High risk antepartum and antepartum

The nurse is reviewing with a group of high school students that the hypothalamus, pituitary gland, and gonads all contribute to hormonal regulation of the female reproductive system. Based on this information, what is the specific hormone that functions primarily during pregnancy?

Progesterone

During pregnancy the cardinal rule regarding on taking medications and herbal remedies is that all drugs cross the placenta and have a potential impact on the fetus. What is one disease where treatment must continue during pregnancy? You Selected:

asthma

A nurse is client teaching with a 30-year-old gravida 1 who has sickle cell anemia. She is not currently in crisis. Providing education on which topic is the highest nursing priority? You Selected:

avoidance of infection

Which should the nurse identify as a risk associated with anemia during pregnancy? You Selected:

preterm birth

A pregnant woman has arrived to the office reporting vaginal bleeding. Which finding during the assessment would lead the nurse to suspect an inevitable abortion? You Selected:

strong abdominal cramping

A pregnant client has tested positive for hepatitis B virus. When discussing the situation with the client, the nurse explains that her infant should be vaccinated with an initial HBV vaccine dose at which time? You Selected:

within 12 hours of birth

A woman at 9 weeks' gestation is admitted to the obstetrical unit for hyperemesis gravidarum. What priority intervention should the nurse anticipate? You Selected:

NPO for 24 hours

A nursing instructor is teaching students about preexisting illnesses and how they can complicate a pregnancy. The instructor recognizes a need for further education when one of the students makes which statement? You Selected:

"A pregnant woman does not have to worry about contracting new illnesses during pregnancy."

A client who is HIV-positive is in her second trimester and remains asymptomatic. She voices concern about her newborn's risk for the infection. Which statement by the nurse would be most appropriate? You Selected:

"Antiretroviral medications are available to help reduce the risk of transmission."

A young client with a cardiac problem wants to get pregnant and tells the nurse that she is sad that she will never be able to have a baby. What is the best response by the nurse? You Selected:

"Because of improved management, more women with cardiac problems can complete pregnancies successfully."

A nurse is providing prenatal care to a pregnancy client. At which time would the nurse expect to screen the client for group B streptococcus infection? You Selected:

36 weeks' gestation

Rho(D) immune globulin will be prescribed for an Rh negative mother undergoing which test? You Selected:

amniocentesis

A pregnant client at 32 weeks' gestation calls the clinic and informs the nurse that she thinks her membranes are leaking. She states that some clear fluid has run down her leg. What is the best response by the nurse?

"It is best for you to visit a hospital immediately. They can use a nitrazine strip to determine if it is amniotic fluid."

Dyspareunia is pain during coitus.

True

The blood tests for a primigravida client indicate that the client is Rh-negative and her partner is Rh-positive. What is an appropriate nursing intervention for this client? You Selected:

Arrange for Rho immune globulin at 28 weeks' gestation.

A client in her 20th week of gestation develops HELLP syndrome. What are features of HELLP syndrome? Select all that apply. You Selected:

elevated liver enzymes low platelet count hemolysis

What anatomic area should be examined when assessing Montgomery tubercles? You Selected:

breasts

The nurse is caring for a pregnant client with fallopian tube rupture. Which intervention is the priority for this client? You Selected:

Monitor the client's vital signs and bleeding.

A nurse is caring for a 45-year-old pregnant client with a cardiac disorder who has been instructed by her primary care provider to follow class I functional activity recommendations. The nurse correctly instructs the client to follow which limitations? You Selected:

"You do not need to limit your physical activity unless you experience any problems such as fatigue, chest pain, or shortness of breath."

A client is 11 weeks pregnant after many years trying to conceive. After arriving home from a normal prenatal visit, she experiences mild cramping and has a gush of bright red vaginal bleeding. She calls the nurse and reports having soaked a pad with fresh blood in fewer than 30 minutes. The uterine cramping is worsening. What is the most appropriate response from the nurse?

"You need to seek immediate attention from the primary care provider."

When a woman is pregnant she often craves specific things, like pickles or ice cream. There is one craving that is associated with iron deficiency anemia and should be reported to the registered nurse if it occurs. What is this craving called? You Selected:

Pica craving

A client with trichomoniasis is to receive metronidazole. What should the nurse instruct the client to avoid while taking this drug? You Selected:

alcohol

In preparing a class for a group of pregnant couples, the nurse includes information about smoking and possible complications associated with it. Which complications would the nurse include? Select all that apply. You Selected:

abruptio placenta maternal hypertension spontaneous abortion

A gravida 2 para 1 client in the 10th week of her pregnancy says to the nurse, "I've never urinated as often as I have for the past three weeks." Which response would be most appropriate for the nurse to make? You Selected:

"By the time you are 12 weeks pregnant, this frequent urination should really decrease, but it is likely to return toward the end of your pregnancy."

A woman of 16 weeks' gestation telephones the nurse because she has passed some "berry-like" blood clots and now has continued dark brown vaginal bleeding. Which action would the nurse instruct the woman to do?

"Come to the health facility with any vaginal material passed."

Which is the best question the nurse can ask a woman who is leaving the hospital after experiencing a complete spontaneous abortion?

"Do you have someone to talk to, or may I give you the names and numbers for some possible grief counselors?"

Which is the best question the nurse can ask a woman who is leaving the hospital after experiencing a complete spontaneous abortion? You Selected:

"Do you have someone to talk to, or may I give you the names and numbers for some possible grief counselors?"

