Antepartum

The nurse is assessing a client's risk for sexually transmitted infections. Which statement by the client would be cause for concern? "I am not sure if I want to keep the baby. It is a hard decision." "I am unsure who the father of the baby is. I will be raising it alone." "I needed Rho(D) immune globulin after my last pregnancy. Will I need it again?" "I only want my family to see the baby after it is born."

"I am unsure who the father of the baby is. I will be raising it alone."

A woman comes to the clinic for her first prenatal visit. As part of the assessment, the woman is screened for rubella antibodies. The nurse determines that a client has immunity against rubella based on which rubella titer? 1:8 1:6 1:0 1:4

1:8 A rubella antibody titer of 1:8 or greater proves evidence of immunity. Women with titers of less than 1:8 should be immunized.

Utilize the GTPAL system to classify a woman who is currently 18 weeks pregnant. This is her 4th pregnancy. She gave birth to one baby vaginally at 26 weeks who died, experienced a miscarriage, and has one living child who was delivered at 38 weeks gestation. 3, 2, 1, 2, 1 4, 2, 2, 1, 1 3, 2, 1, 1, 1 4, 1, 1, 1, 1

4, 1, 1, 1, 1

A pregnant client is screened for tuberculosis during her first prenatal visit. An intradermal injection of purified protein derivative (PPD) of the tuberculin bacilli is given. Which sign would indicate a positive test result? An indurated wheal under 10 mm in diameter appears in 6 to 12 hours. An indurated wheal over 10 mm in diameter appears in 48 to 72 hours. A flat, circumscribed area under 10 mm in diameter appears in 6 to 12 hours. A flat circumscribed area over 10 mm in diameter appears in 48 to 72 hours.

An indurated wheal over 10 mm in diameter appears in 48 to 72 hours.

A nurse is conducting a presentation about prenatal care and preexisting maternal conditions. When discussing the various risks to the mother and infant, the nurse would include information about which condition as the leading cause of intellectual disability in the United States? fetal alcohol spectrum disorder genetic anomalies maternal drug addiction pregnancy category X medications

fetal alcohol spectrum disorder

A 38-year-old client comes into the office for prenatal care, stating that she is about 12 weeks' pregnant with her first child. What action will the nurse take, considering the client's age and potential sensitivity to being labeled an "older" primipara? Inquire about any family history of chromosomal abnormalities since older women are more likely to have infants with a chromosomal defect. Be nonjudgmental in your history gathering and offer her pregnancy resources to read and explore. Offer genetic counseling and an early amniocentesis to determine if termination is needed. Ask about chronic illnesses that the health care provider should know about due to the client being older.

Be nonjudgmental in your history gathering and offer her pregnancy resources to read and explore.

Which information is most important in order to decrease the risk of complications if the client decides to work until her due date? Eat light meals Frequent rest periods Adequate sleep Flat shoes

Frequent rest periods

A pregnant client arrives for her first prenatal appointment. She reports her previous pregnancy ended at 19 weeks, and she has 3-year-old twins born at 30 weeks' gestation. How will the nurse document this in her records? G2 T2 P1 A0 L2 G2 T1 P1 A1 L1 G3 T0 P1 A1 L2 G3 T2 P2 A0 L1

G3 T0 P1 A1 L2

A pregnant woman comes to the clinic for a prenatal visit for her third pregnancy. She reveals she had a previous miscarriage at 12 weeks and her 3-year-old son was born at 32 weeks. How should the nurse document this woman's obstetric history? G3, T1, P0, A2, L1 G3, T0, P1, A1, L1 G2, T1, P2, A1, L2 G2, T0, P1, A1, L1

G3, T0, P1, A1, L1

A pregnant woman comes to the clinic for a prenatal visit for her third pregnancy. She reveals she had a previous miscarriage at 12 weeks and her 3-year-old son was born at 32 weeks. How should the nurse document this woman's obstetric history? G3, T1, P0, A2, L1 G3, T0, P1, A1, L1 G2, T1, P2, A1, L2 G2, T0, P1, A1, L1

G3, T0, P1, A1, L1 The woman's obstetric history would be documented as G3, T0, P1, A1, L1. G (gravida) = 3 (past and current pregnancy), T (term pregnancies) = 0, P (number of preterm pregnancies) = 1, A (number of pregnancies ending before 20 weeks viability to include miscarriage) = 1, and L (number of living children) = 1.

