chapter 12 fam exam

measles mumps rubella

Which vaccines are contraindicated during pregnancy since they may transmit a viral infection to the fetus? Select all that apply.

increased estrogen, should disappear

13s A woman reports constant redness and itching of her palms early in her pregnancy. She fears that she is suffering an allergic reaction and asks the nurse whether this is normal. What explanation should the nurse mention?

contractions beginning in the back and sweeping forward across the abdomen

24s A woman calls the prenatal clinic and says that she thinks she might be in labor. She shares her symptoms over the phone with the nurse and asks what to do. The nurse determines that she is likely in true labor and that she should head to the hospital. Which symptom is an indicator of true labor?

Back pain could be a sign of bladder or kidney infection

25s A woman in her third trimester complains to the nurse of significant back pain. The nurse questions the client carefully and records a detailed account of her back symptoms. What is the best rationale for the nurse evaluating the client's back symptoms with such care?

75%

A 35-year-old client has been told to keep her pulse rate below 140 bpm during workouts because she pregnant. This means that the client will be working roughly what percentage of the suggested pulse rate?

acetaminophen

A client reports occasional headaches. She wants to know what she can take to alleviate the discomfort. What would be the best response by the nurse?

Client is not at risk for preterm labor. Client does not face a risk of threatened abortion.

A client wants to know if she can engage in intercourse during pregnancy. Which information should the nurse confirm to ensure that sexual intercourse or orgasm is not contraindicated in the client? Select all that apply.

during pregnancy you should not douche

A nurse is conducting a class geared toward changes in early pregnancy and self-care items like perineal hygiene. A woman shares that she douches at least once a day since she has "so much discharge" from her vagina. Which response by the nurse is most appropriate at this time?

Avoid wearing high heels, especially during late pregnancy.

A nurse is educating a primigravida client about the expected changes during pregnancy. Which measure will provide anticipatory guidance about pregnancy?

Mercury attacks the nervous tissue

A nurse is giving a prenatal class on teratogens that have an affinity for specific body tissues. Which teratogen is accurately paired with the specific body tissue affected?

Because of pelvic congestion, women may experience increased clitoral sensitivity.

A nurse is teaching a group of primigravida woman who are in their first trimester. One of the women asks the nurse about sexual activity during pregnancy. Which information would the nurse most likely incorporate into the response?

"You should continue to see your dentist regularly for preventive care, but avoid any nonemergent dental work until after the baby is born."

A patient is 12 weeks' pregnant and asks the nurse about dental care. Which is the best response?

"Fluids are necessary so your blood volume can double, which is normal in pregnancy."

A pregnant client reports frequent urination and tells the health care provider that she has stopped drinking water during the day since she cannot take many breaks during work. Which statement by the nurse is most appropriate at this time?

"When I first urinate in the morning, I notice a burning sensation, but then as I'm constantly going throughout the day, it goes away."

A pregnant woman in her first trimester comes to the clinic for a visit. Which statement would lead the nurse to suspect that the woman is experiencing a complication of pregnancy that requires additional follow up?

Swimming in a pool is a recommended exercise during pregnancy.

A primigravida client has come to the clinic for a prenatal checkup. What teaching topics would help to promote a healthy pregnancy for this client?

white, frothy bubbles in baby's mouth coughing or choking during feedings intestines located outside the abdominal wall

A woman arrives in the emergency department in active labor. She has not received any prenatal care and reports spending a lot of time in a hot tub to relax. The nurse caring for this woman should prepare for which possible birth defect related to the fetus being exposed to prolonged hyperthermia in a hot tub? Select all that apply.

Wear cotton underwear during the day. A perineal pad to absorb the discharge may help.

A woman in her first trimester of pregnancy has noted an increase in a thick, whitish vaginal discharge even though she showers daily. The woman shares this information with the clinic nurse who provides some client education on the topic of leukorrhea. Which interventions should be addressed in this discussion?

it is safe

A woman in the 34th week of pregnancy says to the nurse, "I still feel like having intercourse with my husband." The woman's pregnancy has been uneventful. The nurse responds based on the understanding that:

acyclovir

A woman with a history of genital lesions caused by herpes simplex virus (HSV) has been admitted to the labor unit at 39 weeks' gestation. She said she was given medicine prophylaxically a few weeks ago to prevent lesions at the time of birth. Which medication is safe to give to a pregnant women with HSV?

12

According to the Family and Medical Leave Act, a woman is guaranteed the right to how many weeks of unpaid, job-protected leave for the birth of a child?

"Buy and wear medical support hose every day."

An older female pregnant with her first child develops some pain in her legs associated with warmth to touch. Suspecting a blood clot, an ultrasound is presribed and a peripheral venous thrombosis is diagnosed. Which intervention was likely prescribed for this woman?

rubella (Maternal exposure to rubella during pregnancy poses a particular fetal risk that supersedes the significance of hepatitis, measles, diphtheria, tetanus, or pertussis.)

As part of a 31-year-old client's prenatal care, the nurse is assessing immunization history. Which immunization is most relevant to ensuring a healthy fetus?

youre susceptible to a rubella viral invasion

Following an initial prenatal visit, a woman's rubella titer results were less than 1:8. On her next visit, the woman asks what this test result means. Which is the best answer to this woman's question about her rubella titer results?

During the last month, rest on the left side for at least an hour, morning and afternoon.

The nurse is teaching a pregnant client in her last trimester about interventions to help reduce risks of complications during pregnancy. Which of the following are recommended guidelines?

avoid medication

What instruction should a nurse offer to a pregnant client or a client who wishes to become pregnant to help her avoid exposure to teratogenic substances?

"Plan to exercise a minimum of 3 times a week for 30 minutes."

When counseling a patient about exercise in pregnancy, which statement is correct?

left-sided Sims position with the top leg forward

When visiting with a pregnant female for the first time, the nurse should address the topic of rest. Which position should the nurse encourage the woman to assume when resting?

tingling and tenderness

Which change in the breasts should a nurse recognize as a normal change associated with pregnancy?

"There is no safe amount of alcohol to consume during pregnancy." "Alcohol is a teratogen." "Fetal alcohol syndrome may lead to IUGR, microcephaly, facial deformities, and intellectual

Which statements are important to include when counseling a client about alcohol consumption during pregnancy? Select all that apply.

flu, after first trimester

Which vaccine is safe to give in pregnancy?

true

green tea should be avoided in pregnancy