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WorksheetsNCM 107 BATTLE OF THE BRAINS ROUND 4
Total questions: 15
Worksheet time: 8mins
When involved in prenatal teaching, the nurse should advise the clients that an increase in vaginal secretions during pregnancy is called leukorrhea and is caused by increased:
A. Metabolic rates.
B. Production of estrogen.
C. Functioning of the Bartholin glands.
D. Supply of sodium chloride to the cells of the vagina.
An expected cardiopulmonary adaptation experienced by most pregnant women is:
A. Tachycardia
B. Dyspnea at rest
C. Progression of dependent edema
D. Shortness of breath on exertion
The chief function of progesterone is the:
A. Development of the female reproductive system.
B. Stimulation of the follicles for ovulation to occur.
C. Preparation of the uterus to receive a fertilized egg.
D. Establishment of secondary male sex characteristics.
A prenatal nurse is providing instructions to a group of pregnant clients regarding measures to prevent toxoplasmosis. Which statement if made by one of the clients indicates a need for further instructions?
A. “I need to cook meat thoroughly.”
B. “I need to avoid touching mucous membranes of the mouth or eyes while handling raw meat.”
C. “I need to drink unpasteurized milk only.”
D. “I need to avoid contact with materials that are possibly contaminated with cat feces.”
A nursing instructor asks a nursing student who is preparing to assist with the assessment of a pregnant client to describe the process of quickening. Which of the following statements if made by the student indicates an understanding of this term?
A. “It is the irregular, painless contractions that occur throughout pregnancy.”
B. “It is the soft blowing sound that can be heard when the uterus is auscultated.”
C. “It is the fetal movement that is felt by the mother.”
D. “It is the thinning of the lower uterine segment.”
A nurse is performing an assessment of a primipara who is being evaluated in a clinic during her second trimester of pregnancy. Which of the following indicates an abnormal physical finding necessitating further testing?
A. Consistent increase in fundal height
B. Fetal heart rate of 180 BPM
C. Braxton Hicks contractions
D. Quickening
When evaluating a client’s knowledge of symptoms to report during her pregnancy, which statement would indicate to the nurse in charge that the client understands the information given to her?
A. “I’ll report increased frequency of urination.”
B. “If I have blurred or double vision, I should call the clinic immediately.”
C. “If I feel tired after resting, I should report it immediately.”
D. “Nausea should be reported immediately.”
The nurse documents positive ballottement in the client’s prenatal record. The nurse understands that this indicates which of the following?
A. Palpable contractions on the abdomen.
B. Passive movement of the unengaged fetus.
C. Fetal kicking felt by the client.
D. Enlargement and softening of the uterus.
A client at 8 weeks’ gestation calls complaining of slight nausea in the morning hours. Which of the following client interventions should the nurse question?
A. Taking 1 teaspoon of bicarbonate of soda in an 8-ounce glass of water.
B. Eating a few low-sodium crackers before getting out of bed.
C. Avoiding the intake of liquids in the morning hours.
D. Eating six small meals a day instead of three large meals.
A client in her third trimester tells the nurse, “I’m constipated all the time!” Which of the following should the nurse recommend
A. Daily enemas
B. Laxatives
C. Increased fiber intake
D. Decreased fluid intake
During which of the following would the focus of classes be mainly on physiologic changes, fetal development, sexuality, during pregnancy, and nutrition?
A. Prepregnant period
B. First trimester
C. Second trimester
D. Third trimester
Which of the following common emotional reactions to pregnancy would the nurse expect to occur during the first trimester?
A. Introversion, egocentrism, narcissism.
B. Awkwardness, clumsiness, and unattractiveness.
C. Anxiety, passivity, extroversion.
D. Ambivalence, fear, fantasies.
Cervical softening and uterine souffle are classified as which of the following?
A. Diagnostic signs
B. Presumptive signs
C. Probable signs
D. Positive signs
When talking with a pregnant client who is experiencing aching swollen, leg veins, the nurse would explain that this is most probably the result of which of the following?
A. Thrombophlebitis
B. Pregnancy-induced hypertension
C. Pressure on blood vessels from the enlarging uterus
D. The force of gravity pulling down on the uterus
Which of the following represents the average amount of weight gained during pregnancy?
A. 12 to 22 lb
B 15 to 25 lb
C. 24 to 30 lb
D. 25 to 40 lb
