A & P of pregnancy Practice questions

A client, 11 weeks pregnant, is admitted to the facility with hyperemesis gravidarum. The client tells the nurse she has never known anyone who had such severe morning sickness. The nurse understands that hyperemesis gravidarum results from: inadequate nutrition. a neurologic disorder. hemolysis of fetal red blood cells (RBCs). an unknown cause.

an unknown cause.

A client diagnosed with testicular cancer expresses concerns about fertility. The client and his spouse desire to eventually have a family, and the nurse discusses the option of sperm banking. What should the nurse tell the couple about the best time to donate the sperm? upon completion of treatment before treatment is started when tumor markers drop to normal levels once the client is tolerating the treatment

before treatment is started

A nurse is developing a teaching plan for a primigravid client who's 2 months pregnant. The nurse should tell the client that fetal movement can be felt beginning at which time? between 21 and 23 weeks' gestation between 24 and 26 weeks' gestation between 10 and 12 weeks' gestation between 18 and 20 weeks' gestation

between 18 and 20 weeks' gestation

Which findings are considered positive signs of pregnancy? fetal heartbeat and fetal movement on palpation fatigue and skin changes abdominal enlargement and Braxton Hicks contractions quickening and breast enlargement

fetal heartbeat and fetal movement on palpation

A female client with infertility related to anovulatory cycles is prescribed menotropins. The nurse should assess the client for which possible adverse effect of this medication? pulmonary edema ovarian enlargement visual disturbances breast tenderness

ovarian enlargement

A pregnant client is seeking information from the nurse about a home birth with registered midwives. Which of the following statements lets the nurse know that the client has considered the risks and benefits of using a midwife? Select all that apply. "I will develop a list of questions to use in interviewing potential midwives." "I will look for an obstetrician because it's hard to find a general practitioner who provides maternity services." "I understand the complications that could occur in a home birth setting." "I realize that I may need to be transferred to a hospital if complications develop." "I am safer having a home birth with a physician."

"I will develop a list of questions to use in interviewing potential midwives." "I understand the complications that could occur in a home birth setting." "I realize that I may need to be transferred to a hospital if complications develop."

Which recommendation would be the most appropriate preventive measure to suggest to a primigravid client at 30 weeks' gestation who is experiencing occasional heartburn? Drink several cups of regular tea throughout the day. Eat smaller and more frequent meals during the day. Decrease fluid intake to four glasses daily. Take a pinch of baking soda with water before meals.

Eat smaller and more frequent meals during the day.

Using Naegele'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? January 13 February 17 January 17 February 13

February 17

A client is planning to be treated for infertility with the zygote intrafallopian transfer (ZIFT) method. Which information should the nurse include when teaching the client about this type of treatment method? ZIFT is helpful for clients with bilateral blocked fallopian tubes. Fertilization takes place outside of the body. Ova and sperm are needed for instillation into the fallopian tube. Fertilized ova are instilled into the vagina to enter the uterus.

Fertilization takes place outside of the body.

A nurse is performing a physical examination of a primigravid client who's 8 weeks pregnant. At this time, the nurse expects to assess: fetal outline. ballottement. Hegar's sign. quickening.

Hegar's sign.

A client calls to schedule a pregnancy test. The nurse knows that most pregnancy tests measure which hormone? Human chorionic thyrotropin Human placental lactogen Human chorionic gonadotropin (hCG) Estradiol

Human chorionic gonadotropin (hCG)

A primigravid client at 36 weeks' gestation tells the nurse that she has been experiencing insomnia for the past 2 weeks. Which suggestion would be most helpful? Exercise for 30 minutes just before bedtime. Practice relaxation techniques before bedtime. Drink a cup of hot chocolate before bedtime. Drink a small glass of wine with dinner.

Practice relaxation techniques before bedtime.

A client is seeking infertility treatment after attempting pregnancy for 2 years. Of the following data from the client's history, which has the greatest impact on infertility? The client travels by air frequently. The client is a gymnast weighing 105 lb (47.6 kg). The client is an ovo-vegetarian. The client has used no birth control for two years.

The client is a gymnast weighing 105 lb (47.6 kg).

