Pregnancy/IPV

A pregnant client tells the nurse she is concerned about how her older child will react to the birth of new baby. Which would be the most therapeutic response by the nurse?

Sharing the spotlight with a new sibling can be a major crisis for a child. How old is your other child?

A client from a shelter for battered woman states "it's my fault, I should have left a long time ago." Which statement by the nurse is the best response?

"I am sorry this has happened. Can you tell me more about what happened? I will arrange a counseling appointment for you."

During a prenantal visit, the client husband states he has been experiencing nausea, weight gain, and abdominal pains. Which is the best response by the nurse?

"Men may experience pregnancy like symptoms similar to those of their partner."

A nurse is a guest speaker for a maternal and newborn class and her topic is antenatal testing. One of the students demonstrates understanding of the risk factors for fetal genetic disorders when she responds with which of the following statements?

"The client is more than 35 years old." "The client has a hex of genetic disorders." "The client has a positive alpha fetoprotein (AFT) screening test."

A patient with gonorrhea has an order for ceftriaxone 250 mg IM one time. The medication is available as single dose vial with 500 mg of ceftriaxone powder. The nurse resconstitutes the powder with 1 mL of sterile water. How many mL should the nurse administer?

0.5 250/500 x 1 = 0.5

The nurse is teaching a pregnant client about positioning to avoid supine hypotensive syndrome. Which positioning would be effective?

Sleep in side-lying position.

The nurse is discharging a women after hospitalization for preterm labor. The nurse instructs the patient to call the provider for which signs or symptoms?

1. Broken bag of water. 2. Low back ache with menstrual cramps 3. Regular contraction that do not go away with rest.

A female discloses to the nurse that here boyfriend hits her. Which nursing actions are appropriate?

1. Determine urgent safety needs for her. 2. Provide information regarding safe shelters. 3. Assist her in developing a safety plan.

The nurse is teaching a gravid patient in her second trimester about smoking during pregnancy. Which statements would be included?

1. Each time you smoke, there is less oxygen to the baby. So, any amount if smoking you can reduce will be better for the baby. 2. Smoking increases your risk of a preterm deliver and a low birth weight baby. 3. Smoking increases your risk of placenta problems, such as placenta précis and placental abruptions.

A pregnant client tells the nurse her school-aged daughter wants to be present for the birth of her baby brother. Which is the best response by the nurse?

1. If your daughter is going to be present for the birth, she should attend a class to prepare her. 2. A familiar person should be designated to explain what is happening and comfort her if she become overwhelmed.

The nurse is caring for a patient at risk for preterm labor. Which of the following are risk factors for preterm labor?

1. Multiple gestation. 2. History of preterm birth. 3. Maternal smoking

Which response by a mutiparous client indicates to the nurse that acceptance of the pregnancy has been achieved?

1. Predominantly happy feelings about the pregnancy. 2. A dislike of being pregnant but a feeling of love for her unborn child. 3. Little physical discomfort or a high tolerance for discomfort.

A nurse is caring for a pregnant client who recently learned her fetus has a life-threatening complication. The nurse recognizes that the client response to this finding will depend on which factors?

1. The condition of the pregnancy 2. The perceived threat to the mother or fetus. 3. The woman's coping skills 4. The woman's available support

The nurse is caring for a patient who is 30 weeks gestation on the antepartum unit. In the clients discharge plan of care, the nurse should include which instructions on daily fetal movement count?

1. The woman must lie on her side counting movements. 2. If fetal movements is decreased, infirm the client to eat and drink some fluids, rest, and focus on fetal movements for an hour. 3. Inform the client to report decreased fetal movements below the normal.

A woman who is planning to get pregnant states 0.4 mg/day of folic acid. She visited her primary physician and the does was later increased to 0.8 mg/day because she had an infant with a neural tube defect (NTD). The stock volume for folic. Acid is 0.4 mg. The nurse is expected to instruct the woman to take ________ tablets per day.

2 The nurse would have to calculate the number of tablets the client should take: 0.8 mg / 0.4 mg x 1 = 2 tabs per day

A woman who is 28 weeks gestation is screened for gestational diabetes. Her 1 hour oral glucose tolerance test (GTT) is elevated at 145 mg/dl. What is the next step to determine if the patient has developed gestational diabetes?

3 hour glucose test

A female client was diagnosed with anovulatory and was prescribed 150 mg/ day of clomiphene for 1 month. The stock volume for the clomiphene (Clomid) stated 25 mg. The nurse is expected to instruct the client to take ______ tablets per day.

6 The nurse would have calculate the number of tablets the client is to take: 150 mg/ day 25 mg x 1 = 6 tablets

The nurse is obtaining a 24 hour diet history from a pregnant client. Which food confused by the client would indicate the need for further teaching teaching by the nurse?

Alfalfa sprouts

A nurse is caring for a 13 year old pregnant Client experience her first pregnancy. Which is the highest priority for the client?

Assess for bruisers at multiple stages of healing.

The nurse is teaching a prenatal class. A patient asks "it is okay to have an occasional glass of wine during pregnancy?" Which is the best response by the nurse?

Because we don't know what the safe limit is, it is best not to consume any alcohol at all while pregnant.

The nurse is educating a 34 weeks gestation client about danger signs to report to her health care provider. Which symptom would be added to the nursing care.

Blurry or seeing "floaters"

A pregnant client at 34 weeks gestation called OB/GYN clinic, stating that she does not feel any fetal activity. How would the nurse respond to the client?

