Low risk antepartum chapter 4 NCLEX book

Which finding would the nurse view as normal when evaluation the laboratory reports of a 24-week gestation client? 1. Anemia 2. Thrombocytopenia 3. Polycythemia 4. Hyperbilirubinemia

1. Anemia Anemia is an expected finding.

Because nausea and vomiting are such common complaints of pregnant women, the nurse provides anticipatory guidance to a 6-week gestation client by telling her to do which of the following? 1. Avoid eating greasy foods 2. Drink some orange juice before rising 3. Consume 1 teaspoon of nutmeg each morning 4. Eat 3 large meals plus a bedtime snack

1. Avoid eating greasy foods Greasy foods should be avoided.

The nurse is providing anticipatory guidance to a woman in her second trimester regarding signs/symptoms that are within normal limits during the latter half of pregnancy. Which of the following comments by the client indicates that teaching was successful? (select all) 1. "During the third trimester I may experience frequent urination." 2. "During the third trimester I may experience heartburn." 3. "During the third trimester I may experience nagging backaches." 4. "During the third trimester I may experiences persistent headache." 5. "During the third trimester, I may experience blurred vision."

1. "During the third trimester I may experience frequent urination." 2. "During the third trimester I may experience heartburn." 3. "During the third trimester I may experience nagging backaches." -urinary frequency is seen once lightening, or the descent of the fetus into the pelvis, has occurred -heartburn is a common complaint of pregnant women -backaches are common complaints of pregnant women

The nurse asks a woman about how the woman's husband is dealing with the pregnancy. The nurse concludes that counseling is needed when the woman makes which of the following statements? 1. "My husband is ready for the pregnancy to end so that we can have sex again." 2. "My husband has gained quite a bit of weight during this pregnancy." 3. "My husband seems more worried about our finances now than before the pregnancy." 4. "My husband plays his favorite music for my belly so the baby will learn to like it."

1. "My husband is ready for the pregnancy to end so that we can have sex again." The woman implies that she and her husband are not having sex. There is no need to refrain from sex during a normal pregnancy - so the woman and her husband need further counseling.

18. When assessing the psychological adjustment of an 8-week gravida, which of the following would the nurse expect to see signs of? 1. Ambivalence 2. Depression 3. Anxiety 4. Ecstasy

1. Ambivalence it is common for women to be ambivalent about their pregnancy during the first trimester.

A client enters the prenatal clinic. She states that she believes she is pregnant. Which of the following hormone elevations will indicate a high probability that the client is pregnant? 1. Chorionic gondotropic 2. Oxytocin 3. Prolactin 4. Luteinizing hormone

1. Chorionic gondotropic High levels of the hormone chorionic gonadotropin in the blood stream and urine of the woman is a probably sign of pregnancy.

The nurse has taken a health history on four primigravid clients at their first prenatal visits. It is high priority that which of the clients receives nutrition counseling? 1. The woman diagnosed with phenylketonuria 2. The woman who has Grave's disease 3. The woman with Cushing's syndrome 4. The woman has Myasthenia Gravis.

1. The woman diagnosed with phenylketonuria The client with phenylketonuria (PKU) must receive counseling from a registered dietitian.

The nurse is caring for a pregnant client who is vegan. Which of the following foods should the nurse suggest the client consume as substitutes for restricted foods? 1. Tofu, legumes, broccoli 2. Corn, yams, green beans 3. Potatoes, parsnips, turnips 4. Cheese, yogurt, fish

1. Tofu, legumes, broccoli Tofu, legumes, and broccoli are great substitutes for the restricted foods.

A third-trimester client is being seen for routine prenatal care. Which of the following assessments will the nurse perform during the visit? (select all) 1. Blood glucose 2. Blood pressure 3. Fetal heart rate 4. Urine protein 5. Pelvic ultrasound

2. Blood pressure 3. Fetal heart rate 4. Urine protein -The blood pressure is assessed at each prenatal visit. -The fetal heart rate is assessed at each prenatal visit. Depending on the equipment available, it will be assessed mechanically via Doppler or manually via fetoscope. The fetal heart is audible via Doppler many weeks before it is audible via fetoscope. -Urine protein is performed at each prenatal visit.

A couple is preparing to interview obstetric primary care providers to determine who they will go to for care during their pregnancy and delivery. To make the best choice, which of the following actions should the couple perform first? 1. Take a tour of hospital delivery areas 2. Develop a preliminary birth plan 3. Make appointments with three or four obstetric care providers 4. Search the Internet for the malpractice histories of the providers

2. Develop a preliminary birth plan It is best that a couple first develop a birth plan

A 36-week gestation gravid lies flat on her back. Which of the following maternal signs/symptoms would the nurse expect to observe? 1. Hypertension 2. Dizziness 3. Rales 4. Cholasma

2. Dizziness Dizziness is an expected finding.

A woman in the third trimester advises the nurse that she wishes to breastfeed her baby, "but I don't think my nipples are right." Upon examination, the nurse notes that the client has inverted nipples. Which of the following actions should the nurse take at this time? 1. Advise the client that it is unlikely that she will be able to breastfeed 2. Refer the client to a lactation consultant for advice 3. Call the labor room and notify them that a client with inverted nipples will be admiteed. 4. Teach the woman exercises to evert her nipples

2. Refer the client to a lactation consultant for advice The client should be referred to a lactation consultation

A woman confides in the nurse that she practices pica. Which of the following alternatives could the nurse suggest to the woman? 1. Replace laundry starch with salt 2. Replace ice with frozen fruit juice 3. Replace soap with cream cheese 4. Replace soil with uncooked pie crust

