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Maternal-Newborn Nursing Exam Questions and Answers, Exams of Nursing

Western Washington University (WWU)Nursing

A comprehensive set of questions and answers covering the physiological and psychological changes experienced by women during pregnancy. it delves into key aspects of maternal-newborn nursing, including changes in the uterus, cervix, breasts, cardiovascular system, and respiratory system. The questions are designed to test understanding of these changes and their underlying mechanisms. the detailed answers provide valuable insights for students of maternal-newborn nursing.

Typology: Exams

2024/2025

Available from 05/02/2025

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OLD'S MATERNAL-NEWBORN NURSING CHAPTER 11
PHYSICAL AND PSYCHOLOGICAL CHANGES OF
PREGNANCY-EXAM
1. The second trimester of pregnancy is considered to be?
a. 12-25 weeks
b. 13-27 weeks
c. 15-30 weeks
d. 13-25 weeks
b. The second trimester is 13-27 weeks
2. True or false: the uterus increases in size from 10-500 mL
a. True
b. False
b. False: the uterus increases in size from 10-5000 mL
3. True or false: The enlargement of the uterus is primarily a result of hyperplasia of the endometrium.
a. True
b. False
b. False: the enlargement of the uterus is primarily a result of hypertrophy of the myometrium.
4. What stimulates the initial changes to the uterine walls? Select all that apply
a. Mechanical distention by the fetus and amniotic fluid
b. Progesterone
c. Estrogen
d. human chorionic gonadotropin
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OLD'S MATERNAL-NEWBORN NURSING CHAPTER 11

PHYSICAL AND PSYCHOLOGICAL CHANGES OF

PREGNANCY-EXAM

  1. The second trimester of pregnancy is considered to be? a. 12-25 weeks b. 13-27 weeks c. 15-30 weeks d. 13-25 weeks b. The second trimester is 13-27 weeks
  2. True or false: the uterus increases in size from 10-500 mL a. True b. False b. False: the uterus increases in size from 10-5000 mL
  3. True or false: The enlargement of the uterus is primarily a result of hyperplasia of the endometrium. a. True b. False b. False: the enlargement of the uterus is primarily a result of hypertrophy of the myometrium.
  4. What stimulates the initial changes to the uterine walls? Select all that apply a. Mechanical distention by the fetus and amniotic fluid b. Progesterone c. Estrogen d. human chorionic gonadotropin

b., c.,: The initial changes are stimulated by increased estrogen and progesterone levels and not by mechanical distention by the fetus, placenta, and amniotic fluid

  1. Which sign is "softening of the isthmus"? a. Hegar sign b. Chadwick sign c. Goodell sign d. Piskacek sign a. Hegar Sign is the softening of the isthmus of the uterus. This area may become so soft that on a bimanual exam there seems to be nothing between the cervix and the body of the uterus
  2. True or False: Progesterone stimulates the epithelial tissue of the cervix, which increases in cell number and becomes hyperactive. a. True b. False b. False: Estrogen stimulates the glandular tissue of the cervix, which increases in cell number and becomes hyperactive.
  3. What is the function of the mucous plug of the cervix? a. To prevent the uterus from prolapsing. b. To prevent the fetus from accident discharge. c. To prevent mucous from discharging from the uterus d. To prevent ascent of microorganisms or other substances into the uterus d. To prevent ascent of microorganisms or other substances into the uterus
  4. Which sign is "softening of the cervix"? a. Goodell sign b. Chadwick sign c. Hegar sign d. Braun von fernwald sign
  1. What does the vaginal epithelium undergo during pregnancy? select all that apply a. hypertrophy b. increased vascularization c. hyperplasia d. decreased vascularization a., b., c.
  2. The pregnant women makes the statement, "Because the vaginal secretions are so acidic I don't have to worry about any microorganisms causing an infection." How should the nurse respond? a. That is correct. The acidic environment makes it difficult for a microorganism to cause an infection. b. That is incorrect. Certain diseases causing microorganisms such as lactobacillus thrive in an acidic environment and are a common source of infection. c. That is incorrect. Vaginal yeast infections thrive in acidic environments and are common during pregnancy. d. That is incorrect. The hyperactive glandular tissue of the secretes a slightly alkaline mucous which leaves the pregnant women at risk for developing an infection. c. The acidic pH plays a significant role in prevention infections. However, it also favors the growth of yeast organisms, resulting in moniliasis, a common vaginal infection during pregnancy.
  3. The nurse is performing a vaginal assessment and note's that it is a bluish-purple color. Which sign is this? a. Chadwick's sign b. Hegar's sign c. Goodell sign d. Piskacek sign a. Chadwick's sign. A bluish-purple color caused by increased vascularization
  4. What changes occur to the breasts during pregnancy? Select all that apply a. Glandular hypertrophy and in preparation for lactation.

