Current Diagnosis and Treatment Obstetrics
and Gynecology 12th Edition 2025|Lates
Update
_____________________________________________________________________________________
A relaxation technique that can be used during the childbirth experience to decrease maternal pain
perception is
a. using increased environmental stimulation as a method of distraction.
b. restricting family and friends from visiting during the labor period to keep the patient focused on
breathing techniques.
c. medicating the patient frequently to reduce pain perception.
d. assisting the patient in breathing methods aimed at taking control of pain perception based on the
contraction pattern.
d
Which technique would provide the best pain relief for a pregnant woman with an occiput posterior
position?
a. Neuromuscular disassociation
b. Effleurage
c. Psychoprophylaxis
d. Sacral pressure
d
The labor nurse is reviewing breathing techniques with a primiparous patient admitted for induction
of labor. When is the best time to encourage the laboring patient to use slow, deep chest breathing
with contractions?
a. During labor, when she can no longer talk through contractions
b. During the first stage of labor, when the contractions are 3 to 4 minutes apart
c. Between contractions, during the transitional phase of the first stage of labor d. Between her
efforts to push to facilitate relaxation between contractions
a
In a prenatal education class, the nurse is reviewing the importance of using relaxation techniques
during labor. Which patient statement will the nurse need to correct?
a. "We will practice relaxation techniques only in a quiet setting so I can focus."
b. "Relaxation is important during labor because it will help me conserve my energy."
c. "If I relax in between contractions, my baby will get more oxygen during labor." d. "My partner and
I will practice relaxation throughout the remainder of my pregnancy."
a
,A pregnant patient reports that she works in a long-term care setting and is concerned about the
impending flu season. She asks about receiving the flu vaccine. As the nurse, you are aware that some
immunizations are safe to administer during pregnancy, whereas others are not. Which vaccines could
this patient receive? (Select all that apply.)
a. Tetanus
b. Varicella
c. Influenza
d. Hepatitis A and B
e. Measles, mumps, rubella (MMR)
a, c, d
The nurse is planning care for a patient in her first trimester of pregnancy. The patient is experiencing
nausea and vomiting. Which interventions should the nurse plan to share with this patient? (Select all
that apply.)
a. Suck on hard candy.
b. Take prenatal vitamins in the morning.
c. Try some herbal tea to relieve the nausea.
d. Drink fluids frequently but separate from meals.
e. Eat crackers or dry cereal before arising in the morning
a, d, e
Which factors contribute to the presence of edema in the pregnant patient? (Select all that apply.)
a. Diet consisting of processed foods
b. Hemoconcentration
c. Increase in colloid osmotic pressure
d. Last trimester of pregnancy
e. Decreased venous return
a, d, e
The prenatal nurse educator is teaching couples the technique of applying sacral pressure during
labor. Which should be included in the teaching session? (Select all that apply.)
a. The technique can be combined with heat to the area.
b. A jiggling motion should be used while applying the pressure.
c. Tennis balls may be used to apply the pressure to the sacral area.
d. The pressure against the sacrum should be intermittent during the contraction.
e. The hand may be moved slowly or remain positioned directly over the sacrum.
a, c, e
Calculate the estimated date of birth (EDD) in October using Nägele's rule for a patient whose last
normal menstrual period (LNMP) began on January 1. Record your answer as a whole number.
_______
8
,When planning a healthy diet with a pregnant patient, what should the nurse's first action be?
a. Teach the patient about MyPlate.
b. Review the patient's current dietary intake.
c. Instruct the patient to limit the intake of fatty foods.
d. Caution the patient to avoid large doses of vitamins, especially those that are fat-soluble.
b
The nurse is meeting with a patient with an elevated BMI regarding an optimal diet for pregnancy.
