A+NURSING MANAGEMENT DURING PREGNANCY.QUESTIONS AND ANSWERS. MULTIPLE CHOICE WITH EXPLANATION

A+NURSING MANAGEMENT DURING
PREGNANCY.QUESTIONS AND ANSWERS.
MULTIPLE CHOICE WITH EXPLANATION


A woman in the 34th week of pregnancy says to the nurse, "1
still feel like having intercourse with my husband." The
woman's pregnancy has been uneventful. The nurse responds
based on the understanding that:
It is safe to have intercourse at this time.
B
)
Intercourse at this time is likely to cause rupture of membranes.
There are other ways that the couple can satisfy their needs.
D)
Intercourse at this time is likely to result in premature labor.: Ans:
It is safe to have intercourse at this time.
Feedback:
Sexual activity is permissible during pregnancy unless there is a
history of vaginal bleeding, placenta previa, risk of preterm labor,
multiple gestation, incompetent cervix, premature rupture of
membranes, or presence of infection. Rupture of membranes or
premature labor is unlikely since the woman's pregnancy has been
uneventful so far. Alternative sexual positions may be necessary as
the woman's abdomen increases in size.
On the first prenatal visit, examination of the woman's internal
genitalia reveals a bluish coloration of the cervix and vaginal
mucosa. The nurse records this finding as:



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, A+NURSING MANAGEMENT DURING
PREGNANCY.QUESTIONS AND ANSWERS.
MULTIPLE CHOICE WITH EXPLANATION

Hegar's
sign
B)
C)
Homans' sign: Ans:
c
Chadwick's sign
Feedback:
Chadwick's sign refers to the bluish coloration of the cervix and
vaginal mucosa. Hegar's sign refers to softening of the isthmus.
Goodell's sign refers to softening of the cervix. Homans' sign
indicates pain on dorsiflexion of the foot.
When describing perinatal education to a pregnant woman and
her partner, the nurse emphasizes that the primary goal of these
classes is to:
Equip a couple with the knowledge to experience a pain-free
childbirth
B) Provide knowledge and skills to actively participate
in birth and parenting
C) Eliminate anxiety so that they can have an
uncomplicated birth D)
Empower the couple to totally control the birth process: Ans:
Provide knowledge and skills to actively participate in birth and
parenting



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, A+NURSING MANAGEMENT DURING
PREGNANCY.QUESTIONS AND ANSWERS.
MULTIPLE CHOICE WITH EXPLANATION

Feedback:
The primary focus of perinatal education is to provide information and
support to clients and their families to foster a more active role in the
upcoming birth. It also includes preparation for breast-feeding, infant
care, transition to new parenting roles, relationships skills, family health
promotion, and sexuality. Some methods of childbirth education focus on
pain-free childbirth. Information provided in childbirth education classes
helps to minimize anxiety and provide the couple with control over the
situation, but elimination of anxiety or total control is unrealistic.
When assessing a woman at follow-up prenatal visits, the nurse
would anticipate which of the following to be performed? A)
Hemoglobin and hematocrit
B)
Urin
e for
cultu
re C)
Fetal
ultras
ound
D)
Fundal height measurement: Ans:
D
Fundal height measurement
Feedback:
On every follow-up visit, fundal height measurements are performed to
evaluate fetal growth and gestation. Hemoglobin and hematocrit, as part
of a complete blood count, would be done on the initial visit and then
repeated if the woman's status indicates a need for doing so. Urine is


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