Safe Maternity Pediatric Nursing By Care Palmer Coats
Safe Maternity Pediatric Nursing By Care Palmer Coats
$2.99
Chapter 4: Physical and Psychological Changes of Pregnancy
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. While assisting the physician with a physical examination, the nurse notes which sign or symptom as most definitive of a diagnosis of pregnancy?
| 1) | Positive Goodell’s sign |
| 2) | Quickening felt by mother |
| 3) | Auscultation of fetal heart sounds |
| 4) | Breast enlargement and tenderness |
____ 2. Which nursing assessment finding indicates the need for further testing before a diagnosis of pregnancy can be confirmed?
| 1) | Audible fetal heart tones |
| 2) | Fetal movement felt by the nurse |
| 3) | Fetal ultrasound showing a growing fetus |
| 4) | Amenorrhea |
____ 3. The nurse caring for a woman who is beginning the second trimester of pregnancy recognizes the need for further assessment when the woman reports which change in her body?
| 1) | Constipation |
| 2) | Feels short of breath with mild exertion |
| 3) | Nasal congestion |
| 4) | A dark line appearing on the abdomen |
____ 4. The nurse caring for a woman who is in the third trimester of pregnancy suspects a urinary tract infection on the basis of which reported symptom?
| 1) | Urinary frequency |
| 2) | Urgency |
| 3) | Stress incontinence |
| 4) | Burning on urination |
Answer Section
MULTIPLE CHOICE
Chapter number and title: 4: Physical and Psychological Changes of Pregnancy
Chapter learning objective: Differentiate presumptive, probable, and positive signs of pregnancy.
Chapter page reference: 39
Heading: Diagnosis of Pregnancy
Integrated processes: Clinical Problem-Solving Process
Client need: Health Promotion and Maintenance
Cognitive level: Application [Applying]
Concept: Pregnancy
Difficulty: Easy
| Feedback | |
| 1 | Although a positive Goodell’s sign is a probable sign of pregnancy, it is not a definitive sign. |
| 2 | Reported quickening, or fetal movement, felt by the mother is considered a subjective presumptive sign, but it is not a definitive diagnosis of pregnancy. |
| 3 | When the health-care provider auscultates fetal heart sounds, it is considered a positive and definitive indication of pregnancy. |
| 4 | Breast enlargement and tenderness are considered a subjective presumptive sign of pregnancy, but they are not a definitive or positive sign of pregnancy. |
PTS: 1 CON: Pregnancy
Chapter number and title: 4: Physical and Psychological Changes of Pregnancy
Chapter learning objective: Differentiate presumptive, probable, and positive signs of pregnancy.
Chapter page reference: 39
Heading: Diagnosis of Pregnancy
Integrated processes: Clinical Problem-Solving Process
Client need: Health Promotion and Maintenance
Cognitive level: Application [Applying]
Concept: Pregnancy
Difficulty: Easy
| Feedback | |
| 1 | Audible fetal heart tones are considered a positive sign of pregnancy and do not require further testing. |
| 2 | Fetal movement felt by the nurse is considered a positive sign of pregnancy and does not require further testing. |
| 3 | A fetal ultrasound demonstrating a growing fetus is considered a positive sign of pregnancy, eliminating the need for further testing. |
| 4 | Although amenorrhea is considered a presumptive sign of pregnancy, it can be caused by other factors; thus, further testing is needed before making a diagnosis of pregnancy. |
PTS: 1 CON: Pregnancy
Chapter number and title: 4: Physical and Psychological Changes of Pregnancy
Chapter learning objective: Describe the physiological changes in each body system occurring during pregnancy.
Chapter page reference: 39-46
Heading: Tables 4-1 to 4-7
Integrated processes: Clinical Problem-Solving Process
Client need: Health Promotion and Maintenance
Cognitive level: Analysis [Analyzing]
Concept: Pregnancy
Difficulty: Difficult
| Feedback | |
| 1 | Constipation is not uncommon in pregnancy and requires patient teaching, not further assessment. |
| 2 | Shortness of breath with mild exertion during the early part of the second trimester indicates a problem requiring further assessment. |
| 3 | Nasal congestion at this stage of pregnancy is common, and the nurse should provide teaching to help the woman cope with this symptom. |
| 4 | A dark line appearing on the abdomen is known as the linea nigra; it is not uncommon and does not require further assessment. |
PTS: 1 CON: Pregnancy
Chapter number and title: 4: Physical and Psychological Changes of Pregnancy
Chapter learning objective: Describe the physiological changes in each body system occurring during pregnancy.
Chapter page reference: 39-46
Heading: Table 4-5 Urinary System Changes in Pregnancy
Integrated processes: Clinical Problem-Solving Process
Client need: Physiological Adaptation
Cognitive level: Analysis [Analyzing]
Concept: Pregnancy
Difficulty: Moderate
| Feedback | |
| 1 | Urinary frequency is not uncommon in the third trimester of pregnancy because of the pressure of the fetus on the bladder and does not indicate a urinary tract infection. |
| 2 | Urgency is common in late-stage pregnancy and does not indicate a urinary tract infection. |
| 3 | Stress incontinence due to the pressure of the fetus on the bladder is not uncommon in the third trimester of pregnancy. |
| 4 | Burning on urination is not an anticipated urinary symptom of pregnancy and indicates the potential for a urinary tract infection, requiring further testing. |
PTS: 1 CON: Pregnancy
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