2. Replace ice with frozen fruit juice Fruit juice, although high in sugar, contains vitamins unlike the other options.

The blood of a pregnant client was initially assessed at 10 weeks' gestation and reassessed at 38 weeks' gestation. Which of the following results would the nurse expect to see? 1. Rise in hematocrit from 34-38% 2. Rise in WBC from 5,000 cells/mm3 to 15,000 cells/mm3 3. Rise in potassium from 3.9 to 5.2 mEq/L 4. Rise in sodium from 137 to 150 mEq/L

2. Rise in WBC from 5,000 cells/mm3 to 15,000 cells/mm3 The nurse would expect to see an elevated WBC count.

A nurse has explained the function of amniotic fluid to a client. Which of the following statements by the woman indicates that the teaching was successful? (select all) 1. The fluid provides fetal nutrition 2. The fluid cushions the fetus from injury 3. The fluid enables the fetus to grow 4. The fluid provides the fetus with a stable thermal environment 5. The fluid enables the fetus to practice swallowing

2. The fluid cushions the fetus from injury 3. The fluid enables the fetus to grow 4. The fluid provides the fetus with a stable thermal environment 5. The fluid enables the fetus to practice swallowing amniotic fluid does cushion the fetus from injury -amniotic fluid enables the fetus's limbs and body to move freely so that the baby can grow unencumbered -the amniotic fluid is maintained at the mother's body temperature, providing the fetus with a neutral thermal environment -the fetus does swallow the amniotic fluid while in utero.

The nurse midwife tells a client that the baby is growing and that ballottement was evident during the vaginal examination. How should the nurse explain what the nurse midwife means by ballottement? 1. The nurse midwife saw that the mucous plug was intact 2. The nurse midwife felt that the baby rebound after being pushed. 3. The nurse midwife palpated the fetal parts through the uterine wall 4. The nurse midwife assessed that the baby is head down

2. The nurse midwife felt that the baby rebound after being pushed. This is the definition of ballottement.

A client is 15 weeks pregnant. She calls the obstetric office to request a medication for a headache. The nurse answers the telephone. Which of the following is the nurse's best response? 1. "Because the organ systems in the baby are developing right now, it is risky to take medicine." 2. "You can take any of the over-the-counter medications because they are all safe in pregnancy." 3. "The physician will prescribe a medication for you that has been shown not to cause any fetal injuries 4. the physician will prescribe a rectal suppository because the medicine will not enter your blood stream

3. "The physician will prescribe a medication for you that has been shown not to cause any fetal injuries the physician will prescribe a medication that is safe to take during pregnancy

A client is in the 10th week of her pregnancy. Which of the following symptoms would the nurse expect the client to exhibit? select all that apply. 1. Backache 2. Urinary Frequency 3. Dyspnea on exertion 4. Fatigue 5. Diarrhea

2. Urinary Frequency 4. Fatigue the woman will likely complain of urinary frequency most women complain of fatigue during the first trimester

A client states that she is a strong believer in vitamin supplements to maintain her health. The nurse advises the woman that it is recommended to refrain from consuming excess quantities of which of the following vitamins during pregnancy? 1. Vitamin C 2. Vitamin D 3. Vitamin B2 (niacin) 4. Vitamin B12 (cobalmin)

2. Vitamin D Vitamin D supplementation can be harmful during pregnancy. The other vitamins have shown to not be harmful.

A client is carrying dizygotic twins. She asks the nurse about eh babies. Which of the following explanations is accurate? 1. During a period of rapid growth, the fertilized egg divided completely 2. When the woman ovulated, she expelled two mature ova 3. The babies share one placenta and a common chorion 4. The babies will definitely be the same sex and have the same blood type

2. When the woman ovulated, she expelled two mature ova this is a true statement. dizygotic twins result from two mature ova that are fertilized independently

Which of the following developmental features would the nurse expect to be absent in a 41-week gestation fetus? 1. Fingernails 2. Eyelashes 3. Lanugo 4. Milia

2. eyelashes Because the baby is post-term, lanugo will most likely not be present.

Place the landmarks of fetal development in order 1. Four chambered heart is formed 2. Vernix caseosa is present 3. Blastocyst development is complete 4. Testes have descended into the scrotal sac

3. Blastocyst development is complete 1. Four chambered heart is formed 2. Vernix caseosa is present 4. Testes have descended into the scrotal sac blastocyst is developed about 6 days after fertilization and before implantation in the uterus has occurred. -the four-chambered heart is formed during the early part of the first trimester -vernix caseosa is present during the latter half of pregnancy -the testes descend in the scrotal sac about mid third trimester

A woman provides the nurse with the following obstetrical history: Delivered a son, now 7 years old, at 28 weeks' gestation; delivered a daughter, now 5 years old, at 30 weeks' gestation; had a miscarriage 3 years ago, and had a first-trimester abortion 2 years ago. She is currently pregnant. Which of the following portrays an accurate picture of this woman's gravidity and parity? 1. G4 P2121 2. G4 P1212 3. G5 P1122 4. G5 P2211

3. G5 P1122 this accurately reflects this woman's gravidity and parity-G5 P1122.

After nutrition counseling, a woman, G3 P1101, proclaims that she certainly can't eat any strawberries during her pregnancy. Which of the following is the likely reason for this statement? 1. The woman is allergic to strawberries 2. Strawberries have been shown to cause birth defects 3. The woman believes in old wise tales 4. The premature baby died because the woman ate strawberries

3. The woman believes in old wise tales

A woman is 36 weeks' gestation. Which of the following tests will be done during her prenatal visit? 1. Glucose challenge test 2. Amniotic fluid volume assessment 3. Vaginal and rectal cultures 4. Karyotype analysis

3. Vaginal and rectal cultures Vaginal and rectal cultures are done at approximately 36 weeks' gestation.

A 12-week gestation client tells the nurse that she and her husband eat sushi at least once per week. She states, "I know that fish is good for me, so I want to make sure that we eat it regularly." Which of the following responses is appropriate? 1. "You are correct. Fish is very healthy for you." 2. "You can eat fish, but sushi is too salty to eat during pregnancy." 3. "Sushi is raw. Raw fish is especially high in mercury." 4. "It is recommended that fish be cooked to destroy harmful bacteria."

