Maternity Exam 2 Ch 11-15 & 20
A client at 16 weeks gestation has a Hematocrit of 35% her pre-pregnancy hematocrit what is 40% which statement by the nurse best explains this change?
" because your blood volume has increased, your hematocrit count is lower."
The nurse is assessing a client a third trimester pregnancy. What physiologic changes in the client are expected?
-The clients chest circumference has increased by 6 cm during the pregnancy -The client is using thoracic breathing -The client may have epistaxis (nose bleeds)
The nurse understands the clients pregnancy is progressing. Normally when what physiologic changes are documented on the prenatal record of a woman at 36 weeks gestation?
-The pelvis joints have relaxed, causing a waddling gait -The uterus vasculature contains 1/6 of the Total maternal blood volume -Gastric emptying time is delayed and the client complains of constipation and bloating -Supine hypotension occurs when the client lies on her back
A pregnant patient first day of her last menstrual period was 06/14. What would be this patient's estimated date of birth?
03/21
The nurse learns that a patient who is Ayles pregnant continue smoking to cigarettes daily. In which order should the nurse provide a 5 to 15 minute intervention about smoking with this patient?
1) ask about tobacco use 2) advise to quit smoking 3) arrange for follow up care 4) assess willingness to quit 5) assist in attempt to quit
The nurses think we need to clients need clinic which client is exhibiting expected findings?
12 weeks gestation with fetal heart tones heard by Doppler fetoscope
A patient who is always pregnant is counsel to increase your protein intake for an additional 40 g per day. If each gram of protein is for calories how many additional calories per day should this patient and just to reach the recommended Rihanna calories daily during the pregnancy?
140 Calories
When preparing nutritional instruction, which pregnant client with the nurse consider the highest priority?
15-year-old nulligravida
Several adolescent female students are waiting to be seen by the school sexual health clinic nurse. Which student should the nurse see first?
16 year old, who had chlamydia treated two weeks ago
Before becoming pregnant, a patient had a BMI of 28.5, and weighed 150 pounds. What should be the minimum weight of this patient upon delivery?
165 Lb
Screening for gestational, diabetes, mellitus is typically completed between which of the following weeks of gestation?
24 and 28 weeks
A breast-feeding mother is instructed to increase her daily caloric intake by 500 cal daily. If her daily protein intake is 65 g at 4 cal per gram how many calories with his patient need to adjust to reach the recommended daily intake?
240 calories
A pregnant client of average prepregnancy weight is now 30 weeks pregnant. She asked the nurse with the appropriate weekend for her should be. What is the nurses best response?
25-35 pounds
The nurse measures the fundal height of a patient who is at 28 weeks gestation using the following method. Will be considered a normal finding?
28 cm
In early pregnancy class, the nurse emphasizes the importance of daily 8 - 10 glasses of fluid. How many of these should be water?
4-6
A patient wing 80 kg with a body mass index of 29.8 is six weeks pregnant. What should be this patient's maximum weight at the time of delivery?
89 kg
The clinic nurse is compiling data for a yearly report which client would be classified as a primigravida?
A client at 15 weeks gestation who has never been pregnant before
A pregnant client who is a lacto vegetarian ask the nurse for assistance with her diet. What instruction should the nurse give?
A daily supplement vitamin B-12 is important
Which third trimester client with the nurse suspect might be having difficulty with psychological adjustments to your pregnancy?
A woman who has not investigated the kind of clothing or feeding methods the baby will need
A woman gave birth last week to be feet is 18 weeks gestation after her first pregnancy. She is in the clinic for a follow up and nurses that her chart states that she has had one abortion. The client is upset over the use of this word how can the nurse best explain this terminologies the client?
Abortion is the obstetric term for all pregnancies to end before 20 weeks
The nurse is analyzing several fetal heart rate patterns. The pattern that would be most concerned to the nurse would be which of the following?
Accelerations
The nurse is aware that he fetus that is not in any stress would respond to a fetal scalp stimulation test by showing which change the monitoring strip?
Accelerations
A Chinese woman who is 12 weeks pregnant reports the nurse that ginseng and bamboo leaves help reduce her anxiety. How should the nurse response this client?
Advise the client to discuss all herbal remedies with the provider
The student nurse will perform Leopold maneuver is on a laboring client. Which assessment requires intervention by the staff nurse?
After determining where the back is located, the cervix is assessed
What signs indicate a part of the clients urinalysis culture was abnormal?
