Ch. 15 Pregnancy

Contains linoleic acid

A pregnant woman tells you that she wants to avoid saturated fat by using vegetable oil. What is another advantage of vegetable oil? Aids fluid balance Contains linoleic acid Stimulates kidney function Has a high potassium level

Ectopic pregnancy

The nurse is assessing a young female who just found out she is pregnant. She is is now reporting vague abdominal discomfort. After noting the client has a history of PID, the nurse predicts the health care provider will give priority to ruling out which situation?

blood glucose

A client with hyperemesis gravidarium is started on TPN. What parameter does the nurse need to assess at least twice a day?

"Babies of women who smoke tend to weigh significantly less than other infants."

A 27-year-old client is in the first trimester of an unplanned pregnancy. She acknowledges that it would be best if she were to quit smoking now that she is pregnant, but states that it would be too difficult given her 13 pack-year history and circle of friends who also smoke. She asks the nurse, "Why exactly is it so important for me to quit? I know lots of smokers who have happy, healthy babies." What can the nurse tell the client about the potential effects of smoking in pregnancy? "Smoking is unhealthy for anyone's heart, but your baby faces an especially high risk of heart trouble if you smoke while you're pregnant." "Smoking during pregnancy places your baby at an increased risk of intellectual disability." "Babies of women who smoke tend to weigh significantly less than other infants." "Smoking during pregnancy means that your child will be born with a dependence on nicotine and will have to endure a period of withdrawal in his or her first days of life."

These contractions help in softening and ripening the cervix.

A client experiencing contractions presents at a health care facility. Assessment conducted by the nurse reveals that the client has been experiencing Braxton Hicks contractions. The nurse has to educate the client on the usefulness of Braxton Hicks contractions. Which role do Braxton Hicks contractions play in aiding labor?

These contractions help in softening and ripening the cervix.

A client experiencing contractions presents at a health care facility. Assessment conducted by the nurse reveals that the client has been experiencing Braxton Hicks contractions. The nurse has to educate the client on the usefulness of Braxton Hicks contractions. Which role do Braxton Hicks contractions play in aiding labor? These contractions help in softening and ripening the cervix. These contractions increase the release of prostaglandins. These contractions increase oxytocin sensitivity. These contractions make maternal breathing easier.

blood glucose

A client with hyperemesis gravidarium is started on TPN. What parameter does the nurse need to assess at least twice a day? blood glucose hemoglobin and hematocrit blood ketones potassium level

Squeeze the muscles in your rectum as when you are trying to prevent passing flatus.

A nurse is providing discharge teaching to a client who needs Kegel exercises to strengthen the pelvic floor muscles. Which guideline would be appropriate to teach the client? Repeat Kegel exercises once a week. Try to bring up the entire pelvic floor and bear down 3 times. Squeeze the muscles in your rectum as when you are trying to prevent passing flatus. Contract and relax the pubococcygeus muscle rapidly 2 times.

Intestines failed to return to the abdominal cavity during intrauterine life.

A nurse is reviewing a journal article about fetal development and the formation of various body systems. When reading about the development of the digestive system, the nurse finds information related to the developmental abnormality of omphalocele. The nurse demonstrates understanding of this information by identifying which situation as the reason for an omphalocele? Fetus suffered a bowel obstruction at an early point in life. Fetal abdomen formed with a smaller internal cavity than normal. Intestines formed without sufficient nerve innervation for contraction. Intestines failed to return to the abdominal cavity during intrauterine life.

For genetic testing. Whether the fetal lungs are mature enough to support respiration outside of the womb.

A patient is to have an amniocentesis with ultrasound. What does the nurse explain to the patient that amniocentesis can determine? Select all that apply. What type of facial features the fetus will have. How much the fetus will weight at birth. Whether the fetal lungs are mature enough to support respiration outside of the womb. For genetic testing. What the eye color of the baby will be.

"Yes, a chromosomal analysis can be done to assess for Down syndrome."

A pregnant client asks the nurse if the fetus can be tested for Down syndrome. Which statement by the nurse is most appropriate? "Yes, a chromosomal analysis can be done to assess for Down syndrome." "Of course. The primary health care provider can prescribe a DNA analysis for this." "You need to be sure you want to know this information before you think about being tested." "When you have ultrasounds done, they look for signs of Down syndrome."

"Your statistical risk of another tubal pregnancy is increased."

A pregnant client presents for her first prenatal visit. She informs the nurse that she had an ectopic pregnancy 3 years ago. She ask the nurse if this would happen this time. Which response by the nurse would be best? "You should not worry about this right now—stress can harm the fetus." "Be calm. Why worry about things that likely won't happen?" "Your statistical risk of another tubal pregnancy is increased." "Just because you had one ectopic pregnancy does not mean you will have another."

He walks around furniture as if his abdomen is enlarged.

A pregnant woman's husband does not voice concerns at prenatal visits. You would believe he is emotionally involved in the pregnancy by observing which of the following actions? He states he definitely wants a girl. He walks around furniture as if his abdomen is enlarged. He states he is concerned about the loss of his free time. He has refused to paint the baby's room blue.

contractions beginning in the back and sweeping forward across the abdomen

A woman calls the prenatal clinic and says that she thinks she might be in labor. She shares her symptoms over the phone with the nurse and asks what to do. The nurse determines that she is likely in true labor and that she should head to the hospital. Which symptom is an indicator of true labor?

