Question 1

The nurse is evaluating the fundal height of a patient who is 20 weeks pregnant. Which height should the nurse expect to assess in this patient?

Accepted Answer

The answer of The nurse is evaluating the fundal height...

Question 2

During a pelvic examination of a pregnant patient the following area is identified as being softened. How should the nurse document this finding?

Accepted Answer

The answer of During a pelvic examination of a pregnant...

Question 3

The nurse is assessing a pregnant client in the second trimester of pregnancy during a scheduled prenatal visit. Which questions are appropriate during the assessment process?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

Questions A, B, C, and D are appropriate as they address common symptoms experienced during the second trimester of pregnancy, such as bloating, hemorrhoids, heartburn, and constipation. E is not included because nausea and vomiting are more commonly associated with the first trimester.

Question 4

The nurse is assessing a pregnant client who reports nasal stuffiness and congestion. Which term will the nurse use to document this data in the medical record?

Accepted Answer

Rhinitis of pregnancy refers to nasal stuffiness and congestion that some women experience during pregnancy, due to hormonal changes affecting nasal blood flow and mucous membranes.

Question 5

The nurse is providing prenatal care to an obese client who asks, "How much weight should I gain during my pregnancy?" Which response by the nurse is appropriate?

Accepted Answer

Obese women are recommended to gain 11 to 20 pounds during pregnancy to minimize health risks for both the mother and the baby. This recommendation is based on guidelines to ensure a healthy pregnancy while managing the risks associated with obesity.

Question 6

The nurse is assessing a pregnant client during a scheduled prenatal visit who reports dizziness and clamminess when lying in bed each morning. Which statement by the nurse is appropriate based on this data?

Accepted Answer

Lying on the left side can help improve blood flow and alleviate symptoms of dizziness and clamminess caused by supine hypotensive syndrome, which occurs when the pregnant uterus compresses the inferior vena cava.

Question 7

A patient weighing 80 k g with a body mass index of 29.8 is 6 weeks pregnant. What should be this patient's maximum weight at the time of delivery?

Accepted Answer

The answer of A patient weighing 80 k g with...

Question 8

The nurse is providing care to a client who is entering the second trimester of pregnancy. Which client statement does the nurse anticipate when assessing this client?

Accepted Answer

The answer of The nurse is providing care to a...

Question 9

A patient at 28 weeks' gestation asks the nurse why she has backaches. To help explain the changes, the nurse shows her a picture of the shape of her back. Which picture should the nurse use?

Accepted Answer

The answer of A patient at 28 weeks' gestation asks...

Question 10

Nurses who are interacting with expectant families from a different culture or ethnic group can provide more effective, culturally sensitive nursing care by doing what?

Accepted Answer

Obtaining a medical interpreter ensures effective communication, which is crucial for understanding and meeting the healthcare needs of clients from different cultural or ethnic backgrounds.

Question 11

The nurse is providing care to a pregnant client who is experiencing an increase in white, thick, and "cottage-cheese-like" vaginal discharge. Based on this data, which diagnosis does the nurse anticipate for this client?

Accepted Answer

The description of the discharge as white, thick, and "cottage-cheese-like" is characteristic of a yeast infection, also known as candidiasis or moniliasis. This is a common condition during pregnancy due to hormonal changes that affect the vaginal flora.

Question 12

During a routine assessment of a pregnant patient the nurse observes the following on the patient's abdomen. How should the nurse document this finding?

Accepted Answer

The answer of During a routine assessment of a pregnant...

Question 13

The nurse notes purplish stretch marks on the pregnant client's breasts during the physical assessment. Which term will the nurse use when documenting this finding in the medical record?

Accepted Answer

Striae, also known as stretch marks, are the correct term to describe purplish lines that can appear on the skin due to stretching, such as during pregnancy.

Question 14

Which of the following is common in many non-Western cultures and is on the increase in the United States?

Accepted Answer

Co-sleeping is a practice that is common in many non-Western cultures and has been on the increase in the United States, reflecting a shift towards more family-centric sleeping arrangements.

Question 15

The nurse is conducting an initial prenatal appointment for a client who believes she is pregnant. Which is considered a positive sign of pregnancy?

Accepted Answer

A positive sign of pregnancy is one that is attributed directly to the presence of a fetus, such as a fetal heartbeat detected by ultrasound or auscultation. Linea nigra, breast tenderness, and urinary frequency are considered presumptive or probable signs of pregnancy, which are suggestive but not definitive of pregnancy, as they can be caused by other conditions.

Question 16

A pregnant patient is observed lying in bed in the following position. Which health problem is this patient prone to developing?

Accepted Answer

The answer of A pregnant patient is observed lying in...

Question 17

The introduction of a new baby into the family is often the beginning of which of the following?

Accepted Answer

Sibling rivalry often begins when a new baby is introduced into the family, as the older child or children may compete for parental attention and resources.

Quiz 11: Physical and Psychologic Changes of Pregnancy