Antepartum

A pregnant client was informed that she has the cytomegalovirus (CMV). What statement(s) identify an understanding of the virus by the client? A. There is not an effective therapy to manage this infection B. There are no risks to my baby. The virus can not cross the placental barrier. C. I will need to be treated by an antiviral medication to prevent maternal symptoms from occuring and transmission to my baby D. There is a risk that my baby could have neurological complications

A. There is not an effective therapy to manage this infection D. There is a risk that my baby could have neurological complications

Identify the correct statement(s) related to the adolescent pregnant client. A. They are at risk for preterm births B. They are at risk for the interruption of their own developmental tasks C. Education is a primary responsibility of the nurse D. They are at risk for low birth weight infants

A. They are at risk for preterm births B. They are at risk for the interruption of their own developmental tasks C. Education is a primary responsibility of the nurse D. They are at risk for low birth weight infants

The nurse is assessing a pregnant woman and noticing behavior changes that indicate she is beginning to accomplish the maternal tasks of becoming mother. The client is in her third trimester. Which behavior would the nurse most likely assess? A. acknowledging fetus as a separate entitiy B. questioning of ability to become a good mother C. accepting the pregnancy but not yet the fetus D. learning how to delay personal desires

A. acknowledging fetus as a separate entitiy

Encouraging routine prenantal visits is an important function for nurses to ensure the clients avoid complications or difficulties throughout the pregnancy and delivery. The nurse would prepare to screen clients for gestational diabetes at which time during pregnancy? A. between 24 and 28 weeks' gestation B. between 20 and 24 weeks' gestation C. between 29 and 32 weeks' gestation D. between 15 and 19 weeks' gestation

A. between 24 and 28 weeks' gestation

It is important that nurses include a discussion about teratogens in their personal discussions to help prevent deformities or abnormalities. Which substances would the nurse include as teratogens? Select all that apply. A. caustic chemicals B. multivitamin supplement C. alcohol D. certain medications

A. caustic chemicals C. alcohol D. certain medications

When preparing a presentation for a group of pregnant women about fetal circulation, the nurse would explain that which structure is primarily responsible for ensuring that highly oxygenated blood reaches the fetal brain? A. foramen ovale B. umbilical vein C. ductus arteriosus D. ductus venosus

A. foramen ovale

The nurse is preparing a teaching plan for a pregnant woman about the signs and symptoms to be reported immediately to her health care provider. Which signs and symptoms would the nurse include? Select all that apply. A. headache with visual changes in the third trimester B. nausea and vomiting during the first trimester C. sudden leakage of fluid during the second trimester D. lower abdominal pain with shoulder pain in the first trimester E. backache during the second trimester F. urinary frequency in the third trimester

A. headache with visual changes in the third trimester C. sudden leakage of fluid during the second trimester D. lower abdominal pain with shoulder pain in the first trimester

After teaching a group of women about the signs of pregnancy, the nurse understands that teaching was successful if the group makes which statement? A. "the client will experience quickening" B. "they will be able to hear the fetal heart rate on auscultation" C. "the women will have amenorrhea" D. "there will be a positive Hegar's sign"

B. "they will be able to hear the fetal heart rate on auscultation"

A woman is to undergo quad screening testing. The nurse would anticipate that this test would be done at which time? A. 20 weeks gestation B. 16 weeks gestation C. 24 weeks gestation D. 12 weeks gestation

B. 16 weeks gestation

Before becoming pregnant, a woman was considered overweight. During her second trimester, the nurse would determine that the woman is gaining the appropriate amount of weight when her weight increases by how much per week? A. 1 lb B. 2/3 lb C. 1.5 lb D. 2 lb

B. 2/3 lb

A pregnant woman comes to the clinic for a visit. This is her third pregnancy. She had a miscarriage at 12 weeks and gave birth to a son, now 3 years old, at 32 weeks. Using the GTPAL system, the nurse would document this woman's obstetric history as: A. 21212 B. 30111 C. 31021 D. 20111

B. 30111

A female client wants to know how she can be positively sure she is pregnant. The nurse answers: A. Amenorrhea B. FHR by Doppler at 10-12 weeks C. Enlargement of the abdomen D. Breast tenderness with pigment changes

B. FHR by Doppler at 10-12 weeks

Why should predator fish such as shark, swordfish, and king mackerel be avoided during pregnancy? A. these foods are expensive B. These types of food contain high levels of mercury that could harm the fetus C. These types of food have no nutritional value D. These types of food contain low levels of mercury and higher levels are needed during pregnancy

B. These types of food contain high levels of mercury that could harm the fetus

During a routine antepartal visit, a pregnant woman reports a white thick vaginal discharge. What would the nurse do next? A. check the discharge for evidence of ruptured membranes B. ask the woman if she is having any itching or irritation C. advise the woman about the need to culture the discharage D. tell the woman that this is entirely normal