A client at 11 weeks' gestation experiences pregnancy loss. The client asks the nurse if the bleeding and cramping that occurred during the miscarriage were caused by working long hours in a stressful environment. What is the most appropriate response from the nurse?

"I can understand your need to find an answer to what caused this. Let's talk about this further."

A 14-year-old client and her parents have presented at the obstetrician's office in the second trimester; the teen had been hiding the pregnancy. The nurse is helping them develop a plan of care. What is the best thing the nurse can say to the clearly angry parents? You Selected:

"I know you must be very upset and angry about your daughter's pregnancy, but because she's still an adolescent herself, she'll need your guidance in making nutritional and health choices that will be good for the baby and for herself."

A nurse is talking to a newly pregnant woman who had a mitral valve replacement in the past. Which statement by the client reveals an understanding about the preexisting condition? You Selected:

"I understand that my fetus and I both are at risk for complications."

After teaching a woman who has had an evacuation for gestational trophoblastic disease (hydatidiform mole or molar pregnancy) about her condition, which statement indicates that the nurse's teaching was successful? You Selected:

"I will be sure to avoid getting pregnant for at least 1 year."

A prenatal client has class III heart failure. The nurse is reinforcing the signs and symptoms of heart failure. Teaching has been effective when the client states: You Selected:

"I will call the clinic when I have a cough at night."

After teaching a pregnant woman how to count fetal movements, the nurse determines that the teaching was successful when the client makes which statement? You Selected:

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

Which statement by a pregnant client indicates the need for more teaching about preeclampsia? You Selected:

"If I have changes in my vision, I will lie down and rest."

A pregnant woman enjoys exercising at a local health spa once a week. Which comment would lead the nurse to believe she needs additional health teaching? You Selected:

"Nothing feels nicer than a hot sauna after exercise."

A client who has been seen in the clinic multiple times for counseling recently admitted to being a victim of intimate partner violence over a period of five years. Today the client states, "My partner has been so sweet to me the last six days that I think this time he has really changed. He even brought me flowers yesterday and said he loves me." How should the nurse respond to this? You Selected:

"Over a period of time the honeymoon phase ends and abuse becomes accelerated and thus more dangerous."

A client with a history of cervical insufficiency is seen for reports of pink-tinged discharge and pelvic pressure. The primary care provider decides to perform a cervical cerclage. The nurse teaches the client about the procedure. Which client response indicates that the teaching has been effective? You Selected:

"Purse-string sutures are placed in the cervix to prevent it from dilating."

A 16-year-old client gave birth to a 12 weeks' gestation fetus last week. The client has come to the office for follow-up and while waiting in an examination room notices that on the schedule is written her name and "follow-up of spontaneous abortion." The client is upset about what is written on the schedule. How can the nurse best explain this terminology? You Selected:

"Spontaneous abortion is a more specific term used to describe a spontaneous miscarriage, which is a loss of pregnancy before 20 weeks. This term does not imply that you did anything to affect the pregnancy."

A client who is 32 weeks gestation tells the nurse that she has been experiencing shortness of breath when walking up the steps at home. She is concerned that something is wrong. What is the nurse's best response? You Selected:

"The enlarging uterus pushes against your diaphragm and this makes breathing shallow"

A young client in the infertility clinic tells the nurse, "I just know it is my fault we cannot conceive." What would be the best response by the nurse? You Selected:

"The problem can be with the man, woman, or both."

A client with genital herpes simplex infection asks the nurse, "Will I ever be cured of this infection?" Which response by the nurse would be most appropriate? You Selected:

"There is no cure, but drug therapy helps to reduce symptoms and recurrences."

A client comes to a local community health care facility for a routine check up. While talking to the nurse, the client happens to mention that every time she has a serious fight with the spouse, the client is forced to have intercourse. The client seems to be very disturbed when revealing this to the nurse. Which is an appropriate response by the nurse? You Selected:

"This behavior is intimate partner violence."

A client in her second trimester of pregnancy is anxious about the blotchy, brown pigmentation appearing on her forehead and cheeks. She also reports increased pigmentation on her breasts and genitalia. Which statement by the nurse is most appropriate? You Selected:

"This is called facial melasma and should fade after the birth."

A pregnant adolescent asks you if she should take a prepared childbirth course. Which of the following would be your best response? You Selected:

"Women of any age are well advised to begin labor prepared for the event."

After teaching a group of nurses working at the women's health clinic about the impact of pregnancy on the older woman, which statement by the group indicates that the teaching was successful? You Selected:

"Women over age 35 and are pregnant have an increased risk for spontaneous abortions."

A pregnant single mom living alone tells the nurse she is considering getting a cat for her 2-year-old daughter. Which is the best response by the nurse? You Selected:

"You should wait until after you give birth to obtain the cat for your daughter."