Alkaline urine Claudia parents Hemoglobinuria lab results
Which serum markers are assessed when conducting a quadruple screen?
Alpha-fetoprotein AFP Human chorionic gonadotropin hCG Unconjugated Estriol UE Inhibin-A
The nurse is assessing a newly pregnant client which finding does the nurses note as a regular psychosocial adjustment in this clients first trimester?
Ambivalence about the pregnancy
The client is at six weeks gestation is spotting. The client had an ectopic pregnancy one year ago, so the nurse anticipate of the physician order which intervention?
An antiserum pregnancy test
What should the nurse do to assess a pregnant clients food and take accurately?
Ask her to complete a nutritional questionnaire
The nurse is preparing to assess the pregnant clients fundal height during a routine prenatal visit. Which nursing action is appropriate in the situation?
Asking the client to empty your bladder before the procedure
The nurse is evaluating the fundal height of a patient who is 20 weeks pregnant which height should the nurse expect to assess in this patient?
At 20 weeks gestation the fundal height should be at level of the patients umbilicus.
What self-care measures would a nurse recommend for a client in her first trimester to reduce the discomfort of nausea and vomiting?
Avoid odors or causative factors Have small but frequent meals Drink, carbonated, beverages
A patient at 28 weeks gestation ask the nurse why she has backaches to help explain the changes the nurse shows her a picture of the shape of her back. Which picture should the nurse use?
B) 28 weeks
A pregnant patient is having pelvic measurements made. Which approach to the examiner used to determine this patient's estimated length of the pubic ramus?
B) Length of the pubic
The nurse performs Leopold maneuver's with a patient in the third trimester of pregnancy which university nurse perform first?
B: (left hand in picture is on the babies lower back and the right hand is on the legs)
The nurse is working with a pregnant 14 year old which statement indicates that additional education is required?
Because I don't eat breakfast I'll have to eat more at supper
A woman is in labor. The fetus is in the vertex position. When the clients memories rupture, the nurses at the amniotic fluid is meconium stained. What should the nurse do immediately?
Begin, continuous, fetal heart rate monitoring
The nurse assesses an obese pregnant client during a routine prenatal visit. Which is the priority assessment for this client?
Blood pressure
The prenatal period should expose prospective parents to up-to-date, evidence-based information about which of the following topics?
Breast-feeding Pain relief Obstetrics complications and procedures
The nurse is preparing a prenatal classes about infant feeding methods. The maternal nutritional requirements for breast-feeding in formula feeding will be discuss. What statement should the nurse include?
Breast-feeding requires a continued high-protein in calcium intake
The fetus of a pregnant patient is in the right occiput anterior position (ROA). Where should the nurse auscultate the fetal heart sounds?
C: (the heart tones for the right occiput anterior position, would be in the maternal lower right quadrant right to the symphysis pubis)
During an intrapartum, vaginal examination, the nurse palpates the following based upon this information, which diagram best describes the fetal descent and station?
C: baby faced to the right (your right) and face is towards the back
A pregnant adolescent is scheduled for her first prenatal visit for which sexually-transmitted infection. Should the nurse anticipate testing will occur?
Candida Gonorrhea Chlamydia Trichomonas
Which drugs and drug categories can cause multiple fetal central nervous system facial and cardiovascular anomalies?
Category X: Isotretinoin
If a woman has the pre-existing condition of diabetes, the nurse knows that she would be prone to what high risk factor when pregnant?
Cerebrovascular accident (CVA)
The nurse at the prenatal clinic us for calls to return which caused the nurse return first?
Client at 32 weeks reports, headache and blurred vision
The nurse is preparing material to present your patience, and the second trimester of a pregnancy's which topic should the nurse include in this presentation?
Clothing Infant feeding Fetal movement Skin and breast care
Which of the following is coming in many non-western cultures and is increasing in the United States?
Co-sleeping
The nurse is conducting an initial preterm assessment for a pregnant client which screenings to the nearest prepare the client for during this visit?
Complete blood count CBC Glucose tolerance test GTT ABO and Rh typing HIV SCREENING URINALYSIS LABOR
A pregnant client who swims 3 to 5 times weekly ask the nurse whether she should stop this activity. What is the appropriate nursing response?
Continuing your exercise program would be beneficial
The fetus of a laboring patient is in the following position. What should the nurse expect when conducting the intrapartum vaginal examination?
