OB Exam 1

A nurse is caring for a client at 12 weeks gestation who has a BMI of 45. Which of the following pieces of information should the nurse provide for the client regarding the recommended weight gain during her pregnancy? a. You should plan to gain no more than 20 pounds during your pregnancy b. You should plan to gain between 25 and 35 pounds during pregnancy c. You should not plan to gain any weight during your pregnancy because you are already well-nourished d. Since you have higher energy needs than the average sized person, you should plan to gain 45 to 50 pounds

A

A nurse is caring for a client at 32 weeks gestation who is experiencing preterm labor. Which of the following medications should the nurse plan to administer? a. Betamethasone b. Misoprostol c. Methylergonovine d. Poroctant alfa

A

A nurse is caring for a client at 34 weeks gestation who presents with vaginal bleeding. Which of the following assessments will indicate whether the bleeding is caused by placenta previa or an abruptio placenta? a. Uterine tone b. Fetal heart rate c. Blood pressure d. Amount of bleeding

A

A nurse is caring for a client at 37 weeks gestation who is undergoing a nonstress test. The fetal heart rate (FHR) is 130/min without accelerations for the past 10 min. Which of the following actions should the nurse take? a. Use vibroacoustic stimulation on the client's abdomen for 3 seconds b. Report a nonreactive test result to the provider immediately c. Request a prescription for an internal fetal scalp electrode d. Auscultate the FHR with a Doppler

A

A nurse is caring for a client during her first prenatal visit and notes that she is lactose-intolerant. Which of the following foods should the nurse include on a list of calcium sources for this client? a. Collard greens b. Cottage cheese c. Orange juice d. Broccoli

A

A nurse is caring for a client who believes she may be pregnant. Which of the following findings should the nurse identify as a positive sign of pregnancy? a. Palpable fetal movement b. Chadwick's sign c. Positive pregnancy test d. Amenorrhea

A

A nurse is caring for a client who is at 33 weeks of gestation and reports dark red vaginal bleeding and contractions that do not stop. Which of the following actions should the nurse take first? a. Check the fetal heart tones b. Asses the uterine contraction pattern c. Measure the maternal vital signs d. Obtain a biophysical profile

A

A nurse is caring for a client who is experiencing preterm labor. Which of the following medications should the nurse anticipate administering to enhance fetal lung maturation? a. Betamethasone b. Nifedipine c. Indomethacin d. Verapamil

A

A nurse is caring for a client who is in the first trimester of pregnancy and asks how to manage heartburn.Which of the following responses should the nurse make? a. Reduce the amount of food you eat during meals b. Sip carbonated beverages between meals c. Lie down and rest immediately after meals d. drink iced tea with meals

A

A nurse is caring for a client who is scheduled to undergo an amniocentesis to assess fetal lung maturity. The client is G2P1 and at 36 weeks of gestation, and she has an O-positive blood type. Which of the following interventions should the nurse perform? a. Apply an external fetal monitor to the client b. Instruct the client to drink fluids and not void prior to the procedure c. Administer Rho(D) immunoglobulin after the procedure d. Instruct the client to take a deep breath and hold it in during the entry of the needle

A

A nurse is caring for a newborn whose mother received magnesium sulfate to treat preterm labor. Which of the following clinical manifestations in the newborn indicates toxicity due to the magnesium sulfate therapy? a. Respiratory distress b. Hypothermia c. Hypoglycemia d. Jaundice

A

A nurse is caring for a pregnant client who reports nausea and vomiting. Which of the following instructions should the nurse share with the client? a. You should eat some crackers before rising from bed in the morning b. You should eat foods served at warm temperatures c. You should sip whole milk with breakfast d. You should brush your teeth immediately after meals

A

A nurse is performing a routine prenatal examination of a client who is in the second trimester. The client reports backaches with no other symptoms and refuses medication. Which of the following responses should the nurse make? a. Try pelvic tilt exercises b. Limit your physical activity c. Soak in a warm bubble bath d. Lie flat on your back for 1 hour

A

A nurse is providing nutritional counseling for a client who is pregnant. Which of the following nutrients should the nurse instruct the client to increase in her daily diet? a. Iron b. Calcium c. Vitamin E d. Vitamin K

