AP q1

Which factors most often interfere with access to prenatal care for pregnant women, placing the mother and infant at risk?

Language differences Transportation barriers Lack of culturally sensitive care providers Discrimination based on sexual orientation

Which recommendation would the nurse provide to a pregnant woman who reports leg cramps?

Dorsiflexion of the foot until the spasm passes

A client at 37 weeks' gestation is in the emergency department after a motor vehicle accident. Vital signs upon admission are BP 110/72 mm Hg, HR 98 beats/min. The client begins complaining of sudden, sharp abdominal pain, and repeated vital signs are BP 90/60 mm Hg, HR 108 beats/min. Which nursing intervention is the priority at this time?

Apply an electronic fetal monitor.

Which finding would the nurse be most concerned about when reviewing the chart of a client scheduled for an amniocentesis?

B negative blood type

Which action would the nurse take before birth when meconium staining is present?

Gathering equipment for neonatal resuscitation

Which are risk factors of diabetes in pregnancy?

Preterm birth Hypertension Cesarean birth

Which are the primary goals of prenatal nursing care?

Safe birth for mother and infant Promote health and well-being of mother and infant Satisfaction of mother and family with the birth experience

Which clinical condition concerns the nurse the most for an obstetrical client with heart disease?

obesity Anemia Hypertension Emotional distress

Which activity would the nurse suggest for a client in labor who is having frequent painful contractions and whose cervix has been dilated 2 cm for several hours without progression?

therapeutic rest

Which statement by a woman with preeclampsia indicates the need for further teaching about needed dietary changes?

"I should limit my fluid intake."

Which musculoskeletal changes directly place pregnant clients at increased risk for falls?

Joint laxity Impaired balance Shifting center of gravity

A multipara whose membranes have ruptured is admitted in early labor. Assessment reveals a breech presentation, cervical dilation of 3 cm, and fetal station at -2. For which complication would the nurse assess when caring for this client?

Prolapse of the umbilical cord

The pregnant client asks the nurse whether changing the cat's litter box is harmful to her or the fetus. How would the nurse reply?

There are several factors that determine a person's response to the toxins in cat litter.

Which information would the nurse include in the teaching for a client who received methotrexate?

Gastric distress is a possible side effect. Stools will contain some residual methotrexate for 7 days. Double flush the toilet with the lid down after urinating

Which is the nurse's priority action when caring for an obstetrical client experiencing eclampsia?

Turn the head to one side.