Title: Module 2 Quiz
Course: NUR 1411C Nursing Care for the Family Part 1 > Section: Module 2

Q: Between 16 and 20 weeks the major fetal movements perceived by the mother is known as:
- lightening
- quickening
- hiccoughs
- pooling
A: quickening

Q: The medical record lists G 3 Para 2012 on a client’s prenatal flow-sheet.  Since she is not currently pregnant, her past pregnancy history should be documented as:
- 2 full term delivery, 1 preterm delivery, 2 living children.
- 1 preterm delivery, 1 abortion, 1 living child.
- 2 full term deliveries, 1 abortion, 2 living children
- 3 full term deliveries, 2 living children, one preterm
A: 2 full term deliveries, 1 abortion, 2 living children

Q: Your client is at her 5^th prenatal visit, and is 30^+2 weeks pregnant.  The height from the symphysis pubis to the fundus is 24 cm.  Based on this data you estimate the fetal growth to be:
- inaccurate dating
- intrauterine growth restriction (IUGR)
- suspicious of a multiple pregnancy
- normal for this gestation
A: intrauterine growth restriction (IUGR)

Q: A gravid client presents w/ intractable nausea and vomiting during the first trimester. Assessment findings indicate dehydration, weight loss, and persistent vomiting.  The client is admitted for hyperemesis gravidarum.  What nursing interventions are appropriate given the client’s diagnosis? (Select all that apply):
- Monitor vital signs, I & O’s, weight and caloric count
- Assess lab values for ketones (dehydraton) in urine
- Monitor fetal heart rate via Doppler intermittently
- Once client is advanced to PO eating, encourage client to sit upright after meals, and intake of oral fluids with meals should be taught to avoid distention of the stomach and triggering vomiting.
A: Monitor vital signs, I & O’s, weight and caloric count; Assess lab values for ketones (dehydraton) in urine; Monitor fetal heart rate via Doppler intermittently; Once client is advanced to PO eating, encourage client to sit upright after meals, and intake of oral fluids with meals should be taught to avoid distention of the stomach and triggering vomiting.

Q: Your 14 weeks gestation client is a G 9 P 0.  She is scheduled for surgery this morning.  Based on the medical record, the nurse anticipates that the procedure will be which of the following?
- external cephalic version
- cerclage
- chorionic villi sampling
- removal of an ectopic tubal pregnancy
A: cerclage

Q: What factor increases the risk for a pregnancy with a Trisomy 21 child?
- 18 year old without prenatal care.
- PIH clients.
- A great-grand father with a down-syndrome child.
- Advanced maternal age.
A: Advanced maternal age.

Q: Your pregnant client’s diet consists almost entirely of whole grain breads and cereals, fruits, and vegetables.  You are most concerned about the woman’s intake of:
- folic acid
- vitamin C
- protein
- vitamin A
A: protein

Q: What symptom/s should an antepartum woman report to her physician immediately?
- 2 plus ankle edema which occurs in the evening
- Nausea and vomiting
- Visual changes such as spots before her eyes and headaches
- Unusual food cravings
A: Visual changes such as spots before her eyes and headaches

Q: A pregnant woman at 32 weeks gestation complains of feeling dizzy and lightheaded while her fundal height is being measured.  Your 1st action would be to:
- measure the woman’s blood pressure and pulse.
- have the woman breathe into a paper bag.
- raise the woman’s legs to William’s position.
- turn the woman to her side.
A: turn the woman to her side.

Q: A client reports that her last menstrual period began Nov. 8.  She asks the nurse, “When will my baby be due?”  What is the best answer?
- “July 1st”
- “August 15”
- “February 15”
- “August 1st”
A: “August 15”

Q: Identify the client who is at high risk for abruptio placenta? The client who has:
- History of placenta previa
- Preterm labor
- Android pelvic structure
- PIH (pregnancy induced HTN)
A: PIH (pregnancy induced HTN)

Q: Your client is receiving magnesium sulfate for severe PIH (pregnancy induced hypertension). Her respirations are 6 and DTRs (deep tendon reflexes) are absent. She is lethargic and slow to respond to verbal commands. You anticipate administering which of the following drugs?
- Pitocin
- Terbutaline
- Stadol
- Calcium gloconate
A: Calcium gloconate

Q: A 20 year old, 28^+6 weeks pregnant client is actively using cocaine on a regular basis. Cocaine drug abuse puts her pregnancy at increased risk for:
- Abruptio placenta
- Attention Deficit Hyper-Activity Disorders (ADHD)
- vitamin D deficiency
- hemoglobin
A: Abruptio placenta

Q: An 18-year-old pregnant woman continues to crave laundry starch to eat. You will specifically assess for which of the following?
- magnesium level
- calcium level
- vitamin D deficiency
- hemoglobin
A: hemoglobin

Q: A client is having an amniocentesis at 17 weeks. You realize this is a frequent diagnostic method to determine:
- the fetal lung maturity
- sex of the baby
- birth defects
- type of twins
A: birth defects

Q: What findings in a medical record would be considered a risk factor for ectopic pregnancy (Select all that apply)?
- HIV(+)
- Nullpara
- Multiple (elective) abortions
- History of chlamydia
A: Multiple (elective) abortions; History of chlamydia

Q: Select the client who is at highest risk for teratogen effects to the fetus?
- The client who consumes 1,000 mcgs folic acid daily, prior to becoming pregnant.
- The client who has pica and admits to consuming corn starch, 2 TBS. daily.
- The certified oncology nurse at 13 weeks gestation who floats to the PACU.
- The client who had a high fever for three days and is in the first trimester of pregnancy.
A: The client who had a high fever for three days and is in the first trimester of pregnancy.

Q: An Rh(-), Rubella Immune woman had her molar pregnancy (hydatid mole) evacuated and is prepared for discharge.  You should make certain that she understands:
- To receive RhoGam now and at delivery.
- To not have sexual intercourse for at least one year..
- To have her blood pressure checked weekly for the next 30 days.
- To not become pregnant for at least one year.
A: To not become pregnant for at least one year.

Q: Functions of the amniotic fluid include (Select all that apply):
- Allows for fetal movement and umbilical cord cushioning
- Is a measure of fetal kidney function since it is composed of fetal urine
- Maintains body temperature of the fetus
- Provides for an exchange of nutrients and waste products between mother and fetus
A: Allows for fetal movement and umbilical cord cushioning; Is a measure of fetal kidney function since it is composed of fetal urine; Maintains body temperature of the fetus

Q: Presumptive signs of pregnancy include (Select all that apply):
- Amenorrhea
- Nausea and vomiting
- Quickening
- Audible fetal heart tones
A: Amenorrhea; Nausea and vomiting; Quickening