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Chapter 16 Practice Test

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NCLEX Nursing (N14 Health Promotion) Quiz on Chapter 16 Practice Test, created by N R on 15/07/2021.
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Quiz by N R, updated more than 1 year ago
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Created by N R over 3 years ago
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Question 1

Question
A pregnant woman reports to the nurse that the first day of her last menstrual period was January 22. Using Nagele’s rule, which of the following dates would be the most accurate estimated date of delivery?
Answer
  • September 16
  • September 22
  • October 29
  • October 17

Question 2

Question
Which of the following best describes an abnormality in structure or function that occurs during fetal development?
Answer
  • Congenital defect
  • Genetic defect
  • Embryonic defect
  • Chromosomal defect

Question 3

Question
During which week would pregnancy begin to pose health concerns for the fetus?
Answer
  • 36 weeks
  • 38 weeks
  • 40 weeks
  • 42 weeks

Question 4

Question
Which of the following changes is experienced by the urinary system during pregnancy?
Answer
  • Increased urinary output secondary to total body water increase
  • Decreased bladder capacity
  • Decreased glomerular filtration rate (GFR) resulting from estrogen and progesterone surge
  • Increased renal excretion of acidic drugs

Question 5

Question
During a routine clinic visit, a pregnant woman expresses concern about reflux she is experiencing. Which statement should be made by the nurse when addressing the woman’s concern?
Answer
  • “Frequent heartburn may be a sign of fetal distress and an ultrasound should be performed immediately.”
  • “Frequent heartburn is caused by high levels of hormones during pregnancy.”
  • “Frequent heartburn is a result of gastrointestinal system changes that occur during pregnancy.”
  • “Frequent heartburn during pregnancy requires immediate consultation with a gastroenterologist.”

Question 6

Question
The client who is taking prescribed _____ would require preconception management to minimize the potential for drug-related birth defects
Answer
  • antiemitics
  • antiepiletics
  • iron
  • non-narcotic analgesics

Question 7

Question
A nurse is caring for a pregnant woman who has a pre-pregnancy body mass index (BMI) of 27. Which of the following instructions should the nurse provide the woman regarding weight gain during pregnancy?
Answer
  • “You should gain 11 to 20 pounds during your pregnancy.”
  • “You should gain 15 to 25 pounds during your pregnancy.”
  • “You should gain 25 to 35 pounds during your pregnancy.”
  • “You should gain 28 to 40 pounds during your pregnancy.”

Question 8

Question
A nurse is caring for a woman who is in labor. The nurse anticipates that the labor will progress through which of the following sequences?
Answer
  • Dilation stage, pressure stage, placental stage, recovery stage
  • Dilation stage, pushing stage, pain stage, recovery stage
  • Dilation stage, pushing stage, placental stage, recovery stage
  • Dilation stage, pushing stage, placental stage, refractory stage

Question 9

Question
A nurse is caring for a woman who is in labor and the fetus descends to the lower birth canal. The woman is in which of the following stages of labor?
Answer
  • First
  • Second
  • Third
  • Fourth

Question 10

Question
A nurse is caring for a woman during the fourth stage of labor. Which of the following best describes an action the nurse would take during this stage?
Answer
  • Providing constant reinforcement and education about the labor process and assisting the woman with pushing
  • Explaining unusual interventions such as the use of a fetal heart monitor
  • Assisting with labor discomfort by modeling breathing
  • Teaching the new mother positioning of the infant to assist with breastfeeding

Question 11

Question
Which of the following statements about race and culture in the United States is correct?
Answer
  • The United States ranks 22nd in the world for infant mortality rate
  • Ethnic minority populations have higher rates of low-birth-weight infants
  • Black infants are more likely to have cleft palates than Native American infants
  • Whites have more fraternal twin pregnancies than non-Whites

Question 12

Question
During the second prenatal visit, the pregnant woman informs the nurse that she has stopped smoking. This finding is based on an assessment of which functional health pattern?
Answer
  • Cognitive-perceptual pattern
  • Self-perception–self-concept pattern
  • Health perception–health management pattern
  • Values-beliefs pattern

Question 13

Question
A pregnant woman who is at the end of 20 weeks of gestation is at a prenatal visit. Which of the following changes in weight from pre-pregnancy would require the nurse to take additional action?
Answer
  • 6 pound increase
  • 11 pound increase
  • 14 pound increase
  • 20 pound increase

