Prenatal practice test

Pataasin ang iyong marka sa homework at exams ngayon gamit ang Quizwiz!

A. "I couldn't get my wedding ring on this morning because my fingers are so swollen."

22-year-old client reports to the pre-natal clinic for her 32-week gestational visit. Which of the following comments made by the client must be reported to the physician? A. "I couldn't get my wedding ring on this morning because my fingers are so swollen." B. "I always seem to be so much hotter than everyone else." c. "My feet are swelling in the hot weather we've been having." D. "My breasts are swollen and tender."

BAACAB

A 23 year-old client has come into the health care clinic for her first prenatal visit the nurse is reviewing the characteristics and expectations of pregnancy. read the following characteristics and match each with the trimester pregnancy it best describes. A. First trimester B. Second trimester C. Third trimester 1. The first fetal movements are felt 2. Breast tenderness 3. Ambivalence about the pregnancy 4. Braxton hicks contractions 5. Increased N/V 6. Renewed sense of energy

C. Positive urine test for glucose and ketones

A 25 year old woman at 30 weeks gestation came to the outpatient department which of the findings by the nurse would indicate a possible complication? A. Increased vaginal discharge B. Feels pressure at diaphragm C. Positive urine test for glucose and ketones D. Pedal edema in both feet in the evenings

A. Calcium gluconate

A 40 year old woman is in labor and admitted with high blood pressure, edema and proteinuria. she is started on magnesium sulfate. the nurse is sure to keep which of the following drugs at her bedside A. Calcium gluconate B. Narcan C. Ritodrine D. Glucose

B. Placenta previa

A client at 24 weeks gestation arrives with pain less bright red vaginal bleeding which of the following conditions does the nurse expect in this client A. Abruptio placenta B. Placenta previa C. Premature rupture of membrane D. Rupture of the uterus

B. Private room bed rest with bathroom privileges vital signs with fetal heart tones every four hours regular diet

A client at 28 weeks gestation has been admitted to the OB unit for preeclampsia her blood pressure has been ranging from 140s/100 to 160s/110s. She has 3+ Protein urea and generalized edema and has been complaining of a headache which care environment would be most appropriate for this client? A. Semiprivate room, up ad lib, vital shift every shift with fetal heart tones, 2Gm sodium diet B. Private room bed rest with bathroom privileges vital signs with fetal heart tones every four hours regular diet C. Three bed ward, ambulate three times a day, vital signs two times today with fetal heart tones, low protein diet D. Labor room, strict bed rest, vital signs every 15 minutes with continuous fetal heart monitoring, nothing by mouth

D. Vaginal examination

A client at 30 weeks gestation is diagnosed as placenta previa. Which of the following should NOT be performed by the nurse? A. Monitor fetal heart rate B. Provide side lying position C. Monitor maternal vital signs D. Vaginal examination

C. Rho (D) immune globulin (RhoGAM)

A clients Rh antibody indicated that she has not been sensitized to the Rh factor. The nurse should anticipate that which of the following will be given after the delivery? A. Bromocriptine mesylate (Parlodel) B. Oxytocin C. Rho (D) immune globulin (RhoGAm) D. Rubella virus vaccine

C. This position may cause her BP to drop, causing the baby's HR to decline

A laboring women prefers to lie in the supine position during labor. The nurse instructs her that this is not a good position during labor for what reason? A. This position will cause the mother to experience more back pressure B. This position will prevent the baby from descending down into her pelvis C. Okay his position may cause her bp to drop, causing the baby's HR to decline D. This position will cause her contractions to come too quickly, not giving her a chance to rest between contractions

A. Diaphragms need to be refitted after the birth of a baby

A new mother is two days postpartum. She is breastfeeding and ready for discharge. She states she plans to use the diaphragm she was using prior to becoming pregnant for contraception. What instruction should the nurse provide the client? A. Diaphragms need to be refitted after the birth of a baby B. As long as the diaphragm is not cracked or torn the woman may continue to use it c. Diaphragms are not appropriate for postpartal women D. Since the woman is breast feeding she will not need to use contraception for at least six months