Which major source of nutrients should be a significant component of this patient's diet?
a. Fats
b. Fiber
c. Simple sugars
d. Complex carbohydrates
d
In order to increase the absorption of iron by a pregnant patient, which beverage should an iron
preparation be given with?
a. Tea
b. Milk
c. Coffee
d. Orange juice
d
When should iron supplementation during a normal pregnancy begin?
a. Before pregnancy
b. In the first trimester
c. In the third trimester
d. In the second trimester
d
A patient in her fifth month of pregnancy asks the nurse, "How many more calories should I be eating
daily?" What is the correct response by the nurse?
a. 180 more calories a day
b. 340 more calories a day
c. 452 more calories a day
d. 500 more calories a day
b
A pregnant patient's diet may not meet her need for folate. Which food choice is an excellent source
of this nutrient?
a. Chicken
b. Cheese
c. Potatoes
d. Green leafy vegetables
, d
A pregnant patient asks the nurse if she can double her prenatal vitamin dose because she does not
like to eat vegetables. What is the nurse's response regarding the danger of taking excessive vitamins?
a. Increases caloric intake
b. Has toxic effects on the fetus
c. Increases absorption of all vitamins
d. Promotes development of pregnancy-induced hypertension (PIH)
b
The nurse is conducting a prenatal nutrition education class for a group of nursing students. Which
statement best describes the condition known as pica?
a. Iron-deficiency anemia
b. Intolerance to milk products
c. Ingestion of nonfood substances
d. Episodes of anorexia and vomiting
c
Which effect is a common response to both smoking and cocaine use in the pregnant patient?
a. Vasoconstriction
b. Increased appetite
c. Increased metabolism
d. Changes in insulin metabolism
a
Which is the most important reason for evaluating the pattern of weight gain in pregnancy?
a. Prevents excessive adipose tissue deposits
b. Determines cultural influences on the woman's diet
c. Assesses the need to limit caloric intake in obese women
d. Identifies potential nutritional problems or complications of pregnancy
d
A pregnant patient would like to know which foods, other than dairy products, contain the most
calcium. Which food group would the nurse recommend?
a. Legumes
b. Lean meat
c. Whole grains
d. Yellow vegetables
a
To determine cultural influences on a patient's diet, what is the nurse's primary action?
a. Evaluate the patient's weight gain during pregnancy.
b. Assess the socioeconomic status of the patient.
and Gynecology 12th Edition 2025|Lates
Update
_____________________________________________________________________________________
A relaxation technique that can be used during the childbirth experience to decrease maternal pain
perception is
a. using increased environmental stimulation as a method of distraction.
b. restricting family and friends from visiting during the labor period to keep the patient focused on
breathing techniques.
c. medicating the patient frequently to reduce pain perception.
d. assisting the patient in breathing methods aimed at taking control of pain perception based on the
contraction pattern.
d
Which technique would provide the best pain relief for a pregnant woman with an occiput posterior
position?
a. Neuromuscular disassociation
b. Effleurage
c. Psychoprophylaxis
d. Sacral pressure
d
The labor nurse is reviewing breathing techniques with a primiparous patient admitted for induction
of labor. When is the best time to encourage the laboring patient to use slow, deep chest breathing
with contractions?
a. During labor, when she can no longer talk through contractions
b. During the first stage of labor, when the contractions are 3 to 4 minutes apart
c. Between contractions, during the transitional phase of the first stage of labor d. Between her
efforts to push to facilitate relaxation between contractions
a
In a prenatal education class, the nurse is reviewing the importance of using relaxation techniques
during labor. Which patient statement will the nurse need to correct?
a. "We will practice relaxation techniques only in a quiet setting so I can focus."
b. "Relaxation is important during labor because it will help me conserve my energy."
c. "If I relax in between contractions, my baby will get more oxygen during labor." d. "My partner and
I will practice relaxation throughout the remainder of my pregnancy."
a
,A pregnant patient reports that she works in a long-term care setting and is concerned about the
impending flu season. She asks about receiving the flu vaccine. As the nurse, you are aware that some
immunizations are safe to administer during pregnancy, whereas others are not. Which vaccines could
this patient receive? (Select all that apply.)
a. Tetanus
b. Varicella
c. Influenza
d. Hepatitis A and B
e. Measles, mumps, rubella (MMR)
a, c, d
The nurse is planning care for a patient in her first trimester of pregnancy. The patient is experiencing
nausea and vomiting. Which interventions should the nurse plan to share with this patient? (Select all
that apply.)