A nurse has been assigned to assess a pregnant client for abruptio placenta. For which classic manifestation of this condition should the nurse assess? You Selected:

"knife-like" abdominal pain with vaginal bleeding

A pregnant client is scheduled to undergo chorionic villi sampling (CVS) to rule out any birth defects. Ideally, when should this testing be completed? You Selected:

10 to 12 weeks of gestation

A woman at 26 weeks' gestation is undergoing screening for diabetes with a 1-hour oral glucose challenge test. On the client's return visit, the nurse anticipates the need to schedule a 3-hour glucose challenge test based on which result of the previous test? You Selected:

146 mg/dL

When assessing a pregnant woman with heart disease throughout the antepartal period, the nurse would be especially alert for signs and symptoms of cardiac decompensation at which time? You Selected:

28 to 32 weeks' gestation

An older pregnant woman has come to the clinic for her first prenatal visit. She asks the nurse about age guidelines for genetic counseling and prenatal testing. The nurse informs the client that genetic counseling and prenatal testing should be performed for all pregnant women in which age group? You Selected:

35 and older

A 35-year-old client is seen for her 2-week postoperative appointment after a suction curettage was performed to evacuate a hydatidiform mole. The nurse explains that the human chorionic gonadotropin (hCG) levels will be reviewed every 2 weeks and teaches about the need for reliable contraception for the next 6 months to a year. The client states, "I'm 35 already. Why do I have to wait that long to get pregnant again?" What is the nurse's best response? You Selected: "

A contraceptive is used so that a positive pregnancy test resulting from a new pregnancy will not be confused with the increased level of hCG that occurs with a developing malignancy."

Which client planning to have children will the nurse identify as needing a referral for prenatal genetic testing? You Selected:

A male client with family history of sickle cell disease

The nurse is caring for clients who have STIs. Which client is most at risk for becoming infertile due to the infection?

A woman diagnosed with chlamydia

Rho(D) immune globulin will be prescribed for an Rh negative mother undergoing which test?

Amniocentesis

A client with preeclampsia is receiving magnesium sulfate to suppress or control seizures. Which nursing intervention should a nurse perform to determine the effectiveness of therapy?

Assess deep tendon reflexes.

A client with preeclampsia is receiving magnesium sulfate to suppress or control seizures. Which nursing intervention should a nurse perform to determine the effectiveness of therapy? You Selected:

Assess deep tendon reflexes.

When caring for a client with premature rupture of membranes (PROM), the nurse observes an increase in the client's pulse. What should the nurse do next? You Selected:

Assess the client's temperature.

A nurse in the maternity triage unit is caring for a client with a suspected ectopic pregnancy. Which nursing intervention should the nurse perform first? You Selected:

Assess the client's vital signs.

A client comes to a local community health care facility with a partner. The client has a broken arm and bruises on the face and reports they were caused by a fall. The nature of the injuries, however, causes the nurse to be convinced that this is a case of physical abuse. Which intervention should the nurse perform? You Selected:

Attempt to interview the client in private.

A client in her third month of pregnancy arrives at the health care facility for a regular follow-up visit. The client reports discomfort due to increased urinary frequency. Which instruction should the nurse offer the client to reduce the client's discomfort? You Selected:

Avoid consumption of caffeinated drinks.

A pregnant client is diagnosed with chlamydia and is to receive antimicrobial therapy. Which drug would the nurse least likely expect to be prescribed?

Azithromycin

After conducting a refresher class on possible congenital infections with a group of perinatal nurses, the nurse recognizes the class was successful when the group identifies which congenital viral infection as the most common?

CMV

A client is diagnosed with chlamydia and is receiving azithromycin as treatment. In addition to this medication, the nurse anticipates that the client will also be prescribed which drug?

Ceftriaxone

A 16-year-old client has been in the first stage of labor for 20 hours, which is much longer than normal. She demonstrated a lack of engagement at the beginning of labor, and fetal descent has been poor. The nurse recognizes that which of the following is the most likely complication affecting this client's pregnancy? You Selected:

Cephalopelvic disproportion

A sex trade worker is seen at the sexual health clinic reporting dysuria, mucopurulent vaginal discharge with bleeding between periods, conjunctivitis, and a painful rectal area. What sexually transmitted infection would the nurse suspect?

Chlamydia

A pregnant client with hyperemesis gravidarum needs advice on how to minimize nausea and vomiting. Which instruction should the nurse give this client?

Eat small, frequent meals throughout the day.

A pregnant client with hyperemesis gravidarum needs advice on how to minimize nausea and vomiting. Which instruction should the nurse give this client? You Selected:

Eat small, frequent meals throughout the day.

Nursing care for women diagnosed with gestational diabetes includes which measure? You Selected:

Encourage blood glucose control.

At a prenatal checkup with a client at 7 weeks' gestation, the nurse would identify what as a normal finding?

Fetal heart sounds are heard

The nurse is preparing a postpartum nursing care plan for a single HIV-positive primigravida client. The nurse should prioritize in the plan how to acquire which resource? You Selected:

Formula

A nurse is conducting an assessment of a woman who has experienced PROM. Which finding would lead the nurse to suspect infection as the cause of a client's PROM?

Foul odor

A nursing student doing a clinical rotation at a prenatal clinic correctly identifies the following as the primary reason for an amniocentesis:

Genetic testing

When preparing a teaching plan for a female adolescent with a sexually transmitted infection (STI), the nurse plans to address the fact that the adolescent is at increased risk for cervical cancer. Which STI would the adolescent most likely have?

Genital warts

Question 1 See full question52s Report this Question A nurse is conducting an acquired immunodeficiency syndrome (AIDS) awareness program for women. Which instructions should the nurse include in the teaching plan to empower women to develop control over their lives in a practical manner so that they can prevent becoming infected with the human immunodeficiency virus (HIV)? Select all that apply.

Give opportunities to practice negotiation techniques. Encourage women to develop refusal skills. Encourage women to use female condoms.

During a vaginal exam, the nurse notes that the lower uterine segment is softened. The nurse documents this finding as:

Hegar sign

A client is suspected of having a ruptured ectopic pregnancy. Which assessment would the nurse identify as the priority

Hemorrhage

A nurse in the sexual health clinic assesses a female client and notes wart-like lesions on the genital area and rectum. Which diagnosis best correlates with these findings?

