Test Bank Ricci Essentials of Maternity Chapter 11 With Rationales.

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Test Bank - Essentials of Maternity, Newborn, and Women's Health Nursing (4th Edition) Chapter 11: Maternal Adaptation during Pregnancy 1. During a vaginal exam, the nurse notes that the cervix has... a bluish color. The nurse documents this finding as: A) Hegars sign B) Goodells sign C) Chadwicks sign D) Ortolanis sign Answer: C Explanation: Common probable signs of pregnancy include softening of the lower uterine segment or isthmus (Hegar’s sign), softening of the cervix (Goodell’s sign), and a bluishpurple coloration of the vaginal mucosa and cervix (Chadwick’s sign) 2. The nurse teaches a primigravida client that lightening occurs about 2 weeks before the onset of labor. The mother will most likely experience which of the following at that time? A) Dysuria B) Dyspnea C) Constipation D) Urinary frequency Answer: D Explanation: The uterus remains in the pelvic cavity for the first 3 months of pregnancy, after which it progressively ascends into the abdomen. As the uterus grows, it presses on the urinary bladder and causes the increased frequency of urination experienced during early pregnancy. 3. A gravida 2 para 1 client in the 10th week of her pregnancy says to the nurse, “I’ve never urinated as often as I have for the past three weeks.” Which response would be most appropriate for the nurse to make? A) Having to urinate so often is annoying. I suggest that you watch how much fluid you are drinking and limit it. B) You shouldn't be urinating this frequently now; it usually stops by the time you’re eight weeks pregnant. Is there anything else bothering you? C) By the time you are 12 weeks pregnant, this frequent urination should no longer be a problem, but it is likely to return toward the end of your pregnancy. D) Women having their second child generally don't have frequent urination. Are you experiencing any burning sensations? [Show More]

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