A nurse is caring for a client in the first 4 weeks of pregnancy. The nurse should expect to collect which assessment findings? breast sensitivity fetal heart tones uterine enlargement presence of menses

breast sensitivity

A client with human papillomavirus (HPV) infection is being treated by a colposcopy. The client asks the nurse if this procedure is really necessary. The nurse can tell the client that if the HPV infection is not treated which health problem is likely to occur? rectal cancer cervical cancer infertility pelvic inflammatory disease

cervical cancer

A client is in the eighth month of pregnancy. To enhance cardiac output and renal function, the nurse should advise the client to use which body position? semi-Fowler's supine right lateral left lateral

left lateral

A couple is visiting the clinic because they have been unable to conceive a baby after 3 years of frequent coitus. The nurse determines that the couple needs further instruction when they identify which factor as a cause of male infertility? abnormal hormonal stimulation seminal fluid with an alkaline pH frequent exposure to heat sources immunologic factors

seminal fluid with an alkaline pH

After instructing a primigravid client about the functions of the placenta, the nurse determines that the client needs additional teaching when she says that which hormone is produced by the placenta? testosterone human chorionic gonadotropin (hCG) progesterone estrogen

testosterone

A nurse is assessing the legs of a client who's 36 weeks pregnant. Which finding should the nurse expect? bilateral dependent edema absent pedal pulses unilateral calf enlargement sluggish capillary refill

bilateral dependent edema

A newly pregnant client tells the nurse that she hasn't been taking her prenatal vitamins because they make her nauseated. In addition to telling the client how important taking the vitamins are, the nurse should advise her to: switch brands. take the vitamin on a full stomach. take the vitamin first thing in the morning. take the vitamin with orange juice for better absorption.

take the vitamin on a full stomach.

A pregnant client complains of nausea every morning and again before meals. As a result of the nausea, the client has been unable to eat enough and has lost weight. Which nonpharmacologic intervention should the nurse recommend? eating three large meals per day keeping crackers at the bedside to eat before getting out of bed drinking water with every meal drinking liquids with dry foods

keeping crackers at the bedside to eat before getting out of bed

A client has been trying to achieve a pregnancy for 3 years and has just recently sought the assistance of an infertility specialist. Which tests may be conducted to analyze the causes of this client's infertility? Select all that apply. semen analysis prothrombin time hypothalamic pituitary levels hysterosalpingogram aspartate aminotransferase (AST) and alanine aminotransferase (ALT) basal body temperature graph

semen analysis prothrombin time hypothalamic pituitary levels hysterosalpingogram

A client's prenatal record shows a gravida 2, para 0111. From this information, the nurse knows that the client has been pregnant twice. What else does this information reveal about the client's obstetric history? One pregnancy resulted in an abortion and one resulted in a term neonate who's living. One pregnancy resulted in an abortion and one resulted in a preterm neonate who's living. One pregnancy resulted in a term neonate who's living and one resulted in a preterm neonate who died. One pregnancy resulted in a term neonate who's living and one resulted in a preterm neonate who's living.

One pregnancy resulted in an abortion and one resulted in a preterm neonate who's living.

A 25-year-old client tells the nurse that she would like to become pregnant, but she has been diagnosed with blocked fallopian tubes due to pelvic inflammatory disease. When helping the client explore infertility treatment options, what is most appropriate for this client? in vitro fertilization menotropin therapy gamete intrafallopian transfer zygote intrafallopian transfer

in vitro fertilization

The nurse is witnessing the client's signature on the informed surgical consent for an abdominal hysterectomy. The nurse should be certain the client understands that what will be the outcome of this surgery? weight gain. depression. decreased libido. infertility.

infertility.

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? "A weight gain of about 12 lb (5.5 kg) every trimester is recommended." "A total weight gain of approximately 20 lb (9 kg) is recommended." "Although it varies, a gain of 25 to 35 lb (11.4 to 14.5 kg) is about average." "A weight gain of 6.6 lb (3 kg) in the second and third trimesters is considered normal."

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

A client is scheduled to have in vitro fertilization (IVF) as an infertility treatment. Which client statement about IVF indicates that the client understands this procedure? "IVF requires supplemental estrogen to enhance the implantation process." "IVF involves bypassing the blocked or absent fallopian tubes." "Both ova and sperm are instilled into the open end of a fallopian tube." "The pregnancy rate with IVF is higher than that with gamete intrafallopian transfer."