B. ask the woman if she is having any itching or irritation

A pregnant woman who is 26 weeks pregnant arrives for a follow up visit. Which assessments, in addition to measuring fundal height and fetal heart rate, would the nurse expect to complete? Select all that apply. A. edema B. blood glucose level C. urine testing D. blood pressure E. weight

B. blood glucose level C. urine testing D. blood pressure E. weight

A nurse is conducting a class with a group of pregnant women who are all in their first trimester of pregnancy. During the class, the women are discussing the various discomforts that they are experiencing. The nurse would expect to hear complaints about which discomforts? Select all that apply A. backache B. breast tenderness C. nausea D. leg cramps E. urinary frequency

B. breast tenderness C. nausea E. urinary frequency

A client is in her second trimester, and the health care provider has recommended she undergo an amniocentesis. The nurse explains that the procedure is used to diagnose which conditions? Select all that apply. A. HIV B. chromosomal abnormalities C. Rh incompatibility D. neural tube defects E. inborn errors of metabolism

B. chromosomal abnormalities D. neural tube defects E. inborn errors of metabolism

When providing preconception care to a client, the nurse would identify which medication as being safe to continue during pregnancy? A. lithium B. famotidine C. isotretinoin D. warfarin

B. famotidine

A nurse is providing prenatal care to a pregnant woman. Understanding a major component of this care, the nurse would conduct a risk assessment for: A. cultural differences B. genetic conditions and disorders C. family dynamics D. infant nutritional needs

B. genetic conditions and disorders

The nurse is explaining the process of conception and implantation to a group of women attending a preconception planning education program. When describing the hormones involved in these events, the nurse would identify which hormone as being responsible for ensuring implantation of the embryo at the beginning of conception? A. progeserone B. human chorionic gonadotropin (hCG) C. estrogen D. luteinizing hormone

B. human chorionic gonadotropin (hCG)

During a routine antepartal visit, a pregnant woman says, "I've noticed my gums bleeding a bit since I've become pregnant. Is this normal?" The nurse bases the response on the understanding of which effect of pregnancy? A. effects of regurgitation from relaxation of the cardiac sphincter B. influence of estrogen and blood vessel proliferation C. elevated progesterone levels D. increased venous pressure

B. influence of estrogen and blood vessel proliferation

On a routine hematocrit screening during a prenatal visit, the nurse notices that the client is mildly anemic. When discussion this with the couple, the husband hints that she might be eating unusual things. The nurse recognizes the need for the woman to be evaluated for which condition? A. food cravings B. pica C. vegan diet D. food allergy

B. pica

Identify the correct weight gain pattern during pregnancy for a woman with a normal BMI. A. 2 to 4 pounds in the first trimester and a 1/2 a pound each week during the last 2 trimesters. B. 5 pounds in the first trimester, 10 pounds in the second trimester and 15 pounds in the third trimester. C. 1 to 4 pounds in the first trimester followed by 1 pound per week in the 2nd and 3rd trimester. D. 5 pounds in the first trimester, 10 pounds in the second trimester and 10 pounds in the third trimester.

C. 1 to 4 pounds in the first trimester followed by 1 pound per week in the 2nd and 3rd trimester.

A woman comes to the clinic for her first prenatal checkup. The woman has a BMI of 22. The nurse would anticipate that this client should gain approximately how much weight during her pregnancy? A. 28-40 lbs B. 11-20 lbs C. 25-30 lbs D. 15-25 lbs

C. 25-30 lbs

A 23 year old female has come to the clinic for her first prenatal visit. After the examination reveals no concerns and potential low-risk pregnancy, the nurse discusses nutritional needs for her and her growing baby. As per the Institute of Medicine, the nurse suggests the client take which amount of ferrous iron daily? A. 10 mg B. 40 mg C. 27 mg D. 20 mg

C. 27 mg

How many additional kcal per day should be consumed each day during pregnancy? A. 100 kcal B. 500 kcal C. 300 kcal D. 700 kcal

C. 300 kcal

A woman is in her early second trimester of pregnancy. The nurse would instruct the woman to return for a follow-up visit every: A. 2 weeks B. 3 weeks C. 4 weeks D. 1 week

C. 4 weeks

A client presents to the clinic because she thinks she may be pregnant. On examination, the nurse notes that the client's cervix and vaginal mucosa appear a bluish-purple color. The nurse interprets this finding as which sign? A. Goodell's sign B. Hegar's sign C. Chadwick's sign D. Braxton's sign

C. Chadwick's sign

After teaching a class on the various structures formed by the embryonic membranes, the nurse determines that the teaching was successful when the class identifies which structure as being formed by the mesoderm? A. stomach B. lungs C. bones D. ears