B. Eat fresh fruit and vegetables, drink plenty of water and ambulate

A new mother states that she is afraid to have a bowel movement because she remembers discomfort she experienced after delivering her other child. The nurse should encourage her to: A. Eat low roughage and drink plenty of water B. Eat fresh fruits and vegetables, drink plenty of water and ambulate C. Eat small amounts of food for several days so she will less likely to have a bowel movement until her perineum heals D. Eat whatever she wishes, take a mild laxative and keep up the kegel exercises

C. Administer magnesium sulfate is ordered

A nurse has been assigned to care for a pregnant client who has been diagnosed with HELLP syndrome which of the following nursing interventions is most important when caring for this client? A. Palpate the abdomen every four hours to check for masses or bleeding B. Increase IV fluids to avoid hypotension and shock C. Administer magnesium sulfate as ordered D. Keep the client in a supine position with the legs elevated

D. Fetal neural tube defects

A nurse in a clinic is teaching a client who is planning to become pregnant about the effects of folic acid deficiency which of the following complication should the nurse include? A. Maternal physiological anemia B. Maternal pica C. Fetal cardiac malformations D. Fetal neural tube defects

D. "You should perform the test the first time you urinate in the morning."

A nurse in a clinic receives a phone call from a client who asks about using a home pregnancy test. Which of the following information should the nurse provide to the client? A. "You should wait at least & weeks after your last menstrual period to test for pregnancy." B. "You should stop taking any prescribed medications for at least 24 hours prior to the test." c. "You should not eat or drink for at least 8 hours prior to the test." D. "You should perform the test the first time you urinate in the morning."

C. Positive urine test for glucose and Ketones

A nurse in an outpatient clinic is assessing a 25-year-old woman at 30 weeks gestation which of the following findings could indicate a possible complication? A. Increased vaginal discharge B. Feels pressure at diaphragm C. Positive urine test for glucose and ketones D. Pedal edema in both feet in the evenings

A. Place the client lying in the left lateral recumbent position and recheck blood pressure in five minutes in the left arm

A nurse is assessing a client at 34 weeks gestation who complains of feeling faint her blood pressure while supine is 100/60 which of the following nursing interventions is most appropriate? A. Place the client lying in the left lateral recumbent position and recheck blood pressure in five minutes in the left arm B. Place the client in the left ladder recommen position and recheck blood pressure in the right arm in five minutes C. Ask the client to stand and recheck blood pressure while standing D. Take the client split pressure in the opposite arm in the same position

A. Sitting on one buttock

A nurse is assessing a pregnant client who states she is in labor but has not received prenatal care the nurse attempts to identify how quickly her labor is progressing which of the following client behaviors indicates that birth is imminent A. Sitting on one buttock B. Talking and asking a lot of questions C. Complaining of pain in the lower back D. Requesting ice chips or water to drink

C. Urinary output of 80 mL every four hours

A nurse is caring for a client who has preeclampsia and is receiving intravenous magnesium sulfate for the prevention of seizures which of the following findings should the nurse report to the provider? A. positive patellar reflex B. Magnesium level of 4 mEq/L C. Urinary output of 80 mL every four hours D. Respiratory rate 14/minute

A. Fetal heart rate

A nurse is caring for a client who has undergone a amniotomy. which of the following is a priority for assessment by the nurse A. Fetal heart rate B. Clients vital signs C. Clients discomfort D. Degree of cervical dilation

B. Limb hypoplasia E. Congenital cataracts

A nurse is caring for a client who is 32 weeks gestation on her first prenatal visit the client reports varicella zoster infection during the 16th week of pregnancy which of the following is the fetus at risk for? Select all that apply A. Disseminated varicella infection B. Limb hypoplasia C. Aortic root abnormalities D. Jaundice E. Congenital cataracts

D. Hypovolemic shock

A nurse is caring for a client who is admitted to the hospital birthing unit with a diagnosis of a abruptio Placentae for what complication associated with this problem should the nurse monitor this client for? A. Brain attack B. Pulmonary edema C. Impending seizures D. Hypovolemic shock

