128034516 practice exam 2 ob nursing

8/10/2019 128034516 Practice Exam 2 OB Nursing

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Practice Quesstion for Exam 2

Multiple Choice Identify the choice that best completes the statement or answers the question.

____ 1. A 39-year-old primigravida thinks that she is about 8 weeks pregnant, although she has had irregularmenstrual periods all her life. he has a history of smoking appro!imately one pa"k of "igarettes aday, but she tells you that she is trying to "ut down. #er laboratory data are within normal limits.$hat diagnosti" te"hni%ue "ould be used with this pregnant woman at this time&a. 'ltrasound e!amination

b. (aternal serum alpha-fetoprotein s"reening )( A*+". Amnio"entesisd. onstress test )

____ /. he nurse sees a woman for the first time when she is 30 weeks pregnant. he woman has smokedthroughout the pregnan"y, and fundal height measurements now are suggestive of growth restri"tionin the fetus. n addition to ultrasound to measure fetal si2e, what would be another tool useful in"onfirming the diagnosis&a. oppler blood flow analysis ". Amnio"entesis

b. 4ontra"tion stress test )4 d. aily fetal movement "ounts ____ 3. A 51-week pregnant multigravida presents in the labor and delivery unit after a nonstress test

indi"ated that her fetus "ould be e!perien"ing some diffi"ulties in utero. $hi"h diagnosti" toolwould yield more detailed information about the fetus&a. 'ltrasound for fetal anomalies

b. 6iophysi"al profile )6++". (aternal serum alpha-fetoprotein s"reening )( A*+d. +er"utaneous umbili"al blood sampling )+'6

____ 5. At 37 weeks of pregnan"y a woman e!perien"es preterm labor. Although to"olyti"s are administeredand she is pla"ed on bed rest, she "ontinues to e!perien"e regular uterine "ontra"tions, and her "ervi!is beginning to dilate and effa"e. $hat would be an important test for fetal well-being at this time&a. +er"utaneous umbili"al blood sampling )+'6

b. 'ltrasound for fetal si2e". Amnio"entesis for fetal lung maturityd. onstress test

____ 7. A 50-year-old woman is 10 weeks pregnant. $hi"h diagnosti" tool would be appropriate to suggestto her at this time&a. 6iophysi"al profile

b. Amnio"entesis". (aternal serum alpha-fetoprotein )( A*+d. ransvaginal ultrasound

____ . A woman is undergoing a nipple-stimulated "ontra"tion stress test )4 . he is having "ontra"tionsthat o""ur every 3 minutes. he fetal heart rate )*# has a baseline of appro!imately 1/0 beats:minwithout any de"elerations. he interpretation of this test is said to be;a. egative. ". atisfa"tory.

b. +ositive. d. 'nsatisfa"tory.


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____ eu"orrhea. d. 6allottement.

____ 1 . o reassure and edu"ate pregnant "lients about "hanges in their "ardiovas"ular system, maternitynurses should be aware that;a. A pregnant woman e!perien"ing disturbed "ardia" rhythm, su"h as sinus


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arrhythmia re%uires "lose medi"al and obstetri" observation, no matter how healthyshe otherwise may appear.

b. 4hanges in heart si2e and position and in"reases in blood volume "reate auditory"hanges from /0 weeks to term.

". +alpitations are twi"e as likely to o""ur in twin gestations.

d. All of the above "hanges likely will o""ur. ____ 1


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". #istory of breast "an"er 3 years agod. #uman immunodefi"ien"y virus )# C positive

____ /7. he nurse should be aware that the partner?s main role in pregnan"y is to;a. +rovide finan"ial support.

b. +rote"t the pregnant woman from Eold wives? tales.F

". upport and nurture the pregnant woman.d. (ake sure the pregnant woman keeps prenatal appointments. ____ / . $hat represents a typi"al progression through the phases of a woman?s establishing a relationship

with the fetus&a. A""epts the fetus as distin"t from herselfGa""epts the biologi" fa"t of pregnan"y

