Antepartum
The nurse is reviewing signs and symptoms of pregnancy complications that should be reported to the health care provider. The nurse determines that the client has understood the information stating that she will immediately report which signs or symptoms if they occur during pregnancy? Select all that apply.
-facial swelling -blurred vision
A client in the 13th week of pregnancy develops hyperemesis gravidarum. Which laboratory finding indicates the need for intervention?
Ketones in urine
During a routine prenatal visit, a pregnant client reports constipation, and the nurse teaches her how to relieve it. Which client statement indicates an accurate understanding of the nurse's instructions?
"I'll increase my intake of unrefined grains."
The nurse observes many cuts and bruises on the back, arms, and legs of a pregnant client. The client tells the nurse, "I was cleaning and a box of supplies fell on me." Which response by the nurse is most appropriate?
"It's our responsibility to maintain your confidentiality and ensure your safety."
A client in her first trimester of pregnancy complains that she's always tired. Which response by the nurse is best?
"Needs for rest and sleep typically increase during the first trimester of pregnancy."
The nurse is providing care for a pregnant 16-year-old client. The client says that she's concerned she may gain too much weight and wants to start dieting. The nurse should respond by saying:
"Nutrition is important because depriving your baby of nutrients can cause developmental and growth problems."
During a prenatal visit, the nurse measures a client's fundal height at 19 cm. The client asks what does this mean. How should the nurse respond?
"This measurement indicates that the fetus has reached approximately 19 weeks."
The nurse is discussing posture with a client who's 18 weeks pregnant. The clients asks why should she avoid the supine position. How does the nurse respond?
"This position impedes blood flow to the fetus."
A pregnant client in her third trimester states she needs to urinate frequently just as she did during the first trimester. The nursing instructor asks the nursing student what is the rationale for this. How should the student appropriately respond?
"This symptom is normal and results from the expanding uterus on the bladder."
A nurse is providing care for a pregnant client who asks how she can best deal with her fatigue. Which instruction would the nurse most likely reinforce with the client?
"Try to get more rest by going to bed earlier."
A nurse is discussing nutrition with a primigravida client. The nurse is informed that the client knows that calcium is important during pregnancy but that client and the client's family do not consume many milk or dairy products. What advice should the nurse give?
"You should consume other nondairy foods that are high in calcium."
The nurse is caring for a client suspected of having a hydatidiform mole. Which signs and symptoms would confirm this diagnosis?
"snowstorm" pattern on ultrasound with no fetus or gestational sac
A client, who is 11 weeks' pregnant and admitted to the facility with hyperemesis gravidarum, is being cared for by a nursing student. The nursing instructor asks the nursing student to discuss hyperemesis gravidarum. How does the student respond appropriately? Select all that apply.
- "It is characterized by severe nausea and vomiting during the first half of pregnancy." - "The cause is unknown."
The nurse is reviewing signs and symptoms of pregnancy complications that should be reported to the health care provider. The nurse determines that the client has understood the information stating that she will immediately report which signs or symptoms if they occur during pregnancy? Select all that apply.
-blurred vision -facial swelling
A client with preeclampsia is prescribed magnesium sulfate to prevent seizure activity. The nurse is reviewing the results of the client's serum magnesium level and determines that the client's level is therapeutic based on which result?
6.8 mEq/L (3.4 mmol/L)
The nursing instructor asks a nursing student approximately how much time is required for the blastocyst to reach the uterus for implantation. What timeframe does the student provide to the instructor?
7 days
When assessing a client for signs and symptoms of ectopic pregnancy, what is the most common sign or symptom associated with this antepartum complication the nurse would expect to find?
Abdominal pain
Which statement accurately describes estrogen and progesterone levels during the 16th week of pregnancy?
Both estrogen and progesterone levels are rising.
A client is 8 weeks pregnant. When developing the plan of care, which teaching topic would be most appropriate at this time?
Common discomforts of pregnancy
A nurse is evaluating a pregnant client's fundal height. In which way should the nurse stretch the measuring tape to measure it?
From the symphysis pubis notch to the highest level of the fundus
When collecting data on a pregnant client with diabetes mellitus, the nurse stays alert for signs and symptoms of a vaginal or urinary tract infection (UTI). The nurse recognizes which condition makes this client more susceptible to such infections?
