Test Bank Complete- Davis Advantage for Maternal-
Newborn Nursing: Critical Components of Nursing Care
4th Edition (2022-Durham, Chapman, Miller (Authors))
All Chapter 1-19
Which of the following statements best describes Naegele's rule?
It determines the due date based on ultrasound findings and is the most accurate
dating method.
It determines the due date based on maternal approximation of sexual activity and is
correct within a week before or after.
It is based on the date of the last menstrual period (LMP) and should be used with
caution in women with irregular menses or who were on hormonal contraception.
It is based on HCG levels assessed through a blood or urine sample at the beginning
of pregnancy. HCG levels spike at a specific time and then decline, determining the
gestational age of the pregnancy. - ANSWERIt is based on the date of the last
menstrual period (LMP) and should be used with caution in women with irregular
menses or who were on hormonal contraception.
A transvaginal ultrasound can be used for which of the following? Select all that
apply.
To diagnose pregnancy.
To perform a PAP smear.
To obtain an estimated due date (EDD).
To rule out abnormalities in the pregnancy.
To identify STIs or other infections. - ANSWERTo diagnose pregnancy.
To obtain an estimated due date (EDD).
To rule out abnormalities in the pregnancy.
When discussing personal comfort with pregnant patients, which of the following
should be discouraged?
Douching
External genital cleansing
Wearing loose, cotton clothing
Resting in a side-lying position - ANSWERDouching
Maria is 32 weeks pregnant and complaining of varicosities in her legs. What should
be included in her routine assessments due to this complication?
Nothing should change with her assessments; this is a normal part of pregnancy.
A recommendation to the provider for physical therapy.
Education on prevention and checking peripheral pulses.
Assessments for pregnancy-induced hypertension. - ANSWEREducation on
prevention and checking peripheral pulses.
, Krystin is 38 weeks pregnant and in the office today complaining of shortness of
breath. What is the first nursing action you should take as her nurse today?
Reassure her this is a normal part of pregnancy, and she should simply raise her arms
over her head and breathe slow and deep when it happens.
Call 911 and have her transferred to the emergency room.
Put her on a rebreather mask with oxygen running at 10 L/min.
Obtain a full set of vital signs and ask Krystin to tell you more about the shortness of
breath she is having. - ANSWERObtain a full set of vital signs and ask Krystin to tell
you more about the shortness of breath she is having.
Since discovering she was pregnant 6 weeks ago, Martina has called her OB office
several times a week for numerous complaints and concerns, all of which were
normal or unfounded. Now in her 15th week of pregnancy, she insists on being seen
for an ultrasound because she is worried the baby has something wrong with it.
What is Martina suffering from?
This is a normal response to pregnancy in some women and is not concerning.
She is suffering from post-traumatic stress disorder (PTSD) and should be referred to
counseling.
She is experiencing pregnancy-related anxiety and should be referred to counseling.
She is at increased risk for postpartum depression and may harm herself. -
ANSWERShe is experiencing pregnancy-related anxiety and should be referred to
counseling.
Juanita is 11 weeks pregnant with an unintended pregnancy with her life partner
Joel. They've begun discussing where the baby will sleep and are making plans for
Juanita to stay home for the first few years and not work. What maternal process of
pregnancy is Juanita displaying?
Binding-in
Fetal embodiment
Seeking safe passage
Nesting - ANSWERBinding-in
Tina is 6 weeks pregnant and at the OB office for her initial OB visit. She is in a
committed relationship and the pregnancy is not unwelcome though it was
unplanned. She states, "I'm just not sure how I feel about being pregnant, it's not
real to me yet." What is your best therapeutic response to Tina?
"We need to get you to a counselor as soon as possible to make sure you don't harm
yourself or your baby."
"Have you talked to your partner about your feelings so you can decide if you'd
rather terminate the pregnancy?"
"Being ambivalent to your pregnancy is a normal response. Do you have any
questions or concerns I can answer for you about your pregnancy?"
"Being ambivalent to your pregnancy is a normal response. You shouldn't worry
about anything right now though, as the baby is fine and so are you." -
ANSWERBeing ambivalent to your pregnancy is a normal response. Do you have any
questions or concerns I can answer for you about your pregnancy?
