Evolve Normal Pregnancy Quiz

Which dietary habit in a pregnant woman would require the nurse to provide additional education?

Drinking 1 L of water every day

Which is a consideration when planning prenatal counseling for a client who has had two uneventful pregnancies ending in term vaginal births of healthy children?

Each pregnancy is a unique experience that is stressful despite multiparity.

Which is the best advice the nurse can provide to a pregnant woman in her first trimester?

"Avoid drugs and don't smoke or drink alcohol."

Which general body system undergoes the most profound change during pregnancy?

Cardiovascular system

Which is the most highly sensitive time within the developing embryo for the risk of malformation related to environmental teratogens?

Cleft palate at 8 weeks' gestation

For which client would the nurse provide immediate care based on priority?

Client A

Which client requires high priority care in the obstetric unit based on age and assessment findings?

Client C

Why is it important for the nurse in the prenatal clinic to provide nutritional counseling to all newly pregnant women?

Different cultural groups favor different essential nutrients.

When can a primigravida fetal heartbeat be heard for the first time?

Doppler ultrasound at 10 to 12 weeks

A pregnant client's last menstrual period was on February 11. A physical assessment on July 18 would reveal the top of the fundus to be where?

Even with the umbilicus

A client at 10 weeks' gestation tells the nurse in the maternity clinic that she is worried because she is voiding frequently. How would the nurse respond?

Explain why this is expected in early pregnancy.

During the assessment of a client in labor, the cervix is determined to be dilated 4 cm. Which stage of labor would the nurse record?

First

While a client is being interviewed on her first prenatal visit she states that she has a 4-year-old son who was born at 41 weeks' gestation and a 3-year-old daughter who was born at 35 weeks' gestation. The client lost one pregnancy at 9 weeks and another at 18 weeks. Using the GTPAL system, how would you record this information?

G5 T1 P1 A2 L2

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 had a spontaneous abortion 3 years ago at 10 weeks. How would the nurse, using the GTPAL format, document the client's obstetric history?

G5 T2 P1 A1 L4

While caring for a client during labor, which would the nurse remember about the second stage of labor?

It ends at the time of birth.

According to Naegele rule, which is the expected date of delivery (EDD) of a client whose last menstrual period began on April 15?

January 22

Which condition is detected by an alpha-fetoprotein test?

Neural tube defects

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.

Which high-risk nutritional practice must be assessed for when a pregnant client is found to be anemic?

Pica

How would the nurse explain physiological anemia to a pregnant client?

Plasma volume increases

Which behavior indicates a client has entered the second stage of labor?

Report of feeling pressure on the rectum

Which information would tell the nurse if a woman at 40 weeks' gestation having contractions is in true labor?

The cervix dilates and becomes effaced in true labor.

A client in active labor is admitted to the birthing room. A vaginal examination reveals that her cervix is dilated 6 to 7 cm. In light of this finding, which would the nurse expect?

The client's contractions will become longer and more frequent.

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."

Which are the primary goals of prenatal nursing care? Select all that apply. One, some, or all responses may be correct.

Safe birth for mother and infant Promote health and well-being of mother and infant Satisfaction of mother and family with the birth experience

At 39 weeks' gestation a client asks the nurse about the difference between true and false labor. Which information regarding true labor contractions would the nurse include in a response to the client's question?

Accompanied by progressive cervical dilation

Which laboratory test is conducted during the initial prenatal visit? Select all that apply. One, some, or all responses may be correct.

Cervical culture for Neisseria gonorrhoeae

At which point during a human pregnancy does the embryo become a fetus?

During the 8th week of the pregnancy

Which laboratory finding on a client at 24 weeks' gestation would the nurse report to the health care provider?

Hemoglobin: 10.8 g/dL (108 mmol/L)

Which complication would the nurse anticipate when a client who is 36 weeks' pregnant presents with swelling of the face, blurred vision, and epigastric discomfort?

Preeclampsia