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Chapter_04_Prenatal_Care_and_Adaptations_to_Pregnancy.docx (1)

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Chapter 04: Prenatal Care and Adaptations to Pregnancy 1. A woman who is 7 weeks pregnant tells the nurse that this is not her first pregnancy. She has a 2-yearold son and had one previous spontaneo... us abortion. Using the TPAL system, the patient's obstetric history would be recorded as: a. gravida 2 para 20120. b. gravida 3 para 10011. c. gravida 3 para 10110. d. gravida 2 para 11110. ANS: C Refer to Box 4-1 in the textbook for the TPAL system of identifying gravida and para. DIF: Cognitive Level: Application REF: p. 46, Box 4-1 OBJ: 1 TOP: Definition of Terms KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease 2. A woman asks the nurse about the frequency of prenatal visits. In an uncomplicated pregnancy, the nurse would tell her that appointments are scheduled: a. every 3 weeks until the 6th month, then every 2 weeks until delivery. b. every 4 weeks until the 7th month, after which appointments will become more frequent. c. monthly until the 8th month. d. every 2 to 3 weeks for the entire pregnancy. ANS: B Monthly visits are scheduled up to 28 weeks, and then visits increase to every 2 to 3 weeks through 36 weeks. From 36 weeks until delivery, visits are weekly. DIF: Cognitive Level: Application REF: p. 45 OBJ: 2 and 3 Chapter 04: Prenatal Care and Adaptations to Pregnancy TOP: Prenatal Visits KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease 3. During the physical examination for the first prenatal visit, it is noted that Chadwick's sign is present. This refers to the: a. bluish or purplish discoloration of the vulva, vagina, and cervix. b. presence of early fetal movements. c. darkening of the areola and breast tenderness. d. palpation of the fetal outline. ANS: A Chadwick's sign is the purplish or bluish discoloration of the cervix and vagina. DIF: Cognitive Level: Knowledge REF: p. 49 OBJ: 7 TOP: Normal Physiological Changes in Pregnancy KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity: Physiological Adaptation 4. After the examination is completed, the patient asks the nurse why Chadwick's sign occurs during pregnancy. The nurse would explain that it is caused by the: a. enlargement of the uterus. b. progesterone action on the breasts. c. increasing activity of the fetus. d. vascular congestion in the pelvic area. ANS: D Chadwick's sign is caused by increased vascular congestion in the cervical and vaginal area. Chapter 04: Prenatal Care and Adaptations to Pregnancy DIF: Cognitive Level: Application REF: p. 49 OBJ: 7 TOP: Normal Physiological Changes in Pregnancy KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Physiological Adaptation 5. The nurse has explained physiological changes that occur during pregnancy. Which statement indicates that the woman understands the information? a. "Blood pressure goes up toward the end of pregnancy." b. "My breathing will get deeper and a little faster." c. "I'll notice a decreased pigmentation in my skin." d. "There will be a curvature in the upper spine area." ANS: B The pregnant woman breathes more deeply, and her respiratory rate may increase slightly. DIF: Cognitive Level: Analysis REF: p. 52 OBJ: 7 TOP: Normal Physiological Changes in Pregnancy KEY: Nursing Process Step: Evaluation MSC: NCLEX: Physiological Integrity: Physiological Adaptation 6. A woman reports that her last normal menstrual period began on August 5, 2010. Using Nägele's rule, her expected date of delivery would be _____, 2011. a. April 30 b. May 5 c. May 12 d. May 26 [Show More]

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