Human papillomavirus

After teaching a woman who has had an evacuation for gestational trophoblastic disease (hydatidiform mole or molar pregnancy) about her condition, which statement indicates that the nurse's teaching was successful?

I will be sure to avoid getting pregnant for at least 1 year

A pregnant client with sickle cell anemia is at an increased risk for having a sickle cell crisis during pregnancy. Aggressive management for a client experiencing a sickle cell crisis with severe pain includes which measure? You Selected:

I.V. fluids

A pregnant client with sickle cell anemia is at an increased risk for having a sickle cell crisis during pregnancy. Aggressive management for a client experiencing a sickle cell crisis with severe pain includes which measure?

I.V. fluids A sickle cell crisis during pregnancy is usually managed by exchange transfusion, oxygen, and I.V. fluids. Antihypertensive drugs usually aren't necessary. Diuretics would not be used unless fluid overload resulted. The client usually needs a stronger analgesic than acetaminophen to control the pain of a crisis.

A woman is admitted with diagnosis of ectopic pregnancy. For which procedure should the nurse prepare

Immediate surgery

A 28-year-old client who has just conceived arrives at a health care facility for her first prenatal visit to undergo a physical examination. Which intervention should the nurse perform to prepare the client for the physical examination? You Selected:

Instruct the client to empty her bladder.

The nurse is explaining functions of the amniotic fluid to a prenatal class. The nurse knows the class understands when one of the women states which function of amniotic fluid?

It help cushion the baby

Why is a Papanicolau test done at the first prenatal visit?

It identifies whether abnormal cervical cells

A couple wants to start a family. They are concerned that their child will be at risk for cystic fibrosis because they each have a cousin with cystic fibrosis. They are seeing a nurse practitioner for preconceptual counseling. What would the nurse practitioner tell them about cystic fibrosis? You Selected:

It is an autosomal recessive disorder.

A woman reports constant redness and itching of her palms early in her pregnancy. She fears that she is suffering an allergic reaction and asks the nurse whether this is normal. What explanation should the nurse mention? You Selected:

It is caused by increased estrogen levels and should disappear in time

The nurse is caring for a pregnant client with severe preeclampsia. Which nursing intervention should a nurse perform to institute and maintain seizure precautions in this client? You Selected:

Keep the suction equipment readily available.

A pregnant client in her third trimester is diagnosed with supine hypotension syndrome. What would the nurse instruct the client to do? You Selected:

Lie laterally, preferably on the left side.

A 19-year-old female client has been diagnosed with pelvic inflammatory disease (PID) caused by untreated gonorrhea. Which instructions should the nurse offer when caring for the client? Select all that apply.

Limit the number of sex partners. Complete the antibiotic therapy. Avoid douching vaginal area.

A client is preparing to leave the clinic after her first prenatal visit. What is important for the woman to do before she leaves the office? You Selected:

Make a follow-up appointment.

A woman develops gestational diabetes. Which assessment should she make daily? You Selected:

Measure serum for glucose level by a finger prick.

A nurse is providing care to a client diagnosed with genital/vulvovaginal candidiasis. As part of the client's plan of care, the nurse would teach the client about which medication?

Miconazole

A nurse is assessing a client in her seventh month of pregnancy who has an artificial valve prosthesis. The client is taking an oral anticoagulant to prevent the formation of clots at the valve site. Which of the following nursing interventions is most appropriate in this situation? You Selected:

Observe the client for signs of petechiae and premature separation of the placenta

The nurse is caring for an Rh-negative nonimmunized client at 14 weeks' gestation. What information would the nurse provide to the client?

Obtain Rho(D) immune globulin at 28 weeks' gestation.

A 32-year-old gravida 3 para 2 at 36 weeks' gestation comes to the obstetric department reporting abdominal pain. Her blood pressure is 164/90 mm/Hg, her pulse is 100 beats per minute, and her respirations are 24 per minute. She is restless and slightly diaphoretic with a small amount of dark red vaginal bleeding. What assessment should the nurse make next? You Selected:

Palpate the fundus, and check fetal heart rate.

The nurse is caring for a 2-day-old newborn whose mother was diagnosed with cytomegalovirus during the first trimester. On which health care provider prescription should the nurse place the priority? You Selected:

Perform a hearing screen test.

A young client who has just learned that she is pregnant admits that she is a frequent heroin user. Which of the following interventions would be the most effective for this client?

Refer the client to a methadone maintenance program

When assessing a woman with an ectopic pregnancy, the nurse would suspect that the tube has ruptured based on which finding? You Selected:

Referred shoulder pain

A nurse is assessing a male client recently diagnosed with genital herpes. Which finding would most likely correlate with this diagnosis?

Reports of itching, tingling and pain in genital area

A woman who has sickle cell anemia asks the nurse if her infant will develop sickle cell disease. The nurse would base the answer on which information? You Selected:

Sickle cell anemia is recessively inherited.

A client has been informed that the result of her pregnancy test indicates that she is 3 weeks' pregnant. Which instructions should the nurse give the client in regard to her condition? You Selected:

Stop using drugs, alcohol, and tobacco.

A client is 20 weeks pregnant. At a prenatal visit, the nurse begins the prenatal assessment. Which finding would necessitate calling the primary care provider to assess the client? You Selected:

The client has pink vaginal discharge and pelvic pressure.

In returning to the hospital floor after a weekend off, the nurse takes over care of a pregnant client who is resting in a darkened room. The client is receiving betamethasone and magnesium sulfate. What could the nurse deduce from those findings?

