Maternal Child: Chapter 3
Neural tube defects
A 36 y/o multigravida who is at 14 weeks gestation is scheduled for an alpha-fetoprotein test. She asks the nurse, "What does the alpha-fetoprotein test indicate?" The nurse bases a response on the knowledge that this test can indicate an increased risk for what?
"What activities does your job entail?"
A client at her first prenatal clinic visit is at 6 weeks' gestation. She asks how long she may continue to work and when she should plan to quit. How should the nurse respond?
Sickle cell anemia Alpha-fetoprotein testing for NTDS Routine ultrasound Serum glucose for gestational diabetes Group B streptococcus culture
A client has several tests during pregnancy. Place the tests in order they should be performed during pregnancy.
April 29, 2016
A client tells the nurse that the first day of her last menstrual period was July 22, 2015. What is the estimated date of delivery?
Taking care of a cat
A client who is visiting the prenatal clinic for the first time has a serology test for toxoplasmosis. What information in the client's history indicates to the nurse that there is a need for this test?
Placental perfusion is decreased
A nurse teaches a pregnant woman to avoid lying on her back during labor. What information about the result of lying in the supine position is the basis for the nurse's teaching?
The resulting vasoconstriction affects both fetal and maternal blood vessels
A pregnant client asks the clinic nurse how smoking will affect her baby. What information about cigarette smoking will influence the nurse's response?
"Let's discuss ways to resolve these common problems."
A pregnant client is being prepared for a pelvic examination. She states that she is always tired and feels sick to her stomach, especially in the morning. What is the nurse's best response?
G5 T2 P1 A1 L4
A pregnant client is making her first antepartum visit. She has a 2 y/o son born at 40 weeks, a 5 y/o born at 38 weeks, and 7 y/o twin daughters born at 35 weeks. She had a spontaneous abortion 3 years ago at 10 weeks. Using the GTPAL format, what does the nurse document about the client's obstetric history?
"Have you ever had an internal examination done before?"
At her first prenatal visit, a client says to the nurse, "I guess I'll be having an internal examination today." What is the best response?
Pregnancy is a period of change and adjustment to change
At her first visit to the prenatal clinic, a client tells the nurse she is ambivalent about continuing pregnancy. Why does the nurse conclude that the client is experiencing a crisis?
Consider that someone recorded the gravida and para incorrectly
The nurse reads the history of a neonate admitted to the nursery and discovers that the infant's mother was listed as gravida 1, para 1 before the baby was born. How should the nurse use these data to gather more information?
Elevation of the extremities several times daily is recommended to decrease the dependent edema.
What recommendation should a nurse give to client's who have fluid retention during pregnancy?
Injuries to the breasts and abdomen Partner answers the questions asked of the woman Women has visited the clinic several times in the last months
While caring for a pregnant client and her partner, a nurse suspects domestic violence, which assessments support this suspicion?
