Quiz: Chapter 14, Nursing Care of the Family During Pregnancy

Which is a subjective symptom of pregnancy?

Urinary frequency

Which are some safety measures to take while pregnant? Select all that apply.

Use correct body mechanics. Take rest periods; reschedule daily activities to meet rest and relaxation needs. Avoid environmental teratogens, such as cleaning agents, paints, sprays, herbicides, and pesticides. Use safety features on tools and vehicles (e.g., safety seat belts, shoulder harnesses, headrests, goggles, helmets) as specified

Which pregnancy discomfort is decreased when a pregnant client avoids sitting for a long time and wears loose-fitting pants?

Varicose veins

Which nursing advice is appropriate for the 14-week-pregnant client who asks if it is safe to have a drink with dinner now that her first trimester is complete?

"Because no one knows how much or how little alcohol it takes to cause fetal problems, the best course is to abstain throughout your pregnancy."

Which statement by the client indicates the need for further teaching when providing exercise tips to an 18-week pregnant client?

"I should lie on my back for 10 minutes after exercising."

Which nursing advice is appropriate when explaining passive imagery as a relaxation technique?

"Imagine a serene sea beach with white sand.

Which nursing information is appropriate for the pregnant client at 10 weeks of gestation who jogs three or four times per week and is concerned about the effect of exercise on the fetus?

"You may find that around the seventh month of your pregnancy you will need to modify your exercise to walking.

Which is the estimated birth date (EBD) for a client whose first day of the last menstrual period was July 20, 2019?

04/27/2020

Which nursing intervention helps manage anemia in the pregnant client?

Advise the client to eat a well-balanced diet.

Which is a danger sign of pregnancy?

Alteration in the pattern of fetal movemen

Which nursing information is included when discussing breast care with a pregnant client who would like to breastfeed?

Avoid the use of soap when washing the nipples

Which laboratory parameter requires monitoring if a pregnant client reports "My body shook for a while when I was sitting on my couch"? 1

Blood pressure

Which client interview information is assessed when assisting the primary health care provider during a pelvic examination?

Client's knowledge of Kegel exercises

Which common complications are seen during the third trimester of pregnancy? Select all that apply.

Constipation Urinary frequency Disturbance in sleep Difficulty breathing

Which nursing interventions will help maintain appropriate nutrition in the pregnant client with an imbalanced diet as a result of nausea and vomiting? Select all that apply.

Consume small and frequent meals. Eat dry crackers first thing in the morning. Contact the primary health care provider if vomiting is severe

Which findings obtained during clinical evaluation of a pregnant client help determine the gestational age of the fetus? Select all that apply.

Current fundal height First fetal heart tones heard Current week of gestation

Which symptom in the pregnant client would prompt the nurse to immediately inform the primary health care provider?

Fluid leaking from the vagina

Which nursing instruction is appropriate for the pregnant client taking oral iron supplements and experiencing constipation?

Drink six to eight glasses of water every day.

Which are symptoms of a urinary tract infection (UTI) in the pregnant client? Select all that apply.

Dysuria Dribbling Hematuria Urinary frequency

Which nursing intervention is appropriate when caring for an adolescent client who is pregnant and has conflict with family members regarding the childbirth and future career plans?

Encourage the client to verbalize her fears

Which behavioral change would the nurse observe in the spouse of a pregnant client during the focusing phase?

Engages in building a relationship with the newborn

Which action by the pregnant client demonstrates understanding of the nurse's instructions regarding relief of leg cramps?

Extends her leg and dorsiflexes her foot during the cramp

Which is the client's first day of the last menstrual period (LMP) if the estimated date of birth (EDB) is December 2, 2019?

February 25, 2019 Naegele's rule estimates the birth date by adding 7 days to the client's LMP and counting forward by 9 months, so the client's LMP is estimated by subtracting 7 days and 9 months from the EDB. Thus the client's LMP would be February 25, 2019. If the client LMP is March 25, 2019, the EDB would be January 2, 2016. If the client's LMP is February 2, 2019, then the EDB would be November 9, 2015. If the client's LMP is March 2, 2019, then the EDB would be December 9, 2019.

Which statement made by the pregnant client indicates that she and her husband are adapting to the pregnancy? 1

I plan to take an extended leave of absence after the birth."

