ch 26 health promotion and pregnancy

A nurse is reinforcing teaching with a client who is at 30 weeks gestation and scheduled for a nonstress test. Which of the following statements by the client indicates a need for further teaching?

I will have to lie on my back during the test

A nurse is reinforcing teaching about appropriate exercises during pregnancy with a client who is at 24 weeks gestation. Which of the following statements indicates a need for additional teaching?

I will participate in a game of racquetball once a week

A nurse is reinforcing teaching about kegel exercises with a client who is in the third trimester of pregnancy. Which of the following statements by the client indicates an understanding of the teaching?

these exercises will help my pelvic muscles stretch when i give birth

After fertilization has occurred the new cell is called

zygote

The nurse concludes that the prenatal patient has no need for further instruction when she correctly states that amniocentesis can determine which of the baby's characteristics?

-sex -maturity -health -genetic defects

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

I will use only nonprescription medications while pregnant.

A nurse in a provider's office is caring for a client who is at 36 wks gestation and is scheduled for an amniocentesis. The client asks why she is having an ultrasound prior to the procedure. Which of the following responses by the nurse is appropriate?

It assists in identifying the location of the placenta and the fetus

A nurse is reinforcing teaching with a client who is pregnant about expected changed related to pregnancy. Which of the following statements by the client indicates an understanding of the teaching?

It is normal to have white vaginal discharge

A nurse in a prenatal clinic is caring for a client who is at 38 weeks of gestation and has heavy, red vaginal bleeding, without contraction, that started spontaneously. She is in no distress and states that she can "feel the baby moving". The client should undergo an ultrasound to determine which of the following findings?

Location of the placenta

A nurse is collecting data from a client who is at 11 weeks gestation and reports slight, occasional vaginal bleeding over the past 2 weeks. The provider determines that the fetus has died and that the placenta, fetus, and tissues remain in the uterus. How should the nurse document these findings?

Missed miscarriage

A nurse is caring for a client who is at 38 weeks gestation and has a positive contraction stress test. Which of the following actions should the nurse take?

Prepare the client for admission to the hospital

A nurse is reinforcing teaching about fetal development with a group of women who are pregnant. Which of the following statements should the nurse include in the teaching?

the baby's heartbeat is audible by a doppler stethoscope at 12 weeks of pregnancy

A nurse is caring for a newborn. How many blood vessels should the nurse expect to observe in the newborn's umbilical cord?

two arteries and one vein

A nurse is reinforcing teaching with a client who is at 15 weeks gestation and is about to undergo an amniocentesis. The nurse should reinforce that this test can identify which of the following traits or problems?

-Rh incompatibility -Chromosome defects -Neural tube defects -Fetal gender

Which of the following are symptoms that need to be reported by the pregnant patient to their provider immediately?

-fever -decreased fetal movement -visual disturbances

Fetal kick count monitoring should begin at how many weeks gestation?

28

Which of the following are presumptive signs of pregnancy?

ALL -chadwick's sign -amenorrhea -breast changes -quickening -frequent urination

A nurse if reinforcing teaching with a client who is scheduled for a nonstress test. Which of the following information should the nurse include?

An external fetal monitor will be used to monitor the FHR

A nurse is caring for a client who is pregnant and undergoing a nonstress test. The nurse records FHR as 130-150/min, with no fetal movement for 15 min. Which of the following actions should the nurse take?

Apply vibroacoustic stimulation to the woman's abdomen

A patient has had a positive lab draw for pregnancy. She reports that her last menstrual period was July 15. According to Nagele's rule when would her EDD be?

April 22

An expectant mother is concerned about darkened skin on her forehead and cheeks. You, the nurse, assure her that this is a normal change in pregnancy and will fade after she gives birth. This condition is called...

Chloasma

A nurse is reinforcing teaching about quickening with a client who is at 6 weeks gestation. Which of the following information should the nurse include?

Quickening occurs between the fourth and fifth months of pregnancy

A patient who is 6 wks pregnant is at the OB office for her first prenatal vist. She reports to you that she has 3 children at home, a 2 year old, and a set of twins. Prior to giving birth she experienced two spontaneous abortions in her first trimester. How would you document this in the patient's chart?

G 5, T2, P0, A2, L 3

A woman tells the nurse that this is her third pregnancy. She has twin girls at full term and one miscarriage. How does the nurse record this?

G3 T1 A1 L2

A nurse is assisting with the admission of a client who is at 39 weeks gestation and has heavy vaginal bleeding. Which of the following actions should the nurse take?

Prepare for cesarean birth

A patient has been diagnosed with a tubal pregnancy. What is the typical outcome of a tubal pregnancy?

The patient will require surgery to remove the zygote

A nurse is caring for a client who tells the nurse that she thinks she might be pregnant because she is able to felt the baby move. Which of the following statements should the nurse make?

This is a presumptive sign of pregnancy

A patient is 8 weeks pregnant and reports that she is nauseous every morning when she awakes. What is the nurse's best response?

Try having a dry piece of toast before you get out of bed in the morning

The amniotic sac is composed of two membranes. The outer layer is the chorion and the inner layer is the

amnion

A nurse is assisting a nurse midwife in examining a client who is a primigravida at 42 weeks gestation and states that she thinks she is in labor. Which of the following findings confirms that the client is in labor?

cervical dilation

What do the arteries in the umbilical cord carry?

deoxygenated blood back to the placenta

A patient is planning for the upcoming birth of her first child. She reports that having a natural birth without the use of pain medication is important to her. Which childbirth method would be the most appropriate for the nurse to suggest?

dick-read

The primary hormone of pregnancy is

estrogen

Where does implantation of the fertilized ovum usually occur

fundus of the uterus

A patient has just give birth to a health full term baby. When she is given the baby after birth she expresses concern that the baby is "covered in peach fuzz" referring to a fine layer of hair on the baby's body. You inform her that this is normal for a newborn and tell her that the hair is called..

lanugo

A nurse is assisting with the care of a client who is experiencing preterm labor and is scheduled to undergo amniocentesis. The client needs an amniocentesis to determine which of the following findings?

maturity of lungs

A nurse is caring for a client in the prenatal clinic who is 7 weeks gestation. The client reports urinary frequency and asks the nurse if this will continue throughout her pregnancy. Which of the following responses by the nurse is appropriate?

no. it should only last until about your 12th week gestation but returns near term as the enlarging uterus presses on the bladder. It can also worsen following fetal decent.

A nurse is caring for a client during a nonstress test (NST). The nurse observes two decelerations of 15/min in the fetal heart rate during a period of fetal movement. Each deceleration lasts 20 seconds. Which of the following results are indicated by these findings?

nonreactive test

A nurse is caring for a client in the prenatal clinic who has a possible ectopic pregnancy at 8 weeks gestation. Which of the following findings should the nurse expect?

pelvic pain

A nurse is collecting data from a client who is at 18 weeks gestation and tells the nurse that she felt light fluttering in her stomach the previous day. The nurse should use which of the following terms to document this finding?

quickening