b. Striae (purplish stretch marks that slowly turn silver after childbirth) may develop. c. Colostrum may be expressed manually by the 12th week and may leak from the breasts during the last trimester of pregnancy. d. Glandular hyperplasia in preparation for lactation. a., b., c., d.

  1. Fix the paragraph: Colostrum is an antigen rich, white secretion that may be expressed manually by the 12 week and may leak from the breasts during the second trimester of pregnancy. Colostrum gradually converts to milk during the last trimester. Colostrum is an antibody rich, yellow secretion that may be expressed manually by the 12th week and may leak from the breasts during the last trimester of pregnancy. Colostrum gradually converts to milk during the first few days following childbirth.
  2. What changes occur to the cardiovascular system during pregnancy? Select all that apply. a. The growing uterus exerts pressure on the diaphragm, pushing the heart upward and to the right and rotating it backwards. b. A diastolic murmur can be heard in 90% of pregnant women. First and third heart sounds are louder. c. Blood volume increases by 40-50% by 30-34 weeks. d. Cardiac output increased by 30-50% by 25-30% by 25-30 weeks. e. Minimal increase in heart rate f., Blood pressure increases throughout pregnancy. c., d., e. are correct
  3. What occurs during the physiologic anemia of pregnancy? Select all that apply a. Hb and Hct levels rise early to mid pregnancy

d. Instruct the patient to lie on her left side. d. Vena caval syndrome is a form of postural hypotension caused by the uterus exerting pressure on the vena cava when the woman is supine.

  1. True or false: A pregnant women's WBC could be as high as 20,000/mm^3 - 30,000/mm^3. a. True b. False a. True although the exact cause of the leukocytosis is not known, this increase is a normal finding.
  2. What are the risk factors that place a pregnant women at increased risk for developing venous thrombosis? Select all that apply a. Hypercoagulable blood b. increased fibrinogen c. venous stasis d. Increased vascularization of the uterus a. b. c. 24.How much does tidal volume increase during pregnancy? a. 10-20% b. 20-30% c. 30-40% d. 40-50% c. Increased tidal volume causing mild hyperventilation.
  3. What causes decreased airway resistance? a. Estrogen b. Rhinitis c. Progesterone d. Hcg

c. Progesterone decreases airway resistance through smooth muscle relaxation allowing for increased oxygen consumption due to increased fetal/maternal demand.

  1. What are 3 common respiratory discomforts of pregnancy? a. Dyspnea b. Asthma c. Rhinits d. Epistaxis a. c. d.
  2. What is the likely cause of epistaxis, and rhinitis in pregnancy? a. Progesterone causing smooth muscle relaxation b. Estrogen induced edema and vascular congestion of the nasal mucosa c. Increased allergy sensitivity due to leukocytosis d. Increased vascularization of the nasal epithelium b. Estrogen induced edema and vascular congestion of the nasal mucosa is the common cause of epistaxis, and rhinitis.
  3. Nausea and vomiting during the first trimester are sometimes associated with what two causes? Select all that apply a. Progesteron b. Human chorionic gonadotropin c. Change in carbohydrate metabolism c. Change in fat metabolism b. c.
  4. Which is not a common GI disturbance of pregnant women? a. Constipation b. Gums that easily bleed c. Changes in taste and smell