A client who is uncertain when her LMP occurred is given an EDD of April 23 after the first ultrasound. Based on this information, the nurse determines the client's LMP was probably which day? July 13 July 16 July 19 July 21

July 16

The nurse is screening for potential exposure to toxoplasmosis. Which question is most appropriate? "Do you have old paint in the house?" "Do you use well water for drinking?" "Do you lock your medications in a cabinet:" "Do you have a cat in the house?"

"Do you have a cat in the house?"

A nurse is teaching a client who is 30 weeks' pregnant about ways to deal with pyrosis (heartburn). The nurse determines a need for additional teaching based on which client statement? "I need to cut out caffeine." "I should chew my food slowly." "I should lie down for 1/2 hour after eating." "I need to raise the head of my bed about 15 to 30 degrees."

"I should lie down for 1/2 hour after eating."

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." "I will experience a heightened need for touch throughout my pregnancy." "If I experience bleeding, I will abstain from vaginal intercourse." "I will avoid having intercourse following the rupture of the membranes."

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

Why is the first prenatal visit usually the longest prenatal visit? Laboratory tests are performed. Baseline data is collected. A pelvic exam with Papanicolaou test is performed. Extensive client teaching is done.

Baseline data is collected.

The nurse discovers a soft systolic murmur when auscultating the heart of a client at 32 weeks' gestation. Which action would be most appropriate? Refer her for cardiac catheterization. Ask another nurse to assess the heart. Inquire if the client has chest pain. Document this and continue to monitor the murmur at future visits.

Document this and continue to monitor the murmur at future visits.

A multigravida client is pregnant for the third time. Her previous two pregnancies ended in an abortion in the first and third month of pregnancy. How will the nurse classify her pregnancy history? G3 P0020 G2 P0020 G2 P1020 G3 P0021

G3 P0020

A pregnant woman's husband does not voice concerns at prenatal visits. You would believe he is emotionally involved in the pregnancy by observing which of the following actions? He states he definitely wants a girl. He walks around furniture as if his abdomen is enlarged. He states he is concerned about the loss of his free time. He has refused to paint the baby's room blue.

He walks around furniture as if his abdomen is enlarged.

The nurse is caring for a neonate whose mother received no medical care for either of her pregnancies. When assessing the neonate's status, which would indicate a potential A, B, and O incompatibility? Hypothyroidism Hemolytic anemia Electrolyte deficiencies Abnormal bleeding

Hemolytic anemia

A 28-year-old client who has just conceived arrives at a health care facility for her first prenatal visit to undergo a physical examination. Which intervention should the nurse perform to prepare the client for the physical examination? Ensure that the client is lying down. Ensure that the client's family is present. Instruct the client to empty her bladder. Instruct the client to keep taking deep breaths.

Instruct the client to empty her bladder.

A woman arrives at the prenatal clinic and is accompanied by her partner. Which behaviors would be suggestive of intimate partner violence (IPV)? Select all that apply. The pregnant client looks at the examiner when asked questions. The partner answers questions for the pregnant client. The partner is overly protective of the pregnant client. Poor weight gain during the pregnancy and low-birth-weight infant The client asks questions of the nurse about her pregnancy.

The partner answers questions for the pregnant client. The partner is overly protective of the pregnant client. Poor weight gain during the pregnancy and low-birth-weight infant

When instructing clients at a prenatal class, the nurse is most correct to state which medical name as being removed during circumcision? The prepuce The glans The shaft The corpora cavernosa

The prepuce

Which pregnant couple should the nurse refer to genetic counseling regarding the risk of an additional chromosome 21? father, aged 27 and mother, aged 24 gravida 1, para 0 with history of twins in the family father, aged 54 and mother, aged 32, gravida 3, para 2 with history of type 1 diabetes father, aged 35 and mother, aged 46 and primipara, both reasonably "healthy" father, aged 18 and mother, aged 16, gravida 1, para 0 both admit to occasional marijuana use

father, aged 35 and mother, aged 46 and primipara, both reasonably "healthy"

