Unit 2 CGF Practice Questions

A nurse is teaching a group of pregnant clients about iron-rich foods. Which of the following foods should the nurse include in the teaching? 1. Beans 2. Fish 3 Dairy products 4. Lean red meats 5. Apples

1. Beans 2. Fish 3 Dairy products 4. Lean red meats

A client who is at 8 weeks of gestation tells the nurse that she isn't sure she is happy about being pregnant. Which of the following responses should the nurse make? 1. "I will inform the provider that you are having these feelings." 2. "It is normal to have these feelings during the first few months of pregnancy." 3. " You should be happy that you are going to bring new life into the world." 4. "I am going to make an appointment with he counselor for ou to dicuss these thoughts."

2. "It is normal to have these feelings during the first few months of pregnancy."

A primigravid client at 15 weeks' gestation has had an amniocentesis and has received teaching concerning signs and symptoms to report. Which statement by the patient indicates the need for further teaching? 1. "I need to call if I start to leak fluid from my vagina." 2. "If I start bleeding, I will need to call back." 3. "If my baby does not move, I need to call my health care provider." 4. "If I start running a fever, I should let the office know."

3. "If my baby does not move, I need to call my health care provider."

Following a positive pregnancy test, a client begins discussing the changes that will occur in the next several months with the nurse. The nurse should include which information about changes the client can anticipate in the first trimester? 1. differentiating the self from the fetus 2. enjoying the role of nurturer 3. preparing for the reality of parenthood 4. experiencing ambivalence about pregnancy

4. experiencing ambivalence about pregnancy

The nurse is caring for a client who is 12 weeks pregnant and speaks Spanish only. Which interventions should the nurse include in the plan of care at the client's initial visit? Select all that apply. 1. Provide brochures in the client's native language. 2. Refer the client to a high-risk clinic. 3. Discuss cultural differences, and emphasize the difference between cultures. 4. Arrange for an interpreter for her appointments. 5. Discuss contraception and options. 6. Review dietary intake, and discuss nutrition.

1. Provide brochures in the client's native language. 4. Arrange for an interpreter for her appointments. 6. Review dietary intake, and discuss nutrition.

During a visit to the prenatal clinic, a pregnant client at 32 weeks' gestation has heartburn. The client needs further instruction when she says she must do what? 1. Avoid highly seasoned foods. 2. Avoid lying down right after eating. 3. Eat small, frequent meals. 4. Consume liquids only between meals.

4. Consume liquids only between meals.

A nurse is teaching a client who is at 6 weeks of gestation about common discomforts of pregnancy. Which of the following findings should the nurse include in the teaching? 1. Breast tenderness 2. Urinary frequency 3. Epistaxis 4. Dysuria 5. Epigastric pain

1. Breast tenderness 2. Urinary frequency 3. Epistaxis

A nurse in a prenatal clinic is providing education to a client who is in the 8th week of gestation. The client states that she does not like milk. Which of the following foods should the nurse recommend as a good source of calcium? 1. Dark green leafy vegetables 2. Deep red or orange vegetables 3. White breads and rice 4. Meat, poultry, and fish

1. Dark green leafy vegetables

A client who is at 7 weeks of gestation is experiencing nausea and vomiting in the morning. Which of the following information should the nurse include in the teaching? 1. Eat crackers or plain toast before getting out of bed. 2. Awaken during the night to eat a snack. 3. Skip breakfast and eat lunch after nausea has subsided. 4. Eat a large evening meal.

1. Eat crackers or plain toast before getting out of bed.

When preparing a 20-year-old client for a serum pregnancy test, what information should the nurse tell the client? 1. The test has a high degree of accuracy within 1 week after ovulation 2. The test is identical in nature to an over-the-counter home pregnancy test. 3. A positive result is considered a presumptive sign of pregnancy. 4. A urine sample is needed to obtain quicker results

1. The test has a high degree of accuracy within 1 week after ovulation

A nurse is caring for a client who is pregnant and reviewing signs of complication the client should promptly report to the provider. which of the following complications should the nurse include in the teaching. 1. Vaginal bleeding 2. Swelling of the ankles 3. Heartburn after eating 4. Lightheadedness when lying on back

1. Vaginal bleeding

A nurse in a prenatal clinic is caring for four clients. Which of the following clients' weight gain should the nurse report to the provider? 1. 1.8kg (4 lb) weight gain and is in her first trimester 2. 3.6kg (8 lb) weight gain and is in her first trimester 3. 6.8kg (15 lb) weight gain and is in her second trimester 4 11.3kg (25 lb) weight gain and is in her third trimester

2. 3.6kg (8 lb) weight gain and is in her first trimester

A 30-year-old multigravid client has missed three periods and now visits the prenatal clinic because she assumes she is pregnant. She is experiencing enlargement of her abdomen, a positive pregnancy test, and changes in the pigmentation on her face abdomen. These assessment finding reflect this woman is experiencing a cluster of which signs of pregnancy? 1. positive 2. probable 3. presumptive 4. diagnostic

2. probable

An expectant father confides in the nurse that his pregnant wife, 10 weeks of gestation, is driving him crazy. "One minute she seems happy, and the next minute she is crying over nothing at all. Is there something wrong with her?" What is the nurse's best response? 1. "This is normal behavior and should begin to subside by the second trimester." 2. "She may be having difficulty adjusting to pregnancy; I will refer her to a counselor I know." 3. "This is called emotional lability and is related to hormone changes and anxiety during pregnancy. The mood swings will eventually subside as she adjusts to being pregnant." 4. "You seem impatient with her. Perhaps this is precipitating her behavior."

3. "This is called emotional lability and is related to hormone changes and anxiety during pregnancy. The mood swings will eventually subside as she adjusts to being pregnant."

A nurse is teaching a group of women who are pregnant about measures to relieve backache during pregnancy. Which of the following measures should the nurse include in the teaching? (Select all that apply) 1. Avoid any lifting. 2. Perform Kegel exercises twice a day. 3. Perform the pelvic rock exercise every day 4. Use proper body mechanics 5. Avoid constrictive clothing

3. Perform the pelvic rock exercise every day 4. Use proper body mechanics

A nurse is reviewing postpartum nutrition needs with a group of new mothers who are breastfeeding their newborns. Which of the following statements by a member of the group indicates an understanding of the teaching? 1. "I am glad i can have my morning coffee." 2. "I should take folic acid to increase my milk supply." 3. "I will continue adding 330 calories per day to my diet" 4. "I will continue my calcium supplements because I don't like milk."

4. "I will continue my calcium supplements because I don't like milk."

A nurse in a clinic is teaching a client of childbearing age about recommended folic acid supplements. Which of the following defects can occur in the fetus or neonate as a result of folic acid deficiency? 1. Iron deficiency anemia 2. Poor bone formation 3. Macrosomic fetus 4. Neural tube defects

4. Neural tube defects

A nurse is reviewing a new prescription for iron supplements with a client who is in the 8th week of gestation and has iron deficiency anemia. Which of the following beverages should the nurse instruct the client to take the iron supplements with? 1. Ice water 2. Low-fat or whole milk 3. Tea or coffee 4. Orange juice

4. Orange juice

An antenatal primigravid client has just been informed that she is carrying twins. The plan of care includes educating the client concerning factors that put her at risk for problems during the pregnancy. The nurse realizes the client need further instruction when she indicates carrying twins puts her at risk for which complication? 1. preterm labor 2. twin-to-twin transfusion 3. anemia 4. group B streptococcus

4. group B streptococcus