Anatomy and Physiology of Pregnancy Quizlet

Anatomy and Physiology of Pregnancy Quizlet Related

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An expectant patient in her third trimester reports that she developed a strong tie to her baby from the beginning and now is really in tune to her baby's temperament. The nurse interprets this as the development of which maternal task of pregnancy?

  • A. Learning to give of herself
  • B. Developing attachment with the baby
  • C. Securing acceptance of the baby by others
  • D. Seeking safe passage for herself and her baby
Correct Answer: B

Rationale: The correct answer is B: Developing attachment with the baby. In the scenario described, the expectant patient's strong tie and attunement to the baby's temperament indicate the development of an emotional bond or attachment with the baby. This is an essential maternal task during pregnancy as it promotes maternal-infant bonding and prepares the mother for the caregiving role postpartum.

A: Learning to give of herself - While important in motherhood, this choice doesn't specifically address the emotional bond being described in the scenario.
C: Securing acceptance of the baby by others - This choice focuses on external factors rather than the maternal relationship with the baby.
D: Seeking safe passage for herself and her baby - This choice pertains more to physical safety and well-being rather than the emotional connection between the mother and the baby.

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While providing education to a primiparous patient regarding the normal changes of pregnancy, what is an important information for the nurse to share regarding Braxton Hicks contractions?

  • A. These contractions may indicate preterm labor.
  • B. These are contractions that never cause any discomfort.
  • C. Braxton Hicks contractions only start during the third trimester.
  • D. These occur throughout pregnancy, but you may not feel them until the third trimester.
Correct Answer: D

Rationale: The correct answer is D because Braxton Hicks contractions can occur throughout pregnancy but may not be felt until the third trimester. This is important to inform the patient because it helps differentiate them from true labor contractions. Braxton Hicks contractions are usually irregular, mild, and do not lead to cervical changes. Choice A is incorrect because Braxton Hicks contractions are not a definitive sign of preterm labor. Choice B is incorrect as Braxton Hicks contractions can cause discomfort for some women. Choice C is incorrect because Braxton Hicks contractions can start as early as the second trimester.

During a patient's physical examination the nurse notes that the lower uterine segment is soft on palpation. The nurse would document this finding as:

  • A. Hegar's sign.
  • B. McDonald's sign.
  • C. Chadwick's sign.
  • D. Goodell's sign.
Correct Answer: C

Rationale: The correct answer is C: Chadwick's sign. This sign refers to the bluish discoloration of the cervix and vagina due to increased vascularity in early pregnancy. The lower uterine segment being soft on palpation is consistent with Chadwick's sign, indicating early signs of pregnancy.

A: Hegar's sign refers to softening of the lower uterine segment, not the cervix or vagina.
B: McDonald's sign is the softening of the uterus at the isthmus, not specifically at the lower uterine segment.
D: Goodell's sign pertains to softening of the cervix, not the lower uterine segment.

Some pregnant patients may complain of changes in their voice and impaired hearing. The nurse can tell these patients that these are common reactions to:

  • A. a decreased estrogen level.
  • B. displacement of the diaphragm, resulting in thoracic breathing.
  • C. congestion and swelling, which occur because the upper respiratory tract has become more vascular.
  • D. increased blood volume.
Correct Answer: C

Rationale: Estrogen levels increase, causing the upper respiratory tract to become more vascular producing swelling and congestion in the nose and ears leading to voice changes and impaired hearing.

Physiologic anemia often occurs during pregnancy as a result of:

  • A. inadequate intake of iron.
  • B. dilution of hemoglobin concentration.
  • C. the fetus establishing iron stores.
  • D. decreased production of erythrocytes.
Correct Answer: B

Rationale: When blood volume expansion is more pronounced and occurs earlier than the increase in red blood cells, the woman has physiologic anemia, which is the result of dilution of hemoglobin concentration rather than inadequate hemoglobin.

The mucous plug that forms in the endocervical canal is called the:

  • A. operculum.
  • B. leukorrhe
  • C. funic souffle
  • D. ballottement.
Correct Answer: A

Rationale: The correct answer is A: operculum. The mucous plug in the endocervical canal is called the operculum because it acts as a protective barrier to prevent pathogens from entering the uterus during pregnancy. This plug seals the cervix to protect the developing fetus. The other choices are incorrect because leukorrhea (choice B) refers to vaginal discharge, funic souffle (choice C) is a term related to fetal heart sounds, and ballottement (choice D) is a physical examination technique used to assess for floating objects in the uterus.

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