Quiz #3 OB
A nurse is assessing a pregnant woman in her last trimester. Which question would be most appropriate to use to gather information about weight gain and fluid retention?
"How swollen do your ankles appear before you go to bed?
A pregnant woman is flying across the country to visit her family. After teaching the woman about traveling during pregnancy, which statement indicates that the teaching was successful?
"I'll get up and walk around the airplane about every 2 hours."
A client is about 16 weeks' pregnant and is concerned because she feels her "abdomen" contracting. She calls the primary care provider's office and speaks to the nurse. What is the nurse's most appropriate response to this client's concern?
"What you are feeling are called Braxton Hicks contractions. They are considered practice contractions during pregnancy."
A nurse measures a pregnant woman's fundal height and finds it to be 28 cm. The nurse interprets thisto indicate that the client is at how many weeks' gestation?
28wks
The nurse is counseling a client with a BMI of 23 about weight gain during pregnancy. The nurse teaches the client that during the second and third trimester of pregnancy, dietary intake should be increase by how many calories per day above what she was eating prior to the pregnancy?
300 extra calories (2nd and 3rd trimester) for normal BMI
The nurse obtains a human chorionic gonadotropin (hCG) level from a woman who thinks that she is pregnant. Which result would the nurse identify as a positive pregnancy result?
32 mIU/mL (32 IU/L) -anything above 25 is positive
A client who is 4 months pregnant is at the prenatal clinic for her initial visit. Her history reveals she has 7-year-old twins who were born at 34 weeks' gestation, a 2-year-old son born at 39 weeks' gestation, and a spontaneous abortion (miscarriage) 1 year ago at 6 weeks' gestation. Using the GTPAL method, the nurse would document her obstetric history as:
4 1 1 1 3
A woman comes to the prenatal clinic for an evaluation because she thinks that she may be pregnant. The nurse is assisting the health care provider with the vaginal examination. The exam reveals a vaginal mucosa and cervix that are bluish-purple in color. Based on this information, the nurse suspects that the client is most likely how many weeks pregnant?
6 wks
At her 16-week checkup, a client's blood pressure is slightly decreased from her prepregnancy level. The nurse evaluates this change based on which statements concerning blood pressure during pregnancy?
A decrease in blood pressure in the second trimester may occur because of placental growth
A pregnant woman in her second trimester tells the nurse, "I've been passing a lot of gas and feel bloated." Which suggestion would be helpful for the woman a? Select all that apply.
A. "Watch how much beans and onions you eat." C. "Try exercising a little more." D. "Some say that eating mints can help." E. "Cut down on your intake of cheeses."
A pregnant woman is scheduled for chorionic villus sampling a . biTrbh .ce omn /tu e r ss t e is describing the procedure and the potential for complications. When providing care to the client after the testing, the nurse would be alert for which complication as the most common? Select all that apply
A. vaginal bleeding B. cramping
Presumptive signs of pregnancy (5)
Absence of menstruation consistent nausea, fatigue, breast tenderness urinary frequency,
A nurse is conducting a class for a group of pregnant women in their first trimester about the emotional responses that occur during pregnancy. Which response would the nurse identify as being seen commonly during the second trimester?
Acceptance
A 17-year-old client arrives for an annual examination and reports no changes since the last exam; however, the nurse assesses a positive Chadwick sign, slightly enlarged uterus, and subsequent positive urine pregnancy test. Which task should the nurse prioritize to assist this client who is denying any possibility that she is pregnant?
Accepting the pregnancy
During a routine antepartal visit, a pregnant woman reports a white, thick vaginal discharge. What would the nurse do next?
Ask the woman if she is having any itching or irritation.
Which change related to the vital signs is expected in pregnant women?
BP decrease
When describing perinatal education to a pregnant woman and her partner, the nurse emphasizes which goal as the primary one?
Provide knowledge and skills to actively participate in birth and parenting.