a. Suck on hard candy.
b. Take prenatal vitamins in the morning.
c. Try some herbal tea to relieve the nausea.
d. Drink fluids frequently but separate from meals.
e. Eat crackers or dry cereal before arising in the morning
a, d, e
Which factors contribute to the presence of edema in the pregnant patient? (Select all that apply.)
a. Diet consisting of processed foods
b. Hemoconcentration
c. Increase in colloid osmotic pressure
d. Last trimester of pregnancy
e. Decreased venous return
a, d, e
The prenatal nurse educator is teaching couples the technique of applying sacral pressure during
labor. Which should be included in the teaching session? (Select all that apply.)
a. The technique can be combined with heat to the area.
b. A jiggling motion should be used while applying the pressure.
c. Tennis balls may be used to apply the pressure to the sacral area.
d. The pressure against the sacrum should be intermittent during the contraction.
e. The hand may be moved slowly or remain positioned directly over the sacrum.
a, c, e
Calculate the estimated date of birth (EDD) in October using Nägele's rule for a patient whose last
normal menstrual period (LNMP) began on January 1. Record your answer as a whole number.
_______
8
,When planning a healthy diet with a pregnant patient, what should the nurse's first action be?
a. Teach the patient about MyPlate.
b. Review the patient's current dietary intake.
c. Instruct the patient to limit the intake of fatty foods.
d. Caution the patient to avoid large doses of vitamins, especially those that are fat-soluble.
b
The nurse is meeting with a patient with an elevated BMI regarding an optimal diet for pregnancy.
Which major source of nutrients should be a significant component of this patient's diet?
a. Fats
b. Fiber
c. Simple sugars
d. Complex carbohydrates
d
In order to increase the absorption of iron by a pregnant patient, which beverage should an iron
preparation be given with?
a. Tea
b. Milk
c. Coffee
d. Orange juice
d
When should iron supplementation during a normal pregnancy begin?
a. Before pregnancy
b. In the first trimester
c. In the third trimester
d. In the second trimester
d
A patient in her fifth month of pregnancy asks the nurse, "How many more calories should I be eating
daily?" What is the correct response by the nurse?
a. 180 more calories a day
b. 340 more calories a day
c. 452 more calories a day
d. 500 more calories a day
b
A pregnant patient's diet may not meet her need for folate. Which food choice is an excellent source
of this nutrient?
a. Chicken
b. Cheese
c. Potatoes
d. Green leafy vegetables
, d
A pregnant patient asks the nurse if she can double her prenatal vitamin dose because she does not
like to eat vegetables. What is the nurse's response regarding the danger of taking excessive vitamins?
a. Increases caloric intake
b. Has toxic effects on the fetus
c. Increases absorption of all vitamins
d. Promotes development of pregnancy-induced hypertension (PIH)
b
The nurse is conducting a prenatal nutrition education class for a group of nursing students. Which
statement best describes the condition known as pica?
a. Iron-deficiency anemia
b. Intolerance to milk products
c. Ingestion of nonfood substances
d. Episodes of anorexia and vomiting
c
Which effect is a common response to both smoking and cocaine use in the pregnant patient?
a. Vasoconstriction
b. Increased appetite
c. Increased metabolism
d. Changes in insulin metabolism
a
Which is the most important reason for evaluating the pattern of weight gain in pregnancy?
a. Prevents excessive adipose tissue deposits
b. Determines cultural influences on the woman's diet
c. Assesses the need to limit caloric intake in obese women
d. Identifies potential nutritional problems or complications of pregnancy
d
A pregnant patient would like to know which foods, other than dairy products, contain the most
calcium. Which food group would the nurse recommend?
a. Legumes
b. Lean meat
c. Whole grains
d. Yellow vegetables
a
To determine cultural influences on a patient's diet, what is the nurse's primary action?
a. Evaluate the patient's weight gain during pregnancy.
b. Assess the socioeconomic status of the patient.