D: (the picture shows a circle with a line in the middle)
The nurse and Messi client to the labor and delivery unit which aspect of the clients history requires notifying the physician?
Dark red vaginal bleeding
A Navajo client who is 36 weeks pregnant meets with a traditional healer in her position. What does the nurse understand this to mean?
Decline is seeking spiritual direction
The nurse developing a care plan for a pregnant teen, knows what plan is best suited to pregnant teens
Determine whether there are substance-abuse issues
A 16-year-old is making her first prenatal visit to the clinic in her four month of pregnancy. What is the nurse first responsibility?
Develop a trusting relationship
Postpartum nutritional status is determined primarily by accessing which the following?
Dietary history Mothers weight Hemoglobin levels
The nurse is preparing for a postpartum home visit. The client has been home for a week is breast-feeding and experience a third-degree perennial tear after vaginal delivery. The nurse should assess the client for which of the following?
Dietary intake of fiber and fluids
The nurse is teaching a pregnant cleaning about the symptoms of preeclampsia. Which clinical manifestations will the nurse include in the teaching session?
Dizziness Blurred vision
The prenatal clinic nurse is designing a new prenatal and take information form for a pregnant client which question is best to include on this form?
Do genetic diseases run in the baby's father's families?
Persistent early decelerations are noted. What were the nurses first action be?
Do nothing. This is a benign pattern.
The nurse is assessing a pregnant client during a schedule prenatal visit in the second trimester of pregnancy, which questions are appropriate during the assessment process?
Do you feel bloated? Do you have hemorrhoids? Are you experiencing heartburn? Are you experiencing constipation?
The laboring clients fetal heart rate baseline is 120 bpm. Accelerations are present to 135 bpm. During contractions, the fetal heart rate gradually slows to 110 at 120 by the end of the contraction. What nursing action is best?
Document the fetal heart rate
Upon assessing the FHR tracing, the nurse determines that there is fetal tachycardia. The fetal tachycardia would be caused by which of the following?
Early fetal hypoxia Prolonged fetal stimulation Fetal anemia Infection
Decline delivered her first child at 37 weeks. The nurse would describe this to the client as what type of delivery?
Early term(37 - 38)
The nurse is planning an educational session for pregnant vegans. What information should the nurse include?
Eating beans and rice provides complete protein needs
The nurse assessing a pregnant African-American woman in the first trimester, understands the cultural practice is which of the following?
Eating clay to supply dietary minerals
The nurse is instructing a pregnant patient on the importance of increasing her dietary intake of vitamin E. Which foods should the nurse recommend to meet this dietary need?
Eggs Green salads Whole grain bread
The pregnant client cannot tolerate milk or meet. Which would the nurse recommend to the client to assist in meeting protein needs?
Eggs and tofu
The nurse has completed a community presentation about the changes of pregnancy and knows that the lesson was successful when a community member states
Enlargement of the uterus
A laboring patient being monitored has the following rhythm strip. How should the nurse interpret this finding?
Episodic accelerations
Which of the following is essential for developing fetus central nervous system?
Essential fatty acids
838 year old client and her second trimester wants to begin exercise program to decrease fatigue. What is the most appropriate nursing response?
Fatigue should resolve in the second trimester, but walking daily might help
The nurse is conducting an initial prenatal appointment for a client who believe she is pregnant, which is considered a positive sign of pregnancy?
Fetal heartbeat (positive)
The nurse is presenting a preconception counseling class. The nurse instruct the participants to increase niacin intake during pregnancy to promote metabolic coenzyme activity. The nurse will know that teaching has been effective if a client suggest which food is a source of Niacin.
Fish
A client and her third trimester, pregnancy reports frequent leg cramps what strategy would be most appropriate for the nurse to suggest?
Flex the foot to stretch the calf
The pregnancy prescribed prenatal vitamins at her initial initial visit states that she dislikes taking them. How should the nurse respond?
Folic acid is essential for minimizing the risk of neural tube defects You need the supplements because your dietary intake may not be adequate for fetal development
The pregnant client states she does not want to take all the supplements. What recommendation should the nurse make for the client?
Folick acid is essential for minimizing the risk of neural tube defects Most women do not have an adequate intake of iron, pre-pregnancy, and iron needs increase with pregnancy
What would the nurse include as a part of a routine physical assessment for a second trimester bring me Paris patient who is prenatal care began in the first trimester end is on going?
