PrepU CH 12

A pregnant woman asks the nurse about using herbal rememdies while she is pregnant. The nurse recommends that the woman talk with her health care provider about their use based on which understanding?

They are not rated with regard to safety during pregnancy.

The pregnant client is discussing her dietary needs during pregnancy. Which statements indicate a correct understanding of the intake needed? Select all that apply.

"At least 8 glasses of water daily is needed to maintain hydration." "Taking in at least 1000 mg of calcium daily is important during pregnancy." "Taking my daily iron supplement is key to my pregnancy's health."

A 27-year-old client is in the first trimester of an unplanned pregnancy. She acknowledges that it would be best if she were to quit smoking now that she is pregnant, but states that it would be too difficult given her 13 pack-year history and circle of friends who also smoke. She asks the nurse, "Why exactly is it so important for me to quit? I know lots of smokers who have happy, healthy babies." What can the nurse tell the client about the potential effects of smoking in pregnancy?

"Babies of women who smoke tend to weigh significantly less than other infants."

An older female pregnant with her first child develops some pain in her legs associated with warmth to touch. Suspecting a blood clot, an ultrasound is presribed and a peripheral venous thrombosis is diagnosed. Which intervention was likely prescribed for this woman?

"Buy and wear medical support hose every day."

A pregnant woman notices that sometimes her heart beat is irregular when she is lying down resting on her back. The provider suspects she is experiencing low blood pressure. Which intervention would the health care provider suggest to the woman to prevention this from occurring? Select all that apply.

"Change positions slowly to allow pooled blood to reenter the circulation slowly." "Try sleeping and resting on your side with a small pillow between the knees."

A primigravida who is 40 weeks' pregnant thinks she may be in labor. She calls the nurse and reports that she has had 10 contractions in the last hour. She says that they are mildly painful and last 45 seconds. What is the best response from the nurse?

"Did your water break? Do you feel the baby moving?"

A pregnant woman at her first prenatal visit asks the nurse if it is safe to have sex during her pregnancy. Which client statement alerts the nurse to the need for further teaching?

"I should substitute intercourse with nonsexual touch to avoid harming the fetus."

A client who is 32 weeks gestation tells the nurse that she has been experiencing shortness of breath when walking up the steps at home. She is concerned that something is wrong. What is the nurse's best response?

"The enlarging uterus pushes against your diaphragm and this makes breathing shallow"

The maternal health nurse is caring for a pregnant client who reports breast tenderness. Which statement(s) will the nurse include when teaching the client about breast self-care? Select all that apply.

"Wash your nipples with clear tap water and no soap." "Colostrum may appear in your second trimester."

A newly pregnant client says that she has heard that her nipples will leak milk during the pregnancy. The nurse should tell the client that she may begin to express colostrum from her nipples by how many weeks' gestation?

16 to 20

A 35-year-old client has been told to keep her pulse rate below 140 bpm during workouts because she pregnant. This means that the client will be working roughly what percentage of the suggested pulse rate?

75%

A woman who has just found out that she is pregnant tells the nurse that she takes docusate sodium (colace). The nurse identifies this drug as a category C medication. Which information best reflects the nurse's understanding of this category?

Animal studies have shown an adverse effect on the fetus, but no adequate studies have been done in humans. Pregnancy risk is unknown.

What instruction should a nurse offer to a pregnant client or a client who wishes to become pregnant to help her avoid exposure to teratogenic substances?

Avoid medications.

Which teaching strategy would be most appropriate when educating a primapara about the changes that will occur during her pregnancy?

Be selective about the information provided and include those points most relevant to this particular client.

A nurse is teaching a group of primigravida woman who are in their first trimester. One of the women asks the nurse about sexual activity during pregnancy. Which information would the nurse most likely incorporate into the response?

Because of pelvic congestion, women may experience increased clitoral sensitivity.

A client has consumed a large quanity of fish during pregnancy and expressed concern about the unborn child. What can mercury exposure during pregnancy cause?

Brain and neurologic abnormalities in the fetus

All of the following are premonitory signs of labor EXCEPT

Chadwick's sign

A client wants to know if she can engage in intercourse during pregnancy. Which information should the nurse confirm to ensure that sexual intercourse or orgasm is not contraindicated in the client? Select all that apply.

Client is not at risk for preterm labor. Client does not face a risk of threatened abortion.

Blood mixed with mucus seeping from the vagina in the late third trimester is abnormal and should be reported to the physician immediately.

False

A primapara woman has been asking about all the minor body changes she has been experiencing over the first 3 months like nausea, fatigue, breast tenderness, constipation, and abdominal discomfort. The clinic nurse responsible for the documentation related to this woman's reports has identified which diagnosis to be the most relevant in this scenario?

Health-seeking behaviors

A nurse is giving a prenatal class on teratogens that have an affinity for specific body tissues. Which teratogen is accurately paired with the specific body tissue affected?

