Maternity practice questions

A primigravid client at 36 weeks gestation with premature rupture of the membranes is to be discharged home on bed rest with follow-up by the nurse. After instruction about care while at home, which client statement indicates effective teaching?

"I should contact the doctor if my temperature is 100.4° F (38°C) or higher."

A client who's 5 weeks pregnant reports nausea and vomiting. The nurse reassures the client that these symptoms probably will subside by:

9 to 12 weeks

During her first prenatal visit, a client expresses concern about gaining weight. What is the nurse's first action?

Ask the client how she feels about gaining weight and provide instructions about expected weight gain and diet

Which recommendation would be the most appropriate preventative measure to suggest to a primigravid client at 30 weeks gestation who is experiencing occasional heartburn

Eat smaller and more frequent meals during the day

The nurse teaches a primigravid client how to do Kegel exercises. What does the nurse explain is the expected outcome of these exercises?

strengthening the perineal muscles

A client who is 16 weeks pregnant reports many mood swings. Which statement accurately describes estrogen and progesterone's levels during this clients stage of pregnancy ?

Both estrogen and progesterone levels are rising

A client has come to the clinic for her first prenatal visit. The nurse should include which statement about using drugs safely during pregnancy in client teaching?

Consult with your health care provider before taking any medications

A client asks the nurse why taking folic acid is so important before and during pregnancy. What should the nurse tell the client?

Folic acid is important in preventing neural tube defects in newborns and preventing anemia in mothers

When evaluating a pregnant client's knowledge of symptoms to report immediately, which statement indicates to the nurse that the client understands the information given to her?

If I have blurred or double vision, I should call the clinic immediately

A pregnant clients last menstrual period began on October 12. Using Naegele's rule the nurse calculates the estimated date of delivery (EDD) as:

July 19th

A primigravid client at 36 weeks gestation tells the nurse that she has been experiencing insomnia for the past two weeks. Which suggestion would be most helpful?

Practice relaxation techniques before bedtime

A client who's 4 weeks pregnant comes to the clinic for the first prenatal visit. When obtaining the health history, the nurse explores the clients use of drugs, alcohol, and cigarettes. Which client outcome identifies a safe level of alcohol intake for this client?

The client consumes no alcohol

A pregnant client at about 29 weeks gestation asks the nurse "What can I do about this dark brown line running down my stomach?" When teaching the client about the this brown line, what should the nurse tell the client?

This is linea nigra that will fade after the baby is born

A client in the first trimester of pregnancy comes to the facility for a routine prenatal visit. The client reports mixed feeling about readiness to have a baby, even though this was a planned pregnancy. Which response should the nurse offer?

You're feeling ambivalent which is normal during the first trimester

A client asks, "can my partner and I still engage in sexual intercourse while i'm pregnant?" what should the nurse tell the client?

although your sexual desire may change, intercourse is during an uncomplicated pregnancy

A nurse is developing a teaching plan for a primigravid client whos 2 months pregnant. The nurse should tell the client that fetal movement can be felt beginning at which time?

between 18 and 22 weeks

A primigravida at 36 weeks' gestation is having discomfort during a pelvic examination. What should the nurse tell the client to do to help her relax during the exam?

breathe in and out with slow deep breaths

When caring for the pregnant client with hyperemesis gravidarum, the nurse would further assess the client for which problem?

dehydration

While the nurse is caring for a 27 year old primigravida at 20 weeks gestation, the client asks if she should plan to attend childbirth preparation classes. What is an expected outcome of attending these classes?

greater control of birth plans

A client comes to the clinic and reports that she is pregnant with her first child. After the pregnancy is confirmed, which is the priority intervention by the nurse?

providing prenatal education

A client progressing through pregnancy develops constipation. What is the primary cause of the problem during pregnancy?

reduced intestinal motility

An 18 year old pregnant client tell the nurse that she is concerned that she may not be able to take care of herself during her pregnancy. She states that she is not sure what prenatal care is available, or if she should access it. The nurse should recognize that the client,

should be referred to community resources available for pregnant women

The nurse obtains the antepartum history of a client who's 6 weeks pregnant. Which finding is a concern

the clients consumption of six to eight cans of beer on weekends

A client who is 28 weeks pregnant is admitted for testing. After reading the nursing notes, which rationale best explains why a pregnant client should lie on her left side when resting or sleeping in the later stages of pregnancy?

to prevent compression of the vena cava