Fundal height measurement
The prenatal clinic nurse cares for a 15-year-old client at eight weeks gestation. The client asked the nurse why she is supposed to gain so much weight. What is the best response by the nurse?
Gaining 25-35 pounds is recommended for healthy fetal growth
What is the increased vascularization, causing the softening, known as?
Goodwill sign (Increased vascularization causes softening of the cervix)
What were the nurse do before performing Leopolds maneuvers?
Have the client empty her bladder Have the client lay on her back with her feet on the bed, and her knees bent
The clinic nurse is assisting with a racial prenatal assessment the following Friday cause present spider nevi on lower legs, dark pink in the Mateusz nasal mucosa, my old enlargement of the thyroid gland, Malta old skin and polar on palms in their beds heart rate 88 with murmur present, what is the best action for the nurse to take based on these findings?
Have the physician see the client today
The nurse listens to the fetal heart tones of a client at 37 weeks gestation while the client is supine. The client states "I am getting lightheaded and dizzy." What is the nurses best action?
Help the client turn onto her left side
The nurse is caring for a pregnant client. The clients husband has come to the prenatal visit. Which question is best for the nurse to assess the fathers adoption to the pregnancy?
How are you feeling about becoming a father?
The nurse is providing care to a client entering the second trimester of pregnancy which client statement does the nurse anticipate when assessing this client?
I am angry with my husband for not showing more interest in my pregnancy
After teaching a pregnant client about the effects of smoking in pregnancy, the nurse knows that the client needs further education when she makes which statement?
I am at increased risk for preeclampsia
Which statement is made by a pregnant client would indicate that she understands health promotion during pregnancy?
I elevate my legs while sitting at my desk
The breast-feeding mother is concerned that her milk production has decreased. The nurse knows that further client teaching is needed based on which statement?
I have started cutting back on my protein intake
Which statement made by the pregnant adolescent, would indicate to the nurse that she understood her increased risk of physiologic complications during pregnancy?
I need to take good care of myself, so my baby doesn't come early
The client is in the second stage of labor. If your heart rate baseline is 170, with minimal variability present. The nurse performs fetal scalp stimulation. The clients partner asked why the nurse did that. What is the best response by the nurse?
I stimulated the top of the fetus, had to try to get his heart rate to accelerate
A client presents to the antepartum clinic with a history of a 20 pound weight loss. Her pregnancy test is positive. She is concerned about gaining the way back and ask the nurse if she can remain on her diet. What is the nurses best response?
I understand that gaining weight after such an accomplishment might not appeal to you, but weight gain during pregnancy is important for proper fetal growth
The nurse is assessing a preemie Perez client who indicates that her religion is Judaism why is this information important for the nurse to assess?
Improvise a baseline to ask questions about the clients, religious and cultural background
During the initial prenatal visit, the pregnant teenager states that she does not know how she got pregnant. The nurse can help to educate her regarding anatomy by doing what?
Including an atomic models and drawings, and the teaching session
A pregnant patient in the early stages of labor ask for assistance to sit in the whirlpool tub. What are the advantages of using this intervention for the laboring patient?
Increases relaxation Increases pain threshold Reduces the need for pain medication
The nurses goals for prenatal classes, Mansfield, which of the following?
Increasing self-esteem Providing anticipatory guidance about pregnancy Helping participants develop more adaptive coping skills
The nurse is caring for a client with fetal heart rate monitoring the fetus is discovered to have tachycardia which complication should the nurse anticipate in the fetus?
Infection
The nurse is caring for a client who has experience premature rupture of membranes for which maternal application. Should the nurse monitor?
Infection Preterm labor
The nurse auscultates the FHR and determine is a 112 bpm rate. Which action is appropriate?
Inform the maternal clients at the rate is average
A nurse examining a prenatal client recognizes that he lag in the progression of fundal height measurements from week to week and months and months, coaxing know what condition?
Intrauterine growth restriction
A pregnant client tells the nurse she eats laundry starch daily. The nurse should assess the client for which of the following?
Iron deficiency anemia
The nurse is explaining "quickening" to a pregnant client for the first time. Which client indicates the need for further education on this topic?
It indicates that I am experiencing preterm labor
Which statement is best to include when teaching a pregnant adolescent about her nutritional needs in pregnancy?
