NURS 215 - EXAM 3 - PREVIOUS YEAR'S BOOK (1 OF 3)
QUESTIONS WITH ACCURATE ANSWERS
(MATCHING)
All pregnant women should be instructed to recognize and report potential
complications for each trimester of pregnancy. Match the sign or symptom with a
possible cause.
a. Severe vomiting in early pregnancy
d. Decreased fetal movement
b. Epigastric
e. Glycosuria pain in late pregnancy
c. Severe backache and flank pain
36. Fetal jeopardy or intrauterine fetal death
37. Kidney infection or stones
38. Gestational diabetes
39. Hyperemesis gravidarum
40. Hypertension, preeclampsia correct answer 36.ANS: D
37. ANS: C
39. ANS: A
40. ANS: B
1. A 22-year-old woman pregnant with a single fetus has a preconception body
mass index (BMI) of 24. When she was seen in the clinic at 14 weeks of gestation,
she had gained 1.8 kg (4 lb) since conception. How would the nurse interpret this?
,a. This weight gain indicates possible gestational hypertension.
b. This weight gain indicates that the womans infant is at risk for intrauterine
growth restriction (IUGR).
c. This weight gain cannot be evaluated until the woman has been observed for
several more weeks.
d. The womans weight gain is appropriate for this stage of pregnancy. correct
answer ANS: D
The statement The womans weight gain is appropriate for this stage of pregnancy
is accurate. This womans BMI is within the normal range. During the first
trimester, the average total weight gain is only 1 to 2.5 kg. Although weight gain
does indicate possible gestational hypertension, it does not apply to this patient.
The desirable weight gain during pregnancy varies among women. The primary
factor to consider in making a weight gain recommendation is the
appropriateness of the prepregnancy weight for the womans height. A commonly
used method of evaluating the appropriateness of weight for height is the BMI.
Although weight gain does indicate risk for IUGR, this does not apply to this
patient. Weight gain should occur at a steady rate throughout the pregnancy. The
optimal rate of weight gain also depends on the stage of the pregnancy.
1. A woman's obstetric history indicates that she is pregnant for the fourth time
and all of her children from previous pregnancies are living. One was born at 39
weeks of gestation, twins were born at 34 weeks of gestation, and another child
was born at 35 weeks of gestation. What is her gravidity and parity using the
GTPAL system?
a. 3-1-1-1-3
b. 4-1-2-0-4
c. 3-0-3-0-3
,d. 4-2-1-0-3 correct answer ANS: B
The correct calculation of this woman's gravidity and parity is 4-1-2-0-4. The
numbers reflect the woman's gravidity and parity information. Using the GPTAL
system, her information is calculated as:
G: The first number reflects the total number of times the woman has been
pregnant; she is pregnant for the fourth time.
T: This number indicates the number of pregnancies carried to term, not the
number of deliveries at term; only one of her pregnancies has resulted in a fetus
at term.
P: This is the number of pregnancies that resulted in a preterm birth; the woman
has had two pregnancies in which she delivered preterm.
A: This number signifies whether the woman has had any abortions or
miscarriages before the period of viability; she has not.
L: This number signifies the number of children born that currently are living; the
woman has four children.
1. The nurse caring for a newly pregnant woman would advise her that ideally
prenatal care should 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. correct answer ANS: B
Prenatal care ideally should begin soon after the first missed menstrual period.
Regular prenatal visits offer opportunities to ensure the health of the expectant
mother and her infant.
, 2. A woman at 10 weeks of gestation who is seen in the prenatal clinic with
presumptive signs and symptoms of pregnancy likely will have:
a. Amenorrhea.
b. Positive pregnancy test.
c. Chadwicks sign.
d. Hegars sign. correct answer ANS: A
Amenorrhea is a presumptive sign of pregnancy. Presumptive signs of pregnancy
are felt by the woman. A positive pregnancy test, the presence of Chadwicks sign,
and the presence of Hegars sign all are probable signs of pregnancy.
2. Prenatal testing for human immunodeficiency virus (HIV) is recommended for:
a. All women, regardless of risk factors.
b. A woman who has had more than one sexual partner
c. A woman who has had a sexually transmitted infection.
d. A woman who is monogamous with her partner. correct answer ANS: A
Testing for the antibody to HIV is strongly recommended for all pregnant women.
A HIV test is recommended for all women, regardless of risk factors. Women who
test positive for HIV can be treated, reducing the risk of transmission to the fetus.