Mercury attacks the nervous tissue.

The maternal health nurse is caring for a pregnant client with poor dental hygiene habits. Which pregnancy complication does the nurse correlate with the client's habit?

Preterm birth

A primigravida client has come to the clinic for a prenatal checkup. What teaching topics would help to promote a healthy pregnancy for this client?

Swimming in a pool is a recommended exercise during pregnancy.

A nurse working in an OB clinic meets a female who is 4 to 6 weeks pregnant. Lab results reveal she is positive for syphilis, so she is treated with IM penicillin. Later in the pregnancy, she is retested, and her serum titer results continue to increase. How should the nurse interpret these results?

The female has been reinfected with syphilis.

Which change in the breasts should a nurse recognize as a normal change associated with pregnancy?

Tingling sensations and tenderness

A client in her third trimester reports to the nurse shortness of breath when sleeping. The nurse informs the client that this is normal and occurs because the growing fetus puts pressure on the diaphragm. Which measure should the nurse suggest to help alleviate this problem?

Use extra pillows.

After teaching a woman about healthy lifestyle behaviors during pregnancy, the nurse determines that the teaching was successful based on which statement by the woman about traveling during pregnancy? Select all that apply.

When traveling by car or plane, I need to get up every 1 to 2 hours to prevent clots in my legs." "There isn't any risk associated with air travel, other than being away from my primary provider."

A community health nurse is teaching a group of clients about the zika virus. Which statements by the clients indicate to the nurse that the teaching was effective? Select all that apply.

Zika can be transmitted by mosquitoes, sexual activity, and blood exposure. A pregnant woman with zika may have a baby with microcephaly and other congenital anomalies. It is best for men who have been exposed to zika to wait six months before attempting conception. There is no treatment for newborns with zika, but they will have supportive care based on the defects.

Which pregnant woman should consult with her obstetric provider before continuing an exercise program?

a 33-year-old G5 P1 with a history of incompetent cervix

A woman in her second trimester of pregnancy is beginning to experience more headaches. In addition to suggesting holding an ice pack to the forehead, the health care provider recomends which medication to provide some relief from the pain?

acetaminophen

During the initial clinic visit for a primapara woman, the nurse reviews the topic of constipation during pregnancy when the woman interjects that she has been "straining forcefully" almost on a daily basis. The nurse offers some measures that may help to prevent the occurrence of which complication?

hemorrhoid development that may eventually need surgical repair

A woman in the 34th week of pregnancy says to the nurse, "I still feel like having intercourse with my husband." The woman's pregnancy has been uneventful. The nurse responds based on the understanding that:

it is safe to have intercourse at this time.

A pregnant woman has been diagnosed with pica since she eats lead pain chips for their sweetness. The nurse educating this woman should strongly encourage her to abandon this practice because it may have which consequence to the fetus?

neurological challenges

Which occupation may expose a fetus to environmental hazards? Select all that apply.

nurse anesthetist working in a busy oral surgeon's office oncology nurse working in an outpatient chemotherapy unit nurse working for a pulmonologist who administers inhalation ribavirin routinely to the client

The police have brought a young female to the emergency department after they raided a "crack" house and found this female passed out and bleeding from her "bottom." This female is pregnant and is likely bleeding related to which complication of cocaine use during pregnancy? Select all that apply.

premature dislodgement of the placenta spontaneous miscarriage

As part of a 31-year-old client's prenatal care, the nurse is assessing immunization history. Which immunization is most relevant to ensuring a healthy fetus?

rubella

A woman arrives in the emergency department in active labor. She has not received any prenatal care and reports spending a lot of time in a hot tub to relax. The nurse caring for this woman should prepare for which possible birth defect related to the fetus being exposed to prolonged hyperthermia in a hot tub? Select all that apply.

white, frothy bubbles in baby's mouth coughing or choking during feedings intestines located outside the abdominal wall

A pregnant client reports frequent urination and tells the health care provider that she has stopped drinking water during the day since she cannot take many breaks during work. Which statement by the nurse is most appropriate at this time?

"Fluids are necessary so your blood volume can double, which is normal in pregnancy."

A nurse is educating a primigravida client about the expected changes during pregnancy. Which measure will provide anticipatory guidance about pregnancy?

Avoid wearing high heels, especially during late pregnancy.

The nurse manager is orienting a new nurse in a clinic at the local prison. Which statements should the nurse manager include regarding the care of incarcerated pregnant clients? Select all that apply.

The nurse should discuss contraception as part of prenatal care. Women who are incarcerated are more likely to have a high-risk pregnancy . The food served by the corrections facility may need to be adjusted for the pregnancy. Incarcerated pregnant women need to be screened for the use of tobacco, drugs, and alcohol. Incarcerated pregnant women need to be screened for sexually transmitted infections, including HIV.