Maternity and Women's Health Nursing - Pregnancy, Uncomplicated

In the second hour after the client gives birth her uterus is firm, above the level of the umbilicus, and to the right of midline. What is the most appropriate nursing action? 1Having the client empty her bladder 2Watching for signs of retained secundines 3Massaging the uterus vigorously to prevent hemorrhage 4Explaining to the client that this is a sign of uterine stabilization

1Having the client empty her bladder

A client in labor begins to experience contractions 2 to 3 minutes apart and lasting about 45 seconds. Between contractions the nurse identifies a fetal heart rate (FHR) of 100 beats/min on the internal fetal monitor. What is the next nursing action? 1Notifying the health care provider 2Resuming continuous fetal heart monitoring 3Continuing to monitor the maternal vital signs 4Documenting the fetal heart rate as an expected response to contractions

1Notifying the health care provider

A woman has just received the news that she is pregnant. She is ambivalent about the pregnancy because she had planned to go back to work when her youngest child started school next year. What developmental task of pregnancy must the woman accomplish in the first trimester of pregnancy? 1Recognize her ambivalence 2Accept that she is pregnant 3Prepare for the birth of the baby 4Recognize the fetus as an individual separate from the mother

2Accept that she is pregnant

A 16-year-old adolescent at 24 weeks' gestation visits the prenatal clinic for the first time. After the physical examination she tells the nurse, "I can't believe how big I am. Will I get much bigger?" What information about adolescent growth and development does the nurse need to know before responding? 1.Adolescents generally regain their figures 2 weeks after the birth, so size is of moderate concern. 2.Adolescents are in a high-risk category, so weight gain should be limited to prevent complications. 3.Body image is very important to adolescents, so pregnant teenagers are concerned about body size. 4.Physiological growth in adolescents is more rapid than in adults, so the gravid size is larger than that of an adult woman.

3.Body image is very important to adolescents, so pregnant teenagers are concerned about body size.

The fetus of a woman in labor is at +1 station. At what place in the pelvic area does the nurse conclude that the presenting part is located? 1Not yet engaged 2Entering the pelvic inlet 3Below the ischial spines 4Visible at the vaginal opening

3Below the ischial spines

The fetus of a client in labor is found to be at +1 station. What location does +1 station describe? 1On the perineum 2High in the pelvis 3Just below the ischial spines 4Slightly above the ischial spines

3Just below the ischial spines

A 36-year-old multigravida who is at 14 weeks' gestation is scheduled for an α-fetoprotein test. She asks the nurse, "What does this test do?" The nurse bases the response on the knowledge that this test can reveal: 1Kidney defects 2Cardiac anomalies 3Neural tube defects 4Urinary tract anomalies

3Neural tube defects

A nurse is teaching a client to care for her episiotomy after discharge. What priority instruction should the nurse include? 1Rest with legs elevated at least two times a day. 2Avoid stair climbing for several days after discharge. 3Perform perineal care after toileting until healing occurs. 4Continue sitz baths three times a day if they provide comfort.

3Perform perineal care after toileting until healing occurs.

The transmission of which microorganism that causes maternal mastitis is minimized by frequent handwashing by nursing staff members? 1Escherichia coli 2Group B Streptococcus 3Staphylococcus aureus 4Chlamydia trachomatis

3Staphylococcus aureus

The nurse is caring for a client whose labor is to be induced. What is the nurse's responsibility when a client's labor is being stimulated with an oxytocin (Pitocin) infusion? 1Flushing the IV tubing if the flow slows 2Checking the fetal heart rate every 2 hours 3Stopping the infusion if contractions become hypertonic 4Decreasing the infusion rate if hypertonic contractions continue for 15 minutes

3Stopping the infusion if contractions become hypertonic

A nurse is caring for a client during the transition phase of labor. The nurse determines that the client has entered the second stage of labor when: 1There is restlessness and thrashing about 2There are complaints of sudden and intense back pain 3The client reports that she feels the urge to move her bowels 4The client asks for medication to relieve pain from the strong contractions