Back pain could be a sign of bladder or kidney infection

A woman in her third trimester complains to the nurse of significant back pain. The nurse questions the client carefully and records a detailed account of her back symptoms. What is the best rationale for the nurse evaluating the client's back symptoms with such care? Back pain could be a sign of bladder or kidney infection Back pain could be a sign of degenerated discs Back pain could be a result of a soft mattress Back pain could be a result of improper lifting

Delay breakfast until midmorning.

A woman who is 6 weeks pregnant is concerned because she is nauseated every morning. Which measure should the nurse suggest the patient use to help relieve nausea? Take two aspirin on arising. Delay toothbrushing until noon. Delay breakfast until midmorning. Take a teaspoon of baking soda before breakfast.

When quickening occurs

A woman you care for in a prenatal clinic tells you that her pregnancy was unplanned and unwanted. At what point in pregnancy does the average woman change her mind about an unwanted pregnancy? Around the third month When quickening occurs After lightening happens After the seventh month

"Do you feel safe at home?"

An obviously pregnant woman appears for her first prenatal visit. She reports a headache and generalized abdominal pain which has persisted over the past couple months. Which question should the nurse prioritize after determining the client is approximately 24 weeks' gestation, appears nervous, and is reluctant to have a full physical assessment?

Suggest she have a hemoglobin assessment done because of the association between pica and iron-deficiency anemia.

At a prenatal appointment, a woman who is 3 months pregnant confides to you that she ingests starch because of a craving she has had since adolescence. She is now 26 years old. What would be your most appropriate response? Arrange for a separate appointment to prepare instructions about the hazards of ingesting nonfood substances. Emphasize the protein, vitamin, and iron needs of pregnancy nutrition. Suggest she have a hemoglobin assessment done because of the association between pica and iron-deficiency anemia. Kindly but firmly scold her to discourage the habit.

Tell the woman that this is entirely normal.

During a routine antepartal visit, a pregnant woman reports a white, thick, vaginal discharge. She denies any itching or irritation. Which action would the nurse do next?

"The gloves they provide irritate my hands, so I don't use them."

The nurse is assessing a client at her first prenatal visit and notes that she is exposed to various chemicals at her place of employment. Which statement by the client would indicate she needs additional health education to protect her and her fetus? "I only work four hours a day so I don't get exposed too much." "The gloves they provide irritate my hands, so I don't use them." "There hasn't been a chemical spill in three years." "I have an assistant helping me now to handle the chemicals."

Murmers

The nurse is assessing a pregnant woman. What assessment would suggest that the client's heart has been pushed upward and to the left by pregnancy?

"I need to gain 25 to 35 pounds (11 to 16 kg) during this pregnancy."

The nurse is completing the teaching for a newly pregnant client with a BMI of 23. Which statement by the client indicates an understanding of weight gain during this pregnancy? "I need to gain 25 to 35 pounds (11 to 16 kg) during this pregnancy." "I need to gain 0.5 pounds (0.23 kg) per week during this pregnancy." "I need to gain less than 25 pounds (11 kg) during this pregnancy." "I need to gain 1 pound (0.45 kg) per week throughout this pregnancy."

Wash the nipples with clean water only.

The nurse is conducting a prenatal class for a group of primigravida clients. Which instruction will the nurse prioritize when teaching about breast care? Use hot water and a mild soap to keep the nipples clean. Wash the nipples with a deodorant soap to keep them clean and help toughen them. Use an antibacterial soap and cool water to keep the nipples clean. Wash the nipples with clean water only.

excessive vomiting

The nurse is describing pregnancy danger signs to a pregnant woman who is in her first trimester. Which danger sign might occur at this point in her pregnancy?

Eight to 10 days after fertilization

The nurse is explaining the process of fertilization to a patient who has just learned of being pregnant. On which day during pregnancy should the nurse explain that the embryo implants on the uterine surface?

Refusing alcohol Importance to stop smoking Maintaining health appointments Abstaining from drugs and substances

The nurse is planning a seminar that focuses on the 2020 National Health Goals during pregnancy for patients who are in the first trimester of pregnancy. Which information should the nurse include in this seminar? (Select all that apply.) Refusing alcohol Importance to stop smoking Maintaining health appointments Seeking alternative care approaches Abstaining from drugs and substances

Watch it and report if heavy increase in bleeding.

The nurse takes a call from a worried client who was seen several hours earlier for her 35-weeks' gestation visit, which included a pelvic examination. Which instruction should the nurse prioritize if the client is reporting a small amount of vaginal spotting? Return right away. Watch it and report if heavy increase in bleeding. The bleeding, called Chadwick sign, is a normal part of pregnancy. The cervical mucous plug may have been expelled.

Separation of the muscles of the abdominal wall

The nursing instructor is teaching students about normal changes of pregnancy. The instructor talks about diastasis recti. What is the instructor presenting? Separation of the muscles of the abdominal wall Raising of the uterus into the abdomen Relaxation of the kidneys Movement of the bladder to the rear of the pelvis behind the uterus

Pregnant women often experience mood swings and self-centeredness but this is normal.

The partner of a pregnant client in her first trimester asks the nurse about the client's behavior recently, stating that she is very moody, seems happy one moment and is crying the next and all she wants to talk about is herself. What response would correctly address these concerns?

50% of women report pyrosis at some point in pregnancy.

Which of the following is true regarding problems that commonly affect nutritional health in pregnancy?

bladder or kidney infection

Which possible complication associated with back pain can lead to premature contractions? increased intracranial pressure leak of spinal fluid into the epidural space herniated disc bladder or kidney infection