Maternal-Newborn chapter 7 test bank Revision Questions with Answers
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. - correct answersD: 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 - correct answersD: 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 - correct answersB: 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 - correct answersC: 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 - correct answersC: 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 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. - correct answersD: 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 - correct answersD: 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 - correct answersB: 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 - correct answersC: 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 - correct answersC: 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.
