Unit 2 Antepartum Review
The nurse is assessing the laboratory report of a 40-week gestation client. Which of the following values would the nurse expect to find elevated above prepregnancy? A. Glucose B. Fibrinogen C. Hematocrit D. Bilirubin
B.
An antenatal client is informing the nurse of her prenatal signs and symptoms. Which of the following findings would the nurse determine are presumptive signs of pregnancy? Select all that apply. A. Amenorrhea. B. Breast tenderness. C. Quickening. D. Frequent urination. E. Uterine growth.
A, B, C, D
A nurse is working in the prenatal clinic. Which of the following findings seen in third-trimester pregnant women would the nurse consider to be within normal limits? (select all that apply) A. Leg cramps B. Varicose veins C. Hemorrhoids D. Fainting spells E. Lordosis
A, B, C, E
After change-of-shift report the nurse assumes care of multiparous patient in labor. The women is complaining of pain in her lower abdomen and in her lower back. After assessing her cervix the nurse determines the patient is 4 cm and 90%. Which of the following is an appropriate nursing intervention? (Select all that apply) A. Assist the patient out of bed and have her sit on an exercise ball B. Obtain an order for a heating pad and reposition the patient to her back C. Discuss options for pain control with the client D. Demonstrate comfort measures to her support person including back rubs and counterpressure E. Increase the patient's IV drip rate and place an oxygen mask to deliver oxygen at 10 L
A, C, D
Signs that precede labor include: select all that apply A. Lightening B. Exhaustion C. Bloody show D. Rupture of membranes E. Decreased fetal movement
A, C, D
A G1 woman is having her first physical examination. Which of the following assessments should the nurse inform the client that she will have that day? A. Pap smear B. Mammogram C. Glucose challenge test D. Biophysical profile
A.
A client enters the prenatal clinic. She states that she believes she is pregnant. Which of the following hormone elevations will indicate a high probability that the client is pregnant? A. Chorionic gonadotropin. B. Oxytocin. C. Prolactin. D. Luteinizing hormone.
A.
A gravid women who recently emigrated from mainland China is being seen at her first prenatal visit. She was never vaccinated in her home country. An injection to prevent which of the following communicable diseases should be administered to the women during her pregnancy? A. Influenza B. Mumps C. Rubella D. Varicella
A.
The nurse is caring for a pregnant client who is vegan. Which of the following foods should the nurse suggest the client consume as a substitute for restricted foods? A. Tofu, legumes, broccoli B. Corn, yams, green beans C. Potatoes, parsnips, turnups D. Cheese, yogurt, fish
A.
The nurse is teaching a couple about fetal development. Which statement by the nurse is correct about the morula stage of development? A. The fertilized egg has yet to implant in the uterus B. the lung fields are finally formed C. The sex of the fetus can be clearly identified D. The eyelids are unfused and begin to open and close
A.
When managing the care of a women in second stage of labor, the nurse uses various measures to enhance the process of fetal descent. These measures include: A. Encourage the woman to try various upright positions, including squatting and standing B. Telling the woman to start pushing as soon as her cervix is fully dilated C. Continuing an epidural anesthetic so pain is reduced and the woman can relax D. Coaching the woman to use sustained, 10 to 15 seconds, closed-glottis baring-down efforts with each contraction
A.
Which of the following findings in a 8-week gestation client, G2,P1001, should the nurse highlight for the nurse midwife? A. Body mass index of 17 B. Blood pressure of 100/60 C. Hematocrit of 36% D. Hemoglobin of 13.2
A.
A woman is carrying dizygotic twins. She asks the nurse about the babies, which of the following explanations is accurate? A. during a period of rapid growth, the fertilized egg divided completely. B. When the woman ovulated, she expelled two mature ova C. The babies share one placenta, and common chorion D. The babies will definitely be the same sex, and have the same blood type
B.
If an opioid antagonist is administered to a laboring woman, she should be told that: A. Her pain will decrease B. Her pain will return C. She will feel less anxious D. She will no longer feel the urge to push
B.