Question 14

Question
During a prenatal visit, a nurse discovers that a Black woman has been occasionally craving and eating clay. Which of the following actions should be taken by the nurse?
Answer
  • Tell the client that many pregnant women crave such nonfood substances, and it is not a problem
  • Ignore the comment because pica is acceptable in some rural Black cultures
  • Encourage the client to eat it with plenty of water because of the risk of constipation
  • Stress the importance of an appropriate diet and avoiding pica in a culturally sensitive way

Question 15

Question
A nurse is assessing the nutritional-metabolic patterns of a pregnant woman. Which of the following findings would be of concern to the nurse?
Answer
  • The woman drinks about 1 gallon of water a day
  • The woman works out at the gym daily
  • The woman does not like vegetables
  • The woman usually eats three meals a day in addition to two snacks a day

Question 16

Question
A woman who is 23 weeks pregnant is concerned because her baby is moving less than it was a few weeks ago. Which of the following statements would be the most appropriate response by the nurse?
Answer
  • “Your infant is in distress. We should call an ambulance.”
  • “You need to be more active; take a dance class once a week.”
  • “At this point in your pregnancy, the baby moves less frequently because of lack of space in the uterus.”
  • “You probably counted incorrectly.”

Question 17

Question
Which of the following mothers would be most likely to bond appropriately with their infant?
Answer
  • A mother who feels unloved will bond appropriately because now the baby will love her
  • A mother who feels great about herself will show love toward the infant and bond appropriately.
  • A mother who feels empty by the birth of her child will bond appropriately once she holds the baby
  • A mother who feels ugly will bond appropriately with her child because her child will bring self-esteem.

Question 18

Question
During the first prenatal visit, the pregnant woman informs the nurse that she cannot wait to start wearing maternity clothes. This finding is based on an assessment of which functional health pattern?
Answer
  • Cognitive–perceptual pattern
  • Self-perception–self-concept pattern
  • Health perception–health management pattern
  • Values–beliefs pattern

Question 19

Question
A nurse is caring for a client who is 30 weeks pregnant at a prenatal visit. Which of the following statements made by the client would be of concern to the nurse and warrant further explanation and close follow-up?
Answer
  • “I have been feeling more tired lately.”
  • “My husband complains every time I ask him to do something for me.”
  • “Sometimes, the smell of food makes me nauseous.”
  • “I need to get up two times a night to go to the bathroom.”

Question 20

Question
A woman who is 30 weeks pregnant tells the nurse that she and her husband are having sexual difficulties. Which of the following actions should the nurse take?
Answer
  • Tell the woman she should not be sexually active at this point in her pregnancy because it may harm the fetus
  • Ask her to elaborate on the difficulties
  • Tell her that they should modify their positions during intercourse and that will take care of the problem
  • Tell her men like the way pregnant women look.

Question 21

Question
During a prenatal visit, a pregnant woman informs the nurse that she and her husband have chosen godparents for the baby. This finding is based on an assessment of which functional health pattern?
Answer
  • Cognitive–perceptual pattern
  • Self-perception–self-concept pattern
  • Health perception–health management pattern
  • Values–beliefs pattern

Question 22

Question
A pregnant woman is having a TORCH screening done at today’s prenatal visit. She states she is anxious to get the results back because she recently had unprotected sex with someone she just met and is afraid she might have HIV. Which of the following statements would be the best response by the nurse?
Answer
  • “You will know your HIV status in about 1 week when the results come back.”
  • “You will require additional testing for HIV as it is not tested for with the TORCH screen.”
  • “You will need to be tested for HIV after you deliver because pregnancy can produce false HIV results.”
  • “You need to be exposed for at least 6 months before being tested for HIV in order for the results to be accurate.”

Question 23

Question
A nurse makes a home visit to monitor the blood pressure of a pregnant woman who is single. Which finding would be of most concern to the nurse?
Answer
  • The bedroom is located on the second floor
  • She has a pet cat
  • There is an area rug in the living room.
  • She has a 1-year-old child

Question 24

Question
A client who is 36 weeks of gestation is at her prenatal visit. The nurse tells the client that she will be screened for group B Streptococcus during today’s visit. Which of the following statements would be made by the nurse when providing client education about this screening test?
Answer
  • “Screening for group B Streptococcus is necessary as this infection can cause complications with pregnancy and to the unborn infant.”
  • “This screening will help us to determine if your unborn infant will be susceptible to respiratory distress when he or she is born.”
  • “Screening for group B Streptococcus will help us identify if you have been exposed to this or any other infections during your pregnancy.”
  • “This screening is necessary to determine if there is any Rh blood group incompatibility between you and your unborn child.”

