Pregnancy and Nursing Quiz

A nurse documents softening of the lower uterine segment during a vaginal exam. What term best describes this finding?

• Chadwick's sign

• Goodell's sign

• Ballottement

• Hegar's sign

A primigravida client at 38 weeks states, “The baby dropped, and now I pee all the time.” Which statement by the nurse best confirms understanding of lightening?

• You are likely dehydrated, causing frequent urination.

• That’s a sign the fetus is engaging into your pelvis.

• You may be developing a bladder infection.

• You should restrict fluids to reduce urinary frequency.

A client at 10 weeks reports urinating more frequently than usual. What is the appropriate nursing response?

• This is abnormal in early pregnancy.

• That should stop in the second trimester but may return at the end.

• It’s a sign of gestational diabetes.

• This will continue throughout your entire pregnancy.

A pregnant woman reports nasal stuffiness. Which response by the nurse is most appropriate?

• This is a sign of infection.

• Use over-the-counter antihistamines to relieve it.

• This is a common effect of hormonal changes.

• We’ll need to perform a sinus X-ray.

Which of the following describes Braxton Hicks contractions?

• Regular, painful, and progressive

• Indicate true labor has begun

• Are irregular and typically painless

• Cause cervical dilation

A 28-week pregnant woman reports swelling and pain in her left calf. What should the nurse do first?

• Apply a warm compress

• Check deep tendon reflexes

• Notify the provider immediately

• Encourage ambulation

A nurse assesses a pregnant client during a routine prenatal visit. Which gastrointestinal symptoms are expected findings?

• Nausea

• Heartburn

• Swollen gums

• Diarrhea

Which of the following is a positive (diagnostic) sign of pregnancy?

• Positive urine pregnancy test

• Fetal movement felt by the mother

• Auscultation of fetal heart tones

• Breast enlargement

A second-trimester client’s BP changed from 112/70 pre-pregnancy to 104/64. How should the nurse interpret this finding?

• Sign of hemorrhage

• Result of progesterone’s vasodilating effects

• Indication of dehydration

• Requires immediate intervention

A client reports she always needs to urinate when she lies down to sleep. What is the best explanation by the nurse?

• You should drink less water in the afternoon.

• Kidney activity increases when you lie down.

• Your bladder may be irritated.

• Try sleeping in a reclined position.