MAT for suc ANT

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 is appropriate?

"Although oxytocin was responsible for your orgasm, it is very unlikely that it will stimulate preterm labor." 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? -- Develop a preliminary birth plan.

A 16-year-old, G1 P0000, is 10 weeks pregnant. She is being seen for a prenatal visit. She tells the nurse that she felt the baby move that morning. Which of the following responses by the nurse is appropriate?

"Can you describe what you felt?"

When analyzing the need for health teaching of a prenatal client who is a multigravida, the nurse should ask which of the following questions?

"Do you ever drink alcohol?"

A woman is at 36 weeks' gestation. Which of the following tests will be done during her prenatal visit?

Vaginal and rectal cultures.

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?

"How do you feel about that?"

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?

"If you receive the tetanus, diphtheria, and acellular pertussis vaccine, your baby will be protected against whooping cough."

The nurse is teaching a couple about fetal development. Which statement by the nurse is correct about the morula stage of development?

"The fertilized egg has yet to implant into the uterus."

Which of the following choices can the nurse use to teach a prenatal client about a 1 oz nonmeat serving of protein?

1 egg.

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 the pregnancy. Which of the following comments by the client indicates that teaching was successful? Select all that apply.

"During the third trimester I may experience frequent urination." "During the third trimester I may experience heartburn." "During the third trimester I may experience nagging backaches."

A client at 12 weeks' gestation 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 make sure we eat it regularly." Which of the following responses by the nurse is appropriate?

"It is recommended that fish be cooked to destroy harmful bacteria."

A woman who is seen in the prenatal clinic is found to be 8 weeks pregnant. She confides to the nurse that she is afraid her baby may be "permanently damaged because I had at least five beers the night I had sex." Which of the following responses by the nurse would be appropriate?

"It is unlikely that the baby was affected."

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?

"It sounds like you're feeling a little overwhelmed right now."

Why is it essential that women of childbearing age be counseled to plan their pregnancies?

Much of the organogenesis occurs before the missed menstrual period.

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?

Surfactant is formed in the fetal lungs.

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?

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

A client in her 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?

"The contractions may feel just like a backache, but they will come and go."

A client is 15 weeks pregnant. She calls her obstetrical provider's office to request medication for a headache. The nurse answers the telephone. Which of the following is the nurse's best response?

"The physician will prescribe a medication for you that has been shown not to cause any fetal injuries."

A woman whose prenatal weight was 105 pounds weighs 109 pounds at her 12-week visit. Which of the following comments by the nurse is appropriate at this time?

"We expect you to gain about 1 lb per week, so your weight is a little low at this time." "Your weight gain is exactly what we would expect it to be at this time."

49. The nurse is interviewing a Muslim client at 38 weeks' gestation. Which of the following questions could be inappropriate for the nurse to ask?

"What do you plan to name the baby?"

Which of the following exercises should be taught to a pregnant woman who complains of backaches?

2. Pelvic tilting.

A pregnant client is experiencing nausea and vomiting every afternoon. The ingestion of which of the following spices has been shown to be a safe complementary therapy for this complaint?

Ginger.

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?

Celery.

A father experiencing couvade syndrome is likely to exhibit which of the following symptoms/behaviors? Select all that apply.

Heartburn. Bloating. Abdominal pain.

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?

The woman diagnosed with phenylketonuria.

A nurse is discussing the serving sizes in the grains food group with a new prenatal client. Which of the following foods equals a 1 oz serving from the grain group? Select all that apply.

1 slice of bread. 1 tortilla. 1 ounce dry cereal.

Because nausea and vomiting are such common complaints of pregnant women, the nurse provides anticipatory guidance to a client at 6 weeks' gestation by telling her to do which of the following?

1. Avoid eating greasy foods.

A nurse is working in the prenatal clinic. Which of the following findings seen in third-trimester clients would the nurse consider to be within normal limits? Select all that apply.

1. Leg cramps. 2. Varicose veins. 3. Hemorrhoids. 5. Lordosis.

A client who was seen in the prenatal clinic at 20 weeks' gestation weighed 128 lbs at that time. Approximately how many pounds would the nurse expect the client to weigh at her next visit at 24 weeks' gestation?