4. "It is recommended that fish be cooked to destroy harmful bacteria." This is the appropriate response. It is recommended that during pregnancy the client only eats cooked fish.

The nurse takes the history of a client, G2 P1001, at her first prenatal visit. Which of the following statements would indicate that the client should be referred to a genetic counselor? 1. "My first child has cerebral palsy." 2. "My first child has hypertension." 3. "My first child has asthma." 4. "My first child has cystic fibrosis."

4. "My first child has cystic fibrosis." Cystic Fibrosis is an autosomal recessive genetic disease, so the client with a family history of CF should be referred to a genetic counselor.

A client asks the nurse, "Could you explain how the baby's blood and my blood separate at delivery?" Which of the following responses is appropriate for the nurse to make? 1. "When the placenta is born, the circulatory systems separate." 2. "When the doctor clamps the cord, the blood stops mixing." 3. "The separation happens after the baby takes the first breath. The baby's oxygen no longer has to come from you." 4. "The blood actually never mixes. Your blood supply and baby's blood supply are completely separate."

4. "The blood actually never mixes. Your blood supply and baby's blood supply are completely separate." The blood supplies are completely separate.

A vegan is being counseled regarding vitamin intake. It is essential that this woman supplement which of the following B vitamins? 1. B1 (thiamine) 2. B2 (niacin) 3. B6 (pyridoxine) 4. B12 (cobalamin)

4. B12 (cobalamin) Vitamin B12 is found in animal products. Those who take in too little of the vitamin are susceptible to anemia and nervous system disorders. It is also essential for DNA synthesis.

The nurse asks a 31-week gestation client to lie on an examination table during a prenatal examination. In which of the following positions should the client be placed? 1. Orthopenic 2. Lateral-recumbent 3. Sims' 4. Semi-Fowler's

4. Semi-Fowler's the client should be placed in a low, semi-fowler's position, about 15 degrees.

A woman asks the nurse about consuming herbal supplements during pregnancy. Which of the following responses is appropriate? 1. Herbals are natural substances so they are safely ingested during pregnancy 2. It is safe to take licorice and cat's claw, but no other herbs are safe. 3. A federal commission has established the safety of herbals during pregnancy 4. The woman should discuss everything she eats with a health care practitioner

4. The woman should discuss everything she eats with a health care practitioner Every woman should advise her health care practitioner of what she is consuming, including food, medicines, herbals, and other substances. Some herbals are unsafe during pregnancy (licorice and cat's claw)

A client is 35 weeks gestation. Which of the following findings would the nurse expect to see? 1. Nausea and vomiting 2. Maternal ambivalence 3. Fundal height 10 cm above the umbilicus 4. Use of three pillows for sleep comfort

4. Use of three pillows for sleep comfort At 35 weeks, the fundus should be 35 cm above the pubic bone

A client informs the nurse that she is "very constipated." Which of the following foods would be best for the nurse to recommend to the client? 1. Pasta 2. Rice 3. Yogurt 4. Celery

4. celery Celery is an excellent food to reverse constipation. it is a high-fiber food

A woman whose prenatal weight was 105 lb weights 109 lb at her 12 week visit. Which of the following comments by the nurse is appropriate at this time? 1. "We expect you to gain about 1 lb per week, so your weight is a little low at this time." 2. "Most women gain no weight during the first trimester, so I would suggest you eat fewer desserts for the next few weeks." 3. "You entered the pregnancy well underweight, so we should check your diet to make sure you are getting the nutrients you need." 4. "Your weight gain is exactly what we would expect it to be at this time."

1. "We expect you to gain about 1 lb per week, so your weight is a little low at this time." 4. "Your weight gain is exactly what we would expect it to be at this time." weight gain of 0.8 to 1lb per week is expected during the second and third trimesters only. A weight gain is normal for the first trimester.

A antenatal client is informing the nurse of her prenatal signs and symptoms. Which of the following findings would the nurse determine are presumptive signs of pregnancy? (select all) 1. Amenorrhea 2. Breast tenderness 3. Quickening 4. Frequent urination 5. Uterine growth

1. Amenorrhea 2. Breast tenderness 3. Quickening 4. Frequent urination Amenorrhea is a presumptive sign of pregnancy. breast tenderness is a presumptive sign of pregnancy quickening is a presumptive sign of pregnancy frequent urination is a presumptive sign of pregnancy

Which of the following findings in a 8-week gestation client, G2 P1001, should be nursing highlight for the nurse midwife? (select all) 1. Body mass index of 17 kg/mm2 2. Rubella titer of 1:8 3. Blood pressure of 100/60 mm Hg 4. Hematocrit of 30% 5. Hemoglobin of 13.2 g/dL

1. Body mass index of 17 kg/mm2 2. Rubella titer of 1:8 4. Hematocrit of 30% The BMI of 17 is a concern. This client is entering her pregnancy underweight. The rubella titer results should be reported to the nurse midwife. The hematocrit result is below normal.

