EAQ 2
which statement by a client who was normal weight before pregnancy indicates the need for further teaching regarding weight gain guidelines
i should gain 1 to 2 pounds per week through the entire pregnancy
A woman arrives for an appointment at an obstetrics clinic. during the visit the nurse records the following information. Which finding indicates a need for future intervention
rubella titer less than 1:8 (nonimmune)
a pregnant client tells the nurse that she thinks she has developed an allergy because her nose is often very congested. How would the nurse reply
that it is an expected occurrence; the increased hormones are responsible for the congestion
which statement made by a pregnant client after a prenatal class on fetal growth and development indicates the need for additional teaching
the baby gets food from the amniotic fluid
the nurse notes in the history of the client in labor that she is a gravida 5 para 2112. Which statement would e true based on this information
the client has 2 living children
which statement by the client in the first trimester of pregnancy illustrates a psychologic reaction that usually occurs at this stage of pregnancy
"im excited about the baby, but im not sure that im ready to be a mother"
which recommendation would the nurse make for a pregnant patient experiencing nausea and vomiting
- avoid an empty or excessively full stomach - drink real ginger ale or tea, or use real ginger in another recipe - try sucking on sour candies or smelling a citrus-scented food or product - eat crackers or vanilla wafers or drink a small amount of liquid before getting out of bed - eat small, carbohydrate-rich, low-fat meals throughout the day, such as toast, oatmeal, or noodle soup - locate the pressure points to reduce nausea located at the middle of the wrist, and press firmly for 3 minutes
which musculoskeletal changes directly place pregnant clients at risk for falls
- joint laxity - impaired balance - shifting center of gravity
which is correct regarding the safety of caffeinated beverages during pregnancy
- one 12 ounce cup of coffee per day is probably fine - high consumption is often related to a decrease in birth weight
Women who become pregnant for the first time at a later reproductive age (35 years or older) are at risk for what complications? (Select all that apply.)
- preterm labor - multiple gestation - chromosomal anomalies - bleeding in the first trimester
which medication would the nurse question if prescribed for a pregnant client
- warfarin - phenytoin - isotretinoin - clavulanate - methotrexate
which food contains at least 100mcg of folate per serving
-black-eyed peas -ready to eat breakfast cereal
at which week of gestation would the nurse expect the uterus to have risen out of the pelvis into the abdomen
12th week
while conducting prenatal teaching, the nurse explains to clients that there is an increase in vaginal secretions during pregnancy called leukorrhea. Which factor does the nurse identify as the cause of this increase
increased production of estrogen
At her first prenatal clinic visit a primigravida has blood drawn for a rubella antibody screening test, and the results are positive. What intervention is important when the nurse discusses this finding with the client?
informing her that her result indicates immunity to rubella
a client exhibits oligohydramnios at 36 weeks gestation. For which newborn complication would the nurse mention
intrauterine growth restriction
which sign or symptom would the nurse instruct a client at 29 weeks' gestation to report immediately to the primary care provider
leakage of fluid from the vagina
which is the priority nursing care immediately after an amniocentesis
monitoring for signs of uterine contractions
which factor in a clients history suggests a risk for preterm labor
multiple urinary tract infections
which activities would be taught by the nurse as methods of relieving back pain in pregnancy
pelvic rocking foward tilting sacral pressure
which finding would the nurse be most concerned about when reviewing the chart of a client scheduled for an amniocentesis?
B negative blood type
which direction would be given to a primigravida at 34 weeks gestation who is beginning to experience lower back pain
perform pelvic tilt exercises several times a day
A primigravida in the first trimester tells a nurse that she has heard that hormones play an important role in pregnancy. Which hormone should the nurse tell the client maintains pregnancy?
progesterone
a pregnant client tells the nurse that her husband is a chain smoker. Which information would the nurse's teaching include
Continued exposure to secondhand smoke is related to fetal growth restriction.
Which information would the nurse include in the explanation of a Papanicolaou (pap) test to the client in the Family Planning Clinic
The pa smear screens for cancer of the cervix
The nurse who is caring for a mother and her newborn infant reviews their record. In light of the data then record contains, which nursing intervention is required
Maternal rubella vaccination
which intervention would the nurse anticipate when caring for a 27 week pregnant woman with a history of heart disease
prophylactic antibiotics at the time of birth
the nurse teaches a group of nursing students about the physiological changes that occur during pregnancy. Which statement by a student indicates effective teaching
renal blood flow is doubled during the third trimester, which increases the glomerular filtration rate
which factor may alter the absorption of medication taken orally during pregnancy
delayed gastrointestinal emptying
which recommendation would the nurse provide to a pregnant woman who reports leg cramps
dorsiflexion of the foot until the spasm passes
which medication is safe to take during pregnancy
acetaminophen
which is the best advice the nurse can provide to a pregnant woman in her first trimester
avoid drugs and dont smoke or drink alcohol
with which problem is a low maternal serum alpha-fetoprotein associated
down syndrome
A client at 35 weeks gestation calls the prenatal clinic, concerned that she has not felt the baby move as much as usual. the nurse would direct the client to call back after taking which action
drink a glass of orange juice and time 10 fetal movements
an increase in which factor causes urinary frequency in the first trimester of pregnancy
bladder pressure from the enlarged uterus
which information about adolescent growth and development would the nurse need to understand before discussing changes in body size to a 16-year-old adolescent at 24 weeks of gestation
body image is very important to adolescents; therefore, pregnant teenagers are overly concerned about body size
which statement by a pregnant woman after attending a prenatal education session indicates the need for additional teaching
during pregnancy it's safe for me to use my regular herbal remedies
which technique would the nurse employ for an obstetrical client with a foreign body airway obstruction?
chest thrusts
which intervention would the nurse recommend to a client in her 37th week of gestation who calls the clinic and reports, "my ankles are so swollen"
elevating her legs more frequently during the day
Which nursing intervention would be needed before a client undergoes amniocentesis at 16 weeks gestation
ensuring that informed consent has been obtained from the client
for which reason is an ultrasound done during the first trimester
estimate fetal age
A pregnant client in the third trimester tells the nurse in the prenatal clinic that she is experiencing heartburn after every meal. which explanation would the nurse provide regarding the cause of the heartburn
the esophageal sphincter relaxes and allows acid to be regurgitated
a client who is scheduled for an amniocentesis tells the nurse, " I'm glad this test will be able to tell me whether or not my baby is well" how would the nurse respond
this test is useful in detecting potential defects caused by chromosomal errors
which recommendation would the nurse make to a pregnant client who sits almost continuously during her work hours
try to walk around every few hours during the workday
a client whose weight was average for her height before becoming pregnant expresses concern about her 15-lb weight gain after only 23 weeks of pregnancy. Which is an appropriate response
your weight is as expected for someone at 23 weeks gestation, so continue with your current diet