Chapter 14: Assessing the Mother-to-Be

NURSING HEALTH ASSESSMENT 3rd Edition By Dillon

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Chapter 14: Assessing the Mother-to-Be

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   The nurse is assessing the diet of an adolescent patient who is pregnant. Which essential nutrient is often lacking in this population that can adversely affect the pregnancy?

1) Carbohydrates
2) Fats
3) Calcium
4) Potassium

 

 

____     2.   Which is the best definition for chloasma?

1) A darkening of the nipples, areolae, axillae, and vulva.
2) A line of pigmentation that extends from the symphysis pubis to the umbilicus.
3) A hyperpigmentation of the skin that develops on the face.
4) Pinkish-red streaks with slight depressions in the skin that appear over the abdomen, thighs, breasts, and buttocks.

 

 

____     3.   Which is the reason that a pregnant patient may complain of difficulty breathing?

1) Diaphragm displacement
2) Lung edema
3) Increase in tidal volume
4) Decrease in respiratory rate

 

 

____     4.   Which factor significantly contributes to the increase in heart rate that occurs during pregnancy?

1) Increase in overall weight
2) Increase in cardiac volume
3) Systolic murmurs
4) All of the above

 

 

____     5.   Chinese American pregnant patients may consume rice wine during pregnancy per cultural beliefs. Which will the nurse monitor the patient for as a result of the cultural tradition?

1) Increased blood pressure
2) Decreased blood pressure
3) Increased coagulation
4) Decreased coagulation

 

Answer Section

 

MULTIPLE CHOICE

 

  1. ANS:  3

Chapter number and title: 14, Assessing the Mother-to-Be

Chapter learning objective: N/A

Chapter page reference: 375

Integrated Processes: Nursing Process: Assessment

Client Need: Health Promotion and Maintenance

Cognitive level: Knowledge [Remembering]

Concept: Pregnancy, Assessment

Difficulty: Easy

  Feedback
1 Carbohydrates are not the essential nutrient that is lacking during adolescent pregnancy.
2 Fats are not the essential nutrient that is lacking during adolescent pregnancy.
3 Calcium, along with iron, are the essential nutrients that tend to be lacking during adolescent pregnancy.
4 Potassium is not an essential nutrient that is lacking during adolescent pregnancy.

 

 

PTS:   1                    CON:  Pregnancy | Assessment

 

  1. ANS:  3

Chapter number and title: 14, Assessing the Mother-to-Be

Chapter learning objective: N/A

Chapter page reference: 387

Integrated Processes: Nursing Process: Assessment

Client Need: Health Promotion and Maintenance

Cognitive level: Comprehension [Understanding]

Concept: Pregnancy

Difficulty: Easy

  Feedback
1 This is not the best definition for chloasma.
2 This is not the best definition for chloasma.
3 Chloasma, the mask of pregnancy, is a brownish hyperpigmentation of the skin over the cheeks, nose, and forehead.
4 This is not the best definition for chloasma.

 

 

PTS:   1                    CON:  Pregnancy

 

  1. ANS:  1

Chapter number and title: 14, Assessing the Mother-to-Be

Chapter learning objective: N/A

Chapter page reference: 389

Integrated Processes: Nursing Process: Assessment

Client Need: Health Promotion and Maintenance

Cognitive level: Synthesis [Creating]

Concept: Pregnancy

Difficulty: Difficult

  Feedback
1 The diaphragm becomes displaced as pregnancy progresses, causing difficulty with deep breathing.
2 Lung edema is not the reason a pregnant patient may complain of difficulty breathing.
3 Increased tidal volume is not the reason a pregnant patient may complain of difficulty breathing.
4 Decreased respiratory rate is not the reason a pregnant patient may complain of difficulty breathing.

 

 

PTS:   1                    CON:  Pregnancy

 

  1. ANS:  2

Chapter number and title: 14, Assessing the Mother-to-Be

Chapter learning objective: N/A

Chapter page reference: 389

Integrated Processes: Nursing Process: Assessment

Client Need: Health Promotion and Maintenance

Cognitive level: Comprehension [Understanding]

Concept: Pregnancy

Difficulty: Easy

  Feedback
1 An overall weight increase does not contribute to an increase in heart rate.
2 Maternal blood volume increases by 40 to 50 percent, causing physiological or pseudoanemia because the plasma increase exceeds red blood cell production. The heart rate may increase by 10 to 15 beats per minute (BPM).
3 A systolic murmur may occur during pregnancy, but this is not the reason for an increase in heart rate.
4 Not all of the answer choices contribute to an overall increase in heart rate during pregnancy.

 

 

PTS:   1                    CON:  Pregnancy

 

  1. ANS:  4

Chapter number and title: 14, Assessing the Mother-to-Be

Chapter learning objective: N/A

Chapter page reference: 379

Integrated Processes: Nursing Process: Assessment

Client Need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Pregnancy, Diversity

Difficulty: Moderate

  Feedback
1 Consumption of rice wine during pregnancy does not increase blood pressure.
2 Consumption of rice wine during pregnancy does not decrease blood pressure.
3 Consumption of rice wine during pregnancy does not increase coagulation.
4 Consumption of rice wine during pregnancy can increase bleeding time; therefore, it decreases coagulation.

 

 

PTS:     1          CON:   Pregnancy | Diversity

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