3The client reports that she feels the urge to move her bowels

On a routine prenatal visit the sign or symptom that a healthy primigravida at 20 weeks' gestation will most likely report for the first time is: 1.Quickening 2.Palpitations 3.Pedal edema 4.Vaginal spotting

1.Quickening

A client arrives at the prenatal clinic and tells the nurse that she thinks that she is pregnant. The first day of the client's last menstrual period (LMP) was September 14, 2013. Using Naegele's Rule, what date in June 2014 is the client's estimated date of birth (EDB)? Record your answer as a whole number. ________

21

A client who is breastfeeding tells a nurse that her breasts are swollen and painful. What can the nurse teach her to do to limit engorgement? 1."Breastfeed four times a day, then offer water if the baby cries." 2."Offer just one bottle a day when you're experiencing discomfort." 3."Nurse at least every 3 hours for at least 10 minutes on each breast." 4."Limit nursing to 4 to 6 minutes on each breast at least six times a day."

3."Nurse at least every 3 hours for at least 10 minutes on each breast."

A client in labor is experiencing discomfort because her fetus is in the occiput posterior position. What nursing action will help relieve this discomfort? 1Positioning her on the left side 2Using effleurage on her abdomen 3Applying pressure against her sacrum 4Placing her in the semi-Fowler position

3Applying pressure against her sacrum

A client who is at 12 weeks' gestation tells a nurse at the prenatal clinic that she is experiencing severe nausea and frequent vomiting. The nurse suspects that the client has hyperemesis gravidarum. What factor is frequently associated with this disorder? 1History of cholecystitis 2Large amount of amniotic fluid 3High level of chorionic gonadotropin 4Decreased secretion of hydrochloric acid

3High level of chorionic gonadotropin

A nitrazine test strip that turns deep blue indicates that the fluid being tested has a pH of: 1 4.5 2 5.5 3 6.5 4 7.5

4 7.5

A woman who has just delivered an infant asks to take the placenta home with her and her new baby on discharge. What is the most appropriate response? Incorrect1 "I'll wrap that right up for you." 2 "I'm sorry, but you can't do that." 3 "I'll give it to you for your husband to take home now." 4."I need to check the hospital protocol for our policy on that practice."

4."I need to check the hospital protocol for our policy on that practice."

A client who just gave birth has three young children at home. She comments to the nursery nurse that she must prop the baby during feedings when she returns home because she has too much to do and, anyway, holding babies during feedings spoils them. What is the nurse's best response? 1"You seem concerned about time. Let's talk about it." 2"That's up to you; you have to do what works for you." 3"Holding the baby when feeding is important for development." 4"It's not safe to prop a bottle. The baby could aspirate the fluid."

1"You seem concerned about time. Let's talk about it."

A client is admitted to the birthing unit in active labor. Amniotomy is performed by the health care provider. What physiological change does the nurse expect to occur after the procedure? 1.Diminished vaginal bleeding 2.Less discomfort with contractions 3.Progressive dilation and effacement 4.Increased maternal and fetal heart rates

3.Progressive dilation and effacement

The four essential components of labor are powers, passageway, passenger, and psyche. Passageway refers to the bony pelvis. What type of pelvis is considered the most favorable for a vaginal delivery? 1Android 2Anthropoid 3Gynecoid 4Platypelloid

3Gynecoid

A woman in labor with her third child is dilated 7 cm, and the fetal head is at station +1. The client's membranes rupture. What should the nurse do first? 1Notify the practitioner 2Observe the vaginal opening for a prolapsed cord 3Reposition the client on a sterile towel on her left side 4Check the fetal heart rate while observing the color of the amniotic fluid

4Check the fetal heart rate while observing the color of the amniotic fluid

A nurse is caring for a client in labor who is receiving epidural anesthesia. For which common side effect of this route of anesthesia should the client be monitored? 1Sinus tachycardia 2Urinary frequency 3Respiratory distress 4Hypotensive episodes

4Hypotensive episodes

The nurse is preparing a client for epidural anesthesia. Which client statement would cause the nurse to stop the placement of the epidural catheter? 1."I'm not exactly sure how an epidural works." 2."I understand that the epidural might or might not take my pain away." 3."I signed the consent form for an epidural at my last clinic appointment." 4."I'm aware that the epidural could cause my contractions to slow down."

