Description
Safe Maternity Pediatric Nursing By Care Palmer Coats – Test Bank
Chapter 5: Antepartal Nursing Assessment
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?
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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 |
____ 5. The nurse is collecting a patient’s personal information to contribute to the client history. How should the nurse question the woman regarding physical abuse and safety in her living situation?
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1) |
“Does your significant other ever hit you?” |
|
2) |
“Are you happily married?” |
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3) |
“Tell me about your home life.” |
|
4) |
“Tell me about your husband.” |
____ 6. The clinical instructor observes a student nurse collecting the client history of a new prenatal patient. Which question asked by the student indicates that he or she needs further education?
|
1) |
“Do you use drugs?” |
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2) |
“Have you ever been pregnant before?” |
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3) |
“Are your parents and siblings living?” |
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4) |
“What is your current living situation?” |
____ 7. A woman comes for her first prenatal visit and learns the obstetrician will perform a complete physical examination. She asks the nurse, “Why is a complete physical required?” Which is the nurse’s best response?
|
1) |
“Your general health will influence your pregnancy, so the doctor needs to do a complete examination.” |
|
2) |
“If you have health problems, the doctor needs to know so you can receive the treatment you need to return to health.” |
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3) |
“This is a requirement for all newly pregnant women because the doctor wants to learn as much about you as possible.” |
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4) |
“The doctor wants to make sure that the baby is healthy and that your pregnancy will progress without complications.” |
____ 8. The nurse reviews a patient’s medical record and sees the measurement of the ischial tuberosity is 8.5 cm. How does the nurse interpret this measurement?
|
1) |
The woman may be unable to carry the pregnancy to term. |
|
2) |
The woman has an adequate blood supply to the fetus. |
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3) |
The woman may require a Cesarean section. |
|
4) |
The woman will experience a prolonged labor. |
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