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?
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?
1) |
“Does your significant other ever hit you?” |
2) |
“Are you happily married?” |
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?” |
2) |
“Have you ever been pregnant before?” |
3) |
“Are your parents and siblings living?” |
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.” |
3) |
“This is a requirement for all newly pregnant women because the doctor wants to learn as much about you as possible.” |
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. |
3) |
The woman may require a Cesarean section. |
4) |
The woman will experience a prolonged labor. |
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