Antepartum

Abruptio placentae

A nurse in the antepartum unit is caring for a client who is at 36 weeks gestation and has pregnancy-induced hypertension. Suddenly, the client reports continuous abdominal pain and vaginal bleeding. The nurse should suspect which of the following complications?

Oozing from injection sites

A client who experienced abruptio placentae is at risk for disseminated intravascular coagulopathy (DIC). The nurse should monitor this client for which symptom of this complication?

Quickening

A client who is at 18 weeks of gestation tells the nurse that she felt light fluttering in her stomach the previous day. The nurse should document that this is

Excessive uterine enlargement

A nurse in a prenatal clinic is assessing a client who is suspected of having a hydatidform mole. Which of the following findings should the nurse expect to observe in this client?

Increased progesterone production causes decreased motility of smooth muscle

A nurse in a prenatal clinic is caring for a client who is at 12 weeks gestation. The client asks about the cause of her heartburn. Which of the following responses should the nurse make?

Maternal hypertension

A nurse in a provider's office is reinforcing teaching to a client who is 34 weeks of gestation and at risk for placental abruption. The nurse recognizes that which of the following is the most common risk factor for abruption?

Determine the amount and type of vaginal bleeding

A nurse is admitting a client who is at 10 weeks gestation and reports abdominal pain and moderate vaginal bleeding. The tentative diagnosis is inevitable abortion. Which of the following actions should the nurse include in the client's plan of care?

headache

A nurse is admitting a client who is at 38 weeks of gestation and has severe pre-eclampsia. When assessing the client, the nurse should expect which of the following findings?

Pelvic pain

A nurse is caring for a client in the prenatal clinic with a possible ectopic pregnancy at 8 weeks of gestation. Which of the following is an expected finding for this client?

facial edema

A nurse is caring for a client who has just learned that she is pregnant. The nurse should reinforce to the client to call her provider if she experiences which of the following?

Cause profound bleeding

A nurse is caring for a client who is at 37 weeks of gestation and has placenta previa. The client tells the nurse that the provider said he cannot examine her internally and the client asks the nurse why. The nurse should explain that this is primarily because an internal examination could

Orange juice

A nurse is caring for a client who is pregnant and has iron-deficiency anemia. To enhance the client's iron absorption, which of the following beverages should the nurse recommend?

Needs an immunization following delivery

A nurse is caring for a client who is pregnant and whose routine diagnostic testing reveals a negative rubella titer. The nurse understands that this result means the client

prevent the formation of Rh antibodies by a woman who is Rh-negative

A nurse is caring for a client who is to receive RhoGam injections. When reinforcing teaching with this client, the nurse explains that the action of RhoGam is to

"I will use only nonprescription medications while pregnant."

A nurse is reinforcing expected gestational changes with a client who is at 12 weeks gestation. Which of the following statements by the client indicates a need for further teaching?

Coffee, tea, and mild decrease iron absorption

A nurse is reinforcing teaching to a client in the first trimester of pregnancy with a new prescription for ferrous sulfate. The client should be encouraged to avoid taking the medication with which of the following liquids?

Eat foods fortified with folic acid

A nurse is reinforcing teaching to a client regarding how to reduce the risk of giving birth to a newborn who has a neural tube defect. Which of the following instructions by the nurse is appropriate?

Urinary urgency

A nurse is reinforcing teaching to a client who is 10 weeks of gestation regarding common discomforts fo pregnancy during the first trimester. Which of the following should the nurse include in the teaching?

I will have to lie on my back during the test.

A nurse is reinforcing teaching to a client who is at 30 weeks gestation and scheduled for a non-stress test (NST). Which of the following by the client indicates a need for further teaching?

This is expected because of the way iron is broken down during digestion

A nurse is speaking to a client on the phone who is pregnant and taking iron supplements for iron-deficiency anemia. The client reports that her stools are black but she has no abdominal pain or cramping. Which of the following is an appropriate response by the nurse?

Empty her bladder immediately prior to the procedure

A nurse is talking with a client who is at 23 weeks of gestation and will return to the facility the following week for an amniocentesis. Which of the following instructions should the nurse reinforce with the client?

Intrauterine growth retardation

A nurse is talking with a client who is at 6 weeks gestation. The client tells the nurse that she smokes one pack of cigarettes a day. The nurse should explain that newborns of women who smoke are at particular risk for

Chadwick's sign

Purplish or bluish discoloration of the cervix, vagina, and vulva caused by increased vascular congestion; probable sign of pregnancy.

Primigravida

The nurse is assessing a woman who is pregnant for the first time. Which of the following terms applies to this client?

Painless vaginal bleeding

Which finding should the nurse expect when assessing a client with placenta previa?