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To reassure and educate pregnant patients about changes in the cervix, vagina, and position of the fetus, nurses should be aware that:
- A. because of a number of changes in the cervix, abnormal Papanicolaou (Pap) tests are much easier to evaluate.
- B. Quickening is a technique of palpating the fetus to engage it in passive movement.
- C. the deepening color of the vaginal mucosa and cervix (Chadwick's sign) usually appears in the second trimester or later as the vagina prepares to stretch during labor.
- D. increased vascularity of the vagina increases sensitivity and may lead to a high degree of arousal, especially in the second trimester.
Correct Answer: D
Rationale: Increased sensitivity and an increased interest in sex sometimes go together. This frequently occurs during the second trimester.
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To reassure and educate their pregnant patients about changes in their blood pressure, maternity nurses should be aware that:
- A. a blood pressure cuff that is too small produces a reading that is too low; a cuff that is too large produces a reading that is too high.
- B. shifting the patient's position and changing from arm to arm for different measurements produces the most accurate composite blood pressure reading at each visit.
- C. the systolic blood pressure increases slightly as pregnancy advances; the diastolic pressure remains constant.
- D. compression of the iliac veins and inferior vena cava by the uterus contributes to hemorrhoids in the later stage of term pregnancy.
Correct Answer: D
Rationale: Compression of the iliac veins and inferior vena cava also leads to varicose veins in the legs and vulva.
A woman at 10 weeks of gestation who is seen in the prenatal clinic with presumptive signs and symptoms of pregnancy likely will have:
- A. amenorrhea.
- B. positive pregnancy test.
- C. Chadwick's sign.
- D. Hegar's sign.
Correct Answer: A
Rationale: Amenorrhea is a presumptive sign of pregnancy. Presumptive signs of pregnancy are felt by the woman.
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.
During sexual intercourse, the sperm cells then enter the uterus though the and travel to the egg tubes:
- A. Cervix
- B. Fallopian tubes
- C. Ovaries
- D. Mammary glands
Correct Answer: A
Rationale: Sperm enters the uterus through the cervix and travels to the fallopian tubes to reach the egg.
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.