NURS 562 Family Nursing Chapter 12

The nurse is conducting a teaching session for breastfeeding mothers. Which statement by a mother requires further clarification by the nurse? "I will continue to take a prenatal multivitamin as long as I am breastfeeding." "I will continue to add about 300 calories per day to my diet." "I will drink a large glass of water each time I nurse my baby." "I am glad I can have my two cups of coffee in the morning again."

"I am glad I can have my two cups of coffee in the morning again."

A client with a prepregnant BMI of 26 is concerned about gaining weight during pregnancy. Which statement by the client indicates an appropriate goal for this pregnancy? "I need to consume at least 1,500 nutrient-dense calories each day." "I will eat two large meals with high protein content each day." "I will eliminate carbohydrates from my diet to control my weight." "I am eating for two now, so the baby will burn the extra calories."

"I need to consume at least 1,500 nutrient-dense calories each day."

A pregnant woman at her first prenatal visit asks the nurse if it is safe to have sex during her pregnancy. Which client statement alerts the nurse to the need for further teaching? "I will experience a heightened need for touch throughout my pregnancy." "If I experience bleeding, I will abstain from vaginal intercourse." "I should substitute intercourse with nonsexual touch to avoid harming the fetus." "I will avoid having intercourse following the rupture of the membranes."

"I should substitute intercourse with nonsexual touch to avoid harming the fetus."

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? "As long as you do not increase the amount of alcohol you are drinking there is little risk." "There is no amount of alcohol consumption in pregnancy that is considered safe for the fetus." "Now that you have reached the second trimester you are at a reduced risk for causing complications to your fetus." "The best thing for you to do is to reduce the amount of alcohol you are drinking."

"There is no amount of alcohol consumption in pregnancy that is considered safe for the fetus."

The nurse is assessing a client at her first prenatal visit and notes the fundal height is palpable at the level of the umbilicus. The nurse predicts the client is at which gestational age? 22 weeks 20 weeks 18 weeks 24 weeks

20 weeks

A client comes to the clinic for her usual prenatal check up. The nurse measures the fundal height at 24 cm. What is the estimated length of her gestation? 24 weeks 28 weeks 32 weeks 20 weeks

24 weeks

At the first prenatal visit, the client reports her LMP was November 16, 2019. The nurse determines the estimated due date to be: August 23, 2020. August 3, 2020. August 13, 2020. September 1, 2020.

August 23, 2020

A nurse is assessing a client who has come to the office to find out if she is pregnant after a home pregnancy test was positive. The nurse will record the client's last menstrual period in which component of her medical record? Review of systems Demographic data History of past illnesses/surgeries Chief concern/complaint

Chief concern/complaint

Which disease process would the nurse screen for under potential genetic disorders? Asthma Rheumatic fever Tuberculosis Cystic fibrosis

Cystic fibrosis

The client states that the first day of her last menstrual period is March 23. The nurse is most correct to calculate using Naegele rule that the estimated date of delivery is: November 23 December 16 January 30 December 30

December 30

A pregnant client at 34 weeks' gestation reports a burning sensation in the lower esophagus. What action would the nurse recommend to increase her comfort? Select all that apply. Do not lie down immediately after eating. Do not eat fried, fatty foods. Do not drink liquids with meals. Eat five to six small meals per day. Eat a large amount of carbohydrates.

Do not lie down immediately after eating. Eat five to six small meals per day. Do not eat fried, fatty foods.

The nurse discovers a soft systolic murmur when auscultating the heart of a client at 32 weeks' gestation. Which action would be most appropriate? Inquire if the client has chest pain. Ask another nurse to assess the heart. Document this and continue to monitor the murmur at future visits. Refer her for cardiac catheterization.

Document this and continue to monitor the murmur at future visits.

A pregnant client arrives for her first prenatal appointment. She reports her previous pregnancy ended at 19 weeks, and she has 3-year-old twins born at 30 weeks' gestation. How will the nurse document this in her records? G3 T0 P1 A1 L2 G2 T1 P1 A1 L1 G3 T2 P2 A0 L1 G2 T2 P1 A0 L2

G3 T0 P1 A1 L2

The nurse is educating a woman about the importance of folic acid before conception and during pregnancy, to prevent neural tube defects in the fetus. The client plans to take prenatal vitamins and minerals. What food source would the nurse recommend to add to the woman's diet? Green and iced tea Green leafy vegetables Oily fish such as salmon Yogurt and low-fat milk

Green leafy vegetables

The nurse is caring for a neonate whose mother received no medical care for either of her pregnancies. When assessing the neonate's status, which would indicate a potential A, B, and O incompatibility? Hypothyroidism Electrolyte deficiencies Abnormal bleeding Hemolytic anemia

Hemolytic anemia

Why is a Papanicolaou test (Pap Smear) done at the first prenatal visit? It predicts whether cervical cancer will occur. It helps to date the pregnancy. It identifies abnormal cervical cells. It detects if uterine cancer is present.