During a routine prenatal visit, a client is found to have proteinuria and a blood pressure rise to 140/90 mm Hg. The nurse recognizes that the client has which condition? mild preeclampsia gestational hypertension severe preeclampsia eclampsia

mild preeclampsia

The nurse advises a pregnant client to keep a small high-carbohydrate, low-fat snack at the bedside. The nurse should point out this will assist with which condition? heartburn faintness slowed GI transit time nausea and vomiting

nausea and vomiting

A primigravida 21-year-old client at 24 weeks' gestation has a 2-year history of HIV. As the nurse explains the various options for delivery, which factor should the nurse point out will influence the decision for a vaginal birth? the viral load amniocentesis results at 34 weeks' gestation the mother's age prophylactic antiretroviral therapy (ART) to the infant at birth

the viral load

A woman you care for in a prenatal clinic tells you that her pregnancy was unplanned and unwanted. At what point in pregnancy does the average woman change her mind about an unwanted pregnancy? around the third month when quickening occurs after lightening happens after the seventh month

when quickening occurs Quickening, or feeling the baby move inside the body, is such a dramatic event that it can cause a woman's perceptions about the pregnancy to change.

A nurse is conducting a class geared toward changes in early pregnancy and self-care items like perineal hygiene. A woman shares that she douches at least once a day since she has "so much discharge" from her vagina. Which response by the nurse is most appropriate at this time? "Douching will definitely keep your vagina clean." "If you prepare your own douching solution, be sure to boil the water to kill bacteria." "During pregnancy, you should not douche because it can cause fluid to enter the cervix resulting in an infection." "Let's discuss this with your health care provider before you continue douching."

"During pregnancy, you should not douche because it can cause fluid to enter the cervix resulting in an infection."

The nurse is teaching a prenatal class on potential problems during pregnancy to a group of expectant parents. The risk factors for placental abruption (abruptio placentae) are discussed. Which comment validates accurate learning by the parents? "I need a cesarean section if I develop this problem." "If I develop this complication, I will have bright red vaginal bleeding," "Placental abruption is quite painful and I will need to let the doctor know if I begin to have abdominal pain." "Since I am over 30, I run a much higher risk of developing this problem."

"Placental abruption is quite painful and I will need to let the doctor know if I begin to have abdominal pain." Placental abruption (abruptio placentae) occurs when there is a spontaneous separation of the placenta from the uterine wall. It can occur anywhere on the placenta and will cause painful, dark red vaginal bleeding. If the abruption is small, the ob/gyn will try to deliver the fetus vaginally. But if severe bleeding occurs or there is fetal distress, a cesarean birth will be performed. Women older than 35 are also at higher risk for developing placental abruption.

A primigravida at her 12-week prenatal visit expresses concern that she hasn't felt her baby move yet. What is the best response from the nurse? "Fetal movements can be felt at 13 weeks." "You should start to feel fetal movements within the next few weeks." "You usually cannot feel them until approximately 16 to 20 weeks." "You won't be able to feel movements until you lie down and concentrate on them."

"You usually cannot feel them until approximately 16 to 20 weeks."

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 may feel physical discomfort as the baby inside grows." "You will experience quickening, and you will actually feel the baby." "You will be more conscious of the changes taking place in your body now." "You may have mood swings that could overwhelm your partner."

"You will experience quickening, and you will actually feel the baby."

The nurse is assessing a client at her first prenatal visit and notes the fundal height is palpable at the level of the umbilicus. The nurse predicts the client is at which gestational age? 18 weeks 20 weeks 24 weeks 22 weeks

20 weeks Some clients will not seek early prenatal care, especially if it is not their first pregnancy. The uterus expands to reach the height of the umbilicus by week 20. Before week 20 it is too low to be palpated, and after week 20 it may be beyond the umbilicus.

The nurse is reviewing client data following a regular monthly appointment at 6 months' gestation. Which fundal height requires no further intervention? 18 cm 24 cm 30 cm 32 cm

An anticipated fundal height for 24 weeks' gestation (6 months) is 24 cm. Between 18 and 32 weeks' gestation, the fundal height in centimeters should match the gestational age

A 31-year-old pregnant woman has been prescribed administration of a tocolytic drug. During which period is a tocolytic drug usually administered? Antepartum Pre-term labor Postpartum Second stage of labor

Antepartum Drugs used to prevent uterine contractions are called tocolytics. They are useful in the management of pre-term labor. These drugs will decrease uterine activity and prolong the pregnancy to allow the fetus to develop more fully, thereby increasing the chance of neonatal survival

The nurse will be assisting a client during an amniocentesis. Which nursing intervention should the nurse prioritize? Caution about the opioid premedication. Be certain she is aware of potential complications. Ensure she understands the need for 2 days of bed rest. Expect test results within 1 week.