A nurse is advising a pregnant woman about the danger signs of pregnancy. The nurse should teach the mother that she should notify the physician immediately if she experiences which of the following signs/symptoms? (select all) 1. Convulsions 2. Double vision 3. Epigastric pain 4. Persistent vomiting 5. Polyuria

1. Convulsions 2. Double vision 3. Epigastric pain 4. Persistent vomiting -convulsions are a danger sign of pregnancy -double vision is a danger sign of pregnancy -epigastric pain is a danger sign of pregnancy -persistent vomiting is a danger sign of pregancy

A woman states that she frequently awakes with 'painful leg cramps' during the night. Which of the following assessments should the nurse make? 1. Dietician evaluation 2. Goodell's sign 3. Hegar's sign 4. Posture evaluation

1. Dietician evaluation An evaluation of the client's exercise schedule should be performed.

57. During a prenatal visit, a pregnant client is complaining of ptyalism. Which of the following nursing interventions is appropriate? 1. Encourage the woman to brush her teeth carefully 2. Advise the woman to have her BP check regularly 3. Encourage the woman to wear supportive hosiery 4. Advise the woman to avoid eating rare meat

1. Encourage the woman to brush her teeth carefully Clients who experience ptyalism have an excess of saliva. They should be advised to be vigilant in the care of their teeth and gums. Ptyalism is often accompanied by gingivitis and nausea and vomiting.

The nurse reviews each of the following findings in a 10-week gestation client. Which of the findings would enable the nurse to tell the client that she is positively pregnant? 1. Fetal heart rate via Doppler 2. Positive pregnancy test 3. Positive Chadwick's sign 4. Montgomery gland enlargements

1. Fetal heart rate via Doppler Hearing a fetal heart rate is a positive sign of pregnancy.

A woman has just completed her first trimester. Which of the following fetal structures can the nurse tell the woman are well formed at this time? (select all) 1. Genitals 2. Heart 3. Fingers 4. Alveoli 5. Kidneys

1. Genitals 2. Heart 3. Fingers 5. Kidneys -although not yet clearly visible on ultrasound, the genitalia are formed by the end of the first trimester - the heart is formed by the end of the first trimester - the fingers are formed by the end of the first trimester - the kidneys are formed by the end of the first trimester

A pregnant client is experiencing nausea and vomiting every afternoon. The ingestion of which of the following spices has been show to be a safe complementary therapy for this complaint? 1. Ginger 2. Sage 3. Cloves 4. Nutmeg

1. Ginger Ginger has been shown to be a safe antiemetic agent for pregnant women.

A father experiencing couvade syndrome is likely to exhibit which of the following symptoms/behaviors? (select all) 1. Heartburn 2. Promiscuity 3. Hypertension 4. Bloating 5. Abdominal pain

1. Heartburn 4. Bloating 5. Abdominal pain -Heartburn is a common symptom .-some fathers complain of abdominal bloating -some fathers complain of abdominal pain

A pregnant woman reports she has never been vaccinated for any illness. an injection to prevent which of the following communicable diseases should be administered to the woman during her pregnancy? 1. Influenza 2. Mumps 3. Rubella 4. Varicella

1. Influenza The woman should receive the influenza injection. The nasal spray, however, should not be administered to a pregnant woman.

A nurse is working in the prenatal clinic. Which of the following findings seen in third-trimester pregnant women would the nurse consider to be within normal limits? (select all) 1. Legs cramps 2. Varicose veins 3. Hemorrhoids 4. Fainting spells 5. Lordosis

1. Legs cramps 2. Varicose veins 3. Hemorrhoids 5. Lordosis -although annoying, leg cramps are not pathological -varicose veins are normal, although client teaching may be needed -hemorrhoids are normal, although client teaching may be needed -lordosis, or change in the curvature of the spine, is normal, although client teaching may be needed.

Why is it essential that women of child bearing age be counseled to plan their pregnancies? 1. Much of the organogensis occurs before the missed menstrual period. 2. Insurance companies must preapprove many prenatal care expenditures. 3. It is recommended that women be pregnant to more than 3 times during their lifetime. 4. The cardiovascular system is stressed when pregnancies are less than 2 years apart

1. Much of the organogenesis occurs before the missed menstrual period. Organogensis begins prior to the missed menstrual period.

A client with an obstetrical history of gravida GI P0000, is having her first prenatal physical examination. Which of the following assessments should the nurse inform the client that she will have that day? 1. Pap Smear 2. Mammogram 3. Glucose Challenge Test 4. Biophysical Profile 5. complete blood count

1. Pap Smear 5. Complete Blood Count the client will have a Pap smear done a complete blood count will be performed

Which of the following vital sign changes should the nurse highlight for a pregnant woman's obstetrician? 1. Prepreg BP 100/60 and third trimester BP 140/90 2. Prepreg RR 16 rpm and third trimester RR 22 rpm 3. Prepreg HR 76 bpm and third trimester HR 88 bpm 4. Prepreg T 98.6 and third trimester T 99.2

1. Prepreg BP 100/60 and third trimester BP 140/90 The blood pressure should not elevate during pregnancy. this change should be reported to the healthcare practitioner

A 40-week gestation client, Bishop score 1, is advised by her nurse midwife to take the evening primrose daily. The office nurse advises the client to report which of the following side effects that has been attributed to the oil? 1. Skin rash 2. Pedal edema 3. Blurred vision 4. Tinnitus

1. Skin rash Evening primrose has been shown to cause skin rash in some woman.

A gravid (pregnant) woman and her husband inform the nurse that they have just moved into a three-story home that was built in the 1930s. Which of the following is critical for the nurse to advise the woman to protect the unborn child? 1. Stay out of any rooms that are being renovated 2. Drink water only from the hot water tap 3. Refrain from entering the basement 4. Climb the stairs only once per day

1. Stay out of any rooms that are being renovated This is correct. Water and paint needs to be tested for lead. The basement is fine to go into and the stairs are fine to go up and down.