The client is suffering from severe preeclampsia, and the care team is attempting to prevent advancement of the disorder to eclampsia; they are attempting to help the baby's lungs mature quickly so that they can have the baby be born as soon as possible.

A woman and her partner present at her first antenatal obstetrics appointment. She is 6 weeks pregnant. Her blood tests show that she is Rh negative, although she has not previously known this. She has no other children but suspects that she miscarried early in a pregnancy 2 years before. She felt fine afterward, so she never received medical attention for that suspected episode. Her partner reports that he is also Rh negative. What action will the nurse be likely to take? You Selected:

The nurse will perform all normal procedures and follow-up tasks because the Rh status of the client and the child are not a concern at this time.

While the nurse is weighing a pregnant woman at a regularly scheduled OB visit, the client reports vaginal itching, a great deal of foamy yellow-green discharge, and pain during intercourse. She says this is her first pregnancy and she did not know this was what happened. What can the nurse tell her? You Selected:

This is not normal for pregnancy; the care provider might test her for trichomoniasis. If it is trichomoniasis, she can be treated with an oral dose of metronidazole. She should call immediately if she has any symptoms that do not seem normal to her.

If a nurse fails to report child maltreatment, she can face a fine, jail time, or loss of nursing licensure.

True

A young mother gives birth to twin boys who shared the same placenta. What serious complication are they at risk for? You Selected:

Twin-to-twin transfusion syndrome (TTTS)

A client in her third trimester reports to the nurse shortness of breath when sleeping. The nurse informs the client that this is normal and occurs because the growing fetus puts pressure on the diaphragm. Which measure should the nurse suggest to help alleviate this problem? You Selected:

Use extra pillows.

A community health nurse is presenting to group of adolescents on how to reduce their risks of contracting sexually transmitted infections (STIs). The nurse feels confident learning has taken place when the participants identify which as the best preventative measure?

Using latex condoms during sexual activity

A nurse is reviewing the medical record of a client diagnosed with bacterial vaginosis. The nurse identifies which criterion as necessary for this diagnosis? (Select all that apply.)

Vaginal pH greater than 4.5 Positive whiff test Clue cells present on wet mount

During a clinical rotation at a prenatal clinic, a client asks a nurse what causes certain birth defects. The nurse replies that they can be caused by teratogens. What does the severity of the defects depend on? Select all that apply.

When during development the conceptus is exposed to the teratogen The particular teratogen to which the fetus is exposed

A community health nurse is conducting a class on sexually transmitted infections (STIs). She states that "STIs are discriminatory." What would the nurse most likely use to support this statement? SATA

Women are diagnosed with two thirds of the new cases of STIs annually." "After only a single exposure, women are twice as likely as men to acquire STIs." "Certain infections can be transmitted to the newborn."

The nurse is transcribing messages from the answering service. Which phone message should the nurse return first? You Selected:

a 35-year-old, 21-week G3P2 client with blood pressure of 160/110 mm Hg, blurred vision, and whose last blood pressure was 143/99 mm Hg and urine dipstick showed a +2 proteinuria

The results of a woman's quadruple marker screen show that her alpha-fetoprotein (AFP) blood level is more than twice the value of the mean for that gestational age. The nurse recognizes that this finding is most strongly associated with: You Selected:

a neural tube disorder.

The nurse is caring for a woman in a prenatal clinic who thinks she might be pregnant. Which assessment is a probable sign of pregnancy? You Selected:

a positive pregnancy test

A client visits a health care facility reporting amenorrhea for 10 weeks, fatigue, and breast tenderness. Which additional signs and symptoms suggest the presence of molar pregnancy? Select all that apply. You Selected:

absence of fetal heart sound hyperemesis gravidarum elevated hCG levels

A pregnant woman who is HIV-positive comes to the labor and birth unit in labor. When developing the plan of care for this client, which intervention would be most important for the nurse to include? You Selected:

adhering to standard precautions

A woman in the second trimester of pregnancy reports that she is "tired all the time." She appears pale and her hematocrit, though within the normal range, is low. Which recommendation would be most helpful for this woman? You Selected:

an iron supplement

A nurse is caring for a pregnant client. The initial interview reveals that the client is accustomed to drinking coffee at regular intervals. For which increased risk should the nurse make the client aware? You Selected:

anemia

A woman who is Rh negative asks the nurse how many children she will be able to have before Rh incompatibility causes them to die in utero. The nurse's best response would be that:

as long as she receives RhoGAM, there is no limit.

A woman who is Rh negative asks the nurse how many children she will be able to have before Rh incompatibility causes them to die in utero. The nurse's best response would be that: You Selected:

as long as she receives RhoGAM, there is no limit.

A pregnant woman is admitted to the hospital with a diagnosis of placenta previa. Which action would be the priority for this woman on admission? You Selected:

assessing fetal heart tones by use of an external monitor

A nurse is caring for a pregnant client with heart disease in a labor unit. Which intervention is most important in the first 48 hours postpartum? You Selected:

assessing for cardiac decompensation

A client is admitted at 22 weeks' gestation with advanced cervical dilatation to 5 centimeters, cervical insufficiency, and a visible amniotic sac at the cervical opening. What is the primary goal for this client at this point?

