Chapter 9 Antepartum Nursing Assessment

Chapter 9   Antepartum Nursing Assessment

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

1) The pregnant client has completed the prenatal questionnaire and asks the nurse why this form had to be completed. The best response by the nurse is:

1. “Some people have things that have happened in the past that could impact their current pregnancy.”
2. “The doctor wants all of the pregnant patients to complete the form so that our records are complete.”
3. “We occasionally identify a health problem that puts the current pregnancy at higher risk.”
4. “This form is designed to predict who will develop problems with their pregnancy or delivery.”

Answer:  3

Explanation:  1. Although this is true, this statement is too vague to be the best response. It is best to explain specifically that the impact on the current pregnancy might put the pregnancy at higher risk.

2. The purpose of the form is to identify which patients have risk factors; the fact that records are complete is less important than identifying at risk pregnancies.
3. This is the reason for risk assessment during pregnancy, whether it is a patient-completed questionnaire or a nurse assessment form.
4. The form will identify those patients who have risk factors based on their medical history; prediction implies seeing into the future without a basis for the concern.

Page Ref: 152-154

Cognitive Level:  Understanding

Client Need&Sub:  Health Promotion and Maintenance

Standards:  QSEN Competencies: Quality Improvement | AACN Essential Competencies: Essential IV: Information management and application of patient care technology | NLN Competencies: Nursing judgement | Nursing/Integrated Concepts: Nursing Process: Assessment/Health teaching and health promotion

Learning Outcome:  LO 9.1-Summarize the essential components of a prenatal history.

MNL LO:  Assess maternal data for potential risk factors.

2) The pregnant client’s prenatal record indicates that she is a gravida 4 para 2022. The nurse understands that this indicates the client had four pregnancies and:

1. Has four living children.
2. Delivered two infants preterm.
3. Is pro-abortion.
4. Delivered two term infants.

Answer:  4

Explanation:  1. In the four-digit number, the fourth number indicates the number of living children, which is 2.

2. In the four-digit number, the second digit indicates the number of preterm births, so the client has had no preterm births.
3. In the four-digit number, the third digit indicates the number of abortions the client has experienced. Because abortion may be spontaneous or therapeutic, this number does not does not necessarily reflect a woman’s stance on surgical abortion.
4. In the four-digit number, the first digit indicates the number of term infants born, which is two.

Page Ref: 152

Cognitive Level:  Analyzing

Client Need&Sub:  Health Promotion and Maintenance

Standards:  QSEN Competencies: Quality Improvement | AACN Essential Competencies: Essential IV: Information management and application of patient care technology | NLN Competencies: Human flourishing | Nursing/Integrated Concepts: Nursing Process: Assessment/Health teaching and health promotion

Learning Outcome:  LO 9.2-Define common obstetric terminology found in the history of maternity patients.

MNL LO:  Explore the role of the nurse in maternity care delivery.

3) A multigravida gave birth to an 18-week fetus last week. She is in the clinic for follow-up and notices that her chart states she has had one abortion. The client is upset over the use of this word. How can the nurse best explain this terminology to the patient?

1. “Abortion is the medical term for all pregnancies that end before 28 weeks.”
2. “Abortion is the word we use when someone has miscarried.”
3. “Abortion is how we label pregnancies that end in the second trimester.”
4. “Abortion is what we call all babies who are stillborn.”

Answer:  1

Explanation:  1. Abortions are fetal losses prior to the onset of the third trimester and include elective induced (medical or surgical) abortions, ectopic pregnancies, and spontaneous abortions or miscarriages.

2. Abortions are fetal losses prior to the onset of the third trimester and include elective induced (medical or surgical) abortions, ectopic pregnancies, and spontaneous abortions or miscarriages.
3. Abortions are fetal losses prior to the onset of the third trimester and include elective induced (medical or surgical) abortions, ectopic pregnancies, and spontaneous abortions or miscarriages.
4. Third-trimester losses are considered fetal death in utero, and the term abortion is not used.

Page Ref: 152

Cognitive Level:  Application

Client Need&Sub:  Health Promotion and Maintenance

Standards:  QSEN Competencies: Patient-centered care | AACN Essential Competencies: Essential V: Healthcare policy, finance, and regulatory environments | NLN Competencies: Human flourishing | Nursing/Integrated Concepts: Nursing Process: Implementation/Quality of practice

Learning Outcome:  LO 9.2-Define common obstetric terminology found in the history of maternity patients.

MNL LO:  Explore the role of the nurse in maternity care delivery.

4) Which of the following clients would be considered a multipara?

1. A client at 34 weeks’ gestation who previously had one spontaneous abortion
2. A client at 13 weeks’ gestation who previously delivered two term infants
3. A client at 28 weeks’ gestation with no previous pregnancies
4. A client at 32 weeks’ gestation who previously delivered one term infant

Answer:  2

Explanation:  1. A woman who has had no births at more than 20 weeks’ gestation is considered a nullipara.

2. A woman who has had two or more births at more than 20 weeks’ gestation is considered a multipara.
3. A woman who has had no births at more than 20 weeks’ gestation is considered a nullipara.
4. A woman who has had one birth at more than 20 weeks’ gestation, regardless of whether the infant was born alive or dead, is considered a primipara.

Page Ref: 152

Cognitive Level:  Analyzing

Client Need&Sub:  Health Promotion and Maintenance

Standards:  QSEN Competencies: Patient-centered care | AACN Essential Competencies: Essential II: Basic organizational and systems leadership for quality care and patient safety | NLN Competencies: Human flourishing | Nursing/Integrated Concepts: Nursing Process: Assessment/Health teaching and health promotion

Learning Outcome:  LO 9.2-Define common obstetric terminology found in the history of maternity patients.

MNL LO:  Explore the role of the nurse in maternity care delivery.

5) The patient has delivered her first child at 39 weeks. The nurse would explain this to the client as what type of delivery?

1. Preterm
2. Post-term
3. Term
4. Near term

Answer:  3

Explanation:  1. Preterm deliveries are those that occur prior to 37 completed weeks’ gestation.

2. Post-term applies to birth that occur after 42 weeks’ gestation.
3. Term births are those that occur from between gestation weeks 38 and 42.
4. Near term is not terminology used to describe birth.

Page Ref: 152

Cognitive Level:  Understanding

Client Need&Sub:  Health Promotion and Maintenance

Standards:  QSEN Competencies: Patient-centered care | AACN Essential Competencies: Essential VII: Clinical prevention and population health | NLN Competencies: Human flourishing | Nursing/Integrated Concepts: Nursing Process: Implementation/Health teaching and health promotion

Learning Outcome:  LO 9.2-Define common obstetric terminology found in the history of maternity patients.

MNL LO:  Explore the role of the nurse in maternity care delivery.