NUR 230 Concepts Of Nursing:
The Childbearing/Child Caring
Family
1. Which physiologic change is expected during the second trimester of pregnancy?
A. Decreased cardiac output
B. Increased tidal volume
C. Decreased plasma volume
D. Increased insulin sensitivity
Correct Answer: B
2. A pregnant woman at 20 weeks’ gestation reports dizziness and fainting when lying on her
back. The nurse explains that this is due to:
A. Decreased blood pressure due to increased progesterone levels.
B. Compression of the inferior vena cava by the uterus.
C. Hyperventilation caused by increased oxygen demands.
D. Decreased venous return from the legs.
Correct Answer: B
3. Which psychological adaptation is commonly observed in the third trimester of pregnancy?
A. Ambivalence about the pregnancy
B. Concern about body image
1|Page
,NUR 230 Concepts Of Nursing:
The Childbearing/Child Caring
Family
C. Increased dependence on the partner
2|Page
,NUR 230 Concepts Of Nursing:
The Childbearing/Child Caring
Family
D. Fear of labor and delivery
Correct Answer: D
4. During pregnancy, what hormone is primarily responsible for softening the cervix in
preparation for labor?
A. Estrogen
B. Progesterone
C. Relaxin
D. Oxytocin
Correct Answer: C
5. A woman at 32 weeks gestation experiences heartburn. What is the most likely cause of this
discomfort?
A. Increased production of gastric acid
B. Decreased gastric motility due to progesterone
C. Increased pressure from the enlarging uterus
D. Increased circulating levels of relaxin
Correct Answer: B
### Nutrition, Sleep, Activity, and Exercise During Pregnancy
3|Page
, NUR 230 Concepts Of Nursing:
The Childbearing/Child Caring
Family
6. Which nutrient is most essential to prevent neural tube defects in the fetus?
A. Calcium
B. Iron
C. Folic acid
D. Vitamin D
Correct Answer: C
7. A pregnant woman asks about exercising during pregnancy. Which recommendation should
the nurse provide?
A. Avoid any type of exercise after 20 weeks’ gestation.
B. Engage in moderate exercise such as walking or swimming for 30 minutes most days.
C. Limit exercise to only stretching to avoid increased risk of injury.
D. Exercise vigorously to maintain weight during pregnancy.
Correct Answer: B
8. A pregnant woman at 16 weeks gestation reports difficulty sleeping due to discomfort. Which
intervention should the nurse recommend?
A. Sleep on your back with pillows under the knees.
B. Sleep in a semiFowler’s position.
4|Page
The Childbearing/Child Caring
Family
1. Which physiologic change is expected during the second trimester of pregnancy?
A. Decreased cardiac output
B. Increased tidal volume
C. Decreased plasma volume
D. Increased insulin sensitivity
Correct Answer: B
2. A pregnant woman at 20 weeks’ gestation reports dizziness and fainting when lying on her
back. The nurse explains that this is due to:
A. Decreased blood pressure due to increased progesterone levels.
B. Compression of the inferior vena cava by the uterus.
C. Hyperventilation caused by increased oxygen demands.
D. Decreased venous return from the legs.
Correct Answer: B
3. Which psychological adaptation is commonly observed in the third trimester of pregnancy?
A. Ambivalence about the pregnancy
B. Concern about body image
1|Page
,NUR 230 Concepts Of Nursing:
The Childbearing/Child Caring
Family
C. Increased dependence on the partner
2|Page
,NUR 230 Concepts Of Nursing:
The Childbearing/Child Caring
Family
D. Fear of labor and delivery
Correct Answer: D
4. During pregnancy, what hormone is primarily responsible for softening the cervix in
preparation for labor?
A. Estrogen
B. Progesterone
C. Relaxin
D. Oxytocin
Correct Answer: C
5. A woman at 32 weeks gestation experiences heartburn. What is the most likely cause of this
discomfort?
A. Increased production of gastric acid
B. Decreased gastric motility due to progesterone
C. Increased pressure from the enlarging uterus
D. Increased circulating levels of relaxin
Correct Answer: B
### Nutrition, Sleep, Activity, and Exercise During Pregnancy
3|Page
, NUR 230 Concepts Of Nursing:
The Childbearing/Child Caring
Family
6. Which nutrient is most essential to prevent neural tube defects in the fetus?
A. Calcium
B. Iron
C. Folic acid
D. Vitamin D
Correct Answer: C
7. A pregnant woman asks about exercising during pregnancy. Which recommendation should
the nurse provide?
A. Avoid any type of exercise after 20 weeks’ gestation.
B. Engage in moderate exercise such as walking or swimming for 30 minutes most days.
C. Limit exercise to only stretching to avoid increased risk of injury.
D. Exercise vigorously to maintain weight during pregnancy.
Correct Answer: B
8. A pregnant woman at 16 weeks gestation reports difficulty sleeping due to discomfort. Which
intervention should the nurse recommend?
A. Sleep on your back with pillows under the knees.
B. Sleep in a semiFowler’s position.
4|Page
