Maternal Child Nursing Care Ch.7 Anatomy &
Physiology of Pregnancy Exam Questions Solved
to Score A+
4-1-2-0-2
Gravida (the first number) is 4 because this woman is now pregnant and was pregnant 3 times before.
Para (the next 4 numbers) represents the outcomes of the pregnancies and is described as: 4T: 1 = term
birth at 41 weeks of gestation (son) 4P: 2 = preterm birth at 32 weeks of gestation (stillbirth) and 36
weeks of gestation (daughter) 4A: 0 = abortion: none occurred 4L: 2 = living children: her son and her
daughter. - Answer A pregnant woman is the mother of two children. Her first pregnancy ended in a
stillbirth at 32 weeks of gestation, her second pregnancy with the birth of her daughter at 36 weeks, and
her third pregnancy with the birth of her son at 41 weeks. Using the 5-digit system (#-#-#-#-#) to
describe this woman's current obstetric history, the nurse records ____________________________.
1, 2, 5
High levels of estrogen during pregnancy increase the production of cervical mucus. Therefore pregnant
women have copious white or gray cervical discharge. Increased estrogen levels increase the blood
supply to the breasts, thereby causing breast heaviness. The presence of well-defined pink blotches on
the palm, referred to as palmar erythema, is also the effect of increased estrogen levels during
pregnancy. Milk production is possible only when the baby has been delivered and there is a decreased
estrogen level in the body. High levels of estrogen cause laxity of the ligaments of the rib cage, which
increases the chest expansion. - Answer The hormonal reports of a pregnant female reveal increased
estrogen levels in the body. Which related signs would the nurse find in the patient? Select all that
apply.
1
Mucoid discharge from the cervix
2
Heaviness in the patient's breasts
3
Milk discharge from the patient's nipples
4
Decreased chest expansion of the patient
,5
Well-defined pink blotches on the palm
1
Diuretics are the medications that are usually prescribed to a patient with hypertension. These drugs
may interfere with the levels of human chorionic gonadotropin (hCG) hormone. This may give a false-
negative home pregnancy test result. Analgesics are the group of drugs used for pain relief. These drugs
do not affect the hCG levels and therefore do not show a false report in the home pregnancy test.
Tranquilizers are the drugs used for reducing anxiety, fear, and tension. The use of a tranquilizer results
in a false-positive pregnancy test result because it increases hCG levels. Anticonvulsants are a group of
drugs used in treating epileptic seizures; they affect the hCG levels and create a false-positive test result.
- Answer A patient who is pregnant used a home pregnancy test that showed a negative result. What
will the nurse check for in the medication history of the patient?
1
Diuretics
2
Analgesics
3
Tranquilizers
4
Anticonvulsants
2
The nurse suggests the patient avoid pregnancy because the patient is using isotretinoin (Accutane) for
the treatment of acne. This medication is teratogenic and is associated with fetal malformations.
Proteinuria and increased blood glucose levels are the common conditions during pregnancy, although
they disappear after childbirth. Promethazine (Phenergan) therapy can cause only false-negative results
for pregnancy tests. This drug is not a contraindication for pregnancy. - Answer The nurse reviews the
medical records of a patient and suggests the patient avoid becoming pregnant. Why does the nurse
suggest so? The patient:
1
Has excess proteins in the urine.
, 2
Is using isotretinoin (Accutane).
3
Has increased blood sugar levels.
4
Is taking promethazine (Phenergan).
4
Paresthesia is an abnormal sensation that is perceived as a burning and tingling in the skin. This is
caused by edema that compresses the nerves. Edema in carpal ligament of the wrist causes carpal
tunnel syndrome, which is characterized by paresthesia. Sciatica is a burning pain that is felt in the back,
buttocks, and leg when the sciatic nerve is irritated. Neuralgia is a stabbing, burning pain that occurs
along a damaged nerve. Acroesthesia is the numbness and tingling of the hands caused by stoop-
shouldered stance. - Answer The nurse is caring for a pregnant patient who is in the third trimester. The
patient reports a burning sensation starting from the hands to the elbow. On further evaluation, the
nurse finds compression in the carpal ligament of the wrist. What finding does the nurse infer from
examining the patient?
1
Sciatica
2
Neuralgia
3
Acroesthesia
4
Paresthesia
4
Carpal tunnel syndrome is characterized by paresthesia and pain in the hand radiating to the elbow.
Smoking and alcohol consumption impairs the microcirculation and worsens the symptoms of the
syndrome. Smoking does not worsen the signs of supine hypotensive syndrome, osteoporosis, and
gestational diabetes. If the patient had supine hypotensive syndrome, then the nurse would have
Physiology of Pregnancy Exam Questions Solved
to Score A+
4-1-2-0-2
Gravida (the first number) is 4 because this woman is now pregnant and was pregnant 3 times before.