B. Dark brown vaginal discharge

A nurse is caring for a client who is at 17 weeks of gestation and has a new diagnosis of molar pregnancy which of the following manifestations should the nurse expect? A. Severe abdominal tenderness B. Dark brown vaginal discharge C. Elevated blood sugar levels D. Fundal height measurement less than gestational age

C. Shows late decelerations of the fetal heart rate with most contractions

A nurse is caring for a client who is in the third trimester of a high-risk pregnancy who has had a positive contraction stress test which of the following is true of a positive contraction stress test? A. Indicates the need to perform a non-stress test B. Indicates the need for an immediate C-section C. Shows late decelerations of the fetal heart rate with most contractions D. Shows a fetal rate range within the expected limits for the average fetus

A. Decreased fetal movement B. Intrauterine growth restriction C. Post maturity

A nurse is caring for a client who is pregnant and scheduled for a contraction stress test which of the following findings are indications for this procedure select all that apply: A. Decreased fetal movement B. Intrauterine growth restriction C. Post maturity D. Placenta previa E. Preterm labor

D. "It awakens a sleeping fetus."

A nurse is caring for a client who is pregnant and undergoing a non-stress test the client asked the nurse to explain the purpose of using the vibration device which of the following responses should the nurse make? A. It is used to stimulate the uterus B. It will decrease the incidence of contractions C. It will cause your baby to be less active D. It awakens a sleeping fetus

D. Calcium gluconate

A nurse is caring for a client who is receiving a magnesium sulfate iv infusion and exhibiting magnesium toxicity. Which of the following medications should the nurse expect to administer? A. Nifedipine B. Pyridoxine C. Protamine sulfate D. Calcium gluconate

D. Advise the client to consume a high-protein snack when she awakens

A nurse is caring for a client who reports morning sickness at 7 weeks gestation which of the following is appropriate nursing response A. Advise the client to drink 16 ounces of water with each meal B. Tell the client that morning sickness rarely last past the first trimester C. Advise the client that hot food are less likely to cause morning sickness than cold foods D. Advise the client to consume a high protein snack when she awakens

B. Shoulder pain

A nurse is caring for a client who suspected to have an ectopic pregnancy which of the following manifestations should the nurse identify as a manifestation of ectopic pregnancy? A. No alteration in menses B. Shoulder pain C. Progesterone level higher than expected reference range D. Report of severe leg cramps

A. Joint pain C. Rash E. Decreased appetite

A nurse is caring for a client who's pregnant and has a TORCH infection which findings should the nurse expect select all the apply A. Joint pain B. Insomnia C. Rash D. Urinary frequency E. Decreased appetite

A. The fetal heart rate can be detected by Doppler D. They expected date of delivery by Naegele's rule is July 13

A nurse is caring for a new client who reports a positive home pregnancy test she is seen in the clinic on January 6 and her last menstrual period was October 6 which of the following does the nurse expect select all that apply? A. The fetal heart rate can be detected by Doppler B. The client will report fetal movement C. Dysuria is common D. Spec the date of delivery by Nagel's rules July 13 E. Fundus height should be 20 cm above the smyphysis pubis

C. Left lateral

A nurse is caring for a pregnancy induced hypertension who is scheduled for a cesarean section. Which position should the nurse place the client before she is transferred to the delivery suite A. Supine B. Prone C. Left lateral D. Trendelenburg

B. Breast-feeding is contraindicated for mothers who are HIV positive

A nurse is counseling a client who is HIV positive on her initial prenatal visit which of the following should the nurse include in teaching the client A. Antiretroviral therapy should be discontinued during pregnancy B. Breast-feeding is contraindicated for mothers who are HIV positive C. Intramuscular influenza vaccine is contraindicated during pregnancy D. The newborn develops antibodies to HIV in utero and will not require treatment

C. The infants anterior fotanel is bulging

A nurse is performing an initial home visit to an infant born 3 days ago. Which of the following findings should prompt the nurse to speak to the primary care provider who is caring for the mother and infant? A. The infant is breastfeeding every 2 to 4 hours for approximately 25 minutes on each breast B. The infant is stooling after every feed and the stool is yellowish-green in color C. The infant's anterior fontanel is bulging D. The infant occasionally spits up a small amount of breast milk after feeding E. The infant cries when hungry and stops when offered the breast

