Chapter 5: Antepartal Nursing Assessment

Chapter 5: Antepartal Nursing Assessment

 

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 cares for a newly diagnosed pregnant woman with a history of three spontaneous abortions in the first trimester and an emergency Cesarean section because of breech presentation with her last pregnancy. Which health-care provider is most appropriate to care for this patient?

1)	Family physician
2)	Obstetrician-gynecologist
3)	Certified nurse midwife
4)	Doula

 

 

____     2.   A woman arrives at the clinic and tells the nurse she thinks she is pregnant. Which symptom, as related by the patient, does the nurse consider the best indicator of pregnancy?

1)	Amenorrhea
2)	Irritability
3)	Positive urine human chorionic gonadotropin (hCG; home test)
4)	Enlarged abdomen

 

 

____     3.   Which information should the nurse include when teaching a pregnant patient who is scheduled to have an abdominal ultrasound?

1)	Pain medication will be administered before the procedure.
2)	Do not eat or drink anything for 4 hours prior to the procedure.
3)	The probe will be inserted through the vagina.
4)	Do not empty your bladder prior to the procedure.

 

 

____     4.   Using Naegele’s rule, calculate the estimated date of delivery for a patient whose first day of the last menstrual period was October 8, 2016.

1)	July 15, 2017
2)	January 1, 2017
3)	July 1, 2016
4)	June 14, 2017

 

Answer Section

 

MULTIPLE CHOICE

 

1. ANS:  2

Chapter number and title: 5: Antepartal Nursing Assessment

Chapter learning objective: Describe scopes of practice and roles of members of the health-care team, specifically the family practice physician, an obstetrician, and a certified nurse midwife.

Chapter page reference: 55

Heading: Selection of Health-Care Provider

Integrated processes: Clinical Problem-Solving Process

Client need: Coordinated Care

Cognitive level: Application [Applying]

Concept: Pregnancy

Difficulty: Easy

 

	Feedback
1	The family physician is qualified to manage uncomplicated pregnancies, but this woman’s pregnancy history indicates a risk for complications; thus, she needs more specialized care.
2	The obstetrician-gynecologist specializes in the care of pregnant women from preconception planning to postpartum recovery and is most appropriate to care for a patient with a history of complications.
3	The nurse midwife cares for women at low risk, and this woman’s history of complications indicates the need for more specialized care.
4	A doula supports the woman and family during childbirth but does not have the education or ability to deliver a baby independently; she is inappropriate to care for a mother with a history of complications.

 

 

PTS:   1                    CON:  Pregnancy

 

2. ANS:  3

Chapter number and title: 5: Antepartal Nursing Assessment

Chapter learning objective: Discuss diagnostic testing to confirm pregnancy.

Chapter page reference: 59-60

Heading: Diagnosis of Pregnancy

Integrated processes: Clinical Problem-Solving Process

Client need: Health Promotion and Maintenance

Cognitive level: Comprehension [Understanding]

Concept: Pregnancy

Difficulty: Moderate

 

	Feedback
1	Although amenorrhea is often the first sign a woman notices, it can be caused by other conditions; thus, it is not the best indicator of pregnancy.
2	Irritability is not an expected sign of pregnancy and can be caused by any number of factors, so it is not the best indicator of pregnancy.
3	A positive hCG result is the best indicator of pregnancy because this hormone is released only during a developing pregnancy.
4	An enlarged abdomen is not the best indicator of pregnancy, because it can be caused by a number of factors.

 

 

PTS:   1                    CON:  Pregnancy

 

3. ANS:  4

Chapter number and title: 5: Antepartal Nursing Assessment

Chapter learning objective: Discuss diagnostic testing to confirm pregnancy.

Chapter page reference: 59-60

Heading: Diagnosis of Pregnancy

Integrated processes: Teaching and Learning

Client need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Pregnancy

Difficulty: Moderate

 

	Feedback
1	There is only mild pressure on the abdomen during the procedure, so there is no need for analgesia.
2	Women will be required to push fluids in order to enter the procedure with a full bladder.
3	A transvaginal ultrasound, not an abdominal ultrasound, requires insertion of the probe into the vagina.
4	It is important for the patient to have a full bladder during the procedure, so teaching her not to empty her bladder is important.

 

 

PTS:   1                    CON:  Pregnancy

 

4. ANS:  1

Chapter number and title: 5: Antepartal Nursing Assessment

Chapter learning objective: Determine the estimated date of delivery using Naegele’s rule.

Chapter page reference: 55

Heading: Determining the Estimated Date of Delivery

Integrated processes: Clinical Problem-Solving Process

Client need: Health Promotion and Maintenance

Cognitive level: Analysis [Analyzing]

Concept: Pregnancy

Difficulty: Difficult

 

	Feedback
1	To calculate the due date, subtract 3 months (October – 3 months = July) and add 7 days (8 + 7 = 15), resulting in an estimated delivery date of July 15, 2017.
2	To calculate the due date, subtract 3 months (October – 3 months = July) and add 7 days (8 + 7 = 15), resulting in an estimated delivery date of July 15, 2017.
3	To calculate the due date, subtract 3 months (October – 3 months = July) and add 7 days (8 + 7 = 15), resulting in an estimated delivery date of July 15, 2017.
4	To calculate the due date, subtract 3 months (October – 3 months = July) and add 7 days (8 + 7 = 15), resulting in an estimated delivery date of July 15, 2017.

 

 

PTS:   1                    CON:  Pregnancy