Maternal Newborn Nursing The Critical Components Of Nursing Care 2nd Edition by Roberta Durham
Maternal Newborn Nursing The Critical Components Of Nursing Care 2nd Edition by Roberta Durham
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Chapter 4: Physiological Aspects of Antepartum Care
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
Multiple Choice
ANS: b
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| a. | Folic acid is not related to bone density. |
| b. | Correct. The use of folic acid has decreased the incidence of neural tube defects by 50%. |
| c. | The use of folic acid is not associated with a reduction in Down syndrome. |
| d. | Folic acid is not related to calcium uptake in women. |
KEY: Integrated Process: Clinical Problem Solving | Cognitive Level: Knowledge | Content Area: Maternity | Client Need: Pharmacological/Parenteral Therapies | Difficulty Level: Moderate
ANS: d
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| a. | Physiological and anatomical changes of pregnancy are presumptive signs of pregnancy. |
| b. | All subjective signs of pregnancy are the probable signs of pregnancy. |
| c. | All those physiological changes perceived by the woman herself are presumptive signs of pregnancy. |
| d. | Correct. Positive signs of pregnancy are the objective signs of pregnancy that can only be attributed to the fetus, such as fetal heart tones. |
KEY: Integrated Process: Clinical Problem Solving | Cognitive Level: Knowledge | Content Area: Maternity | Client Need: Physiological Adaptation | Difficulty Level: Easy
ANS: c
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| a. | This is a normal occurrence in pregnancy and does not indicate pathology. The probable cause of the problem is supine hypotension. |
| b. | This is a normal finding that does not warrant immediate notification to her care provider. |
| c. | Correct. Teaching the woman to avoid lying on her back because of occlusion of the vena cava with the gravid uterus causes supine hypotension syndrome. |
| d. | Antenatal testing is not indicated with supine hypotension. |
KEY: Integrated Process: Clinical Problem Solving | Cognitive Level: Analysis | Content Area: Maternity | Client Need: Physiological Adaptation | Difficulty Level: Moderate
ANS: d
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| a. | Iron-deficiency anemia is treated with iron supplementation. Iron-deficiency anemia is defined as hemoglobin of less than 11 g/dL and hematocrit less than 33%. |
| b. | Maternal iron stores that are insufficient to meet the demands for iron in fetal development result in iron-deficiency anemia. |
| c. | Hypercoagulation that occurs during pregnancy is to decrease the risk of postpartum hemorrhage. These changes taking place are not related to blood volume expansion. |
| d. | Correct. Physiological anemia of pregnancy, also referred to as pseudo-anemia of pregnancy, is due to hemodilution. The increase in plasma volume is relatively larger than the increase in RBCs that results in decreased hemoglobin and hematocrit values. |
KEY: Integrated Process: Clinical Problem Solving | Cognitive Level: Analysis | Content Area: Maternity | Client Need: Physiological Adaptation | Difficulty Level: Moderate
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