"IVF involves bypassing the blocked or absent fallopian tubes."

A pregnant client at about 29 weeks' gestation asks the nurse "What can I do about this dark brown line running down my stomach?" When teaching the client about this brown line, what should the nurse tell the client? "This is a linea nigra that will fade after the baby is born." "This is a normal finding known as Chadwick's sign." "These are stretch marks that will turn a silvery color after birth." "This is a mask of pregnancy that will remain dark after birth."

"This is a linea nigra that will fade after the baby is born."

The nurse is developing a community health education program about sexually transmitted infections. Which information about women who acquire gonorrhea should be included? Gonorrhea is usually a mild disease for women. Women with gonorrhea are usually asymptomatic. Women are more reluctant than men to seek medical treatment. Gonorrhea is not easily transmitted to women who are menopausal.

Women with gonorrhea are usually asymptomatic.

A nurse is caring for a primigravida client. At 20 weeks of gestation, identify the location where the nurse anticipates the uterine fundus.

a

When measuring the fundal height of a primigravid client at 20 weeks' gestation, the nurse will locate the fundal height at which point? near the client's xiphoid process and compressing the diaphragm between the client's umbilicus and xiphoid process halfway between the client's symphysis pubis and umbilicus at about the level of the client's umbilicus

at about the level of the client's umbilicus

A male client has been diagnosed as having a low sperm count during infertility studies. After giving instructions about causes of low sperm counts, the nurse determines that the client needs further instructions when the client says low sperm counts may be caused by which health problem? endocrine imbalances decreased body temperature frequent use of saunas varicocele

decreased body temperature

After instructing a female client about the radioimmunoassay pregnancy test, the nurse determines that the client understands the instructions when the client states that which hormone is evaluated by this test? follicle-stimulating hormone prolactin luteinizing hormone human chorionic gonadotropin (hCG)

human chorionic gonadotropin (hCG)

When teaching a group of pregnant adolescent clients about reproduction and conception, the nurse is correct when stating that fertilization occurs: when the ovum is released. in the first third of the fallopian tube. near the fimbriated end. in the uterus.

in the first third of the fallopian tube.

After trying for a year to conceive, a couple consults an infertility specialist. When obtaining a history from the husband, the nurse asks about childhood infectious diseases. Which childhood infectious disease most significantly affects male fertility? chickenpox scarlet fever mumps measles

mumps

A 15-year-old primigravid client at approximately 16 weeks' gestation tells the nurse that she has been experiencing an occasional sharp pain from the fundus to her pubic bone on the left side. The nurse determines that the client is most likely experiencing which complication? round ligament pain fetal movement appendicitis preterm labor

round ligament pain

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 which approach? saline nose drops oral antihistamines oral decongestants ice packs to the nasal area

saline nose drops

Which client statement indicates a need for additional teaching about self-care during pregnancy? "I should avoid douching even if my vaginal secretions increase." "I should sit in a hot tub for 20 minutes to relax after working." "I should avoid using soap on my nipples to prevent drying." "I should use nonskid pads when I take a shower or bath."

"I should sit in a hot tub for 20 minutes to relax after working."

A client who tells the nurse that she would like to use the basal body temperature method for family planning receives instructions about the method. Which client statement indicates to the nurse that the teaching has been successful? "When my temperature remains elevated for 7 days, ovulation has occurred." "Because this method is not very effective, I should use other forms of contraception too." "It's important to take my temperature at about the same time every morning before arising." "Taking my temperature in the evening just after dinner or before I go to bed is best."

"It's important to take my temperature at about the same time every morning before arising."

A nurse is providing care for a pregnant 16-year-old. The client says that she is concerned she may gain too much weight and wants to start dieting. The nurse should respond by saying: "The prenatal vitamins should ensure the baby gets all the necessary nutrients." "Nutrition is important because depriving your baby of nutrients can cause developmental and growth problems." "Let's explore your feelings further." "Now isn't a good time to begin dieting because you are eating for two."

"Nutrition is important because depriving your baby of nutrients can cause developmental and growth problems."

Which statement by the nurse would be most appropriate when responding to a primigravid client who asks, "What should I do about this brown discoloration across my nose and cheeks?" "The discoloration is due to dilated capillaries." "This usually disappears after birth." "It will fade if you use a prescribed cream." "It is a sign of skin melanoma."

