PERRY’S MATERNAL CHILD
NURSING CARE (NURSING CARE OF
THE FAMILY DURING PREGNANCY)
REVIEWED QUESTIONS AND THEIR
EXPECTED SOLUTIONS
1. The nurse caring for a newly pregnant woman
would advise her that ideally prenatal care should
begin:
a. before the first missed menstrual period.
b. after the first missed menstrual period.
c. after the second missed menstrual period.
d. after the third missed menstrual period.
ANS: B
Prenatal care ideally should begin soon after the first
missed menstrual period. Regular prenatal visits offer
opportunities to ensure the health of the expectant mother
and her infant.
2. Prenatal testing for human immunodeficiency virus
(HIV) is recommended for:
a. all women, regardless of risk factors.
b. a woman who has had more than one sexual
partner.
c. a woman who has had a sexually transmitted
infection.
d. a woman who is monogamous with her partner.
,ANS: A
Testing for the antibody to HIV is strongly recommended
for all pregnant women. A HIV test is recommended for all
women, regardless of risk factors. Women who test
positive for HIV can be treated, reducing the risk of
transmission to the fetus.
3. Which symptom is considered a warning sign and
should be reported immediately by the pregnant
woman to her health care provider?
a. Nausea with occasional vomiting
b. Fatigue
c. Urinary frequency
d. Vaginal bleeding
ANS: D
Signs and symptoms that must be reported include severe
vomiting, fever and chills, burning on urination, diarrhea,
abdominal cramping, and vaginal bleeding. These
symptoms may be signs of potential complications of the
pregnancy. Nausea with occasional vomiting, fatigue, and
urinary frequency are normal first-trimester complaints.
Although they may be worrisome or annoying to the
mother, they usually are not indications of pregnancy
problems.
4. A pregnant woman at 10 weeks of gestation jogs
three or four times per week. She is concerned about
the effect of exercise on the fetus. The nurse should
inform her:
a. "You don't need to modify your exercising any time
during your pregnancy."
b. "Stop exercising because it will harm the fetus."
c. "You may find that you need to modify your
, exercise to walking later in your pregnancy, around
the seventh month."
d. "Jogging is too hard on your joints; switch to
walking now."
ANS: C
Typically running should be replaced with walking around
the seventh month of pregnancy. The nurse should inform
the woman that she may need to reduce her exercise level
as the pregnancy progresses. Physical activity promotes a
feeling of well-being in pregnant women. It improves
circulation, promotes relaxation and rest, and counteracts
boredom. Simple measures should be initiated to prevent
injuries, such as warm-up and stretching exercises to
prepare the joints for more strenuous exercise.
5. The multiple marker test is used to assess the fetus
for which condition?
a. Down syndrome
b. Diaphragmatic hernia
c. Congenital cardiac abnormality
d. Anencephaly
ANS: A
The maternal serum level of alpha-fetoprotein is used to
screen for Down syndrome, neural tube defects, and other
chromosome anomalies. The multiple marker test would
not detect diaphragmatic hernia, congenital cardiac
abnormality, or anencephaly. Additional testing, such as
ultrasonography and amniocentesis, would be required to
diagnose these conditions.
6. A woman who is 32 weeks' pregnant is informed by
the nurse that a danger sign of pregnancy could be:
a. constipation.
NURSING CARE (NURSING CARE OF
THE FAMILY DURING PREGNANCY)
REVIEWED QUESTIONS AND THEIR
EXPECTED SOLUTIONS
1. The nurse caring for a newly pregnant woman
would advise her that ideally prenatal care should
begin:
a. before the first missed menstrual period.
b. after the first missed menstrual period.
c. after the second missed menstrual period.
d. after the third missed menstrual period.
ANS: B
Prenatal care ideally should begin soon after the first
missed menstrual period. Regular prenatal visits offer
opportunities to ensure the health of the expectant mother
and her infant.
2. Prenatal testing for human immunodeficiency virus
(HIV) is recommended for:
a. all women, regardless of risk factors.
b. a woman who has had more than one sexual
partner.
c. a woman who has had a sexually transmitted
infection.
d. a woman who is monogamous with her partner.
,ANS: A
Testing for the antibody to HIV is strongly recommended
for all pregnant women. A HIV test is recommended for all
women, regardless of risk factors. Women who test
positive for HIV can be treated, reducing the risk of
transmission to the fetus.
3. Which symptom is considered a warning sign and
should be reported immediately by the pregnant
woman to her health care provider?
a. Nausea with occasional vomiting
b. Fatigue
c. Urinary frequency
d. Vaginal bleeding
ANS: D
Signs and symptoms that must be reported include severe
vomiting, fever and chills, burning on urination, diarrhea,
abdominal cramping, and vaginal bleeding. These
symptoms may be signs of potential complications of the
pregnancy. Nausea with occasional vomiting, fatigue, and
urinary frequency are normal first-trimester complaints.
Although they may be worrisome or annoying to the
mother, they usually are not indications of pregnancy
problems.
4. A pregnant woman at 10 weeks of gestation jogs
three or four times per week. She is concerned about
the effect of exercise on the fetus. The nurse should
inform her:
a. "You don't need to modify your exercising any time
during your pregnancy."
b. "Stop exercising because it will harm the fetus."
c. "You may find that you need to modify your
, exercise to walking later in your pregnancy, around
the seventh month."
d. "Jogging is too hard on your joints; switch to
walking now."
ANS: C
Typically running should be replaced with walking around
the seventh month of pregnancy. The nurse should inform
the woman that she may need to reduce her exercise level
as the pregnancy progresses. Physical activity promotes a
feeling of well-being in pregnant women. It improves
circulation, promotes relaxation and rest, and counteracts
boredom. Simple measures should be initiated to prevent
injuries, such as warm-up and stretching exercises to
prepare the joints for more strenuous exercise.
5. The multiple marker test is used to assess the fetus
for which condition?
a. Down syndrome
b. Diaphragmatic hernia
c. Congenital cardiac abnormality
d. Anencephaly
ANS: A
The maternal serum level of alpha-fetoprotein is used to
screen for Down syndrome, neural tube defects, and other
chromosome anomalies. The multiple marker test would
not detect diaphragmatic hernia, congenital cardiac
abnormality, or anencephaly. Additional testing, such as
ultrasonography and amniocentesis, would be required to
diagnose these conditions.
6. A woman who is 32 weeks' pregnant is informed by
the nurse that a danger sign of pregnancy could be:
a. constipation.
