NUR 2513 MATERNAL CHILD NURSING EXAM 1 TESTBANK LATEST WITH 300+ QUESTIONS AND ANSWERS|AGRADE (RASMUSSEN COLLEGE)

NUR 2513 MATERNAL CHILD NURSING

EXAM 1 TESTBANK LATEST 2022-2023 WITH

300+ QUESTIONS AND ANSWERS|AGRADE

(RASMUSSEN COLLEGE)

While the vital signs of a pregnant client in her third trimester are being assessed, the client

complains of feeling faint, dizzy, and agitated. Which nursing intervention is appropriate?

a. Have the stand up and retake her blood pressure.

b. Have client the client sit down and hold her arm in a dependent position.

c. Have the client turn to her left side and recheck her blood pressure in 5 minutes.

d. Have the client lie supine for 5 minutes and recheck her blood pressure on both arms.

Blood pressure is affected by positions during pregnancy. The supine position may cause

occlusion of the vena cava and descending aorta. Turning the pregnant woman to a lateral

recumbent position alleviates pressure on the blood vessels and quickly corrects supine

hypotension. Pressures are significantly higher when the patient is standing. This would cause an

increase in systolic and diastolic pressures. The arm should be supported at the same level of the

heart. The supine position may cause occlusion of the vena cava and descending aorta, creating

hypotension.

2

A pregnant client has come to the emergency department with complaints of nasal congestion

and epistaxis. Which is the correct interpretation of these symptoms by the health care provider?

a. Nasal stuffiness and nosebleeds are caused by a decrease in progesterone.

b. These conditions are abnormal. Refer the client to an ear, nose, and throat specialist.

c. Estrogen relaxes the smooth muscles in the respiratory tract, so congestion and epistaxis are

within normal limits.

d. Estrogen causes increased blood supply to the mucous membranes and can result in

congestion and nosebleeds.

As capillaries become engorged, the upper respiratory tract is affected by the subsequent edema

and hyperemia, which causes these conditions, seen commonly during pregnancy. Progesterone

is responsible for the heightened awareness of the need to breathe in pregnancy. Progesterone

levels increase during pregnancy. The client should be reassured that these symptoms are within

normal limits. No referral is needed at this time. Relaxation of the smooth muscles in the

respiratory tract is affected by progesterone.

3

Which suggestion is appropriate for the pregnant client who is experiencing heartburn?

a. Drink plenty of fluids at bedtime.

b. Eat only three meals a day so the stomach is empty between meals.

c. Drink coffee or orange juice immediately on arising in the morning.

d. Use Tums or Alkamints to obtain relief, as directed by the health care provider.

Antacids high in calcium (e.g., Tums, Alkamints) can provide temporary relief. Fluids

overstretch the stomach and may precipitate reflux when lying down. Instruct the woman to eat

five or six small meals per day rather than three full meals. Coffee and orange juice stimulate

acid formation in the stomach.

4

While providing education to a primiparous client regarding the normal changes of pregnancy,

what is important for the nurse to explain about Braxton Hicks contractions?

a. These contractions may indicate preterm labor.

b. These are contractions that never cause any discomfort.

c. Braxton Hicks contractions only start during the third trimester.

d. These occur throughout pregnancy, but you may not feel them until the third trimester.

Throughout pregnancy, the uterus undergoes irregular contractions called Braxton Hicks

contractions. During the first two trimesters, the contractions are infrequent and usually not felt

by the woman until the third trimester. Braxton Hicks contractions do not indicate preterm labor.

Braxton Hicks contractions can cause some discomfort, especially in the third trimester. Braxton

Hicks contractions occur throughout the whole pregnancy.

5

What is the reason for vascular volume increasing by 40% to 60% during pregnancy?

a. Prevents maternal and fetal dehydration

b. Eliminates metabolic wastes of the mother

c. Provides adequate perfusion of the placenta

d. Compensates for decreased renal plasma flow

The primary function of increased vascular volume is to transport oxygen and nutrients to the

fetus via the placenta. Preventing maternal and fetal dehydration is not the primary reason for the

increase in volume. Assisting with pulling metabolic wastes from the fetus for maternal excretion

is one purpose of the increased vascular volume. Renal plasma flow increases during pregnancy.

6

Physiologic anemia often occurs during pregnancy because of:

a. inadequate intake of iron.

b. the fetus establishing iron stores.

c. dilution of hemoglobin concentration.

d. decreased production of erythrocytes.

When blood volume expansion is more pronounced and occurs earlier than the increase in red

blood cells, the woman will have physiologic anemia, which is the result of dilution of

hemoglobin concentration rather than inadequate hemoglobin. Inadequate intake of iron may

lead to true anemia. If the woman does not take an adequate amount of iron, true anemia may

occur when the fetus pulls stored iron from the maternal system. There is increased production of

erythrocytes during pregnancy.

7 A client is currently pregnant; she has a 5-year-old son and a 3-year-old daughter. She had one

other pregnancy that terminated at 8 weeks. Which are her gravida and para?

a. 3, 2

b. 4, 3

c. 4, 2

d. 3, 3

She has had four pregnancies, including the current one (gravida 4). She had two pregnancies

that terminated after 20 weeks (para 2). The pregnancy that terminated at 8 weeks is classified as

an abortion. Because she is currently pregnant, she is classified as a gravida 4. Gravida 4 is

correct, but she is para 2; the pregnancy that was terminated at 8 weeks is classified as an

abortion. Because she is currently pregnant, she would be classified as a gravida 4, not 3.

8

A client’s last menstrual period was June 10. What is her estimated date of birth (EDD)?

a. April 7

b. March 17

c. March 27

d. April 17