Ati maternity#1

A nurse is leading a discussion about contraception with a group of 14-year-old clients. After the presentation, a client asks the nurse which method would be best for her to use. Which of the following responses should the nurse make? "You are so young. Are you ready for the responsibilities of a sexual relationship?" "Because of your age, I think that a barrier method would be the best choice." "Before I can help you, I need to know more about your sexual activity." "A provider can help you with that after a physical examination."

"Before I can help you, I need to know more about your sexual activity."

A nurse is instructing a woman who is contemplating pregnancy about nutritional needs. To reduce the risk of giving birth to a newborn who has a neural tube defect, which of the following information should the nurse include in the teaching? Limit alcohol consumption. Increase intake of iron-rich foods. Consume foods fortified with folic acid. Avoid foods containing aspartame.

Consume foods fortified with folic acid.

A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia. Which of the following findings should the nurse identify as inconsistent with preeclampsia? 1+ pitting sacral edema 3+ protein in the urine Blood pressure 148/98 mm Hg Deep tendon reflexes of +1

Deep tendon reflexes of +1

A nurse is caring for a client who has a positive pregnancy test. The nurse is teaching the client about common discomforts in the first trimester of pregnancy as well as warning signs of potential danger. The nurse should instruct the client to call the clinic if she experiences which of th following manifestations? Leukorrhea Urinary frequency Nausea and vomiting Facial edema

Facial edema

A nurse is completing a health history for a client who is at 6 weeks of gestation. The client informs the nurse that she smokes one pack of cigarettes per day. The nurse should advise the client that smoking places the client's newborn at risk for which of the following complications? Hearing loss Intrauterine growth restriction Type 1 diabetes mellitus Congenital heart defects

Intrauterine growth restriction

A nurse in a prenatal clinic is caring for a client who is at 38 weeks of gestation and reports heavy, red vaginal bleeding. The bleeding started spontaneously in the morning and is not accompanied by contractions. The client is not in distress and she states that she can "feel the baby moving." An ultrasound is scheduled stat. The nurse should explain to the client that the purpose of the ultrasound is to determine which of the following? Fetal lung maturity Location of the placenta Viability of the fetus The biparietal diameter

Location of the placenta

A nurse is caring for a client who is having a nonstress test performed. The fetal heart rate (FHR) is 130 to 150/min, but there has been no fetal movement for 15 min. Which of the following actions should the nurse perform? Immediately report the situation to the client's provider and prepare the client for induction of labor. Encourage the client to walk around without the monitoring unit for 10 min, then resume monitoring. Offer the client a snack of orange juice and crackers. Turn the client onto her left side

Offer the client a snack of orange juice and crackers.

A nurse is caring for a client who is at 18 weeks of gestation. The client tells the nurse that she felt fluttering movements in her abdomen 3 days ago. The nurse should interpret this finding as which of the following? Ballottement Lightening Quickening Chloasma

Quickening

A nurse in a prenatal clinic is reviewing the health record of a client who is at 28 weeks of gestation. The history includes one pregnancy, terminated by elective abortion at 9 weeks; the birth of twins at 36 weeks; and a spontaneous abortion at 15 weeks. According to the GTPAL system, which of the following describes the client's current status? 4-0-1-2-2 3-0-2-0-2 2-0-0-2-0 4-2-0-2-2

4-0-1-2-2

A nurse is caring for a client who is in her first trimester of pregnancy and asks the nurse if she can continue to exercise during pregnancy. Which of the following responses by the nurse is appropriate? "Exercising during pregnancy is not recommended." "Daily jogging for up to 30 minutes is fine throughout the pregnancy." "Activities that raise the body temperature, such as saunas and hot tubs, are safe until the third trimester." "It is recommended that pregnant clients limit their exercise routine to stretching activities on a mat several times a week."

"Daily jogging for up to 30 minutes is fine throughout the pregnancy."

A nurse in a prenatal clinic is caring for a client who is at 7 weeks of gestation. The client reports urinary frequency and asks if this will continue until delivery. Which of the following responses should the nurse make? "It's a minor inconvenience, which you should ignore." "In most cases it only lasts until the 12th week, but it will continue if you have poor bladder tone." "There is no way to predict how long it will last in each individual client." "It occurs during the first trimester and near the end of the pregnancy."

"It occurs during the first trimester and near the end of the pregnancy."

A nurse is caring for a client at the first prenatal visit who has a BMI of 26.5. The client asks how much weight she should gain during pregnancy. Which of the following responses should the nurse make? "It would be best if you gained about 11 to 20 pounds." "The recommendation for you is about 15 to 25 pounds." "A gain of about 25 to 35 pounds is recommended for you "A gain of about 1 pound per week is the best pattern for you.

"The recommendation for you is about 15 to 25 pounds."

A nurse in a community clinic is counseling a client who received a positive test result for chlamydia. Which of the following statements should the nurse provide? "This infection is treated with one dose of azithromycin." "If your sexual partner has no symptoms, no medication is needed." "You have to avoid sexual relations for 3 days." "You need to return in 6 months for retesting."

"This infection is treated with one dose of azithromycin."

A nurse is caring for a client who is at 6 weeks of gestation with her first pregnancy and asks the nurse when she can expect to experience quickening. Which of the following responses should the nurse make? "This will occur during the last trimester of pregnancy, "This will happen by the end of the first trimester of pregnancy." "This will occur between the fourth and fifth months of pregnancy." "This will happen once the uterus begins to rise out of the pelvis."