The nurse is evaluating the 24-hour dairy intake of four gravid clients. Which of the following clients consumed the highest number of dairy servings during one day? A. 4 oz whole milk, 2 oz hard cheese, 1 cup of pudding made with milk and 2 ox of cream cheese B. 1 cup yogurt, 8 oz chocolate milk, 1 cup cottage cheese, and 1 1/2 oz hard cheese C. 1/2 cup cottage cheese, 8 oz whole milk, 1 cup buttermilk, and 1 1/2 cup of cottage cheese D. 1/2 cup frozen yogurt, 8 oz skim milk, 4 oz cream cheese, and 1 1/2 cup of cottage cheese
B.
Below are four important landmarks of fetal development. Please place them in chronological order: A. Four-chambered heart is formed. B. Vernix caseosa is present. C. Blastocyst development is complete. D. Testes have descended into the scrotal sac.
C, A, B, D
A G4 P4 woman gave birth vaginally to an 8 lbs. 3 oz. baby girl 15 hours ago. She calls the nurse with complaints of "intense cramping" while she is breastfeeding. The most important nurse intervention would be: A. Call the physician to obtain an order for stool softener B. Encourage to mother to send the infant to the nursery and obtain vitals C. Provide her with an NSAID such as ibuprofen prior to breastfeeding D. Obtain a urine specimen
C.
If the patient's WBC is 25,000/mm on her second day after delivery, the nurse should: A. Tell the physician immediately B. Have the laboratory draw blood for reanalysis C. Recognize this as a acceptable range at this point after birth D. Proceed to the laboratory to pick up the ordered unit of packed RBC
C.
The following four changes occur during pregnancy. Which of them usually increases the father's interest and involvement in pregnancy? A. Learning the results of the pregnancy test B. Attending childbirth education classes C. Hearing the fetal heartbeat D. Meeting the obstetrician or midwife
C.
The glucose challenge screening test is preformed t or after 24 weeks' gestation to assess for the maternal physiological response to which of the following pregnancy hormones? A. Estrogen B. Progesterone C. Human placental lactogen D. Human chorionic gonadotropin
C.
The nurse discusses sexual intimacy with a pregnant couple. Which of the following should be included in the teaching plan? A. Vaginal intercourse should be cease by the beginning of the third trimester B. Breast foundling should be discourages because of the potential for preterm labor C. The couple may find it necessary to experiment with alternate positions D. Vaginal lubricant should be used sparingly throughout the pregnancy
C.
A 12 week client tells the nurse she and her husband eat sushi at least once per week. She states I know fish is good for me, so I make sure we eat it regularly. Which of the following responses by the nurse is appropriate? A. you are correct fish is healthy for you B. you can eat fish, but sushi is too salty C. sushi is raw, raw fish is especially high in mercury D. It is recommended that fish be cooked to destroy harmful bacteria
D.
A client asks the nurse "could you explain how the baby's blood and my blood separate at delivery?" Which of the following responses is appropriate for the nurse to make? A. When the placenta is born, the circulatory systems separate B. When the doctor clamps the cord, the blood stops mixing C. The separation happens after the baby takes the first breath. The baby's O2 no longer has to come from you D. The blood actually never mixes. Your blood supply and the baby's are completely separate.
D.
A client who was seen in the prenatal clinic at 20 weeks' gestation weighed 128 lbs. at that time. Approximately how many pounds would the nurse expect the client to weigh at her next visit at 24 weeks' gestation? A. 129 lbs. B. 130 lbs. C. 131 lbs. D. 132 lbs.
D.
A multigravida client is 22 weeks pregnant. Which of the following symptoms would the nurse expect the client to exhibit? A. Nausea B. Dyspnea C. Urinary frequency D. Leg cramping
D.
A primigravida at 39 weeks of gestation is observed for 2 hours in the intrapartum unit. The fetal heart rate has been normal. Contractions are 5 to 9 minutes apart, 20-30 seconds in duration, and mild intensity, Cervical dilation is 1 to 2 cm and 25% effaced (unchanged from admission). Membranes are intact. The nurse should expect the woman to be: A. Admitted and prepared for cesarean birth B. Admitted for extended observation C. Discharged home with sedative D. Discharged home to await the onset of true labor
D.
A women states that she frequently awakens with "painful leg cramps" during the night. Which of the following assessment should the nurse make? A. Dietary evaluation B. Goodell's sign C. Hegar's sign D. Posture evaluation
D.