A pregnant client's fundal height is noted to be at the xiphoid process. The nurse is aware that which of the following fetal changes is likely to be occurring at the same time in the pregnancy? 1. Surfactant is formed in the fetal lungs 2. Eyes being to open and close 3. Respiratory movements begin 4. Spinal column is completely formed

1. Surfactant is formed in the fetal lungs Surfactant is usually formed in the fetal lungs by the 36th week.

The nurse is teaching a couple about fetal development. Which statement by the nurse is correct about the morula stage of development? 1. The fertilized egg has yet to implant into the uterus 2. The lung fields are finally completely formed 3. The sex of the fetus can be clearly identified 4. The eyelids are unfused and can open and close.

1. The fertilized egg has yet to implant into the uterus In the morula stage, about 2-4 days after fertilization, the fertilized egg has not yet implanted into the uterus.

A nurse is discussing diet with a pregnant woman. Which of the following foods should the nurse advise the client to avoid consuming during her pregnancy? 1. Bologna 2. Cantaloupe 3. Asparagus 4. Popcorn

1. bologna Bologna should not be consumed during pregnancy unless it is thoroughly cooked.

A nurse who is providing nutrition counseling to a new pregnant client, advises the woman that a serving of meat is approximately equal in size to which of the following items? 1. Deck of cards 2. Paperback book 3. Clenched fist 4. Large tomato

1. deck of cards This is an accurate statement. A serving of meat - typically 2-3 oz is approximately equal to a deck of cards.

A pregnant client's primary healthcare provider has ordered a 100-gram glucose solution for a 3-hour oral glucose tolerance test (OGTT) to test the client for gestational diabetes. the nurse is providing pre-procedure counseling to the client. which of the following must the client do? select all that apply 1. fast for 8 to 16 hours prior to the test 2. Bring a first void urine specimen to the laboratory for testing 3. consume a solid sugar cube immediately upon awakening 4. drink 16 ounces of water 1 hour prior to the test 5. smoke no cigarettes the day of the test

1. fast for 8 to 16 hours prior to the test 5. smoke no cigarettes the day of the test women must fast for a minimum of 8 hours and a maximum of 16 hours prior to the test smoking on the morning of the test can alter the results

A pregnant client is lactose intolerant. Which of the following foods could this woman consume to meet her calcium needs? 1. Turnip Greens 2. Green beans 3. Cantaloupe 4. Nectarines

1. turnip greens Turnip greens are high in calcium

A client at 26-weeks gestation calls the triage nurse stating, "I'm really scared. I tried not to but I had an orgasm when we were making love. I just know that I will go into preterm labor now." Which of the following responses by the nurse's appropriate? 1. "Lie down and drink a quart of water. If you feel any back pressure at all call me back right away." 2. "Although oxytocin was responsible for your orgasm, it is very unlikely that it will stimulate preterm labor." 3. "I will inform the doctor for you. What I want you to do is to come to the hospital right now to be checked." 4. "The best thing for you to do right now is to take a warm shower, and then do a fetal kick count assessment."

2. "Although oxytocin was responsible for your orgasm, it is very unlikely that it will stimulate preterm labor." This is an accurate statement. An orgasm does not generally lead to preterm labor

A client, in the third trimester, is concerned that she will not know the difference between labor contractions and normal aches and pains of pregnancy. How should the nurse respond? 1. "Don't worry. You'll know the difference when the contractions start." 2. "The contractions may feel like a backache, but they will come and go." 3. "Contractions are a lot worse than your pregnancy aches and pains." 4. "I understand. You don't want to come to the hospital before you are in the labor."

2. "The contractions may feel like a backache, but they will come and go." This statement is correct. labor contractions often begin in the back. the pain comes and goes rhythmically

A client enters the prenatal clinic. She states that she missed her period yesterday and used a home pregnancy test this morning. She states that the results were negative but "I still think I am pregnant." Which of the following statements would be appropriate for the nurse to ask at this time? 1. "Your period is probably just irregular." 2. "We could do a blood test to check." 3. "Home pregnancy test results are very accurate." 4. "My recommendation would be to repeat the test in one week."

2. "We could do a blood test to check." Serum pregnancy tests are more sensitive than urine tests.

The nurse is interviewing a 38-week gestation Muslim woman. Which of the following questions would be inappropriate for the nurse to ask? 1. "Do you plan to breastfeed your baby?" 2. "What do you plan to name the baby?" 3. "Which pediatrician do you plan to use?" 4. "How do you feel about having an episiotomy?"

2. "What do you plan to name the baby?" It is inappropriate to ask the Muslim client about the name of her baby.

A 16-year old, GI P000, is 10-weeks pregnant. She is being seen for a prenatal visit. She tells the nurse that she felt the baby move in the morning. which of the following responses by the nurse is appropriate? 1. "That is very exciting. The baby must be very healthy." 2. "Would you please describe what you felt for me?" 3. "That is impossible. The baby is not big enough yet." 4. "Would you please let me see if I can feel the baby?"