"This usually disappears after birth."

A pregnant client is experiencing a thin, odorless, vaginal discharge. What should the nurse instruct the client to do to prevent vaginal infections? "When you notice the discharge, take a bath and come into the office." "Try wearing a panty liner and discarding it after every urination." "Don't worry, nothing will happen to you." "Wash more thoroughly."

"Try wearing a panty liner and discarding it after every urination."

During a health-teaching session, a pregnant client asks the nurse how soon the fertilized ovum becomes implanted in the endometrium. Which answer should the nurse supply? 21 days after fertilization 14 days after fertilization 7 days after fertilization 28 days after fertilization

7 days after fertilization

A client who is pregnant with her second child comes to the clinic complaining of a pulling and tightening sensation over her pubic bone every 15 minutes. She reports no vaginal fluid leakage. Because she has just entered her 36th week of pregnancy, she is apprehensive about her symptoms. Vaginal examination discloses a closed, thick, posterior cervix. These findings suggest that the client is experiencing: fetal distress. back labor. true labor contractions. Braxton Hicks contractions.

Braxton Hicks contractions.

While assessing a multigravid client at 10 weeks' gestation, the nurse notes a purplish color to the vagina and cervix. The nurse documents this as what finding? Chadwick's sign Goodell's sign melasma Hegar's sign

Chadwick's sign

A couple visiting the infertility clinic for the first time states that they have been trying to conceive for the past 2 years without success. After a history and physical examination of both partners, what would be the most appropriate outcome for the couple to accomplish by the end of this visit? Describe each of the potential causes and possible treatment modalities. Choose an appropriate infertility treatment method. Acknowledge that only 50% of infertile couples achieve a pregnancy. Discuss alternative methods of having a family, such as adoption.

Describe each of the potential causes and possible treatment modalities.

A client comes to the office for her first prenatal visit. She reports that January 3 was the first day of her last menstrual period. According to Naegele's rule, what date should the nurse record as the estimated date of delivery (EDD)? December 10 September 10 October 10 November 10

October 10

A multigravid client who stands for long periods while working in a factory visits the prenatal clinic at 35 weeks' gestation, stating, "The varicose veins in my legs have really been bothering me lately." Which instruction would be most helpful? Perform slow contraction and relaxation of the feet and ankles twice daily. Take frequent rest periods with the legs elevated above the hips. Avoid support hose that reach above the leg varicosities. Take a leave of absence from work to avoid prolonged standing.

Take frequent rest periods with the legs elevated above the hips.

A pregnant client in her third trimester asks why she needs to urinate frequently again, as she did during the first trimester. What should the nurse tell her? This symptom is abnormal and should subside after the presenting part of the fetus is engaged. This symptom is abnormal during the third trimester and may indicate a urinary tract infection. This symptom is normal and results from the fetus exerting pressure on the bladder. This symptom is a normal variation and is easily managed by limiting fluid intake.

This symptom is normal and results from the fetus exerting pressure on the bladder.

The nurse conducts the health assessment of a client who is a primigravida in the prenatal clinic. Which presumptive signs of pregnancy should the nurse expect to assess? amenorrhea and quickening uterine enlargement and Chadwick's sign a positive pregnancy test and a fetal outline Braxton Hicks contractions and Hegar's sign

amenorrhea and quickening

A nulliparous client tells the nurse that during her last pelvic examination, the health care provider said that her uterus was in a severe retroverted position. The nurse determines that the client may experience which complication? pain from endometriosis severe menstrual cramping difficulty conceiving a child frequent vaginal infections

difficulty conceiving a child

A 30-year-old multigravid client has missed three periods and now visits the prenatal clinic because she assumes she is pregnant. She is experiencing enlargement of her abdomen, a positive pregnancy test, and changes in the pigmentation on her face and abdomen. These assessment findings reflect this woman is experiencing a cluster of which signs of pregnancy? positive diagnostic presumptive probable

probable

A client and her partner, both 25 years old, are having trouble conceiving. Infertility in this couple is defined as: a low sperm count and decreased motility. the inability to conceive after 1 year of unprotected attempts. the inability to conceive after 6 months of unprotected attempts. the inability to sustain a pregnancy.

the inability to conceive after 1 year of unprotected attempts.