Perry Ch 7-10 Practice Questions womens

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25 terms K_Copeland5Preview Stages of Labor 40 terms nicoleromoff Preview Saunde 20 terms blu An antenatal client is informing the nurse of her prenatal signs and symptoms. Which of the following findings would the nurse determine are presumptive signs of pregnancy? Select all that apply.

a) Amenorrhea

b) Breast tenderness

c) Quickening

d) Frequent urination

e) Uterine growth

A, B, C, D

These are all presumptive signs of pregnancy: amenorrhea, breast tenderness,

quickening, and frequent urination.A client asks the nurse what was meant when the physician told her she had a positive Chadwick's sign.Which of the following information about the finding would be appropriate for the nurse to convey at this time?

• "It's a purplish stretch on your abdomen."
• "It means that you're having heart palpitations."
• "It's a bluish discoloration of your cervix and vagina."
• "It means the doctor heard abnormal sounds when you

breathed in." C A positive Chadwick's sign means that the client's cervix and vagina are a bluish color. It's a probable sign of pregnancy.

A client enters the prenatal clinic. She states that she believes she's pregnant. Which of the following hormone elevations will indicate a high probability that the client is pregnant?

a) Chorionic gonadotropin

b) Oxytocin

c) Prolactin

d) LH

A High levels of the hormone chorionic gonadotropin in the bloodstream and urine of the woman is a probable sign of pregnancy.The midwife has just palpated the fundal height at the location noted on the picture below. It's likely that the client is how many weeks pregnant?

• 12
• 20
• 28
• 36

A At 12 weeks, the fundal height is at the top of the symphysis.The nurse notes each of the following findings in a 10- week old gestation client. Which of the findings would enable the nurse to tell the client that she is positively pregnant?

a) FHR via Doppler

b) Positive pregnancy test

c) Positive Chadwick's sign

d) Montgomery gland enlargements

A Hearing an FHR is a positive sign of pregnancy.Because nausea and vomiting are such common complaints of pregnant women, the nurse provides anticipatory guidance to a 6-week gestation client by telling her to do which of the following?

a) Avoid eating greasy foods

b) Drink orange juice before rising

c) Consume 1 teaspoon of nutmeg each morning

d) Eat 3 large meals plus a bedtime snack

A Greasy foods should be avoided.

Which finding would the nurse view as normal when evaluating the laboratory reports of a 34-week gestation client?

a) Anemia

b) Thrombocytopenia

c) Polycythemia

d) Hyperbilirubinemia

A Anemia is an expected finding.A pregnant woman informs the nurse that her last normal menstrual period was on September 20, 2012. Using Nagele's rule, the nurse calculates the client's estimated

date of delivery as:

a) May 30, 2013

b) June 20, 2013

c) June 27, 2013

d) July 3, 2013

C The estimated date of delivery is June 27, 2013.A woman provides the nurse with the following

obstetrical history: Delivered a son, now 7 years old at 28

weeks gestation; delivered a daughter, now 5 years old, at 39 weeks gestation; had a miscarriage 3 years ago; and had a first trimester abortion 2 years ago. She is currently pregnant. Which of the following correctly portrays an accurate picture of this woman's gravidity and parity?

a) G4 P2121

b) G4 P1212

c) G5 P1122

d) G5 P2211

C This accurately reflects this woman's gravidity and parity - G5 P1122.The nurse is caring for a prenatal client who states she is prone to developing anemia. Which of the following foods should the nurse advise the gravida is the best source of iron?

a) Raisins

b) Hamburger

c) Broccoli

d) Molasses

B Hamburger contains the most iron.

It is discovered that a pregnant women practices pica.Which of the following complications is most often associated w/ this disorder?

a) Hypothyroidism

b) Iron-deficiency anemia

c) Hypercalcemia

d) Overexposure to zinc

B Iron-deficiency is often seen in clients who engage in pica.A mother is experiencing nausea and vomiting every afternoon. The ingestion of which of the following spices has been shown to be a safe complementary therapy for this complaint?

a) Ginger

b) Sage

c) Cloves

d) Nutmeg

A Ginger has been shown to be a safe antiemetic agent for pregnant women.A woman is carrying dizygotic twins. She asks the nurse about the babies. Which of the following explanations is accurate?

a) During a period of rapid growth, the fertilized egg

divided completely

b) When the woman ovulated, she expelled two mature

ova

c) The babies share one placenta and a common chorion

d) The babies will definitely be the same sex and have the

same blood type B Dizygotic twins result from two mature ova that are fertilized.A gravida's fundal height is noted to be at the xiphoid process. The nurse is aware that which of the following fetal changes is likely to be occurring at the same time in the pregnancy?

a) Surfactant is formed in the fetal lungs

b) Eyes begin to open and close

c) Respiratory movements begin

d) Spinal column is completely formed

A Surfactant is usually formed in the fetal lungs by the 36th weeks.