Introduction to Maternity And Pediatric Nursing, 7th Edition by Gloria Leifer-Test Bank

Test Bank For Introduction to Maternity And Pediatric Nursing, 7th Edition by Gloria Leifer

ISBN-10:9781455770151 , ISBN-13:978-1455770151

Chapter 04: Prenatal Care and Diversifications to Being pregnant

MULTIPLE CHOICE

1. A girl who’s 7 weeks pregnant tells the nurse that this isn’t her first being pregnant. She has a 2-year-old son and had one earlier spontaneous abortion. How would the nurse doc the affected person’s obstetric historical past utilizing the TPALM system?

a.

Gravida 2, para 20120

b.

Gravida 3, para 10011

c.

Gravida 3, para 10110

d.

Gravida 2, para 11110

ANS: C

Refer to Field 4-1 within the textbook for the TPALM system of figuring out gravida and para.

DIF: Cognitive Degree: ApplicationREF: Web page 48, Field 4-1

OBJ:1TOP: Definition of Phrases

KEY: Nursing Course of Step: Implementation

MSC: NCLEX: Well being Promotion and Upkeep: Prevention and Early Detection of Illness

2. A girl calls her healthcare supplier to schedule prenatal visits in an uncomplicated being pregnant. How incessantly will the nurse help the affected person to schedule these appointments?

a.

Each 3 weeks till the sixth month, then each 2 weeks till supply

b.

Each 4 weeks till the 7th month, after which appointments will develop into extra frequent

c.

Month-to-month till the eighth month

d.

Each 2 to 3 weeks for your entire being pregnant

ANS: B

Month-to-month visits are scheduled up to 28 weeks, after which visits enhance to each 2 to 3 weeks by 36 weeks. From 36 weeks till supply, visits are weekly.

DIF: Cognitive Degree: Software REF: Web page 46 OBJ: 2 | 3

TOP: Prenatal Visits KEY: Nursing Course of Step: Implementation

MSC: NCLEX: Well being Promotion and Upkeep: Prevention and Early Detection of Illness

3. In the course of the bodily examination for the primary prenatal go to, it’s famous that Chadwick’s signal is current. What’s Chadwick’s signal?

a.

Bluish or purplish discoloration of the vulva, vagina, and cervix

b.

Presence of early fetal actions

c.

Darkening of the areola and breast tenderness

d.

Palpation of the fetal define

ANS: A

Chadwick’s signal is the purplish or bluish discoloration of the cervix and vagina.

DIF: Cognitive Degree: Information REF: Web page 49 OBJ: 7

TOP:Regular Physiological Adjustments in Being pregnant

KEY:Nursing Course of Step: Information Assortment

MSC:NCLEX: Physiological Integrity: Physiological Adaptation

4. After the examination is accomplished, the affected person asks the nurse why Chadwick’s signal happens throughout being pregnant. What would the nurse clarify as the reason for Chadwick’s signal?

a.

Enlargement of the uterus

b.

Progesterone motion on the breasts

c.

Growing exercise of the fetus

d.

Vascular congestion within the pelvic space

ANS: D

Chadwick’s signal is precipitated by elevated vascular congestion within the cervical and vaginal space.

DIF: Cognitive Degree: Comprehension REF: Web page 49 OBJ: 6 | 7

TOP:Regular Physiological Adjustments in Being pregnant

KEY:Nursing Course of Step: Implementation

MSC:NCLEX: Physiological Integrity: Physiological Adaptation

5. The nurse has defined physiological modifications that happen throughout being pregnant. Which assertion signifies that the girl understands the knowledge?

a.

“Blood strain goes up towards the top of being pregnant.”

b.

“My respiration will get deeper and a bit sooner.”

c.

“I’ll discover a decreased pigmentation in my pores and skin.”

d.

“There shall be a curvature within the higher backbone space.”

ANS: B

The pregnant girl breathes extra deeply, and her respiratory price could enhance barely.