131 to 132 lb. A client at 18 weeks' gestation 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? --2. Nodular breast tissue is normal during pregnancy. A woman states that she frequently awakens with "painful leg cramps" during the night. Which of the following assessments should the nurse make? --The woman's exercise schedule.

A woman in her third trimester indicates 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?

2. Refer the client to a lactation consultant for advice.

The certified nurse midwife has just palpated the fundal height at the location noted on the picture below. It is likely that the client is how many weeks pregnant?

20.

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?

22 weeks.

The following four changes occur during pregnancy. Which of them usually increases the father's interest and involvement in the pregnancy?

3. Hearing the fetal heartbeat.

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?

3. Human placental lactogen.

A multigravid client is 22 weeks pregnant. Which of the following symptoms would the nurse expect the client to exhibit?

Leg cramping.

When assessing the psychological adjustment of a client at 8 weeks' gestation, which of the following would the nurse expect to see signs of?

Ambivalence.

An 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 that apply.

Amenorrhea. Breast tenderness. Quickening. Frequent urination.

A client who is 6 weeks pregnant is having a pelvic examination. Which of the following would the primary healthcare provider expect to find?

An enlarged ovary.

Below are four important landmarks of fetal development. Please place them in chronological order:

Blastocyst development is complete Four-chambered heart is formed. Vernix caseosa is present. Testes have descended into the scrotal sac.

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 that apply.

Blood pressure. Fetal heart rate. Urine protein.

Which of the following findings in a client at 8 weeks' gestation with an obstetrical history of G2 P1001, should the nurse highlight for the nurse midwife? Select all that apply.

Body mass index of 17 kg/m2. Rubella titer of 1:8. Hematocrit of 30%.

A woman asks the nurse about consuming herbal supplements during pregnancy. Which of the following responses is appropriate?

The woman should discuss everything she eats with a healthcare practitioner.

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?

Chorionic gonadotropin.

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 that apply.

Convulsions. Double vision. Epigastric pain. Persistent vomiting.

The nurse plans to provide anticipatory guidance to a client at 10 weeks' gestation who is being seen in the prenatal clinic. Which of the following information would be appropriate for the nurse to provide?

Methods to relieve backaches.

Which finding would the nurse view as normal when evaluating the laboratory reports of a client at 34 weeks' gestation?

Mild anemia.

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?

Deck of cards.

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?

Develop a preliminary birth plan.

A client at 36 weeks' gestation is lying flat on her back. Which of the following maternal signs/symptoms would the nurse expect to observe?

Dizziness.

During a prenatal visit, a pregnant client is complaining of ptyalism. Which of the following nursing interventions is appropriate?

Encourage the woman to brush her teeth carefully.

The nurse reviews each of the following findings in a client at 10 weeks' gestation. Which of the findings would enable the nurse to tell the client that she is positively pregnant?

Fetal heart rate via Doppler.

A client at 18 weeks' gestation 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? Nodular breast tissue is normal during pregnancy.

Nodular breast tissue is normal during pregnancy.

A client with an obstetrical history of G1 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? Select all that apply.

Pap smear. Complete blood count.

Which of the following skin changes should the nurse highlight for a pregnant woman's healthcare practitioner?

Petechiae.

Which of the following vital sign changes should the nurse highlight for a pregnant woman's obstetrician?

Pre-pregnancy blood pressure (BP) 100/60 and third trimester BP 140/90.

A client at 37 weeks' gestation 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?

Reassure the mother that this is normal in the third trimester.

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.

The women should avoid traveling to locations where the Zika virus is endemic. The women should engage in a daily exercise program.

The nurse is caring for a pregnant client who is a vegan. Which of the following foods should the nurse suggest the client consume as substitutes for restricted foods?

Tofu, legumes, broccoli.

A pregnant client is lactose intolerant. Which of the following foods could this woman consume to meet her calcium needs?

Turnip greens.

A woman states that she frequently awakens with "painful leg cramps" during the night. Which of the following assessments should the nurse make?

--The woman's exercise schedule.

A vegan client is being counseled regarding vitamin intake. It is essential that this woman supplement her intake of which of the following B vitamins?

B12 (cobalamin).

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?

"My husband is ready for the pregnancy to end so that we can have sex again."

