WorksheetsUnit 1: NUR 28 Lecture Notes 6/18/25
Total questions: 99
Worksheet time: 50mins
Twins occur in ______ pregnancies in the United States.
33.5/1000
5/1000
100/1000
1/1000
Which of the following statements about monozygotic twins is TRUE?
They are always of different sex
They develop from two separate fertilized ova
They are genetically identical and often called identical twins
They tend to repeat in families
Dizygotic twins are also called ______ twins.
fraternal
identical
conjoined
mirror
Define the term: Gravida.
A woman who is or has been pregnant, regardless of the pregnancy outcome.
A woman who has never been pregnant.
A woman who is currently breastfeeding.
A woman who has had multiple miscarriages.
Define the term: Nulligravida.
A woman who has never been pregnant.
A woman who has had multiple pregnancies.
A woman who is currently pregnant.
A woman who has had only one pregnancy.
Define the term: Primigravida.
A woman who is pregnant for the first time.
A woman who has had multiple pregnancies.
A woman who has never been pregnant.
A woman who is pregnant with twins.
Define the term: Multigravida.
A woman who has been pregnant more than once.
A woman who is pregnant for the first time.
A woman who has never been pregnant.
A woman who has delivered twins.
Define the term: Para.
A woman who has given birth to one or more viable children.
A woman who has never been pregnant.
A woman who is currently pregnant.
A woman who has had multiple miscarriages.
Define the term: Primipara.
A woman who has given birth once.
A woman who has never been pregnant.
A woman who has had multiple miscarriages.
A woman who is currently pregnant.
Define the term: Multipara.
A woman who has given birth two or more times.
A woman who has never been pregnant.
A woman who is currently pregnant for the first time.
A woman who has had only one miscarriage.
Define the term: Nullipara.
A woman who has never given birth.
A woman who has had twins.
A woman who has had multiple miscarriages.
A woman who has given birth once.
Define the term: Abortion (in the context of pregnancy).
The termination of pregnancy before the fetus is viable.
The process of fertilization of an egg.
The development of the fetus to full term.
The delivery of a healthy baby.
Define the term: Gestational age.
The age of the fetus or embryo from the first day of the woman's last menstrual period.
The age of the fetus from the date of conception.
The time from fertilization to delivery.
The period between ovulation and implantation.
Define the term: Fertilization age.
The age of the embryo or fetus from the time of fertilization.
The age of the mother at the time of conception.
The time period between ovulation and implantation.
The duration of pregnancy from the last menstrual period.
Define the term: Age of viability.
The earliest gestational age at which a fetus can survive outside the uterus.
The age at which a child can legally vote.
The age at which puberty begins in humans.
The age at which a person can obtain a driver's license.
Which of the following is NOT a phase of pregnancy?
Antepartum
Intrapartum
Postpartum
Interpartum
What is the goal of prenatal care according to the notes?
The goal of prenatal care is no longer limited to the outcome of a healthy mother and newborn; it also expands to the prevention of adult disease in the developing fetus and newborn infant.
The goal of prenatal care is solely to monitor the mother's weight gain during pregnancy.
The goal of prenatal care is to ensure the fetus receives only genetic testing.
The goal of prenatal care is to provide medication for common pregnancy symptoms only.
Which of the following is a major goal of prenatal care?
Ensure a safe birth for mother and child by promoting good health habits and reducing risk factors.
Delay medical care until after birth.
Avoid health education.
Ignore physical care.
Fill in the blank: One of the major goals of prenatal care is to ______ health habits that may be continued after pregnancy.
teach
ignore
discourage
neglect
Which of the following is NOT a major goal of prenatal care?
Educate in self-care for pregnancy.
Provide physical care.
Prepare parents for the responsibilities of parenthood.
Discourage healthy habits.
Fill in the blank: Prenatal care aims to ______ parents for the responsibilities of parenthood.
prepare
ignore
confuse
delay
Which of the following is a component of prenatal health history?
Obstetric
Menstrual
Contraceptive
All of the above
How often should prenatal visits be scheduled from conception to 28 weeks in an uncomplicated pregnancy?
Every week
Every 2 to 3 weeks
Every 4 weeks
Every 6 weeks
Fill in the blank: From 29 to 36 weeks of pregnancy, prenatal visits should be scheduled every ______ to ______ weeks.
2 to 3
1 to 2
3 to 4
4 to 6
At what frequency should prenatal visits occur from 37 weeks to birth in an uncomplicated pregnancy?
Monthly
Weekly
Every 2 weeks
Every 6 weeks
Which of the following is a routine assessment at each prenatal visit?
Risk factors: review known and assess for new
Vital signs and weight: determine if gain is normal
Urinalysis: protein, glucose, and ketone levels
All of the above
Fill in the blank: ______ maneuvers are used to assess presentation and position during prenatal visits.
Leopold
McRoberts
Valsalva
Kegel
Which of the following is checked to determine fetal growth and amniotic fluid volume during prenatal visits?
Fundal height
Blood glucose
Nutrition intake
Fetal heart rate
Fill in the blank: ______ intake is routinely assessed at each prenatal visit to ensure proper nutrition.
Nutrition
Fluid
Oxygen
Calorie
Which test is performed to check for protein, glucose, and ketone levels during prenatal visits?
Urinalysis
Blood glucose screening
Leopold maneuvers
Fetal heart rate
Fill in the blank: At each prenatal visit, any ______ or problems since the last visit should be discussed.
discomforts
medications
appointments
exercises
According to the worksheet, what is the average duration of pregnancy in weeks and days?
40 weeks (280 days)
36 weeks (252 days)
38 weeks (266 days)
42 weeks (294 days)
Which rule is used to estimate the date of delivery by identifying the first day of LNMP, counting backward 3 months, adding 7 days, and updating the year if applicable?
Naegele’s rule
Goodell’s rule
Hegar’s rule
Chadwick’s rule
Which of the following is NOT a presumptive sign of pregnancy?
Amenorrhea
Nausea
Goodell sign
Breast tenderness
Which of the following is a probable sign of pregnancy?
Quickening
Chadwick sign
Fatigue
Nausea
List any two presumptive signs of pregnancy mentioned in the worksheet.
Amenorrhea, Nausea, Breast tenderness, Deepening pigmentation, Urinary frequency, Fatigue and drowsiness, Quickening (any two)
Increased appetite, Weight loss, Hair growth, Joint pain (any two)
Fever, Sore throat, Headache, Rash (any two)
Chest pain, Shortness of breath, Blurred vision, Dizziness (any two)
Quickening is a probable sign of pregnancy.
True
False
The Goodell sign is a probable sign of pregnancy.
True
False
Fill in the blank: The ________ sign, ________ sign, and ________ sign are probable signs of pregnancy.
Goodell sign, Chadwick sign, Hegar sign
Braxton Hicks sign, Ballottement sign, McDonald sign
Piskacek sign, Leopold sign, Kegel sign
Naegele sign, Leopold sign, Ballottement sign
What is the first step in Naegele’s rule for estimating the date of delivery?
Identify first day of LNMP
Calculate gestational age from ultrasound
Subtract three months from conception date
Add 7 days to the expected date of delivery
Which sign is characterized by a bluish discoloration of the cervix, vagina, and vulva and is considered a probable sign of pregnancy?
Chadwick sign
Goodell sign
Hegar sign
Ballottement
Which of the following is a positive sign of pregnancy?
Abdominal enlargement
Audible fetal heartbeat
Braxton Hicks contractions
Abdominal striae (stretch marks)
Name two symptoms of supine hypotension syndrome.
Faintness, Lightheadedness, Dizziness, Agitation (any two)
Fever, Cough, Sore throat, Rash (any two)
Chest pain, Blurred vision, Nausea, Vomiting (any two)
Swelling, Itching, Sneezing, Runny nose (any two)
Pregnancy causes changes in which of the following body systems?