When developing a plan of care, the nurse needs to make which assessments for a pregnant client with a BMI of 18.3? Select all that apply.
assess for maternal fatigue assess for poor fetal growth assess for preterm labor
A woman is at 20 weeks' gestation. The nurse would expect to find the fundus at which area?
at the level of the umbilicus
The nurse is examining a woman who came to the clinic because she thinks she is pregnant. Which data collected by the nurse are presumptive signs of her pregnancy? (3)
breast changes amenorrhea morning sickness
Which assessment finding in the pregnant woman at 12 weeks' gestation should the nurse find most concerning? The inability to:
detect fetal heart sounds with a Doppler
Which effect would the nurse identify as a normal physiologic change in the renal system due to pregnancy?
dilation of the renal pelvis
A nurse is monitoring a client's hCG levels because she has had a previous ectopic pregnancy and one spontaneous abortion. Which finding would the nurse interpret as indicating that the pregnancy is progressing appropriately?
doubling of the level every 2 to 3 days
After teaching a class of newly pregnant women about the many changes the female body undergoes during pregnancy, the nurse determines that the teaching was successful when the class identifies which hormones as being secreted by the placenta? (3)
estrogen relaxin hCG
A pregnant client states she was unable to breastfeed her last child because her breasts did not produce milk. She desires to breastfeed this child. Which hormones would the nurse monitor to during this pregnancy?
estrogen and human placental lactogen (hPL)
A pregnant woman needs an update in her immunizations. Which vaccination would the nurse ensure that the woman receives?
hep B
A pregnant woman has a rubella titer drawn on her first prenatal visit. The nurse explains that this test measures:
immunity to German measles
Which change in the musculoskeletal system would the nurse mention when teaching a group of pregnant women about the physiologic changes of pregnancy?
increased lordosis
The nurse is explaining the latest laboratory results to a pregnant client who is in her third trimester. After letting the client know she is anemic, which heme iron-rich foods should the nurse encourage her to add to her diet?
meats
Many changes occur in the body of a pregnant woman. Some of these are changes in the integumentary system. What is one change in the integumentary system called?
melasma (chloasma) -aka facial mask
A nurse strongly encourages a pregnant client to avoid eating swordfish and tilefish because these fish contain which component?
mercury, which could harm the developing fetus if eaten in large amounts
The nurse is assessing the latest laboratory results of a pregnant client who is at 17 weeks gestation. The nurse should prepare to teach the client about which possible defects after noting the maternal serum alpha-fetoprotein level is elevated above normal?
open spinal defects
A nurse is explaining how hormones affect the pregnancy. Which hormone would the nurse describe as being responsible for stimulating uterine contractions during labor and birth?
oxytocin
A woman suspecting she is pregnant asks the nurse about which signs would confirm her pregnancy. The nurse would explain that which sign would confirm the pregnancy?
palpable fetal movement
After teaching a group of prospective new parents about the different perinatal education methods, the nurse determines that the teaching was successful when the parents identify which method as the Bradley method?
partner-coached method
Assessment of a pregnant woman reveals that she compulsively craves ice. The nurse documents this finding as:
pica
A nurse is reviewing the medical record of a pregnant woman and notes that she is gravida II. The nurse interprets this to indicate the number of:
pregnancies
In a client's seventh month of pregnancy, she reports feeling "dizzy, like I'm going to pass out, when I lie down flat on my back." The nurse explains that this is due to:
pressure of the gravid uterus on the vena cava.
While talking with a woman in her third trimester, the nurse understands that which behavior indicates that the woman is learning to give of oneself?
questioning ability to become a good mother
During a nonstress test, when monitoring the fetal heart rate, the nurse notes that when the expectant mother reports fetal movement, the heart rate increasesab1ir5b.cboema/ t tesstor more above the baseline. This occurs about 4 or 5 times during the testing period. The nurse interprets this as:
reactive pattern
A woman in the third trimester of her first pregnancy expresses fear about the birth canal being wide enough for her to push the baby through it during labor. She is a petite person, and the baby seems so large. She asks the nurse how this will be possible. To help alleviate the client's fears, the nurse should mention the role of the hormone that softens the cervix and collagen in the joints, which allows dilation (dilatation) and enlargement of the birth canal. What is this hormone?
relaxin
Human placental lactogen (hPL) function
antagonist to insulin, making insulin less effective and thereby allowing more glucose to become available for fetal growth.
