Nokea
Numerous changes in the integumentary system occur during pregnancy. Which change persists after birth?
- A. Epulis
- B. Chloasma
- C. Telangiectasia
- D. Striae gravidarum
Correct Answer: D
Rationale: Striae gravidarum, or stretch marks, persist after pregnancy, although they may fade over time. Other changes like epulis and chloasma typically resolve postpartum.
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Which comment made by a new mother to her own mother is most likely to encourage the grandmother's participation in the infant's care?
- A. "Could you help me with the housework today?"
- B. "The baby is spitting up a lot. What should I do?"
- C. "I know you are busy, so I'll get John's mother to help me
- D. “The baby has a stomachache. I’ll call the nurse to find out what to do.
Correct Answer: B
Rationale: The correct answer is B because it directly involves the grandmother in the baby's care by seeking advice and guidance. Asking for help with a specific issue shows trust and respect for the grandmother's experience. Choice A is about housework, not infant care. Choice C suggests seeking help elsewhere. Choice D involves a healthcare professional, not the grandmother.
Which physiologic finding is consistent with normal pregnancy?
- A. Systemic vascular resistance increases as blood pressure decreases.
- B. Cardiac output increases during pregnancy.
- C. Blood pressure remains consistent independent of position changes
- D. Maternal vasoconstriction occurs in response to increased metabolism.
Correct Answer: B
Rationale: The correct answer is B because during pregnancy, the body's demand for oxygen and nutrients increases, leading to an increase in cardiac output to meet these needs. This is due to the expansion of blood volume and the need to supply the growing fetus. Systemic vascular resistance decreases to accommodate the increased blood flow, so choice A is incorrect. Blood pressure typically decreases in early pregnancy but may change with position due to the weight of the uterus on the vena cava, making choice C incorrect. Maternal vasodilation, not vasoconstriction, occurs in response to increased metabolism to support the increased blood flow needed for the growing fetus, making choice D incorrect.
A woman who has completed one pregnancy with a fetus (or fetuses) reaching the stage of fetal viability is called a:
- A. primipara.
- B. primigravida.
- C. multipara.
- D. nulligravida.
Correct Answer: A
Rationale: A primipara is a woman who has completed one pregnancy with a viable fetus.
Human chorionic gonadotropin (hCG) is an important biochemical marker for pregnancy and the basis for many tests. A maternity nurse should be aware that:
- A. hCG can be detected 2.5 weeks after conception.
- B. the hCG level increases gradually and uniformly throughout pregnancy.
- C. much lower than normal increases in the level of hCG may indicate a postdate pregnancy.
- D. a higher than normal level of hCG may indicate an ectopic pregnancy or Down syndrome.
Correct Answer: D
Rationale: Higher levels also could be a sign of multiple gestation. hCG can be detected 7 to 8 days after conception. The hCG level fluctuates during pregnancy.
During vital sign assessment of a pregnant patient in her third trimester, the patient complains of
feeling faint, dizzy, and agitated. Which nursing intervention is most appropriate?
- A. Which nursing intervention is most appropriate?
- B. Have the patient stand up and retake her blood pressur
- C. Have the patient sit down and hold her arm in a dependent position.
- D. Have the patient turn to her left side and recheck her blood pressure in 5 minutes.
Correct Answer: D
Rationale: The correct answer is D: Have the patient turn to her left side and recheck her blood pressure in 5 minutes. This intervention is most appropriate because the patient is experiencing symptoms of potential hypotension, common in pregnant women due to changes in blood volume and hormonal levels. Turning the patient to her left side helps improve blood flow to the heart and can alleviate symptoms. Rechecking the blood pressure in 5 minutes allows for monitoring of any changes.
Choice A is incorrect as it does not provide a specific intervention. Choice B is incorrect as having the patient stand up may worsen symptoms. Choice C is incorrect as holding the arm in a dependent position may not effectively address the underlying issue of hypotension.