bed rest to maintain pregnancy as long as possible

A pregnant woman in her 39th week of pregnancy presents to the clinic with a vaginal infection. She tests positive for chlamydia. What would this disease make her infant at risk for? You Selected:

blindness

During a prenatal visit, the nurse inspects the skin of the client's abdomen. Which would the nurse identify as an abnormal finding? You Selected:

bruising

Which compound would the nurse have readily available for a client who is receiving magnesium sulfate to treat severe preeclampsia? You Selected:

calcium gluconate

A pregnant client in her 22nd week of gestation arrives at the health care facility reporting excessive vaginal bleeding and absence of fetal movements. She is diagnosed as having second trimester fetal loss. What would the nurse anticipate as the cause of second trimester fetal loss? You Selected:

cervical incompetence

A woman with a positive history of genital herpes is in active labor. She has small pin-point vesicles in the perineum area. Her membranes are ruptured, she is dilated 5cm, effaced 70%. The nurse should anticipate which type of birth? You Selected:

cesarean

A nurse is teaching a group of pregnant young women about sexually transmitted infections (STIs) and the possible effects that may occur in the fetus or newborn. Which STIs would the nurse describe as being transmitted to the newborn during birth? Select all that apply.

chlamydia gonorrhea genital herpes HIV

What are the two fetal membranes

chorion and amnion

When providing counseling on early pregnancy loss, the nurse should discuss which factor as the most common cause for spontaneous abortion? You Selected:

chromosomal abnormality

Which type of genetic test would be used to detect the possibility of Down syndrome? You Selected:

chromosomal analysis

A pregnant client with a history of heart disease has been admitted to a health care center reporting breathlessness. The client also reports shortness of breath and easy fatigue when doing ordinary activity. The client's condition is markedly compromised. The nurse would document the client's condition using the New York Heart Association (NYHA) classification system as which class? You Selected:

class III

Before beginning the initial prenatal examination, a nurse should instruct a client to complete what procedure before undressing? You Selected:

clean catch urine

Assessment of a pregnant woman and her fetus reveals tachycardia and hypertension. There is also evidence suggesting vasoconstriction. The nurse would question the woman about use of which substance? You Selected:

cocaine

A 16-year-old girl comes to the public health office and tells the nurse she is pregnant. She is afraid to tell her parents. What is important for a nurse to know in order to properly inform this girl? You Selected:

community resources for the pregnant teen

A young sexually active woman asks the nurse what type of birth control would help prevent sexually transmitted infections as well as pregnancy. Which type would the nurse recommend? You Selected:

condom

A pregnant woman with diabetes at 10 weeks' gestation has a glycosylated hemoglobin (HbA1c) level of 13%. At this time the nurse should be most concerned about which possible fetal outcome? You Selected:

congenital anomalies

A nurse is conducting a presentation for a group of pregnant women about measures to prevent toxoplasmosis. The nurse determines that additional teaching is needed when the group identifies which measure as preventive? You Selected:

cooking all meat to an internal temperature of 125° F (52° C)

A client is diagnosed with gestational hypertension and is receiving magnesium sulfate. Which finding would the nurse interpret as indicating a therapeutic level of medication?

deep tendons reflexes 2+

A client is diagnosed with gestational hypertension and is receiving magnesium sulfate. Which finding would the nurse interpret as indicating a therapeutic level of medication? You Selected:

deep tendons reflexes 2+

A nurse is conducting a class for pregnant women with diabetes. Which factor would the nurse emphasize as being most important in helping to reduce the maternal/fetal/neonatal complications associated with pregnancy and diabetes? You Selected:

degree of glycemic control achieved during the pregnancy

A woman is being closely monitored and treated for severe preeclampsia with magnesium sulfate. Which finding would alert the nurse to the development of magnesium toxicity in this client? You Selected:

diminished reflexes

A woman with severe preeclampsia is receiving magnesium sulfate. The woman's serum magnesium level is 9.0 mEq/L. Which finding would the nurse most likely note? You Selected:

diminished reflexes

When caring for a pregnant woman with cardiac problems, the nurse must be alert for signs and symptoms of cardiac decompensation (congestive heart failure), which include: You Selected:

dyspnea, crackles, and irregular weak pulse.

When caring for a pregnant woman with cardiac problems, the nurse must be alert for signs and symptoms of cardiac decompensation (congestive heart failure), which include:

dyspnea, crackles, and irregular weak pulse. Signs of cardiac decompensation to congestive heart failure include crackles in the lungs from fluid, difficulty breathing, and weak pulse from heart exhaustion. The heart rate would not be regular, and a cough would not be dry. The heart rate would increase rather than decrease.

A 28-year-old woman presents in the emergency department with severe abdominal pain. She has not had a normal period for 2 months, but she reports that that is not abnormal for her. She has a history of endometriosis. What might the nurse suggest to the primary care provider as a possible cause of the client's abdominal pain? You Selected:

ectopic pregnancy

A nurse suspects that a client is developing HELLP syndrome. The nurse notifies the health care provider based on which finding?

elevated liver enzymes

A nurse suspects that a client is developing HELLP syndrome. The nurse notifies the health care provider based on which finding? You Selected:

elevated liver enzymes

A woman with a recent incomplete abortion is to receive therapeutic misoprostol. The nurse understands that the rationale for administering this drug is to:

ensure passage of all the products of conception.