What is the progesterone hormone function? (3)
maintaining the endometrium, inhibiting uterine contractility, aiding in the development of the breasts for lactation
The nurse teaches a primigravida client that lightening occurs about 2 weeks before the onset of labor. What will the mother likely experience at that time?
urinary frequency
A nurse is describing the various birth methods to pregnant couples. Which information would the nurse include as part of the Lamaze method?
use of specific breathing and relaxation techniques
A gravida 2 para 1 client in the 10th week of her pregnancy says to the nurse, "I've never urinated as often as I have for the past three weeks." Which response would be most appropriate for the nurse to make?
"By the time you are 12 weeks pregnant, this frequent urination should really decrease, but it is likely to return toward the end of your pregnancy."
A nurse is working with a pregnant client to schedule follow-up visits for the pregnancy. Which statement by the client indicates that she understands the scheduling?
"From now until I am 28 weeks' pregnant, I will be coming once a month"
A woman in her second trimester comes for a follow-up visit and says to the nurse, "I feel like I'm on an emotional roller-coaster." Which response by the nurse would be most appropriate?
"Mood swings are completely normal during pregnancy."
A client at 40 weeks' gestation informs the nurse that she is tired of being pregnant. What is the best response from the nurse?
"That is a very normal feeling, especially at this point in pregnancy."
The nurse is teaching a prenatal class about preparing for their expanding families. What is helpful advice from the nurse?
"The hormones of pregnancy may cause anxiety or depression postpartum."
A pregnant woman in the 36th week of gestation reports that her feet are quite swollen at the end of the day. After careful assessment, the nurse determines that this is an expected finding at this stage of pregnancy. Which intervention is appropriate for the nurse to suggest?
"Try elevating your legs when you sit."
A nurse is teaching a pregnant couple about birth education. The nurse determines that the teaching was successful when the couple makes which statement?
"We'll know what to do to actively take part in our child's birth."
A client in her second trimester of pregnancy arrives at the health care facility for a routine follow-up visit. The nurse is required to educate the client so that the client knows what to expect during her second trimester. Which information should the nurse offer?
"You will experience quickening, and you will actually feel the baby."
The nurse is preparing a client for a chorionic villi sampling procedure. Which factor should the nurse point out in the teaching session to the client?
"You'll have an ultrasound first and then the test."
At a routine visit, a pregnant woman nearing the end of her second trimester tells the nurse, "It is so strange. I lie down to go to sleep and then I have to get up to go to the bathroom. This always happens when I am trying to sleep." Which response by the nurse would be appropriate?
"Your kidneys increase their activity when you lie down causing you to urinate."
What hCG level is considered negative for pregnancy?
anything less than 5 mIU/mL
A nurse is developing a teaching plan about nutrition for a group of pregnant women. Which recommendations would the nurse include in the discussion? Select all that apply.
-Eat three meals with snacking. -Avoid using diuretics. -Participate in physical activity
A nurse is teaching a pregnant woman about ways to prevent the development of the food-borne illness listeriosis. The nurse determines that the teaching was successful when the woman identifies the need to avoid which food(s)? Select all that apply.
-Soft cheeses -Refrigerated meat spreads -store-made chicken salad
A pregnant woman who is a vegetarian asks the nurse, "What would you suggest to make sure that I get enough protein in my diet while I am pregnant?" Which food(s) would be appropriate for the nurse to suggest? (4)
-beans -lentils -nuts/seeds -grains
A nurse is providing nutritional counseling to a pregnant woman gives her suggestions about consuming foods that are high in folic acid. As part of the plan of care, the client is to keep a food diary that the client and nurse will review at the next visit. When reviewing the client's diary, which meals would indicate to the nurse that the client is increasing her intake of folic acid? Select all that apply
-chicken breast with baked potato and broccoli -cheeseburger with spinach and baked beans -strawberry walnut salad with romaine lettuce
A 24-year-old client who is planning to become pregnant comes to the clinic for an evaluation. When assessing the client, which finding would alert the nurse to implement measures to reduce the client's risk for problems during pregnancy? Select all that apply
-drinks wine 3 to 4 times/week -uses ibuprofen daily
The nurse is counseling a young woman who has just entered her second trimester, after an uneventful first trimester. She tells the nurse, "It still doesn't seem real. It's just hard to believe that I will really have a baby." Which future events should the nurse point out that will help the young woman come to believe it is real?
