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OBS AND GYNE QUIZ 2 WITH ANSWERS AND RATIONALE

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Which of the following common emotional reactions to pregnancy would the nurse expect to occur during the first trimester?

Correct! Wrong!

During the first trimester, common emotional reactions include ambivalence, fear, fantasies, or anxiety.

Which of the following prenatal laboratory test values would the nurse consider as significant?

Correct! Wrong!

A rubella titer should be 1:8 or greater. Thurs, a finding of a titer less than 1:8 is significant, indicating that the client may not possess immunity to rubella.

Which of the following would cause a false-positive result on a pregnancy test?

Correct! Wrong!

A false-positive reaction can occur if the pregnancy test is performed less than 10 days after an abortion.

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Which of the following characteristics of contractions would the nurse expect to find in a client experiencing true labor?

Correct! Wrong!

With true labor, contractions increase in intensity with walking. In addition, true labor contractions occur at regular intervals, usually starting in the back and sweeping around to the abdomen. The interval of true labor contractions gradually shortens.

During which of the following would the focus of classes be mainly on physiologic changes, fetal development, sexuality, during pregnancy, and nutrition?

Correct! Wrong!

First-trimester classes commonly focus on such issues as early physiologic changes, fetal development, sexuality during pregnancy, and nutrition. Some early classes may include pregnant couples.

A client LMP began July 5. Her EDD should be which of the following?

Correct! Wrong!

Using the Naegele’s rule, we can compute the EDD byadding oneyear, subtracting three months, and adding seven days to the first day of woman’s LMP.

Which of the following would be a disadvantage of breastfeeding?

Correct! Wrong!

With breastfeeding, the father’s body is not capable of providing the milk for the newborn, which may interfere with feeding the newborn, providing fewer chances for bonding, or he may be jealous of the infant’s demands on his wife’s time and body.

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FHR can be auscultated with a fetoscope as early as which of the following?

Correct! Wrong!

The FHR can be auscultated with a fetoscope at about 20 week’s gestation. FHR usually is auscultated at the midline suprapubic region with Doppler ultrasound transducer at 10 to 12 week’s gestation. FHR, cannot be heard any earlier than 10 weeks’ gestation.

Which of the following danger signs should be reported promptly during the antepartum period?

Correct! Wrong!

Danger signs that require prompt reporting leaking of amniotic fluid, vaginal bleeding, blurred vision, rapid weight gain, and elevated blood pressure.

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Which of the following fundal heights indicates less than 12 weeks’ gestation when the date of the LMP is unknown?

Correct! Wrong!

When the LMP is unknown, the gestational age of the fetus is estimated by uterine size or position (fundal height). The presence of the uterus in the pelvis indicates less than 12 weeks’ gestation. At approximately 12 to 14 weeks, the fundus is out of the pelvis above the symphysis pubis. The fundus is at the level of the umbilicus at approximately 20 weeks’ gestation and reaches the xiphoid at term or 40 weeks.

OBS AND GYNE QUIZ 2 WITH ANSWERS AND RATIONALE
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