Worksheetsmaternity chapter 4, 5, 6
Total questions: 35
Worksheet time: 22mins
Which hormone do the ovaries secrete during the menstrual cycle? (select all that apply)
Estrogen
Progesterone
Oxytocin
follicle stimulating hormone (fsh)
In which structure does fertilization usually occur?
uterus
vagina
fallopian tube
ovary
Which of the following adverse outcomes are associated with opioid use during pregnancy? (select all that apply)
Neonatal withdrawal
Increased risk of premature birth
Low birth weight
Hypoglycemia
Which of the following are functions of the placenta? (select all that apply)
Provide protection from infection
Produce hormones
Supply nourishment to the fetus
Supply oxygen to the fetus
Twins that share the same placenta in the uterus are called twins
(a)
(a) is the substance that provides support and protection for the vessels inside the umbilical cord.
Which structure produces the major male hormone of reproduction, testosterone?
Pituitary
Adrenal glands
Thyroid
Testicles
The hormone first detected by a blood test about 11 days after conception and in urine tests about 12 to 14 days after conception is:
Estrogen
hCG
Progesterone
Placental lactogen
After an ovum is fertilized, where does is usually implant?
Endometrium of the uterus
Upper portion of the fallopian tubes
Inside the cervix
Near the ovary
The nurse admits a woman in the second trimester of pregnancy to the obstetric clinic for her regular examination. The patient asks the nurse if it is safe to take acetaminophen for minor pain during pregnancy. Which is the nurse’s best response?
“Acetaminophen is a Category A medication, so it is safe to take during pregnancy.”
“The safest thing for the growing fetus is to avoid all medications during pregnancy.”
“What kind of medication have you taken in the past for minor pain?”
“Talk with the provider about the safest medications to take during pregnancy.”
A woman at 36 weeks' gestation states that she does not understand why her ankles are swelling by the end of the day. The best response by the nurse is:
"You may need to pay more attention to your dietary intake of salt."
"Your circulation in your legs is compromised by the weight of your uterus"
"You may be developing a complication; you should contact your health-care provider"
"Every pregnant woman experiences swollen ankles."
A pregnant woman at 37 weeks' gestation is lying on her back. She is experiencing light-headedness and states "I feel like I'm going to faint." The nurse should:
Reassure her that she is ok
Turn her to her left side immediately
Administer oxygen 4 L/min
Call the health-care provider immediately
The nurse is discussing pregnancy care with a woman who just had her pregnancy confirmed by her health-care provider. The woman is 8 weeks pregnant. Which of the following topics should be discussed with the pregnant woman at this time? (select all that apply)
Nutrition for a healthy pregnancy
Managing nausea
Managing back pain
Her birth plan
A woman states that she is feeling "a little confused or uncertain about being pregnant." A therapeutic response by the nurse would be:
"Don't worry. Everything will be all right."
"There are plenty of women who would be happy to be pregnant."
"It's not unusual to have ambivalent feelings about pregnancy"
"As long as you take care of yourself, you will be just fine."
A woman experiencing constipation in pregnancy should be educated to:
Limit fluids to 3-4 cups daily
Limit activity such as walking
Purchase an over-the-counter laxative
Increase her intake of fiber-rich foods
A pregnant patient in her third trimester is experiencing heartburn daily. What information can the nurse provide to the patient to reduce her heartburn? (select all that apply)
Eat only three meals a day
Lie down after eating
Select foods that are easy to digest
Avoid overeating
A patient says that her friend warned her about the risk of vaginal yeast infections during pregnancy. She wants to know how to prevent a vaginal yeast infection. What does the nurse tell her to do? (select all that apply)
Soak in a hot tub every night
Use a gentle unscented soap to clean her perineal area
Wear breathable underwear, such as cotton
Avoid petroleum-based lubricants during sexual activity
A woman states that she "thinks she is pregnant." Which of the following presumptive signs of pregnancy may she be experiencing? (select all that apply)
Absence of menstration
Nausea
Sore, tender breasts
Positive pregnancy test
A pregnant patient at 9 weeks' gestation arrives at the clinic for a routine pregnancy visit. She comments on the morning sickness that she experiences "every day." The nurse knows that morning sickness is due to which of the following? (select all that apply)
High levels of hCG, estrogen, and prostaglandin
Reduced stomach acidity
Overeating at meals
Reduced tone of the GI system
During early pregnancy, the cervix and vagina become congested with blood, causing a blueish hue to the skin. This sign is called:
Goodell's sign
Hegar's sign
Chadwick's sign
McMurry's sign
The health-care provider would be very concerned if a fetal heart rate (FHR) were not detected with a Doppler at how many weeks' gestation?
14-16 weeks
6-8 weeks
18-20 weeks
10-12 weeks
What is the frequency of prenatal visits for a pregnant woman at 38 weeks' gestation?
Daily
Weekly
Every 2 weeks
Every 3 weeks
Why is the height of the uterine fundus measured?
To determine appropriate fetal growth
To estimate the weight of the fetus
To monitor abdominal weight of the mother
To estimate the date of delivery
Emily is 36 years old and is currently pregnant with twins. She has a 10 year old daughter born at 30 weeks gestation and a 16 year old son born at 40 weeks gestation. Eighteen years ago, she has a miscarriage at 8 weeks gestation. Emily's GTPAL is (a)
The nurse is concerned that a pregnant patient may be the victim of intimate partner violence. Signs of IPV include which of the following? (select all that apply)
Lateness to or absence from prenatal appointments
Signs of injuries to the face, neck, chest, or abdomen
Signs of anxiety and self-harm
Vaginal bleeding
Mary, age 24, is pregnant with her second baby. She is at 20 weeks' gestation. The nurse is concerned that Mary may be experiencing psychological stress. Which of the following is a sign that she may be experiencing psychological stress?
She has not started preparing the baby's room
She is excited about her upcoming baby shower
She frequently misses her prenatal appointments
She has not selected a name for baby
A urinalysis is performed at each prenatal visit to screen for which of the following? (select all that apply)
Ketones
Glucose
Bacteria
Protein
A pregnant patient asks why the quadruple screen test is done. The nurse answers that the test is performed:
To detect Rh sensitization
To detect central nervous system abnormalities
To detect Down syndrome, trisomy 18, and neural tube defects
To detect cardiac and renal abnormalities
Typically, when does a pregnant woman notice quickening for the first time?
Between 8 and 11 weeks gestation
Between 12 and 15 weeks gestation
Between 16 and 20 weeks gestation
Between 21 and 24 weeks gestation
A pregnant patient at 8 weeks gestation is at her first prenatal visit. Most likely, if no complications have developed, her next visit would be scheduled in (a) weeks.
Which hormone is produced to support the developing embryo?
estrogen
testosterone
progesterone
human chorionic gonadotropin
Which structure allows the fetus’s oxygenated blood to bypass the liver and flow directly to the inferior vena cava?
foramen ovale
ductus arteriosus
ductus venosus
umbilical cord
Which substance can cause placental abruptions?
lead
alcohol
cocaine
tobacco
A pregnant patient is experiencing dysuria. How should the nurse interpret this finding?
.Dysuria is linked to heartburn
A.Dysuria may indicate a urinary tract infection
.Dysuria can be resolved with iron supplements
.Dysuria may lead to the development of hemorrhoids
A pregnant client is arranging clothing items and care supplies in a newly created nursery. Which maternal task is this patient accomplishing?
bonding
securing acceptance
seeking safe passage
committing to the child
