NCLEX Antepartum Period

After instructing a primigravid client about desired weight gain during pregnancy, the nurse determines that the teaching has been successful when the client states which statement?

"Although it varies, a gain of 25 to 35 lb (11.4 to 14.5 kg) is about average."

Which instruction should a nurse include in an injury-prevention plan for a pregnant client?

"Take rest periods during the day."

The primary health care provider (HCP) orders 1,000 mL of Ringer's lactate intravenously over an 8-hour period for a 29-year-old primigravid client at 16 weeks' gestation with hyperemesis. The drip factor is 12 gtts/mL. The nurse should administer the IV infusion at how many drops per minute? Record your answer as a whole number.

25

A nurse is caring for a 16-year-old pregnant client taking an iron supplement. Which instruction should the nurse include when teaching the adolescent about ferrous sulfate? Select all that apply.

Avoid chewing the extended-release form of the drug. Avoid taking the supplement with milk. Avoid taking the supplement with antacids.

Using Nägele's rule for a client whose last normal menstrual period began on May 10, the nurse determines that the client's estimated date of birth is what date?

February 17

A client has her first prenatal visit at 15 weeks' gestation. Which finding requires further investigation?

Fundal height of 18 cm

A nurse is planning care for a 16-year-old adolescent in the prenatal clinic. Adolescents are prone to which complication during pregnancy?

Iron-deficiency anemia

A 27-year-old primigravid client with insulin-dependent diabetes at 34 weeks' gestation undergoes a nonstress test, the results of which are documented as reactive. What should the nurse tell the client that the test results indicate?

There is evidence of fetal well-being.

Which findings are considered positive signs of pregnancy?

fetal heartbeat and fetal movement on palpation

When teaching a primigravid client about the diagnostic tests used in pregnancy, the nurse should include which information?

A fetal biophysical profile involves assessments of breathing movements, body movements, tone, amniotic fluid volume, and fetal heart rate reactivity.

A client has meconium-stained amniotic fluid. Fetal scalp sampling indicates a blood pH of 7.12; fetal bradycardia is present. Based on these findings, the nurse should take which action?

Prepare for cesarean birth.

Assessment of a pregnant client reveals that she feels very anxious because of a lack of knowledge about giving birth. The client is in her second trimester. Which intervention by the nurse is most appropriate for this client?

Provide the client with the information and teach her the skills she'll need to understand and cope during birth.

A 30-year-old multiparous client has been prescribed oral contraceptives as a method of birth control. The nurse instructs the client that decreased effectiveness may occur if the client is prescribed which drug?

ampicillin

A nurse is assessing a pregnant client in the clinic. In the course of the assessment, the nurse learns that the client smokes one pack of cigarettes per day. The first step the nurse should take to help the woman stop smoking is to:

assess the client's readiness to stop.

In caring for a pregnant client with hyperemesis gravidarum, which is the priority nursing intervention?

correction of fluid-electrolyte imbalance

During a prenatal visit, a pregnant client with cardiac disease and slight functional limitations reports increased fatigue. To help combat this problem, the nurse should advise the client to:

divide daily food intake into five or six meals.

A client who's 30 weeks pregnant has a corrected atrial septal defect and minor functional limitations. Which pregnancy-related physiologic change places the client at greatest risk for more severe cardiac problems?

increased plasma volume

A nurse is caring for a client with hyperemesis gravidarum who will need close monitoring at home. When should the nurse begin discharge planning?

on admission to the facility

A 32-year-old multigravida returns to the clinic for a routine prenatal visit at 36 weeks' gestation. The assessments during this visit include: blood pressure 140/90 mm Hg; pulse 80 beats/min; respiratory rate 16 breaths/min. What further information should the nurse obtain to determine if this client is becoming preeclamptic?

proteinuria

A primigravid client visits the clinic at 12 weeks' gestation and tells the nurse that she has a cold and her nose is stuffy. The nurse should instruct the client to treat the nasal stuffiness by using:

saline nose drops.