C. bones

A nurse is working in the newborn nursery and hears an innocent murmur on the auscultation of a 24 hour old infant's chest. The nurse recognizes this as most likely the result of which condition? A. congenital defect B. dysfunctional foramen ovale C. delayed fetal shunt closure D. attached umbilical cord stump

C. delayed fetal shunt closure

A woman at 15 weeks' gestation asks the nurse what the fetus looks like. Which response by the nurse would be most accurate? A. the fetus is covered with a white, greasy film called vernix B. rhythmic breathing movements are occuring C. fingernails and toenails are present. D. the fetus is about 15 inches in length

C. fingernails and toenails are present.

Match the embryonic and fetal development with the correct weeks gestation A. fetal heart begins to beat B. fetal sex can be determined C. surfactant production begins

4 weeks: fetal heart begins to beat 16 weeks: fetal sex can be determined 24 weeks: surfactant production begins

A client who is in her first trimester is anxious to have an ultrasound at each visit. The nurse explains that it's not necessary and schedules a second ultrasound to be performed when she is about: A. 18-20 weeks pregnant B. 24-26 weeks pregnant C. 21-23 weeks pregnant D. 15-17 weeks pregnant

A. 18-20 weeks pregnant

A nurse is teaching a pregnant woman how to perform fetal kick counts. The nurse determines that the teaching was successful when the client states that she will call her healthcare provider if it takes longer than what time frame to reach 10 kicks? A. 2 hours B. 3 hours C. 4 hours D. 1 hour

A. 2 hours

At the first prenatal visit, the client reports her LMP was November 16, 2017. The nurse determines the estimated due date to be: A. August 23, 2018 B. August 13, 2018 C. August 3, 2018 D. September 1, 2018

A. August 23, 2018

Nicole is 10 weeks pregnant. She has had 3 viable infants born: 2 at 38 weeks gestation and 1 at 37.5 weeks gestation. She had an ectopic pregnancy at 12 weeks, a stillbirth at 28 weeks, and 1 elective abortion at 18 weeks. What is her gravida/para/term/preterm/abortion/living? A. G7/P4/T3/P1/A2/L3 B. G7/T3/P1/A1/L3 C. G7/T2/P2/L3 D. G7/T2/P1/A3/L3

A. G7/P4/T3/P1/A2/L3

After teaching a pregnant woman how to count fetal movements, the nurse determines that the teaching was successful when the client makes which statement? A. "I won't expect more than three movements to happen in an hour" B. "I'll sit comfortably in a recliner or lie on my side when I do the counts" C. "I'll do the counts once a week on a morning that I'm not rushed for work" D. "I'll do the counts while I'm sitting and watching my son's basketball game"

B. "I'll sit comfortably in a recliner or lie on my side when I do the counts"

A woman's prepregnant weight is within the normal range. During her second trimester, the nurse would determine that the woman's gaining the appropriate amount of weight when her weight increases by which amount per week? A. 2/3 lb B. 2 lb C. 1.5 lb D. 1 lb

D. 1 lb

A potential complication for the mother and fetus is Rh incompatibility; therefore, assessment should include blood typing. If the mother is Rh negative, her antibody titer should be evaluated. If treatment with RhoGAM is indicated, the nurse would expect to administer at which time? A. 36 weeks B. only at birth C. 32 weeks D. 28 weeks

D. 28 weeks

Identify the importance of folic acid during pregnancy. A. Assists in production of WBCs B. Gives the mother more energy C. Helps prevent cancer D. Aid in the prevention of spina bifida and anencephaly

D. Aid in the prevention of spina bifida and anencephaly

A woman is 20 weeks pregnant. The nurse would expect to palpate the fundus at which location? A. between the symphysis and umbilicus B. just below the ensiform cartilage C. symphysis pubis D. at the umbilicus

D. at the umbilicus

The husband of a pregnant woman tells the nurse that his wife is increasingly preoccupied with herself and her fetus. The woman is in her first trimester of pregnancy. The nurse interprets this as which response? A. emotional lability B. ambivalence C. acceptance D. introversion

D. introversion

Which statement would the nurse include in the teaching plan for a pregnant woman related to changes in the uterus? A. the uterus moves into the abdomen by the second month of pregnancy B. uterine growth occurs because of an increase in the number of cells in the uterus C. the uterus reaches it's maximum height in the abdomen at 39 weeks D. the uterus changes from a pear shaped organ to an oval one

D. the uterus changes from a pear shaped organ to an oval one

Match the signs and symptoms of pregnancy with the appropriate category A. Pregnancy B. Amenorrhea C. Asculation of fetal heart beat

Objective (Probable): pregnancy Subjective (Presumptive): amenorrhea Positive: Asculation of fetal heart beat

A nurse is explaining how hormones affect the pregnancy. Which hormone would the nurse likely describe as being responsible for stimulating uterine contractions during labor and delivery? A. progesterone B. estrogen C. prolactin D. oxytocin

oxytocin