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Chapter 30: The Pregnant Woman

Chapter 30: The Pregnant Woman

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Chapter 30: The Pregnant Woman
Jarvis: Physical Examination & Health Assessment, 7th Edition
MULTIPLE CHOICE
1.   Which of these statements best describes the action of the hormone progesterone during pregnancy?
a.

Progesterone produces the hormone human chorionic gonadotropin.

b.

Duct formation in the breast is stimulated by progesterone.

c.

Progesterone promotes sloughing of the endometrial wall.

d.

Progesterone maintains the endometrium around the fetus.

2.   A female patient has nausea, breast tenderness, fatigue, and amenorrhea. Her last menstrual period was 6 weeks ago. The nurse interprets that this patient is experiencing __________ signs of pregnancy.
a.

Positive

b.

Possible

c.

Probable

d.

Presumptive

3.   A woman who is 8 weeks’ pregnant is visiting the clinic for a checkup. Her systolic blood pressure is 30 mm Hg higher than her prepregnancy systolic blood pressure. The nurse should:
a.

Consider this a normal finding.

b.

Expect the blood pressure to decrease as the estrogen levels increase throughout the pregnancy.

c.

Consider this an abnormal finding because blood pressure is typically lower at this point in the pregnancy.

d.

Recommend that she decrease her salt intake in an attempt to decrease her peripheral vascular resistance.

4.   A patient is being seen at the clinic for her 10-week prenatal visit. She asks when she will be able to hear the baby’s heartbeat. The nurse should reply:
a.

“The baby’s heartbeat is not usually heard until the second trimester.”

b.

“The baby’s heartbeat may be heard anywhere from the ninth to the twelfth week.”

c.

“It is often difficult to hear the heartbeat at this point, but we can try.”

d.

“It is normal to hear the heartbeat at 6 weeks. We may be able to hear it today.”

 
5.   A patient who is in her first trimester of pregnancy tells the nurse that she is experiencing significant nausea and vomiting and asks when it will improve. The nurse should reply:
a.

“Did your mother have significant nausea and vomiting?”

b.

“Many women experience nausea and vomiting until the third trimester.”

c.

“Usually, by the beginning of the second trimester, the nausea and vomiting improve.”

d.

“At approximately the time you begin to feel the baby move, the nausea and vomiting will subside.”


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