2. "Would you please describe what you felt for me?" the nurse should query the young woman about what she felt

Which of the following choices can the nurse teach a prenatal client about a 1 oz nonmeat serving of protein? 1. 2 tbsp peanut butter 2. 1 egg 3. 1 cup cooked lima beans 4. 3 ounces of mixed nuts

2. 1 egg 1 egg = 1 oz nonmeat serving of protein

A nurse is discussing the serving sizes in the grains food group with a new prenatal client. Which of the following foods equals 1 oz serving size from the grain group? (select all) 1. 1 bagel 2. 1 slice of bread 3. 1 cup of cooked pasta 4. 1 tortilla 5. 1 cup dry cereal

2. 1 slice of bread 4. 1 tortilla 5. 1 cup dry cereal 1 slice of bread= one 1oz serving 1 tortilla= one 1 oz serving 1 cup of dry cereal = one 1 oz serving

A client who has seen in the prenatal clinic at 20 weeks' gestation weighed 128 lb at that time. Approximately how many pounds would the nurse expect the client to weight at her next visit at 24 weeks' gestation? 1. 129-130 lb 2. 131-132 lb 3. 133-134 lb 4. 135-136 lb

2. 131-132 lb The woman would be expected to weight 131-132. At this stage of pregnancy, the woman is expected to gain about 0.8-1 lb a week.

The nurse working in an outpatient obstetric office assesses four clients who are pregnant for the first time. Which of the client findings should the nurse highlight for the physician? 1. 17 weeks gestation, denies feeling fetal movement 2. 24 weeks gestation, fundal height of the umbilicus 3. 27 weeks gestation, salivates excessively 4. 34 weeks gestation, experiences uterine cramping 5. 37 weeks gestation, complains of hemorrhoidal pain

2. 24 weeks gestation, fundal height of the mbilicus 4. 34 weeks gestation, experiences uterine cramping -The fundal height at 24 weeks should be 4 cm above the umbilicus. The fundal height at the level of the umbilicus is expected at 20 weeks gestation. -The woman may be going into preterm labor. reports of uterine contractions must always be taken seriously

A client who is 6 weeks pregnant, is having a pelvic examination. Which of the following would the nurse practitioner expect to find? 1. Thin cervical muscle 2. An enlarged ovary 3. Thick cervical muscles 4. Pale pink vaginal wall

2. An enlarged ovary The primary healthcare provider would expect to palpate an enlarged ovary.

The nurse is assessing the laboratory report of a 40-week gestation client. Which of the following values would the nurse expect to find elevated about pre-pregnancy levels? (select all) 1. Glucose 2. Fibrinogen 3. Hematocrit 4. Bilirubin 5. White blood cells

2. Fibrinogen 5. White blood cells Fibrinogen levels will be elevated slightly in a 40-week pregnant woman because coagulation factors like fibrinogen increase to help prevent excessive blood loss during delivery. A 40-week pregnant woman's white blood cell count will be elevated above normal as a means of protecting her body (and ultimately the fetus) from infection.

A 36-week gestation client is complaining of dyspnea when lying flat. Which of the following is the likely clinical reason for this complaint? 1. Maternal hypertension 2. Fundal height 3. Hydramnios 4. Congestive Heart Failure

2. Fundal height The fundal height is the likely cause of the woman's dyspnea.

The nurse is caring for a prenatal client who states that she is prone to developing anemia. Which of the following foods should the nurse advise the gravida is the best source of iron? 1. Raisins 2. Hamburger 3. Broccoli 4. Molasses

2. Hamburger Hamburger contains the most iron.

It is discovered that a pregnant woman practices pica. Which of the following complications is most often associated with this behavior? 1. Hypothyroidism 2. Iron-deficiency anemia 3. Hypercalcemia 4. Overexposure to zinc

2. Iron-deficiency anemia Iron - deficiency anemia is often seen in clients who engage in pica.

A woman who is seen in the prenatal clinic is found to be 8 weeks pregnant. She confides to the nurse that her baby may be prematurely damaged because she had 5 beers the night she had sex. Which response is appropriate? 1. I would let the doctor know if I were you. 2. It is unlikely that the baby was affected 3. Abortions during the first trimester are very safe 4. An ultrasound will tell you if the baby was affected

2. It is unlikely that the baby was affected This statement is true.

A mother has just experienced quickening. Which of the following developmental changes would the nurse expect to occur at the same time in the woman's pregnancy? 1. Fetal heart begins to beat 2. Lanugo covers the fetal body 3. Kidneys secrete urine 4. Fingernails begin to form

2. Lanugo covers the fetal body Lanugo does not cover fetal body at approximately 20 weeks gestation.

The nurse plans to provide anticipatory guidance to a 10 week gravid client who is being seen in the prenatal clinic. Which of the following information should be a priority for the nurse to provide? 1. Pain management during labor 2. Methods to relieve backaches 3. Breastfeeding positions 4. Characteristics of a newborn

2. Methods to relieve backaches it is appropriate for the nurse to provide anticipatory guidance regarding methods to relieve back pain

An 18-week gestation client telephones the obstetrician's office stating, "I'm really scared. I think I have breast cancer." My breasts are filled with tumors." The nurse should base the response on which of the following? 1. Breast cancer is often triggered by pregnancy 2. Nodular breast tissue is normal during pregnancy 3. The woman is exhibiting signs of a psychotic break 4. Anxiety attacks are especially common in the second trimester

2. Nodular breast tissue is normal during pregnancy Nodular breast tissue is normal in pregnancy. the client is likely feeling these normal changes during her self breast exam.

Which of the following exercises should be taught to a pregnant woman who complains of backaches? 1. Kegel exercises 2. Pelvic tilting 3. Leg lifting 4. Crunching

2. Pelvic tilting The pelvic tilt is an exercise that can reduce backache pain.

A woman tells the nurse that she would like suggestions for alternate vitamin C sources because she isn't very fond of citrus fruits. Which of the following suggestions is appropriate? 1. Barley and brown rice 2. Strawberries and potatoes 3. Buckwheat and lentils 4. Wheat flour and figs

2. Strawberries and potatoes Strawberries and potatoes are excellent sources of vitamin C, as are zucchini, blueberries, kiwi, green beans, and green peas.

