Maternal Child Chapter 3
A client tells the nurse that her first day of her last menstrual period was July 22, 2015. What is the estimated date of delivery?
April 29, 2016
The nurse reads the history of a neonate admitted to the nursery and discoveries 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?
Determine whether there was fetal losses
What recommendation should a nurse give to clients who have fluid retention during pregnancy?
Elevate the lower extremities
A client is making her first antepartum visit. She has a 2-year-old son born at 40 weeks, a 5-year-old daughter born at 38 weeks, and 7-year-old twin daughters born at 35 weeks. She has a spontaneous abortion 3 years ago at 10 weeks. Using the GTPAL format, what does the nurse document about the client's obstetric history?
G5 T2 P1 A1 L4
At her first prenatal visit, a client says to the nurse, "I guess I'll be having an internal examination today". What is the nurse's best response?
Have you ever had internal examination done before?
A pregnant client is being prepared for pelvic examination. She states that she is always tired and feels sick to her stomach, especially in the morning. What is the nurse's best response?
Let's discuss ways to resolve these common problems
A 36-year-old multigravida what 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 the response on knowledge that this test can indicate an increased risk of what?
Neural tube defects
A nurse teaches a pregnant woman to avoid lying on her back during labor. What information about the result of lying in the supine position is the basis for the nurse's teaching?
Placental diffusion is decreased
At her first visit to the prenatal clinic, a client tells the nurse she is ambivalent about continuing the pregnancy. Why does the nurse conclude that the client is experiencing a crisis?
Pregnancy is a period of change and adjustment to change.
A client has several tests during pregnancy. Place the tests in the order they should be performed during pregnancy,
Sickle cell screening -----> Alpha-fetoprotein testing for neural tube defects -----> Routine ultrasound -----> Serum glucose for gestational diabetes -----> Group B streptococcus culture
A pregnant client asks the clinic nurse how smoking will affect her baby. What information about cigarette smoking will be influence the nurse's response?
The resulting vasoconstriction affects both fetal and maternal blood vessels.
A client who is visiting a 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?
Using chemical cleaners
A client is at her first prenatal clinic visit is at 6 weeks' gestation. She asks how long may she continue to work and when should she plan to quit. How should the nurse respond?
What activities does your job entail
While caring for a pregnant client and her partner, a nurse suspects domestic violence. Which assessments support this suspicion?
Woman has injuries to the breast and abdomen Partner answers questions that are asked of the women Women has visited the clinic several times in the last month