It is important to eat iron rich foods like meat every day
The nurse is teaching an early pregnancy class for clients in the first trimester of pregnancy. Which statement by a client requires immediate intervention by the nurse?
It is normal for my vaginal discharge to be green
The primiparous client has told the nurse that she is afraid she will develop hemorrhoids during pregnancy because your mother dead which statement would be best for the nurse to make?
It is not unusual for women to develop hemorrhoids during pregnancy
The nurse is explaining to a new prenatal client that the certified nurse midwife will perform clinical tell them a tree as a part of the pelvic exam. The nurse knows that teaching has been successful when the client makes which statement about the reason for the exam.
It will help us know how big a baby I can deliver vaginally
The nurse receives a phone call from a client who claims she is pregnant. The client reports that she has regular menses that occur every 28 days in the last five days. The first day of her last menses was April 10. What were the clients estimated delivery date be if she is pregnant?
January 17 (April 10 + 7 days & minus 3 months)
The client in the prenatal clinic tells the nurse that she is sure she is pregnant because she has not had a miserable cycle for three months and her breast are getting bigger. What response by the nurse is best?
Lack of menses can be caused by many things we need to do a pregnancy test
During the pelvic examination of a pregnant patient, the following area is identified as being softened. How should the nurse document this finding?
Ladin sign (Softened, middle uterus)
The labor and delivery nurse are assigned to four clients in early labor. Would you like Tronic fetal monitoring findings would require immediate intervention?
Late decelerations with minimal variability
During a routine assessment of a pregnant patient, the nurse observes the following on the patient's abdomen. How should the nurse document this finding?
Linea nigra
The pregnant client and her second trimester states I didn't know my breast would become so large. How do I find a good bra the best answer for the nurse to give would be which of the following?
Look for white stripes and cups big enough for all your breast tissue
A client's partner at 16 weeks gestation of companies her to the clinic. The partner tells the nurse that the baby doesn't seem real to him and he's having difficulty relating to his partners, fatigue and food aversions which statement would be best for the nurse to make?
Many men feel this way, feeling the baby move in a few weeks will help make it real to you
The nurse is caring for a client undergoing fetal heart rate monitoring and the FHR is more significant than 162 bpm for 12 minutes for what causes should the nurse anticipate treatment?
Maternal anxiety Fetal asphyxia Prematurity Fetal anemia
The nurse is assessing the baseline zero heart rate for a client in labor. What action should the nurse take first?
Measure the fetal heart rate for 10 minutes
Fido factors that possibly indicate electronic fetal monitoring, include which of the following?
Meconium passage Multiple gestations Decreased fetal movement
The nurse is reviewing the FHR monitor for a client in labor. The rhythm strip use the following results. How should the nurse interpret this pattern?
Moderate variability
The nurse is caring for a pregnant. Client experiencing a high white thick and cottage cheese like vaginal discharge based on this data. Which diagnosis does the nurse anticipate for this client?
Moniliasis
The nurse teaches a pregnant 14-year-old client at 10 weeks gestation about the expected body changes during pregnancy. Which client statement indicates that additional information is needed?
My diet can stay the same even though I'm pregnant
A client experiencing her first pregnancy. It has just completed the initial prenatal examination with a certified nurse midwife. Which statement indicates that the client needs additional information?
My last period was two months ago, which means I am two months along
During a routine health visiting nurse knows that a 10 week pregnant patient is wearing the following items on. What should the nurse focus when assessing the patient?
Nausea and vomiting
While caring for a client and leave her the nurse notes the following persistent rhythm on the fetal heart rate monitor which action should the nurse take first?
Notify the provider
Nurses interacting with expected families from a different culture ethnic group, can provide more effective culturally sensitive nursing care by doing what?
Obtaining a medical interpreter of the language, the client speaks
The school nurse is planning a class about nutrition for pregnant teen several of whom have been diagnosed with iron deficiency anemia to increase iron absorption, The nurse would encourage the teams to consume more of what beverage?
Orange juice
Recommendations for parents to help 13th avoid pregnancy include which of the following?
Parent should be clear about their sexual attitudes and values
Remedies for back pain in pregnancy, supported by research evidence and may safely be taught to any pregnant woman by the nurse include which of the following?
Pelvic tilt Water aerobics Proper body mechanics Good posture is essential because it allows more room for the stomach to function
The nurse is preparing to assess the fetus of a laboring client which assessment should the nurse perform first?
