Chapter 12: Nursing Management During Pregnancy (2)
The nurse is conducting a teaching session for breastfeeding mothers. Which statement by a mother requires further clarification by the nurse? pg. 394
"I am glad I can have my two cups of coffee in the morning again."
The nurse is assessing a client's risk for sexually transmitted infections. Which statement by the client would be cause for concern? pg. 365
"I am unsure who the father of the baby is. I will be raising it alone."
The nurse is preparing a teaching plan for a pregnant woman about the signs and symptoms to be reported immediately to her health care provider. Which signs and symptoms would the nurse include? Select all that apply. pg. 379
- lower abdominal pain with shoulder pain in the first trimester - sudden leakage of fluid during the second trimester - headache with visual changes in the third trimester
A gravida woman in her second trimester has shared that she still enjoys a glass of wine about once a week with dinner. What response by the nurse is most appropriate? pg. 365
"There is no amount of alcohol consumption in pregnancy that is considered safe for the fetus."
When providing preconception care to a client, which instruction will the nurse to provide about medications during pregnancy? pg. 400-401
"You need to talk with your health care provider about using all prescription, over-the-counter, and herbal medications."
The nurse is scheduled to see four clients. Which client is at highest risk for depression? pg. 369
A 17-year-old at 32 weeks' gestation, living with a 22-year-old man who is not the father of her baby, because her parents made her move out when she got pregnant
At 32 weeks' gestation a client with a BMI of 23 has gained 24 lb (11 kg). What is the nurse's recommendation for weight gain for the remainder of this pregnancy? pg. 374
Continue to gain approximately 1 lb (.45 kg) per week during this pregnancy.
A 41-year-old pregnant woman and her husband are anxiously awaiting the results of various blood tests to evaluate the fetus for potential Down syndrome, neural tube defects, and spina bifida. Client education should include which information? pg. 382
Further testing will be required to confirm any diagnosis.
A pregnant woman comes to the clinic for a prenatal visit for her third pregnancy. She reveals she had a previous miscarriage at 12 weeks and her 3-year-old son was born at 32 weeks. How should the nurse document this woman's obstetric history? pg. 374
G3, T0, P1, A1, L1
A 28-year-old client who has just conceived arrives at a health care facility for her first prenatal visit to undergo a physical examination. Which intervention should the nurse perform to prepare the client for the physical examination? pg. 372
Instruct the client to empty her bladder.
Why is a Papanicolaou test done at the first prenatal visit? pg. 376
It identifies abnormal cervical cells.
A client in her second trimester of pregnancy visits a health care facility. The client frequently engages in aerobic exercise and asks the nurse about doing so during her pregnancy. Which precaution should the nurse instruct the pregnant client to take when practicing aerobic exercises? pg. 396-397
Maintain tolerable intensity of exercise.
A pregnant client is planning a vacation to a different state and questions the nurse concerning precautions. Which suggestion should the nurse prioritize for this client who will be traveling by automobile? pg. 394
Stop and walk every 2 hours.
When describing the role of a doula to a group of pregnant women, the nurse would include which information? pg. 406
The doula primarily focuses on providing continuous labor support.
The nurse is assisting a pregnant client who underwent a nonstress test that was ruled reactive. Which factor will the nurse point out when questioned by the client about the results? pg. 385-386
The fetal heart rate increases with activity and indicates fetal well-being.
A client in her third trimester reports to the nurse shortness of breath when sleeping. The nurse informs the client that this is normal and occurs because the growing fetus puts pressure on the diaphragm. Which measure should the nurse suggest to help alleviate this problem? pg. 393
Use extra pillows.
The nurse discovers a new prescription for Rho(D) immune globulin for a client who is about to undergo a diagnostic procedure. The nurse will administer the Rho(D) immune globulin after which procedure? pg. 385
amniocentesis
The nurse is teaching about an iron supplement that the client is going to take every day. The nurse teaches the client to take the iron supplement with which type of fluid? pg. 388-394
citrus juice
A woman comes to the clinic for an exam and says that she is considering trying to become pregnant in the next few months. What would the nurse encourage the client to begin taking now? pg. 369
folic acid
The nurse educates the vegetarian client about which nutritional need during pregnancy? pg. 388
taking a B12 supplement