Test Bank - Essentials of Maternity, Newborn, and
Women's Health Nursing (4th Edition)
Chapter 11: Maternal Adaptation during Pregnancy
1. During a vaginal exam, the nurse notes that the cervix has a
bluish color. Th
...
Test Bank - Essentials of Maternity, Newborn, and
Women's Health Nursing (4th Edition)
Chapter 11: Maternal Adaptation during Pregnancy
1. During a vaginal exam, the nurse notes that the cervix has a
bluish color. The nurse documents this finding as:
A) Hegars sign
B) Goodells sign
C) Chadwicks sign
D) Ortolanis sign
Answer: C
Explanation: Common probable signs of pregnancy include
softening of the lower uterine segment or isthmus (Hegar’s
sign), softening of the cervix (Goodell’s sign), and a bluishpurple coloration of the vaginal mucosa and cervix (Chadwick’s
sign)
2. The nurse teaches a primigravida client that lightening occurs
about 2 weeks before the onset of labor. The mother will most
likely experience which of the following at that time?
A) Dysuria
B) Dyspnea
C) Constipation
D) Urinary frequency
Answer: D
Explanation: The uterus remains in the pelvic cavity for the first
3 months of pregnancy, after which it progressively ascends into
the abdomen. As the uterus grows, it presses on the urinary
bladder and causes the increased frequency of urination
experienced during early pregnancy.
3. A gravida 2 para 1 client in the 10th week of her pregnancy
says to the nurse, “I’ve never urinated as often as I have for the
past three weeks.” Which response would be most appropriate
for the nurse to make?
A) Having to urinate so often is annoying. I suggest that you
watch how much fluid you are drinking and limit it.
B) You shouldn't be urinating this frequently now; it usually stops
by the time you’re eight weeks pregnant. Is there anything else
bothering you?
C) By the time you are 12 weeks pregnant, this frequent
urination should no longer be a problem, but it is likely to return
toward the end of your pregnancy.
D) Women having their second child generally don't have
frequent urination. Are you experiencing any burning
sensations?
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