Antepartum & Intrapartum

During a prenatal visit at 38 weeks, a nurse assesses the fetal heart rate. The nurse determines that the fetal heart rate is normal if which of the following is noted?

150 bpm

Which are presumptive signs of pregnancy that the nurse would expect when assessing a client at 10 weeks' gestation? Select all that apply. One, some, or all responses may be correct.

Amenorrhea Breast changes urinary frequency

Which is the most common cause of ophthalmia neonatorum in infants born to adolescent mothers?

Chlamydia

An 18-month-old toddler is admitted to the pediatric unit and has never been separated from the mother before this admission. Which behavior would the nurse expect from the toddler?

Crying relentlessly and consoled by no one but a parent

A pregnant client calls the clinic and tells a nurse that she is experiencing leg cramps and is awakened by the cramps at night. To provide relief from the leg cramps, the nurse tells the client to:

Dorsiflex the foot while extending the knee when the cramps occur.

Which adverse effect would the nurse assess for after administering oxytocin to a client to stimulate labor? Select all that apply. One, some, or all responses may be correct.

Edema, Headache, Confusion, Blurred Vision, Uterine rupture

A nursing instructor is conducting a lecture and is reviewing the functions of the female reproductive system. She asks the student nurse to describe the follicle-stimulating hormone (FSH) and the luteinizing hormone (LH). The student nurse accurately responds by stating that:

FSH and LH are released from the anterior pituitary gland.

A nurse is performing an assessment of a primipara who is being evaluated in a clinic during her second trimester of pregnancy. Which of the following indicates an abnormal physical finding necessitating further testing?

Fetal heart rate of 180 BPM normal fetal heart rate is 160-170bpm

A pregnant client is making her first antepartum visit. She has a 2-year-old son born at 40 weeks, a 5-year-old daughter born at 38 weeks, and 7-year-old twin daughters born at 35 weeks. She had a spontaneous abortion 3 years ago at 10 weeks. How would the nurse, using the GTPAL format, document the client's obstetric history?

G5 T2 P1 A1 L4

A nurse-midwife is performing an assessment of a pregnant client and is assessing the client for the presence of ballottement. Which of the following would the nurse implement to test for the presence of ballottement?

Initiating a gentle upward tap on the cervix.

A nursing instructor asks a nursing student who is preparing to assist with the assessment of a pregnant client to describe the process of quickening. Which of the following statements if made by the student indicates an understanding of this term?

It is the fetal movement that can be felt by the mother

On a routine prenatal visit, which is the sign or symptom that a healthy primigravida at 20 weeks' gestation will most likely report for the first time?

Quickening

Which behavior would the nurse expect of a newborn approximately 1 hour after birth?

Relaxed and sleeping quietly

A nurse is describing the process of fetal circulation to a client during a prenatal visit. The nurse accurately tells the client that fetal circulation consists of:

Two umbilical arteries and one umbilical vein.

Which physiological alteration does the nurse expect in a client's hematological system during the second trimester of pregnancy?

an increase in blood volume

A woman who is infertile is diagnosed with primary ovarian failure. Which fertility medication regimen would the nurse identify as being used to treat infertility?

estrogen

Which physiological changes are expected during the first trimester of pregnancy? Select all that apply. One, some, or all responses may be correct.

fatigue, morning sickness, breast enlargements

A nurse is reviewing the record of a client who has just been told that a pregnancy test is positive. The physician has documented the presence of a Goodell's sign. The nurse determines this sign indicates:

softening of the cervix

Which is a risk factor associated with in vitro fertilization embryo transfer (IVF-ET)?

tubal pregnancy

Which compensatory changes occur in the cardiovascular system during pregnancy? Select all that apply. One, some, or all responses may be correct.

increased blood volume increased cardiac output enlargement of the heart

The school nurse would teach the students that the ovum is no longer viable at which time interval after ovulation?

24 hours

Which information about nausea and vomiting in the first trimester would the nurse provide to the pregnant client?

It may be related to an increased human chorionic gonadotropin level.

A pregnant client in the last trimester has been admitted to the hospital with a diagnosis of severe preeclampsia. A nurse monitors for complications associated with the diagnosis and assesses the client for

Any bleeding, such as in the gums, petechiae, and purpura.

An increase in which hormone can precipitate nausea and vomiting during the first trimester of pregnancy?

Chorionic gonadotropin

The nurse understands which is the medication of choice for a client who wants to abort her pregnancy at 3 months of gestation?

Mifepristone

Which issues would the nurse identify as being associated with the difficulty in identification of teratogens? Select all that apply. One, some, or all responses may be correct.

Teratogenic effects may be delayed Prolonged medication exposure may be required. Animal test results may not be applicable to humans.

A homecare nurse visits a pregnant client who has a diagnosis of mild Preeclampsia and who is being monitored for pregnancy induced hypertension (PIH). Which assessment finding indicates a worsening of the preeclampsia and the need to notify the physician?

The client complains of a headache and blurred vision.