Question 25

Question
A woman is Rh negative and the father of her baby is Rh negative. The woman states that her friend told her that she would need a “shot” to keep her baby alive. Which of the following statements would be the best response by the nurse?
Answer
  • “Yes, you will need an injection of RhoGAM at 28 weeks of gestation and within 72 h after birth.”
  • “Because the father of the baby is also Rh negative, your baby will not inherit Rh positive blood cells and you will not need the injection.”
  • “Yes, you will need the injection because this is your first pregnancy. You will not need it with subsequent pregnancies.”
  • “No, you will not need the injection because you are White. Rh incompatibility affects only Black women.”

Question 26

Question
A woman who just found out she is pregnant starts crying. She tells the nurse that over the last 3 days she was not feeling herself, so she took some Tylenol. She states if she knew she was pregnant, she never would have taken the medication. Which of the following actions should be taken by the nurse?
Answer
  • Tell the client that there is a high probability that her baby will have a birth defect
  • Tell the client not to worry because research indicates that in recommended doses Tylenol is safe
  • Tell the client not to worry because she did not know she was pregnant, but in the future, she should use herbal products instead of over-the-counter medication.
  • Tell the client that there is a high probability of a stillbirth

Question 27

Question
A nurse is discussing the harmful effects that chemical agents can have on an unborn child with a woman who is pregnant. Which of the following statements made by the woman indicates a need for further teaching?
Answer
  • “It is safe to eat up to 12 ounces of cooked fish weekly.”
  • “I should avoid using caffeine during pregnancy.”
  • “Consumption of one drink per day will not cause any harm to my unborn baby.”
  • “Use of nicotine during pregnancy may cause my child to be born prematurely.”

Question 28

Question
During a prenatal visit, pregnant parents ask the nurse what they can do to prepare their 4-year-old child for the birth of the new baby. Which of the following actions would be most appropriate for the nurse to suggest?
Answer
  • Discourage any negative comments the child makes about the baby or the pregnancy
  • Do not make any plans regarding the baby in front of the 4-year-old child.
  • Provide him with very detailed information about the pregnancy and the birth
  • Ask the 4-year-old boy to help decorate the new baby’s room

Question 29

Question
A Mexican American woman comes to the office for a visit. She is found to be 30 weeks pregnant. Which of the following conclusions can the nurse draw from this finding?
Answer
  • The woman does not value prenatal care.
  • Client education may require a different approach because of dissimilar cultural beliefs
  • This culture does not believe in traditional medicine
  • Signs of pregnancy were not recognized by the woman

Question 30

Question
At 1 minute of age, an infant has a heart rate of 95, a strong cry, some flexion of extremities, a cry reflex, and is completely pink. Which of the following is a correct assessment of the infant’s Apgar score?
Answer
  • 4
  • 6
  • 8
  • 10

Question 31

Question
A woman usually eats an 1800-calorie diet. She is now in the second trimester of her pregnancy. Which of the following best describes the caloric nutritional needs for this woman during the second and third trimester?
Answer
  • 1800 calories
  • 2100 calories
  • 2400 calories
  • 2700 calories

Question 32

Question
Which properties must the sperm possess for conception to occur? (Select all that apply.)
Answer
  • High motility
  • Uniform size
  • Ability to secrete enzymes that dissolve the membrane surrounding the egg
  • Life span of at least 3 h

Question 33

Question
A nurse is assessing a woman for positive signs of pregnancy. Which of the following assessment findings would the nurse discover? (Select all that apply.)
Answer
  • Positive test for HCG in the maternal urine
  • Detection of fetal heart tones
  • Enlargement of the uterus
  • Palpation of fetal body parts

Question 34

Question
Which of the following statements is correct regarding Zika virus disease? (Select all that apply.)
Answer
  • Zika virus is transmitted primarily from a nocturnal mosquito bite
  • Up to 80% of people infected have no symptoms
  • The virus can cause microcephaly in the developing fetus
  • Women who may become pregnant should receive a preventive vaccine

Question 35

Question
Which of the following statements is correct regarding neonatal abstinence syndrome (NAS)? (Select all that apply.)
Answer
  • It results from exposure of the fetus in utero to illicit substances
  • Cocaine does cause this syndrome but opioids do not cause it
  • Infants with NAS have prolonged hospital stays for serious medical complications.
  • This problem is limited to lower socioeconomic levels, primarily in the inner cities.
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