A woman with an incomplete abortion is to receive misoprostol. The woman asks the nurse, "Why am I getting this drug?" The nurse responds to the client, integrating understanding that this drug achieves which effect? You Selected:

ensures passage of all the products of conception

A nurse is monitoring a client with PROM who is in labor and observes meconium in the amniotic fluid. What does the observation of meconium indicate? You Selected:

fetal distress related to hypoxia

What is a positive sign of pregnancy? You Selected:

fetal movement felt by examiner

The maternal serum alpha fetoprotein blood test is performed on pregnant women to screen for which condition? You Selected:

fetal neural tube defects

A nurse is conducting an assessment of a woman who has experienced PROM. Which finding would lead the nurse to suspect infection as the cause of a client's PROM? You Selected:

foul odor

A pregnant client has been admitted with reports of brownish vaginal bleeding. On examination there is an elevated hCG level, absent fetal heart sounds, and a discrepancy between the uterine size and the gestational age. The nurse interprets these findings to suggest which condition? You Selected:

gestational trophoblastic disease

A nurse is conducting an in-service presentation to a group of perinatal nurses about sexually transmitted infections and their effect on pregnancy. The nurse determines that the teaching was successful when the group identifies which infection as being responsible for ophthalmia neonatorum? You Selected:

gonorrhea

A client is suspected of having a ruptured ectopic pregnancy. Which assessment would the nurse identify as the priority? You Selected:

hemorrhage

A nurse assesses a 32-year-old primigravida client with twin gestation in her second trimester. The client reports constipation from iron supplements. Which condition should the nurse assess for in this client as a result of the constipation? You Selected:

hemorrhoids

A pregnant client with mitral stenosis needs to begin taking an anticoagulant. The nurse identifies the drug of choice, which is used in early pregnancy and again during the last month of pregnancy, to be which medication? You Selected:

heparin

After teaching a pregnant woman about the hormones produced by the placenta, the nurse determines that the teaching was successful when the woman identifies which hormone produced as being the basis for pregnancy tests? You Selected:

human chorionic gonadotropin (hCG)

A nurse is providing care to a client who has been diagnosed with a common benign form of gestational trophoblastic disease. The nurse identifies this as: You Selected:

hydatidiform mole.

Which changes in pregnancy would the nurse identify as a contributing factor for arterial thrombosis, especially for the woman with atrial fibrillation? You Selected:

hypercoagulable state

A nurse is conducting a class on gestational diabetes for a group of pregnant women who are at risk for the condition. The nurse determines that additional teaching is needed when the class identifies which complication as affecting the neonate? You Selected:

hyperglycemia

A pregnant 36-year-old woman has presented to the emergency department with vaginal bleeding. While reviewing the client's history, the nurse suspects placenta previa when which risk factors are found in her record? Select all that apply. You Selected:

infertility treatment advancing maternal age smoking previous induced surgical abortion

Which change in blood pressure (BP) assessment findings during the second trimester indicate the highest risk for preeclampsia?

initial BP 100/70 mm Hg; current BP 140/90 mm Hg

Which change in blood pressure (BP) assessment findings during the second trimester indicate the highest risk for preeclampsia? You Selected:

initial BP 100/70 mm Hg; current BP 140/90 mm Hg

When educating a client about pregestational diabetes on how to control blood sugar, the nurse knows there are three main facets to glycemic control. In addition to diet and exercise, which is a main facet? You Selected:

insulin

A nursing instructor is teaching students about anemia during pregnancy. Which type of anemia does the instructor teach students is most prevalent during pregnancy? You Selected:

iron-deficiency anemia

Which condition is the most common cause of anemia in pregnancy? You Selected:

iron-deficiency anemia

A pregnant woman with sickle cell anemia comes to the emergency department in crisis. Which finding would the nurse expect? Select all that apply. You Selected:

joint pain fever

Which change in insulin is most likely to occur in a woman during pregnancy? You Selected:

less effective than normal

When teaching a class of pregnant women about the effects of substance use during pregnancy, the nurse would include which effect? You Selected:

low-birthweight infants

A pregnant client whose diabetes has been poorly controlled throughout her pregnancy is in labor. The nurse would assess the neonate closely at birth for which condition? You Selected:

macrosomia

A pregnant woman at 14 weeks' gestation who has preexisting diabetes mellitus visits her primary care provider for a check up. Which fetal complications might occur because of this maternal condition? Select all that apply. You Selected:

macrosomia (oversized fetus) congenital malformations respiratory disorder

A woman develops gestational diabetes. Which self-assessment should the woman be instructed to make daily? You Selected:

measuring serum for glucose level by a finger prick

A nurse strongly encourages a pregnant client to avoid eating swordfish and tilefish because these fish contain which component? You Selected:

mercury, which could harm the developing fetus if eaten in large amounts

Which medication would the nurse prepare to administer if prescribed as treatment for an unruptured ectopic pregnancy? You Selected:

methotrexate

A pregnant client has a history of asthma. After reveiwing the possible medications that may be prescribed during her pregnancy to control her asthma, the nurse determines additional teaching is needed when the client identifies which drug as being used? You Selected:

misoprostol

A woman who immigrated here from a third world country presents to the clinic to find out if she is pregnant. Which signs and/or symptoms would the nurse assess as possible indicators that she might have an active case of tuberculosis as well? Select all that apply. You Selected:

night sweats anorexia hemoptysis fatigue

A client with hyperemesis gravidarum is admitted to the facility after being cared for at home without success. What would the nurse expect to include in the client's plan of care? You Selected:

nothing by mouth

The nurse is advising a pregnant woman during her first prenatal visit regarding the frequency of future visits. Which schedule is recommended for prenatal care? You Selected:

once every 4 weeks for the first 28 weeks, then every 2 weeks until 36 weeks, and then weekly until the birth