Newborn Nursing: Critical Components of Nursing Care
4th Edition (2022-Durham, Chapman, Miller (Authors))
All Chapter 1-19
Which of the following statements best describes Naegele's rule?
It determines the due date based on ultrasound findings and is the most accurate
dating method.
It determines the due date based on maternal approximation of sexual activity and is
correct within a week before or after.
It is based on the date of the last menstrual period (LMP) and should be used with
caution in women with irregular menses or who were on hormonal contraception.
It is based on HCG levels assessed through a blood or urine sample at the beginning
of pregnancy. HCG levels spike at a specific time and then decline, determining the
gestational age of the pregnancy. - ANSWERIt is based on the date of the last
menstrual period (LMP) and should be used with caution in women with irregular
menses or who were on hormonal contraception.
A transvaginal ultrasound can be used for which of the following? Select all that
apply.
To diagnose pregnancy.
To perform a PAP smear.
To obtain an estimated due date (EDD).
To rule out abnormalities in the pregnancy.
To identify STIs or other infections. - ANSWERTo diagnose pregnancy.
To obtain an estimated due date (EDD).
To rule out abnormalities in the pregnancy.
When discussing personal comfort with pregnant patients, which of the following
should be discouraged?
Douching
External genital cleansing
Wearing loose, cotton clothing
Resting in a side-lying position - ANSWERDouching
Maria is 32 weeks pregnant and complaining of varicosities in her legs. What should
be included in her routine assessments due to this complication?
Nothing should change with her assessments; this is a normal part of pregnancy.
A recommendation to the provider for physical therapy.
Education on prevention and checking peripheral pulses.
Assessments for pregnancy-induced hypertension. - ANSWEREducation on
prevention and checking peripheral pulses.
, Krystin is 38 weeks pregnant and in the office today complaining of shortness of
breath. What is the first nursing action you should take as her nurse today?
Reassure her this is a normal part of pregnancy, and she should simply raise her arms
over her head and breathe slow and deep when it happens.
Call 911 and have her transferred to the emergency room.
Put her on a rebreather mask with oxygen running at 10 L/min.
Obtain a full set of vital signs and ask Krystin to tell you more about the shortness of
breath she is having. - ANSWERObtain a full set of vital signs and ask Krystin to tell
you more about the shortness of breath she is having.
Since discovering she was pregnant 6 weeks ago, Martina has called her OB office
several times a week for numerous complaints and concerns, all of which were
normal or unfounded. Now in her 15th week of pregnancy, she insists on being seen
for an ultrasound because she is worried the baby has something wrong with it.
What is Martina suffering from?
This is a normal response to pregnancy in some women and is not concerning.
She is suffering from post-traumatic stress disorder (PTSD) and should be referred to
counseling.
She is experiencing pregnancy-related anxiety and should be referred to counseling.
She is at increased risk for postpartum depression and may harm herself. -
ANSWERShe is experiencing pregnancy-related anxiety and should be referred to
counseling.
Juanita is 11 weeks pregnant with an unintended pregnancy with her life partner
Joel. They've begun discussing where the baby will sleep and are making plans for
Juanita to stay home for the first few years and not work. What maternal process of
pregnancy is Juanita displaying?
Binding-in
Fetal embodiment
Seeking safe passage
Nesting - ANSWERBinding-in
Tina is 6 weeks pregnant and at the OB office for her initial OB visit. She is in a
committed relationship and the pregnancy is not unwelcome though it was
unplanned. She states, "I'm just not sure how I feel about being pregnant, it's not
real to me yet." What is your best therapeutic response to Tina?
"We need to get you to a counselor as soon as possible to make sure you don't harm
yourself or your baby."
"Have you talked to your partner about your feelings so you can decide if you'd
rather terminate the pregnancy?"
"Being ambivalent to your pregnancy is a normal response. Do you have any
questions or concerns I can answer for you about your pregnancy?"
"Being ambivalent to your pregnancy is a normal response. You shouldn't worry
about anything right now though, as the baby is fine and so are you." -
ANSWERBeing ambivalent to your pregnancy is a normal response. Do you have any
questions or concerns I can answer for you about your pregnancy?
