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Finals Activity 1

The document is a finals activity for a Health Assessment course at Calamba Doctors' College, focusing on various aspects of pregnancy. It includes multiple-choice questions related to pregnancy signs, weight gain recommendations, fetal heart rate, and assessment techniques. The questions cover both physiological changes during pregnancy and clinical assessments nurses should perform.

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5 views8 pages

Finals Activity 1

The document is a finals activity for a Health Assessment course at Calamba Doctors' College, focusing on various aspects of pregnancy. It includes multiple-choice questions related to pregnancy signs, weight gain recommendations, fetal heart rate, and assessment techniques. The questions cover both physiological changes during pregnancy and clinical assessments nurses should perform.

Uploaded by

leih js
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CALAMBA DOCTORS’ COLLEGE

Virborough Subdivision, Parian, Calamba City, Laguna


Tel. No. (049) 545-9921

COLLEGE OF NURSING

NCM 101
HEALTH ASSESSMENT
LECTURE

FINALS
ACTIVITY 1

1. Janet Clark, age 24, has missed two periods and had a positive
home pregnancy test. She is complaining of “morning sickness,”
breast tenderness, and increased urinary frequency. Her last
period was 11/30/06. Calculate her EDB.
a. 8/30/07
b. 7/23/07
c. 7/30/07
d. 8/23/07

2. Which sign would be considered a presumptive sign of


pregnancy?
a. Cessation of menses
b.Abdominal enlargement
c. Fetal heart beats (FHB)
d. Positive pregnancy test

3. Which sign would be considered a probable sign of pregnancy?


a. Cessation of menses
b. Breast tenderness
c. FHB
d. Positive pregnancy test

4. Which sign would be considered a positive sign of pregnancy?


a. Cessation of menses
b. Breast tenderness
c. Fetal heart beats (FHB)
d. Positive pregnancy test

5. You perform a physical exam on Mrs. Clark.You note a bluish


discoloration of the cervix. This sign is referred to as:
a. Goodell’s sign
b. Hegar’s sign
c. Chadwick’s sign
d. Piskacek’s sign

6. Mrs. Clark prepregnant weight was 130 pounds; her height is


5’6. How much weight she should expect to gain during this
pregnancy?
a. 28 to 40 lb
b. 15 to 25 lb
c. 25 to 35 lb
d. 35 to 45 lb

7. Your patient, Dawn Stubick, is beginning her third trimester of


her pregnancy.As she lies on the examination table,she complains
of feeling dizzy.You check her BP and note that she is hypotensive.
How should you position your patient?
a. Left-side lying
b. Right-side lying
c.Trendelenburg’s position
d. Fowler’s position

8. You are assessing the FHT. What is the normal FHT rate?
a. 60 to 100
b. 100 to 120
c. 120 to 160
d. 160 to 200

9. You are listening for FHT with a Doppler. FHT can first be heard
with a Doppler at:
a.Week 4
b.Week 10
c.Week 18
d.Week 20

10. Which technique is useful in assessing fetal position and


presentation?
a. Pelvic exam
b. Leopold’s maneuver
c. Ballottement
d.Abdominal percussion
11. While assessing the abdomen of a pregnant client, the nurse
observes striae gravidarum. The nurse should instruct the client
that after delivery, the striae gravidarum will
a. completely disappear
b. remain the same
c. disappear if a special ointment is used
d. fade to a white or silvery color

12. While assessing the abdomen of a pregnant woman, the nurse


observes a dark line from the client’s umbilicus to the mons pubis.
The nurse should explain to the client that this is called
a. linea nigra
b. chloasma
c. melanin
d. epulis

13. During pregnancy, a relaxation of the ligaments and joints is


caused by the increase in
a. estrogen
b. chorionic gonadotropin
c. lactating hormone
d. progesterone

14. The nurse is caring for a client who is 24 weeks pregnant. The
client tells the nurse that she has been secreting colostrum for the
past few days. The nurse should instruct the client that colostrum
secretion
a. does not normally occur until delivery of the baby
b. may be indicative of a problem with the breasts
c. is normal for some women in the second and third trimesters
d. may be indicative of preterm labor ensuing

15. One cardiac change that commonly occurs in a pregnant client


is
a. an increase in maternal blood volume by 40% to 50%
b. a decrease in plasma volume by 20%
c. physiologic hypertension that stabilizes by 24 weeks’ gestation
d. a decrease in the heart rate of the client
16. As pregnancy progresses, the abdominal muscles may stretch
to the point of separation. This condition is termed
a. herniation
b. McDonald’s sign
c. Goodell’s sign
d. diastasis recti abdominis

17. The nurse has instructed a pregnant client about changes that
may occur to the client’s gastrointestinal system during pregnancy.
The nurse determines that the client needs further
instructions when the client says
a. “As a result of pregnancy, diarrhea may occur more often.”
b. “Gastric motility is decreased from the pressure of the fetus.”
c. “Constipation may occur because gastric tone is decreased.”
d. “Gallstone formation may occur because of prolonged emptying
time of the gallbladder.”

