Ricci Chapter 12 - Test - 4th Edition-
33 Need to Study Questions of the
Latest Update with Answers and
Rationales
A nurse measures a pregnant woman's fundal height and finds it to be 28 cm.
The nurse
interprets this to indicate that the client is at how many weeks' gestation?
14 weeks' gestation
20 weeks' gestation
28 weeks' gestation
36 weeks' gestation - Answer Answer: C
Rationale: Typically, the height of the fundus is measured when the uterus arises
out of the
pelvis to evaluate fetal growth. At 12 weeks' gestation the fundus can be palpated at the
symphysis pubis. At 16 weeks' gestation the fundus is midway between the
symphysis and the
umbilicus. At 20 weeks the fundus can be palpated at the umbilicus and
measures approximately
20 cm from the symphysis pubis. By 36 weeks the fundus is just below the
xiphoid process and
measures approximately 36 cm.
,A pregnant woman has a rubella titer drawn on her first prenatal visit. The
nurse explains that
this test measures:
platelet level.
Rh status.
immunity to German measles.
red blood cell count. - Answer Answer: C
Rationale: A rubella titer detects antibodies for the virus that causes German
measles. If the titer
is 1:8 or less, the woman is not immune and requires immunization after birth.
Platelet level and
red blood cell count would be determined by a complete blood count. Rh status
would be
determined by blood typing.
A nurse is working with a pregnant client to schedule follow-up visits for the
pregnancy.
Which statement by the client indicates that she understands the scheduling?
"I need to make visits every 2 months until I am 36 weeks' pregnant."
"Once I get to 28 weeks' pregnant, I have to come twice a month."
"From now until I am 28 weeks' pregnant, I will be coming once a month."
"I will make sure to get a day off every 2 weeks to make my visits." - Answer Answer:
C
Rationale: Continuous prenatal care is important for a successful pregnancy
outcome. The
recommended follow-up visit schedule for a healthy pregnant woman is as follows:
every 4
, weeks up to 28 weeks' (7 months') gestation; every 2 weeks from 29 to 36
weeks' gestation;
every week from 37 weeks' gestation to birth.
A woman in the 34th week of pregnancy says to the nurse, "I still feel like
having intercourse
with my husband." The woman's pregnancy has been uneventful. The nurse
responds based on
the understanding that:
it is safe to have intercourse at this time.
intercourse at this time is likely to cause rupture of membranes.
there are other ways that the couple can satisfy their needs.
intercourse at this time is likely to result in premature labor. - Answer Answer: A
Rationale: Sexual activity is permissible during pregnancy unless there is a
history of vaginal
bleeding, placenta previa, risk of preterm labor, multiple gestation, incompetent
cervix,
premature rupture of membranes, or presence of infection. Rupture of
membranes or premature
labor is unlikely since the woman's pregnancy has been uneventful so far.
Alternative sexual
positions may be necessary as the woman's abdomen increases in size.
On the first prenatal visit, examination of the woman's internal genitalia reveals
a bluish
coloration of the cervix and vaginal mucosa. The nurse documents this finding as:
Hagar sign.
Goodall sign.
Chadwick sign.
Homans sign. - Answer Answer: C
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