-feeling baby kick -seeing ultrasound pictures
Positive signs of pregnancy
-fetal mvmt felt by examiner -fetal image on sonogram -hearing fetal heart rate -preg test is only 95% accurate
A nurse is assessing a pregnant woman on a routine checkup. When assessing the woman's gastrointestinal tract, what would the nurse expect to find? Select all that apply.
-hyperemic gums -increased peristalsis -reports of bloating -heartburn -nausea
What is oxytocin hormone function? (2)
-responsible for uterine contractions(before and after birth.) -responsible for milk ejection during breastfeeding.
A pregnant woman asks the nurse, "I've heard that I should avoid eating certain types of fish. So what fish can I eat?" Which type of fish would the nurse recommend? Select all that apply.
-shrimp -salmon -catfish
An athletic woman has just discovered she is 6 to 8 weeks' pregnant. From the list of her usual sports and activities, which activity(ies) should be discussed in further detail since it is contraindicated during pregnancy? Select all that apply.
-swimming long distances in triathlons -cliff diving -playing ice hockey
A woman's prepregnant weight is within the normal range. During her second trimester, the nurse would determine that the woman is gaining the appropriate amount of weight when her weight increases by which amount per week?
1 lb (0.45 kg)
The nurse is assessing a pregnant woman who is at 12 weeks' gestation. The woman's BMI was 18 prior to becoming pregnant. Her pre-pregnancy weight was 98lb. Which measurement would the nurse determine as appropriate weight gain for the woman during the first trimester?
104 lb (47 kg) -During the first trimester, for underweight women, weight gain should be at least 5 lb
The nurse is teaching a pregnant woman with a prepregnancy body mass index (BMI) of 26 about recommended weight gain. The nurse determines that the teaching was successful when the woman states that she should gain approximately how much during her pregnancy?
15 to 25 pounds (7 to 11 kilograms) BMI 25-29.9=overweight
A urinalysis is done on a client in her third trimester. Which result would be considered abnormal?
2+ Protein in urine
A biophysical profile has been completed on a pregnant woman. the nurse interprets which score as normal?
9 The biophysical profile is a scored test with five components, each worth 2 points if present. A total score of 10 is possible if the NST is used. Overall, a score of 8 to 10 is considered normal if the amniotic fluid volume is adequate. A score of 6 or below is suspicious, possibly indicating a compromised fetus; further investigation of fetal well-being is needed.
A woman in her second trimester comes to the clinic for a routine follow-up visit. The woman's pre-pregnancy blood pressure was 112/70 mm Hg. On this visit, the woman's blood pressure is 104/64 mm Hg. The nurse would interpret this finding as suggestive of which event?
A normal pregnancy finding secondary to progesterone effects
During an exam, the nurse notes that the blood pressure of a client at 22 weeks' gestation is lower, and her heart rate is 12 beats per minute higher than at her last visit. How should the nurse interpret these findings?
Both findings are normal at this point of the pregnancy. -HR increase 10-15bpm is normal in 2nd trimester
A client presents to the clinic because she thinks she may be pregnant. On examination, the nurse notes that the client's cervix and vaginal mucosa appear a bluish-purple color. The nurse interprets this finding as which sign?
Chadwick sign
On the first prenatal visit, examination of the woman's internal genitalia reveals a bluish coloration of the cervix and vaginal mucosa. The nurse documents this finding as:
Chadwick sign
The nurse is assessing a pregnant client at her 20-week visit. Which breast assessment should the nurse anticipate documenting?
Darkened breast areolae
A pregnant mother may experience constipation and the increased pressure in the veins below the uterus can lead to development of what problem?
Hemorrhoids
Melasma(chloasma) characteristics
appear as brown blotchy areas on the forehead, cheeks, and nose of the pregnant woman. -may be permanent or regress
The nurse cares for a pregnant client at the first prenatal visit and reviews expected changes that will occur during pregnancy. Which information will the nurse include in the education?
