Maternity Nursing 8th Edition By Lowdermilk, Perry, Cashion
Maternity Nursing 8th Edition By Lowdermilk, Perry, Cashion
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Chapter 06: Anatomy and Physiology of Pregnancy
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | 3-1-1-1-3 |
| b. | 4-1-2-0-4 |
| c. | 3-0-3-0-3 |
| d. | 4-2-1-0-3 |
ANS: B
| Feedback | |
| A | The numbers do not accurately reflect the woman’s gravidity and parity information. Using the GTPAL system, her information would be calculated as:
G: This, the first number, reflects the total number of times the woman has been pregnant; she is pregnant for the fourth time. T: This number indicates the number of pregnancies carried to term, not the number of deliveries at term; only one of her pregnancies has resulted in a fetus at term. P: This is the number of pregnancies that resulted in a preterm birth; the woman has had two pregnancies in which she delivered preterm. A: This number signifies whether the woman has had any abortions or miscarriages before the period of viability; she has not. L: This number signifies the number of children born that currently are living; the woman has four children. |
| B | This is the correct calculation of this woman’s gravidity and parity. |
| C | The numbers do not accurately reflect the woman’s gravidity and parity information. Using the GTPAL system, her information would be calculated as:
G: This, the first number, reflects the total number of times the woman has been pregnant; she is pregnant for the fourth time. T: This number indicates the number of pregnancies carried to term, not the number of deliveries at term; only one of her pregnancies has resulted in a fetus at term. P: This is the number of pregnancies that resulted in a preterm birth; the woman has had two pregnancies in which she delivered preterm. A: This number signifies whether the woman has had any abortions or miscarriages before the period of viability; she has not. L: This number signifies the number of children born that currently are living; the woman has four children. |
| D | The numbers do not accurately reflect the woman’s gravidity and parity information. Using the GTPAL system, her information would be calculated as:
G: This, the first number, reflects the total number of times the woman has been pregnant; she is pregnant for the fourth time. T: This number indicates the number of pregnancies carried to term, not the number of deliveries at term; only one of her pregnancies has resulted in a fetus at term. P: This is the number of pregnancies that resulted in a preterm birth; the woman has had two pregnancies in which she delivered preterm. A: This number signifies whether the woman has had any abortions or miscarriages before the period of viability; she has not. L: This number signifies the number of children born that currently are living; the woman has four children. |
DIF: Cognitive Level: Comprehension REF: 169, 170
OBJ: Client Needs: Health Promotion and Maintenance TOP: Nursing Process: Diagnosis
| a. | 2-0-0-1-1 |
| b. | 2-1-0-1-0 |
| c. | 3-1-0-1-0 |
| d. | 3-0-1-1-0 |
ANS: C
| Feedback | |
| A | Using the GTPAL system explained in question 1, this patient’s gravidity and parity information would be calculated as follows:
G: Total number of times the woman has been pregnant (she is pregnant for the third time). T: Number of pregnancies carried to term (she has had only one pregnancy that resulted in a fetus at term). P: Number of pregnancies that resulted in a preterm birth (none). A: Abortions or miscarriages before the period of viability (she has had one). L: Number of children born who are currently living (she has no living children). |
| B | Using the GTPAL system explained in question 1, this patient’s gravidity and parity information would be calculated as follows:
G: Total number of times the woman has been pregnant (she is pregnant for the third time). T: Number of pregnancies carried to term (she has had only one pregnancy that resulted in a fetus at term). P: Number of pregnancies that resulted in a preterm birth (none). A: Abortions or miscarriages before the period of viability (she has had one). L: Number of children born who are currently living (she has no living children). |
| C | This is the correct calculation of this woman’s gravidity and parity. |
| D | Using the GTPAL system explained in question 1, this patient’s gravidity and parity information would be calculated as follows:
G: Total number of times the woman has been pregnant (she is pregnant for the third time). T: Number of pregnancies carried to term (she has had only one pregnancy that resulted in a fetus at term). P: Number of pregnancies that resulted in a preterm birth (none). A: Abortions or miscarriages before the period of viability (she has had one). L: Number of children born who are currently living (she has no living children). |
DIF: Cognitive Level: Comprehension REF: 169, 170
OBJ: Client Needs: Health Promotion and Maintenance TOP: Nursing Process: Diagnosis
| a. | Radioimmunoassay |
| b. | Radioreceptor assay |
| c. | Latex agglutination test |
| d. | Enzyme-linked immunosorbent assay (ELISA) |
ANS: D
| Feedback | |
| A | The radioimmunoassay test is used to detect hCG at varying times in the early gestational period; however, it is not a feature of the OTC pregnancy test. OTC pregnancy tests use ELISA technology for its one-step, accurate results. |
| B | The radioreceptor assay test is used to detect hCG at varying times in the early gestational period; however, it is not a feature of the OTC pregnancy test. OTC pregnancy tests use ELISA technology for its one-step, accurate results. |
| C | The latex agglutination test is used to detect hCG at varying times in the early gestational period; however, it is not a feature of the OTC pregnancy test. OTC pregnancy tests use ELISA technology for its one-step, accurate results. |
| D | ELISA technology is used in OTC pregnancy tests. |
DIF: Cognitive Level: Knowledge REF: 171
OBJ: Client Needs: Physiologic Integrity TOP: Nursing Process: Assessment
| a. | Amenorrhea. |
| b. | Positive pregnancy test. |
| c. | Chadwick’s sign. |
| d. | Hegar’s sign. |
ANS: A
| Feedback | |
| A | Amenorrhea is a presumptive sign of pregnancy. Presumptive signs of pregnancy are those felt by the woman. |
| B | A positive pregnancy test would be a probable sign of pregnancy. |
| C | The presence of Chadwick’s sign would be a probable sign of pregnancy. |
| D | The presence of Hegar’s sign would be a probable sign of pregnancy. |
DIF: Cognitive Level: Comprehension REF: 172
OBJ: Client Needs: Health Promotion and Maintenance TOP: Nursing Process: Assessment
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