Come to the hospital so that further assessments can be done.

The perinatal nurse is caring for client who has been missing her prenantal appointments. Which information is most important for the nurse to understand?

Cultural practices can influence the pregnant woman's use of health care service

A gravid patient at 8 weeks gestation presents to the emergency department reporting unilateral sharp lower abdominal pain, shoulder pain, and light vaginal bleeding. The nurse knows these signs and symptoms are associated with which pregnancy complications?

Eptopic pregnancy

During a prenatal appointment, the nurse assesses the clients blood pressure and obtains a reading of 152/94 mm/ Hg. The nurse assess for which additional symptoms?

Facial edema Vision changes Severe headaches

After completing a physical examination of a pregnant woman, the nurse states. "You are definitely pregnant. Which positive finding would have prompted the nurse to make this statement?

Fetal heart tones

The nurse notices a client is commonly late for her prenatal appointments. Which is the most likely explanation?

Her culture has a different concept of time.

The nurse is caring for a woman who had a spontaneous abortion. Which of the following statements made by the nurse is morally appropriate after early pregnancy loss?

I am so sorry for your loss. Would you like to talk about it?

A mutlipsrous woman in her 28th week pregnancy comes to her prenantal appointment in tears, stating that she is overwhelmed. Which would be the most therapeutic response by the nurse?

I can see you are feeling overwhelmed. Tell me more about that.

A pregnant client has experienced a 10 lb weight gain in the first 6 months of her pregnancy. During a routine prenatal appointment, the women begins crying and states that she feels fat and undesirable. Which would be the most therapeutic response by the nurse?

I can see you are upset. Tell me more about how you feel.

During a prenatal education class, the educator discussed the types of environment substances that can negatively impact pregnancy. Which statement from one of her clients would concern the nurse?

I work in the radiology department, but I'm sure I'll be fine while pregnant.

The prenatal nurse is caring for primipsrous client in her first trimester. The nurse explains to the client that increasing her support network can assist her in which way?

Increased compliance with health care regimen Reduced postpartum depression Improved attachment to infant

A pregnant client tells the prenatal nurse she feels unsupported by her husband. Which nursing action is most important for this client?

Inquire about her existing support networks and give suggestions on how to best utilize them. Advise the woman how to expand her support network so her needs are met.

The nurse in the emergency department is caring for a female patient with multiple bruises on her face and arms. Her husband stays close to her and states she ran into a door. What is the highest priority nursing action?

Interview the patient in private.

A clinic is caring for a primipsrious client. Which nursing actions are recommended to improve support during pregnancy?

Provide opportunities for the woman to ask for support Provide information on mommy groups Suggest church, health clubs, and electronic resources as sites to meet other women Provide access to the centering pregnancy model of care Invite family members to attend prenatal and postpartum visits

A pregnant client disclosed to the nurse that her husband had recently started being physically abusive. Which would be the most therapeutic response by the nurse?

It is not uncommon for abuse to begin or get worse during pregnancy. Do you want to talk about your options?

The nurse is providing community education on intimate partner violence (IPV). Which should be included in the presentation?

Low academic achievement increases the risk.

A prenatal nurse is caring for a client that is G4P1021. Which statement by the client indicates an appropriate response of her 3 year old to their mother pregressing pregnancy?

My daughter is constantly asking the same questions month to month about enlarging abdomen.

A nurse is caring for a pregnant client who currently lives with her husband and three children from a previous marriage. Which information is important for the nurse to understand?

Nursing care of this client include all member of her blended family.

An obese patient is planning a pregnancy and asks the clinic nurse what the risks are if she were to get pregnant now. Which pregnancy complications would the nurse discuss with the patient that are related to obesity?

Preeclampsia Gestational diabetes Congenital anomalies

During the nursing assessment, a pregnant client reports that her spouse has been verbally abusive and slapped her recently. Which is the priority nursing nursing intervention at this time?

Reassure her that she is not alone and help is available.

The nurse is caring for a pregnant client experiencing a possible miscarriage. Which is the priority nursing action?

Reestablish and maintain physiology stability.

The nurse is caring for a 24 week gestational age. The client states that she is worried about the scheduled antenatal testes. Which is the nurses best response?

Remind me what your concerns are

The prenatal nurse is caring for an elderly primipsrous client at her first prenatal appointment. It is most important nurse provide the client with information regarding which if the following.

Screening for chromosomal abnormalities

The nurse obtains a fundal height measurement of 32 cm on a client experiencing a healthy, low risk pregnancy. How does the nurse interpret this measurement?

The client is approximately 32 weeks gestation

A gravid woman is HIV seropositive asks how her HIV will affect the baby. Which is the best response by the nurse?

The risk of transmission of the fetus decreases if you continue taking your antiretroviral medications.

A client states "I think I might be pregnant. My period is late and I've been feeling really nauseous." Which would be the best response by the nurse?

These are presumptive signs of pregnancy. You could be pregnant. Chapter 4 pg. 73

A 10 week pregnant client verbalized feelings of ambivalence about her pregnancy. Which would be a therapeutic response by the prenatal nurse?

These feelings are common during the first trimester and should decrease as your pregnancy progresses.

The nurse is providing education regarding exercises and pregnancy. Which response by the client indicates an understanding of the teaching?

Waking and stretching exercises will help with overall body conditioning.

The nurse is caring for a primipsrous client in her first trimester. Which information regarding sexual intercource is most important for the nurse to include in teaching the client?

You should abstain from sexual intercourse if you are having vaginal bleeding.