Chapter 04: Prenatal Care and Adaptations to Pregnancy

Chapter 04: Prenatal Care and Adaptations to Pregnancy

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A woman who is 7 weeks pregnant tells the nurse that this is not her first pregnancy. She has a 2-year-old son and had one previous spontaneous abortion. How would the nurse document the patient’s obstetric history using the TPALM system?

a.	Gravida 2, para 20120
b.	Gravida 3, para 10011
c.	Gravida 3, para 10110
d.	Gravida 2, para 11110

 

 

ANS:  C

Refer to Box 4-1 in the textbook for the TPALM system of identifying gravida and para.

 

DIF:    Cognitive Level: Application           REF:   Page 48, Box 4-1

OBJ:   1                    TOP:   Definition of Terms

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

2. A woman calls her health care provider to schedule prenatal visits in an uncomplicated pregnancy. How frequently will the nurse assist the patient to schedule these appointments?

a.	Every 3 weeks until the 6th month, then every 2 weeks until delivery
b.	Every 4 weeks until the 7th month, after which appointments will become more frequent
c.	Monthly until the 8th month
d.	Every 2 to 3 weeks for the entire pregnancy

 

 

ANS:  B

Monthly visits are scheduled up to 28 weeks, and then visits increase to every 2 to 3 weeks through 36 weeks. From 36 weeks until delivery, visits are weekly.

 

DIF:    Cognitive Level: Application           REF:   Page 46          OBJ:   2 | 3

TOP:   Prenatal Visits                                 KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

3. During the physical examination for the first prenatal visit, it is noted that Chadwick’s sign is present. What is Chadwick’s sign?

a.	Bluish or purplish discoloration of the vulva, vagina, and cervix
b.	Presence of early fetal movements
c.	Darkening of the areola and breast tenderness
d.	Palpation of the fetal outline

 

 

ANS:  A

Chadwick’s sign is the purplish or bluish discoloration of the cervix and vagina.

 

DIF:    Cognitive Level: Knowledge            REF:   Page 49          OBJ:   7

TOP:   Normal Physiological Changes in Pregnancy

KEY:  Nursing Process Step: Data Collection

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

4. After the examination is completed, the patient asks the nurse why Chadwick’s sign occurs during pregnancy. What would the nurse explain as the cause of Chadwick’s sign?

a.	Enlargement of the uterus
b.	Progesterone action on the breasts
c.	Increasing activity of the fetus
d.	Vascular congestion in the pelvic area

 

 

ANS:  D

Chadwick’s sign is caused by increased vascular congestion in the cervical and vaginal area.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 49          OBJ:   6 | 7

TOP:   Normal Physiological Changes in Pregnancy

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

5. The nurse has explained physiological changes that occur during pregnancy. Which statement indicates that the woman understands the information?

a.	“Blood pressure goes up toward the end of pregnancy.”
b.	“My breathing will get deeper and a little faster.”
c.	“I’ll notice a decreased pigmentation in my skin.”
d.	“There will be a curvature in the upper spine area.”

 

 

ANS:  B

The pregnant woman breathes more deeply, and her respiratory rate may increase slightly.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 52          OBJ:   7 | 13

TOP:   Normal Physiological Changes in Pregnancy

KEY:  Nursing Process Step: Evaluation

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation