Which of the following would the nurse identify as a presumptive sign of pregnancy? A. Hegar sign B. Nausea and vomiting C. Skin pigmentation changes D. Positive serum pregnancy test Correct Answer: B. Nausea and vomiting Presumptive signs of pregnancy are subjective signs. Of the signs listed,… Read More »
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. … Read More »
What event occurring in the second trimester helps the expectant mother to accept the pregnancy? A. Lightening B. Ballotment C. Pseudocyesis D. Quickening Correct Answer: D. Quickening Quickening is the first fetal movement felt by the mother that makes the woman realize that she is truly pregnant.… Read More »
The basic delivery set for normal vaginal delivery includes the following instruments/articles, except? A. 2 clamps B. Pair of scissors C. Kidney Basin D. Retractor Correct Answer: D. Retractor For normal vaginal delivery, the nurse needs only the instruments for cutting the umbilical cord such as 2… Read More »
A 31-year-old multipara is admitted to the birthing room after initial examination reveals her cervix to be at 8 cm, completely effaced (100 %), and at 0 station. What phase of labor is she in? A. Active phase B. Latent phase C. Expulsive phase D. Transitional phase … Read More »
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. Correct Answer: D. Ambivalence, fear, fantasies During the first trimester, common… Read More »
During a pelvic exam, the nurse notes a purple-blue tinge of the cervix. The nurse documents this as which of the following? A. Braxton-Hicks sign B. Chadwick’s sign C. Goodell’s sign D. McDonald’s sign Correct Answer: B. Chadwick’s sign Chadwick’s sign is a bluish discoloration of the… Read More »
Shoes with low, broad heels, plus a good posture will prevent which prenatal discomfort? A. Backache B. Vertigo C. Leg cramps D. Nausea Correct Answer: A. Backache Backache usually occurs in the lumbar area and becomes more problematic as the uterus enlarges. The pregnant woman in her… Read More »
As soon as the placenta is delivered, the nurse must do which of the following actions? A. Inspect the placenta for completeness including the membranes. B. Place the placenta in a receptacle for disposal. C. Label the placenta properly. D. Leave the placenta in the kidney basin for the nursing aide… Read More »
A pregnant patient asks the nurse if she can take castor oil for her constipation. How should the nurse respond? A. “Yes, it produces no adverse effect.” B. “No, it can initiate premature uterine contractions.” C. “No, it can promote sodium retention.” D. “No, it can lead to increased absorption of… Read More »