Maternal Purple Book questions chapters 26-29

the nurse in a health care clinic is instructing a pregnant client how to preform kick counts. which statement by the client indicated a need for further instructions?

I need to lie flat on my back to perform the procedure

the nurse implements a teaching plan for a pregnant client who is newly diagnosed with gestational diabetes mellitus. which statement made by the client indicated a need for further teaching?

I should avoid exercise because of negative effects on insulin production

the nurse is providing instructions to a maternity client with a history of cardiac disease regarding appropriate dietary measures. which statement, if made by the client, indicates

I should drink adequate fluids and increase my intake of high fiber foods

the nurse has instructed a pregnant client in measures to prevent varicose veins during pregnancy. which statement by the client indicates a n need for further instructions?

I should wear knee-high hose but I should not leave them on longer than 8 hours

a client in the first trimester of pregnancy arrives at a health care clinic and reports that she has been experiencing vaginal bleeding. a threatened abortion is suspected, and the nurse instructs the client regarding management of care. which statement made by the client indicates a need for further instruction?

I will maintain strict bed rest throughout the remainder of the pregnancy

the nurse is assessing a pregnant client with type 1 diabetes mellitus about her understanding regarding changing insulin needs during pregnancy. the nurse determines that further teaching is needed if the client makes which statement?

I will need to increase my insulin dosage during the first 3 months of pregnancy

Chapter 28 The nurse is providing instructions to a pregnant client who is scheduled for an amniocentesis. what instruction should the nurse provide?q

an informed consent needs to be signed before the procedure.

The nurse is assisting in performing an assessment on a client who suspects that she is pregnant and is checking the client for probable signs of pregnancy. which are probable signs of pregnancy?

ballottement chadwick's sign uterine enlargement Braxton hicks contractions

A pregnant client is seen for a regular prenatal visit and tells the nurse that she is experiencing irregular contractions. the nurse determines that she is experiencing Braxton hicks contractions. on the basis of this finding which nursing action is most appropriate?

inform he client that these contractions are common and may occur throughout the pregnancy

The health care provider is assessing the client for the presence of ballottement. to make this determination the HCP should take which action?

initiate a gentle upward tap on the cervix

the nurse in a maternity unit is providing emotional support to a client and her husband who are preparing to be discharged from the hospital after the birth of a dead fetus. which statement made by the client indicates a component of the normal grieving process?

we want to attend a support group

a pregnant client asks the nurse in the clinic when she will be able to begin to feel the fetus move. the nurse responds by telling the mother that the fetal movement will be noted between which weeks of gestation?

14 and 18

Chapter 27 The nurse is preforming an assessment of a pregnant client who is 28 weeks of gestation. The nurse measures the fundal height in centimeters and expects what findings?

30 cm

A nursing student is assigned to care for a client in labor. the nursing instructor asks the student to describe fetal circulation, specifically the ductus venosus. Which statement is correct regarding the ductus venosus?

Connects the umbilical vein to the inferior vena cava

the nurse is collecting data during an admission assessment of a client who is pregnant with twins. the client has a healthy 5 year old child who was delivered at 38 weeks and tells the nurse that she does not have a history of any type of abortion or fetal demise. using GTPAL what should the nurse document in the client's chart?

G=2, T=1, P=0, A=0, L=1

the nurse is providing instructions regarding treatment of hemorrhoids to a client who is in the second trimester of pregnancy. which statement by the client indicates a need for further instruction?

I should apply heat packs to the hemorrhoids to help the hemorrhoids shrink

the clinic nurse is providing instructions to a pregnant client regarding measures that assist in alleviating heartburn. which statement by the client indicates an understanding of the instructions?

I should avoid eating foods that produce gas and fatty foods

a pregnant client reports to a health care clinic, complaining of loss of appetite, weight loss, and fatigue. after assessment client, tuberculosis is suspected. a sputum culture is obtained and identifies mycobacterium tuberculosis, which instruction should the nurse include in the client's teaching plan?

Isoniazid plus rifampin (rifadin) will be required for 9 months

The nurse is conducting a prenatal class on the female reproduction system. when a client in the class ask why the fertilized ovum stays in the fallopian tube for 3 days, what is the nurses best response?

It promotes the fertilized ovum's normal implantation in the top portion of the uterus

a client arrives at the clinic for the first prenatal assessment. she tells the nurse that the first day of her last menstrual period was October 19, 2914. Using nagele's rule which expected date of delivery should the nurse document in the client's chart?

