Maternity Nursing 8th Edition By Lowdermilk, Perry, Cashion
Maternity Nursing 8th Edition By Lowdermilk, Perry, Cashion
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Chapter 07: Nursing Care of the Family during Pregnancy
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Before the first missed menstrual period. |
| b. | After the first missed menstrual period. |
| c. | After the second missed menstrual period. |
| d. | After the third missed menstrual period. |
ANS: B
| Feedback | |
| A | Regular prenatal visits, ideally beginning soon after the first missed menstrual period, offer opportunities to ensure the health of the expectant mother and her infant. |
| B | Prenatal care ideally should begin soon after the first missed menstrual period. |
| C | Regular prenatal visits, ideally beginning soon after the first missed menstrual period, offer opportunities to ensure the health of the expectant mother and her infant. |
| D | Regular prenatal visits, ideally beginning soon after the first missed menstrual period, offer opportunities to ensure the health of the expectant mother and her infant. |
DIF: Cognitive Level: Knowledge REF: 191
OBJ: Client Needs: Health Promotion and Maintenance TOP: Nursing Process: Planning
| a. | The interview portions become more intensive as the visits become more frequent over the course of the pregnancy. |
| b. | Monthly visits are scheduled for the first trimester, every 2 weeks for the second trimester, and weekly for the third trimester. |
| c. | During the abdominal examination, the nurse should be alert for supine hypotension. |
| d. | For pregnant women a systolic blood pressure (BP) of 130 and a diastolic BP of 80 is sufficient to be considered hypertensive. |
ANS: C
| Feedback | |
| A | The interview portion of follow-up examinations is less extensive than in the initial prenatal visits, during which so much new information must be gathered. |
| B | Monthly visits are routinely scheduled for the first and second trimesters; visits increase to every 2 weeks at week 28 and to once a week at week 36. |
| C | The woman lies on her back during the abdominal examination, possibly compressing the vena cava and aorta, which can cause a decrease in blood pressure and a feeling of faintness. |
| D | For pregnant women hypertension is defined as a systolic BP of 140 or higher and a diastolic BP of 90 or higher. |
DIF: Cognitive Level: Comprehension REF: 202
OBJ: Client Needs: Physiologic Integrity TOP: Nursing Process: Assessment
| a. | September 17, 2010. |
| b. | November 7, 2010. |
| c. | November 21, 2010. |
| d. | December 17, 2010. |
ANS: C
| Feedback | |
| A | Using Nägele’s rule, the EDB is calculated by subtracting 3 months from the first day of the LMP and adding 7 days + 1 year to the day of the LMP. Therefore, with an LMP of February 14, 2010:
February 14, 2010 – 3 months = November 14, 2009 + 7 days = November 21, 2009 + 1 year = November 21, 2010 |
| B | Using Nägele’s rule, the EDB is calculated by subtracting 3 months from the first day of the LMP and adding 7 days + 1 year to the day of the LMP. Therefore, with an LMP of February 14, 2010:
February 14, 2010 – 3 months = November 14, 2009 + 7 days = November 21, 2009 + 1 year = November 21, 2010 |
| C | Using Nägele’s rule, this is the correct expected date of birth. |
| D | Using Nägele’s rule, the EDB is calculated by subtracting 3 months from the first day of the LMP and adding 7 days + 1 year to the day of the LMP. Therefore, with an LMP of February 14, 2010:
February 14, 2010 – 3 months = November 14, 2009 + 7 days = November 21, 2009 + 1 year = November 21, 2010 |
DIF: Cognitive Level: Knowledge REF: 192
OBJ: Client Needs: Health Promotion and Maintenance TOP: Nursing Process: Assessment
| a. | All women, regardless of risk factors |
| b. | A woman who has had more than one sexual partner |
| c. | A woman who has had a sexually transmitted infection |
| d. | A woman who is monogamous with her partner |
ANS: A
| Feedback | |
| A | Testing for the antibody to HIV is strongly recommended for all pregnant women. |
| B | An HIV test is recommended for all women, regardless of risk factors. The incidence of perinatal transmission from an HIV-positive mother to her fetus ranges from 25% to 35%. Women who test positive for HIV can then be treated. |
| C | An HIV test is recommended for all women, regardless of risk factors. The incidence of perinatal transmission from an HIV-positive mother to her fetus ranges from 25% to 35%. Women who test positive for HIV can then be treated. |
| D | An HIV test is recommended for all women, regardless of risk factors. The incidence of perinatal transmission from an HIV-positive mother to her fetus ranges from 25% to 35%. Women who test positive for HIV can then be treated. |
DIF: Cognitive Level: Comprehension REF: 202
OBJ: Client Needs: Health Promotion and Maintenance TOP: Nursing Process: Planning
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