A

A nurse is providing teaching about weight gain during pregnancy for a client who is a primigravida of normal pre-pregnancy weight. Which of the following statements should the nurse include? a. You should plan to gain 25 to 35 pounds during your pregnancy b. You should plan to gain 11 to 20 pounds during your pregnancy c. Because you started pregnancy at a normal BMI and weight, your weight gain is not limited as long as you follow a healthy, balanced diet d. BEcause you are of normal weight, you are encouraged to gain 29 to 40 pounds during your pregnancy

A

A nurse is reviewing the medical record of a client at 33 weeks gestation who has placenta previa and bleeding. Which of the following prescriptions should the nurse clarify with the provider? a. Perform a vaginal exam b. Perform continuous external fetal monitoring c. Insert a large-bore IV catheter d. Obtain a blood sample for laboratory testing

A

A nurse is reviewing the medical record of a client who is at 20 weeks of gestation. Which of the following findings should the nurse identify as a presumptive indication of pregnancy? a. Report of fetal movement by the client b. Auscultation of the fetal heart rate with a Doppler ultrasound c. Presence of Chadwick's sign on pelvic examination d. Report of Braxton-Hicks contractions by the client

A

A nurse is teaching a client who is at 12 weeks gestation about manifestations of potential complications that she should report to her provider. Which of the following pieces of information should the nurse include in the teaching? a. Facial swelling (indicated gestational hypertension) b. Urinary frequency c. White vaginal discharge d. Intermittent nausea

A

A nurse is teaching a client who is pregnant and has pregestational diabetes about dietary changes. Which of the following statements should the nurse include in the teaching? a. Carbohydrates should make up 55% of your diet b. Protein should make up 70% of your diet c. Fats should make up 45% of your diet d. Fiber should make up 10% of your diet

A

A nurse on the antepartum unit is caring for a client who is at 28 weeks gestation and reports dizziness when lying on her back. Into which of the following positions should the nurse assist the client? a. Lateral b. Lithotomy c. Trendelenburg d. Prone

A

A provider tells a client at 12 weeks gestation who practices Hinduism that she needs more protein in her diet and suggests eating more meat. After the provider leaves the examination room the client tells the nurse that eating animal products will cause her to miscarry. Which of the following responses should the nurse make? a. lets discuss other foods that are also high in protein that you could substitute for meat b. eating meat during pregnancy provides necessary protein and doesn't cause miscarriage c. Why do you think eating animal products will cause you to miscarriage d. your doctor is recommending what is best for you and your baby

A

A nurse administers betamethasone to a client who is at 33 weeks gestation to stimulate fetal lung maturity. When planning care for the newborn, which of the following conditions should the nurse identify as an adverse effect of this medication? a. Hyperthermia b. Decreased blood glucose c. Rapid pulse rate d. Irritability

B

A nurse in a clinic is providing teaching to a client who is at 37 weeks of gestation and is scheduled for an external cephalic version. Which of the following statements should the nurse make? a. Your provider will insert a hand into your uterus and turn the baby around b. You will receive medication to relax your uterus prior to the procedure c. This procedure will be performed in the clinic at your next visit d. Your baby's heartbeat will be monitored occasionally and throughout the procedure

B

A nurse in a prenatal clinic is performing telephone triage for several clients. Which of the following client reports should the nurse identify as an expected physiological adaptation to pregnancy? a. Spitting with urination b. Breast tenderness c. Thick, white vaginal discharge d. Facial swelling

B

A nurse in a prenatal clinic is reviewing the laboratory results of a client who is at 33 weeks of gestation. For which of the following results should the nurse notify the provider? a. Hgb 11.3g/dL b. Platelet count 135,000 c. WBC count 10,500 d. Hct 38%

B

A nurse is admitting a client who is in labor and experiencing moderate bright red vaginal bleeding. Which of the following actions should the nurse take? a. Perform a vaginal examination to determine cervix dilation b. Obtain blood samples for baseline lab values c. Place a spiral electrode on the fetal presenting part d. Prepare the client for a transvaginal ultrasound

B

A nurse is assessing a client who is 14 hr postpartum and has a third-degree perineal laceration. The client's temperature is 37.8°C (100°F), and her fundus is firm and slightly deviated to the right. The client reports a gush of blood when she ambulates and no bowel movement since delivery. Which of the following actions should the nurse take? a. Notify the provider about the client's elevated temperature b. Assist the client to empty her bladder c. Administer a bisacodyl suppository d. Massage the client's fundus

