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Exam Mdwifery 101

Exam Mdwifery 101

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Published by: invictus0446 on May 24, 2009
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02/02/2013

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GOLDEN GATE COLLEGESSCHOOL OF MIDWIFERY
 Name: ______________________________________________________Score: ____________ Year and Section: ___________________Date:____________
1.
Which term describes a pelvis with the widest anterior and posterior diameters as well as a pubicarch wide enough for child birth?
A.
Platypelloid B. Gynecoid C. Anthropoid D. Android2.First fetal movement felt by the mother are known as:
A.
Lightening B. QuickeningC. Ballottement D. Engagement3.A client relates that the first day of her last menstruation period was July 22. The estimated dateof birth would be:
A.
May 15 B. May 29C. April 15D. April 294.Anticipatory guidance during the first trimester of pregnancy is primarily directed towardincreasing the pregnant woman’s knowledge of:
A.
Labor and deliveryC. Signs of complications
B.
Physical changes resulting from pregnancy D. Role transition into parenthood5.In prenatal development, the growth is most rapid in the:A.Implanataion period C. Second Trimester 
B.
First Trimester D. Third Trimester 
6.
A client asks the nurse why menstruation ceases once pregnancy occurs, the nurse’s best responsewould be that this occurs because of the:A.“Reduction in the secretion of hormones by the ovaries.”B.“Production of estrogen and progesterone by the ovaries.”C.“Secretion of luteinizing hormone produced by the pituitary.”D.“Secretion of follicle-stimulating hormone produced by the pituitary.”7.The nurse is aware that the nausea and vomiting commonly experienced by many women duringthe first trimester of pregnancy is an adaptation to the increased level of:
A.
EstrogenC. Progesterone
B.
Luteinizing hormone D. Chorionic gonadotropin8.A client who is pregnant asks the nurse if she can continue to have sexual relations. The nurse’sresponse is based on the knowledge that coitus during pregnancy would be contraindicated in the presence of:
A.
Leukorrhea C. Increased FHR 
B.
Gestation of 30 weeks or more D. Premature rupture of membrane9.The nurse would instruct a pregnant woman to notify the physician immediately if which of thefollowing symptoms occur during the pregnancy?
A.
Swelling of the faceC. Breast tenderness
B.
Increased vaginal dischargeD. The presence of chloasma
 
10.Which of the following changes is a pregnant woman most likely to notice in her breasts?A.Darkening of the areolas, tingling sensations, and engorgementB.Lightening of the areolas, colustrum secretion, and increased sizeC.Colustrum secretion, tingling sensations, and darkening of the areolasD.Increased size, engorgement, and flattening of the nipple11.Constipation during pregnancy is best treated by
A.
Regular use of mild laxativeB.Increased bulk and fluid in the diet
C.
Limiting excessive weight gainD.Regular use of bisacodyl (Dulcolax) suppositories12.The nurse determines that a woman is in her tenth week of gestation. Which of the followingsigns of pregnancy would the nurse expect to observe?
A.
Breast tenderness C. Quickening
B.
Dyspnea D. Dependent edema
13.
A 13-year old female visits the clinic for a routine examination. The nurse notes that she exhibitschanges in her appearance that commonly occur during pregnancy, including an increase in breastsize. Which hormone is partly responsible for the growth and increased vascularity of breasttissue during pregnancy?A.EstrogenC. LactoferrinB.Follicle stimulating hormone D. Chorionic gonadotropin14.Mrs X., age 25, suspects she is pregnant and calls the health center. She tells the nurse she isexperiencing amenorrhea, urinary frequency, and nausea and vomiting. These signs of pregnancyare:
A.
Presumptive B. Probable C. Positive D. Possible15.Which findings would be considered positive signs of pregnancy?A.Fatigue, skin changesB.Quickening, breast enlargementC.Fetal heartbeat, fetal movement on palpationD.Abdominal enlargement, Braxton Hicks contractions16.Mrs. M., a 30-year-old primiparous patient at 34 weeks’ gestation, comes to the prenatal clinicconcerned about the increasing reddish streaks she has developed on her breast and abdomen. Sheasks what these skin changes are and whether they are permanent. What should the nurse tellher?A.“These streaks are called linea nigra; they’ll fade after childbirth.B.“These streaks are called hemangiomas; they are permanent changes of pregnancy.”C.“These streaks are called striae gravidarum, or stretch marks; they’ll grow lighter after delivery.”D. “These streaks are called nevi; they’ll fade after the postpartal period.”17.A client asks, “How much blood do I lose during menstruation?” Which of the following would be the nurse’s best response?A.“Normal blood loss can be a little or not.”

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