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Maternity: Pregnancy And Maternal Physiologic Adaptations Intrapartum Assessment and Interventions Normal Puerperium Bleeding Disorders Questions With Correct Answers A+ Graded $14.99   Add to cart

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Maternity: Pregnancy And Maternal Physiologic Adaptations Intrapartum Assessment and Interventions Normal Puerperium Bleeding Disorders Questions With Correct Answers A+ Graded

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Maternity: Pregnancy And Maternal Physiologic Adaptations Intrapartum Assessment and Interventions Normal Puerperium Bleeding Disorders Questions With Correct Answers A+ Graded

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  • November 8, 2024
  • 30
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Pregnancy And Maternal Physiologic Adaptations
  • Pregnancy And Maternal Physiologic Adaptations
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Part1 Maternity Q & A




Pregnancy And Maternal Physiologic Adaptations

Intrapartum Assessment and Interventions

Normal Puerperium

Bleeding Disorders

,1. The nurse is assessing the laboratory report of a 40-week gestation client. Which of the following
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values would the nurse expect to find elevated above pregnancy levels?
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1. Glucose.
2. Fibrinogen.
3. Hematocrit.
4. Bilirubin.

2. A client enters the prenatal clinic. She states that she missed her period yesterday and used a home
f f f f f f f f f f f f f f f f f f


pregnancy test this morning. She states that the results were negative, but “I still think I am
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pregnant.” Which of the following statements would be appropriate for the nurse to make at this time?
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1. “Your period is probably just irregular.”
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2. “We could do a blood test to check.”
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3. “Home pregnancy test results are very accurate.” f f f f f f



4. “My recommendation would be to repeat the test in one week.”
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3. A client asks the nurse what was meant when the physician told her she had a positive Chadwick’s
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sign. Which of the following information about the finding would be appropriate for the nurse to convey
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at this time?
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1. “It is a purplish stretch mark on your abdomen.”
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2. “It means that you are having heart palpitations.”
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3. “It is a bluish coloration of your cervix and vagina.”
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4. “It means the doctor heard abnormal sounds when you breathed in.”
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4. A client enters the prenatal clinic. She states that she believes she is pregnant. Which of the following
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hormone elevations will indicate a high probability that the client is pregnant?
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1. Chorionic gonadotropin. f


2. Oxytocin.
3. Prolactin.
4. Luteinizing hormone. f




5. A 16-year-old, G1 P0000, is being seen at her 10-week gestation visit. She tells the nurse that she felt
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the baby move that morning. Which of the following responses by the nurse is appropriate?
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1. “That is very exciting. The baby must be very healthy.”
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2. “Would you please describe what you felt for me?” f f f f f f f f


3. “That is impossible. The baby is not big enough yet.”
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4. “Would you please let me see if I can feel the baby?” f f f f f f f f f f f




6. A 20-year-old client states that the at-home pregnancy test that she took this morning was positive.
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Which of the following comments by the nurse is appropriate at this time?
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1. “Congratulations, you and your family must be so happy.” f f f f f f f f


2. “Have you told the baby’s father yet?” f f f f f f


3. “How do you feel about the results?” f f f f f f



4. “Please tell me when your last menstrual period was.” f f f f f f f f




7. A client is in the 10th week of her pregnancy. Which of the following symptoms would the nurse
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expect the client to exhibit?
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1. Backache.
2. Dyspnea.
3. Fatigue.
4. Diarrhea.
1 Maternity Q&A

, 8. The nurse notes each of the following findings in a 12-week gestation client. Which of the findings
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would enable the nurse to tell the client that she is positively pregnant?
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1. Fetal heart rate via Doppler. f f f f


2. Positive pregnancy test. f f


3. Positive Chadwick’s sign. f f


4. Montgomery gland enlargements. f f




9. The nurse midwife tells a client that the baby is growing and that ballottement was evident during the
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vaginal examination. How should the nurse explain what the nurse midwife means by ballottement?
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1. The nurse midwife saw that the mucus plug was intact.
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2. The nurse midwife felt the baby rebound after being pushed.
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3. The nurse midwife palpated the fetal parts through the uterine wall.
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4. The nurse midwife assessed that the baby is head down.
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10. An 18-week gestation client telephones the obstetrician’s office stating, “I’m really scared. I think
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I have breast cancer. My breasts are filled with tumors.” The nurse should base the response onwhich
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of the following?
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1. Breast cancer is often triggered by pregnancy.
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2. Nodular breast tissue is normal during pregnancy. f f f f f f


3. The woman is exhibiting signs of a psychotic break.
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4. Anxiety attacks are especially common in the second trimester.
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11. A 37-week gravid client states that she noticed a “white liquid” leaking from her breasts during a
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recent shower. Which of the following nursing responses is appropriate at this time?
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1. Advise the woman that she may have a galactocele.
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2. Encourage the woman to pump her breasts to stimulate an adequate milk supply.f f f f f f f f f f f f


3. Assess the liquid because a breast discharge is diagnostic of a mammary infection.
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4. Reassure the mother that this is normal in the third trimester. f f f f f f f f f f




12. A 36-week gestation gravid client is complaining of dyspnea when lying flat. Which of the following is
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the likely clinical reason for this complaint?
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1. Maternal hypertension. f


2. Fundal height. f


3. Hydramnios.
4. Congestive heart failure. f f




13. Which finding would the nurse view as normal when evaluating the laboratory reports of a 34-week
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gestation client?
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1. Anemia.
2. Thrombocytopenia.
3. Polycythemia.
4. Hyperbilirubinemia.

14. The blood of a pregnant client was initially assessed at 10 weeks’ gestation and reassessed at 38
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weeks’ gestation. Which of the following results would the nurse expect to see?
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1. Rise in hematocrit from 34% to 38%.
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2. Rise in white blood cells from 5,000 cells/mm3 to 15,000 cells/mm3.
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3. Rise in potassium from 3.9 mEq/ L to 5.2 mEq/ L.
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4. Rise in sodium from 137 mEq/ L to 150 mEq/ L.
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2 Maternity Q&A

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