Chapter 10

A client who is 37 years of age presents to the health care clinic for her first prenatal checkup. Due to her advanced age, the nurse should prepare to talk with the client about her increased risk for what complication? genetic disorders cervical insufficiency gestational diabetes preterm labor

genetic disorders

A nurse working in the newborn nursery hears an innocent murmur on auscultation of a 24-hour-old infant's chest. The nurse recognizes this as most likely the result of which condition?

delayed fetal shunt closure

A pregnant woman asks the nurse about medications taken during pregnancy and if they cross the placental barrier. What response by the nurse is appropriate? "Medications taken during the first trimester are typically safe." "Some medications cross the placental barrier, so be sure to discuss medications with your provider." "Medications taken orally typically do not cross the placental barrier because of the gastric absorption." "Yes, all medications cross the placental barrier."

"Some medications cross the placental barrier, so be sure to discuss medications with your provider."

A nurse overhears a colleague tell a client that based on the genetic testing results she should terminate the pregnancy. Which action is most appropriate for the nurse to take? Immediately stop the nurse. Tell the unlicensed assistive personnel Call the client later and apologize. Contact the health care provider.

Immediately stop the nurse.

A client presents to the hospital experiencing a spontaneous abortion (miscarriage) at 8 weeks' gestation, which is the third spontaneous abortion (miscarriage) in 2 years. The health care provider offers to send the products of conception for genetic testing. The client expresses not understanding the reason for this action. How does the nurse explain? This testing will help to determine if your hormone levels are causing the recurrent spontaneous abortions (miscarriages). If you do not want to have this testing done, we will respect that decision. Many spontaneous abortions (miscarriages) occur due to chromosomal disorders and this testing may determine if this is the cause. It will reassure you to find out if the baby had anomalies that were not compatible with life.

Many spontaneous abortions (miscarriages) occur due to chromosomal disorders and this testing may determine if this is the cause.

A nurse is discussing the importance of good nutrition to a young pregnant client. The nurse would point out that the growing fetus is getting nutrition from the mother via which structure? amniotic fluid umbilical arteries placenta decidua

placenta

Nurses are expected to know how to use the first genetic test. What is it? the family history the physical assessment the developmental assessment the psychosocial assessment

the family history

A 33-year-old pregnant client asks the nurse about testing for birth defects that are safe for both her and her fetus. Which test would the nurse state as being safe and noninvasive? amniocentesis percutaneous umbilical cord sampling chorionic villus sampling ultrasound

ultrasound