Maternal Neonatal Nursing - Antepartum Period

During a health-teaching session, a pregnant client asks the nurse how soon the fertilized ovum becomes implanted in the endometrium. Which answer should the nurse supply? 14 days after fertilization 21 days after fertilization 7 days after fertilization 28 days after fertilization

7 days after fertilization

A client is Rh(D)-negative and D-negative and hasn't formed Rh antibodies. When should the client receive RHO(D) immune globulin (RhoGAM) to prevent isoimmunization? at about 28 weeks' gestation only within 72 hours after birth only at about 28 weeks' gestation and again within 72 hours after birth at about 32 weeks' gestation and again within 24 hours after birth

at about 28 weeks' gestation and again within 72 hours after birth

The nurse is assessing a multigravid client at 12 weeks' gestation who has been admitted to the emergency department with sharp right-sided abdominal pain and vaginal spotting. Which information should the nurse obtain about the client's history? Select all that apply. history of sexually transmitted infections number of sexual partners last menstrual period cesarean section contraceptive use

history of sexually transmitted infections number of sexual partners last menstrual period contraceptive use

A nurse is assessing a client who's 29 weeks pregnant. What is the most cost-effective method for assessing fetal well-being? maternal fetal activity count chorionic villi sampling ultrasonography nonstress test

maternal fetal activity count

A client asks the nurse if it is safe to have sex during the third trimester. How should the nurse respond? "Sex is safe in any trimester." "Sex will start contractions if you're close to your due date." "Don't have sex after 37 weeks, because it may rupture the membranes." "You should avoid sex in the last month of pregnancy to prevent infections."

"Sex is safe in any trimester."

A nurse is developing a teaching plan for a primigravid client who's 2 months pregnant. The nurse should tell the client that fetal movement can be felt beginning at which time? between 10 and 12 weeks' gestation between 18 and 20 weeks' gestation between 21 and 23 weeks' gestation between 24 and 26 weeks' gestation

between 18 and 20 weeks' gestation

The nurse performs a routine prenatal assessment on a client at 35 weeks' gestation and finds vital signs: blood pressure 138/88 mm Hg, pulse 82/min, respirations 18/min, temperature 99.1° F (37.3° C). Which statement is most appropriate for the nurse to make at this time? "Your pulse is low. Do you exercise a lot?" "Your blood pressure is slightly high. I will check it again before you leave." "You have a slight temperature. Do you feel hot?" "Your vital signs are all normal. I will document them on your chart."

"Your blood pressure is slightly high. I will check it again before you leave."

A 26-year-old primigravida visiting the prenatal clinic for her regular visit at 34 weeks' gestation tells the nurse that she takes mineral oil for occasional constipation. What should the nurse should instruct the client to do? Take the mineral oil with fruit juice to increase the action of the mineral oil. Avoid mineral oil because it interferes with the absorption of fat-soluble vitamins. Avoid mineral oil because it can lead to vitamin C deficiency in pregnant clients. Use the mineral oil regularly on a weekly basis to prevent constipation.

Avoid mineral oil because it interferes with the absorption of fat-soluble vitamins.

A primigravid client visits the clinic for a routine examination at 35 weeks' gestation. The client's blood pressure is near the baseline of 120/74 mm Hg with no proteinuria or evidence of facial edema. The client asks the nurse, "What should I take if I get an occasional headache after looking at my computer at work all day?" Which over-the-counter medicine does the nurse consider to be safest for occasional use by a pregnant client with no known risks? acetaminophen aspirin ibuprofen naproxen

acetaminophen

A client who's 7 months pregnant reports severe leg cramps at night. Which nursing action would be most effective in helping the client cope with these cramps? suggesting that she walk for 1 hour twice per day advising her to take over-the-counter calcium supplements twice per day teaching her to dorsiflex her foot during the cramp instructing her to increase milk and cheese intake to 8 to 10 servings per day

teaching her to dorsiflex her foot during the cramp

A client who is 16 weeks pregnant reports many mood swings. Which statement accurately describes estrogen and progesterone levels during this client's stage of pregnancy? Both estrogen and progesterone levels are rising. The estrogen level is much higher than the progesterone level. Both estrogen and progesterone levels are declining. The estrogen level is much lower than the progesterone level.

Both estrogen and progesterone levels are rising.