C. Blood pressure

A nurse is preparing to administer Methergine to a client to treat postpartum hemorrhage. Before administering the drug priority action of the nurse is to check: A. Intake and output B. Level of consciousness C. Blood pressure D. Lung sounds

A. Lateral position

A nurse is preparing to perform a non-stress test which position would the nurse recommend that the client be placed in? A. Lateral position B. Supine position C. Semi Fowlers position D. High Fowlers position

A. Betamethasone

A nurse is providing care for a client who is at 28 weeks of gestation. The client has placenta previa and is actively bleeding. Which of the following medications should the nurse expect the provider to prescribe? A. Betamethasone B. Protamine sulfate C. Oxytocin D. Methylergonovine

D. Betamethasone.

A nurse is providing care to a client who is in preterm labor at 30 weeks of gestation. Which of the following medication should the nurse expect the provider to prescribe to accelerate fetal lung maturity? A. Calcium gluconate B. Indomethacin C. Oxytocin D. Betamethasone

A. Orange juice

A nurse is providing dietary teaching to a client who is at 20 weeks of gestation and has a new prescription for ferrous sulfate. The nurse should recommend which of the following beverages to the client for increasing the absorption of the medication? A. Orange juice B. Iced tea 0 c. Milk D. Carbonated water

C. Get a flu vaccine during the autumn or winter to protect against influenza infection

A nurse is providing education to a client who has just had her first prenatal visit which of the following should be included as part of routine education about self-care measures for a pregnant client? A. Strive to increase calorie intake by at least 500 cal each day to provide nourishment and control weight gain B. Avoid foods that are high in iron to reduce the risk of constipation C. Get a flu vaccine during the autumn or winter to protect against influenza infection D. Avoid physical activity such as yoga or swimming as these exercises increase the risk of premature labor

A. We will connect you to a monitor and check your babies movements and heart rate over the course of 30 minutes

A nurse is providing information to a client who is 34 weeks pregnant about a scheduled non-stress test which statement by the nurse is most accurate? A. Connect you to a monitor and check your baby's movement and heart rate over the course of 30 minutes B. You have an ultrasound that watches your babies movements and records his heart rate C. The doctor will give you medicine to stimulate contractions and then we will measure your baby's heart rate and response D. The doctor will take a small sample of fluid from the amniotic sac and test it for genetic changes

A. Dark green, leafy vegetables

A nurse is providing nutritional teaching to a client who is at eight weeks of gestation which food should the nurse recommend as a good source of calcium? A. Dark green, leafy vegetables B. Deep red or orange vegetables C. Red fruits D. Meat, poultry and fish

C. Folate

A nurse is providing teaching for a client who is planning to attempt pregnancy. Which of the following dietary requirements should the nurse stress to prevent neural tube defects? A. Vitamin C B. Calcium C. Folate D. Iron

D. I will continue taking my vitamins while I am breast-feeding

A nurse is reviewing postpartum nutrition needs with a client who is breast-feeding which of the following statements by the client indicates and understanding of the instructions? A. I can continue to smoke as long as I do it 30 minutes prior to breast-feeding. B. I should take fold acid to increase my milk supply C. I will continue adding 200 cal per day to my diet D. I will continue taking my vitamins while I am breast-feeding

A. Contact with cat feces

A nurse is teaching a class to expectant mothers which of the following should the nurse advise the group to avoid in order to prevent toxoplasmosis A. Contact with cat feces B. Eating freshwater fish C. Excessive exposure to radiation D. Working with heavy metals

C. I must urinate prior to the procedure

A nurse is teaching a client who is at 24 weeks of gestation and scheduled for an amniocentesis procedure which of the following client statements indicates an understanding of the teaching? A. I will lie on my right side during this test B. I cannot eat or drink anything for 24 hours prior to this procedure C. I must urinate prior to the procedure D. I will be given medication to put me to sleep during this procedure

A. Watery discharge from the vagina

A nurse is teaching a client who is at 32 weeks of gestation about findings to immediately report to the provider. Which of the following manifestations should the nurse include? A. Watery discharge from the vagina B. Swelling of the ankles C. Heartburn after eating D. Lightheadedness when lying on back