During pregnancy blood volume can increase by at least 40%.
When preparing a woman for an amniocentesis, the nurse would instruct her to perform which action?
Empty the bladder.
A nurse is assessing a pregnant client. The nurse understands that hormonal changes occur during pregnancy. Which hormones would the nurse most likely identify as being inhibited during the pregnancy?
FSH and LH
A pregnant vegan reports eating lots of dark green leafy vegetables, legumes, citrus fruits, and berries. To ensure that her infant's nervous system will develop properly, what foods should the nurse recommend that she add to her diet?
Fortified cereals Vegans dont eat meat or animal products
When teaching a pregnant client about the physiologic changes of pregnancy, the nurse reviews the effect of pregnancy on glucose metabolism. Which underlying reason for the effect would the nurse include?
Glucose moves through the placenta to assist the fetus
A nurse is auscultating the chest of a client at 16 weeks' gestation. The nurse immediately notifies the health care provider about which finding?
HR 25bpm above baseline
A 28-year-old client states that she has not had her menstrual period for the past 3 months and suspects she is pregnant. Which should the nurse do next?
Have the client take a pregnancy test.
A pregnant woman's husband does not voice concerns at prenatal visits. Which observation would lead the nurse to suspect that the husband is emotionally involved in the pregnancy?
He walks around furniture as if his abdomen is enlarged
During a vaginal exam, the nurse notes that the lower uterine segment is softened. The nurse documents this finding as:
Hegar sign.
During a routine prenatal visit, a client, 36 weeks pregnant, states she has difficulty breathing and feels like her pulse rate is really fast. The nurse finds her pulse to be 100 beats per minute (increased from baseline readings of 70 to 74 beats per minute) and irregular, with bilateral crackles in the lower lung bases. Which nursing diagnosis would be the priority for this client?
Impaired gas exchange related to pulmonary congestion
During a routine prenatal visit, a client, 36 weeks pregnant, states she has difficulty breathing and feels like her pulse rate is really fast. The nurse finds her pulse to be over 100 beats per minute (increased from baseline readings of 70 to 74 beats per minute) and irregular, with bilateral crackles in the lower lung bases. Which nursing diagnosis would be the priority for this client?
Impaired gas exchange related to pulmonary congestion
A student nurse is preparing for a presentation that will illustrate the various physiologic changes in the woman's body during pregnancy. Which cardiovascular changes up through the 26th week should the student point out?
Increased pulse rate(10-15bpm) and decreased blood pressure
A 28-year-old client in her first trimester of pregnancy reports conflicting feelings. She expresses feeling proud and excited about her pregnancy while at the same time feeling fearful and anxious of its implications. Which action should the nurse do next?
Inform the client this is a normal response to pregnancy that many women experience.
A client at 24 weeks' gestation is seen for a routine monthly check up. She reports concerns to the nurse about rest periods. She states that when she awakens she feels weak and lightheaded. What is the most appropriate initial action by the nurse?
Inquire about the client's sleeping positions.
A client's last menstrual period was April 11. Using the Naegele rule, her estimated date of delivery (EDD) would be:
Jan 18 To use the Naegele rule, subtract 3 months and then add 7 days to the first day of the client's LMP (April 11): April minus 3 months is January, plus 7 days is 18. Thus, her EDB would be January 18 of the next year.
A client calls to cancel an appointment for the first prenatal visit after reporting a home pregnancy test is negative. Which instruction should the nurse prioritize?
Keep the appointment
A client in her second trimester of pregnancy reports discomfort during sexual activity. Which instruction should a nurse provide?
Modify sexual positions to increase comfort.
In preparing for a prenatal class to discuss the hormonal changes during pregnancy, which information would the nurse most likely include?
Over-the-counter antacids can be used to treat acid reflux with the health care provider's knowledge.
The nurse is conducting a prenatal class for a group of primigravida clients. Which instruction will the nurse prioritize when teaching about breast care?
Wash the nipples with clean water only.