2. Which meal would provide the most absorbable iron?
a. Toasted cheese sandwich, celery sticks, tomato slices, and a grape drink
b. Oatmeal, whole wheat toast, jelly, and low-fat milk
c. Black bean soup, wheat crackers, orange sections, and prunes
QUESTIONS WITH ACCURATE ANSWERS
(MATCHING)
All pregnant women should be instructed to recognize and report potential
complications for each trimester of pregnancy. Match the sign or symptom with a
possible cause.
a. Severe vomiting in early pregnancy
d. Decreased fetal movement
b. Epigastric
e. Glycosuria pain in late pregnancy
c. Severe backache and flank pain
36. Fetal jeopardy or intrauterine fetal death
37. Kidney infection or stones
38. Gestational diabetes
39. Hyperemesis gravidarum
40. Hypertension, preeclampsia correct answer 36.ANS: D
37. ANS: C
39. ANS: A
40. ANS: B
1. A 22-year-old woman pregnant with a single fetus has a preconception body
mass index (BMI) of 24. When she was seen in the clinic at 14 weeks of gestation,
she had gained 1.8 kg (4 lb) since conception. How would the nurse interpret this?
,a. This weight gain indicates possible gestational hypertension.
b. This weight gain indicates that the womans infant is at risk for intrauterine
growth restriction (IUGR).
c. This weight gain cannot be evaluated until the woman has been observed for
several more weeks.
d. The womans weight gain is appropriate for this stage of pregnancy. correct
answer ANS: D
The statement The womans weight gain is appropriate for this stage of pregnancy
is accurate. This womans BMI is within the normal range. During the first
trimester, the average total weight gain is only 1 to 2.5 kg. Although weight gain
does indicate possible gestational hypertension, it does not apply to this patient.
The desirable weight gain during pregnancy varies among women. The primary
factor to consider in making a weight gain recommendation is the
appropriateness of the prepregnancy weight for the womans height. A commonly
used method of evaluating the appropriateness of weight for height is the BMI.
Although weight gain does indicate risk for IUGR, this does not apply to this
patient. Weight gain should occur at a steady rate throughout the pregnancy. The
optimal rate of weight gain also depends on the stage of the pregnancy.
1. A woman's obstetric history indicates that she is pregnant for the fourth time
and all of her children from previous pregnancies are living. One was born at 39
weeks of gestation, twins were born at 34 weeks of gestation, and another child
was born at 35 weeks of gestation. What is her gravidity and parity using the
GTPAL system?
a. 3-1-1-1-3
b. 4-1-2-0-4
c. 3-0-3-0-3
,d. 4-2-1-0-3 correct answer ANS: B
The correct calculation of this woman's gravidity and parity is 4-1-2-0-4. The
numbers reflect the woman's gravidity and parity information. Using the GPTAL
system, her information is calculated as:
G: The first number reflects the total number of times the woman has been
pregnant; she is pregnant for the fourth time.
T: This number indicates the number of pregnancies carried to term, not the
number of deliveries at term; only one of her pregnancies has resulted in a fetus
at term.
P: This is the number of pregnancies that resulted in a preterm birth; the woman
has had two pregnancies in which she delivered preterm.
A: This number signifies whether the woman has had any abortions or
miscarriages before the period of viability; she has not.
L: This number signifies the number of children born that currently are living; the
woman has four children.
1. The nurse caring for a newly pregnant woman would advise her that ideally
prenatal care should 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. correct answer ANS: B
Prenatal care ideally should begin soon after the first missed menstrual period.
Regular prenatal visits offer opportunities to ensure the health of the expectant
mother and her infant.
, 2. A woman at 10 weeks of gestation who is seen in the prenatal clinic with
presumptive signs and symptoms of pregnancy likely will have:
a. Amenorrhea.
b. Positive pregnancy test.
c. Chadwicks sign.
d. Hegars sign. correct answer ANS: A
Amenorrhea is a presumptive sign of pregnancy. Presumptive signs of pregnancy
are felt by the woman. A positive pregnancy test, the presence of Chadwicks sign,
and the presence of Hegars sign all are probable signs of pregnancy.
2. Prenatal testing for human immunodeficiency virus (HIV) is recommended for:
a. All women, regardless of risk factors.
b. A woman who has had more than one sexual partner
c. A woman who has had a sexually transmitted infection.
d. A woman who is monogamous with her partner. correct answer ANS: A
Testing for the antibody to HIV is strongly recommended for all pregnant women.
A HIV test is recommended for all women, regardless of risk factors. Women who
test positive for HIV can be treated, reducing the risk of transmission to the fetus.
2. Which meal would provide the most absorbable iron?
a. Toasted cheese sandwich, celery sticks, tomato slices, and a grape drink
b. Oatmeal, whole wheat toast, jelly, and low-fat milk
c. Black bean soup, wheat crackers, orange sections, and prunes
