Ladewig London Davidson Contemporary Maternal Newborn Nursing 8E Test bank

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Ladewig London Davidson Contemporary Maternal Newborn Nursing 8E Test bank

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Ladewig, Contemporary Maternal-Newborn Nursing, 8/E
Chapter 09
Question 1
Type: MCSA
The nurse is auscultating fetal heart tones in a patient who is 37 weeks gestation. While in a supine position, the patient states, Im getting lightheaded and dizzy, and I feel clammy. Which of the following nursing actions is most appropriate?
1. Place a wedge beneath the patients right hip.
2. Prepare for administration of packed red blood cells (PRBCs).
3. Help the patient turn onto her right side.
4. Administer supplemental oxygen.
Correct Answer: 1
Rationale 1: The patient is verbalizing symptoms consistent with supine hypotension syndrome, in which compression of the vena cava by the uterus reduces right atrial blood flow. Signs and symptoms include decreased blood pressure, dizziness, pallor, and clamminess. Appropriate interventions include having the woman lie on her left side, or placing a pillow or wedge under her right hip as she lies in a supine position.
Rationale 2: The patient is verbalizing symptoms consistent with supine hypotension syndrome, in which compression of the vena cava by the uterus reduces right atrial blood flow. Repositioning the patient onto her left side or placing a pillow or wedge under her right hip are appropriate interventions.
Rationale 3: The patient is verbalizing symptoms consistent with supine hypotension syndrome, in which compression of the vena cava by the uterus reduces right atrial blood flow. Positioning the patient on her right side would likely exacerbate the reduction in right atrial blood flow.
Rationale 4: The patient is verbalizing symptoms consistent with supine hypotension syndrome, in which compression of the vena cava by the uterus reduces right atrial blood flow. Priority interventions include repositioning the patient onto her left side, or placing a pillow or wedge under her right hip.
Global Rationale:

Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: LO01 Identify the anatomic and physiologic changes that occur during pregnancy in providing nursing care to expectant women.

Question 2
Type: MCSA
The patient with a normal pre-pregnancy weight asks why she has been told to gain 2535 pounds during her pregnancy, but her underweight friend was told to gain more weight. The nurse should tell the patient that recommended weight gain during pregnancy should be:
1. 2535 pounds, regardless of a patients pre-pregnancy weight.
2. More than 2535 pounds for an overweight patient.
3. More than 2535 pounds for an underweight woman.
4. The same for a normal-weight woman as for an overweight woman.
Correct Answer: 3
Rationale 1: Pre-pregnancy weight determines the recommended weight gain during pregnancy. Women of normal weight should gain 2535 pounds during pregnancy for optimal fetal outcome.
Rationale 2: Overweight women should gain 1525 pounds during pregnancy.
Rationale 3: Underweight women are encouraged to gain 28-40 pounds during pregnancy.
Rationale 4: Overweight women should gain 1525 pounds during pregnancy.
Global Rationale:

Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: LO01 Identify the anatomic and physiologic changes that occur during pregnancy in providing nursing care to expectant women.

Question 3
Type: MCSA
The nurse is reviewing the assessment findings of a patient who is 35 weeks gestation. Which of the following data suggests the need for further investigation?
1. Melasma gravidarum
2. Pseudoanemia
3. Funic souffle
4. Glycosuria
Correct Answer: 4
Rationale 1: Facial chloasma or melasma gravidarum (also known as the mask of pregnancy) is a harmless darkening of the skin over the cheeks, nose, and forehead that sometimes accompanies pregnancy.
Rationale 2: Physiologic anemia of pregnancy or pseudoanemia is common during pregnancy and is an expected finding.
Rationale 3: Funic souffle is a normal assessment finding associated with the pulsing of blood through the umbilical cord.
Rationale 4: Glycosuria (glucose in the urine) during pregnancy may be normal or may indicate gestational diabetes, so it always warrants further testing.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Physiological Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: LO01 Identify the anatomic and physiologic changes that occur during pregnancy in providing nursing care to expectant women.

Question 4
Type: MCSA
The patient in the prenatal clinic tells the nurse that she is sure that she is pregnant because she has not had a menstrual cycle for three months, and her breasts are getting bigger. What response by the nurse is best?
1. Lack of menses and breast enlargement are presumptive signs of pregnancy.
2. The changes you are describing are definitely indicators that you are pregnant.
3. Lack of menses can be caused by many things. We need to do a pregnancy test.
4. Breast and menstrual changes are positive signs of pregnancy. Congratulations.
Correct Answer: 3
Rationale 1: Although this is true, amenorrhea and breast enlargement also can be caused by weight gain and other conditions. A pregnancy test is needed to determine whether the patient is pregnant.
Rationale 2: This statement is false because amenorrhea and breast enlargement are presumptive signs of pregnancy because they can be caused by other conditions.
Rationale 3: This is a true statement and addresses that these changes could be caused by things other than pregnancy.
Rationale 4: This statement is false because amenorrhea and breast enlargement are presumptive signs. It is too early to determine if congratulations are in order.
Global Rationale:

Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: LO02 Assess the subjective (presumptive), objective (probable), and diagnostic (positive) changes of pregnancy in patients.