Perform Leopold maneuver to determine fetal position
The kosher diet followed by many Jewish people for bids, eating wet food?
Pig products and shellfish
Intercourse is contraindicated if the pregnancy is vulnerable because of which diagnosis?
Placenta previa
Absolute contraindications to exercise, while pregnant include which of the following
Placenta previa after 26 weeks gestation Preeclampsia -eclampsia Cervical insufficiency (cerclage)
The nurse is preparing a brochure for a couples considering pregnancy after the age of 35 which statements should be included?
Pre-existing medical conditions can complicate pregnancy Preterm birth are more common Amniocentesis can be performed to detect, genetic anomalies
The community nurse is preparing to visit the home of an adolescent who is 18 weeks pregnant which health problems with the nurse focus on when assessing this patient?
Preeclampsia Preterm birth Low birthweight Iron deficiency anemia
Which of the following is the most prevalent medical complication of pregnant adolescence?
Preeclampsia-eclampsia
The nurse in a prenatal clinic finds that for clients have called with complaints related to the pregnancies which call should nurse return first?
Pregnant woman at 15 weeks gestation with nausea and vomiting at a 15 pound weight loss
Women, with eating disorders, who become pregnant or risk for a variety of complications, include which of the following?
Premature birth Miscarriage Perinatal mortality
It is one week before a pregnant client due date. The nurses notes on the chart that the clients pulse rate was 74-80 before pregnancy. Today, the clients pulse rate at rest is 90. What action should the nurse take?
Prepare the client for an EKG
The nurse cares for a pregnant. Client diagnosed with a urinary track infection during a routine prenatal visit. What will the nurse educator crying about based on this data?
Preterm labor
Carbohydrates provide a Buddyz primary source of energy as well as fiber necessary for proper about functioning. If the carbohydrate indicate it's not adequate, the party will use which of the following for energy?
Protein
The nurse is planning on early pregnancy class session on nutrition. Which information should the nurse include?
Protein is essential for fetal development Iron helps both mother and baby maintain oxygen carrying capacity of the blood Zinc facilities, the synthesis of RNA and DNA Vitamin A promotes the development of the babies eyes
A client in the second trimester of a pregnancy tells the nurse that she has developed a darkening of the line in the midline of her abdomen from the symphysis pubis to the umbilicus. What other expected changes during pregnancy might she also notice?
Reddish streaks called striae on her abdomen
The nurse begins a prenatal assessment on a 25-year-old primigravid at 20 weeks gestation and immediately contact the healthcare provider because of which finding?
Respirations 30/min
A 25-year-old primigravid it is at 20 weeks gestation because of this finding, the nurse immediately takes her vital signs and notifies the healthcare provider.
Rhonchi in both bases
The nurse has received a phone call from a multi gravida who is 21 weeks pregnant and has not felt Fido movement yet. What is the best action for the nurse to say?
Schedule an appointment with her physician the same day
The nurse is preparing a class for expectant father's. Which information should the nurse include?
Sexual activity is safe for normal pregnancy
A prenatal educator as a partner about the regular physiologic adjustment of an expectant mother during the second trimester of pregnancy, which answer by the partner would indicate a typical expectant mothers response to pregnancy?
She daydreams about what kind of parent she will be
A nurse is evaluating the diet of a pregnant client and find that it is low in Zinc. The nurse knows that zinc intake should increase during pregnancy to promote protein metabolism. Which food should the nurse suggest to increase the intake of zinc?
Shellfish
Impatient ass of seafood is permitted during pregnancy. Which foods should the nurse encourage the patient to consume during this time?
Shrimp Catfish Salmon Canned light tuna
Introducing a new baby into the family is often the beginning of which of the following?
Sibling rivalry
The nurse notes purply stretch marks on the pregnant clients press during the physical assessment. Which term will the nurse use when documenting is finding in the medical record?
Striae
The nurse has just palpated contractions and compares the consistency to that of the four head to estimate the firmness of the fundus. What were the intensity of these contractions be identified as?
Strong
An adolescent in the third trimester pregnancy comes into the clinic for a routine examination. What should the nurse assess to determine if the patient is working through this trimesters developmental task?
Supplies purchased for the baby Presence of heartburn or constipation Place in the home identified for the baby
A woman cause the clinic and tells the nurse she might be pregnant. She wants to use a home pregnancy test before going to the clinic and ask the nurse how to use it correctly. What information should the nurse gift?
