Maternal And Child Health Nursing NCLEX Quiz 9

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  • 1/10 Questions

    Which of the following urinary symptoms does the pregnant woman most frequently experience during the first trimester?

    • Dysuria
    • Frequency
    • Incontinence
    • Burning
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All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.

Maternal And Child Health Nursing NCLEX Quiz 9 - Quiz

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  • 2. 

    Which of the following would the nurse identify as a presumptive sign of pregnancy?

    • Hegar sign

    • Nausea and vomiting

    • Skin pigmentation changes

    • Positive serum pregnancy test

    Correct Answer
    A. Nausea and vomiting
    Explanation
    Presumptive signs of pregnancy are subjective signs. Of the signs listed. only nausea and vomiting are presumptive signs.Options A. C. and D: Hegar sign. skin pigmentation changes. and a positive serum pregnancy test are considered probably signs. which are strongly suggestive of pregnancy.

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  • 3. 

    When assessing the adequacy of sperm for conception to occur. which of the following is the most useful criterion?

    • Sperm count

    • Sperm motility

    • Sperm maturity

    • Semen volume

    Correct Answer
    A. Sperm motility
    Explanation
    Although all of the factors listed are important. sperm motility is the most significant criterion when assessing male infertility.Options A. C. and D: Sperm count. sperm maturity. and semen volume are all significant. but they are not as significant sperm motility.

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  • 4. 

    A couple who wants to conceive but has been unsuccessful during the last 2 years has undergone many diagnostic procedures. When discussing the situation with the nurse. one partner states. “We know several friends in our age group. and all of them have their own child already. Why can’t we have one?”. Which of the following would be the most appropriate nursing diagnosis for this couple?

    • Fear related to the unknown

    • Pain related to numerous procedures.

    • Ineffective family coping related to infertility.

    • Self-esteem disturbance related to infertility.

    Correct Answer
    A. Self-esteem disturbance related to infertility.
    Explanation
    Based on the partner’s statement. the couple is verbalizing feelings of inadequacy and negative feelings about themselves and their capabilities. Thus. the nursing diagnosis of self-esteem disturbance is most appropriate.Options A. B. and D: Fear. pain. and ineffective family coping also may be present but as secondary nursing diagnoses.

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  • 5. 

    On which of the following areas would the nurse expect to observe chloasma?

    • Breast. areola. and nipples

    • Chest. neck. arms. and legs

    • Abdomen. breast. and thighs

    • Cheeks. forehead. and nose

    Correct Answer
    A. Cheeks. forehead. and nose
    Explanation
    Chloasma also called the mask of pregnancy. is an irregular hyperpigmented area found on the face. It is not seen on the breasts. areola. nipples. chest. neck. arms. legs. abdomen. or thighs.

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  • 6. 

    When talking with a pregnant client who is experiencing aching swollen. leg veins. the nurse would explain that this is most probably the result of which of the following?

    • Thrombophlebitis

    • Pregnancy-induced hypertension

    • Pressure on blood vessels from the enlarging uterus

    • The force of gravity pulling down on the uterus

    Correct Answer
    A. Pressure on blood vessels from the enlarging uterus
    Explanation
    The pressure of the growing uterus on blood vessels results in an increased risk for venous stasis in the lower extremities. Subsequently. edema and varicose vein formation may occur.Option A: Thrombophlebitis is an inflammation of the veins due to thrombus formation.Option B: Pregnancy-induced hypertension is not associated with these symptoms.Option D: Gravity plays only a minor role with these symptoms.

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  • 7. 

    Cervical softening and uterine souffle are classified as which of the following?

    • Diagnostic signs

    • Presumptive signs

    • Probable signs

    • Positive signs

    Correct Answer
    A. Probable signs
    Explanation
    Cervical softening (Goodell sign) and uterine soufflé are two probable signs of pregnancy. Probable signs are objective findings that strongly suggest pregnancy. Other probable signs include Hegar sign. which is softening of the lower uterine segment; Piskacek sign. which is an enlargement and softening of the uterus; serum laboratory tests; changes in skin pigmentation; and ultrasonic evidence of a gestational sac.Option B: Presumptive signs are subjective signs and include amenorrhea; nausea and vomiting; urinary frequency; breast tenderness and changes; excessive fatigue; uterine enlargement; and quickening.

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  • 8. 

    Which of the following represents the average amount of weight gained during pregnancy?

    • 12 to 22 lb

    • 5 to 25 lb

    • 24 to 30 lb

    • 25 to 40 lb

    Correct Answer
    A. 24 to 30 lb
    Explanation
    The average amount of weight gained during pregnancy is 24 to 30 lb. This weight gain consists of the following: fetus – 7.5 lb; placenta and membrane – 1.5 lb; amniotic fluid – 2 lb; uterus – 2.5 lb; breasts – 3 lb; and increased blood volume – 2 to 4 lb; extravascular fluid and fat – 4 to 9 lb.Option A: A gain of 12 to 22 lb is insufficient.Option B: Whereas a weight gain of 15 to 25 lb is marginal.Option D: A weight gain of 25 to 40 lb is considered excessive.

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  • 9. 

    A pregnant client states that she “waddles” when she walks. The nurse’s explanation is based on which of the following as the cause?

    • The large size of the newborn

    • Pressure on the pelvic muscles

    • Relaxation of the pelvic joints

    • Excessive weight gain

    Correct Answer
    A. Relaxation of the pelvic joints
    Explanation
    During pregnancy. hormonal changes cause relaxation of the pelvic joints. resulting in the typical “waddling” gait.Option A: Changes in posture are related to the growing fetus.Option B: Pressure on the surrounding muscles causing discomfort is due to the growing uterus.Option D: Weight gain has no effect on gait.

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  • 10. 

    Heartburn and flatulence. common in the second trimester. are most likely the result of which of the following?

    • Increased plasma HCG levels

    • Decreased intestinal motility

    • Decreased gastric acidity

    • Elevated estrogen levels

    Correct Answer
    A. Decreased gastric acidity
    Explanation
    During the second trimester. the reduction in gastric acidity in conjunction with pressure from the growing uterus and smooth muscle relaxation. can cause heartburn and flatulence.Option A: HCG levels increase in the first. not the second. trimester.Option B: Decrease intestinal motility would most likely be the cause of constipation and bloating.Option D: Estrogen levels decrease in the second trimester.

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  • Current Version
  • Aug 22, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Sep 04, 2017
    Quiz Created by
    Santepro
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