Ghas a feeling of "aring and responsibility b. *antasi2es about the "hild?s gender and personalityGviews the "hild as part of

herselfGbe"omes introspe"tive". Ciews the "hild as part of herselfGhas feelings of well-beingGa""epts the

biologi" fa"t of pregnan"yd. E am pregnant.FG E am going to have a baby.FGE am going to be a mother.F

____ /


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b. E>ose weight so that you "an gain more during pregnan"y.F". EHou may take any medi"ations you have been taking regularly.Fd. E(ake sure that you in"lude ade%uate foli" a"id in your diet.F

____ 33. $omen with an inade%uate weight gain during pregnan"y are at higher risk of giving birth to aninfant with;

a. pina bifida. ". iabetes mellitus. b. ntrauterine growth restri"tion. d. own syndrome. ____ 35. $ith regard to protein in the diet of pregnant women, nurses should be aware that;

a. (any protein-ri"h foods are also good sour"es of "al"ium, iron, and 6 vitamins. b. (any women need to in"rease their protein intake during pregnan"y.". As with "arbohydrates and fat, no spe"ifi" re"ommendations e!ist for the amount

of protein in the diet.d. #igh-protein supplements "an be used without risk by women on ma"robioti"

diets. ____ 37. n assessing the knowledge of a pregestational woman with type 1 diabetes "on"erning "hanging

insulin needs during pregnan"y, the nurse re"ogni2es that further tea"hing is warranted when the"lient states;a. E will need to in"rease my insulin dosage during the first 3 months of pregnan"y.F

b. E nsulin dosage will likely need to be in"reased during the se"ond and thirdtrimesters.F

". E pisodes of hypogly"emia are more likely to o""ur during the first 3 months.Fd. E nsulin needs should return to normal within < to 10 days after birth if am bottle-

feeding.F ____ 3 . n planning for the "are of a 30-year-old woman with pregestational diabetes, the nurse re"ogni2es

that the most important fa"tor affe"ting pregnan"y out"ome is the;a. (other?s age.

b. umber of years sin"e diabetes was diagnosed.". Amount of insulin re%uired prenatally.d. egree of gly"emi" "ontrol during pregnan"y.

____ 3


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". uring the se"ond and third trimesters pregnan"y e!erts a diabetogeni" effe"t thatensures an abundant supply of glu"ose for the fetus.

d. (aternal insulin re%uirements steadily de"line during pregnan"y. ____ 50. $ith regard to the asso"iation of maternal diabetes and other risk situations affe"ting mother and

fetus, nurses should be aware that;

a. iabeti" ketoa"idosis ) DA "an lead to fetal death at any time during pregnan"y. b. #ydramnios o""urs appro!imately twi"e as often in diabeti" pregnan"ies.". nfe"tions o""ur about as often and are "onsidered about as serious in diabeti" and

nondiabeti" pregnan"ies.d. ven mild-to-moderate hypogly"emi" episodes "an have signifi"ant effe"ts on fetal

well-being. ____ 51. An 18-year-old "lient who has rea"hed 1 weeks of gestation was re"ently diagnosed with

pregestational diabetes. he attends her "entering appointment a""ompanied by one of hergirlfriends. his young woman appears more "on"erned about how her pregnan"y will affe"t herso"ial life rather than her re"ent diagnosis of diabetes. A number of nursing diagnoses are appli"ableto assist in planning ade%uate "are. he most appropriate diagnosis at this time is;

a. isk for inIury to the fetus related to birth trauma. b. on"omplian"e related to la"k of understanding of diabetes and pregnan"y and

re%uirements of the treatment plan.". efi"ient knowledge related to insulin administration.d. isk for inIury to the mother related to hypogly"emia or hypergly"emia.

____ 5/. $hen "aring for a pregnant woman with "ardia" problems, the nurse must be alert for signs andsymptoms of "ardia" de"ompensation, whi"h are;a. A regular heart rate and hypertension.

b. An in"reased urinary output, ta"hy"ardia, and dry "ough.". hortness of breath, brady"ardia, and hypertension.d. yspneaJ "ra"klesJ and an irregular, weak pulse.

