Chapter 3 Review Questions
A client at her first prenatal clinic visit is at 6 weeks' gestation. She asks how long she may continue to work and when she should plan to quit. How should the nurse respond?
"What activities does your job entail?"
At her first prenatal visit, a client says to the nurse, "I guess I'll be having an internal examination today." What is the nurse's best response?
"Have you ever had an internal examination done before?"
A preganant client is being prepared for a pelvic examination. She states that she is always tired and feels sick to her stomach, especially in the morning. What is the nurse's best reponse?
"Let's discuss ways to resolve these common problems."
While caring for a pregnant client and her partner, a nurse suspects domestic violence. Which assessments support this suspicion? Select all that apply.
- Woman has injuries to the breasts and abdomen. - Partner answers questions that are asked of the woman. - woman has visited the clinic several times in the last month.
A nurse teaches a pregnant woman to avoid lying on her back during labor. What information about the results of lying in the supine position is the basis for the nurse's teaching?
Placental perfusion is decreased.
A client tells the nurse that the first day of her last menstrual period was July 22, 2015. What is the estimated date of delivery?
April 29, 2016
A pregnant client is making her first antepartum visit. She has a 2-year-old son born at 40 weeks, a 5-year-old daughter born at 38 weeks, and 7-year-old twin daughters born at 35 weeks. She has a spontaneous abortion 3 years ago at 10 weeks. Using GTPAL format, whay does the nurse document about the client's obstetric history?
G5 T2 P1 A1 L4
A 36-year-old multigravida who is at least 12 weeks' gestation is scheduled for an alpha-fetoprotin test indicate? The nurse bases a repsonse on the knowledge that this test can indicate an increase risk for what?
Neural tube defects
At her first visit t the prenatal clininc, a client tells the nurse she is ambivalent about continuing the pregancy. Why does the nurse conclude that the client is experiencing a crisis?
Pregnancy is a period of change and adjustment to change.
A client has several tests during pregnancy. Place the test in the order they should be performed during pregnancy.
Sickle cell screening, Alpha-fetoprotein testing for neural tube defects, Routine ultrasound, Serum glucose for gestational diabetes, Group B streptococcus culture.
A client who is visiting the prenatal clinic for the first time has a serology test for toxoplasmosis. What information is the client's history indicated to the nuruse that there is a need for this test?
Taking care of a cat
The nurse reads the history of a neonate admitted to the nursery and discovers that the infant's mother was listed as gravida 2, para 1 before the baby was born. How shoulf the nurse use these data to gather more information?
Consider that someone recorder the gravida and para incorrectly.
What recommendation should a nurse give to clients who have fluid retention during pregnanct?
Elevate the lower extremities.
A preganant client asks the clinic nurse how smoking will affect her baby. What information about cigarette smoking will influence the nurse's reponse?
The resulting vasoconstriction affects both fetal and maternal blood vessels.