NUR 3220 Maternal THEORY - Self Assessment Questions
• Question 1
1 out of 1 points
A nurse is taking vital signs on a pregnant woman. Preconception
pulse was 76 beats/minute. Today the pulse is 96 beats/minute.
What action by the nurse is best?
Selected
d.
Answer:
Document findings in the
chart.
Answers: a.
Prepare to start an IV
infusion.
b.
Retake the pulse in 15
minutes.
c.
Inform the provider
immediately.
d.
Document findings in the
chart.
Response The pulse of a pregnant woman increases about 15 to 20
Feedback:
beats/minute throughout the pregnancy. The nurse
should document the findings, but no other actions are
needed as this is a normal finding.
• Question 2
1 out of 1 points
Physiologic anemia often occurs during pregnancy as a result of
Selected
a.
Answer:
dilution of hemoglobin
concentration.
Answers: a.
dilution of hemoglobin
concentration.
b.
decreased production of
erythrocytes.
c.
inadequate intake of iron.
,NUR 3220 Maternal THEORY - Self Assessment Questions
d.
the fetus establishing iron
stores.
Response When blood volume expansion is more pronounced and
Feedback
:
occurs earlier than the increase in red blood cells, the
woman will have physiologic anemia, which is the result
of dilution of hemoglobin concentration rather than
inadequate hemoglobin. Inadequate intake of iron may
lead to true anemia. If the woman does not take an
adequate amount of iron, true anemia may occur when
the fetus pulls stored iron from the maternal system.
There is an increased production of erythrocytes during
pregnancy.
• Question 3
1 out of 1 points
A woman is currently pregnant; she has a 5-year-old son and a 3-
year-old daughter born at full term. She had one other pregnancy
that terminated at 8 weeks. Her gravida and para are
Selected
a.
Answer:
gravida 4
para 2.
Answers: a.
gravida 4
para 2.
b.
gravida 4
para 3.
c.
gravida 3
para 2.
d.
gravida 3
para 3.
Response She has had four pregnancies, including the current one
Feedback
:
(gravida 4). She had two pregnancies that terminated
after 20 weeks (para 2). The pregnancy that terminated
at 8 weeks is classified as an abortion, which is not
included in the gravida-para classification.
• Question 4
1 out of 1 points
, NUR 3220 Maternal THEORY - Self Assessment Questions
A woman’s last menstrual period was June 10. The nurse estimates
the date of delivery (EDD) to be
Selected
b.
Answer:
March
17.
Answers: a.
April
17.
b.
March
17.
c.
April 7.
d.
March
27.
Response To determine the EDD, the nurse uses the first day of the
Feedback
:
last menstrual period (June 10), subtracts 3 months
(March 10), and adds 7 days (March 17). The year is
corrected if needed. April 7 would be subtracting 2
months instead of 3 months and then subtracting 3 days
instead of adding 7 days. March is the correct month, but
instead of adding 7 days, 17 days were added to get
March 27. April 17 is subtracting 2 months instead of 3
months.
• Question 5
1 out of 1 points
A patient notices that the doctor writes “positive Chadwick’s sign”
on her chart. She asks the nurse what this means. The nurse’s best
response is
Selected
c.
Answer:
“It refers to the bluish color of the cervix in
pregnancy.”
Answers: a.
“That refers to a positive sign of pregnancy.”
b.
“The doctor was able to flex the uterus
against the cervix.”
• Question 1
1 out of 1 points
A nurse is taking vital signs on a pregnant woman. Preconception
pulse was 76 beats/minute. Today the pulse is 96 beats/minute.
What action by the nurse is best?
Selected
d.
Answer:
Document findings in the
chart.
Answers: a.
Prepare to start an IV
infusion.
b.
Retake the pulse in 15
minutes.
c.
Inform the provider
immediately.
d.
Document findings in the
chart.
Response The pulse of a pregnant woman increases about 15 to 20
Feedback:
beats/minute throughout the pregnancy. The nurse
should document the findings, but no other actions are
needed as this is a normal finding.
• Question 2
1 out of 1 points
Physiologic anemia often occurs during pregnancy as a result of
Selected
a.
Answer:
dilution of hemoglobin
concentration.
Answers: a.
dilution of hemoglobin
concentration.
b.
decreased production of
erythrocytes.
c.
inadequate intake of iron.
,NUR 3220 Maternal THEORY - Self Assessment Questions
d.
the fetus establishing iron
stores.
Response When blood volume expansion is more pronounced and
Feedback
:
occurs earlier than the increase in red blood cells, the
woman will have physiologic anemia, which is the result
of dilution of hemoglobin concentration rather than
inadequate hemoglobin. Inadequate intake of iron may
lead to true anemia. If the woman does not take an
adequate amount of iron, true anemia may occur when
the fetus pulls stored iron from the maternal system.
There is an increased production of erythrocytes during
pregnancy.
• Question 3
1 out of 1 points
A woman is currently pregnant; she has a 5-year-old son and a 3-
year-old daughter born at full term. She had one other pregnancy
that terminated at 8 weeks. Her gravida and para are
Selected
a.
Answer:
gravida 4
para 2.
Answers: a.
gravida 4
para 2.
b.
gravida 4
para 3.
c.
gravida 3
para 2.
d.
gravida 3
para 3.
Response She has had four pregnancies, including the current one
Feedback
:
(gravida 4). She had two pregnancies that terminated
after 20 weeks (para 2). The pregnancy that terminated
at 8 weeks is classified as an abortion, which is not
included in the gravida-para classification.
• Question 4
1 out of 1 points
, NUR 3220 Maternal THEORY - Self Assessment Questions
A woman’s last menstrual period was June 10. The nurse estimates
the date of delivery (EDD) to be
Selected
b.
Answer:
March
17.
Answers: a.
April
17.
b.
March
17.
c.
April 7.
d.
March
27.
Response To determine the EDD, the nurse uses the first day of the
Feedback
:
last menstrual period (June 10), subtracts 3 months
(March 10), and adds 7 days (March 17). The year is
corrected if needed. April 7 would be subtracting 2
months instead of 3 months and then subtracting 3 days
instead of adding 7 days. March is the correct month, but
instead of adding 7 days, 17 days were added to get
March 27. April 17 is subtracting 2 months instead of 3
months.
• Question 5
1 out of 1 points
A patient notices that the doctor writes “positive Chadwick’s sign”
on her chart. She asks the nurse what this means. The nurse’s best
response is
Selected
c.
Answer:
“It refers to the bluish color of the cervix in
pregnancy.”
Answers: a.
“That refers to a positive sign of pregnancy.”
b.
“The doctor was able to flex the uterus
against the cervix.”
