Maternal Adaptation During Pregnancy

The nurse teaches a pregnant woman about breast-feeding, stating that stimulation of the breast through sucking or touching stimulates the secretion of which hormone?

A. ADH

B. Oxytocin

C. Follicle stimulating hormone

D. Cortisol

B. Oxytocin

When discussing the many changes the woman's body undergoes during pregnancy, the nurse may include that the woman's total blood volume will increase by how much by the 30th week of gestation?

A. 2.000 mL

B. 1,500 mL

C. 500 mL

D. 1,000 mL

B. 1,500 mL

After a class discussing the many changes the female body undergoes during pregnancy, you notes the class can successfully identify which of the following hormones as being secreted by the placenta? (Select all that apply).

A. Estrogen

B. Cortisol

C. Relaxin

D. hCG

E. Testosterone

A. Estrogen

C. Relaxin

D. hCG

During a routine visit, a pregnant woman says, "I've notices my gums bleeding a bit since I've become pregnant. Is this normal?" The nurse bases the response on the understanding of which of the following?

A. Influence of estrogen and blood vessel proliferation

B. Increased venous pressures leads to increased gingival friability

C. Elevated progesterone levels cause smooth muscle relaxation

D. Effects of regurgitation from relaxation of the cardiac sphincter

A. Influence of estrogen and blood vessel proliferation

Before becoming pregnant, a woman's heart rate averaged 72bpm. The woman is now 15 weeks pregnant. The nurse would expect this woman's HR to be:

A. 85bpm

B. 90bpm

C. 95bpm

D. 100bpm

A. 85bpm

HR increases by 10-15 bpm between 14 and 20 weeks gestation

In preparing for a prenatal class to discuss the hormonal changes during pregnancy, it is important to include which of the following?

A. Most of the hormonal changes are permanent after the pregnancy is completed

B. Taking hormonal replacement therapy can improve the discomfort of the changes

C. OTC antacids can be used to treat acid reflux with the HCPs knowledge

D. Using herbs will help ease the discomfort

C. OTC antacids can be used to treat acid reflux with the HCPs knowledge

You are putting together information for a nutritional class for nullipara women. Some of the guidelines to include in this information are: (Select all that apply).

A. Decrease intake of saturated fats, trans fats, and cholesterol

B. Increase caloric intake

C. Increase consumption of fruits, vegetables, and whole grains

D. No alcohol

E. Consume at least one quart of water daily

A. Decrease intake of saturated fats, trans fats, and cholesterol

C. Increase consumption of fruits, vegetables, and whole grains

D. No alcohol

The nurse has determined that based on the client's physical examination, she is at high risk for developing varicose veins. Which of the following suggestions might the nurse teach the client to help prevent this? (Select all that apply).

A. Use knee-high support hose

B. Elevate the feet and legs

C. Use thigh-high support hose

D. Walk daily

E. Sit in a hot tub at least 3x/week

B. Elevate the feet and legs

C. Use thigh-high support hose

D. Walk daily

In explaining how horses affect the pregnancy, which hormone do you describe as being responsible for stimulating uterine contractions during labor and delivery?

A. Prolactin

B. Estrogen

C. Oxytocin

D. Progesterone

C. Oxytocin

A woman's prepregnant weight is within the normal range. During her second trimester, the nurse would determine that the woman is gaining the appropriate amount of weight when her weight increases by how much per week?

A. 2lb

B. 2/3lb

C. 1lb

D. 1.5lb

C. 1lb

27-year-old female was just confirmed to be pregnant. She tells you she just switched to a vegan diet. You explain that she must pay special attention to her intake of which of the following to ensure she is getting adequate nutrition for her and the baby. (Select all that apply).

A. Iron

B. Vitamin B12

C. Folate

D. Calcium

E. Protein

A. Iron

B. Vitamin B12

D. Calcium

E. Protein

The client presents to the clinic because she thinks she may be pregnant. On examination, the nurse notes that the client's cervix and vaginal mucosa appear a bluish-purple color. This is commonly referred to as:

A. Chadwick's sign

B. Goodell's sign

C. Hegar's sign

D. Braxton's sign

A. Chadwick's sign

A mother comes in with her 17-year-old daughter to find out why she has not had a menstrual cycle for a few months. Examination confirms the daughter is pregnant with a fundal height of 24cm. This can indicate that the young female is how many weeks pregnant?

A. 20

B. 24

C. 18

D. 22

B. 24

During a routine antepartal visit, a pregnant woman reports a white, thick, vaginal discharge. Which of the following would the nurse do next?

A. Advise the woman about the need to culture the discharge

B. Check the discharge for evidence of ruptured membranes

C. Ask the woman if she is having any itching or irritation

D. Tell the woman that this is entirely normal

C. Ask the woman if she is having any itching or irritation

The husband of a pregnant woman tells the nurse that his wife is increasingly preoccupies with herself and her fetus. The woman is in her first trimester of pregnancy. The nurse interprets this as which of the following?

A. acceptance

B. Emotional lability

C. Introversion

D. Ambivalence

C. Introversion