A client in her 29th week of gestation reports dizziness and clamminess when assuming a supine position. During the assessment, the nurse observes there is a marked decrease in the client's blood pressure. Which intervention should the nurse implement to help alleviate this client's condition?
Place the client in the left lateral position. -S/S indicate supine hypotension syndrome
The partner of a pregnant client in her first trimester asks the nurse about the client's behavior recently, stating that she is very moody, seems happy one moment and is crying the next and all she wants to talk about is herself. What response would correctly address these concerns?
Pregnant women often experience mood swings and self-centeredness but this is normal.
A client makes an appointment with an obstetrician and assessment reveals positive Hegar and Chadwick signs. What should the nurse teach the client about these results?
She is probably pregnant, but this must be confirmed by other means
The community nurse is preparing a presentation for a health fair illustrating successful pregnancies. Which component should the nurse prioritize as the most critical to ensure a positive psychological experience with the pregnancy by the mother?
Social support
During late pregnancy, the nurse teaches a pregnant woman to lay on her left side to avoid what condition?
Supine hypotension syndrome
The nurse-midwife is performing a pelvic examination on a client who came to her following a positive home pregnancy test. The nurse checks the woman's cervix for the probable sign of pregnancy known as Goodell sign. Which description illustrates this alteration?
The cervix softens. -occurs at 8th week of gestation; probable sign known as "Goodell sign"
The nurse is assessing a pregnant client in her third trimester who is reporting a first-time occurrence of constipation. When asked why this is happening, what is the best response from the nurse?
The intestines are displaced by the growing fetus.
A client takes a home pregnancy test. While she is waiting to read the results, her phone rings. When she gets off the phone 15 minutes have passed. The package instructions are to read the pregnancy test result at 3 minutes and warn that waiting longer may result in a false positive. What is a false positive?
The test reads positive but the client is not pregnant.
A pregnant client reports an increase in a thick, whitish vaginal discharge. Which response by the nurse would be most appropriate?
This discharge is normal during pregnancy."
The nurse is presenting a nutritional plan to a primigravida client who is questioning the addition of iodized salt to her diet. Which explanation should the nurse prioritize in answering this client?
Thyroid activity, which depends on iodine intake, increases during pregnancy. Enlarged thyroid gland=more iodine needed to function
During an examination, a client at 32 weeks' gestation becomes dizzy, lightheaded, and pale while supine. What should the nurse do first?
Turn the client on her left side.
The nurse is assessing a 24-year-old pregnant client who reports excessive vaginal discharge that is messy and unpleasant but without a strong odor, itching, or irritation present. Which response should the nurse prioritize?
Use sanitary pads
Positive signs of pregnancy are diagnostic, meaning nothing else can elicit that sign except pregnancy. What is the earliest positive sign of pregnancy?
Visualization of the gestational sac or fetus
amenorrhea
absence of menstruation
After teaching a refresher class to a group of prenatal clinic nurses about pregnancy, insulin, and glucose, the nurse determines that additional teaching is needed when the group identifies which hormone as being involved with opposing insulin?
aldosterone
A nurse is assessing a client who may be pregnant. The nurse reviews the client's history for presumptive signs. Which signs would the nurse most likely note? Select all that apply.
amenorrhea nausea
What is the major concern for a lactose intolerant woman who is pregnant?
calcium deficiency
What is estrogen hormone function?
cause breast and uterine enlargement
A nurse is reviewing the results of four clients who have undergone amniocentesis. Which client would the nurse recommend that the health care provider see first?
client at 38 weeks' gestation with fetal heart rate of 110 and green amniotic fluid sample
Where is relaxin hormone secreted from?
corpus luteum of ovary and placenta
The nurse is conducting an annual examination on a young female who reports her last menses was 2 months ago. The client insists she is not pregnant due to a negative home pregnancy test. Which assessment should the nurse use to assess confirm the pregnancy?
fetal heartbeat
What are positive signs of pregnancy?
fetal image on sonogram, hearing a fetal heart rate, examiner feeling fetal movement.