B

A nurse is assessing a client who is 3 days postpartum. When examining the client's uterus, which of the following techniques should the nurse use? a. Press down and forward with the hand that is placed on the base of the uterus b. Measure the height of the fundus in fingerbreadths in relation to the umbilicus c. Place the client in semi-Fowler's position prior to checking the uterus d. Massage the fundus with gentle palpation until it becomes some

B

A nurse is assessing a client who is at 20 weeks gestation and reports frequent episodes of indigestion and heartburn. Which of the following instructions should the nurse give to the client? a. Limit your intake of food to twice per day b. Decrease your intake of spicy foods c. Rest in supine position for a few minutes after eating d. Increase your intake of water and carbonated beverages

B

A nurse is assessing a client who is receiving magnesium sulfate as a treatment for pre-eclampsia. Which of the following clinical findings is the nurse's priority? a. Respirations 16/min b. Urinary output 40 ml in 2 hr c. Reflexes +2 d. Fetal heart rate 158/min

B

A nurse is assessing a pregnant client at 26 weeks of gestation who reports an episode of dizziness after lying on her back on the couch. Which of the following actions should the nurse take? a. request a prescription for preeclampsia lab studies b. advise the client to lie on her side c. request an ultrasound to evaluate fetal wellbeing d. advise the client to add calcium supplements to her diet

B

A nurse is caring for a client who is 2 hr postpartum. The nurse notes the client's perineal pad has a large amount of lochia rubra with several clots. Which of the following actions should the nurse perform first? a. Check for a full bladder b. Massage the fundus c. Measure vital signs d. Administer carboprost IM

B

A nurse is caring for a client who is at 26 weeks gestation and reports constipation. Which of the following responses by the nurse is appropriate? a. You should drink 1 oz of mineral oil every morning b. You should walk for at least 30 mins a day c. You should eat at least 3 o of red meat per day d. You should stop taking your prenatal vitamins

B

A nurse is caring for a client who is receiving magnesium sulfate by continuous IV infusion. Which of the following medications should the nurse have available at the client's bedside? a. Naloxone b. Calcium gluconate c. Protamine sulfate d. Atropine

B

A nurse is caring for a primigravida client who is at 8 weeks gestation with twins. The client states that even though she and her husband planned this pregnancy, she is experiencing ambivalent feelings about it. Which of the following responses should the nurse make? a. Have you told your husband about these feelings b. These feelings are quite normal at the beginning of pregnancy c. Perhaps you should see a counselor to discuss your feelings d. I am quite concerned about these feelings. Could you explain more

B

A nurse is performing a nonstress test (NST) on a client who is at 41 weeks of gestation. The client asks what the purpose of the test is. Which of the following responses should the nurse provide? a. This test will determine if you are likely to deliver within the next week b. This test will help determine if your baby is healthy c. This test can see how your baby responds when you have contractions d. This test will determine if your baby's lungs are mature

B

A nurse is providing education for a pregnant client about symptoms that should be reported immediately to the provider. Which of the following client responses indicates an understanding of the teaching? a. I should call my provider if I develop melasma b. If I notice that my eyes are puffy, I should call my provider (indicated gestational hypertension) c. I should call my provider if I notice that my feet and ankles are swollen d. If I notice periodic numbness and tingling in my fingers, I should call my provider

B

A nurse is providing education to a client who is at 34 weeks of gestation about a non-stress test (NST). Which of the following pieces of information should the nurse include? a. It will take about 10 minutes to complete the test b. You might have to drink orange juice during the test c. During the test, you will be asked to massage your nipples d. During the test, you will receive medication to relax your uterus

B

A nurse is reviewing recent laboratory values during a prenatal visit for a client who is pregnant. The nurse notes a hemoglobin level of 10 g/dL. Which of the following actions should the nurse take? a. Review the medical record for a history of gastric bypass surgery b. Advise the client to start iron and vitamin C supplementation c. Review the medication list to determine if the client is taking an anticonvulsant d. Request an order for sickle cell anemia screening

B

A nurse is reviewing the laboratory values of a client who is pregnant and has a low progesterone level. Which of the following complications should the nurse expect? a. Gestational diabetes b. Preterm labor c. Inadequate milk supply d. Inadequate uterine growth

B

A nurse is talking with a client at 20 weeks of gestation who is scheduled for a sonogram. The client states, "I am here to have my regular prenatal checkup, but I do not want any pictures taken of my baby." Which of the following responses should the nurse make? a. Do not worry. We can do the sonogram without showing you the sex of the baby. b. I would like to hear more about why you do not want the sonogram, including any cultural reasons c. I think you should consider because the sonogram is an important part of the baby's checkup d. You have the right to tell the doctor that you do not want the sonogram