DIF: Cognitive Degree: Comprehension REF: Web page 52 OBJ: 7 | 13

TOP:Regular Physiological Adjustments in Being pregnant

KEY:Nursing Course of Step: Analysis

MSC:NCLEX: Physiological Integrity: Physiological Adaptation

6. A girl reviews that her final regular menstrual interval started on August 5, 2013. What is that this girl’s anticipated supply date utilizing Nägele’s rule?

a.

April 30, 2014

b.

Could 5, 2014

c.

Could 12, 2014

d.

Could 26, 2014

ANS: C

To find out the anticipated date of supply, depend backward 3 months from the primary day of the final menstrual interval, then add 7 days and alter the 12 months if essential.

DIF:Cognitive Degree: AnalysisREF:Web page 48, Field 4-2

OBJ:5TOP:Figuring out Estimated Date of Supply

KEY:Nursing Course of Step: Information Assortment

MSC: NCLEX: Well being Promotion and Upkeep: Progress and Improvement

7. In the course of the second prenatal go to, the nurse makes an attempt to find the fetal heartbeat with an digital Doppler machine. How early would possibly fetal coronary heart tones be detected with an digital Doppler machine?

a.

4 weeks

b.

8 weeks

c.

10 weeks

d.

14 weeks

ANS: C

The fetal heartbeat may be detected as early as 10 weeks of being pregnant utilizing a Doppler machine.

DIF: Cognitive Degree: Information REF: Web page 50 OBJ: 3 | 7

TOP:Regular Physiological Adjustments in Being pregnant

KEY:Nursing Course of Step: Information Assortment

MSC: NCLEX: Well being Promotion and Upkeep: Prevention and Early Detection of Illness

8. In a routine prenatal go to, the nurse inspecting a affected person who’s 37 weeks pregnant notices that the fetal coronary heart price (FHR) has dropped to 120 beats/min from a price of 160 beats/min earlier within the being pregnant. What’s the nurse’s first motion?

a.

Ask if the affected person has taken a sedative.

b.

Notify the doctor.

c.

Flip the affected person to her proper aspect.

d.

Document the speed as a traditional discovering.

ANS: D

The FHR at time period ranges from a low of 110 to 120 beats/min to a excessive of 150 to 160 beats/min. This must be recorded as regular. The FHR drops within the late levels of being pregnant.

DIF: Cognitive Degree: Software REF: Web page 50 OBJ: 3

TOP: Assessing Fetal Coronary heart Tone KEY: Nursing Course of Step: Information Assortment

MSC:NCLEX: Physiological Integrity: Physiological Adaptation

9. A girl’s prepregnant weight is set to be common for her top. What’s going to the nurse advise the girl relating to really helpful weight acquire throughout being pregnant?

a.

10 to 20 kilos

b.

15 to 25 kilos

c.

25 to 35 kilos

d.

28 to 40 kilos

ANS: C

The really helpful weight acquire for a lady of regular weight earlier than being pregnant is 25 to 35 kilos.

DIF: Cognitive Degree: Information REF: Web page 57 OBJ: 8

TOP: Diet in Being pregnant KEY: Nursing Course of Step: Implementation

MSC:NCLEX: Physiological Integrity: Physiological Adaptation

10. When the nurse tells a pregnant girl that she wants 1200 mg of calcium each day throughout being pregnant, the girl responds, “I don’t like milk.” What dietary changes might the nurse advocate?

a.

Enhance consumption of organ meats.

b.

Eat extra inexperienced leafy greens.

c.

Select extra recent fruits, notably citrus fruits.

d.

Embody molasses and whole-grain breads within the food plan.

ANS: B

For girls who don’t like milk, different sources of calcium embrace enriched cereals, legumes, nuts, dried fruits, inexperienced leafy greens, and canned salmon and sardines that include bones.

DIF: Cognitive Degree: Software REF: Web page 60 OBJ: 8 | 13

TOP: Diet for Being pregnant KEY: Nursing Course of Step: Implementation

MSC: NCLEX: Physiological Integrity: Discount of Danger

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