Question 5
Type: MCSA
The nurse has completed a presentation for newly-pregnant women about the changes of pregnancy. Which participants statement reflects accurate comprehension of the information?
1. A positive Goodells sign is a probable change of pregnancy.
2. Three positive pregnancy tests in a one week period is considered to be a positive change of pregnancy.
3. Uterine souffle is a positive change of pregnancy.
4. Changes in the pelvic organs are presumptive signs of pregnancy.
Correct Answer: 1
Rationale 1: A positive Goodells sign can be objectively identified but may also be caused by conditions other than pregnancy; therefore, it is considered to be a probable change of pregnancy.
Rationale 2: Because other conditions may cause elevated hCG, pregnancy tests are considered probable changes of pregnancy.
Rationale 3: Because uterine souffle can be objectively identified but may be caused by conditions other than pregnancy, it is considered to be a probable change of pregnancy.
Rationale 4: Changes in the pelvic organs can be objectively identified; however, because some pelvic organ changes may be associated with conditions other than pregnancy, they are considered to be probable changes of pregnancy.
Global Rationale:

Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: LO02 Assess the subjective (presumptive), objective (probable), and diagnostic (positive) changes of pregnancy in patients.

Question 6
Type: MCSA
A patient who is experiencing her first pregnancy has just completed the initial prenatal examination with a certified nursemidwife. Which statement indicates that the patient has a correct understanding of her condition?
1. Because we heard the babys heartbeat, I am undoubtedly pregnant.
2. Since I havent felt the baby move yet, we dont know if Im pregnant.
3. My last period was two months ago, which means Im two months along.
4. The increased size of my uterus means that I am finally pregnant.
Correct Answer: 1
Rationale 1: Hearing the fetal heart rate is a positive or diagnostic change of pregnancy.
Rationale 2: Fetal movement is a presumptive or subjective change of pregnancy. Absence or presence of the sensation of fetal movement is not a conclusive indicator of pregnancy status.
Rationale 3: Amenorrhea is a presumptive or subjective change and does not conclusively verify pregnancy status.
Rationale 4: Increased uterine size is a probable or objective change and does not conclusively verify pregnancy status.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: LO02 Assess the subjective (presumptive), objective (probable), and diagnostic (positive) changes of pregnancy in patients.

Question 7
Type: MCSA
The adolescent patient reports to the clinic nurse that her period is late but that her home pregnancy test is negative. Which response is most appropriate?
1. This means you are not pregnant.
2. You might be pregnant, but it might be too early for your home test to be accurate.
3. We dont trust home tests. Come to the clinic for a blood test.
4. Most people dont use the tests correctly. Did you read the instructions?
Correct Answer: 2
Rationale 1: Although this might be true, this is not the best response because the pregnancy may not yet be detectable through use of a urine pregnancy test.
Rationale 2: This is an accurate and appropriate response. Most home pregnancy tests have low false positive rates, but the false negative rate is slightly higher. Repeating the test in one week is recommended.
Rationale 3: This statement is not therapeutically worded. Additionally, this statement is not true because home pregnancy tests are quite simple to use and quite accurate. A clinic pregnancy test is usually a urine test. Blood tests are more invasive and more expensive.
Rationale 4: This response does not address the issues presented in the patients statement.
Global Rationale:

Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: LO03 Contrast the various types of pregnancy tests.

Question 8
Type: MCSA
A 28-year-old patient who is pregnant with her first child reports increased dental caries (cavities) since becoming pregnant. How should the nurse explain the likely cause for this change?
1. When a woman is pregnant, her teeth lose calcium and she is more susceptible to getting cavities.
2. It may be necessary to pay extra attention to dental care while youre pregnant, especially if youre vomiting frequently.
3. Each woman experiences changes that affect her teeth while shes pregnant.
4. During pregnancy, tooth enamel softens and the woman is more susceptible to getting cavities.
Correct Answer: 2
Rationale 1: No demonstrable changes occur in the teeth of pregnant women.
The dental caries that sometimes accompany pregnancy are probably
caused by inadequate oral hygiene and dental care, especially if the
woman has problems with bleeding gums or nausea and vomiting.
Rationale 2: The dental caries that sometimes accompany pregnancy are probably
caused by inadequate oral hygiene and dental care, especially if the
woman has problems with bleeding gums or nausea and vomiting.
Rationale 3: No demonstrable changes occur in the teeth of pregnant women.
Rationale 4: The dental caries that sometimes accompany pregnancy are probably
caused by inadequate oral hygiene and dental care, especially if the
woman has problems with bleeding gums or nausea and vomiting.
Global Rationale:

Cognitive Level: Understanding
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: LO01 Identify the anatomic and physiologic changes that occur during pregnancy in providing nursing care to expectant women.