B

A nurse is teaching a client who is at 10 weeks gestation about an abdominal ultrasound in the first trimester. Which of the following pieces of information should the nurse include in the teaching? a. You will have a nonstress test prior to the ultrasound b. You will need to have a full bladder during the ultrasound c. The ultrasound will determine the length of your cervix d. You will experience uterine cramping during the ultrasound

B

A nurse is teaching a client who is at 10 weeks gestation about self-care management for common discomforts during pregnancy. Which of the following instructions should the nurse include? a. Douche every other day to minimize leukorrhea b. Consume frequent snacks to decrease episodes of nausea c. Refrain from scheduling dental procedures until the third trimester d. Decrease fluid intake to reduce urinary frequency

B

A nurse is teaching a client with pre-eclampsia who is scheduled to receive magnesium sulfate via continuous IV infusion about expected adverse effects. Which of the following adverse effects should the nurse include in the teaching? a. Elevated BP b. Feeling of warmth c. Hyperactivity d. Generalized pruritus

B

A nurse in an outpatient setting is providing education for a client who is pregnant. Which of the following statements should the nurse include in the teaching? a. During the last trimester, you should sleep mainly on your back b. During the second trimester, you will notice increased urinary frequency and urgency c. You will probably first notice your baby moving when you are around 20 weeks gestation d. You should plan to gain 40 to 45 lbs during your pregnancy

C

A nurse is assessing a client at 35 weeks gestation who is receiving magnesium sulfate via continuous IV infusion for severe pre-eclampsia. Which of the following findings should the nurse report to the provider? a. DTR 2+ b. Blood pressure 150/96 c. Urinary output 20 mL/hr d. Respiratory rate 16/min

C

A nurse is assessing a client before administering the hepatitis B vaccine. Which of the following allergies should the nurse identify as a contraindication to receiving this vaccine? a. Shellfish b. Gelatin c. Baker's yeast d. Eggs

C

A nurse is assessing a client on the first postpartum day. Findings include the following: fundus firm and one fingerbreadth above and to the right of the umbilicus, moderate lochia rubra with small clots, temperature 37.3°C (99.2°F), and pulse rate 52/min. Which of the following actions should the nurse take? a. Report the vital signs to the provider b. Massage the fundus c. Ask the client when she last voided d. Administer an oxytocic agent

C

A nurse is assessing a client who delivered vaginally 8 hours ago. The nurse notes that the client's fundus is 2 fingerbreadths above the umbilicus and has shifted to the left, and there is a large amount of lochia rubra on the perineal pad. Which of the following actions should the nurse take first? a. administer analgesia b. administer carboprost IM c. assist the client to the toilet d. obtain a blood specimen to test Hct and Hgb levels

C

A nurse is assessing a client who is 2 days postpartum. In which of the following locations should the nurse expect to locate the client's fundus? a. 3 cm above the umbilicus b. 1 cm above the umbilicus c. 3 cm below the umbilicus d. 1 cm below the umbilicus

C

A nurse is assessing a postpartum client and observes a steady trickle of bright red blood from the client's vagina. The uterus is palpated as firm, midline, and located 1 cm below the umbilicus. Which of the following actions should the nurse take? a. Massage the fundus b. Instruct the client to empty her bladder c. Notify the provider d. Teach the client to perform a sitz bat

C

A nurse is assessing a pregnant client who is at 38 weeks gestation. The client reports that her breathing has become easier but notes an increased frequency of urination. The nurse should document this occurrence as which of the following? a. Effacement b. Dilation c. Lightening d. Quickening

C

A nurse is assisting with an amniocentesis for a client who is Rh-negative. Which of the following actions should the nurse take following the procedure? a. Send a sample of amniotic fluid to the laboratory to screen the client for chlamydia b. Send a sample of amniotic fluid to the laboratory to test for an elevated R-negative titer c. Administer immune globulin to the client to prevent fetal isoimmunization d. Administer intravenous antibiotics to prevent infection

C

A nurse is calculating a pregnant client's estimated date of delivery using Naegele's rule. The client's last menstrual period started on January 20. Which of the following is the client's expected date of delivery? a. October 13 b. November 13 c. October 27 d. November 27

