ATI RN
Anatomy and Physiology of Pregnancy Quizlet Questions
Question 1 of 5
The nurse is educating a client about varicosities during pregnancy. Which statement by the client indicates effective teaching?
Correct Answer: B
Rationale: The correct answer is B because when sitting with both feet on the floor, it promotes proper circulation and reduces the risk of developing varicose veins. Elevating legs and avoiding crossing them also help. Choice A is incorrect as knee-high hose may constrict circulation. Choice C is irrelevant to varicosities. Choice D is important for monitoring fetal health but not directly related to varicose veins.
Question 2 of 5
A young woman comes to the neighborhood clinic explaining that she had a negative urine pregnancy test last week but a positive test today. What is the best explanation?
Correct Answer: A
Rationale: The correct answer is A: It is probable that the hCG levels were not high enough to be detected last week. This is because hCG (human chorionic gonadotropin) is the hormone produced during pregnancy that is detected in pregnancy tests. In early pregnancy, hCG levels can be low and may not be detectable by a urine test until they reach a certain threshold. Therefore, a negative test last week could be due to the hCG levels being below the detection threshold at that time. A positive test today indicates that the hCG levels have increased and are now detectable. Summary of why the other choices are incorrect: B: It is likely that you may not be pregnant, so wait to see if you get your period. This is incorrect because a positive test indicates pregnancy, and waiting for a period may not be appropriate if the woman is indeed pregnant. C: Don't worry, this happens sometimes. You should perform another test in a few days. This
Question 3 of 5
A woman's obstetric history indicates that she is pregnant for the fourth time and all of her children from previous pregnancies are living. One was born at 39 weeks of gestation, twins were born at 34 weeks of gestation, and another child was born at 35 weeks of gestation. What is her gravidity and parity using the GTPAL system?
Correct Answer: B
Rationale: Rationale for Answer B (4-1-2-0-4): 1. Gravidity: Total number of pregnancies - She is pregnant for the 4th time (G=4). 2. Term Births: Number of pregnancies reaching 37 weeks or more - She had 1 term birth (T=1). 3. Preterm Births: Number of pregnancies ending between 20-36 weeks - She had twins born at 34 weeks (P=2). 4. Abortions: Number of pregnancies ending before 20 weeks - She has no reported abortions (A=0). 5. Living Children: Number of living children - She has all her children from previous pregnancies living (L=4). Summary of other choices: A: Incorrect because it indicates 3 term births, which is not accurate. C: Incorrect as it suggests 3 living children, which is not consistent with the scenario. D: Incorrect due to incorrect number of preterm births and living
Question 4 of 5
The nurse teaches a pregnant woman about the presumptive, probable, and positive signs of pregnancy. The woman demonstrates understanding of the nurse's instructions if she states that a positive sign of pregnancy is:
Correct Answer: B
Rationale: The correct answer is B: fetal movement palpated by the nurse-midwife. This is a positive sign of pregnancy because it is a direct indication of the presence of a fetus. Fetal movements can only be felt once the baby has developed enough to be physically palpable, typically around 18-20 weeks of gestation. This sign is considered reliable and conclusive evidence of pregnancy. A: A positive pregnancy test is a presumptive sign, as it indicates the possibility of pregnancy but is not definitive. C: Braxton Hicks contractions are probable signs, as they are common in pregnancy but do not confirm the presence of a fetus. D: Quickening, the mother's first perception of fetal movements, is a probable sign and does not provide definitive proof of pregnancy.
Question 5 of 5
During a patient's physical examination the nurse notes that the lower uterine segment is soft on palpation. The nurse would document this finding as:
Correct Answer: C
Rationale: The correct answer is C: Chadwick's sign. This sign refers to the bluish discoloration of the cervix and vagina due to increased vascularity in early pregnancy. The lower uterine segment being soft on palpation is consistent with Chadwick's sign, indicating early signs of pregnancy. A: Hegar's sign refers to softening of the lower uterine segment, not the cervix or vagina. B: McDonald's sign is the softening of the uterus at the isthmus, not specifically at the lower uterine segment. D: Goodell's sign pertains to softening of the cervix, not the lower uterine segment.