18. While interviewing a pregnant client, the nurse determines


that the client has pica. The nurse should assess the client’s
a. blood sugar
b. teeth and gums
c. nutritional status
d. emotional status

19. During pregnancy, the uterus enlarges as a result of


hypertrophy of existing myometrial cells and hyperplasia of new
cells. This growth is due to
a. estrogen
b. progesterone
c. growth hormone
d. lactating hormone

20. The nurse is caring for a pregnant client who is at


approximately 20 weeks’ gestation. The nurse is planning to
measure the client’s fundal height. At 20 weeks’ gestation, the
nurse
should locate the top of the fundus
a. at the top of the symphysis pubis
b. midway between the symphysis pubis and the umbilicus
c. at the level of the umbilicus
d. above the level of the umbilicus
21. A pregnant client who is at approximately 36 weeks’ gestation
tells the nurse that she experiences dizziness while in bed. The
nurse should instruct the client to avoid which position?
a. side-lying
b. left lateral
c. prone
d. supine

22. A client who is of normal weight just learned that she is 10


weeks pregnant. The client asks the nurse about weight gain
during pregnancy. The nurse should instruct the client that the
recommended weight gain is
a. 15 to 20 pounds
b. 20 to 25 pounds
c. 25 to 35 pounds
d. 35 to 45 pounds

23. A pregnant client at 12 weeks’ gestation visits the clinic and


tells the nurse that she has been vomiting severely for the past 5
days. The nurse should refer the client to a physician for possible
a. hyperemesis gravidarum
b. viral infection
c. fetal anomalies
d. peptic ulcer

24. A pregnant client visits the clinic for the first time. She tells
the nurse that she has had two spontaneous abortions before this
pregnancy. The nurse should refer the client to a physician for
possible
a. incompetent cervix
b. substance abuse
c. Rh incompatibility
d. hyperthyroidism

25. A pregnant client visits the clinic for the first time. The client
tells the nurse that this is her first pregnancy and that she and her
husband are Ashkenazi Jews and immigrated to the United States
from Israel. The nurse should encourage the client to be tested for
a. sickle cell anemia
b. cystic fibrosis
c. cerebral palsy
d. Tay–Sachs disease

26. A pregnant client near term is admitted to the hospital with


scant vaginal bleeding and mild contractions. The client tells the
nurse that she uses cocaine occasionally. The nurse should assess
the client for signs and symptoms of
a. oligohydramnios
b. polyhydramnios
c. placenta previa
d. abruptio placenta

27. A pregnant client visits the clinic for the first time. The nurse
should explain to the client that she will have initial routine blood
tests, which include testing for
a. " -fetoprotein levels
b. chromosomal anomalies
c. cystic fibrosis
d. Rh status

28. A pregnant client visits the clinic at 36 weeks’ gestation. The


nurse weighs the client and determines that the client has gained
5 pounds in 1 week. The nurse should assess the client’s
a. dietary patterns
b. edema of the lower extremities
c. urinary patterns
d. blood pressure

29. The nurse is planning to perform Leopold’s maneuvers on a


pregnant client. To perform the first maneuver, the nurse should
place his or her hands on the
a. upper quadrant of the maternal abdomen
b. lateral sides of the maternal abdomen
c. presenting part
d. top of the symphysis pubis

30. While caring for a pregnant client at 8 weeks’ gestation, the


client asks the nurse, “When can you hear the baby’s heartbeat?”
The nurse should instruct the client that when a Doppler device is
used, the earliest time when the fetal heart rate can be heard is
the gestational age of
a. 10 weeks
b. 14 weeks
c. 18 weeks
d. 22 weeks

31. While assessing a pregnant client, the nurse detects fetal


heart rate decelerations that occur after a contraction. The nurse
should notify the client’s physician because this may be indicative
of
a. fetal demise
b. cardiac disease
c. head compression
d. poor placental perfusion

32. The nurse is preparing to assess the fetal heart rate of a


pregnant client near term. When the nurse hears the fetal heart
rate above the maternal umbilicus, the fetus is most likely in which
position?
a. transverse
b. breech
c. vertex
d. face

33. A pregnant client visits the clinic and complains of a thick


purulent vaginal discharge. The nurse should obtain a specimen of
the vaginal discharge because this type of discharge is usually
indicative of
a. gonorrhea
b. bacterial vaginosis
c. Candida albicans infection
d. chlamydial infection

34. While assessing a pregnant client at 36 weeks’ gestation, the


nurse observes that the client’s face is edematous and she has 3!
reflexes with mild clonus. The nurse should refer the client to a
physician for possible
a. hydatidiform mole
b. multiple gestation
c. pregnancy-induced hypertension
d. hyperthyroidism
35. The nurse is caring for a pregnant client at 14 weeks’
gestation and determines that the measurement between the
client’s ischial tuberosities is 10.5 cm. The nurse should
a. instruct the client that a vaginal delivery is likely
b. refer the client to a physician for small pelvic size
c. measure the pubic arch to validate the measurement
d. estimate the size of the fetus

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