The client should follow up with a healthcare provider after taking a home pregnancy test
The client is upset at 30 weeks gestation with her first child. She tells the prenatal clinic nurse. She is excited to become a mother and has been thinking about what kind of parent she will be but her mother has told her that she doesn't want to be a grandmother because she doesn't feel old enough while her husband has said that the pregnancy doesn't feel natural to him yet and he will become excited when the baby is here what is the most likely explanation for what is happening within this family?
The family members adjust to the role change at their own pace
During her first months of pregnancy, a client tells the nurse it seems like I have to go to the bathroom every five minutes. The nurse explains to the client that this is because which of the following?
The growing uterus puts pressure on the bladder
Delivering client with meconium staying amniotic fluid as the nearest why do you feed a monitor is necessary as she finds the belt uncomfortable which response by the nurse is most important?
The manager house to see how the baby tolerates labor
The pregnant client has asked the nurse what kind of medication is cause birth defects which statement would best answer this question?
To be safe, don't take medication without talking to your doctor
The nurse presents a class of important dues and don'ts during pregnancy, including travel consideration. What method of travel does the nurse recommend as most appropriate for a client and her 25th week of pregnancy?
Train
While examining a pregnant patient for 24 weeks, the healthcare provider performs the maneuver in the diagram below what is best measured on this patient?
Transverse diameter
After some more hours labor, the electronic fetal monitor shows repetitive variable decelerations in the fetal heart rate. The nurse would interpret the decelerations as consistent with which of the following?
Umbilical cord compression
A client with an average prepregnancy weight asked why she has been told to get a 25 to 35 pounds during her pregnancy while her underweight friend was told to gain more weight what should the nurse tell the client about the recommended weight gain during pregnancy?
Up to 40 pounds for an underweight woman
A patient in the first trimester of pregnancy is experiencing the ptyalism. What should the nurse suggest to help this patient?
Use chewing gum Suck on hard candy Use an astringent mouthwash
A pregnant patient is lying in bed in the following position. Which health problem is this patient prone to developing?
Vena cava syndrome
A pregnant teenage client is diagnosed with iron deficiency anemia. Which nutrient should the nurse encourage her to take to increase iron absorption?
Vitamin C
The nurse teaches a pregnant client the clinical manifestations of preterm labor. Which client statement indicates the need for further education?
Vomiting is a sign of preterm
While completing the medical and surgical history during the initial prenatal visit, a 16 year-old primigravida and traps, why are you asking me all these questions? What difference does it make? ...Which statement would best answer the clients questions?
We ask these questions to detect anything that happened in your past that might affect a pregnancy
After telling a mother that are 13 year, old daughter is pregnant the nurse would expect a mother to respond, with which statement?
We had such high hopes for you
The pregnant client at 14 weeks gestation is in the clinic for a regular prenatal visit. Her mother is also present the grandmother to be states that she is quite uncertain about how to be a good grandmother to this baby because she works full-time. Her grandmother was retired and was always available. We needed by a grandchild. What is the nurses best response to this concert?
What are your thoughts on what your role as a grandmother will include
The nurse collect information during the health, history assessment for the client profile during the initial prenatal visit. Which question is appropriate when assessing the current pregnancy?
What was the date of your last menstrual period?
The nurse has given a community presentation on adolescent pregnancy. Which statements indicate that further teaching is necessary?
When a teen plans to attend college abortion is less likely In the United States, the adolescent birth rate is higher among white teens Teens from low income household are less likely to become pregnant
The charge nurse looks at laboring client charts. Which client is in greatest need of further intervention?
Woman at 7 cm fetal heart tones, auscultated every 90 minutes
The adolescent client reports to the clinic nurse to her period is late for her home. Pregnancy test is negative. What should the nurse explained that these findings most likely indicate?
You might be pregnant, but it might be too early for your home test to be accurate
The nurse provides prenatal care to an obese client who asked how much weight should I gain during my pregnancy which response by the nurse appropriate?
You should gain 11 to 20 pounds
The primigravid at 22 weeks gestation it has a fundal height, palpated slightly below the abilities, which of the following statements to the best describe to the client why she needs to be seen by physician today?
Your baby might not be growing enough
The prenatal client in her third trimester tells the clinic nurse that she works eight hours a day as a cashier and stance when at work what response by the nurse is best?
Your risk of poor pregnancy outcomes may be higher