NURS CH 13 MATERNAL CHILD NURSING:ADAPTATION TO
PREGNANCY EXAM QUESTIONS WITH ANSWERS GRADED
A+
A nurse is taking vital signs on a pregnant woman. Preconception pulse was 76 beats/minute. Today
the pulse is 97 beats/minute. What action by the nurse is best?
A. Inform the provider immediately.
B. Document findings in the chart.
C. Prepare to start an IV infusion.
D. Retake the pulse in 15 minutes.
ANS: B
The pulse of a pregnant woman increases about 15 to 20 beats/minute throughout the pregnancy. The
nurse should document the findings, but no other actions are needed as this is a normal finding.
PTS: 1 DIF: Cognitive Level: Application/Applying REF: p. 216 OBJ: Nursing Process: Implementation
MSC: Client Needs: Physiologic Integrity
Physiologic anemia often occurs during pregnancy as a result of
A. inadequate intake of iron.
B. dilution of hemoglobin concentration.
C. the fetus establishing iron stores.
D. decreased production of erythrocytes.
ANS: B
When blood volume expansion is more pronounced and occurs earlier than the increase in red blood cells,
the woman will have physiologic anemia, which is the result of dilution of hemoglobin concentration
rather than inadequate hemoglobin. Inadequate intake of iron may lead to true anemia. If the woman does
not take an adequate amount of iron, true anemia may occur when the fetus pulls stored iron from the
maternal system. There is an increased production of erythrocytes during pregnancy.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering REF: p. 216 OBJ: Nursing Process: Assessment
MSC: Client Needs: Physiologic Integrity
While assessing her patient, what does the nurse interpret as a positive sign of pregnancy?
A. Fetal movement felt by the woman
B. Amenorrhea
C. Breast changes
D. Visualization of fetus by ultrasound
ANS: D
The only positive signs of pregnancy are auscultation of fetal heart tones, visualization of the fetus by
ultrasound, and fetal movement felt by the examiner. Fetal movement felt by the woman, amenorrhea, and
breast changes are all presumptive signs.
PTS: 1 DIF: Cognitive Level: Knowledge/Comprehension REF: p. 224 OBJ: Nursing Process:
Assessment MSC: Client Needs: Health Promotion and Maintenance
A woman is currently pregnant; she has a 5-year-old son and a 3-year-old daughter born at full
term. She had one other pregnancy that terminated at 8 weeks. Her gravida and para are
, NURS CH 13 MATERNAL CHILD NURSING:ADAPTATION TO
PREGNANCY EXAM QUESTIONS WITH ANSWERS GRADED
A+
A. gravida 3 para 2.
B. gravida 4 para 3.
C. gravida 4 para 2.
D. gravida 3 para 3.
ANS: C
She has had four pregnancies, including the current one (gravida 4). She had two pregnancies that
terminated after 20 weeks (para 2). The pregnancy that terminated at 8 weeks is classified as an abortion,
which is not included in the gravida-para classification.
PTS: 1 DIF: Cognitive Level: Comprehension/Understanding REF: p. 225 OBJ: Nursing Process:
Assessment MSC: Client Needs: Health Promotion and Maintenance
A woman’s last menstrual period was June 10. The nurse estimates the date of delivery (EDD) to be
A. April 7.
B. March 17.
C. March 27.
D. April 17.
ANS: B
To determine the EDD, the nurse uses the first day of the last menstrual period (June 10), subtracts 3
months (March 10), and adds 7 days (March 17). The year is corrected if needed. April 7 would be
subtracting 2 months instead of 3 months and then subtracting 3 days instead of adding 7 days. March is
the correct month, but instead of adding 7 days, 17 days were added to get March 27. April 17 is
subtracting 2 months instead of 3 months.
PTS: 1 DIF: Cognitive Level: Application/Applying REF: p. 225 OBJ: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance
A nurse sees a woman in her first trimester of pregnancy. The nurse explains that the woman
can expect to visit her physician every 4 weeks so that
A. she develops trust in the health care team.
B. her questions about labor can be answered.
C. the condition of the mother and fetus can be monitored.
D. problems can be eliminated.
ANS: C
This routine allows monitoring of maternal health and fetal growth and ensures that problems will be
identified early. If the woman begins prenatal care in the first trimester, every 4 weeks is the
recommended schedule for visits. Developing a trusting relationship should be established during these
visits, but that is not the primary reason. Most women do not have questions concerning labor until the
last trimester of the pregnancy. All problems cannot be eliminated because of prenatal visits, but they can
be identified.