1."I'm not exactly sure how an epidural works."

While monitoring the fetal heart rate (FHR) of a client in labor, the nurse identifies an increase of 15 beats more than the baseline rate of 135 beats/min that lasts 15 seconds. How should the nurse document this event? 1.An acceleration 2.An early increase 3.A sonographic motion 4.A tachycardic heart rate

1.An acceleration

During the examination of a client in labor, the cervix is determined to be dilated 4 cm. What stage of labor does the nurse record? 1.First 2.Second 3.Prodromal 4.Transitional

1.First

A primigravida client gave birth in a vaginal delivery 24 hours ago. Which findings would be considered normal? 1Fundus firm at the umbilicus; moderate lochia rubra; voiding quantity sufficient; colostrum present 2Fundus firm, one fingerbreadth above the umbilicus; scant lochia alba; voided twice, 500 mL, 400 mL; breasts heavy 3Fundus firm, two fingerbreadths above the umbilicus; moderate lochia serosa; voided once, 200 mL; colostrum present 4Fundus firm, 2 fingerbreadths below the umbilicus; moderate serosa alba; voiding quantity sufficient; breasts engorged

1Fundus firm at the umbilicus; moderate lochia rubra; voiding quantity sufficient; colostrum present

Because of the high discomfort level during the transition phase of labor, nursing care should be directed toward: 1Helping the client maintain control 2Decreasing the rate of intravenous fluid 3Administering the prescribed medication 4Having the client breathe in a uniform pattern

1Helping the client maintain control

What is a common problem that affects the client in labor when an external fetal monitor has been applied to her abdomen? 1Intrusion on movement 2Inability to take sedatives 3Interference with breathing techniques 4Increased frequency of vaginal examinations

1Intrusion on movement

A client at 42 weeks' gestation has a reactive nonstress test. The nurse determines that the client understands what she was taught about the results when she is overheard telling her husband that the test was: 1Normal because of an increase in fetal heart rate (FHR) with fetal movement 2Abnormal because of a decrease in FHR between contractions 3Abnormal because of variability in FHR with each contraction 4Normal because the FHR remained unchanged with maternal movement

1Normal because of an increase in fetal heart rate (FHR) with fetal movement

Examination of a client in active labor reveals fetal heart sounds in the right lower quadrant. The head is in the anterior position, is well flexed, and is at the level of the ischial spines. What fetal position should the nurse document? 1ROA, 0 station 2LOP, -2 station 33ROP, - station 4LOA, +1 station

1ROA, 0 station

A nurse caring for a client who gave birth to a healthy neonate evaluates the client's uterine tone 8 hours later. How does the nurse determine that the uterus is demonstrating appropriate involution? 1The amount of lochia rubra is moderate. 2Numerous clots are being passed vaginally. 3Bleeding from the episiotomy has stopped. 4Uterine cramps are absent during breastfeeding

1The amount of lochia rubra is moderate.

During a client's first visit to the prenatal clinic, a nurse discusses a pregnancy diet. The client states that her mother told her that she should restrict her salt intake. What is the nurse's best response? 1."Your mother is always correct. You should use less salt to prevent swelling during pregnancy." 2."Because you need salt to maintain body water Balance; it is not restricted. Just eat a well-balanced diet." 3."Salt is an essential nutrient that is naturally reduced by the body's estrogen. There's no reason to restrict salt in your diet." 4."We no longer recommend that salt intake be as restricted as much as in the past, but you still shouldn't add salt to your food."

2."Because you need salt to maintain body water Balance; it is not restricted. Just eat a well-balanced diet."