____ 53. n providing nutritional "ounseling for the pregnant woman e!perien"ing "hole"ystitis, the nursewould;a. Assess the woman?s dietary history for ade%uate "alories and proteins.

b. nstru"t the woman that the bulk of "alories should "ome from proteins.". nstru"t the woman to eat a low-fat diet and avoid fried foods.d. nstru"t the woman to eat a low-"holesterol, low-salt diet.

____ 55. n "aring for a pregnant woman with si"kle "ell anemia with in"reased blood vis"osity, the nurse is"on"erned about the development of a thromboembolism. ursing "are would in"lude;a. (onitoring the "lient for a negative #omans? sign.

b. (assaging her "alves when the woman "omplains of pain.". Applying antiemboli" sto"kings.d. (aintaining a restri"tion on fluid intake.

____ 57. $ith what heart "ondition is pregnan"y not usually "ontraindi"ated&a. +eripartum "ardiomyopathy ". #eart transplant

b. isenmenger syndrome d. All of these "ontraindi"ate pregnan"y.


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____ 5 . (arfan syndrome is an autosomal dominant geneti" disorder that displays as weakness of the"onne"tive tissue, Ioint deformities, o"ular dislo"ation, and weakness to the aorti" wall and root.$hile providing "are to a "lient with (arfan syndrome during labor, whi"h intervention should thenurse "omplete first&a. Antibioti" prophyla!is ". urgery

b. -6lo"kers d. egional anesthesia ____ 5


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____ 7/. A woman with severe pree"lampsia has been re"eiving magnesium sulfate by intravenous infusionfor 8 hours. he nurse assesses the woman and do"uments the following findings; temperature of3>+ syndrome;a. s a mild form of pree"lampsia.

b. 4an be diagnosed by a nurse alert to its symptoms.". s "hara"teri2ed by hemolysis, elevated liver en2ymes, and low platelets.d. s asso"iated with preterm labor but not perinatal mortality.

____ 77. he perinatal nurse is giving dis"harge instru"tions to a woman, status postsu"tion "urettagese"ondary to a hydatidiform mole. he woman asks why she must take oral "ontra"eptives for thene!t 1/ months. he best response from the nurse would be;a. E f you get pregnant within 1 year, the "han"e of a su""essful pregnan"y is very

small. herefore, if you desire a future pregnan"y, it would be better for you to usethe most reliable method of "ontra"eption available.F

b. E he maIor risk to you after a molar pregnan"y is a type of "an"er that "an bediagnosed only by measuring the same hormone that your body produ"es during

pregnan"y. f you were to get pregnant, it would make the diagnosis of this "an"ermore diffi"ult.F

". E f you "an avoid a pregnan"y for the ne!t year, the "han"e of developing a se"ondmolar pregnan"y is rare. herefore, to improve your "han"e of a su""essful

pregnan"y, it is better not to get pregnant at this time.Fd. EBral "ontra"eptives are the only form of birth "ontrol that will prevent a

re"urren"e of a molar pregnan"y.F ____ 7 . (ethotre!ate is re"ommended as part of the treatment plan for whi"h obstetri" "ompli"ation&

a. 4omplete hydatidiform mole ". 'nruptured e"topi" pregnan"y b. (issed abortion d. Abruptio pla"entae

____ 7


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____ 78. A woman is in for a routine prenatal "he"kup. Hou are assessing her urine for proteinuria. Hou knowthat whi"h findings are "onsidered normal& 4hoose all that apply.a. ipsti"k assessment of tra"e to L1 ". ipsti"k assessment of L/

b. N300 mg:/5 hours d. O300 mg:/5 hours

____ 79. A woman has Iust moved to the 'nited tates from (e!i"o. he is 3 months pregnant and hasarrived for her first prenatal visit. uring her assessment interview, you dis"over that she has not hadany immuni2ations. $hi"h immuni2ations should she re"eive at this point in her pregnan"y& 4hooseall that apply.a. etanus

b. iphtheria". 4hi"kenpo!d. ubellae. #epatitis 6

CompletionComplete each statement.

