maternity

Which statement by the pregnant woman shows an understanding that she should avoid teratogens in the first trimester?

"I have to call my doctor to switch me from lithium to another drug for my bipolar disorder."

A client who is 32 weeks gestation tells the nurse that she has been experiencing shortness of breath when walking up the steps at home. She is concerned that something is wrong. What is the nurse's best response?

"The enlarging uterus pushes against your diaphragm and this makes breathing shallow"

A pregnant client states, "I am only 6 weeks pregnant, but the morning sickness is awful. When is it going to stop?" What is the best response by the nurse?

"Usually after 12 weeks, when the placenta starts managing the production of progesterone, morning sickness ends."

While caring for a pregnant client at 8 weeks' gestation, the client asks the nurse, "When can you hear the baby's heartbeat?" The nurse should instruct the client that when a Doppler device is used, the earliest time when the fetal heart rate can be heard is the gestational age of

10 weeks.

A 32-year-old attorney comes to the office for her second prenatal visit. She has had two previous pregnancies with uneventful prenatal care and vaginal births. Her only problem was that with each pregnancy she gained 23 kg and had difficulty losing the weight afterwards. She has no complaints today. The client's chart states that she is currently 10 weeks pregnant and that her prenatal weight was 59 kg. Her weight today is 60.9 kg. Her height is 1.66 m (5'4"), giving her a BMI of 22. Her blood pressure, pulse, and urine tests are unremarkable. The fetal heart tone is difficult to find but is located and is 150. While giving first-trimester education, the nurse tells the client how much weight she is expected to gain during pregnancy. How much weight should the nurse tell the client?

11.5 to 16 kg

A client presents to the health care clinic for her first prenatal visit. The client's current nonpregnant weight is normal for her height. What recommendation for proper weight gain should the nurse discuss with the client?

25 to 35 pounds

A client presents to the healthcare clinic for her first prenatal visit. The client's current nonpregnant weight is normal for her height. What recommendation for proper weight gain should the nurse discuss with the client?

25 to 35 pounds

The nurse is measuring the fundal height of a woman who is 28 weeks' gestation. Which measurement would the nurse expect?

28 cm

Which prenatal client has the greatest risk of delivering a baby with a defect?

A 6-week pregnant woman who takes lithium (Eskalith) daily for bipolar disease

A client is at 20 weeks' gestation and is scheduled for a fetal survey with ultrasound. What will the ultrasound reveal about the placenta? (Select all that apply.)

A client is at 20 weeks' gestation and is scheduled for a fetal survey with ultrasound. What will the ultrasound reveal about the placenta? (Select all that apply.)

A client at 32 weeks' gestation, who has had regular prenatal care, is found to have gained 6 pounds in 1 week. What would the nurse to do next?

Assess the legs for edema.

A nurse at the healthcare facility assesses a client in the 20 week of gestation. The client is healthy and progressing well, without any sign of complications. Where should the nurse expect to measure the fundal height in this client?

At the level of the umbilicus

The nurse understands that the maternal uterus should be at what location at 20 weeks' gestation?

At the level of the umbilicus

A woman comes to the clinic complaining of irregular contractions lasting less than 30 seconds and occurring no more frequently than 5 times in 1 hour. She is afraid of losing the pregnancy. She is at 26 weeks of gestation with her first child. What is most likely happening to this woman?

Braxton Hicks contractions

The nurse is completing a head-to-toe assessment of a pregnant client. What anatomic area should be examined when assessing the Montgomery tubercles?

Breasts

During a prenatal visit, the nurse inspects the skin of the client's abdomen. What would the nurse identify as an abnormal finding?

Bruising

A nurse assesses a primigravida client and observes darkening of the skin on the client's face. How should the nurse document this pigmentation?

Chloasma

Increased pigmentation on the face of some pregnant women is called:

Chloasma

A client reports that she has been pregnant four times, had two babies born at term, no preterm births, two spontaneous abortions, and has two living children. The nurse should document the client's gravida and para status as which of the following?

G4 P2022

A client who is pregnant visits the health care facility for a routine examination. Which common changes of the mouth, throat, nose, and sinuses that occur in pregnancy should the nurse include in the teaching plan for this client? Select all that apply.

Gingival bleeding Gingival hypertrophy Epistaxis

A pregnant client tests positive for Group B Streptococcus. The nurse understands that what intervention is necessary to protect the infant?

Give the mother antibiotics 4 hours prior to delivery.

A 27-year-old woman who is 20 weeks pregnant for the first time has been having painful contractions that are 3 minutes apart. What should she do first?

Go to the doctor immediately

A nurse assesses a 32-year-old primigravida client with twin gestation in her second trimester. The client reports constipation from iron supplements. Which condition should the nurse assess for in this client as a result of the constipation?

Hemorrhoids

Urine and blood pregnancy tests measure the level of which hormone to validate the existence of pregnancy?

Human chorionic gonadotropin (hCG)

A nurse assesses a primigravida client and observes a pinkish color on the palms of the hands. How should the nurse document this pigmentation?

Palmar erythema

A nurse assesses a 23-year-old primigravida client in her first trimester. The client reports problems with excessive salivation. Which of the following conditions should the nurse document in this client?

Ptyalism

The client at 18 weeks' gestation states, "I feel a fluttering sensation, kind of like gas." The nurse understands that the client is describing what occurrence?

Quickening

As part of a 31-year-old client's prenatal care, the nurse is assessing immunization history. Which of the following immunizations is most relevant to ensuring a healthy fetus?

Rubella

What cervical change should a nurse recognize as indicating that a woman has delivered a fetus vaginally?

Slit-like appearance

In examining a client who is in her third trimester, the nurse notes pinkish-red streaks with slight depressions in the skin over the client's abdomen and breasts. The nurse documents this finding as which of the following?

Striae gravidarum

A pregnant client visits the clinic for the first time. The client tells the nurse that this is her first pregnancy and that she and her husband are Ashkenazi Jews and immigrated to the United States from Israel. The nurse should encourage the client to be tested for

Tay-Sachs disease.

The nurse is assessing a client during a prenatal visit. While listening to fetal heart tones, the nurse observes a rash along striae on the client's abdomen. The client says she has been itching intensely in that area. What does the nurse understand is causing this problem?

The client has stasis of bile salts.

A pregnant client in her first trimester states, "I think I must be having a miscarriage. I have sharp pains in my lower abdomen sometimes!" What does the nurse understand is happening to this client?

The client is experiencing stretching of the round and broad ligaments.

A young woman comes to the ED with lower abdominal pain on the right side and has been spotting blood for 2 days. She is diagnosed with an ectopic pregnancy, which is an obstetric emergency. An ectopic pregnancy is when what occurs?

The egg never leaves the fallopian tube

While assessing the abdomen of a pregnant client, the nurse observes striae gravidarum. The nurse should instruct the client that after delivery, the striae gravidarum will

fade to a white or silvery color.

A pregnant client at 12 weeks' gestation visits the clinic and tells the nurse that she has been vomiting severely for the past 5 days. The nurse should refer the client to a physician for possible

hyperemesis gravidarum.

The nurse is caring for a client who is 24 weeks pregnant. The client tells the nurse that she has been secreting colostrum for the past few days. The nurse should instruct the client that colostrum secretion

is normal for some women in the second and third trimesters.

A primigravida presents to the clinic with headache and proteinuria. The nurse obtains a blood pressure of 180/110 and suspects the patient is suffering from:

preeclampsia