Question 9
Type: MCSA
A patient at 30 weeks gestation is tearful at the time of her follow-up visit. She tells the prenatal clinic nurse she is excited to finally become a mother and that she has been thinking about what kind of parent she will be. However, she is upset because her mother has told her that she doesnt want to be a grandmother because she doesnt feel old enough. Meanwhile, the patients husband has said that the pregnancy doesnt feel real to him yet and that he will become excited when the baby is actually here. What is the most likely explanation for what is happening within this family?
1. Her husband will not attach with this child and will not be a good father.
2. Her mother is rejecting the role of grandparent and will not help out.
3. The patient is not progressing through the developmental tasks of pregnancy.
4. Each family member is adjusting to the role change at his own pace.
Correct Answer: 4
Rationale 1: The husbands statement is quite common. Partners often feel that a pregnancy isnt real to them because they are not experiencing any of the physical changes associated with pregnancy.
Rationale 2: Adaptation to the role of grandparent is another life task that takes time. Younger grandparents often have busy and full lives and view grandparenthood as a time for elderly people who are retired and slowed down. The family will form a view of grandparenthood within this family, in a way that works for them.
Rationale 3: This is a false statement. The patient is at the stage of seeking acceptance of this child by others, which first will be her partner and other family members.
Rationale 4: This is a true statement. When the other family members are at different stages of adjustment to the pregnancy, conflict can ensue.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Psychosocial Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: LO04 Examine the emotional and psychologic changes that commonly occur in a woman, her partner, and her family during pregnancy when providing nursing care.

Question 10
Type: MCSA
The partner of a pregnant patient at 16 weeks gestation accompanies her to the clinic. The partner tells you that the baby just doesnt seem real to him, and hes having a hard time relating to his partners fatigue and food aversions. Which of the following statements would be best for the nurse to make?
1. If you would concentrate harder, youd be aware of the reality of this pregnancy.
2. My husband had no problem with this. What was your childhood like?
3. You might need professional psychological counseling. Ask your physician.
4. Many men feel this way. Feeling the baby move will help make it real.
Correct Answer: 4
Rationale 1: Ambivalence is common among partners, especially prior to either seeing the baby on ultrasound or feeling the baby kick and move.
Rationale 2: The ambivalence and disbelief occur across all socioeconomic groups, in both partners who were fathered well and those who grew up without a father.
Rationale 3: This reaction is not indicative of psychological pathology.
Rationale 4: Kicking and ultrasound visualization are concrete evidence of the babys existence and often are turning points in acceptance for partners.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: LO04 Examine the emotional and psychologic changes that commonly occur in a woman, her partner, and her family during pregnancy when providing nursing care.

Question 11
Type: MCSA
A 20-year-old patient who is at 10 weeks gestation is preparing for her first prenatal visit. She confides, This pregnancy was unplanned. Im not sure if I want to be pregnant or not. I havent even told my boyfriend Im pregnant. And I havent decided if Im going to continue the pregnancy. Which of the following statements should the nurse make next?
1. Its really unusual for a pregnant woman to feel this way early in the pregnancy.
2. These thoughts are because your mother died when you were four years old.
3. You should go to a pregnancy support group to be a good mother.
4. Its common to feel ambiguous about pregnancy in the first trimester.
Correct Answer: 4
Rationale 1: Fathers might not be told immediately about the diagnosis of pregnancy.
Rationale 2: Loss of the patients own mother at a young age would not affect the occurrence of ambivalence in the first trimester.
Rationale 3: No psychopathology is present, so a support group is not indicated.
Rationale 4: Ambivalence toward the pregnancy is very common in the first trimester.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Psychosocial Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: LO04 Examine the emotional and psychologic changes that commonly occur in a woman, her partner, and her family during pregnancy when providing nursing care.