0. A"hieving and maintaining "onstant ____________________, with blood glu"ose levels in the rangeof 0 to 1/0 mg:dl, is the primary goal of medi"al therapy for the pregnant woman with diabetes.his is a"hieved through a "ombination of diet, insulin, e!er"ise, and blood glu"ose monitoring.


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Practice Quesstion for Exam 2Answer Section

MULTIPLE C !ICE

1. A ; AAn ultrasound e!amination "ould be done to "onfirm the pregnan"y and determine the gestationalage of the fetus. t is too early in the pregnan"y to perform the ( A*+, an amnio"entesis, or an .he ( A*+ is performed at 1 to 18 weeks of gestation, followed by amnio"entesis if the ( A*+levels are abnormal or if fetal:maternal anomalies are dete"ted. An is performed to assess fetalwell-being in the third trimester.

+ ; 1 *; 4ognitive >evel; 4omprehension *; 195B6P; 4lient eeds; #ealth +romotion and (aintenan"e B+; ursing +ro"ess; Assessment

/. A ; A

oppler blood flow analysis allows the e!aminer to study the blood flow noninvasively in the fetusand the pla"enta. t is a helpful tool in the management of high risk pregnan"ies be"ause ofintrauterine growth restri"tion ) '= , diabetes mellitus, multiple fetuses, or preterm labor. 6e"auseof the potential risk of indu"ing labor and "ausing fetal distress, a 4 is not performed on a womanwhose fetus is preterm. ndi"ations for an amnio"entesis in"lude diagnosis of geneti" disorders or"ongenital anomalies, assessment of pulmonary maturity, and the diagnosis of fetal hemolyti"disease, not '= . *etal ki"k "ount monitoring is performed to monitor the fetus in pregnan"ies"ompli"ated by "onditions that may affe"t fetal o!ygenation. Although this may be a useful tool atsome point later in this woman?s pregnan"y, it is not used to diagnose '= .

+ ; 1 *; 4ognitive >evel; Analysis *; 198B6P; 4lient eeds; #ealth +romotion and (aintenan"eB+; ursing +ro"ess; Assessment, iagnosis

3. A ; 6eal-time ultrasound permits detailed assessment of the physi"al and physiologi" "hara"teristi"s ofthe developing fetus and "ataloging of normal and abnormal biophysi"al responses to stimuli. he6++ is a noninvasive, dynami" assessment of a fetus that is based on a"ute and "hroni" markers offetal disease. An ultrasound for fetal anomalies would most likely have o""urred earlier in the

pregnan"y. t is too late in the pregnan"y to perform an ( A*+. *urthermore, it does not provideinformation related to fetal well-being. ndi"ations for +'6 in"lude prenatal diagnosis or inherited

blood disorders, karyotyping of malformed fetuses, dete"tion of fetal infe"tion, determination of thea"id-base status of the fetus with '= , and assessment and treatment of isoimmuni2ation andthrombo"ytopenia in the fetus.

+ ; 1 *; 4ognitive >evel; 4omprehension *; 198, 199B6P; 4lient eeds; #ealth +romotion and (aintenan"eB+; ursing +ro"ess; Assessment, iagnosis

5. A ; 4


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Amnio"entesis would be performed to assess fetal lung maturity in the event of a preterm birth.ndi"ations for +'6 in"lude prenatal diagnosis or inherited blood disorders, karyotyping ofmalformed fetuses, dete"tion of fetal infe"tion, determination of the a"id-base status of the fetus withintrauterine growth restri"tion, and assessment and treatment of isoimmuni2ation andthrombo"ytopenia in the fetus. ypi"ally fetal si2e is determined by ultrasound during the se"ond

trimester and is not indi"ated in this s"enario. A nonstress test measures the fetal response to fetalmovement in a non"ontra"ting mother.

+ ; 1 *; 4ognitive >evel; 4omprehension *; /0/B6P; 4lient eeds; #ealth +romotion and (aintenan"e B+; ursing +ro"ess; valuation

7. A ;An ultrasound is the method of biophysi"al assessment of the infant that would be performed at thisgestational age. A biophysi"al profile would be a method of biophysi"al assessment of fetal well-

being in the third trimester. An amnio"entesis is performed after the fourteenth week of pregnan"y.An ( A*+ test is performed from week 17 to week // of the gestation )weeks 1 to 18 are ideal .