Endocrine
Respiratory
Cardiovascular
All of the above
Supine hypotension syndrome is also called ________ or vena cava syndrome.
aortocaval compression
pulmonary embolism
mitral valve prolapse
pericardial tamponade
Turning to which side is preferred to relieve pressure on the inferior vena cava in supine hypotension syndrome?
Right side
Left side
Back
Stomach
Which of the following is NOT a normal physiological change in pregnancy?
Role of microbiomes
Increased muscle mass
Changes in gastrointestinal system
Changes in integumentary system
What is one nutrition education tip mentioned in the worksheet?
Read food labels or Eat foods that are nutrient dense.
Skip breakfast every day.
Eat only one type of food.
Avoid all fruits and vegetables.
Ballottement or fetal outline is a positive sign of pregnancy.
True
False
What is the recommended weight gain for women of normal weight during pregnancy?
25 to 35 lb (11.4 to 15.9 kg)
10 to 15 lb (4.5 to 6.8 kg)
40 to 50 lb (18.1 to 22.7 kg)
5 to 10 lb (2.3 to 4.5 kg)
How much weight should obese women gain during pregnancy?
11 to 20 lb (5 to 9.1 kg)
25 to 35 lb (11.3 to 15.9 kg)
28 to 40 lb (12.7 to 18.1 kg)
15 to 25 lb (6.8 to 11.3 kg)
In a multifetal pregnancy, how much total weight should a woman gain?
37 to 54 lb (16.5 to 24.5 kg)
25 to 35 lb (11.5 to 16 kg)
15 to 25 lb (7 to 11.5 kg)
28 to 40 lb (12.5 to 18 kg)
During the first trimester, by how many kcal/day should a pregnant woman increase her intake?
300 kcal/day
100 kcal/day
500 kcal/day
700 kcal/day
During the second trimester, by how many kcal/day should a pregnant woman increase her intake?
40 to 340 kcal/day
100 to 200 kcal/day
500 to 700 kcal/day
800 to 1000 kcal/day
During the third trimester, by how many kcal/day should a pregnant woman increase her intake?
110 to 450 kcal/day
50 to 100 kcal/day
500 to 700 kcal/day
900 to 1200 kcal/day
What is the recommended daily intake of protein for pregnant women?
60 g/day
30 g/day
90 g/day
120 g/day
What is the DRI of calcium for pregnant women?
1000 mg
500 mg
1500 mg
2000 mg
What is the DRI for folic acid for a pregnant woman during 0 to 4 months?
400 mcg (0.4 mg) per day
200 mcg (0.2 mg) per day
600 mcg (0.6 mg) per day
1000 mcg (1 mg) per day
What is the DRI for iron for pregnant women?
30 mg/day
10 mg/day
18 mg/day
45 mg/day
Caloric intake during lactation should be about ___ calories more than the nonpregnant woman's RDA.
500
200
1000
300
What should the protein intake be during lactation?
50 g/day
65 g/day
80 g/day
100 g/day
Calcium and iron intake during lactation are the same as during pregnancy.
True
False
Vitamin supplements are often continued during lactation.
True
False
List two substances whose intake should be limited during lactation.
Caffeine and alcohol
Vitamin C and iron
Calcium and protein
Fiber and water
Drugs should only be taken on the advice of the health care provider during lactation.
True
False
Which of the following is NOT a special nutrition consideration during pregnancy?
Vegetarian
Sodium intake
Pica
Pregnant adolescent
High protein diet
Gestational diabetes mellitus is first diagnosed during _____
pregnancy
childhood
old age
adolescence
Why are women with gestational diabetes susceptible to hypoglycemia during the night?
Because the fetus continues to use glucose while the mother sleeps.
Because insulin production increases at night.
Because the mother eats more carbohydrates at night.
Because the placenta stops functioning at night.
Glycemic control during the first and second trimesters is most important in preventing complications such as ____ and spontaneous abortion.
macrosomia
polyhydramnios
oligohydramnios
pre-eclampsia
Uncontrolled diabetes and high fasting blood glucose levels in the last trimester have an increased risk of _____
stillbirth
preterm labor
neural tube defects
polyhydramnios
Maternal cardiac status and fetoplacental reserve should be the basis for determining exercise levels during all trimesters of pregnancy.