A woman with a history of asthma comes to the clinic for evaluation for pregnancy. The woman's pregnancy test is positive. When reviewing the woman's medication therapy regimen for asthma, which medication would the nurse identify as problematic for the woman now that she is pregnant? You Selected:

oral prednisone

A nurse is assessing a client diagnosed with pelvic inflammatory disease (PID). Which findings would the nurse most likely assess? Select all that apply.

oral temperature of 102 degrees F (39 degrees C) painful urination tenderness with cervical motion negative pregnancy history

The nurse explains to a pregnant client that she will need to take iron during her pregnancy after being diagnosed with iron-deficiency anemia. The nurse suggests that absorption of the supplemental iron can be increased by taking it with which substance? You Selected:

orange juice

The nurse is teaching a pregnant woman with iron deficiency anemia about foods high in iron. Which foods if selected by the woman indicate a successful teaching program? Select all that apply. You Selected:

peanut butter broccoli raisins

A client in her fifth month of pregnancy is having a routine clinic visit. The nurse should assess the client for which common second trimester condition? You Selected:

physiological anemia

A nurse is conducting a teaching program for pregnant woman who are older than age 35. The nurse explains that although most women in their age group have healthy pregnancies and healthy newborns, they are at increased risk for possible complications. Which complications would the nurse include? Select all that apply. You Selected:

preeclampsia postpartum hemorrhage preterm labor

A woman in labor has sharp fundal pain accompanied by slight vaginal bleeding. What is the most likely cause of these symptoms? You Selected:

premature separation of the placenta

A woman in labor has sharp fundal pain accompanied by slight vaginal bleeding. What would be the most likely cause of these symptoms? You Selected:

premature separation of the placenta

A woman in week 35 of her pregnancy with severe hydramnios is admitted to the hospital. The nurse recognizes that which concern is greatest regarding this client? You Selected:

preterm rupture of membranes followed by preterm birth

A client is admitted to labor and birth for management of severe preeclampsia. An IV infusion of magnesium sulfate is started. What is the primary goal for magnesium sulfate therapy? You Selected:

prevent maternal seizures

A pregnant client has been diagnosed with gestational diabetes. Which are risk factors for developing gestational diabetes? Select all that apply. You Selected:

previous large for gestational age (LGA) infant obesity hypertension

Which two tests are generally performed on urine at a prenatal visit? You Selected:

protein and glucose

The parent has been verbally abusive to the 6-year-old child and belittles the child routinely. In which type of maltreatment is the parent engaging? You Selected:

psychological maltreatment

During a nonstress test, when monitoring the fetal heart rate, the nurse notes that when the expectant mother reports fetal movement, the heart rate increases 15 beats or more above the baseline. The nurse interprets this as: You Selected:

reactive pattern.

Which information on a client's health history would the nurse identify as contributing to the client's risk for an ectopic pregnancy? You Selected:

recurrent pelvic infections

A client with preeclampsia is receiving magnesium sulfate. Which nursing assessment should be ongoing while the medication is being administered? You Selected:

respiratory rate

A woman with diabetes is considering becoming pregnant. She asks the nurse whether she will be able to take oral hypoglycemics when she is pregnant. The nurse's response is based on the understanding that oral hypoglycemics: You Selected:

show promising results, but more studies are needed to confirm their degree of safety.

A black couple presents for a genetic counseling appointment. They are pregnant and are concerned about their child. This couple would have genetic testing for what condition? You Selected:

sickle cell anemia

When assessing a pregnant woman with vaginal bleeding, the nurse would suspect a threatened abortion based on which finding?

slight vaginal bleeding

When assessing a pregnant woman with vaginal bleeding, the nurse would suspect a threatened abortion based on which finding? You Selected:

slight vaginal bleeding

What is the role of the nurse during the preconception counseling of a pregnant client with chronic hypertension? You Selected:

stressing the positive benefits of a healthy lifestyle

Working with pregnant teenagers as a special population requires the nurse to have knowledge of adolescent development. Which factor is crucial for a positive pregnancy and outcome for the mother and fetus? You Selected:

support network

The nurse is assessing a newborn of a woman who is suspected of abusing alcohol. Which newborn finding would provide additional evidence to support this suspicion? You Selected:

thin upper lip

A nurse is assessing a newborn and suspects that newborn may have been exposed to alcohol during gestation. The nurse suspect this based on which newborn findings? Select all that apply. You Selected:

thin upper lip small head circumference limb abnormality

A nurse is performing a nursing assessment on a new client. The woman estimates that she is approximately 16 weeks pregnant. While assessing her the nurse asks her about what appear to be scratch marks on her hands, and she tells the nurse that she has three cats at home. What screening would be prescribed for this woman? You Selected:

toxoplasmosis

A 33-year-old pregnant client asks the nurse about testing for birth defects that are safe for both her and her fetus. Which test would the nurse state as being safe and noninvasive? You Selected:

ultrasound

The nurse is required to assess a client for HELLP syndrome. Which are the signs and symptoms of this condition? Select all that apply. You Selected:

upper right quadrant pain epigastric pain hyperbilirubinemia

A nurse is assessing a client diagnosed with mild preeclampsia. The nurse suspects that the client has developed severe preeclampsia based on which finding? You Selected:

urine output of less than 400 mL/24 hours

A woman at 8 weeks' gestation is admitted for ectopic pregnancy. She is asking why this has occurred. The nurse knows that which factor is a known risk factor for ectopic pregnancy? You Selected:

use of IUD for contraception

Which factors are known to contribute to vaginal yeast infections? Select all that apply.

use of oral contraceptives High hormone levels during pregnancy poorly controlled diabetes recent antibiotic therapy