A nurse is preparing to counsel a client whose two previous pregnancies were uneventful, ending in term vaginal births of healthy children. What should the nurse consider about multiparas with previous uneventful pregnancies before beginning prenatal counseling? 1Multiparas cope more successfully with pregnancy than do primigravidas. 2.Each pregnancy is a unique experience that is stressful despite multiparity. 3.This pregnancy will provoke a situational crisis because the client has two children at home. 4.Support people play a lesser role because the client has had two prior experiences with pregnancy.

2.Each pregnancy is a unique experience that is stressful despite multiparity.

A nurse plans to evaluate a postpartum client's uterine fundus for involution. What should the nurse ask the client to do before this assessment? 1.Drink fluids. 2.Empty her bladder. 3.Perform the Valsalva maneuver. 4.Assume the semi-Fowler position.

2.Empty her bladder

A client who is at 10 weeks' gestation returns for her second prenatal visit. She asks why she has to urinate so often. The nurse tells her that urinary frequency in the first trimester is: 1.Caused by the descent of the baby's head into the uterus 2.Influenced by the enlarging uterus, which is still within the pelvis 3.Caused by maternal renal filtration of waste products excreted by the growing fetus 4.Mostly a psychological phenomenon that results from the knowledge that one is pregnant

2.Influenced by the enlarging uterus, which is still within the pelvis

After a cesarean birth a nurse performs fundal checks every 15 minutes. The nurse determines that the fundus is soft and boggy. What is the priority nursing action at this time? 1.Elevating the client's legs 2.Massaging the client's fundus 3.Increasing the client's oxytocin drip rate 4.Examining the client's perineum for bleeding

2.Massaging the client's fundus

During prenatal classes the nurse teaches the difference between true labor and false labor. How does the nurse explain the difference? 1Bloody show is rare with false labor. 2Cervix effaces and dilates during true labor. 3Membranes rupture at the start of true labor. 4Fetal movement slows and contractions accelerate with false labor

2Cervix effaces and dilates during true labor.

A client at 10 weeks' gestation tells the nurse in the maternity clinic that she is worried because she is voiding frequently. How should the nurse respond? 1Recommending that she inform her health care provider 2Explaining why this is expected in early pregnancy 3Telling the client not to worry because this is expected 4Collecting the client's urine for a culture and sensitivity test

2Explaining why this is expected in early pregnancy

A nurse helps a client to the bathroom to void several times during the first stage of labor. This is done because a full bladder: 1Is often injured during labor 2May inhibit the progress of labor 3Jeopardizes the status of the fetus 4Predisposes the client to urinary infection

2May inhibit the progress of labor

A primipara gives birth to an infant weighing 9 lb 15 oz (4508 g). During labor a midline episiotomy is performed and the client sustains a third-degree laceration. The client tells the nurse that her perineal area is very painful. What should the nurse consider before explaining the reason for the pain? 1Perineal muscles have been cut. 2The anal sphincter muscle has been injured. 3The anterior wall of the rectum has been traumatized. 4Structures superficial to muscles have been damaged.

2The anal sphincter muscle has been injured.

A client is receiving an epidural anesthetic during labor. For which side effect should the nurse monitor the client? 1Hypertension 2Urine retention 3Subnormal temperature 4Decreased level of consciousness

2Urine retention

On her first prenatal visit a client says to the nurse, "I guess I'll be having an internal examination today." What is the nurse's best response? 1"Yes, an internal exam is done at the mother's first visit." 2"Are you worried about having an internal examination?" 3"Have you ever had an internal examination done before?" 4"Yes, a slightly uncomfortable internal exam must be done."

3"Have you ever had an internal examination done before?"

When is it most important for a female client to know that a fetus may be structurally damaged by the ingestion of drugs? 1During early adolescence 2Throughout the entire pregnancy 3When she is planning to become pregnant 4At the beginning of the first trimester

3When she is planning to become pregnant

After the birth of her baby a client tells the nurse, "I'm so cold, and I can't stop shaking." How should the nurse respond? 1"I'm going to take your temperature right now." 2"Let me check your uterus to see whether it's firm." 3"Turn on your side so I can check the amount of lochia." 4"I'll get you some warm blankets to help make the chill go away."