C

A nurse is caring for a client at 36 weeks gestation who has pre-eclampsia. Which of the following findings should the nurse identify as the priority? a. 1+ proteinuria b. Blood pressure 140/98 c. Nonreactive stress test d. Fundal height 33 cm

C

A nurse is caring for a client who had a precipitous delivery. Which of the following assessments is the priority during the fourth stage of labor? a. Obtaining the client's temperature b. Inspecting the client's perineum c. Palpating the client's fundus d. Checking the client for hemorrhoids

C

A nurse is caring for a client who is in preterm labor and is receiving magnesium sulfate. The client begins to show indications of magnesium sulfate toxicity. Which of the following medications should the nurse prepare to administer? a. Protamine sulfate b. Naloxone c. Calcium gluconate d. Flumazenil

C

A nurse is caring for a client who is receiving magnesium sulfate IV. Which of the following medications should the nurse have available as an antidote to magnesium sulfate? a. Betamethasone b. Terbutaline c. Calcium gluconate d. Indomethacin

C

A nurse is caring for a client who is scheduled to receive a continuous IV infusion of oxytocin following a vaginal birth. Which of the following assessment findings should the nurse monitor to evaluate the effectiveness of the medication? a. Urinary output b. Blood pressure c. Fundal consistency d. Pulse rate

C

A nurse is caring for a newborn. The nurse should obtain informed consent before taking which of the following actions? a. Administering erythromycin ophthalmic ointment b. Conducting a newborn hearing screening c. Giving the hepatitis B vaccine d. Screening for critical CHD

C

A nurse is discussing the expected changes related to pregnancy with a client who is at 8 weeks gestation. Which of the following findings should the client to report to the provider during the first trimester? a. Breast tenderness b. Urinary frequency c. Persistent vomiting d. No fetal movement

C

A nurse is planning care for a client who is at 35 weeks gestation. Which of the following laboratory tests should the nurse obtain? a. Rubella titer b. Blood type c. Group B strep d. 1 hour glucose tolerance test

C

A nurse is reviewing laboratory results for a client who is at 37 weeks gestation. The nurse notes that the client is rubella non-immune, is positive for group A beta-hemolytic streptococcus, and has a blood type of O negative. Which of the following actions should the nurse take? a. Administer a dose of Rho(d) immune globulin b. Request a prescription for an antibiotic until delivery c. Instruct the client to obtain a rubella immunization a

C

A nurse is teaching a client who is at 30 weeks gestation about warning signs of complications that she should report to her provider. Which of the following findings should the nurse include in the teaching? a. Mild constipation b. Nasal congestion c. Vaginal bleeding d. 10 fetal movements per hour

C

A nurse is teaching a prenatal class for a group of antepartum clients. Which of the following pieces of information should the nurse include about the hepatitis B immunization? a. The first dose should be administered at 3 months of age b. Your baby will receive the immunization subcutaneously, meaning under the skin c. We will need your consent prior to administering the vaccine d. Your baby will receive the vaccine in a series of 5 doses

C

A nurse is caring for a client who is at 35 weeks of gestation and is scheduled to undergo an amniocentesis. Which of the following statements should the nurse make? a. You will have to drink 3 to 5 8oz glasses of water to fill your bladder b. This procedure will not rupture your membranes or cause premature labor c. You might feel light pressure during the collection of a blood sample from the baby d. You will feel some mild discomfort during the procedure

D

A nurse is caring for a client who is pregnant and whose last menstrual period (LMP) began on April 8. Using Naegele's rule, which of the following dates would be the client's estimated date of birth (EDB)? a. July 15 b. July 11 c. January 11 d. January 15

D

A nurse is caring for a client whose last menstrual period (LMP) began on July 8. Using Naegele's rule, what is the client's estimated date of birth (EDB)? a. October 1 b. April 1 c. October 15 d. April 15

D

A nurse is caring for an adolescent who is in the second trimester of pregnancy. The client states,"I've gotten used to the idea of this pregnancy. It will be fun to have a little baby around the house." Which of the following is the appropriate response by the nurse? a. Babies are not fun. They are a lot of work b. I'm so glad to see you're happy about the baby c. How are your parents reacting to the pregnancy d. Tell me how you think your life will be better a

D

A nurse is counseling a female client who expresses a desire to conceive in the near future. Which of the following dietary recommendations should the nurse make to prevent neural tube defects? a. Take a multivitamin everyday b. Decrease consumption of mercury-containing fish c. Increase consumption of dairy products d. Begin taking folic acid supplements

