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Chapter 30: The Pregnant Woman
Chapter 30: The Pregnant Woman
Jarvis: Physical Examination & Health Assessment, 7th Edition
MULTIPLE CHOICE
1. Which of these statements best describes the action of the hormone
progesterone during pregnancy?
a. Progesterone produces the hormone human chorionic gonadotropin.
b. Duct formation in the breast is stimulated by progesterone.
c. Progesterone promotes sloughing of the endometrial wall.
d. Progesterone maintains the endometrium around the fetus.
ANS: D
,Progesterone prevents the sloughing of the endometrial wall and maintains the
endometrium around the fetus. Progesterone increases the alveoli in the breast
and keeps the uterus in a quiescent state. The other options are not correct.
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 807
MSC: Client Needs: General
2. A female patient has nausea, breast tenderness, fatigue, and amenorrhea. Her
last menstrual period was 6 weeks ago. The nurse interprets that this patient is
experiencing __________ signs of pregnancy.
a. Positive
b. Possible
c. Probable
d. Presumptive
ANS: D
Presumptive signs of pregnancy are those that the woman experiences and
include amenorrhea, breast tenderness, fatigue, nausea, and increased urinary
frequency. Probable signs are those that are detected by the examiner, such as
an enlarged uterus or changes in the cervix. Positive signs of pregnancy are
, those that document direct evidence of the fetus such as fetal heart tones or
positive cardiac activity on ultrasound.
DIF: Cognitive Level: Applying (Application) REF: p. 807
MSC: Client Needs: Health Promotion and Maintenance
3. A woman who is 8 weeks’ pregnant is visiting the clinic for a checkup. Her
systolic blood pressure is 30 mm Hg higher than her prepregnancy systolic
blood pressure. The nurse should:
a. Consider this a normal finding.
b. Expect the blood pressure to decrease as the estrogen levels increase
throughout the pregnancy.
c. Consider this an abnormal finding because blood pressure is typically
lower at this point in the pregnancy.
d. Recommend that she decrease her salt intake in an attempt to decrease her
peripheral vascular resistance.
ANS: C
During the seventh gestational week, blood pressure begins to drop as a result
of falling peripheral vascular resistance. Early in the first trimester, blood
One Account Get all Test Banks
Chapter 30: The Pregnant Woman
Chapter 30: The Pregnant Woman
Jarvis: Physical Examination & Health Assessment, 7th Edition
MULTIPLE CHOICE
1. Which of these statements best describes the action of the hormone
progesterone during pregnancy?
a. Progesterone produces the hormone human chorionic gonadotropin.
b. Duct formation in the breast is stimulated by progesterone.
c. Progesterone promotes sloughing of the endometrial wall.
d. Progesterone maintains the endometrium around the fetus.
ANS: D
,Progesterone prevents the sloughing of the endometrial wall and maintains the
endometrium around the fetus. Progesterone increases the alveoli in the breast
and keeps the uterus in a quiescent state. The other options are not correct.
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 807
MSC: Client Needs: General
2. A female patient has nausea, breast tenderness, fatigue, and amenorrhea. Her
last menstrual period was 6 weeks ago. The nurse interprets that this patient is
experiencing __________ signs of pregnancy.
a. Positive
b. Possible
c. Probable
d. Presumptive
ANS: D
Presumptive signs of pregnancy are those that the woman experiences and
include amenorrhea, breast tenderness, fatigue, nausea, and increased urinary
frequency. Probable signs are those that are detected by the examiner, such as
an enlarged uterus or changes in the cervix. Positive signs of pregnancy are
, those that document direct evidence of the fetus such as fetal heart tones or
positive cardiac activity on ultrasound.
DIF: Cognitive Level: Applying (Application) REF: p. 807
MSC: Client Needs: Health Promotion and Maintenance
3. A woman who is 8 weeks’ pregnant is visiting the clinic for a checkup. Her
systolic blood pressure is 30 mm Hg higher than her prepregnancy systolic
blood pressure. The nurse should:
a. Consider this a normal finding.
b. Expect the blood pressure to decrease as the estrogen levels increase
throughout the pregnancy.
c. Consider this an abnormal finding because blood pressure is typically
lower at this point in the pregnancy.
d. Recommend that she decrease her salt intake in an attempt to decrease her
peripheral vascular resistance.
ANS: C
During the seventh gestational week, blood pressure begins to drop as a result
of falling peripheral vascular resistance. Early in the first trimester, blood