D. Orange juice

A nurse is teaching a client who is pregnant about a new prescription for iron supplements. With which of the following beverages should the nurse instruct the client to take the iron supplement with? A. Coffee B. Whole milk C. Green tea D. Orange juice

C. The weight of the uterus on the vena cava

A nurse is teaching a client who is pregnant about supine hypotension which of the following information should the nurse include as a cause of this condition? A. An increase in blood volume during pregnancy B. Exertion from the uterus on the diaphragm C. The weight of the uterus on the vena cava D. An increase in the viscosity of the blood

A. This medication is used to stop my contractions

A nurse is teaching a client who was admitted with preterm labor about terbutaline. Which of the following client statements indicates an understanding of the teaching A. This medication is used to stop my contractions B. This medication is used to prevent vaginal bleeding C. This medication will promote blood flow to my baby D. The medication will cause my sugar to drop

C. Place the prescribed helmet on your babies head for 23 hours a day

A nurse is teaching the parents of a newborn about treatment measures for their newborns plagiocephaly which of the following instructions should the nurse include? A. Place your baby on her tummy while she is sleeping during the day B. Keep your babies head in the same position during all activities C. Place the prescribed helmet on your baby's head for 23 hours a day D. Keep your baby in an infant swing for several hours during the day

A. RhoGAM Is given to you to prevent the formation of antibodies which could cause problems in future pregnancies

A nurse providing care to an Rh negative mother who has delivered an Rh positive son. which of the following explanations provided by the nurse is correct? A. RhoGAM is given to you to prevent the formation of antibodies which could cause problems in future pregnancies B. RhoGAM is given to you to help your uterus contract and prevent hemorrhaging C. RhoGAM it's given to your son to prevent the formation of harmful antibodies D. RhoGAM is given to you to help stimulate the production of antibodies

B. Ectopic pregnancy

A nurses came for a client who has a intrauterine device (IUD). The client reports abrupt sharp lower abdominal pain and bright red vaginal bleeding the nurse should identify that these are findings of which of the following conditions? A. Missed abortion B. Ectopic pregnancy C. Placenta previa D. Hydatidiform mole

D. Request that the client come to the office immediately

A pregnant client in the third trimester calls the OB office and reports to the nurse that she has had a severe headache for the past 2 days. What nursing action is most appropriate? A. Ask if the client is having cold or flu symptoms B. Advice the client to eliminate coffee and other sources of caffeine C. Instruct the client to take two aspirin and lie down for an hour D. Request that the client come to the office immediately

B. 16 to 20

A pregnant client of 12 weeks gestation ask the nurse when she can start filling the fetal movement the nurse should tell the mother that it begins at about what weeks gestation? A. 10 to 14 B. 16 to 20 C. 20 to 24 D. 26 to 30

B. Magnesium sulfate

A pregnant client of 30 weeks gestation got admitted to prevent preterm birth which of the following medication should the nurse expect to administer? A. Prostaglandins B. Magnesium sulfate C. Methergine D. Oxytocin

C. External fetal monitoring

A pregnant client with known HIV infection is admitted to the hospital in active labor. Which method for assessing the fetus is most appropriate for the nurse to perform at this time? A. Fetal scalp sampling B. Chorionic villi sampling C. External fetal monitoring D. Internal fetal monitoring

A. Amniotic fluid volume

A primigravid client at 35 weeks gestation is scheduled for a biophysical profile after instructing the client about the test which of the following is stated by the client as one of the parameters of this test indicates effective teaching? A. Amniotic fluid volume B. Size of the placenta C. Amniotic fluid color D. Fetal gestational age

C. Painless bright red vaginal bleeding

A woman arrives on the OB unit reporting that her water broke and she is in labor which of the following symptoms indicate the presence of placenta previa? A. Sudden severe pain in the lower abdomen followed by profuse vaginal bleeding B. Dark red vaginal bleeding that began after the woman was examined by her physician earlier in the day C. Painless bright red vaginal bleeding D. A tender rigid uterine wall and abdomen with no evidence of vaginal blading