+ ; 1 *; 4ognitive >evel; 4omprehension *; 195B6P; 4lient eeds; #ealth +romotion and (aintenan"e B+; ursing +ro"ess; +lanning

. A ; AAde%uate uterine a"tivity ne"essary for a 4 "onsists of the presen"e of three "ontra"tions in a 10-minute time frame. f no de"elerations are observed in the *# pattern with the "ontra"tions, thefindings are "onsidered to be negative. A positive 4 indi"ates the presen"e of repetitive later *#de"elerations. Satisfactory and unsatisfactory are not appli"able terms.

+ ; 1 *; 4ognitive >evel; Analysis *; /0B6P; 4lient eeds; #ealth +romotion and (aintenan"eB+; ursing +ro"ess; Assessment, iagnosis


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+ositive signs of pregnan"y are those that are attributed to the presen"e of a fetus, su"h as hearingthe fetal heartbeat or palpating fetal movement. A positive pregnan"y test and 6ra!ton #i"ks"ontra"tions would be probable signs of pregnan"y. @ui"kening would be a presumptive sign of

pregnan"y.

+ ; 1 *; 4ognitive >evel; 4omprehension *; /13B6P; 4lient eeds; #ealth +romotion and (aintenan"e B+; ursing +ro"ess; +lanning

10. A ; 6n normal pregnan"ies the uterus grows at a predi"table rate. t may be palpated above the symphysis

pubis sometime between the twelfth and fourteenth weeks of pregnan"y. As the uterus grows, it may be palpated above the symphysis pubis sometime between the twelfth and fourteenth weeks of pregnan"y. he uterus rises gradually to the level of the umbili"us at // to /5 weeks of gestation.

+ ; 1 *; 4ognitive >evel; 4omprehension *; /13B6P; 4lient eeds; #ealth +romotion and (aintenan"e B+; ursing +ro"ess; Assessment

11. A ; AAt appro!imately weeks of gestation, softening and "ompressibility of the lower uterine segmento""urJ this is "alled He$ar%s si$n. (" onald?s sign indi"ates a fast food restaurant. 4hadwi"k?s signis the blue-violet "oloring of the "ervi! "aused by in"reased vas"ularityJ this o""urs around thefourth week of gestation. oftening of the "ervi"al tip is "alled =oodell?s sign, whi"h may beobserved around the si!th week of pregnan"y.

+ ; 1 *; 4ognitive >evel; 4omprehension *; /13B6P; 4lient eeds; #ealth +romotion and (aintenan"eB+; ursing +ro"ess; Assessment, mplementation

1/. A ;triae gravidarum, or stret"h marks, refle"t separation within the underlying "onne"tive tissue of theskin. After birth they usually fade, although they never disappear "ompletely. An epulis is a red,

raised nodule on the gums that bleeds easily. 4hloasma, or mask of pregnan"y, is a blot"hy, brownhyperpigmentation of the skin over the "heeks, nose, and forehead, espe"ially in dark-"omple!ioned pregnant women. 4hloasma usually fades after the birth. elangie"tasia, or vas"ular spiders, are tiny,star-shaped or bran"hlike, slightly raised, pulsating end-arterioles usually found on the ne"k, thora!,fa"e, and arms. hey o""ur as a result of elevated levels of "ir"ulating estrogen. hese usuallydisappear after birth.

+ ; 1 *; 4ognitive >evel; 4omprehension *; //3B6P; 4lient eeds; +hysiologi" ntegrity B+; ursing +ro"ess; +lanning

13. A ;+rogesterone is essential for maintaining pregnan"yJ it does so by rela!ing smooth mus"les. hisredu"es uterine a"tivity and prevents mis"arriage. strogen plays a vital role in pregnan"y, but it isnot the primary hormone for maintaining pregnan"y. h4= levels rise at implantation but de"line after 0 to


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A primipara is a woman who has "ompleted one pregnan"y with a viable fetus. o remember terms,keep in mind; $ra&ida is a pregnant womanJ para "omes from parity' meaning a viable fetusJ primi means firstJ multi means manyJ and null means none. A primi$ra&ida is a woman pregnant for thefirst time. A multipara is a woman who has "ompleted two or more pregnan"ies with a viable fetus.A nulli$ra&ida is a woman who has never been pregnant.

