Chapter 08: Nursing Care of the Family During Pregnancy Perry: Maternal Child Nursing Care, 6th Edition

Chapter 08:
Nursing Care of
the Family
During
Pregnancy
Perry:
Maternal Child
Nursing Care,
6th Edition
1. The nurse caring for a newly pregnant woman
would advise her that ideally prenatal care should
begin:
a. before the first missed menstrual period.
b. after the first missed menstrual period.
c. after the second missed menstrual period.
d. after the third missed menstrual period. -
CORRECT ANSWER-ANS: B
Prenatal care ideally should begin soon after the
first missed menstrual period. Regular prenatal
visits offer opportunities to ensure the health of the
expectant mother and her infant.
2. Prenatal testing for human immunodeficiency
virus (HIV) is recommended for:
a. all women, regardless of risk factors.
b. a woman who has had more than one sexual
partner.
c. a woman who has had a sexually transmitted
infection.
d. a woman who is monogamous with her partner. -
CORRECT ANSWER-ANS: A
Testing for the antibody to HIV is strongly
recommended for all pregnant women. A HIV test is
recommended for all women, regardless of risk
factors. Women who test positive for HIV can be
treated, reducing the risk of transmission to the
fetus.
3. Which symptom is considered a warning sign and
should be reported immediately by the pregnant
woman to her health care provider?
a. Nausea with occasional vomiting
b. Fatigue
c. Urinary frequency
d. Vaginal bleeding - CORRECT ANSWER-ANS: D
Signs and symptoms that must be reported include
severe vomiting, fever and chills, burning on
urination, diarrhea, abdominal cramping, and
vaginal bleeding. These symptoms may be signs of
potential complications of the pregnancy. Nausea
with occasional vomiting, fatigue, and urinary
frequency are normal first-trimester complaints.
Although they may be worrisome or annoying to
the mother, they usually are not indications of
pregnancy problems.
4. A pregnant woman at 10 weeks of gestation jogs
three or four times per week. She is concerned
about the effect of exercise on the fetus. The nurse
should inform her:
a. "You don't need to modify your exercising any
time during your pregnancy."
b. "Stop exercising because it will harm the fetus."
c. "You may find that you need to modify your
exercise to walking later in your pregnancy, around
the seventh month."
d. "Jogging is too hard on your joints; switch to
walking now." - CORRECT ANSWER-ANS: C
Typically running should be replaced with walking
around the seventh month of pregnancy. The nurse
should inform the woman that she may need to
reduce her exercise level as the pregnancy
progresses. Physical activity promotes a feeling of
well-being in pregnant women. It improves
circulation, promotes relaxation and rest, and
counteracts boredom. Simple measures should be
initiated to prevent injuries, such as warm-up and
stretching exercises to prepare the joints for more
strenuous exercise.