prenatal care? Select all that apply.
28. The nurse recognizes which behavior characteristic(s) of women in their first trimester of pregnancy? Select all that apply.
29. The nurse reminds the prenatal patient that she should add ________ kcal to her daily intake to nourish the fetus.