B. The client has a seizure

A woman who is in labor is being treated for pre-eclampsia how can the nurse determine if the woman develops eclampsia? A. The client develops albuminuria B. The client has a seizure C. Clients hands and face become swollen D. There are no fetal heart tones

A. Chadwick's sign

An early sign of pregnancy is bluish discoloration of the cervix from venous congestion it can be observed as early as 8 to 10 weeks from the time of conception it is known as A. Chadwick's sign B. Chadways sign C. Hegars sign D. Goodells sign

A. Neonatal ophthalmia

An expectant mother test positive for chlamydia in her ninth month of pregnancy she asked why she should be treated since she doesn't have any symptoms the nurse explained she needs treatment to prevent complications due to which condition? A. Neonatal ophthalmia B. Pregnancy induced hypertension C. Congenital Anomalies D. Transplacental infection of the fetus

C. The lochia that pools in the vagina while she is lying in the bed drains when she stands

At 10 AM on the first postpartum day the nurse notes that the clients fundus is firm and that there is a continuous flow of vaginal blood with no clots as she gets out of bed the client notices a gushing from her vagina and passes a small clot she becomes scared the nurse should explain to her A. She may have gotten up too soon after delivery and needs to take a little shower B. The amount of discharge is increased because she is not breast-feeding C. The lochia that pools in the vagina while she is lying in the bed drains when she stands D. Vaginal opening is edematous and bruised right after delivery

B. Do not provide the vaccine to a pregnant client the client cannot receive the vaccine until after childbirth

During routine prenatal testing it is determined that a pregnant client is not immune to rubella which of the following considerations must the nurse consider when preparing to administer the rubella vaccine? A. Educate the client that she will need at least two doses of the vaccine to provide rubella immunity B. Do not provide the vaccine to a pregnant client the client cannot receive the vaccine until after childbirth C. Many clients develop fever swelling at the site of injection and bleeding into the joints after rubella vaccine administration D. The client must wait at least six months after receiving the vaccine before becoming pregnant again

D. Helps prevent neural tube defects in newborns

Folic acid is important before and during pregnancy because folic acid: A. Helps regulate blood glucose B. Facilitates maternal absorption of calcium C. Promotes blood clotting in the mother and newborn D. Helps prevent neural tube defects in newborns

B. Rh-, Rh+

Rho-gam is administered to —— mothers with a ————— fetus/infant A. Rh-, Rh- B. Rh-, Rh+ C. Rh+, Rh+ D. Rh+, Rh-

C. Breastfeeding of a newborn should occur every 6 hours

The nurse is assisting a breastfeeding mother. The nurse knows that all of the following are true EXCEPT: A. The mothers caloric intake should increase by 500 calories while breastfeeding B. Medications the mother is taking may pass through the breast milk to the baby C. Breast feeding of a newborn should occur every 6 hours D. Newborns will have about eight wet diapers each day

C.Eggs D. Peanuts E. Shellfish

The nurse is caring for a new mother who is sensitive to certain foods. Knowing that certain foods can pass through breast milk to the infant, the nurse advises the mother to avoid which foods that have tendency to cause allergic reactions in infants? Select all that apply A.beef B. Chicken C. Eggs D. Peanuts E. Shellfish

D. Amniotic fluid volume

The nurse is giving instructions to a pregnant client about BPP (biophysical profile) which of the following are considered variables under the BPP? A. Uterine contractions B. Fetal presentation C. Disorders of pregnancy D. Amniotic fluid volume

C. August 28

The nurse is interviewing a pregnant client for her prenatal assessment she is concerned about the estimated date of delivery of her future baby her last menstrual period was November 21 using Naegele's rule when will her estimated date of delivery be A. August 22 B. August 25 C. August 28 D. August 30 E. None of the above

B. Urine ketones present

The nurse is reviewing the laboratory values of a client who has severe hyperemesis gravidarum which of the following laboratory findings should the nurse identify as a manifestation of this condition? A. Hemoglobin 11.2 g/dL B. Urine ketones present C. Potassium 4.0 mEq/L D. Platelets 98,000/mm3

