Chapter 6: Nursing Care During Pregnancy

Chapter 6: Nursing Care During 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.   The nurse is caring for a pregnant woman who is complaining of nasal stuffiness. Which intervention does the nurse identify as problematic and encourage the patient to stop?

1)	Increased fluid intake
2)	Use of nasal saline drops
3)	Use of a humidifier in the home
4)	Taking a decongestant

 

 

____     2.   Which statement made by a pregnant woman who is complaining of increased vaginal discharge should the nurse correct?

1)	“I try to wear loose clothes and avoid anything that too tight fitting.”
2)	“I changed from my usual nylon underwear to cotton underwear.”
3)	“The discharge has gotten so bad that I have to wear panty liners all the time.”
4)	“I’ve started douching at least once a day and sometimes twice a day.”

 

 

____     3.   The nurse is providing teaching to a woman during her first prenatal visit. The woman says she has been told to avoid baths and asks if that is true. Which statement made by the nurse is incorrect?

1)	“Baths are safe until the membranes rupture.”
2)	“Apply antiskid devices to the bottom of the tub to prevent injury.”
3)	“Soaking in a hot tub can be very relaxing and can reduce morning sickness.”
4)	“In the third trimester, get help getting out of the bathtub.”

 

 

____     4.   When the nurse assesses a pregnant woman, which form of exercise previously enjoyed by the woman should be discouraged?

1)	Running
2)	Skiing
3)	Swimming
4)	Cycling

 

Answer Section

 

MULTIPLE CHOICE

 

1. ANS:  4

Chapter number and title: 6: Nursing Care During Pregnancy

Chapter learning objective: Provide guidance to the pregnant patient on managing the common discomforts of pregnancy.

Chapter page reference: 65

Heading: Nasal Stuffiness, Discharge, and Obstruction

Integrated processes: Teaching and Learning

Client need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Pregnancy

Difficulty: Easy

 

	Feedback
1	Increased fluid intake helps to promote drainage and reduce nasal stuffiness, so this intervention is not problematic.
2	Use of saline nose drops is healthy and is not problematic.
3	A humidifier in the home helps to reduce nasal stuffiness and is not problematic, but the nurse will want to instruct the patient on the importance of regular cleaning of the humidifier.
4	Decongestants are contraindicated in pregnancy because they constrict blood vessels, which can reduce oxygen supply to the fetus, and should be discouraged.

 

 

PTS:   1                    CON:  Pregnancy

 

2. ANS:  4

Chapter number and title: 6: Nursing Care During Pregnancy

Chapter learning objective: Provide guidance to the pregnant patient on managing the common discomforts of pregnancy.

Chapter page reference: 65

Heading: Increased Leukorrhea

Integrated processes: Teaching and Learning

Client need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Pregnancy

Difficulty: Moderate

 

	Feedback
1	Wearing loose-fitting clothing and avoiding anything that is too tight is a good response to increased vaginal discharge and does not need to be corrected.
2	Wearing cotton underwear, which is more porous than nylon, is a good response to increased vaginal discharge and does not need to be corrected.
3	Use of panty liners or pads helps to absorb moisture and is a good response to increased vaginal discharge that does not need correction.
4	Although daily perineal hygiene is needed to prevent infection, douching is dangerous and can result in increased risk of infection; thus, this practice should be discouraged by the nurse.

 

 

PTS:   1                    CON:  Pregnancy

 

3. ANS:  3

Chapter number and title: 6: Nursing Care During Pregnancy

Chapter learning objective: Promote safe and effective self-care practices during pregnancy.

Chapter page reference: 66

Heading: Personal Hygiene

Integrated processes: Teaching and Learning

Client need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Pregnancy

Difficulty: Moderate

 

	Feedback
1	This is a true statement that does not need to be corrected because it is safe to take a bath as long as the amniotic membranes are intact.
2	To reduce the risk of sliding in the tub and afterward, placement of antiskid devices is a good thing to teach this patient and does not need correcting.
3	Hot tubs and excessively hot showers should be avoided to prevent hyperthermia, which can cause neural tube defects, so this is an incorrect statement.
4	In the third trimester, patients should be encouraged to request help when getting out of the bathtub, so this is a correct statement.

 

 

PTS:   1                    CON:  Pregnancy

 

4. ANS:  2

Chapter number and title: 6: Nursing Care During Pregnancy

Chapter learning objective: Promote safe and effective self-care practices during pregnancy.

Chapter page reference: 67

Heading: Exercise

Integrated processes: Teaching and Learning

Client need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Pregnancy

Difficulty: Easy

 

	Feedback
1	If the woman was a runner before pregnancy, it is safe for her to continue through pregnancy.
2	Skiing, gymnastics, and other sports that include a risk of falling should be discouraged during pregnancy.
3	Swimming is a safe exercise during pregnancy.
4	Cycling is a safe exercise during pregnancy.

 

 

PTS:   1                    CON:  Pregnancy