When analyzing the need for health teaching of prenatal multigravida, the nurse should ask which of the following questions? 1. "What are the ages of your children?" 2. "What is your marital status?" 3. "Do you ever drink alcohol?" 4. "Do you have any allergies?"

3. "Do you ever drink alcohol?" alcohol use is important information to determine a prenatal client's health teaching needs

A 20-year old client states that the at-home pregnancy test that she took this morning was positive. Which of the following comments by the nurse is appropriate at this time? 1. "Congratulations, you and your family must be so happy." 2. "Have you told the baby's father yet?" 3. "How to you feel about the results." 4. "Please tell me when your last menstrual period was."

3. "How to you feel about the results." It is important for the nurse to ask the young woman how to feels about being pregnant. She may decide on now to continue with the pregnancy.

A client asks the nurse what was meant when the provider told her she had a positive Chadwick's sign. Which of the following information about the finding would be appropriate for the nurse to convey at this time? 1. "It is a purplish stretch mark on your abdomen." 2. "It means that you are having heart problems." 3. "It is a bluish coloration of your cervix and vagina." 4. "It means the doctor heard abnormal sounds when you breathed in."

3. "It is a bluish coloration of your cervix and vagina." A positive Chadwick's sign means that the client's cervix and vagina are a bluish color. This is a probably sign of pregnancy.

19. A client makes the following statement after finding out that her pregnancy test is positive. "This is not a good time. I am in college and the baby will be due during final exams." Which of the following responses by the nurse would be most appropriate at this time? 1. "I'm absolutely positive that everything will turn out all right." 2. "I suggest that you e-mail your professors to set up an alternate plan." 3. "It sounds like you are feeling a little overwhelmed right now." 4. "You and the baby's father will find a way to get through the pregnancy."

3. "It sounds like you are feeling a little overwhelmed right now." acknowledging the presence of overwhelming feelings is the best comment. it acknowledges the concerns that the client is having

When assessing the fruit intake of a pregnant client, the nurse notes that the client usually eats 1 piece of fruit per day and drinks a 12 oz glass of fruit juice per day. Which of the following is the most important communication for the nurse to make? 1. "You are effectively meeting your daily fruit requirements." 2. "Fruit juices are excellent sources of folic acid." 3. "It would be even better if you were to consume more whole fruits and less fruit juice." 4. "Your fruit intake far exceeds the recommended daily fruit intake."

3. "It would be even better if you were to consume more whole fruits and less fruit juice." It is recommended that pregnant clients eat whole fruits rather than consume large quantities of fruit juice. This is the most important statement for the nurse to make

A 34-week gestation woman calls the obstetric office stating, "Since last night I have had three nosebleeds." Which of the following responses by the nurse is appropriate? 1. "You should see the doctor to make sure you are not becoming severely anemic." 2. "Do you have a temperature?" 3. "One of the hormones of pregnancy makes the nasal passages prone to bleeds." 4. "Do you use any inhaled drugs?"

3. "One of the hormones of pregnancy makes the nasal passages prone to bleeds." This is accurate. Hormonal changes in pregnancy make the nasal passages prone to bleeding.

A nurse is providing diet counseling to a new prenatal client. Which of the following dairy products should the client be advised to avoid eating during pregnancy? 1. Vanilla yogurt 2. Parmesan cheese 3. Gorgonzola cheese 4. Chocolate milk

3. Gorgonzola cheese Gorgonzola cheese should be avoided because it is a soft cheese and contains an organism that causes listeriosis.

The following for changes occur during preganancy. Which of them usually increases the father's interest and involvement in the pregnancy? 1. Learning the results of the pregnancy test 2. Attending childbirth education classes 3. Hearing the fetal heartbeat 4. Meeting the obstetrician or midwife

3. Hearing the fetal heartbeat Hearing the fetal heartbeat often increases father's interests in their partner's pregnancies.

A 75-gram oral glucose tolerance test (OGTT) is ordered at or after 24 weeks' gestation for a pregnant client to assess her physiological response to which of the following pregnancy hormones? 1. Estrogen 2. Progesterone 3. Human placental lactogen 4. Human chorionic gonadotropin

3. Human placental lactogen Human placental lactogen is an insulin antagonist.

A pregnant woman informs the nurse that her last normal menstrual period was on September 20, 2012. Using Naegle's rule, the nurse calculates the client's estimated date of delivery as: 1. May 30, 2022 2. June 20, 2022 3. June 27, 2022 4. July 3, 2022

3. June 27, 2022 The estimated date of delivery is June 27, 2022.

Which of the following skin changes should the nurse highlight for a pregnant woman's health care practitioner? 1. Linea nigra 2. Melasma 3. Petechiae 4. Spider nevi

3. Petechiae Petechiae are pinpoint red or purple spots on the skin. They are seen in hemorrhagic conditions.

A nurse midwife has advised a 40-weeks gestation gravid to take evening primrose oil 2,500 mg daily as a complementary therapy. This suggestion was made because evening primrose has been shown to perform which of the following actions? 1. Relieve back pain 2. Improve development of colostrum 3. Ripen the cervix 4. Reduce the incidence of hemorrhoids

3. Ripen the cervix Evening primrose converts to a prostaglandin substance in the body. Prostaglandins are responsible for readying the cervix for dilation.

The nurse discusses sexual intimacy with a pregnant couple. Which of the following should be included in the teaching plan? 1. Vaginal intercourse should cease by the beginning of the third trimester 2. Breast fondling should be discouraged because of the potential for preterm labor 3. The couple may find it necessary to experiment with alternate positions 4. Vaginal lubricant should be used sparingly throughout the pregnancy

3. The couple may find it necessary to experiment with alternate positions With increasing size of the uterine body, the couple may need counseling regarding alternate options for sexual intimacy.

