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Homework answers / question archive / CHAPTER 10 1)The clinic nurse visits with Wayne, a 32-year-old man whose partner is pregnant for the first time at 12 weeks
CHAPTER 10
1)The clinic nurse visits with Wayne, a 32-year-old man whose partner is pregnant for the first time at 12 weeks. Wayne describes nausea and vomiting, fatigue and weight gain. His symptoms are best described as:
A) Influenza
B) Couvade syndrome
C) Acid reflux
D) Cholelithiasis
2. After questioning Jessica, a pregnant woman, about her fluid intake, the clinic nurse discovers that Jessica is drinking four glasses of diet cola per day. The major concern with this amount of soda intake is excessive:
A) Sodium
B) Potassium
C) Calcium
D) Creatinine
3. The perinatal nurse explains to the new nurse that prescription medications are classified in pregnancy according to risk. A Category D medication is one that has:
A) No associated fetal risk and is safe to take in pregnancy
B) No associated fetal risk in animals although fetal risk in humans has not been identified
C) Evidence of adverse effects in animal fetuses and the fetal risk in humans has not been identified
D) Evidence of adverse effects and fetal risk in humans and the benefits and risks must be considered before prescribing to a pregnant woman
4. The perinatal nurse explains to the prenatal class attendees that at full term, about ten percent of the maternal weight gain is attributed to the:
A) Maternal reserves
B) Fetal tissue
C) Placental fluid
D) Blood, uterine, and breast tissue
5. The clinic nurse meets with Rebecca, a 30-year-old woman who is experiencing her first pregnancy. Rebecca's quadruple marker screen result is positive at 17 weeks gestation. The nurse explains that Rebecca needs a referral to:
A) A genetics counselor/specialist
B) An obstetrician
C) A gynecologist
D) A social worker
6. The clinic nurse encourages women who are pregnant to use a moderate amount of caffeine. A moderate amount is best described as:
A) 200 mg per day
B) 300 mg per day
C) 400 mg per day
D) 500 mg per day
7. Tracy, a 21-year-old pregnant woman now at 24 weeks gestation, has gained 13 pounds and smokes 8-10 cigarettes per day. Tracy reports that she is beginning to feel regular fetal movement. The clinic nurse is reviewing Tracy's diet with her and notes that she does not like fruits or vegetables. Tracy's daily requirement for Vitamin C is:
A) 40–60 mg/day
B) 60–80 mg/day
C) 80–90 mg/day
D) 160–180 mg/day
8. Lina is an 18-year-old woman at 20 weeks gestation. This is her first pregnancy. Lina is complaining of fatigue and listlessness. Her vital signs are within a normal range: BP = 118/60, pulse = 70 and respiratory rate 16 breaths per minute. Lina's fundal height is at the umbilicus and she states that she is beginning to feel fetal movements. Her weight gain is 25 pounds over the pre-pregnant weight (110 lb.) and her height is 5'4”. The perinatal nurse's best approach to care at this visit is to:
A) Ask Lina to keep a 3-day food diary to bring in to her next visit in 1 weeks time.
B) Explain to Lina that weight gain is not a concern in pregnancy and she should not worry.
C) Teach Lina about the expected normal weight gain during pregnancy (approximately 20 pounds by 20 weeks gestation).
D) Explain to Lina the possible concerns related to excessive weight gain in pregnancy including the risk of gestational diabetes.