Glycosuria
An adolescent prenatal client asks about getting fat while pregnant. To prevent which condition, the nurse says, "Because of your age, you need to gain enough weight to be in the upper portions of your recommended weight"?
birth of a low-birth-weight neonate
A pregnant client is receiving heparin. While the client is receiving this drug, which data would the nurse immediately report to the supervising nurse?
bleeding from an orifice
A pregnant client comes to the facility for her first prenatal visit. When providing teaching, the nurse should be sure to cover which topic?
Danger signs during pregnancy
A client who's 24 weeks pregnant has sickle cell anemia. When preparing the plan of care, the nurse should identify which factor as a potential trigger for a sickle cell crisis during pregnancy
Dehydration
A client who's 24 weeks pregnant has sickle cell anemia. When preparing the plan of care, the nurse should identify which factor as a potential trigger for a sickle cell crisis during pregnancy?
Dehydration
A pregnant client is prescribed an iron supplement. Which point should the nurse include when teaching the client about taking the supplement?
Eat a diet rich in vitamin C to promote iron absorption.
During each prenatal checkup, the nurse obtains the client's weight and blood pressure and measures fundal height. What is another essential part of each prenatal checkup, that the nurse would include in the assessment?
Evaluating the client for edema
A client, now 37 weeks pregnant, calls the clinic because she's concerned about being short of breath and is unable to sleep unless she places three pillows under her head. After listening to her concerns, the nurse should take which action?
Explain that these are expected problems for the latter stages of pregnancy.
Which medication is considered safe during pregnancy?
Insulin
A nurse is preparing a presentation for a pregnant client with diabetes. Which information would the nurse include to explain why a pregnant diabetic client is at risk for having a large-for-gestational-age infant?
Insulin acting as a growth hormone on the fetus
A client is 2 months pregnant. Which factor should the nurse anticipate as most likely to affect her psychosocial transition during pregnancy
Support from her partner
A client, 30 weeks pregnant, is scheduled for a biophysical profile (BPP) to evaluate the health of her fetus. Her BPP score is 8. How does the nurse correctly interpret this finding?.
The fetus isn't in distress at this time
A pregnant client at 26 weeks' gestation undergoes a glucose tolerance test. The nurse identifies the need for further action based on which results?
a 1-hour glucose level of 160 mg/dL (8.88 mmol/L) during a 3-hour glucose tolerance test
A client is admitted to the facility with a suspected ectopic pregnancy. When reviewing the client's health history for risk factors for this abnormal condition, the nurse expects to find:
a history of pelvic inflammatory disease.
A client who is 34 weeks' pregnant arrives at the emergency department with severe abdominal pain, uterine tenderness, and increased uterine tone between contractions, but no vaginal bleeding. The external fetal monitor shows fetal distress with severe, variable decelerations. Which condition does the nurse anticipate this client will be treated for?
abruptio placentae
The nurse is providing care for a pregnant client in her second trimester. Glucose tolerance test results show a blood glucose level of 160 mg/dl. The nurse should anticipate that the client will need to:
be taught about diet.
A nurse is caring for a client who is four weeks pregnant. When collecting data on this client, the nurse would most likely note which finding?
breast sensitivity
A client's membranes rupture during the 36th week of pregnancy. Eighteen hours later, the nurse measures the client's temperature at 101.8° F (38.8° C). After initiating prescribed antibiotic therapy, the nurse should prepare the client for:
delivery.
A nurse is reinforcing teaching with a client at 24 weeks of gestation regarding a glucose tolerance test to screen for gestational diabetes. The client asks, "What will be done if I have this disorder?" The nurse is correct to state that gestational diabetes is managed by which therapy?
dietary control of carbohydrates, fats, and proteins
A client who is 27 weeks' pregnant arrives at the health care provider's office reporting fever, nausea, vomiting, malaise, unilateral flank pain, and costovertebral angle tenderness. About which condition does the nurse anticipate reinforcing education?
pyelonephritis
A client in the 24th week of pregnancy is exhibiting signs and symptoms of preeclampsia. The nurse would be alert for which finding indicating that the client has developed eclampsia?
seizures
A client is admitted to the facility in preterm labor. To halt her uterine contractions, the nurse expects the physician to prescribe:
terbutaline (Brethine).
A client in the 13th week of pregnancy develops hyperemesis gravidarum. Which laboratory result would the nurse need to report to the supervising registered nurse?
urine positive for ketones
A nurse is caring for a pregnant adolescent. As the nurse gathers data on the client at each prenatal visit, the nurse would be alert for which complication as common in this age group?
iron-deficiency anemia
