Nokea
A patient has been diagnosed with a tubal pregnancy. What is the typical outcome of a tubal pregnancy?
- A. The patient will carry the pregnancy to term and have a cesarean delivery.
- B. The patient will have to remain in bed for the remainder of the pregnancy.
- C. The patient will spontaneously abort this ectopic pregnancy.
- D. The patient will require surgery to remove the zygote.
Correct Answer: D
Rationale: Any pregnancy where implantation occurs outside the uterine cavity is called ectopic. Tubal pregnancies usually must be resolved by surgical removal of the zygote.
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Which is a positive sign of pregnancy?
- A. Positive pregnancy test
- B. Positive Chadwick sign
- C. Ultrasonic tracing of the fetus
- D. Positive Goodell sign
Correct Answer: C
Rationale: A positive sign of pregnancy is an ultrasonic tracing of the fetus. A positive pregnancy test, positive Chadwick sign, and positive Goodell sign are all probable signs of pregnancy.
During the 30th week of gestation the nurse would anticipate that the fundal height would be ___ cm above the symphysis.
Correct Answer: 30
Rationale: The fundal height is equal to the weeks of gestation.
What should a nurse instruct the patient to do before assessing fundal height?
- A. Press her lower back against the examination table.
- B. Empty her bladder.
- C. Take a deep breath and hold it.
- D. Bear down.
Correct Answer: B
Rationale: The bladder should be emptied before the measurement of the fundal height.
The health care provider decides to send the mother for a test to determine the fetal lung maturity. What is the name of this fetal well-being test?
- A. Biophysical profile
- B. Alpha-fetoprotein
- C. Amniocentesis
- D. Ultrasound
Correct Answer: C
Rationale: Amniocentesis helps determine the maturity of the fetal lungs.
During which gestational week can a primigravida expect to first feel fetal movement?
- A. 8
- B. 10
- C. 16
- D. 20
Correct Answer: C
Rationale: At about 16 to 18 weeks, the sensation of the first movement is felt.