C HAPTER 26: H EALTH P ROMOTION AND
P REGNANCY
Cooper: Foundation of Nursing, 9th Edition
MULTIPLE CHOICE
1. What does the increase in circulating blood volume during pregnancy
cause in the mother?
a. Shortness of breath
b. Frontal headaches
c. Decreased white blood cell count
d. Decreased haemoglobin
ANS: D
Maternal circulating volume increases 30% to 40%, causing a virtual
decrease in haemoglobin.
DIF: Cognitive Level: Anal ysis REF: p. 785 OBJ: 2
TOP: Decreased Hgb KEY: Nursing Process Step:
Implementation MSC: NC LEX: Physiological In tegrit y
2. A woman entering the 22nd week of pregnancy complains that she has
become unsightl y because of chloasma. What should the nurse recommend
to reduce the appearance of the chloasma?
a. Use heavy makeup.
b. Take extra doses of vitamin A.
, c. Avoid exposure to t he sun.
d. Reduce caffeine intake.
ANS: C
At week 22, skin pigment changes called chloasma are found. Avoiding
exposure to the sun will reduce the pigmentation.
DIF: Cognitive Level: Anal ysis REF: p. 783 OBJ: 7
TOP: Chloasma KEY: Nursing Process Step:
Implementation MSC: NC LEX: Psychosocial Integrit y
3. During the final weeks of pregnancy, urinary frequency may return due to
the enlarged uterus, compressing the bladder against the pelvic bones.
What does the nurse suggest to aid in relieving the urinary frequency?
a. Decrease fluid intake.
b. Use the knee-chest position.
c. Sleep on her side.
d. Avoid fluid intake in evening.
ANS: C
The patient should decrease pressure on the bladder at night by
sleeping on her side. Fluids should not be decreased unless directed by
a health care provider.
DIF: Cognitive Level: Application REF: p. 765 OBJ: 7
TOP: Frequency KEY: Nursing Process Step:
Implementation MSC: NC LEX: Physiological Integrit y
, 4. A pregnant teenager presents with the following complaints. Which
complaint could be an indicator of a serious complication?
a. Painful hemorrhoids
b. Linea nigra
c. Visual disturbances
d. Low back pain
ANS: C
Visual disturbances may be an indicator of increased blood pressure
and retained fluids. These are indicators of eclampsia. Hemorrh oids,
linea nigra, and back pain are common discomforts of pregnancy.
DIF: Cognitive Level: Anal ysis REF: p. 782 OBJ: 5
TOP: Danger signs KEY: Nursing Process Step:
Assessment MSC: NC LEX: Physiological Integrit y
5. During the last trimester of preg nancy, the nurse recommends that the
woman wear low - heeled shoes. What is the nurse trying to prevent with
this recommendation?
a. Lower back pain
b. Leg cramps
c. Leg swelling
d. Joint pain
ANS: A
A remedy for backache is to wear low -heeled shoes.
P REGNANCY
Cooper: Foundation of Nursing, 9th Edition
MULTIPLE CHOICE
1. What does the increase in circulating blood volume during pregnancy
cause in the mother?
a. Shortness of breath
b. Frontal headaches
c. Decreased white blood cell count
d. Decreased haemoglobin
ANS: D
Maternal circulating volume increases 30% to 40%, causing a virtual
decrease in haemoglobin.
DIF: Cognitive Level: Anal ysis REF: p. 785 OBJ: 2
TOP: Decreased Hgb KEY: Nursing Process Step:
Implementation MSC: NC LEX: Physiological In tegrit y
2. A woman entering the 22nd week of pregnancy complains that she has
become unsightl y because of chloasma. What should the nurse recommend
to reduce the appearance of the chloasma?
a. Use heavy makeup.
b. Take extra doses of vitamin A.
, c. Avoid exposure to t he sun.
d. Reduce caffeine intake.
ANS: C
At week 22, skin pigment changes called chloasma are found. Avoiding
exposure to the sun will reduce the pigmentation.
DIF: Cognitive Level: Anal ysis REF: p. 783 OBJ: 7
TOP: Chloasma KEY: Nursing Process Step:
Implementation MSC: NC LEX: Psychosocial Integrit y
3. During the final weeks of pregnancy, urinary frequency may return due to
the enlarged uterus, compressing the bladder against the pelvic bones.
What does the nurse suggest to aid in relieving the urinary frequency?
a. Decrease fluid intake.
b. Use the knee-chest position.
c. Sleep on her side.
d. Avoid fluid intake in evening.
ANS: C
The patient should decrease pressure on the bladder at night by
sleeping on her side. Fluids should not be decreased unless directed by
a health care provider.
DIF: Cognitive Level: Application REF: p. 765 OBJ: 7
TOP: Frequency KEY: Nursing Process Step:
Implementation MSC: NC LEX: Physiological Integrit y
, 4. A pregnant teenager presents with the following complaints. Which
complaint could be an indicator of a serious complication?
a. Painful hemorrhoids
b. Linea nigra
c. Visual disturbances
d. Low back pain
ANS: C
Visual disturbances may be an indicator of increased blood pressure
and retained fluids. These are indicators of eclampsia. Hemorrh oids,
linea nigra, and back pain are common discomforts of pregnancy.
DIF: Cognitive Level: Anal ysis REF: p. 782 OBJ: 5
TOP: Danger signs KEY: Nursing Process Step:
Assessment MSC: NC LEX: Physiological Integrit y
5. During the last trimester of preg nancy, the nurse recommends that the
woman wear low - heeled shoes. What is the nurse trying to prevent with
this recommendation?
a. Lower back pain
b. Leg cramps
c. Leg swelling
d. Joint pain
ANS: A
A remedy for backache is to wear low -heeled shoes.
