C HAPTER 04: P RENATAL C ARE AND
A DAPTATIONS TO P REGNANCY
Introduction to Maternity and Pediatric Nursing , 8th Edition ; Leifer
MULTIPLE CHOICE
1. The patient remarks that she has heard some foods will enhance brain
development of the fetus. The nurse replies that foods high in
docosahexaenoic acid (DHA) are thought to enhance brain development.
What food can the nurse recommend?
a. Fried fish
b. Olive oil
c. Red meat
d. Leafy green vegetables
ANS: C
Foods rich in DHA are red meat, flounder, halibut, a nd soybean and
canola oil. Frying fish negativel y alters the DHA.
DIF: Cognitive Level: Application REF: Page 58 TOP:
Nutrition in Pregnancy KEY: Nursing Process Step:
Implementation MSC: NC LEX: Health Promotion and
Maintenance: Prevention and Earl y Detection of Disease
,2. The nurse encourages adequate intake of folic acid for women of
childbearing age before and during pregnancy. What is folic acid thought
to decrease the incidence of in fetal development?
a. Structural heart defects
b. Craniofacial deformi ties
c. Limb deformities
d. Neural tube defects
ANS: D
Folic acid can reduce the incidence of neural tube defects such as spina
bifida and anencephaly.
DIF: Cognitive Level: Knowledge REF: Page 48 OBJ: 8
TOP: Nutrition for Pregnancy KEY: Nursing Process
Step: Implementation MSC: NC LEX: Physiological
Integrit y: Reduction of Risk
3. A woman tells the nurse that she is quite sure she is pregnant. The nurse
recognizes which as a positive sign of pregnancy?
a. Amenorrhea
b. Uterine enlargement
c. HCG detected in the ur ine
d. Fetal heartbeat
ANS: D
Positive indications are caused onl y by the developing fetus and
include fetal heart activit y, visualization by ultrasound, and fetal
movements felt by the examiner.
, DIF: Cognitive Level: Knowledge REF: Page 53 TOP:
Physiological Changes During Pregnancy KEY: Nursing
Process Step: Data Collection MSC: NC LEX:
Physiological Integrity: Physiological Adaptation
4. At her initial prenatal visit a woman asks, When can I hear the babys
heartbeat? At what gestational age can the fet al heartbeat be auscultated
with a speciall y adapted stethoscope or fetoscope?
a. 4 weeks
b. 12 weeks
c. 18 weeks
d. 24 weeks
ANS: C
The fetal heartbeat can be heard with a fetoscope between the 18th and
20th weeks of pregnancy.
DIF: Cognitive Level: Knowledge REF: Page 53 TOP:
Physiological Changes During Pregnancy KEY: Nursing
Process Step: Data Collection MSC: NC LEX: Health
Promotion and Maintenance: Growth and Development
5. A woman pregnant for the first time asks the nurse, When will I begin to
feel the baby move? What is the nurses best response?
a. You may notice the baby moving around the 4th or 5th month.
b. Quickening varies with every woman.
c. Youll feel something by the end of the first trimester.
d. The baby will be big enough for you to feel in your 8th month .
A DAPTATIONS TO P REGNANCY
Introduction to Maternity and Pediatric Nursing , 8th Edition ; Leifer
MULTIPLE CHOICE
1. The patient remarks that she has heard some foods will enhance brain
development of the fetus. The nurse replies that foods high in
docosahexaenoic acid (DHA) are thought to enhance brain development.
What food can the nurse recommend?
a. Fried fish
b. Olive oil
c. Red meat
d. Leafy green vegetables
ANS: C
Foods rich in DHA are red meat, flounder, halibut, a nd soybean and
canola oil. Frying fish negativel y alters the DHA.
DIF: Cognitive Level: Application REF: Page 58 TOP:
Nutrition in Pregnancy KEY: Nursing Process Step:
Implementation MSC: NC LEX: Health Promotion and
Maintenance: Prevention and Earl y Detection of Disease
,2. The nurse encourages adequate intake of folic acid for women of
childbearing age before and during pregnancy. What is folic acid thought
to decrease the incidence of in fetal development?
a. Structural heart defects
b. Craniofacial deformi ties
c. Limb deformities
d. Neural tube defects
ANS: D
Folic acid can reduce the incidence of neural tube defects such as spina
bifida and anencephaly.
DIF: Cognitive Level: Knowledge REF: Page 48 OBJ: 8
TOP: Nutrition for Pregnancy KEY: Nursing Process
Step: Implementation MSC: NC LEX: Physiological
Integrit y: Reduction of Risk
3. A woman tells the nurse that she is quite sure she is pregnant. The nurse
recognizes which as a positive sign of pregnancy?
a. Amenorrhea
b. Uterine enlargement
c. HCG detected in the ur ine
d. Fetal heartbeat
ANS: D
Positive indications are caused onl y by the developing fetus and
include fetal heart activit y, visualization by ultrasound, and fetal
movements felt by the examiner.
, DIF: Cognitive Level: Knowledge REF: Page 53 TOP:
Physiological Changes During Pregnancy KEY: Nursing
Process Step: Data Collection MSC: NC LEX:
Physiological Integrity: Physiological Adaptation
4. At her initial prenatal visit a woman asks, When can I hear the babys
heartbeat? At what gestational age can the fet al heartbeat be auscultated
with a speciall y adapted stethoscope or fetoscope?
a. 4 weeks
b. 12 weeks
c. 18 weeks
d. 24 weeks
ANS: C
The fetal heartbeat can be heard with a fetoscope between the 18th and
20th weeks of pregnancy.
DIF: Cognitive Level: Knowledge REF: Page 53 TOP:
Physiological Changes During Pregnancy KEY: Nursing
Process Step: Data Collection MSC: NC LEX: Health
Promotion and Maintenance: Growth and Development
5. A woman pregnant for the first time asks the nurse, When will I begin to
feel the baby move? What is the nurses best response?
a. You may notice the baby moving around the 4th or 5th month.
b. Quickening varies with every woman.
c. Youll feel something by the end of the first trimester.
d. The baby will be big enough for you to feel in your 8th month .
