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maternity chapter 4, 5, 6

Total questions: 35

Worksheet time: 22mins

Name
Class
Date
1.

Which hormone do the ovaries secrete during the menstrual cycle? (select all that apply)

a)

Estrogen

b)

Progesterone

c)

Oxytocin

d)

follicle stimulating hormone (fsh)

2.

In which structure does fertilization usually occur?

a)

uterus

b)

vagina

c)

fallopian tube

d)

ovary

3.

Which of the following adverse outcomes are associated with opioid use during pregnancy? (select all that apply)

a)

Neonatal withdrawal

b)

Increased risk of premature birth

c)

Low birth weight

d)

Hypoglycemia

4.

Which of the following are functions of the placenta? (select all that apply)

a)

Provide protection from infection

b)

Produce hormones

c)

Supply nourishment to the fetus

d)

Supply oxygen to the fetus

5.

Twins that share the same placenta in the uterus are called twins

(a)  

6.

(a)   is the substance that provides support and protection for the vessels inside the umbilical cord.

7.

Which structure produces the major male hormone of reproduction, testosterone?

a)

Pituitary

b)

Adrenal glands

c)

Thyroid

d)

Testicles

8.

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:

a)

Estrogen

b)

hCG

c)

Progesterone

d)

Placental lactogen

9.

After an ovum is fertilized, where does is usually implant?

a)

Endometrium of the uterus

b)

Upper portion of the fallopian tubes

c)

Inside the cervix

d)

Near the ovary

10.

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?

a)

“Acetaminophen is a Category A medication, so it is safe to take during pregnancy.”

b)

“The safest thing for the growing fetus is to avoid all medications during pregnancy.”

c)

“What kind of medication have you taken in the past for minor pain?”

d)

“Talk with the provider about the safest medications to take during pregnancy.”

11.

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:

a)

"You may need to pay more attention to your dietary intake of salt."

b)

"Your circulation in your legs is compromised by the weight of your uterus"

c)

"You may be developing a complication; you should contact your health-care provider"

d)

"Every pregnant woman experiences swollen ankles."

12.

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:

a)

Reassure her that she is ok

b)

Turn her to her left side immediately

c)

Administer oxygen 4 L/min

d)

Call the health-care provider immediately

13.

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)

a)

Nutrition for a healthy pregnancy

b)

Managing nausea

c)

Managing back pain

d)

Her birth plan

14.

A woman states that she is feeling "a little confused or uncertain about being pregnant." A therapeutic response by the nurse would be:

a)

"Don't worry. Everything will be all right."

b)

"There are plenty of women who would be happy to be pregnant."

c)

"It's not unusual to have ambivalent feelings about pregnancy"

d)

"As long as you take care of yourself, you will be just fine."

15.

A woman experiencing constipation in pregnancy should be educated to:

a)

Limit fluids to 3-4 cups daily

b)

Limit activity such as walking

c)

Purchase an over-the-counter laxative

d)

Increase her intake of fiber-rich foods

16.

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)

a)

Eat only three meals a day

b)

Lie down after eating

c)

Select foods that are easy to digest

d)

Avoid overeating

17.

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)

a)

Soak in a hot tub every night

b)

Use a gentle unscented soap to clean her perineal area

c)

Wear breathable underwear, such as cotton

d)

Avoid petroleum-based lubricants during sexual activity

18.

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)

a)

Absence of menstration

b)

Nausea

c)

Sore, tender breasts

d)

Positive pregnancy test

19.

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)

a)

High levels of hCG, estrogen, and prostaglandin

b)

Reduced stomach acidity

c)

Overeating at meals

d)

Reduced tone of the GI system

20.

During early pregnancy, the cervix and vagina become congested with blood, causing a blueish hue to the skin. This sign is called:

a)

Goodell's sign

b)

Hegar's sign

c)

Chadwick's sign

d)

McMurry's sign

21.

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?

a)

14-16 weeks

b)

6-8 weeks

c)

18-20 weeks

d)

10-12 weeks

22.

What is the frequency of prenatal visits for a pregnant woman at 38 weeks' gestation?

a)

Daily

b)

Weekly

c)

Every 2 weeks

d)

Every 3 weeks

23.

Why is the height of the uterine fundus measured?

a)

To determine appropriate fetal growth

b)

To estimate the weight of the fetus

c)

To monitor abdominal weight of the mother

d)

To estimate the date of delivery

24.

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)  

25.

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)

a)

Lateness to or absence from prenatal appointments

b)

Signs of injuries to the face, neck, chest, or abdomen

c)

Signs of anxiety and self-harm

d)

Vaginal bleeding

26.

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?

a)

She has not started preparing the baby's room

b)

She is excited about her upcoming baby shower

c)

She frequently misses her prenatal appointments

d)

She has not selected a name for baby

27.

A urinalysis is performed at each prenatal visit to screen for which of the following? (select all that apply)

a)

Ketones

b)

Glucose

c)

Bacteria

d)

Protein

28.

A pregnant patient asks why the quadruple screen test is done. The nurse answers that the test is performed:

a)

To detect Rh sensitization

b)

To detect central nervous system abnormalities

c)

To detect Down syndrome, trisomy 18, and neural tube defects

d)

To detect cardiac and renal abnormalities

29.

Typically, when does a pregnant woman notice quickening for the first time?

a)

Between 8 and 11 weeks gestation

b)

Between 12 and 15 weeks gestation

c)

Between 16 and 20 weeks gestation

d)

Between 21 and 24 weeks gestation

30.

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.

31.

Which hormone is produced to support the developing embryo?

a)

estrogen

b)

testosterone

c)

progesterone

d)

human chorionic gonadotropin

32.

Which structure allows the fetus’s oxygenated blood to bypass the liver and flow directly to the inferior vena cava?

a)

foramen ovale

b)

ductus arteriosus

c)

ductus venosus

d)

umbilical cord

33.

Which substance can cause placental abruptions?

a)

lead

b)

alcohol

c)

cocaine

d)

tobacco

34.

A pregnant patient is experiencing dysuria. How should the nurse interpret this finding?

a)

.Dysuria is linked to heartburn

b)

A.Dysuria may indicate a urinary tract infection

c)

.Dysuria can be resolved with iron supplements

d)

.Dysuria may lead to the development of hemorrhoids

35.

A pregnant client is arranging clothing items and care supplies in a newly created nursery. Which maternal task is this patient accomplishing?

a)

bonding

b)

securing acceptance

c)

seeking safe passage

d)

committing to the child