An ultrasound of a fetus's heart shows that normal fetal circulation is occurring. Which of the following statements should the nurse interpret as correct in relation to the fetal circulation? 1. The foramen ovale is a hole between the ventricles 2. The umbilical vein contains O2 poor blood 3. The right atrium contains both oxygen rich and oxygen poor blood 4. The ductus venosus lies between the aorta and pulmonary artery

3. The right atrium contains both oxygen rich and oxygen poor blood The right atrium does contain both oxygen rich and oxygen poor blood.

A multigravid client is 22 weeks pregnant. Which of the following symptoms would the nurse expect the client to exhibit? 1. Nausea 2. Dyspnea 3. Urinary frequency 4. Leg cramping

4. Leg cramping Leg cramping is often a complaint of clients in the second trimester.

A 37-week gravid client states that she noticed a "white liquid" leaking from her breasts during a recent shower. Which of the following nursing responses is appropriate at this time? 1. Advise the woman that she may have a galactocele 2. Encourage the woman to pump her breasts to stimulate an adequate milk supply 3. Assess the liquid because breast discharge is diagnostic of a mammary infection. 4. Reassure the mother that this is normal in the third trimester

4. Reassure the mother that this is normal in the third trimester It is normal for colostrum to be expressed late in pregnancy. it can be a number of colors, including whitish, yellowish, reddish, and brownish.

a client with newly diagnosed type 2 diabetes mellitus is seeking preconception counseling. which of the following assessments can the nurse anticipate that the provider will monitor to reduce the risk of the identified complications? select two a. glycosylated hemoglobin b. blood pressure c. weight d. pre-prandial blood sugar assessments

a. glycosylated hemoglobin d. pre-prandial blood sugar assessments the maternal HgbA1c level reflects the average maternal blood sugars over a 3-month period of time to indicate glycemic control. if the level is high, the client may be advised to delay pregnancy until the levels are within a more normal range in order to avoid fetal cardiac defects the mother's pre-prandial blood sugar readings may be assessed to determine appropriate interventions

the nurse is reading an article that states that the maternal mortality rate in the United States in the year 2020 was 14. which of the following statements would be an accurate interpretation of the statement? a. in the year 2020, there were 14 maternal deaths in the United States per 100,000 live births b. in the year 2020, there were 14 maternal deaths in the United States per 100,000 women of childbearing age. c. in the year 2020, there were 14 maternal deaths in the United states per 100,000 pregnancies d. in the year 2020, there were 14 maternal deaths in the United States per 100,000 women in the country

a. in the year 2020, there were 14 maternal deaths in the United States per 100,000 live births this statement is correct. the maternal mortality rate is the number of deaths of women as a result of the childbearing period per 100,000 live births

A woman delivers a stillborn baby that has lanugo covering the entire body, nails that are present on the fingers and toes, but eyes that are still fused. prior to the death, the mother stated that she had felt quickening. based on this information, the nurse knows that the baby is about how many weeks' gestation? a. 15 weeks b. 22 weeks c. 29 weeks d. 36 weeks

b. 22 weeks this fetus is about weeks' gestation. quickening occurs by week 20. it generally is felt first, between weeks 16 and 18. nails start to develop in the first trimester, and lanugo starts to develop at about 20 weeks, but eyes remain fused until about 29 weeks

a client with newly diagnosed type 2 diabetes mellitus is seeking preconception counseling. specify two interventions the nurse should recommend to the client as a way to reduce the risks of the identified complication. select two a. regular blood pressure monitoring b. carbohydrate counting c. regular exercise d. support stockings

b. carbohydrate counting c. regular exercise carbohydrate counting can help to reduce hyperglycemia and maintain normoglycemia to prevent fetal cardiac defects regular exercise can contribute to normoglycemia

a client with newly diagnosed type 2 diabetes mellitus is seeking preconception counseling. before actively trying to become pregnant, the client is strongly encouraged to stabilize her blood glucose to reduce the possibility of her baby developing which of the following? a. port wine stain b. cardiac defect c. hip dysplasia d. intussusception

b. cardiac defect maternal hyperglycemia can contribute to fetal cardiac defects

a pregnant client is counseled by her primary healthcare provider to have a vaccination during her third trimester of pregnancy. the client questions the healthcare provider's recommendation. which of the following statements would be appropriate for the nurse to give the client? a. when received during pregnancy, the rotavirus vaccine helps to prevent dehydration in newborns b. if you receive the tetanus, diphtheria, and acellular pertussis vaccine, your baby will be protected against whooping cough. c. when received during pregnancy, the human papillomavirus vaccine helps to prevent newborns from acquiring the sexually transmitted infection d. if you receive the varicella vaccine, your baby will be protected from the chickenpox virus.

b. if you receive the tetanus, diphtheria, and acellular pertussis vaccine, your baby will be protected against whooping cough. this statement is correct. the centers for disease control and prevention (CDC) recommends the administration of the Tdap vaccine to all pregnant women during the third trimester to provide their neonates with passive immunity to whooping cough

a nurse is providing health education to a group of women who are planning to become pregnant. which of the following actions should the nurse advise the women to take throughout their pregnancies? select all that apply a. the women should avoid consuming well done meat b. the women should avoid traveling to locations where the Zika virus is endemic c. the women should engage in a daily exercise program d. the women should drink beer and wine instead of spirits like whiskey and vodka

b. the women should avoid traveling to locations where the Zika virus is endemic c. the women should engage in a daily exercise program -this statement is true. throughout their pregnancies, women should avoid traveling to locations where the Zika virus is endemic. - this statement is true. Women should engage in a daily exercise program throughout their pregnancies.