Pregnancy Assessment Questions

Pregnancy Assessment Questions Related

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Use Naegele's rule to determine the EDD (estimated day of birth) for a patient whose last menstrual period started on April 12.

  • A. 19-Feb
  • B. 19-Jan
  • C. 21-Jan
  • D. 7-Feb
Correct Answer: B

Rationale: To calculate EDD using Naegele's rule, add 7 days to the first day of the last menstrual period, then count back 3 months and add 1 year. For this question, starting with April 12, adding 7 days gives April 19. Counting back 3 months gives January 19 of the following year. Therefore, the estimated day of birth (EDD) is January 19. Choice B (19-Jan) is correct.

Choice A (19-Feb): Incorrect as it does not follow the correct calculation method for Naegele's rule.

Choice C (21-Jan): Incorrect as the calculation does not match the steps of Naegele's rule.

Choice D (7-Feb): Incorrect as it does not align with the correct application of Naegele's rule.

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What is the purpose of initiating contractions in a contraction stress test (CST)?

  • A. Increase placental blood flow.
  • B. Identify fetal acceleration patterns.
  • C. Determine the degree of fetal activity.
  • D. Apply a stressful stimulus to the fetus.
Correct Answer: D

Rationale: The purpose of initiating contractions in a contraction stress test (CST) is to apply a stressful stimulus to the fetus to assess its response to stress, mimicking the stress of labor. This helps evaluate fetal well-being by monitoring the fetal heart rate during contractions. A: Increasing placental blood flow is not the primary purpose of CST. B: Identifying fetal acceleration patterns is not the main goal of CST. C: Determining the degree of fetal activity is not the primary objective of CST. The correct answer is D as it reflects the main purpose of initiating contractions in a CST.

Which of the following complications of labor and delivery may develop when a baby enters the pelvis in the LMP position?

  • A. Cephalopelvic disproportion.
  • B. Placental abruption.
  • C. Breech presentation.
  • D. Acute fetal distress.
Correct Answer: A

Rationale: LMP (left mentum posterior) position can lead to cephalopelvic disproportion, making delivery difficult.

A nurse is providing prenatal education to a patient who is 8 weeks pregnant. The nurse informs the patient that the developing fetus is most vulnerable to teratogens during what trimester of pregnancy?

  • A. first
  • B. second
  • C. third
  • D. fourth
Correct Answer: A

Rationale: The correct answer is A (first trimester). During the first trimester (weeks 1-12), the developing fetus is most vulnerable to teratogens as major organs are forming. Exposure to teratogens during this critical period can lead to severe birth defects. In contrast, the second trimester (weeks 13-26) is a period of rapid growth and development, but most major organs have already formed. The third trimester (weeks 27-birth) focuses on further growth and maturation, with reduced risk of teratogen-related birth defects. The fourth trimester is not a valid option as pregnancy only consists of three trimesters.

In 2000, the perinatal mortality rate in one county was 16. The nurse interprets that information as which of the following?

  • A. 16 babies died between 28 and 40 weeks' gestation per 1,000 full-term pregnancies.
  • B. 16 babies died between 28 weeks' gestation and 28 days of age per 1,000 live births.
  • C. 16 babies died between birth and 1 month of life per 1,000 full-term pregnancies.
  • D. 16 babies died between 1 month of life and 1 year of life per 1,000 live births.
Correct Answer: B

Rationale: The perinatal mortality rate includes deaths from 28 weeks of gestation to 28 days after birth per 1,000 live births.

An older adult patient has extensive wound care needs after discharge from the hospital. Which facility should the nurse discuss with the patient?

  • A. Hospice
  • B. Respite care
  • C. Assisted living
  • D. Skilled nursing
Correct Answer: D

Rationale: An intermediate care or skilled nursing facility offers skilled care from a licensed nursing staff.

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