Question 12
Type: MCSA
A 25-year-old woman is in the second trimester of her pregnancy. During the interview, you ask her partner what changes they have noticed during the pregnancy. Which of the following answers would indicate a typical response to pregnancy?
1. She has been more tense and anxious than usual, and she is not sleeping well.
2. She daydreams about what kind of parent she is going to be.
3. I havent noticed anything. I just found out she was pregnant.
4. She has been having dreams at night about misplacing the baby.
Correct Answer: 2
Rationale 1: During the third trimester, the woman typically experiences more anxiety and tension, as well as increased discomfort and insomnia.
Rationale 2: The second trimester usually brings increased introspection and consideration of how she will parent.
Rationale 3: In the first trimester, pregnant women usually tell their partners of the pregnancy, explore their relationship with their mother, and think about their own role as a mother.
Rationale 4: The needs of the newborn typically are not considered until the third trimester, at which time dreams of misplacing the baby or being unable to get to the baby also may be common.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Psychosocial Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: LO04 Examine the emotional and psychologic changes that commonly occur in a woman, her partner, and her family during pregnancy when providing nursing care.

Question 13
Type: MCSA
A patient who is at 14 weeks gestation is in the clinic for a regular prenatal visit. The patient is accompanied by her mother. The patients mother states that she is very uncertain about how to be a good grandmother to this baby, due to working full time and being so busy. The patients mother notes that her own grandmother was retired and was always available when needed by a grandchild. The best response to this concern would be:
1. Dont worry. Youll be a wonderful grandmother. It will all work out fine.
2. Grandmothers are supposed to be available. You should retire from your job.
3. As long as there is another grandmother available, you dont have to worry.
4. How do you envision your role as grandmother?
Correct Answer: 4
Rationale 1: Casual and/or false reassurance is not appropriate. Effective therapeutic communication requires supportive, nonjudgmental exploration of the patients concerns.
Rationale 2: Assignment of guilt is not appropriate. Effective therapeutic communication requires supportive, nonjudgmental exploration of the patients concerns
Rationale 3: Minimizing a patients concern is not appropriate. Effective therapeutic communication requires supportive, nonjudgmental exploration of the patients concerns.
Rationale 4: Supportive, nonjudgmental exploration of the patients concerns is one component of therapeutic communication and is appropriate.
Global Rationale:

Cognitive Level: Applying
Client Need: Psychosocial Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: LO04 Examine the emotional and psychologic changes that commonly occur in a woman, her partner, and her family during pregnancy when providing nursing care.

Question 14
Type: MCSA
The labor and delivery nurse is talking with a patient who is expected to deliver her baby within the next several hours. The patient and her husband are Lebanese immigrants.
During conversation, the nurse asks the couple if they have chosen a name for their baby. The patients husband explains that their Muslim beliefs require that they choose the babys name after the delivery, as it is Gods will whether or not the baby will be born. Which nursing response is appropriate?
1. Thank you for explaining that to me. By sharing your cultural beliefs with me, youre helping me to provide you with the best possible care.
2. In the United States, you can feel free to choose your babys name prior to the delivery.
3. We have a very low rate of complications at this facility.
4. Are you afraid your baby will not live?
Correct Answer: 1
Rationale 1: The identification of cultural values is useful in planning and providing culturally sensitive care.
Rationale 2: It is neither realistic nor appropriate to assume that people of another culture will automatically abandon their ways and adopt the practices of a dominant culture.
Rationale 3: The patients husband is describing the application of a culturally-based belief, not a concern about complications.
Rationale 4: The patients husband is describing the application of a culturally-based belief, not a fear-based concern.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Psychosocial Integrity
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: LO05 Discuss cultural factors that may influence a familys response to pregnancy in the provision of nursing care.

Question 15
Type: MCSA
The nurse is presenting an in-service to nursing staff regarding the provision of culturally competent patient care. Which statement should the nurse include in the presentation?
1. Many immigrants to a new country will adopt the beliefs and practices of the dominant culture.
2. Developed countries are becoming increasingly more ethnically diverse.
3. The rituals and customs of a group reflect the values of the dominant culture.
4. Identification of cultural values is a task that is unrelated to providing culturally sensitive care.
Correct Answer: 2
Rationale 1: It is not realistic or appropriate to assume that people of another culture will automatically abandon their ways and adopt the practices of the dominant culture.
Rationale 2: In many developed countries such as the United States, Canada, England, Germany and so forth, populations are becoming more and more ethnically diverse as the number of immigrants continues to grow.
Rationale 3: The rituals and customs of a group are a reflection of the groups values.
Rationale 4: The identification of cultural values is useful in planning and providing culturally sensitive care.
Global Rationale:

Cognitive Level: Understanding
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: LO05 Discuss cultural factors that may influence a familys response to pregnancy in the provision of nursing care.

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