Maternal-Newborn Unit 1 QUIZ

A nurse is reinforcing teaching with a client who is pregnant and has a new prescription for ferrous sulfate due to iron-deficiency anemia. The nurse should instruct the client to take this medication with which of the following?

orange juice Orange juice and other vitamin C-rich foods and beverages enhance iron absorption.

A nurse in a provider's office is reinforcing teaching about home care with a client who has mild preeclampsia. Which of the following information should the nurse include in the teaching?

perform daily fetal movements/kick counts The client should count the number of fetal movements felt in one hour, preferably after a meal. Fetal movements are a reassuring sign of fetal oxygenation. The client should notify the provider if less than 3 movements per hour are noted, as this warrants further evaluation.

A nurse is reinforcing teaching about immunizations with a woman in her first trimester of pregnancy whose diagnostic testing indicates she does not have an immunity to rubella. The nurse should recommend that the client receive a measles, mumps, rubella (MMR) vaccine at which of the following times?

prior to discharge from the hospital AFTER giving birth The nurse should recommend the client receive the MMR vaccine following delivery, so she is protected from contracting rubella then and during any subsequent pregnancies.

A nurse is reinforcing teaching with a client who is at 17 weeks of gestation and is scheduled to have a maternal serum alpha-fetoprotein (MSAFP) determination. Which of the following information should the nurse include?

this test will screen for neural tube defects. MSAFP measures blood levels of alpha-fetoprotein in the client's blood. Abnormal levels can indicate a neural tube defect, such as spina bifida, as well as multifetal pregnancies and fetal abdominal wall defects.

A nurse is reinforcing teaching with a client about how to reduce the risk of giving birth to a newborn who has a neural tube defect. Which of the following instructions should the nurse include in the teaching?

Eat foods fortified with folic acid An increased consumption of folic acid in the 3 months prior to pregnancy, as well as throughout the pregnancy, is associated with a decreased risk of the development of neural tube defects.

A nurse in a prenatal clinic is caring for a client who is at 12 weeks of gestation. The client asks about the cause of her heartburn. Which of the following responses should the nurse make?

Increased progesterone production causes decreased motility of smooth muscle. Increased progesterone production causes a relaxation of the cardiac sphincter and delayed gastric emptying, which can result in heartburn.

A nurse is 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 During a nonstress test, the client is seated in a semi-reclining position.An external fetal monitor is applied to detect the FHR and uterine contractions. The FHR is monitored for 20 to 30 min.A reactive, or reassuring, FHR is determined to be the presence of two accelerations in a 20-min period, each lasting at least 15 seconds and peaking at least 15 beats/min above the FHR baseline.

A nurse is caring for a client who is at 36 weeks of gestation and has suspected placenta previa. For which of the following findings should the nurse monitor the client?

a large amount of bright red vaginal bleeding without pain With placenta previa, the placenta implants in the lower part of the uterus, partly or completely obstructing the cervical os, or outlet to the vagina. Clients who have placenta previa have sudden, painless vaginal bleeding, typically in the third trimester.

A nurse is reinforcing teaching with a client about checking her basal temperature to identify when ovulation occurs. The nurse should instruct the client to check her temperature at which of the following times?

every morning before arising The nurse should instruct the client to measure her temperature every morning throughout her menstrual cycle, upon waking, before getting out of bed. Activity or movement can raise body temperature slightly and provide inaccurate results. The client should use a special thermometer that is accurate to the tenth of a degree.

A nurse is caring for a client who has just learned that she is pregnant. The nurse should reinforce with the client to call her provider if she experiences which of the following manifestations?

facial edema Facial edema is an indication of pregnancy-induced hypertension, which should be reported to the client's provider.