Chapter 04: Prenatal Care and Adaptations to Pregnancy

TEST-BANK

Primary Care; A Collaborative Practice; 4th Edition by Buttaro

Chapter 10: Pregnancy and Prenatal Care

1. A woman who is 7 weeks pregnant tells the nurse that this is not her first pregnancy. She has a 2-yearold son and had one previous spontaneous abortion. Using the TPAL system, the patient's obstetric

history would be recorded as:

a. gravida 2 para 20120.

b. gravida 3 para 10011.

c. gravida 3 para 10110.

d. gravida 2 para 11110.

ANS: C

Refer to Box 4-1 in the textbook for the TPAL system of identifying gravida and para.

DIF: Cognitive Level: Application REF: p. 46, Box 4-1

OBJ: 1 TOP: Definition of Terms

KEY: Nursing Process Step: Implementation

MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

2. A woman asks the nurse about the frequency of prenatal visits. In an uncomplicated pregnancy, the

nurse would tell her that appointments are scheduled:

a. every 3 weeks until the 6th month, then every 2 weeks until delivery.

b. every 4 weeks until the 7th month, after which appointments will become more frequent.

c. monthly until the 8th month.

d. every 2 to 3 weeks for the entire pregnancy.

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Chapter 04: Prenatal Care and Adaptations to Pregnancy

ANS: B

Monthly visits are scheduled up to 28 weeks, and then visits increase to every 2 to 3 weeks through 36

weeks. From 36 weeks until delivery, visits are weekly.

DIF: Cognitive Level: Application REF: p. 45 OBJ: 2 and 3

TOP: Prenatal Visits KEY: Nursing Process Step: Implementation

MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

3. During the physical examination for the first prenatal visit, it is noted that Chadwick's sign is present.

This refers to the:

a. bluish or purplish discoloration of the vulva, vagina, and cervix.

b. presence of early fetal movements.

c. darkening of the areola and breast tenderness.

d. palpation of the fetal outline.

ANS: A

Chadwick's sign is the purplish or bluish discoloration of the cervix and vagina.

DIF: Cognitive Level: Knowledge REF: p. 49 OBJ: 7

TOP: Normal Physiological Changes in Pregnancy

KEY: Nursing Process Step: Assessment

MSC: NCLEX: Physiological Integrity: Physiological Adaptation

4. After the examination is completed, the patient asks the nurse why Chadwick's sign occurs during

pregnancy. The nurse would explain that it is caused by the:

a. enlargement of the uterus.

b. progesterone action on the breasts.

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