July 26, 2015

The nurse is providing instructions to a pregnant client with genital herpes about the measures that are needed to protect the fetus. Which instruction should the nurse provide to the client?

a cesarean section will be necessary if vaginal lesions are present at the time of labor

the clinic nurse is performing a psychosocial assessment of a client who has been told that she is pregnant. which assessment finding indicates to the nurse that the client is at risk for contracting HIV

a client who has a history of intravenous drug use

the nurse in a maternity unit is reviewing the clients records. which client would the nurse identify as being at the most risk for developing disseminated intravascular coagulation?

a gravida II who has just been diagnosed with dead fetus syndrome

a nonstress test is performed on a client who is pregnant, and the results of the test indicate nonreactive findings. the health care provider prescribes a contraction stress test, and the results are documented as negative. how should the nurse document this findings?

a normal test result

The nurse is reviewing the record of the client who has just been told that a pregnancy test is positive. the health care provider has documented the presence of Goodells's sign. this finding is most closely associated with which characteristics?

a softening of the cervix

The nurse instructor asks the student nurse to list the characteristics of amniotic fluid. The student responds correctly by listing which as characteristics of amniotic fluid?

allows for fetal movement surrounds, cushions, and protects the fetus maintains the body temperature of the fetus can be used to measure fetal kidney function

a pregnant client calls a clinic and tells the nurse that she is experiencing leg cramps that awaken her at night. what should the nurse tell the client to provide relief from the leg cramps?

bend your foot toward your body while extending the knee when the cramps occur

A couple comes to the family planning clinic and asks about sterilization procedures. which question by the nurse would determine whether this method of family planning would be most appropriate?

do you plan to have any other children

the nurse is performing an assessment on a pregnant client with a diagnosis of severe preeclampsia. the nurse reviews the assessment findings and determines that which finding is most closely associated with complication of this diagnosis?

evidence of bleeding such as in the gums, petechial and purpura

The nurse is performing an assessment of a primigravida who is being evaluated in a clinic during her second pregnancy. which finding concerns then nurse and indicates the need for follow up?

fetal heart rate of 180/beats a min

a pregnant client tells the nurse that she has been craving unusual foods. the nurse gathers additional assessment data and discovers that the client has been ingesting daily amounts of white clay dirt from her backyard. lab studies are performed and the nurse determines that which finding indicates a physiological consequence of the clients practice?

hemoglobin 9.1 g/dL

the nurse is describing cardiovascular system changes that occur during pregnancy to a client and understands that which finding would be normal for a client in the second trimester?

increase in pulse rate

Which explanation should the nurse provide to the prenatal client about the purpose of the placenta?

it is the way the baby gets food and oxygen

the nurse has performed a nonstress test on a pregnant client and is reviewing the fetal monitor strip. the nurse interprets the test as reactive. how should the nurse document this finding?

normal

The nurse is performing an assessment on a client who is at 38 weeks gestation and notes that the fetal heart rate is 174/beats a min. On the basis of this finding what is the priority nursing action?

notify the health care provider

A 55 year old male client confides in the nurse that he is concerned about his sexual function. What is the nurse's best response?

please share with me more about your concerns

a rubella titer results of a 1 day postpartum client is less than 1:8 and rubella virus vaccine is prescribed to be administered before discharge. the nurse provides which information to the client about the vaccine?

pregnancy needs to be avoided for 1-3 months the vaccine is administered by the subcutaneous route exposure to immunosuppressed individuals needs to be avoided a hypersensitivity reaction can occur if the client has an allergy to eggs

the home care nurse is monitoring a pregnant client with gestational hypertension who is at risk for preeclampsia. at each home care visit, the nurse assesses the client for which signs of preeclampsia

proteinuria hypertension generalized edema

a pregnant client asks the nurse about the types of exercised that are allowable during pregnancy. the nurse should tell the client that which exercise is safest?

swimming

A pregnant client tells the clinic nurse that she wants to know the gender of the baby as soon as it can be determined. The nurse understands that the client should be able to find out the gender at 12 weeks gestation because of which factor?

the appearance of the fetal external genitalia

the home care nurse visits a pregnant client who has a diagnosis of mild preeclampsia. which assessment finding indicates a worsening of the preeclampsia and the need to notify the health care provider?

the client complains of a headache and blurred vision

the nurse evaluates the ability of a hep B positive mother to provide safe bottle feeding to her newborn during postpartum hospitalization. which maternal action best exemplifies the mother's knowledge of potential disease transmission to the newborn?

the mother washes and dries her hands before and after selfcare of the perineum and asks for a pair of gloves before feeding

a health care provider has prescribed a transvaginal ultrasonography for a client in the first trimester of pregnancy and the client asks the nurse about the procedure. how should the nurse respond to the client?

the probe that will be inserted into the vagina will be covered with a disposable cover and coated with gel

A pregnant client in the first trimester calls the nurse at the health care clinic and reports that she has noticed a thin, colorless vaginal drainage. the nurse should make which statement to the client?

the vaginal discharge maybe bothersome, but is a normal occurence

Chapter 26 The nursing is preparing to teach a prenatal class about fetal circulation. which statement should be included in the teaching plan?

two arteries carry deoxygenated blood and waste products away from the placenta

the nurse is providing instructions to a client in the first trimester of pregnancy regarding measures to assist in reducing breast tenderness. which instructions should the nurse provide?

was the breast with warm water and keep them dry

a still born baby was delivered in the birthing suite a few hours ago. after the delivery the family remained together holding and touching the baby. which statement by the nurse would further assist the family in their initial period of grief?

what can I do for you

Chapter 29 the nurse providing instructions to a pregnant client with human immunodeficiency virus (HIV) infection regarding care to the newborn after delivery. the client asks the nurse about the feeding options that are available, which response should the nurse make to the client?

you will need to bottle feed your newborn

The nurse should include which statement to a pregnant client found to have gynecoid pelvis?

your type of pelvis is the most favorable for labor and birth