Test Bank Maternal-Newborn chapter
7 |32 Questions with solved Answers|
A Grade
Which suggestion is most helpful for the pregnant patient who is experiencing
heartburn?
A: drink plenty of fluids at bedtime
B: eat only three meals a day so the stomach is empty between meals
C: drink coffee or orange juice immediately on arising in the morning
D: use Tums or Rolaids to obtain relief, as directed by the health care provider. - -D: use
Tums or Rolaids to obtain relief, as directed by the health care provider
Antacids high in calcium (e.g., Tums, Rolaids) can provide temporary relief. Fluids
overstretch the stomach and may precipitate reflux when lying down. Instruct the
patient to eat five or six small meals per day rather than three full meals. Coffee and
orange juice stimulate acid formation in the stomach and may need to be eliminated
from the diet.
-What is the rationale for a woman in her first trimester of pregnancy to expect to visit
her health care provider every 4 weeks?
A: problems can be eliminated
B: she develops trust in the health care team
C: her questions about labor can be answered
D: the conditions of the expectant mother and fetus can be monitored - -D: the
conditions of the expectant mother and fetus can be monitored
,This routine allows for monitoring maternal health and fetal growth and ensures that
problems will be identified early. All problems cannot be eliminated because of prenatal
visits; however, they can be identified early. Developing a trusting relationship should
be established during these visits, but that is not the primary reason. Most women do
not have questions concerning labor until the last trimester of the pregnancy.
-Which advice to the patient is one of the most effective methods for preventing venous
stasis?
A: sit with the legs crossed
B: rest often with the feet elevated
C: sleep with the foot of the bed elevated
D: wear elastic stockings in the afternoon - -B: rest often with the feet elevated
Elevating the feet and legs improves venous return and prevents venous stasis. Sitting
with the legs crossed will decrease circulation in the legs and increase venous stasis.
Elevating the legs at night may cause pressure on the diaphragm and increase breathing
problems. Elastic stockings should be applied before lowering the legs in the morning.
-What is the gravid and para for a patient who delivered triplets 2 years ago and is now
pregnant again?
A: 2,3
B: 1,2
C: 2,1
D: 1,3 - -C: 2,1
She has had two pregnancies (gravida 2); para refers to the outcome of the pregnancy
rather than the number of infants from that pregnancy. She is pregnant now, so that
would make her a gravida 2. She is para 1 because she had one pregnancy that
progressed to the age of viability.
, -A patient, gravida 2, para 1, comes for a prenatal visit at 20 weeks of gestation. Her
funds is palpated 3 cm below the umbilicus. This finding is:
A: appropriate for gestational age
B: a sign of impending complications
C: lower than normal for gestational age
D: higher than normal for gestational age - -C: lower than normal for gestational age
By 20 weeks, the fundus should reach the umbilicus. The fundus should be at the
umbilicus at 20 weeks, so 3 cm below the umbilicus is an inappropriate height and
needs further
assessment. This is lower than expected at this date. It may be a complication, but it
may also be because of incorrect dating of the pregnancy.
-Which complaint made by a patient at 35 weeks of gestation requires additional
assessment?
A: abdominal pain
B: ankle edema in the afternoon
C: backache with prolonged standing
D: shortness of breath when climbing stairs - -A: abdominal pain
Abdominal pain at 35 weeks gestation may indicate preeclampsia, or abruptio placentae.
Ankle edema in the afternoon is a normal finding at this stage of the pregnancy.
Backaches while standing is a normal finding in the later stages of pregnancy. Shortness
of breath is an expected finding at 35 weeks.
-A gravida 1 patient at 32 weeks of gestation requires that she has severe lower back
pain. What should the nurse's assessment include?
A: palpation of the lumbar spine
B: exercise pattern and duration
7 |32 Questions with solved Answers|
A Grade
Which suggestion is most helpful for the pregnant patient who is experiencing
heartburn?
A: drink plenty of fluids at bedtime
B: eat only three meals a day so the stomach is empty between meals
C: drink coffee or orange juice immediately on arising in the morning
D: use Tums or Rolaids to obtain relief, as directed by the health care provider. - -D: use
Tums or Rolaids to obtain relief, as directed by the health care provider
Antacids high in calcium (e.g., Tums, Rolaids) can provide temporary relief. Fluids
overstretch the stomach and may precipitate reflux when lying down. Instruct the
patient to eat five or six small meals per day rather than three full meals. Coffee and
orange juice stimulate acid formation in the stomach and may need to be eliminated
from the diet.
-What is the rationale for a woman in her first trimester of pregnancy to expect to visit
her health care provider every 4 weeks?
A: problems can be eliminated
B: she develops trust in the health care team
C: her questions about labor can be answered
D: the conditions of the expectant mother and fetus can be monitored - -D: the
conditions of the expectant mother and fetus can be monitored
,This routine allows for monitoring maternal health and fetal growth and ensures that
problems will be identified early. All problems cannot be eliminated because of prenatal
visits; however, they can be identified early. Developing a trusting relationship should
be established during these visits, but that is not the primary reason. Most women do
not have questions concerning labor until the last trimester of the pregnancy.
-Which advice to the patient is one of the most effective methods for preventing venous
stasis?
A: sit with the legs crossed
B: rest often with the feet elevated
C: sleep with the foot of the bed elevated
D: wear elastic stockings in the afternoon - -B: rest often with the feet elevated
Elevating the feet and legs improves venous return and prevents venous stasis. Sitting
with the legs crossed will decrease circulation in the legs and increase venous stasis.
Elevating the legs at night may cause pressure on the diaphragm and increase breathing
problems. Elastic stockings should be applied before lowering the legs in the morning.
-What is the gravid and para for a patient who delivered triplets 2 years ago and is now
pregnant again?
A: 2,3
B: 1,2
C: 2,1
D: 1,3 - -C: 2,1
She has had two pregnancies (gravida 2); para refers to the outcome of the pregnancy
rather than the number of infants from that pregnancy. She is pregnant now, so that
would make her a gravida 2. She is para 1 because she had one pregnancy that
progressed to the age of viability.
, -A patient, gravida 2, para 1, comes for a prenatal visit at 20 weeks of gestation. Her
funds is palpated 3 cm below the umbilicus. This finding is:
A: appropriate for gestational age
B: a sign of impending complications
C: lower than normal for gestational age
D: higher than normal for gestational age - -C: lower than normal for gestational age
By 20 weeks, the fundus should reach the umbilicus. The fundus should be at the
umbilicus at 20 weeks, so 3 cm below the umbilicus is an inappropriate height and
needs further
assessment. This is lower than expected at this date. It may be a complication, but it
may also be because of incorrect dating of the pregnancy.
-Which complaint made by a patient at 35 weeks of gestation requires additional
assessment?
A: abdominal pain
B: ankle edema in the afternoon
C: backache with prolonged standing
D: shortness of breath when climbing stairs - -A: abdominal pain
Abdominal pain at 35 weeks gestation may indicate preeclampsia, or abruptio placentae.
Ankle edema in the afternoon is a normal finding at this stage of the pregnancy.
Backaches while standing is a normal finding in the later stages of pregnancy. Shortness
of breath is an expected finding at 35 weeks.
-A gravida 1 patient at 32 weeks of gestation requires that she has severe lower back
pain. What should the nurse's assessment include?
A: palpation of the lumbar spine
B: exercise pattern and duration
