Chapters 1-3

A nurse is teaching a class of expectant parents about changes that are to be expected during pregnancy. What changes does the nurse explain result from the melanocyte-stimulating hormone?

cholasma, linea nigra

A pregnant woman reports nausea and vomiting during the first trimester of pregnancy due to an increase in which hormone?

chorionic gonadotropin

What change does a nurse expect in a client's hematologic system during the second trimester of pregnancy?

an increase in blood volume

A nurse in a prenatal clinic examines a client and determines that her uterus has risen out of the pelvis and is now an abdominal organ. At what week gestation does this occur?

12th week

A client has several tests during the pregnancy. Place the tests in the order they should be performed during pregnancy. 1. routine ultrasound 2. Sickle cell screening 3. Group B streptococcus culture 4. Serum glucose 5. Alpha-fetoprotein testing

2, 5, 1, 4, 3

At what time during prenatal development should the nurse expect the greatest fetal weight gain?

3rd trimester

Which research based knowledge guides a nurse regarding emotional factors of pregnancy?

Ambivalence and anxiety about mothering are common

A client tells the nurse that the first day of her last menstrual period was July 22, 2015. What is the EDD?

April 29, 2016

What is the best advice you can give to a pregnant woman in the first trimester?

Avoid drugs, and refrain from smoking and ingesting alcohol.

During a physical in the prenatal clinic the client's vaginal mucosa is observed to have a purplish discoloration. What sign should be documented in the client's clinical record?

Chadwick

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 aborthion 3 years ago at 10 weeks. Using the GTPAL format, what does the nurse document about the client's obstetric history?

G5 T2 P1 A1 L4

At her first prenatal visit, a client says to the nurse, " I guess I'll be having an internal examination today." What is the nurse's BEST response?

Have you ever had an internal examination done before?

A woman visits the prenatal clinic because an OTC (over the counter) pregnancy test was positive. After the initial examination verifies the pregnancy, the nurse explains some of the metabolic changes that occur during the first trimester of pregnancy.

Need for sleep increases, Fluid retention increases, Calcium requirements increase

A 36-year-old multigravida who is at 14 weeks' gestation is scheduled for an alpha-fetoprotein test. She asks the nurse, "What does the alpha-fetoprotein test indicate?" The nurse bases a response on the knowledge that this test can indicate an increased risk for what?

Neural tube defects

Why might the due date for a baby be considered inaccurate? Utilize CER method for your response.

The due date for a baby can be inaccurate. This is because it is only an estimate from when your last period had occurred. Also due to the fact that you can never really know when the sperm arrived at the egg and created an embryo.

Why might a history of HSV-1 or HSV-2 in a pregnant female and/or her partner result in a c-section delivery? Explain your reasoning

A history of HSV-1 or HSV-2 in a pregnant female and/or her partner result in a c-section delivery because of the risk of transmission of maternal-fetal neonatal herpes simplex can be decreased.

A pregnant client is being prepared for a pelvic examination. She states that she is always tired and feels sick to her stomach, especially in the morning. What is the nurse's BEST response?

Let's discuss ways to resolve these common problems.

The nurse reads the history of a neonate admitted to the nursery and discovers that the infant's mother was listed as gravida 1, para 1 before the baby was born. How should the nurse use the data to gather more information?

Consider that someone recorded the gravida and para incorrectly.

You are teaching a childbirth class to a group of pregnant women. One of the women asks at what point during the pregnancy the embryo becomes a fetus. How should you respond?

During the 8th week of pregnancy

Genetic testing is being discussed with a couple at a fertility clinic. What is the best response to their concerns?

Environmental factors can have an impact on genetic factors

Explain Naegel's Rule including the formula.

The Naegel's Rule is a way of calculating the due date for a pregnancy when assuming a gestational age of 280 days at childbirth. The formula is by adding a year, subtracting three months, and adding seven days to the origin of the gestational age.

A pregnant client uses a computer continuously during her working hours. THis has impications for her plan of care during pregnancy. What should a nurse recommend?

Try to walk around every few hours during the workday

When is it most important for a female client to know that a fetus may be structurally damaged by the ingestion of drugs?

When planning to become pregnant

A client at 35 weeks' gestation asks a nurse why her breathing has become more difficult. How should the nurse respond?

your diaphragm has been displaced upward

While caring for a pregnant client and her partner, a nurse suspects domestic violence. Which assessments support this suspicion?

Woman has injuries to the breasts and abdomen, Partner answers questions that are asked of the woman., Woman has visited the clinic several times in the last month

A primigravida tells the nurse that she has morning sickness. What suggestions should the nurse make to help relieve the nausea?

avoid long periods without food

A nurse is teaching a prenatal class about the changes that occur during the 2nd trimester of pregnancy. What cardiovascular changes should the nurse include?

cardiac output increases, blood pressure decreases, heart is displaced upward

A client at 8 weeks' gestation reports having to urinate more often. The nurse explains that urinary frequency often occurs because the bladder capacity during pregnancy is diminished by what?

compression by the enlarging uterus

What recommendation should a nurse give to clients who have fluid retention during pregnancy?

elevate the lower extremities

A nurse is planning a prenatal class about the changes that occur during pregnancy and the necessity of routine health care supervision throughout pregnancy. Which cardiovascular compensatory mechanism should he/she explain will occur?

increased blood volume, increased cardiac output, enlargement of the heart

A nurse teaches a pregnant woman to avoid lying on her back during labor. What information about the result of lying in the supine position is the basis for the nurse's teaching?

placental perfusion is decreased

What does the nurse explain to a pregnant client about the cause of her physiologic anemia?

plasma volume increases

At her first visit to the prenatal clinic, a client tells the nurse she is ambivalent about continuing the pregnancy. Why does the nurse conclude that the client is experiencing a crisis?

pregnancy is a period of change and adjustment to change

When involved in prenatal teaching, a nurse should inform clients that there is an increase in vaginal secretions during pregnancy called leukorrhea. What causes the increase?

production of estrogen

A nurse is assessing a pregnant client in the 3rd trimester. What clinical finding is an expected response to pregnancy?

shortness of breath on exertion

A client who is visiting the prenatal clinic for the first time has a serology test for toxoplasmosis. What information in the client's history indicates to the nurse that there is a need for this test?

taking care of a cat

A pregnant client asks the clinic nurse how smoking will affect her baby. What information about cigarette smoking will influence the nurse's response?

the resulting vascoconstriction affects both fetal and maternal blood vessels