A. Strawberries C. Dark leafy green vegetables D. Lentils

The nurse knows that folic acid reduces the incidence of neural tube defects in a fetus. Which foods are high in this mineral select all that apply: A. Strawberries B. Milk C. Dark leafy green vegetables D. Lentils

C. Levothyroxine

The nurse should know that the drug that can be safely administered during pregnancy is: A. Warfarin B. Danazol C. Levothyroxine D. Methotrexate

A. Ambivalence about the pregnancy

The nurses came for a client has just been told she is pregnant for the first time. The nurse knows that the woman should anticipate which emotion during the first trimester? A. Ambivalence about the pregnancy B. Coming to the realization of parenthood C. Attempting to differentiate self from the developing fetus D. Enjoying the nurturing roll

B. second

The physician performs a vaginal examination on a client in labor and states that the client is completely effaced and fully dilated. At this time, the nurse correctly plans to meet the needs of the client who is entering which stage of labor? A. First B. Second C. Third D. Fourth

A. An ultrasound can detect fetal abnormalities

The practical nurse is assisting in a fetal ultrasound for a woman who is four months pregnant the best explanation for the mother who is questioning why the doctor ordered the test is that? A. An ultrasound can detect Fetal abnormalities B. An ultrasound can determine if the fetus is viable C. An ultrasound can determine if the fetus is getting enough nutrients D. An ultrasound should be done to determine the fetal position

D. Asthma medication does not cause harm to the fetus and should be continued during pregnancy

The practical nurse is working any clinic caring obstetrical clients. An asthmatic Patient who is 16 weeks pregnant asked if she should continue her asthma medication the most appropriate response for the nurse to make is A. Asthma medication's are known to harm the fetus stop taking them B. As a medication's may harm the fetus reduce the dosage C. Even if the asthma medication causes fetal distress it is important to continue taking them D. Asthma medication does not cause harm to the fetus and should be continued during pregnancy

B. Ovulation typically occurs on day 12-16 before the start of the next menstrual cycle

The practical nurse is working in a prenatal clinic. What does the nurse know is true about ovulation? A. The egg will survive for up to 5 days after ovulation B. Ovulation typically occurs on day 12-16 before the start of the next menstrual cycle (C. Ovulation is accompanied by pain and thick cervical mucus D. The woman's body temperature falls 0.3 degrees Fahrenheit during ovulation

A. Preeclampsia

The urine of a client who six months pregnant test positive for albumin. The nurse correctly considers that the client is developing which complication of pregnancy? A. Preeclampsia B. Liver impairment C. Amniotic embolism D. Gestational diabetes

B. Decrease in fetal movement C. Twins or triplets

Which of the Following situations constitutes an indication for a non-stress test select all that apply A. Maternal hypothyroidism B. Decreasing fetal movement C. Twins or triplets D. Maternal fever E. A 12 week visit

A. To Identify fetal neural tube defects

Which of the following best describes the indications performing an alpha-fetoprotein test A. Identify fetal neural tube defects B. To test feed a heart rate C. To identify infection in the amniotic sac D. Determine weather the placenta is in the correct location

D. 36-year-old woman at 16 weeks gestation

Which of the following pregnant woman will most likely have a screening aminocentesis A. A 22-year-old client who is 12 weeks gestation and expecting triplets B. A 22-year-old client who is at four weeks gestation C. 36-year-old woman at four weeks gestation D. 36-year-old woman at 16 weeks gestation

C. Pelvic rocking

Which other following exercises can the nurse recommend to a pregnant woman with back pain? A. Abdominal breathing B. Kegel exercise C. Pelvic rocking D. Weight-bearing exercise

A. The client has delivered one newborn at term B. The client has had no preterm deliveries D. The client has had two prior pregnancies E. Client has one living child

While reviewing the medical record of a client who is pregnant the nurse reads the following data G3 T1 P0 A1 L1 based on this information what does the nurse know is true about the client to select all that apply A. The client has delivered one newborn at term B. The client has no preterm deliveries C. The client has not had any elective, therapeutic or spontaneous abortions D. The client has had two prior pregnancies E. The client has one living child


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