Para (the next 4 numbers) represents the outcomes of the pregnancies and is described as: 4T: 1 = term
birth at 41 weeks of gestation (son) 4P: 2 = preterm birth at 32 weeks of gestation (stillbirth) and 36
weeks of gestation (daughter) 4A: 0 = abortion: none occurred 4L: 2 = living children: her son and her
daughter. - Answer A pregnant woman is the mother of two children. Her first pregnancy ended in a
stillbirth at 32 weeks of gestation, her second pregnancy with the birth of her daughter at 36 weeks, and
her third pregnancy with the birth of her son at 41 weeks. Using the 5-digit system (#-#-#-#-#) to
describe this woman's current obstetric history, the nurse records ____________________________.
1, 2, 5
High levels of estrogen during pregnancy increase the production of cervical mucus. Therefore pregnant
women have copious white or gray cervical discharge. Increased estrogen levels increase the blood
supply to the breasts, thereby causing breast heaviness. The presence of well-defined pink blotches on
the palm, referred to as palmar erythema, is also the effect of increased estrogen levels during
pregnancy. Milk production is possible only when the baby has been delivered and there is a decreased
estrogen level in the body. High levels of estrogen cause laxity of the ligaments of the rib cage, which
increases the chest expansion. - Answer The hormonal reports of a pregnant female reveal increased
estrogen levels in the body. Which related signs would the nurse find in the patient? Select all that
apply.
1
Mucoid discharge from the cervix
2
Heaviness in the patient's breasts
3
Milk discharge from the patient's nipples
4
Decreased chest expansion of the patient
,5
Well-defined pink blotches on the palm
1
Diuretics are the medications that are usually prescribed to a patient with hypertension. These drugs
may interfere with the levels of human chorionic gonadotropin (hCG) hormone. This may give a false-
negative home pregnancy test result. Analgesics are the group of drugs used for pain relief. These drugs
do not affect the hCG levels and therefore do not show a false report in the home pregnancy test.
Tranquilizers are the drugs used for reducing anxiety, fear, and tension. The use of a tranquilizer results
in a false-positive pregnancy test result because it increases hCG levels. Anticonvulsants are a group of
drugs used in treating epileptic seizures; they affect the hCG levels and create a false-positive test result.
- Answer A patient who is pregnant used a home pregnancy test that showed a negative result. What
will the nurse check for in the medication history of the patient?
1
Diuretics
2
Analgesics
3
Tranquilizers
4
Anticonvulsants
2
The nurse suggests the patient avoid pregnancy because the patient is using isotretinoin (Accutane) for
the treatment of acne. This medication is teratogenic and is associated with fetal malformations.
Proteinuria and increased blood glucose levels are the common conditions during pregnancy, although
they disappear after childbirth. Promethazine (Phenergan) therapy can cause only false-negative results
for pregnancy tests. This drug is not a contraindication for pregnancy. - Answer The nurse reviews the
medical records of a patient and suggests the patient avoid becoming pregnant. Why does the nurse
suggest so? The patient:
1
Has excess proteins in the urine.
, 2
Is using isotretinoin (Accutane).
3
Has increased blood sugar levels.
4
Is taking promethazine (Phenergan).
4
Paresthesia is an abnormal sensation that is perceived as a burning and tingling in the skin. This is
caused by edema that compresses the nerves. Edema in carpal ligament of the wrist causes carpal
tunnel syndrome, which is characterized by paresthesia. Sciatica is a burning pain that is felt in the back,
buttocks, and leg when the sciatic nerve is irritated. Neuralgia is a stabbing, burning pain that occurs
along a damaged nerve. Acroesthesia is the numbness and tingling of the hands caused by stoop-
shouldered stance. - Answer The nurse is caring for a pregnant patient who is in the third trimester. The
patient reports a burning sensation starting from the hands to the elbow. On further evaluation, the
nurse finds compression in the carpal ligament of the wrist. What finding does the nurse infer from
examining the patient?
1
Sciatica
2
Neuralgia
3
Acroesthesia
4
Paresthesia
4
Carpal tunnel syndrome is characterized by paresthesia and pain in the hand radiating to the elbow.
Smoking and alcohol consumption impairs the microcirculation and worsens the symptoms of the
syndrome. Smoking does not worsen the signs of supine hypotensive syndrome, osteoporosis, and
gestational diabetes. If the patient had supine hypotensive syndrome, then the nurse would have