4"I'll get you some warm blankets to help make the chill go away."

A client whose weight was average for her height before becoming pregnant is concerned because she has gained 15 lb (6.9 kg) after only 23 weeks of pregnancy. What is the nurse's most appropriate response? 1"You have not gained enough weight. Can you increase your daily intake of calories?" 2"Your weight is not a concern. I'll refer you to the dietitian, who will review your diet." 3"You've gained too much weight for 23 weeks' gestation. Are your rings getting tight?" 4"Your weight is expected for someone at 23 weeks' gestation. Continue the pregnancy diet."

4"Your weight is expected for someone at 23 weeks' gestation. Continue the pregnancy diet."

A pregnant client at 37 weeks' gestation is taught about signs and symptoms that should be reported immediately to the primary care provider. The nurse determines that the client understands the information presented when she states that she will immediately report: 1.Lower back pain 2.White vaginal discharge 3.Irregular strong contractions 4.Leakage of fluid from the vagina

4.Leakage of fluid from the vagina

A client who expected to use the Lamaze technique throughout labor has an emergency cesarean birth. Three days later the client is found crying and tells the nurse that she is extremely disappointed because a cesarean birth was necessary. She asks the nurse why this happened to her. On what factor should the nurse base a response? 1The client's feelings will pass once she has bonded with her newborn. 2The client is probably suffering from postpartum depression and needs special care. 3An emergency cesarean birth affects a woman's self-concept, and the client's statement reflects this. 4An emergency cesarean birth is traumatic psychologically because of the loss of the expected birth experience

4An emergency cesarean birth is traumatic psychologically because of the loss of the expected birth experience

A nurse is obtaining the health history of a woman who is visiting the prenatal clinic for the first time. She states that she is 5 months pregnant. For what positive sign of pregnancy should the nurse look in this patient? 1Quickening 2Enlarged abdomen 3Cervical color change 4Audible fetal heartbeat

4Audible fetal heartbeat

A client in active labor is admitted to the birthing room. A vaginal examination reveals that the cervix is dilated 6 to 7 cm. In light of this finding, the nurse expects that the: 1Client may experience nausea and vomiting 2Client's bloody show will become more profuse 3Client will experience uncontrollable shaking of her legs 4Client's contractions will become longer and more frequent

4Client's contractions will become longer and more frequent

A primigravida asks when she will be able to hear the fetal heartbeat for the first time. The nurse should explain that the heartbeat can be heard with: 1A stethoscope at 4 weeks 2A fetoscope at 10 to 12 weeks 3Doppler ultrasound after 20 weeks 4Doppler ultrasound at 10 to 12 weeks

4Doppler ultrasound at 10 to 12 weeks

A nurse is trying to determine whether a pregnant woman's membranes have ruptured. What findings support the conclusion that they have ruptured? (Select all that apply.) 1The expelled fluid totals 500 mL. 2The expelled fluid is light yellow. 3The expelled fluid smells similar to urine. 4Nitrazine paper turns blue on contact with the fluid. 5Microscopic examination of the fluid reveals ferning/

4Nitrazine paper turns blue on contact with the fluid. 5Microscopic examination of the fluid reveals ferning/

A couple who recently immigrated from Israel tell a nurse in the prenatal clinic that they are concerned about a genetic disease that is prevalent among Jewish people. Which genetic screening should the nurse expect the health care provider to recommend to determine the possibility of the couple's child's inheriting the disease? 1Cystic fibrosis 2Phenylketonuria 3Turner syndrome 4Tay-Sachs disease

4Tay-Sachs disease

A 14-year-old emancipated minor at 22 weeks' gestation comes in for her second prenatal examination. As she enters the examination room with her mother, she tells the nurse that she does not want her mother present for the examination. What should the nurse say? 1"Your mother needs to be present for the examination." 2"What's the problem with your mother being present?" 3"I'm sure that your mother wants to be with you for support." 4Telling the mother, "I'm sorry, but I need to ask you to stay in the waiting area."