D

A nurse is educating a client who is at 10 weeks gestation and reports frequent nausea and vomiting. Which of the following statements should the nurse include in the teaching? a. You should eat foods served at warm temperatures b. You should brush your teeth right after eating c. you should try to eat sweet foods when you feel nauseated d. you should eat dry foods that are high in carbs when you wake up

D

A nurse is planning care for a client who is pregnant and is Rh-negative. In which of the following situations should the nurse administer Rh(D) immune globulin? a. While the client is in labor b. Following an episode of influenza during pregnancy c. Prior to a blood transfusion d. At 28 weeks gestation

D

A nurse is preparing to administer routine medications to a newborn following birth. Which of the following actions should the nurse take? a. Administer vitamin K subcutaneously b. Administer erythromycin eye ointment within 12 hours c. Administererythromycine eye ointment from the outer canthus towards the inner d. Administer Vitamin K in the newborn's thigh

D

A nurse is providing care for a pregnant adolescent who is at 12 weeks gestation and verbalizes a fear of gaining weight during pregnancy. Which of the following actions should the nurse take? a. Having the client watch a video on fetal growth and development during pregnancy b. Supply pamphlets that discuss the importance of nutrition during pregnancy c. Explain how poor nutrition can prevent the baby from growing properly d. Provide examples of how eating well will help maintain a healthy weight gain during pregnancy

D

A nurse is providing nutritional teaching for a pregnant client who had a prepregnancy body mass index (BMI) of 38. Which of the following statements by the client demonstrate an understanding of the teaching about her recommended weight gain during pregnancy? a. I should plan to gain 12.7 to 18.1 kg during my pregnancy b. I should plan to gain 11.3 to 158 kg during my pregnancy c. I should plan to gain 6.8 to 11.3 kg during my pregnancy d. I should plan to gain 5 to 9.1 kg during my pregnanc

D

A nurse is providing teaching for a client at 7 weeks of gestation who is experiencing nausea and vomiting. Which of the following client statements indicates to the nurse an understanding of the teaching? a. I should eat fatty foods to increase my caloric intake b. I should brush my teeth right after eating c. acupressure bands on my elbow might help me feel better d. i should have a small snack before bedtime

D

A nurse is providing teaching to a client who is at 8 weeks gestation about manifestations to report to the provider during pregnancy. Which of the following pieces of information should the nurse include in the teaching? a. Nausea upon awakening b. Leg cramps while sleeping c. Increased white vaginal discharge d. Blurred or double vision (indicated gestational hypertension)

D

A nurse is teaching a female client about nutrition during pregnancy. Which of the following instructions should the nurse include in the teaching? a. Plan to double your normal caloric intake during the last trimester of pregnancy b. Expect to gain 10-15 lbs during pregnancy c. Restrict your intake of sodium throughout pregnancy d. Do not eat swordfish, shark, or king mackerel while you are pregnant

D

A nurse is using Naegele's rule to determine the estimated date of birth (EDB) for a client whose first day of her last menstrual period was February 2, 2018. The nurse should identify which of the following as the client's EDB? a. November 16, 2018 b. October 19, 2018 c. October 26, 2018 d. November 9, 2018

D

A nurse in a clinic is caring for a client who is pregnant and reports a last menstrual period (LMP) that began on December 7. Which of the following dates would be the client's estimated date of birth (EDB)? a. September 14 b. September 7 c. March 14 d. March 7

A

A nurse in a provider's office is caring for a client who is in the first trimester of pregnancy. Which of the following psychological tasks should the nurse expect the client to accomplish during this trimester? a. Accepting the pregnancy b. Preparing for the end of pregnancy c. Preparing for parenthood d. Accepting the baby

A

A nurse in an antepartum clinic is caring for a client who is at 24 weeks gestation. Which of the following findings should the nurse report to the provider? a. Frequent headaches b. Leukorrhea c. Epistaxis d. Periodic numbness of fingers

A

A nurse is assessing a client at 27 weeks of gestation. The client has placenta previa and reports vaginal bleeding. Which of the following additional manifestations should the nurse expect? a. The fundal height measures greater than gestational age b. A rigid abdomen is noted on palpation c. The client reports a pain level of 8 d. A urine drug screen is positive for cocaine

A

A nurse is assessing a client who has placenta previa. Which of the following findings should the nurse expect? a. Painless, bright red bleeding b. Board-like uterus c. Persistent uterine contractions d. Abdominal pain

