Maternity Chap 13

28)The nurse learns that a patient who is 8 weeks pregnant continues to smoke 10 cigarettes a day. In which order should the nurse provide a 5 to 15 minute intervention about smoking with this patient?

1. Ask about tobacco use 2. Advise to quit smoking 3. Assist an tempt to quit 4. Arrange for follow-up care 5. Assess willingness to quit

24)The nurse is preparing material to present to a group of patients in the second trimester of their pregnancies. Which topics should the nurse include in this presentation?

1. Clothing 2. Infant feeding 3. Fetal movement 5. Skin and breast care

25)A pregnant patient in the early stages of labor asks for assistance to sit in the whirlpool tub. What are the advantages of using this intervention for the laboring patient?

1. Increases relaxation 2. Increases pain threshold 5. Reduces the need for pain medication

27)A patient in the first trimester of pregnancy is experiencing ptyalism. What should the nurse suggest to help this patient?

1. Use chewing gum 2. Suck on hard candy 4. Use an astringent mouthwash

13)A 38-year-old client in her second trimester states a desire to begin an exercise program to decrease her fatigue. What is the most appropriate nursing response?

A) "Fatigue should resolve in the second trimester, but walking daily might help."

17)After teaching a pregnant client about the effects of smoking on pregnancy, the nurse knows that the client needs further education when she makes which statement?

A) "I am at increased risk for preeclampsia."

6) The primiparous client has told the nurse that she is afraid she will develop hemorrhoids during pregnancy because her mother did. Which statement would be best for the nurse to make?

A) "It is not unusual for women to develop hemorrhoids during pregnancy."

23)What self-care measures would a nurse recommend for a client in her first trimester to reduce the discomfort of nausea and vomiting?

A) Avoid odors or causative factors.B) Have small but frequent meals.C) Drink carbonated beverages.

3) The prenatal period should be used to expose the prospective parents to up-to-date, evidence-based information about which of the following topics?

A) Breastfeeding B) Pain relief C) Obstetric complications and procedures

10)Remedies for back pain in pregnancy that are supported by research evidence and may safely be taught to any pregnant woman by the nurse include which of the following?

A) Pelvic tilt B) Water aerobics D) Proper body mechanics E) Good posture is important because it allows more room for the stomach to function.

4) A Navajo client who is 36 weeks pregnant meets with a traditional healer as well as her physician. What does the nurse understand this to mean?

A) The client is seeking spiritual direction.

15)A pregnant client who swims 3-5 times per week asks the nurse whether she should stop this activity. What is the appropriate nursing response?

B) "Continuing your exercise program would be beneficial."

20)The pregnant client has asked the nurse what kinds of medications cause birth defects. Which statement would best answer this question?

B) "To be safe, don't take any medication without talking to your doctor."

5) A Chinese woman who is 12 weeks pregnant reports to the nurse that ginseng and bamboo leaves help reduce her anxiety. How should the nurse respond to this client?

B) Advise the client to discuss all herbal remedies with the provider.

21)Absolute contraindications to exercise while pregnant include which of the following?

B) Placenta previa after 26 weeks' gestation C) Preeclampsia-eclampsia D) Cervical insufficiency (cerclage)

2) The nurse is preparing a class for expectant fathers. Which information should the nurse include?

B) Sexual activity is safe for normal pregnancy.

7) Which statement, if made by a pregnant client, would indicate that she understands health promotion during pregnancy?

C) "I elevate my legs while sitting at my desk."

8) The nurse is teaching an early pregnancy class for clients in the first trimester of pregnancy. Which statement by a client requires immediate intervention by the nurse?

C) "It is normal for my vaginal discharge to be green."

14)The pregnant client in her second trimester states, "I didn't know my breasts would become so large. How do I find a good bra?" The best answer for the nurse to give would be which of the following?

C) "Look for wide straps and cups big enough for all of your breast tissue."

19)The prenatal client in her third trimester tells the clinic nurse that she works 8 hours a day as a cashier and stands when at work. What response by the nurse is best?

C) "Your risk of poor pregnancy outcomes may be higher.

18)Which of the following drugs and drug categories can cause multiple fetal central nervous system (CNS), facial, and cardiovascular anomalies?

C) Category X: Isotretinoin

9) The nurse assessing a pregnant African American woman in the first trimester understands that a cultural practice is which of the following?

C) Eating clay to supply dietary minerals

12)The nurse in a prenatal clinic finds that four clients have called with complaints related to their pregnancies. Which call should the nurse return first?

C) Pregnant woman at 15 weeks' gestation with nausea and vomiting and a 15- pound weight loss

16)The nurse is presenting a class of important "dos and don'ts" during pregnancy, including travel considerations. What method of travel does the nurse recommend as most appropriate for a client in her 25th week of pregnancy?

C) Train

1) Thenurseiscaringforapregnantclient.Theclient'shusbandhascometothe prenatal visit. Which question is best for the nurse to use to assess the father's adaptation to the pregnancy?

D) "How are you feeling about becoming a father?"

11)A client in her third trimester of pregnancy reports frequent leg cramps. What strategy would be most appropriate for the nurse to suggest?

D) Flex the foot to stretch the calf

26)During a routine health visit the nurse notes that a patient who is 10 weeks pregnant is wearing the following items. On what should the nurse focus when assessing the patient?

D) Nausea and vomiting

22)Intercourse is contraindicated if the pregnancy is vulnerable because of which diagnosis?

D) Placenta previa