Be certain she is aware of potential complications.

A woman has come to the clinic for her first prenatal visit. Which method would be the most effective way for the nurse to initiate data gathering for a health history? Ask her to complete a written questionnaire concerning her past and present status. Conduct an interview in a private room to obtain her health history. Wait until she is in the examining room and prepared for her physical examination. Ask her some basic questions in the waiting room before taking her to the examining room.

Conduct an interview in a private room to obtain her health history.

The client states that the first day of her last menstrual period is March 23. The nurse is most correct to calculate using Naegele rule that the estimated date of delivery is: January 30 December 30 December 16 November 23

December 30

You are the nurse providing prenatal education to a group of pregnant teenagers. One of the group members asks you to talk about how the baby develops soon after conception. An accurate statement from you about the zygote and pre-embryonic stage would be which of the following? Some reflexes are already present All basic organs are well established Has a total of three distinct cell layers Outer layer becomes the respiratory system

Has a total of three distinct cell layers

A client at 27 weeks' gestation is admitted to the obstetric unit after reporting headaches and edema of her hands. Review of the prenatal notes reveals blood pressure consistently above 136/90 mm Hg. The nurse anticipates the health care provider will prescribe magnesium sulfate to accomplish which primary goal? Decrease blood pressure Decrease protein in urine Prevent maternal seizures Reverse edema

Prevent maternal seizures

The nurse is assessing a client at her first prenatal visit and reports her LMP started December 1. Which date will the nurse predict for the EDD? October 7 September 8 July 7 August 8

September 8

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? Early prenatal care Age at the time of pregnancy Having a planned pregnancy Social support

Social support

A pregnant client is planning a vacation to a different state and questions the nurse concerning precautions. Which suggestion should the nurse prioritize for this client who will be traveling by automobile? Travel no more than 120 miles daily. Sit in the back seat with feet elevated. Stop and walk every 2 hours. Limit trips away from home, greater than 200 miles.

Stop and walk every 2 hours.

The nurse is educating the client at 12 weeks' gestation regarding the best types of exercise throughout pregnancy. Which activities should the nurse encourage? All activities that the client does in a prepregnant state Relaxing activities such as hot baths and jacuzzis High-impact movements enabling less time in the activity Stretching and breathing exercises such as yoga

Stretching and breathing exercises such as yoga

While taking a prenatal history, the nurse would be most concerned about severe teratogenic effects on the fetus if the mother admits to taking which medication prior to finding out that she was pregnant? Select all that apply. Warfarin for chronic atrial fibrillation Ethyl alcohol ingestion regularly several times per week Isotretinoin for acne Over-the-counter cetirizine for seasonal allergies Tetracycline for acne

Warfarin for chronic atrial fibrillation Ethyl alcohol ingestion regularly several times per week Isotretinoin for acne Tetracycline for acne

You care for a woman in a prenatal clinic who thinks she might be pregnant. Which of the following assessments is a probable sign of pregnancy? fatigue nausea and vomiting a positive pregnancy test amenorrhea

a positive pregnancy test

During pregnancy, the cardinal rule concerning medications and herbal remedies is that all drugs cross the placenta and have a potential impact on the fetus. What is one disease where treatment must continue during pregnancy? asthma gout cholelithiasis gastritis

asthma Treatment (including medications) for certain diseases and conditions must continue during pregnancy. Examples include epilepsy, asthma, diabetes, and depression.

A woman is 20 weeks pregnant. The nurse would expect to palpate the fundus at which location? symphysis pubis between the symphysis and umbilicus at the umbilicus just below the ensiform cartilage

at the umbilicus

What anatomic area should be examined when assessing Montgomery tubercles? thorax abdomen breasts perineum

breasts Montgomery tubercles are sebaceous glands on the areola of the breasts and are prominent during pregnancy.

During a prenatal visit, the nurse inspects the skin of the client's abdomen. Which would the nurse identify as an abnormal finding? bruising linea nigra striae darkening of the umbilicus

bruising

Some pregnant women hire a trained professional to provide support during pregnancy and birth, to provide emotional support during labor and birth, and to aid in establishing breastfeeding. What is the name of the woman who takes this role? partera doula midwife pregnancy aide

doula

Which finding from a woman's initial prenatal assessment would be considered a possible complication of pregnancy that requires reporting to a primary care provider for management? episodes of double vision increased lumbar curvature nasal congestion and swollen nasal membranes palpitations when lying on her back

episodes of double vision Difficulty with vision can occur from cerebral edema or is a symptom of hypertension of pregnancy.