A client at 34 weeks' gestation calls the obstetric office stating, "Since last night I have had three nosebleeds." Which of the following responses by the nurse is appropriate?

"One of the hormones of pregnancy makes the nasal passages prone to bleeding."

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?

Vitamin D.

A client is carrying dizygotic twins. She asks the nurse about the babies. Which of the following explanations is accurate?

When the client ovulated, she expelled two mature ova.

When assessing the fruit intake of a pregnant client, the nurse notes that the client usually eats one 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?

"It would be even better if you were to consume more whole fruits and less fruit juice."

The nurse takes the history of a new client at her first prenatal visit. Her obstetrical history is G2 P1001. Which of the following statements would indicate that the client should be referred to a genetic counselor?

"My first child has cystic fibrosis."

It is discovered that a pregnant woman practices pica. Which of the following complications is most often associated with this behavior?

Iron-deficiency anemia.

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? Select all that apply.

24 weeks' gestation

A client is at 35 weeks' gestation. Which of the following findings would the nurse expect to see?

Fundal height 35 cm above the symphysis pubis.

A client at 36 weeks' gestation is complaining of dyspnea when lying flat. Which of the following is the likely clinical reason for this complaint?

Fundal height.

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?

G5 P1122.

After nutrition counseling, a woman with an obstetrical history of G3 P1101, states emphatically that she certainly won't eat any strawberries during her pregnancy. Which of the following is the likely reason for this statement?

The woman believes in old wives' tales.

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.

Urinary frequency. Fatigue.

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 the pregnancy?

Gorgonzola cheese. 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 that apply. --The fluid cushions the fetus from injury. The fluid enables the fetus to grow. The fluid provides the fetus with a stable thermal environment. The fluid enables the fetus to practice swallowing.

The nurse is caring for a prenatal client who states she is prone to developing anemia. Which of the following foods should the nurse advise the client is the best source of iron?

Hamburger.

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?

In the year 2020, there were 14 maternal deaths in the United States per 100,000 live births.

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?

Influenza.

A pregnant woman informs the nurse that her last normal menstrual period was on September 20, 2021. Using Nagele's rule, the nurse calculates the client's estimated date of delivery as:

June 27, 2022.

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?

Lanugo covers the fetal body.

Which of the following developmental features would the nurse expect to be absent in a 41-week gestation fetus?

Lanugo.

The nurse discusses sexual intimacy with an expectant couple. Which of the following should be included in the teaching plan?

The couple may find it necessary to experiment with alternate positions.

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 that apply.

The fluid cushions the fetus from injury. The fluid enables the fetus to grow. The fluid provides the fetus with a stable thermal environment. The fluid enables the fetus to practice swallowing.

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 make at this time?

"We could do a blood test to check."

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?

The nurse midwife felt the baby rebound after being pushed.

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?

"It is a bluish coloration of your cervix and vagina."

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?

Bologna.

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.

Fast for 8 to 16 hours prior to the test. Smoke no cigarettes the day of the test.

The nurse is assessing the laboratory report of a client at 40 weeks' gestation. Which of the following values would the nurse expect to find elevated above pre-pregnancy levels? Select all that apply.

Fibrinogen. Hematocrit.

A woman has just completed her first trimester of pregnancy. Which of the following fetal structures can the nurse tell the woman are well formed at this time? Select all that apply.

Genitals. Heart. Fingers. Kidneys.

A woman confides in the nurse that she practices pica. Which of the following alternatives could the nurse suggest to the woman?

Replace ice with frozen fruit juice.

A nurse midwife has advised a client at 40 weeks' gestation 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?

Ripen the cervix.

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?

Rise in white blood cells from 5,000 cells/mm3 to 15,000 cells/mm3.

The nurse asks a client at 31 weeks' gestation to lie on the examining table during a prenatal examination. In which of the following positions should the client be placed?

Semi-Fowler.

A client at 40 weeks' gestation with a Bishop score of 1, is advised by her nurse midwife to take evening primrose daily. The office nurse advises the client to report which of the following side effects that has been attributed to the oil?

Skin rash.

A 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?

Stay out of any rooms that are being renovated.

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?

Strawberries and potatoes.

An ultrasound of a fetal 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?

The right atrium contains both oxygen-rich and oxygen-poor blood.