Which statement by the pregnant client indicates the need for further teaching about body mechanics to decrease discomfort related to the lumbar curve of pregnancy? 1

I should adjust my car seat such that my knees are lower than my hips.

Which nursing information is needed to understand and guide a client through her acceptance of pregnancy?

Mood swings most likely are the result of worries about finances and a changed lifestyle, as well as profound hormonal changes

Which explains to the pregnant client the reason for constipation in the second trimester?

Iron supplements may cause constipation and darkened stool

Which is the expected delivery date for a pregnant woman whose first day of her last menstrual period was April 20, 2019?

January 27, 2020

Which behavior indicates that a woman is seeking "safe passage" for herself and her infant?

Keeping all prenatal appointments

Which area of concern is appropriate to focus on when providing care to pregnant adolescents?

Late entry into prenatal care

Which type of cultural concern is the most likely deterrent to many women seeking prenatal care?

Modesty

Which type of pregnancy would consider asynchronous fetal heartbeats during auscultation a normal finding?

Multifetal

Which nursing information is appropriate to discuss with a client who is at 32 weeks of gestation?

Newborn care

Which are signs and symptoms of supine hypotension? Select all that apply.

Pallor Dizziness Tachycardia Breathlessnes

Which laboratory testing is anticipated on the initial prenatal visit for a client who is at 8 weeks of gestation? Select all that apply. One, some, or all responses may be correct.

Pap test Urine culture Rubella Titer Gonorrhea and chlamydia cervical cultures

Which nursing advice is appropriate to ease the client discomfort of frequent urination?

Perform Kegel exercises."

Which phase of the mother-child relationship is described as the client accepting the biologic fact of pregnancy and views the expectant child as part of herself?

Phase 1

Which condition is the pregnant client in the third trimester of pregnancy at risk for if having severe vomiting, headaches, epigastric pain, muscular irritability, and swelling of the fingers?

Preeclampsia

Which nursing interventions are beneficial for the client reordering her relationships as she adapts to pregnancy? Select all that apply. 1

Promoting sexual expression between the pregnant woman with her partner Promoting communication between the pregnant woman and her mother

Which nursing instruction is appropriate for the pregnant client with a family history of diabetes mellitus and whose 1-hour glucose tolerance test is normal?

Repeat the test at 28 weeks

Which is the estimated date of birth (EDB) for a client who reports the first day of her last menstrual period (LMP) as November 25, 2018?

September 1, 2019 According to Naegele's rule, the estimated birth date is calculated by adding 7 days to the LMP and counting forward 9 months. Hence, because the client's LMP is November 25, 2018, the expected birth date would add 9 months, so August 25, 2019, plus 7 days, which would bring the date to September 1, 2019.

Which nursing advice is appropriate for the pregnant client who wants to have a nurse-midwife provide obstetric care?

She must be having a low-risk pregnancy

Which condition is characterized by the pregnant client having difficulty breathing, sweating profusely, and requiring a position change

Supine hypotension

Which information can be interpreted from the nurse observing inverted nipples on the breasts of a pregnant client? 1

The client's baby will probably have difficulty latching

Which statement about multifetal pregnancy is accurate? Select all that apply

The expectant mother often develops anemia because the fetuses have a greater demand for iron. The mother should be counseled to increase her nutritional intake and gain more weight. Backache and varicose veins are often more pronounced

Which nursing information is appropriate regarding a father's acceptance of the pregnancy and preparation for childbirth?

The father goes through three phases of acceptance of his own

Which statement by a pregnant client indicates the need for further teaching about safety during pregnancy?

We should avoid traveling to high-altitude regions above 8000 feet.

Which nursing statement is appropriate to include when discussing a client's choice of health care providers available to provide prenatal care for a monoamniotic twin gestation?

Your pregnancy requires that you receive care from a health care provider, specifically an obstetrician

Which condition is indicated when a pregnant client's fundal height has not changed in the past 4 weeks

inter uterine growth restriction

Which nursing response is appropriate for an expectant couple that asks about intercourse during pregnancy and if it is safe for the baby?

intercourse and orgasm are often contraindicated if a history or signs of preterm labor are present