Reproductive Practice Questions

A nurse is reinforcing teaching with a group of adolescent females who are pregnant about expected changes related to pregnancy. Which of the following client statements indicates an understanding of the teaching? A. "It is normal to have a white vaginal discharge." B. "I should recognize fetal movement by 12 weeks." C. "I will take fluid pills if my ankles begin to swell." C. "My nipples and areolae will become pale as my breasts enlarge."

A. Pregnancy may cause an increase in vaginal secretions. The mother will not feel movement until about 16-20 weeks. If your ankles begin to swell, you should elevate them when resting. The nipples and areolae will darken as the breasts enlarge

The nurse is caring for a pregnant client who expresses concern about the older siblings adjusting to the baby. Which response by the nurse will help promote the older siblings; accepting of the baby? A. "it is important you spend time with your older children before the baby is born." B. "You are welcome to bring your children to your prenatal appointment." C. "Make sure you give them extra attention after the baby is born." D. "They will most likely get used to the new baby after birth."

B. Although it is important to spend time with your children before the birth, having the children involved in prenatal care can help them feel more included in the process. they will most likely have a difficult time adjusting to the new baby.

A client at 16 weeks gestation has had an amniocentesis and has received teaching concerning signs and symptoms to report. Which statement indicates that the client needs further teaching? A. "I need to call if I start to leak fluid from my vagina" B. "If my baby does not move, I need to call my healthcare provider" C. "If my baby does move, I need to call my health care provider." D. "If i start running a fever, I should let the office know."

B. At 16 weeks, it is an expected finding to not notice your baby moving.

A nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation. At which location should the nurse expect to palpate the fundus? A. 3 cm above the umbilicus. B. Slightly above the umbilicus C. Slightly below the umbilicus D. 3 cm below the umbilicus.

B. At 22 weeks, the fetus causes the uterus to rise. this will cause the fundus to be slightly above the umbilicus.

The nurse working in a prenatal clinic provides care for clients of diverse cultures. Which action will foster the delivery of more effective, culturally competent care by the nurse? A. Sharing the nurse's cultural beliefs with the client. B. Identifying person biases and prejudices. C. Identifying personal religious and cultural beliefs. D. Including the use of family members as language interpreters.

B. It is important for the nurse to recognize her own biases and prejudices to avoid being judgmental. The nurse should not share her cultural beliefs as it is not patient centered. While it is important to identify you religious and cultural beliefs, it is more important to recognize your personal biases. A trained interpreter should be used because a family member may leave out important information.

A nurse is caring for an antepartum client who has iron-deficiency anemia. When teaching the client about nutrition, the nurse should emphasize increased intake of which of the following foods? A. Milk and cheese. B. Red meats and organ meat. C. Fresh fruits D. Whole grain breads.

B. Red meats and organ meat will provide a sufficient amount of iron. Milk and cheese are used as a source of calcium. Fruits and whole grain breads may be used to prevent constipation.

When measuring the fundal height of a client at 20 weeks gestation, the nurse will locate the fundal height at which of the following points? A. Halfway between the client's symphysis pubis and umbillicus B. At about the level of the client's umbilicus C. Between the client's umbilicus and xiphoid process. D. Near the client's xiphoid process and compressing the diaphragm

B. in the second trimester, the uterus will lift up into the abdominal cavity. the fundus will peak near the umbilicus

A nurse is caring for a client during a NST. At the end of a 30-minute period of observation, the nurse notes the following findings: The FHR baseline is 120/min with minimal variability and no accelerations. There are 2 decelerations of 15/min in the FHR during a period of fetal movement, each lasting 20 seconds. Which of the following interpretations of these findings should the nurse make? A. Negative test B. A nonreactive test C. A positive test. D. A reactive test

B. the criteria do not meet the standards for reactive test. positive and negative are not terms used to describe results of a NST

Assessment of a client in active labor who has had analgesia or anesthesia reveals complete cervical effacement, dilation of 8 cm, and the fetus at 0 station. The nurse should expect the client to exhibit which of the following behaviors during this phase of labor? A. Excitement B. Loss of control C. Numbness of the legs D. Feelings of relief

B. this client is in the transition phase. during this phase, mothers usually are aggressive and have a loss of control.

In a prenatal clinic, the nurse is completing a skin assessment of a client who is in the second trimester. Which of the following findings should the nurse expect? Select all that apply. A. Eczema B. Psoriasis C. Linea nigra D. Cholasma E. Striae gravidarum

C, D, E. the following choices are all associated with skin changes during pregnancy. Eczema and psoriasis are not associated with pregnancy

A client asks the nurse if she can continue to have a glass of wine with dinner during her pregnancy. Which of the following would be the nurse's best response? A. "The effects of alcohol on a fetus during pregnancy are unknown." B. "You should limit consumption to beer and wine." C. "You should abstain from drinking alcoholic beverages." D. "You may have 1 drink of 2 oz of alcohol per day."