4Telling the mother, "I'm sorry, but I need to ask you to stay in the waiting area."

During labor a client who has been receiving epidural anesthesia has a sudden episode of severe nausea, and her skin becomes pale and clammy. What is the nurse's immediate reaction? 1Turning the client on her side 2Notifying the health care provider 3Checking the vaginal area for bleeding 4Checking the fetal heart rate every 3 minutes

1Turning the client on her side

A client on her first prenatal clinic visit is at 6 weeks' gestation. She asks how long she may continue to work and when she should plan to quit. How should the nurse respond? 1"What activities does your job entail?" 2"How do you feel about continuing to work?" 3"Most women work throughout their pregnancies." 4"Usually women quit work at the start of their third trimester."

1"What activities does your job entail?"

During labor a client begins to experience dizziness and tingling of her hands. What should the nurse instruct the client to do? 1Breathe into her cupped hands 2Pant during the next three contractions 3Hold her breath with the next contraction 4Use a fast, deep, or shallow breathing pattern

1Breathe into her cupped hands

How does the nurse know that a client at 40 weeks' gestation is experiencing true labor? 1.Cervical dilation 2.Membrane rupture 3.Decreased fetal heart rate 4.Intensification of contractions

1.Cervical dilation

A client at 35 weeks' gestation calls the prenatal clinic, concerned that she has "not felt the baby move as much as usual." The most appropriate recommendation by the nurse is to have the client call the clinic with the results after she has: 1Drunk a glass of orange juice and timed 10 fetal movements 2Sat in a tub filled with warm water and then timed 30 fetal movements 3Taken a nap and counted the number of fetal movements for 20 minutes 4Walked for 15 minutes and checked to see whether the fetus moved more frequently

1Drunk a glass of orange juice and timed 10 fetal movements

A client in labor is admitted to the birthing room. The exam reveals that the fetus is at -1 station. Where is the presenting part? 1.1 cm above the ischial spines 2.1 cm below the ischial spines 3.Visible at the vaginal opening 4.At the level of the ischial spines

1.1 cm above the ischial spines

A client is receiving an oxytocin (Pitocin) infusion for induction of labor. The uterine graph on the electronic monitor indicates no rest period between contractions, and this is confirmed on palpation. What should the nurse do first? 1Evaluate the fetal heart rate 2Turn the oxytocin infusion off 3Place the client in the left-lateral position 4Prepare the client for an emergency birth

2Turn the oxytocin infusion off

At 38 weeks' gestation a client is admitted to the birthing unit in active labor, and an external fetal monitor is applied. Late fetal heart rate decelerations begin to appear when her cervix is dilated 6 cm and her contractions are occurring every 4 minutes and lasting 45 seconds. What does the nurse conclude is the cause of these late decelerations? 1Imminent vaginal birth 2Uteroplacental insufficiency 3Pattern of nonprogressive labor 4Reassuring response to contractions

2Uteroplacental insufficiency

The cervix of a client in labor is fully dilated and 100% effaced. The fetal head is at +3 station, the fetal heart rate ranges from 140 to 150 beats/min, and the contractions, lasting 60 seconds, are 2 minutes apart. What does the nurse expect to see when inspecting the perineum? 1 Small tears 2 Greenish-yellow amniotic fluid 3.Enlarging area of caput with each contraction 4.An increasing amount of amniotic fluid with each contraction

3.Enlarging area of caput with each contraction

What is the best nursing action for a client in active labor whose cervix is dilated 4 cm and 100% effaced with the fetal head at 0 station? 1Document the fetal heart rate every 5 minutes 2Call the anesthesia department to alert the staff there of an imminent birth 3Assist the client's coach in helping her with the use of breathing techniques 4Suggest that the client accept the PRN medication for pain that has been prescribed