+ ; 1 *; 4ognitive >evel; 4omprehension *; /10B6P; 4lient eeds; #ealth +romotion and (aintenan"e B+; ursing +ro"ess; iagnosis

17. A ; Ahe oper"ulum prote"ts against ba"terial invasion. >eu"orrhea is the mu"us that forms theendo"ervi"al plug )the oper"ulum . he funi" souffle is the sound of blood flowing through theumbili"al vessels. 6allottement is a te"hni%ue for palpating the fetus.

+ ; 1 *; 4ognitive >evel; Dnowledge *; /1B6P; 4lient eeds; +hysiologi" ntegrity B+; ursing +ro"ess; Assessment

1 . A ; 6Aus"ultatory "hanges should be dis"ernible after /0 weeks of gestation. A healthy woman with nounderlying heart disease does not need any therapy. he maternal heart rate in"reases in the thirdtrimester, but palpitations may not ne"essarily o""ur, let alone double. Auditory "hanges aredis"ernible at /0 weeks.

+ ; 1 *; 4ognitive >evel; 4omprehension *; /18B6P; 4lient eeds; +hysiologi" ntegrity B+; ursing +ro"ess; +lanning

1evel; 4omprehension *; //1B6P; 4lient eeds; +hysiologi" ntegrity B+; ursing +ro"ess; +lanning

18. A ; Aoon after the fourth month of gestation uterine "ontra"tions "an be felt through the abdominal wall.6ra!ton #i"ks "ontra"tions are regular and painless and "ontinue throughout the pregnan"y.Although they are not painful, some women "omplain that they are annoying. 6ra!ton #i"ks"ontra"tions usuall "eases with walking or e!er"ise. hey "an be mistaken for true laborJ however,they do not in"rease in intensity, fre%uen"y, or "ause "ervi"al dilation. n addition, they fa"ilitateuterine blood flow through the intervillous spa"es of the pla"enta and thereby promote o!ygendelivery to the fetus.

+ ; 1 *; 4ognitive >evel; 4omprehension *; /13, /15B6P; 4lient eeds; #ealth +romotion and (aintenan"e B+; ursing +ro"ess; +lanning

19. A ; 4'sing Qgele?s rule, ovember /1, /010, is the "orre"t e!pe"ted date of birth. he 6 is"al"ulated by subtra"ting 3 months from the first day of the >(+ and adding < days L 1 year to theday of the >(+. herefore, with an >(+ of *ebruary 15, /010;*ebruary 15, /010 R 3 months S ovember 15, /009 L < days S ovember /1, /009 L 1 year S

ovember /1, /010


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+ ; 1 *; 4ognitive >evel; Dnowledge *; /30B6P; 4lient eeds; #ealth +romotion and (aintenan"e B+; ursing +ro"ess; Assessment

/0. A ; Aesting for the antibody to # C is strongly re"ommended for all pregnant women. An # C test isre"ommended for all women, regardless of risk fa"tors. he in"iden"e of perinatal transmission froman # C-positive mother to her fetus ranges from /7K to 37K. $omen who test positive for # C "anthen be treated.

+ ; 1 *; 4ognitive >evel; 4omprehension *; /51B6P; 4lient eeds; #ealth +romotion and (aintenan"e B+; ursing +ro"ess; +lanning

/1. A ;igns and symptoms that must be reported in"lude severe vomiting, fever and "hills, burning onurination, diarrhea, abdominal "ramping, and vaginal bleeding. hese symptoms may be signs of

potential "ompli"ations of the pregnan"y. ausea with o""asional vomiting, fatigue, and urinaryfre%uen"y are normal first-trimester "omplaints. Although they may be worrisome or annoying to themother, they usually are not indi"ations of pregnan"y problems.

