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CHAPTER 9 1)The clinic nurse uses Leopold maneuvers to determine the fetal lie, presentation and position

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CHAPTER 9

1)The clinic nurse uses Leopold maneuvers to determine the fetal lie, presentation and position.  The nurse's hands are placed on the maternal abdomen to gently palpate the fundal region of the uterus.  This action is best described as the:

A)  First maneuver

B)  Second maneuver

C)  Third maneuver

D)  Fourth maneuver

 

2.   The clinic nurse includes screening for domestic violence in the first prenatal visit for all patients.  An appropriate question would be:

A)  This is something that we ask everyone.  Do you feel safe in your current living environment and relationships?

B)  This is something we ask everyone.  Do you have any abuse in your life right now?

C)  Is your partner threatening or harming you in any way right now?

D)  I need to ask you, do you feel safe from abuse right now?

 

3.   The clinic nurse talks with Kathy about her possible pregnancy.  Kathy has experienced amenorrhea for two months, nausea during the day with vomiting every other morning and breast tenderness.  These symptoms are best described as:

A)  Positive signs of pregnancy

B)  Presumptive signs of pregnancy

C)  Probable signs of pregnancy

D)  Possible signs of pregnancy

 

4.   Jenny, a 21-year-old single woman, comes for her first prenatal appointment at 31 weeks gestation with her first pregnancy.  The clinic nurse's most appropriate statement is:

Select all answers that apply:

A)  “Jenny, it is late in your pregnancy to be having your first appointment but it is nice to meet you and I will try to help you get caught up in your care.”

B)  “Jenny, have you had care in another clinic?  I can't believe this is your first appointment!”

C)  “Jenny, by the date of your last menstrual period, you are 31 weeks and now that you are finally here, we need you to come monthly for the next two visits and then weekly.”

D)  “Jenny, by your information, you are 31 weeks gestation in this pregnancy.  Do you have questions for me before I begin your prenatal history and information sharing?”

 

5.   The clinic nurse will ensure further testing for a woman who is potentially positive for Hepatitis B to include:

Select all answers that apply:

A)  Hepatitis C

B)  Parvovirus

C)  Human immunodeficiency virus

D)  Cytomegalovirus

 

6.   The clinic nurse advocates for smoking cessation during pregnancy.  Potential harmful effects of prenatal tobacco use include:

Select all answers that apply:

A)  Preterm birth

B)  Gestational hypertension

C)  Gestational diabetes

D)  Small for gestational age infant

 

7.   The clinic nurse recognizes that a pregnant adolescent must successfully complete developmental tasks to be an effective mother.  These developmental tasks include:

Select all answers that apply:

A)  Accepting this pregnancy and telling her parents/friends

B)  Setting reasonable goals for herself

C)  Seeing herself as a mother

D)  Maintaining her freedom

 

8.   Asking the pregnant woman about her use of recreational drugs is an essential component of the prenatal history.  Harmful fetal effects that may occur from recreational drugs include:

Select all answers that apply:

A)  Miscarriage/spontaneous abortion

B)  Low birth weight

C)  Macrosomia

D)  Postterm labor/birth

 

9.   The clinic nurse recognizes that pregnant women who are in particular need of support are those who:

Select all answers that apply:

A)  Are experiencing a second pregnancy

B)  Are awaiting genetic testing results

C)  Are experiencing a first pregnancy

D)  Are trying to conceal this pregnancy as long as possible

 

10. The clinic nurse schedules Tracy for her first prenatal appointment with the certified nurse-midwife (CNM) in the clinic.  Tracy has appropriate questions for her potential health care provider that include:

Select all answers that apply:

A)  Complementary and alternative methods used during labor and birth

B)  An opportunity to meet other providers in the practice

C)  Beliefs and practices concerning an episiotomy and an epidural anesthetic

D)  Whether the nurse-midwife will be continually available for support during labor

 

11. The clinic nurse provides increased support to Karen, a woman who is in her second trimester.  Karen's first and second pregnancy ended in a miscarriage.  Understandably, Karen is ambivalent about this baby due to her:

Select all answers that apply:

A)  Previous loss

B)  Needs related to a second child

C)  Potential role relationship changes

D)  Awareness that she will be taking on a new 24-hour responsibility

 

12. The clinic nurse explains to Margaret, a newly diagnosed pregnant woman at 10 weeks gestation, that her rubella titer indicates that she is not immune.  Margaret should be advised to:

Select all answers that apply:

A)  Avoid contact with all children

B)  Be retested in 3 months

C)  Receive the rubella vaccine postpartum

D)  Report signs/symptoms of fever, runny nose and generalized red rash to the health care provider

 

      Use the following to answer questions 13-22:

 

The clinic nurse understands the meaning of the following terms related to pregnancy care. Match these terms with the definitions listed below:

 

Eustress

Teratogen

Advocacy

Femicide

Lordosis

Amenorrhea

Ballottement

Striae gravidarum

Pseudocyesis

Preterm birth

 

13. Substance that adversely affects fetal development

 

 

14. Normal healthy level of stress

 

 

15. False pregnancy

 

 

16. Passive movement of the unengaged fetus

 

 

17. Verbalizing someone else's wishes if they are unable to do so

 

 

18. Birth prior to 37 completed weeks of pregnancy

 

 

19. Death of a woman resulting from an act of violence against that woman

 

 

20. Absence of menses

 

 

21. Curvature of the spine

 

 

22. Stretch marks

 

 

23. When asked, the clinic nurse describes the use of raspberry leaf tea in pregnancy as a strategy that may be beneficial in decreasing the amount and frequency of morning sickness.

A)  True

B)  False

 

24. Intimate partner violence (IPV), formerly known as domestic violence, is the most common form of violence experienced by women worldwide; approximately one out of every four women has been a victim of domestic violence (World Health Organization [WHO], 2005a).

A)  True

B)  False

 

25. The clinic nurse promotes a diet rich in Vitamin ___ during the third trimester to prevent the possibility of _________ rupture of the membranes.

 

 

26. The clinic nurse monitors the blood pressure and assesses a woman's urine at each prenatal visit to assess for signs/symptoms of ______.  A previous history or the presence of a  ____________ are also risk factors.

 

 

27. The clinic nurse asks pregnant women about their acceptance and planning for this pregnancy as a component of domestic violence screening.  The nurse is aware that a(n) ______ pregnancy _______ the risk for domestic violence.

 

 

28. The clinic nurse encourages Kayla, a 15-year-old pregnant patient, to increase the foods in her diet that are high in calcium, __________ and _________.

 

 

29. The clinic nurse is aware of the importance of chlamydia screening during pregnancy.  Chlamydial transmission to the infant at _____ may result in ______________.