9. Jayne is a 22-year-old woman who underwent an elective abortion 6 months ago. This is Jayne's second pregnancy. Today Jayne comes to the clinic for her 24-week prenatal visit. Jayne does not wish to know her weight and when her clinic record is reviewed, Jayne's total weight gain for this pregnancy is five pounds. Jayne's fundal height is 22 cm. and she is very concerned about her changing body shape. The perinatal nurse suspects that Jayne may have:
A) Anemia
B) Anorexia nervosa
C) Gestational diabetes
D) Gestational hypertension
10. Jorgina is a 24-year-old pregnant woman at 26 weeks gestation. This is Jorgina's third pregnancy and her obstetrical history includes one full term birth, one preterm birth and two living children. Today Jorgina arrives at the clinic with complaints of fatigue, insomnia and backache. She reports that she is a nurse on an oncology unit and is worried about continuing with working her twelve-hour shifts. The perinatal nurse identifies concerns in Jorgina's history and work environment including:
Select all answers that apply:
A) Risk of preterm birth
B) Presence of chemotherapeutic agents
C) Requirement for heavy lifting
D) History of diabetes
11. Janice, a 30-year old pregnant woman at 22 weeks gestation has an obstetrical history of a previous miscarriage and a live preterm birth. She tells the prenatal nurse that she works as a waitress serving lunch and dinner at a restaurant. She explains that she is experiencing extreme fatigue, swelling of her feet, and back pain at the end of each work day. The perinatal nurse discusses with Janice some options for ongoing work including:
Select all answers that apply:
A) Negotiating for 8 hour shifts
B) Resting when she is at home after work
C) Ensuring that she has 20–30 minutes every two hours to put her feet up and rest
D) Reviewing the signs and symptoms of preterm labor and the need to discontinue work if these symptoms occur
12. The perinatal nurse teaches the prenatal class attendees about herbal medications that may cause uterine contractions and preterm labor. Herbal preparations that should be avoided because they act as uterine stimulants include:
Select all answers that apply:
A) Black cohosh
B) Mugwort
C) Ephedra
D) Senna
13. The clinic nurse is assessing the complete blood count results for Kim-Ly, a 23-year-old pregnant woman. Kim-Ly's hemoglobin is 9.8 g/dL. This laboratory finding places Kim-Ly's pregnancy at risk for:
Select all answers that apply:
A) Preterm birth
B) Placental abruption
C) Intrauterine growth restriction
D) Thrombocytopenia
14. Teera is a 22-year-old woman who is experiencing her third pregnancy. Her obstetrical history includes one first trimester elective abortion and one first trimester spontaneous abortion. Teera is a semivegetarian who drinks milk and eats yogurt and fish as part of her daily intake. The perinatal nurse discusses Teera's diet with her as she may be deficient in:
Select all answers that apply:
A) Iron
B) Magnesium
C) Zinc
D) Vitamin B12
15. During the initial antenatal visit, the clinic nurse asks questions about the woman's nutritional intake. Specific questions should include information pertaining to:
Select all answers that apply:
A) Preferred foods
B) The presence of cravings
C) Use of herbal supplements
D) Aversions to certain foods and odors
16. The perinatal nurse would assess which newborn systems in more detail after the birth if a woman admitted to cocaine use during her pregnancy:
Select all answers that apply:
A) Nentral nervous system
B) Cardiovascular system
C) Gastrointestinal system
D) Respiratory system
17. The perinatal nurse talks to the prenatal class attendees about guidelines for exercise in pregnancy. Recommended guidelines include:
Select all answers that apply:
A) Stopping if the woman is tired
B) Bouncing and slowly arching the back
C) Increasing fluid intake throughout the physical activity
D) Maintaining the ability to walk and talk during exercise
18. The perinatal nurse screens all pregnant women early in pregnancy for maternal attachment risk factors, which include:
Select all answers that apply:
A) Adolescence
B) Low educational level
C) History of depression
D) A strong support system for the pregnancy
19. The clinic nurse knows that every time a woman of childbearing age comes in to the office for a health maintenance visit, she should be counseled about the benefits of daily folic acid supplementation.
A) True
B) False
20. The perinatal nurse recommends strengthening exercises during pregnancy as exercise can improve posture and increase energy levels.
A) True
B) False
21. The perinatal nurse explains to the new nurse that ptyalism is a condition more acute than the normal nausea and vomiting of pregnancy and that it is often associated with dehydration, hypokalemia and weight loss.
A) True
B) False
22. The prenatal nurse describes the need for _______ and ________ screening at the first antenatal visit. If the pregnant woman is not immune she will be counseled to avoid contact with young children who have a rash and could be infectious.
23. The prenatal nurse cautions a pregnant woman about Caesar salad consumption during pregnancy or any source of ___________ or ___________ milk.
24. The clinic nurse describes ________ as excessive saliva production in pregnancy to the student nurse. This condition is most likely caused by increased _______ levels.
25. The prenatal nurse describes the method of sexually transmitted infection testing to a pregnant woman as a ______ test for _______ and a cervical _____ that tests for _______ and Chlamydia.
26. The clinic nurse talks with the newly diagnosed pregnant woman about the nausea that the woman is experiencing in this pregnancy. The clinic nurse suggests eating _______ meals more often, remaining _____ after eating and the use of ________ techniques.
27. The perinatal nurse is aware that during the last four months of pregnancy, fetal iron requirements are _______ as the fetus ______ iron for the first _____ months of life.
28. The perinatal nurse knows that _____, which is the eating of non-nutritive substances, is a common ______________.
29. The clinic nurse understands that the physiological changes of pregnancy include vascular relaxation from the effects of ___________and impaired venous circulation from pressure exerted by the enlarged uterus, predisposing the pregnant woman to _________________.