"This will occur between the fourth and fifth months of pregnancy."

A nurse in a family planning clinic is caring for a 17-year-old female client who is requesting oral contraceptives. The client states that she is nervous because she has never had a pelvic examination. Which of the following responses should the nurse make? "What part of the exam makes you most nervous?" "Don't worry, I will be with you during the exam." "All you need to do is relax." "A pelvic exam is required if you want birth control pills."

"What part of the exam makes you most nervous?"

A nurse is caring for an adolescent client who has pelvic inflammatory disease as a consequence of a sexually transmitted infection, and will need intravenous antibiotic therapy. The client tells the nurse, "My parents think I am a virgin. I don't think I can tell them I have this kind of an infection." Which of the following responses should the nurse make? "Give your parents a chance; they'll understand." "If you want me to, I can tell your parents for you." "You seem scared to talk to your parents." "Your parents will have to be told why you are being admitted."

"You seem scared to talk to your parents."

A nurse is caring for a client who has a suspected ectopic pregnancy at 8 weeks of gestation. Which of the following manifestations should the nurse expect to identify as consistent with the diagnosis? Severe nausea and vomiting Large amount of vaginal bleeding Unilateral, cramp-like abdominal pain Uterine enlargement greater than expected for gestational age

Unilateral, cramp-like abdominal pain

A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following? Uteroplacental insufficiency Maternal bradycardia Umbilical cord compression Fetal head compression

Uteroplacental insufficiency

A nurse in a provider's office is caring for a client who is at 34 weeks of gestation and at risk for placental abruption. The nurse should recognize that which of the following is the most common risk factor for abruption? Cocaine use Hypertension Blunt force trauma Cigarette smoking

Hypertension

A nurse is caring for a client who is considering several methods of contraception. Which of the following methods of contraception should the nurse identify as being most reliable? A male condom An intrauterine device (IUD) An oral contraceptive A diaphragm with spermicide.

An intrauterine device (IUD)

A nurse is reviewing the health history of a client who has a new prescription for a combined oral contraceptive (COC). The nurse recognizes that which of the following client medications can interfere with the effectiveness of the COC? Antihypertensives Anticonvulsants Antioxidants Antiemetics

Anticonvulsants

A nurse is caring for a client who has preeclampsia and is being treated with magnesium sulfate IV. The client's respiratory rate is 10/min and deep-tendon reflexes are absent. Which of the following actions should the nurse take? Discontinue the medication infusion. Prepare for an emergency cesarean birth. Assess maternal blood glucose. Place the client in Trendelenburg position.

Discontinue the medication infusion.

A nurse is instructing a female client about how to check basal temperature in order to determine if the client is ovulating. The nurse should instruct the client to check her temperature at which of the following times? Every morning before arising On days 13 to 17 of her menstrual cycle 1 hour following intercourse Before going to bed every night

Every morning before arising

A nurse in a prenatal clinic is caring for a client who is suspected of having a hydatidiform mole. Which of the following findings should the nurse expect to observe in this client? Rapid decline in human chorionic gonadotropin (hG) levels Profuse, clear vaginal discharge Irregular fetal heart rate Excessive uterine enlargement

Excessive uterine enlargement

A nurse is providing preconception counseling for a client who is planning a pregnancy. Which of the following supplements should the nurse recommend to help prevent neural tube defects in the fetus? Calcium Iron Vitamin C Folic acid

Folic acid

A nurse in a college health clinic is speaking to a group of adolescents about toxic shock syndrome (TSS). Which of the following should the nurse include in the teaching as increasing the risk for contracting TSS? High-absorbency tampons Mosquito bites Travel to foreign countries Multiple sexual partners

High-absorbency tampons

A nurse is caring for a client who is scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation. The nurse provides which of the following explanations about this test to the client? This test assesses fetal lung maturity. It assesses various markers of fetal well-being. This test identifies an Rh incompatibility between the mother and fetus. It is a screening test for spinal defects in the fetus.

It is a screening test for spinal defects in the fetus.

A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected placenta previa. Which of the following findings support this diagnosis? Painless red vaginal bleeding Increasing abdominal pain with a nonrelaxed uterus Abdominal pain with scant red vaginal bleeding Intermittent abdominal pain following passage of bloody mucus

Painless red vaginal bleeding

A nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation. At which location should the nurse expect to palpate the fundus? 3 cm above the umbilical Slightly above the umbilicus Slightly below the umbilicus 3 cm below the umbilicus

Slightly above the umbilicus

A nurse is caring for a client who is in the first stage of labor, undergoing external fetal monitoring, and receiving IV fluid. The nurse observes variable decelerations in the fetal heart rate on the monitor strip. Which of the following is a correct interpretation of this finding? Variable decelerations are due to umbilical cord compression Variable decelerations are caused by uteroplacental insufficiency. Variable decelerations are a result of the administration of IV narcotic analgesics Variable decelerations are related to fetal head compression.

Variable decelerations are due to umbilical cord compression

A nurse is providing teaching about nutrition to a client at her first prenatal visit . Which of the following statements by the nurse should be included in the teaching ? " You will need to increase your calcium intake during breastfeeding . " " Prenatal vitamins will meet your need for increased vitamin D during pregnancy ". "Vitamin E requirements decline during pregnancy due to the increase in body fat ". "You will need to double your intake of iron during pregnancy "

You will need to double your intake of iron during pregnancy "