+ ; 1 *; 4ognitive >evel; 4omprehension *; /53B6P; 4lient eeds; +hysiologi" ntegrity B+; ursing +ro"ess; +lanning

//. A ; 6An in"rease in the systoli" 6+ of 30 mm #g or more over the baseline pressure or an in"rease in thediastoli" 6+ of 17 mm #g or more over the baseline pressure is a signifi"ant finding, regardless ofthe absolute values. A "urrent 6+ of 130:87 indi"ates that su"h in"reases have o""urred in both thediastoli" and systoli" pressures. A slight in"rease in 6+ of 1/ :87 does not meet the "riteria for"on"ern. Although the baseline 6+ is worrisome )an absolute systoli" 6+ of 150 mm #g or higher ora diastoli" 6+ of 90 mm #g or higher suggests hypertension , the subse%uent pressures havede"reased, not in"reased. he 6+ of 110: 0 is within normal limits for both values and is not a

"on"ern.

+ ; 1 *; 4ognitive >evel; Dnowledge *; /53B6P; 4lient eeds; +hysiologi" ntegrity B+; ursing +ro"ess; iagnosis

/3. A ; 6+elvi" ro"k e!er"ises may help stret"h and strengthen the abdominal and lower ba"k mus"les andrelieve low ba"k pain. Degel e!er"ises in"rease the tone of the pelvi" area, not the ba"k. A softermattress may not provide the support needed to maintain proper alignment of the spine and may"ontribute to ba"k pain. tret"hing and other e!er"ises to relieve ba"k pain should be performedseveral times a day.

+ ; 1 *; 4ognitive >evel; Appli"ation *; /59, /7B6P; 4lient eeds; #ealth +romotion and (aintenan"e B+; ursing +ro"ess; Assessment

/5. A ;$omen who are # C positive are dis"ouraged from breastfeeding. Although hepatitis 6 antigen hasnot been shown to be transmitted through breast milk, as an added pre"aution infants born to#6sAg-positive women should re"eive the hepatitis 6 va""ine and immune globulin immediatelyafter birth. verted nipples are fun"tional for breastfeeding. ewly diagnosed breast "an"er would bea "ontraindi"ation to breastfeeding.


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eeds for energy, protein, "al"ium, iodine, 2in", the 6 vitamins, and vitamin 4 remain greater thannonpregnant needs.

+ ; 1 *; 4ognitive >evel; Dnowledge *; /87B6P; 4lient eeds; +hysiologi" ntegrity B+; ursing +ro"ess; +lanning

31. A ; 4his diet is "onsistent with that followed by a stri"t vegetarian )vegan . Cegans "onsume only plant

produ"ts. 6e"ause vitamin 6 1/ is found in foods of animal origin, this diet is defi"ient in vitamin 6 1/ .

+ ; 1 *; 4ognitive >evel; Dnowledge *; /93B6P; 4lient eeds; +hysiologi" ntegrity B+; ursing +ro"ess; Assessment

3/. A ;A healthy diet before "on"eption is the best way to ensure that ade%uate nutrients are available forthe developing fetus. A woman?s folate or foli" a"id intake is of parti"ular "on"ern in the

peri"on"eption period. eural tube defe"ts are more "ommon in infants of women with a poor foli"a"id intake. epending on the type of "ontra"eption used, dis"ontinuing all "ontra"eption may not bean a""urate statement. >osing weight is not appropriate advi"e. epending on the type of medi"ationthe woman is taking, "ontinuing its use may not be an a""urate statement.

+ ; 1 *; 4ognitive >evel; Appli"ation *; /85B6P; 4lient eeds; #ealth +romotion and (aintenan"e B+; ursing +ro"ess; +lanning

33. A ; 66oth normal-weight and underweight women with inade%uate weight gain have an in"reased risk ofgiving birth to an infant with intrauterine growth restri"tion. pina bifida, diabetes mellitus, andown syndrome are not asso"iated with inade%uate maternal weight gain.

+ ; 1 *; 4ognitive >evel; 4omprehension *; /evel; Dnowledge *; /evel; Appli"ation *; /9

128034516 practice exam 2 ob nursing

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