Test Bank For Maternal Child Nursing Care 7th Edition by Shannon E.
Perry, Marilyn J. Hockenberry, Mary Catherine Cashion
1. 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.
2. 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.
3. 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.
4. 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.
5. 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.
Perry, Marilyn J. Hockenberry, Mary Catherine Cashion
1. 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.
2. 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.
3. 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.
4. 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.
5. 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.