A pregnant client reports difficulty sleeping well. Which suggestion for sleeping should the nurse prioritize to assist this client? on her stomach with a pillow under her breasts on her side with the weight of the uterus on the bed on her back with a pillow under her knees and hips on her back with a pillow under her head

on her side with the weight of the uterus on the bed

The nurse is assessing a woman with class III heart disease who is in for a prenatal visit. What would be the first recognizable sign that this client is in heart failure? audible wheezes persistent rales in the bases of the lungs elevated blood pressure low blood pressure

persistent rales in the bases of the lungs

The nurse is preparing to administer a prescribed medication to the pregnant client. Which order should the nurse question? penicillin rubella acetaminophen folic acid

rubella Most vaccines are contraindicated during pregnancy and are considered teratogenic, such as rubella. Penicillin and acetaminophen may be taken under provider supervision. Folic acid supplementation should be encouraged.

Which of these cardiac variations, if found in the client who is pregnant, should the nurse recognize as a normal finding in pregnancy? split S1S2 premature ventricular contractions S4 (atrial gallop) soft systolic murmur

soft systolic murmur

A 44-year-old client has lost several pregnancies over the last 10 years. For the past 3 months, she has had fatigue, nausea, and vomiting. She visits the clinic and takes a pregnancy test; the results are positive. Physical examination confirms a uterus enlarged to 13 weeks' gestation; fetal heart tones are heard. Ultrasound reveals that the client is experiencing some bleeding. Considering the client's prenatal history and age, what does the nurse recognize as the greatest risk for the client at this time? premature birth hypertension spontaneous abortion (miscarriage) preterm labor

spontaneous abortion (miscarriage)

A nurse is providing care to a pregnant client at 9 weeks' gestation. The client reports that her breasts have become quite tender. She says, "I know my breasts are going to get bigger, but I didn't think that it would be uncomfortable." The nurse offers suggestions to address this discomfort, based on the understanding that this change is the result of which hormones? Select all that apply. estrogen oxytocin progesterone prolactin hCG

estrogen progesterone An increase in estrogen and progesterone that occurs with pregnancy causes the fat layer of the breasts to thicken and the number of milk ducts and glands to increase during the first trimester. Oxytocin stimulates uterine contractions. Prolactin stimulates breast milk production. hCG is the hormone that confirms pregnancy.

The nurse is completing the initial assessment at the prenatal visit of a pregnant client. Which question should the nurse prioritize when completing the review of systems? "Have you ever had a heart attack?" "Do you have a peptic ulcer?" "Have you had any urinary tract infections?" "Have you had any neurologic diseases?"

"Have you had any urinary tract infections?"

A young couple are very excited to discover they are pregnant and ask the nurse when to expect the baby. Based on a July 20 LMP, which day will the nurse predict for delivery? April 27 March 13 April 13 May 20

April 27

The nurse is assessing a client at her first prenatal visit and notes that she is exposed to various chemicals at her place of employment. Which statement by the client would indicate she needs additional health education to protect her and her fetus? "I only work four hours a day so I don't get exposed too much." "The gloves they provide irritate my hands, so I don't use them." "There hasn't been a chemical spill in three years." "I have an assistant helping me now to handle the chemicals."

"The gloves they provide irritate my hands, so I don't use them."

A client at 27 weeks' gestation still walks daily but reports "terrible" heartburn at night. Which action should the nurse point out will best address this situation? Stop or severely curtail her exercise. Take sodium bicarbonate. Seek emergency medical care. Elevate the head of the bed.

Elevate the head of the bed.

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? Select all that apply. Feeling the baby kick Seeing an ultrasound image of the baby Giving up alcohol Receiving a positive result on a pregnancy test Taking prenatal vitamins

Feeling the baby kick Seeing an ultrasound image of the baby

A client tells that nurse in the doctor's office that her friend developed high blood pressure on her last pregnancy. She is concerned that she will have the same problem. What is the standard of care for preeclampsia? Take a low-dose antihypertensive prophylactically. Have her blood pressure checked at every prenatal visit. Monitor the client for headaches or swelling on the body. Take one aspirin every day.

