Nur 106 Module A Quiz

Within 72 hours of birth if infant is Rh positive

During a prenatal visit a nurse explains to a client who is Rh negative when Rho(D) immune globulin will be administered to her. When is the best time to administer Rho(D) immune globulin? Within 72 hours of birth if infant is Rh positive Weekly during 9th month if mother is multipara Immediately after birth if infant's Coombs test result is positive Always during 2nd trimester

"Normal range for fetal HR at 12 weeks' gestation is 120-180 bpm."

During a routine prenatal visit, a client listens to the fetal heartbeat w the healthcare provider for the first time during her first trimester. The fetal HR is 150 bpm. The client looks frightened & asks whether this is normal. How should the nurse respond? "Normal range for fetal HR at 12 weeks' gestation is 120-180 bpm." "Fetal average HR can be determined by multiplying mother's HR times two." "A slow fetal HR is more concerning than a rapid heart rate." "A rapid fetal HR is necessary to meet nutritional needs."

340 more calories during 2T

A 24-year-old client who has performed a positive home pregnancy test has presented at her first prenatal visit. She is 5'6" tall & weighs 130 lbs. What should the nutrition plan regarding her daily caloric intake include? 100 more calories during 1T 540 more calories during 3T 700 more calories during the 3Ts 340 more calories during the 2T

Amenorrhea Breast changes Urinary frequency

A client in her tenth week of pregnancy exhibits presumptive signs of pregnancy. Which clinical findings may the nurse determine upon assessment? Select all that apply. Amenorrhea Breast changes Urinary Frequency Abdominal enlargement Positive urine pregnancy test

Stop taking the supplement immediately Discuss the use of supplement w practitioner Discuss the use of any OTC products w the practitioner

A pregnant woman at 6 weeks' gestation tells the nurse at her first prenatal visit that she uses an OTC herbal product as a health supplement. What should the nurse recommend to the client? Select all that apply. Stop taking the supplement immediately Discuss the use of supplement w practitioner Increase dosage of supplement as pregnancy progresses Ask pharmacist whether the supplement is safe for use during pregnancy Discuss the use of any OTC products w the practitioner

Hepatic metabolism of drug is decreased

An RN teaches a nursing student about physiologic changes that occur during pregnancy & their impact on drug disposition & dosing. Which statement of the nursing student indicates the need for further education? Drug elimination is increased Hepatic metabolism of a drug is decreased Intestinal Transit time of drug is increased Absorption of drug through GI tract is increased

Hypocalcemia; increase milk intake

During a routine prenatal visit, a client tells the nurse that she often gets muscle weakness & leg cramps. What condition does the nurse suspect, & what suggestion is made to correct the problem? Hypercalcemia; avoid eating hard cheese Hypocalcemia; increase milk intake Hyperkalemia; consult her healthcare provider Hypokalemia; increase intake of green leafy vegetables

Quickening

On a routine prenatal visit, what is the sign or symptom that a healthy primigravida at 20 weeks' gestation will most likely report for the first time? Quickening Palpitations Pedal Edema Vaginal Spotting

"Have you ever had an internal examination before?"

On her first prenatal visit a client says to the nurse, "I guess I'll be having an internal examination today." What I'd the nurse's best response? "Yes, an internal exam is done at the mother's first visit." "Are you worried about having an internal examination?" "Have you ever had an internal examination done before?" "Yes, a slightly uncomfortable internal exam must be done."

Ask about menstrual history at the beginning of the assessment

The nurse is performing an assessment of a female client's reproductive system. Which action should the nurse take? Maintain friendly demeanor w the client during assessment Ask about sexual practices at beginning of assessment Ask about menstrual history at beginning of assessment Maintain gender-specific terms while questioning during assessment

Preterm labor Cesarean delivery Postpartum obesity

What complications are associated with excessive weight gain during pregnancy in adolescents? Select all that apply. Fetal anemia Preterm labor Cesarean deliver Maternal mortality Postpartum obesity

Gross malformations

Which effect is seen when the fetus is exposed to a teratogen during the embryonic period? Delay in growth Gross malformations Death of conceptus Disruption of brain development

"Development occurs in a head-to-toe & central-to-peripheral pattern." "Pregnancy includes the pre-embryonic, embryonic, & fetal stages of development." "During pregnancy, the embryo grows from a single cell to a complex physiologic being."

Which statements should the nurse include in a teaching session for pregnant couples regarding fetal growth & development? Select all that apply. "All major organ systems are developed & function prior to birth." "Development occurs in a head-to-toe & central-to-peripheral pattern." "The fetal stage of development is most vulnerable to teratogenic influences." "Pregnancy includes the pre-embryonic, embryonic, & fetal stages of development." "During pregnancy, the embryo grows from a single cell to a complex physiologic being."

Emesis Nausea Backache Dyspepsia

Which topics should the nurse include in the teaching session for a pregnant client regarding maternal discomforts caused by fetal growth & hormonal changes? Select all that apply. Emesis Nausea Diarrhea Backache Dyspepsia

"Walk around until they subside."

During a prenatal visit a client who is 36 weeks' gestation state that she is having uncomfortable, irregular contractions. How should the nurse respond? "Lie down until they stop." "Walk around until they subside." "Time the contractions for 30 minutes." "Take two extra-strength aspirin if discomfort persists."