C. Alcohol should not be consumed during pregnancy to prevent FAS

A client at 28 weeks gestation tells the nurse that she and her husband wish to drive to visit relatives who live several hundred miles away. Which of the following recommendations by the nurse would be the best? A. Try to avoid traveling anywhere in the care during the third trimester." B. "Limit the time you spend in the car to a maximum of 4 to 5 hours." C. "Taking a trip is okay if you stop every 1 to 2 hours and walk" D. "Avoid wearing your seat belt in the car to prevent injury to the fetus.

C. It is still okay to travel, but it is important to walk every couple hours to prevent blood clots and improve circulation.

A nurse is caring for a client who is 18 weeks of gestation. The client tells the nurse she felt fluttering movements in her abdomen 3 days ago. The nurse should interpret this finding as which of the following? A. Ballotment B. Lightening C. Quickening D. Cholasma

C. Quickening is the first movements of the fetus felt during week 16-20. Ballotment is used to confirm pregnancy by a quick tap on the uterus. Lightening is a drop of the fetus into the pelvis in preparation for delivery. cholasma is the darkening of the face during pregnancy.

A newly diagnosed pregnant client tells the nurse "If I'm going to have all these discomforts. I'm not sure if I want to be pregnant!." The nurse interprets the client's statement as an indication of which of the following? A. Fear of pregnancy B. Rejection of the pregnancy C. Normal ambivalence D. Inability to care for the newborn

C. this is an expected finding in a newly diagnosed female

The client asks the nurse how over the counter pregnancy tests work. Which hormone should the nurse identify as being recognized by the test to confirm a positive result? A. FSH B. Relaxin C. Progesterone D. Hcg

D. Hcg or Human chorionic gonadotropin is the hormone that indicates and maintains pregnancy

When assessing the frequency of contractions of a multiparous client in active labor admitted to the birthing area, the nurse should assess the interval between which of the following? A. Acme of one contraction to the beginning of the next contraction. B. Beginning of one contraction to the end of the next contraction. C. End of one contraction to the end of the next contraction. D. Beginning of one contraction to the beginning of the next contraction.

D. Important to make sure you include the entire contraction

During a preparation for a parenting class, one of the participants asks the nurse, "How will I know if I am really in labor?" The nurse should tell the participant which of the following about true labor contractions? A. "Walking around helps to decrease true contractions" B. "True labor contractions may disappear with ambulation, rest, or sleep" C. "The duration and frequency of true labor contractions remain the same." D. "True labor contractions are felt first in the lower back, then in the abdomen."

D. In true labor, the contractions work their way from back to front

Using Nagelle's rule for a client who's last normal menstrual period began on May 10th, the nurse determines that the client's estimated date of delivery: A. January 13th B. January 17th C. February 13th D. February 17th

D. Using Nagelle's rule, you substract three months from the last menstrual cycle and add 7 days to find out the estimated due date

A nurse is caring for a client in active labor. Which priority action should the nurse perform to prevent FHR decelerations? A. Prepare the client for a cesarean section. B. Monitor the FHR every 30 minutes. C. Increase the rate of the Pitocin infusion. D. Encourage upright or side-lying maternal positions.

D. repositioning helps maintain normal FHR. preparing the client for a c-section may be necessary, but will not prevent decelerations. The FHR should be monitored continuously. You may have to decrease the Pitocin drip.

A 36-year-old client at 22 weeks gestation without any complications to date is being seen in the clinic for a routine visit. The nurse should assess the client's fundal height to: A. Determine the level of uterine activity B. Identify the need for increased weight gain. C. Assess the location of the placenta. D. Estimate fetal growth

D. the fundal height determines how high up the fetus is in the uterus.

A nurse is providing education to a client during the first prenatal visit. Which of the following statements by the client should indicate to the nurse a need for clarification? A. "I should drink about 2 liters of fluid each day." B. "I should not drink alcoholic beverages during my pregnancy." C. "I can have a moderate amount of caffeine daily" D. "I should increase my calcium intake to over 1500 mg/day."

D. the normal calcium intake of 1000 mg/day is sufficient for fetal bone and tooth growth as well as maintaining maternal bone mass.