A

A nurse is assessing a client who reports that she might be pregnant. Which of the following findings should the nurse identify as a presumptive sign of pregnancy? a. Nausea in the morning b. Positive home pregnancy test c. Increased sensitivity of the cervix noted upon examination d. Gestational sac observed by transvaginal ultrasound

A

A nurse is caring for a client who is 8 hr postpartum and is experiencing hemorrhage. Which of the following actions should the nurse implement after notifying the provider? SATA a. massage the fundus b. give oxygen at 2L/min via NC c. Administer oxytocin with IV fluids d. Insert an indwelling urinary catheter e. place the client in lateral position with her legs elevated 30 degrees

A, C, D, E

A client who is pregnant tells the nurse that she is financially unable to buy the food and vitamins recommended during pregnancy. Which of the following actions should the nurse take? a. Explain to the client that improper nutrition could lead to birth defects in her baby b. Instruct the client to return to the clinic for weekly weigh-ins for the remainder of her pregnancy c. Provide the client with sample menus to promote nutritional meal preparations d. Refer the client to a community resource that could assist with providing nutrition

D

A nurse at a clinic is preparing to teach the process of involution to a group of antenatal clients. Which of the following information should the nurse provide? a. The fundus is approximately 2 cm above the level of the umbilicus at the end of the third stage of labor b. The fundus is approximately 3 cm above the umbilicus within 12 hrs of delivery c. The fundus is located halfway between the umbilicus and mons pubis on the 6th day postpartum d. The fundus is not palpable abdominally at 2 weeks postpartum

D

A nurse at a prenatal clinic is assessing an adolescent who is pregnant and is visiting the clinic for the first time. Which of the following factors is the nurse's priority to evaluate? a. Psychological readiness b. Partner support c. Socioeconomic status d. Nutritional status

D

A nurse in a prenatal clinic is caring for a client who is within the recommended guideline for weight. The client asks the nurse how much weight is safe for her to gain during her pregnancy. Which of the following responses should the nurse offer? a. Your provider can discuss an appropriate amount of weight gain with you b. A weight gain of about 14 lbs each trimester is suggested c. If you eat nutritious foods when you feel hungry, the amount of weight gain is insignificant d. A weight gain of about 25 to 35 lbs is good

D

A nurse is assessing a client at 34 weeks gestation who has a mild placental abruption. Which of the following findings should the nurse expect? a. Increased platelet count b. Fetal distress c. Decreased urinary output d. Dark red vaginal bleeding

D

A nurse is assessing a client who is at 30 weeks of gestation and has gestational hypertension. Which of the following findings should the nurse identify as an indication that the client needs a biophysical profile? a. Fundal height is 30 cm b. Fetal movement count 12 hours in 12 hours c. FetalHR of 136/min d. Nonreactive stress test

D

A nurse is assessing a client who missed 2 menstrual cycles and reports that she might be pregnant. Which of the following findings is a positive sign of pregnancy? a. Quickening b. Breast tenderness c. Uterine enlargement d. Auscultation of the fetal heart rate

D

A nurse is assessing a female client 24 hr after delivery and notes the fundus is 2 cm above the umbillicus. Which of the following actions should the nurse take? a. administer a tocolytic medication b. apply a heating pad to the mid-abdomen c. reassess fundus in 2 hours d. ambulate patient to the bathroom

D

A nurse is caring for a client in the third trimester of pregnancy who reports difficulty sleeping. Which of the following instructions should the nurse provide? a. Eat a high-fat snack before bed b. Exercise in the evening before bed c. Sleep in supine position d. Use additional pillows to support extremities and abdomen

D

A nurse is caring for a client who has a BMI of 22.6 and expresses concern about weight gain during pregnancy. Which of the following responses should the nurse make? a. You're eating for 2, so you should double your caloric intake b. You'll lose weight easily after the birth of your baby c. plan to gain a total of 15 to 20 pounds during pregnancy d. gaining weight will promote a healthy pregnancy

D

A nurse is caring for a client who is 24 years old and at 13 weeks of gestation. The client's history includes a BMI of 31 prior to pregnancy, a prior post-term delivery, and a newborn birth weight of 4,167.38 g (9 lb 3 oz). Which of the following laboratory values should the nurse expect to collect? a. Maternal serum alpha fetoprotein b. Pregnancy associated plasma protein A c. Chorionic villus sampling d. HbA1C

D