3Assist the client's coach in helping her with the use of breathing techniques

A multipara is admitted to the birthing room in active labor. Her temperature is 98° F (36.7° C), pulse 70 beats/min, respirations 18 breaths/min, and blood pressure 126/76 mm Hg. A vaginal examination reveals a cervix that is 90% effaced and 7 cm dilated with the vertex presenting at 2+ station. The client is complaining of pain and asks for medication. Which medication should be avoided because it may cause respiratory depression in the newborn? 1Naloxone (Narcan) 2Lorazepam (Ativan) 3Meperidine (Demerol) 4Promethazine (Phenergan)

3Meperidine (Demerol)

A client at 35 weeks' gestation is experiencing contractions. Her cervix is dilated 2 cm. The nurse teaches the client that sexual activity, particularly intercourse, should be: 1Avoided to limit the onset of labor 2Permitted if contractions are irregular 3Confined to the side-lying position 4Allowed if penile penetration is shallow

1Avoided to limit the onset of labor

What does a nurse expect to find when checking the vital signs of a client in the early postpartum period? 1Bradycardia with no change in respirations 2Tachycardia with a decrease in respirations 3Increased basal temperature with a decrease in respirations 4Decreased basal temperature with an increase in respirations

1Bradycardia with no change in respirations

A client is concerned about gaining weight during pregnancy. What should the nurse tell the client is the cause of the greatest weight gain during pregnancy? 1Fetal growth 2Fluid retention 3Metabolic alterations 4Increased blood volume

1Fetal growth

When a client at 39 weeks' gestation arrives at the birthing suite she says, "I've been having contractions for 3 hours, and I think my water broke." What will the nurse do to confirm that the membranes have ruptured? 1Take the client's oral temperature 2Test the leaking fluid with nitrazine paper 3Obtain a clean-catch urine specimen 4Inspect the perineum for leaking fluid

2Test the leaking fluid with nitrazine paper

The nurse is caring for a client in her third trimester who is to undergo amniocentesis. What should the nurse do to prepare the client for this test? 1.Instruct her to void immediately before the test 2.Tell her to assume the high Fowler position before the test 3.Encourage her to drink three glasses of water before the test 4.Advise her to take nothing by mouth for several hours before the test

1.Instruct her to void immediately before the test

A pregnant client arrives at the prenatal clinic, and the nurse obtains her obstetrical history. The client has two children at home, one born at 38 weeks' gestation and the second born at 34 weeks' gestation. She has also had one miscarriage, at 18 weeks, and an elective abortion. Using the GTPAL system, record the client's obstetrical record. 1 G5 T1 P1 A2 L2 2 G4 T2 P2 A1 L4 3 G2 T3 P3 A2 L1 4 G3 T2 P1 A3 L3

1 G5 T1 P1 A2 L2

While a client is being interviewed on her first prenatal visit she states that she has a 4-year-old son who was born at 41 weeks' gestation and a 3-year-old daughter who was born at 35 weeks' gestation and lost one pregnancy at 9 weeks and another at 18 weeks. Using the GTPAL system, how would you record this information? 1 G5 T1 P1 A2 L2 2 G4 T1 P1 A2 L2 3 G4 T2 P0 A0 L2 4 G5 T2 P1 A1 L2

1 G5 T1 P1 A2 L2

A nurse is teaching a childbirth class to a group of pregnant women. One of the women asks the nurse at what point during the pregnancy the embryo becomes a fetus. How should the nurse respond? 1."During the eighth week of the pregnancy." 2."At the end of the second week of pregnancy." 3."When the fertilized egg becomes implanted." 4."When the products of conception are seen on the sonogram."

1."During the eighth week of the pregnancy."

A client is admitted to the birthing room in active labor. The nurse determines that the fetus is in the left occiput posterior (LOP) position. At what point can the fetal heart be heard? 1a 2b 3c 4d

4d Fetal heart sounds are heard through the fetus's back. When the position of the fetus is in the left occiput posterior (LOP) or left occiput anterior (LOA), fetal heart sounds are heard in the left lower quadrant of the mother (d).