PTS: 1 DIF: Cognitive Level: Comprehension/Understanding REF: p. 228 OBJ: Nursing Process:
Assessment MSC: Client Needs: Health Promotion and Maintenance
PREGNANCY EXAM QUESTIONS WITH ANSWERS GRADED
A+
A nurse is taking vital signs on a pregnant woman. Preconception pulse was 76 beats/minute. Today
the pulse is 97 beats/minute. What action by the nurse is best?
A. Inform the provider immediately.
B. Document findings in the chart.
C. Prepare to start an IV infusion.
D. Retake the pulse in 15 minutes.
ANS: B
The pulse of a pregnant woman increases about 15 to 20 beats/minute throughout the pregnancy. The
nurse should document the findings, but no other actions are needed as this is a normal finding.
PTS: 1 DIF: Cognitive Level: Application/Applying REF: p. 216 OBJ: Nursing Process: Implementation
MSC: Client Needs: Physiologic Integrity
Physiologic anemia often occurs during pregnancy as a result of
A. inadequate intake of iron.
B. dilution of hemoglobin concentration.
C. the fetus establishing iron stores.
D. decreased production of erythrocytes.
ANS: B
When blood volume expansion is more pronounced and occurs earlier than the increase in red blood cells,
the woman will have physiologic anemia, which is the result of dilution of hemoglobin concentration
rather than inadequate hemoglobin. Inadequate intake of iron may lead to true anemia. If the woman does
not take an adequate amount of iron, true anemia may occur when the fetus pulls stored iron from the
maternal system. There is an increased production of erythrocytes during pregnancy.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering REF: p. 216 OBJ: Nursing Process: Assessment
MSC: Client Needs: Physiologic Integrity
While assessing her patient, what does the nurse interpret as a positive sign of pregnancy?
A. Fetal movement felt by the woman
B. Amenorrhea
C. Breast changes
D. Visualization of fetus by ultrasound
ANS: D
The only positive signs of pregnancy are auscultation of fetal heart tones, visualization of the fetus by
ultrasound, and fetal movement felt by the examiner. Fetal movement felt by the woman, amenorrhea, and
breast changes are all presumptive signs.
PTS: 1 DIF: Cognitive Level: Knowledge/Comprehension REF: p. 224 OBJ: Nursing Process:
Assessment MSC: Client Needs: Health Promotion and Maintenance
A woman is currently pregnant; she has a 5-year-old son and a 3-year-old daughter born at full
term. She had one other pregnancy that terminated at 8 weeks. Her gravida and para are
, NURS CH 13 MATERNAL CHILD NURSING:ADAPTATION TO
PREGNANCY EXAM QUESTIONS WITH ANSWERS GRADED
A+
A. gravida 3 para 2.
B. gravida 4 para 3.
C. gravida 4 para 2.
D. gravida 3 para 3.
ANS: C
She has had four pregnancies, including the current one (gravida 4). She had two pregnancies that
terminated after 20 weeks (para 2). The pregnancy that terminated at 8 weeks is classified as an abortion,
which is not included in the gravida-para classification.
PTS: 1 DIF: Cognitive Level: Comprehension/Understanding REF: p. 225 OBJ: Nursing Process:
Assessment MSC: Client Needs: Health Promotion and Maintenance
A woman’s last menstrual period was June 10. The nurse estimates the date of delivery (EDD) to be
A. April 7.
B. March 17.
C. March 27.
D. April 17.
ANS: B
To determine the EDD, the nurse uses the first day of the last menstrual period (June 10), subtracts 3
months (March 10), and adds 7 days (March 17). The year is corrected if needed. April 7 would be
subtracting 2 months instead of 3 months and then subtracting 3 days instead of adding 7 days. March is
the correct month, but instead of adding 7 days, 17 days were added to get March 27. April 17 is
subtracting 2 months instead of 3 months.
PTS: 1 DIF: Cognitive Level: Application/Applying REF: p. 225 OBJ: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance
A nurse sees a woman in her first trimester of pregnancy. The nurse explains that the woman
can expect to visit her physician every 4 weeks so that
A. she develops trust in the health care team.
B. her questions about labor can be answered.
C. the condition of the mother and fetus can be monitored.
D. problems can be eliminated.
ANS: C
This routine allows monitoring of maternal health and fetal growth and ensures that problems will be
identified early. If the woman begins prenatal care in the first trimester, every 4 weeks is the
recommended schedule for visits. Developing a trusting relationship should be established during these
visits, but that is not the primary reason. Most women do not have questions concerning labor until the
last trimester of the pregnancy. All problems cannot be eliminated because of prenatal visits, but they can
be identified.
PTS: 1 DIF: Cognitive Level: Comprehension/Understanding REF: p. 228 OBJ: Nursing Process:
Assessment MSC: Client Needs: Health Promotion and Maintenance