True
False
The goal of exercise during pregnancy should be ____ of fitness, not improvement of fitness or weight loss.
maintenance
increase
reduction
neglect
Air travel is generally safe during pregnancy.
True
False
Fill in the blank: One common discomfort in pregnancy is _________.
Fatigue
Headache
Cough
Broken bone
Fill in the blank: One common discomfort in pregnancy is _________
Nasal stuffiness
Tooth loss
Frequent nosebleeds
Sudden weight loss
Fill in the blank: One common discomfort in pregnancy is _________
Nausea
Headache
Fever
Cough
One common discomfort in pregnancy is _________.
Heartburn
Headache from loud music
Broken bone
Tooth decay
Fill in the blank: One common discomfort in pregnancy is _________
Constipation
Headache
Fever
Toothache
Fill in the blank: One common discomfort in pregnancy is _________.
Hemorrhoids
Broken bones
Color blindness
Baldness
Fill in the blank: One common discomfort in pregnancy is _________
Vaginal discharge
Tooth loss
Hair color change
Vision improvement
Fill in the blank: One common discomfort in pregnancy is _________
Backache
Headache
Toothache
Earache
Fill in the blank: One common discomfort in pregnancy is _________
Varicose veins
Broken bones
Tooth loss
Hair growth on palms
Fill in the blank: One common discomfort in pregnancy is _________
Leg cramps
Tooth decay
Hair loss
Vision improvement
Fill in the blank: One common discomfort in pregnancy is _________.
Edema of the lower extremities
Loss of vision
Male pattern baldness
Deep voice changes
Fill in the blank: The first step in the Prenatal Education ADPIE process is to ________ the history and cultural needs.
Assess
Plan
Implement
Evaluate
Fill in the blank: In the Prenatal Education ADPIE process, the step where you identify the knowledge deficit is called _________.
Diagnose
Assess
Plan
Implement
Fill in the blank: In the Prenatal Education ADPIE process, the step where you set goals and priorities is called _________.
Plan
Assessment
Implementation
Evaluation
Fill in the blank: In the Prenatal Education ADPIE process, the step that clarifies expected outcomes is called _________.
Outcomes identification
Assessment
Implementation
Evaluation
Fill in the blank: In the Prenatal Education ADPIE process, the step where you intervene with facts and rationales is called _________.
Teach
Assess
Plan
Evaluate
Fill in the blank: In the Prenatal Education ADPIE process, the step where you check knowledge gained and goals achieved is called _________
Evaluate
Assess
Plan
Implement
Which of the following statements is true about pregnancy and medications?
Pregnancy does not affect the metabolism of medications.
Drugs cannot cross the placenta.
Parenteral medications may be absorbed more rapidly due to increased cardiac output during pregnancy.
All medications are safe during pregnancy.
Fill in the blank: Drugs can cross the _______ and can be passed through breast milk.
placenta
esophagus
trachea
diaphragm
According to the FDA Pregnancy Risk Category for Drugs, which category indicates absolute fetal abnormalities and should not be used at any time during pregnancy?
Category A
Category B
Category D
Category X
Which FDA Pregnancy Risk Category is described as: 'No risk demonstrated to the fetus in any trimester'?
Category A
Category B
Category C
Category D
Category B drugs have no adverse effects in animals, but no human studies are available.
True
False
Which of the following is contraindicated during pregnancy?
Influenza (injectable form)
Tdap
Live virus vaccines (e.g., LAIV, MMR)
All of the above
Fill in the blank: Thimerosal should not be given during pregnancy because of the risk of _______ poisoning.
mercury
lead
arsenic
zinc
How long should pregnancy be avoided after receiving an MMR vaccine?
At least 1 month
At least 1 week
At least 6 months
At least 3 days
Select immunizations, such as influenza (injectable form) and Tdap, are allowable during pregnancy.
True
False