Have her blood pressure checked at every prenatal visit.

A client at 32 weeks' gestation telephones the health care provider's office asking if omeprazole 20 mg daily is safe to take as she is experiencing heartburn. When reviewing the over-the-counter medication, the nurse notes a pregnancy category C listed. Which would be the nurse's first action? Respond that since it is over-the-counter, it is safe. Encourage the client to eat less spicy foods and avoid all medications. Offer to speak with the health care provider and then return her call. Instruct the client that due to the pregnancy category, this medication is not taken.

Offer to speak with the health care provider and then return her call. Heartburn is a common occurrence in pregnancy; however, the nurse does not authorize medications without speaking with the health care provider first. Omeprazole, an over-the-counter medication, is pregnancy category C (indicating that not enough human studies have been conducted). It would be up to the health care provider to determine acceptable usage.

The health care provider has prescribed an over-the-counter antacid for a pregnant client in her first trimester who is having ongoing nausea, vomiting, and heartburn. Which instruction concerning the antacid should the nurse prioritize after noting the client is also prescribed a multivitamin supplement? Avoid caffeinated beverages. Take only at bedtime. Take antacid 1 hour after the multivitamin. Take with dairy products.

Take antacid 1 hour after the multivitamin. Antacids interfere with the uptake of the vitamin contents so the client should take the antacid 1 hour after taking the multivitamin. Caffeine should be avoided due to increases in blood pressure and diuretic effects. Antacids can be taken more often than solely at bedtime, and some clients need them after each meal. Antacids do not have to be taken with dairy products. The priority is to avoid allowing the antacid to cancel out the multivitamin.

The client is 32 weeks' pregnant and has been referred for a biophysical profile (BPP) after a nonreassuring nonstress test (NST). Which statement made by the client indicates that the nurse's explanation of the procedure was effective? The BPP is a diagnostic procedure whereby a needle is inserted into the amniotic sac to obtain fluid. The BPP is a blood test to detect placental problems. The BPP is a screening for neural tube defects. The BPP is an ultrasound that measures breathing, body movement, tone, and amniotic fluid volume.

The BPP is an ultrasound that measures breathing, body movement, tone, and amniotic fluid volume.

During the initial assessment of a 22-year-old pregnant client, the nurse learns that the client usually smokes 2 packs of cigarettes per day. The nurse is planning an education session about lifestyle changes during pregnancy. Which goal would be the most realistic and individualized for this client during this initial clinic visit? The client stops smoking immediately for the health of the fetus. The client reduces her smoking by 50 percent by the next clinic visit. The client throws the cigarettes in the trash immediately. The client does some research on the harmful affects of cigarette smoking on the baby.

The client reduces her smoking by 50 percent by the next clinic visit.

The nurse is assisting a pregnant client who underwent a nonstress test that was ruled reactive. Which factor will the nurse point out when questioned by the client about the results? There is no evidence of congenital anomalies or deformities. The fetal heart rate increases with activity and indicates fetal well-being. The fetus is developing at a fast rate but doing fine. The results indicate a stress test is needed for further evaluation.

The fetal heart rate increases with activity and indicates fetal well-being.

A client who is 37 years of age presents to the health care clinic for her first prenatal checkup. Due to her advanced age, the nurse should prepare to talk with the client about her increased risk for what complication? genetic disorders preterm labor gestational diabetes cervical insufficiency

genetic disorders

The nurse is creating an educational pamphlet for pregnant mothers. Which is the best description of fetal development for the nurse to emphasize? age in weeks and systems developed length, weight, sex gestational age, length, weight, and systems developed sex and systems developed

gestational age, length, weight, and systems developed

The nurse is advising a pregnant woman during her first prenatal visit regarding the frequency of future visits. Which schedule is recommended for prenatal care? once every 3 weeks for the first 28 weeks, then every 2 weeks until 36 weeks, and then weekly until the birth once every 4 weeks for the first 28 weeks, then every 3 weeks until 36 weeks, and then every 2 weeks until the birth once every 4 weeks for the first 28 weeks, then every 2 weeks until 36 weeks, and then weekly until the birth once every 4 weeks for the first 36 weeks, then weekly until the birth

once every 4 weeks for the first 28 weeks, then every 2 weeks until 36 weeks, and then weekly until the birth

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? continued amenorrhea positive hCG blood result uterine growth ultrasound picture of her fetus

ultrasound picture of her fetus