It identifies abnormal cervical cells.

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? Stop and walk every 2 hours. Travel no more than 120 miles daily. Limit trips away from home, greater than 200 miles. Sit in the back seat with feet elevated.

Stop and walk every 2 hours.

The nurse is educating the client at 12 weeks' gestation regarding the best types of exercise throughout pregnancy. Which activities should the nurse encourage? All activities that the client does in a prepregnant state Relaxing activities such as hot baths and jacuzzis High-impact movements enabling less time in the activity Stretching and breathing exercises such as yoga

Stretching and breathing exercises such as yoga

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? Use extra pillows. Avoid spicy food. Lie on a firmer mattress. Avoid overeating.

Use extra pillows

Which pregnant woman should consult with her obstetric provider before continuing an exercise program? a 17-year-old G1P0 who used oral contraceptive pills (OCPs) prior to becoming pregnant a 40-year-old G1P0 who does 30 to 60 minutes of aerobic exercise a day a 25-year-old G2P1 with history of heavy periods due to endometriosis a 33-year-old G5P1 with a history of cervical insufficiency

a 33-year-old G5P1 with a history of cervical insufficiency

Encouraging routine prenatal visits is an important function for nurses to ensure the clients avoid complications or difficulties throughout the pregnancy and birth. The nurse would prepare to screen clients for gestational diabetes at which time during the pregnancy? between 15 and 19 weeks' gestation between 20 and 24 weeks' gestation between 24 and 28 weeks' gestation between 29 and 32 weeks' gestation

between 24 and 28 weeks' gestation

What anatomic area should be examined when assessing Montgomery glands (Montgomery tubercles)? breasts abdomen thorax perineum

breasts

Before beginning the initial prenatal examination, a nurse should instruct a client to complete what procedure before undressing? measurement of fundal height ultrasound for fetal measurements clean-catch urine initial blood tests

clean-catch urine

Which finding from a woman's initial prenatal assessment would be considered a possible complication of pregnancy that requires reporting to a primary care provider for management? episodes of double vision increased lumbar curvature nasal congestion and swollen nasal membranes palpitations when lying on her back

episodes of double vision

A nurse is taking a history during a client's first prenatal visit. Which assessment finding would alert the nurse to the need for further assessment? history of exercising twice a week maternal age of 28 years history of diabetes for 4 years history of occasional use of OTC pain relievers

history of diabetes for 4 years

An adolescent at 8 weeks' gestation is at her first prenatal visit. During the health history interview, the nurse asks the client, "Are you afraid of anyone?" What is the nurse assessing with this question? mental status intimate partner violence mood social history

intimate partner violence

A young woman with scoliosis has just learned that she is pregnant. Several years ago, she had stainless-steel rods surgically implanted on both sides of her vertebrae to strengthen and straighten her spine. However, her pelvis is unaffected by the condition. What does the nurse anticipate in this woman's pregnancy? potential for greater than usual back pain increased risk of miscarriage increased risk of fetal trauma cesarean birth

potential for greater than usual back pain

Which client immunization titer is most important to assess and document in the prenatal record of the pregnant woman? Diphtheria Rubella Polio Rotavirus

rubella

During the initial obstetrical clinic visit, the nurse shares with a client that several blood studies will be drawn. What screening is performed for black women because of the ethnically inherited nature of the disease? cystic fibrosis Tay-Sachs disease beta-thalassemia sickle-cell trait or disease

sickle-cell trait or disease

During the initial history and physical of a 30-year-old primipara client, the nurse has identified some teratogens the fetus is being exposed to at this phase of the pregnancy. Which lifestyle data could result in teratogenic exposure to the fetus? Select all that apply. snorting cocaine once or twice a month working as a receptionist in a busy office where she copies documents painting pictures as a hobby smoking 2 packs of cigarettes a day drinking alcoholic beverages 3 times a week

smoking 2 packs of cigarettes a day drinking alcoholic beverages 3 times a week snorting cocaine once or twice a month