A client arrives to the clinic very excited and reporting a positive home pregnancy test. The nurse cautions that the home pregnancy test is considered a probable sign and will assess the client for which sign to confirm pregnancy?
fetal movement felt by examiner
During a follow-up visit to the prenatal clinic, a pregnant client asks the nurse about using a hot tub to help with her backache. The nurse recommends against the use based on the understanding that what can occur?
fetal tachycardia
When assessing a woman at follow-up prenatal visits, the nurse would anticipate which procedure to be performed?
fundal height measurement
The nurse has just received the results of a pregnant client's MSAFP screening and notes the levels are elevated. The nurse should prioritize which discussion with the client?
further testing is required Explanation: The maternal serum alpha-fetoprotein (MSAFP) measures the levels of alpha-fetoprotein, which is a protein manufactured by the fetus. The woman's blood contains small amounts of this protein during pregnancy. The blood test is run between 16 and 20 weeks' gestation; an abnormal level indicates a need for further testing to determine the risks her fetus may face. Higher levels can indicate multiple fetuses, death of the fetus, the presence of neural tube defects, and possibly Down syndrome;
During a routine prenatal visit, a client at 36 weeks' gestation states she has difficulty breathing and feels like her pulse rate is really fast. The nurse finds her pulse to be 100 beats per minute (increased from baseline readings of 70 to 74 beats per minute) and irregular, with bilateral crackles in the lower lung bases. The nurse would develop a plan of care identifying interventions to promote which area as the priority?
gas exchange
The nurse is discussing the insulin needs of a primiparous client with diabetes who has been using insulin for the past few years. The nurse informs the client that her insulin needs will increase during pregnancy based on the nurse's understanding that the placenta produces:
hPL, which deceases the effectiveness of insulin.
A nurse is assessing a pregnant woman and suspects that the woman may be experiencing pica. To help support this suspicion, the nurse evaluates the woman for signs and symptoms of which condition?
iron-deficiency anemia
A nurse who has been caring for a pregnant client understands that the client has pica and has been regularly consuming soil. For which condition should the nurse monitor the client?
iron-deficiency anemia
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.
what pair of organs enlarges in pregnancy?
kidneys
A 22-year-old primigravida comes to the office for a prenatal visit. She is in her second trimester and has had prenatal care since she was 8 weeks pregnant. Her only report is a new brownish line straight down her abdomen. Vital signs are unremarkable. Urine has no protein, glucose, or leukocytes. Fetal heart rate is 140; the client's uterus is palpated to the umbilicus. What physical finding is responsible for her new "brown line?"
linea nigra
Assessment of a pregnant woman reveals a pigmented line down the middle of her abdomen. The nurse documents this as which finding?
linea nigra
What is relaxin hormone function?
responsible for helping to inhibit uterine activity and to soften the cervix and the collagen in joints.
Goodell sign
softening of the cervix
Hegar sign
softening of the lower uterine segment or isthmus
A client who suspects she is pregnant asks the nurse about the accuracy of home pregnancy tests. The nurse would tell the client that:
some of the home pregnancy tests can detect the presence of hCG within 1 day of the woman's missed period.
A pregnant woman comes to the clinic and tells the nurse that she has been having a whitish vaginal discharge. The nurse suspects vulvovaginal candidiasis based on which assessment finding?
vag itching
A client comes to the prenatal clinic for her first visit. When determining the client's estimated due date, the nurse understands what which method is the most accurate?
ultrasound
A pregnant woman is scheduled to undergo an amniocentesis. When explaining this test to the client, the nurse would also include information about which test being done at the same time?
ultrasound
The nurse is assessing a primigravida woman at a routine prenatal visit. Which assessment finding is reinforcing to the client that she is definitely pregnant?
ultrasound picture of her fetus
A nurse is teaching a pregnant client in her first trimester about discomforts that she may experience. The nurse determines that the teaching was successful when the woman identifies which discomforts as common during the first trimester? Select all that apply.
urinary freq breast tender cravings
A primiparous client is being seen in the clinic for her first preanbairtba. clovmi/st eistt. It is determined that she is 11 weeks pregnant. The nurse develops a teaching plan to educate the client about what she will most likely experience during this period. Which possible effect would the nurse include?
urinary frequency