Maternity Q2

When assessing the fundal height of a primigravida patient using McDonald's rule with a singleton pregnancy at 30 weeks, we expect the measurement to be

30 cm from the symphysis to the top of the fundus

A patient delivered 30 minutes ago after 16 hours of labor that included 2 hours of pushing. Which 4th stage of labor finding would require further assessment and immediate intervention? An edematous perineum despite an ice pack A fundus located at the uterus A blood soaked perineal pad since the last 15 minute check The patient shivering although she denies feeling cold

A blood soaked perineal pad since the last 15 minute check Indicates excessive bleeding

Which of the following is a function of the fluid filled amniotic sac? Furnishes the basic germinal layers for fetal development Secretes hormones to maintain pregnancy Supplies fetal metabolic and nutrient support It provides a medium for fetal movement

It provides a medium for fetal movement

A client is expecting her second baby. She states that her last menstrual period started on June 20th. Using Nageles rule what is her due date?

March 27th

A woman is me starting. Which of the following hormonal levels is expected Both estrogen and progesterone high Estrogen low progesterone high Estrogen and progesterone low Estrogen high and progesterone low

Estrogen and progesterone low

The nurse knows that a lecithin/sphingomyelin (L/S) ratio of 2:1 on amniotic fluid means which of the following? The fetus is an infant of a diabetic mother Fetal lungs are mature The fetus is small for gestational age Fetal lungs are still immature

Fetal lungs are mature

The nurse teaches a client trying to conceive that fertilization of the ovum usually occurs In the upper portion of the uterus In the distal third of the Fallopian tube Before ovulation On the first day of the menstrual cycle

In the distal third of the Fallopian tube

Which of the following patients would be considered primigravida Patient at 14 weeks who has a three year old daughter at home Patient currently at 13 weeks who had a prior ectopic pregnancy at 8 weeks Patient at 15 weeks who has never been pregnant before Patient at 18 weeks who had a prior spontaneous loss at 12 weeks

Patient at 15 weeks who has never been pregnant before

One presumptive, or subjective, change of pregnancy is: Quickening Hearing the baby's heart rate Positive home pregnancy test Chadwicks sign

Quickening Chadwicks sign and home pregnancy tests are probable signs (an examiner can detect it) Auscultating fetal heart rate is a positive sign of pregnancy

All of the following are true regarding a Non-stress test except: Evidence of acceleration implies an intact CNS Requires three contractions in 10 minutes Gestational age is known to affect results Requires at least two accelerations in 20 minutes

Requires three contractions in 10 minutes Contractions are not required in a non stress test

The nurse begins a prenatal assessment on a 32 year old multigravida at 20 weeks gestation. Which vital sign is concerning? Pulse 88/minute Respirations 30/minute Blood pressure 118/82 Temperature 37.4 (99.3)

Respirations 30/minute Tachypnea is not a normal finding and requires medical care

After an abnormal MSAFP test, an ultrasound is scheduled. Which statement indicates that a woman understands the reason for the additional antpartal fetal surveillance test? After the ultrasound, my partner and I can decide how to decorate the users The ultrasound will show whether there are any abnormalities with the baby's spine The blood test wasn't run correctly and now we need to have the sonogram During the ultrasound we will see the baby's face and can tell if there is a chromosomal abnormality

The ultrasound will show whether there are any abnormalities with the baby's spine Ultrasound is used to detect neural tube defects when there is an abnormal MSAFP blood test. It cannot diagnose a chromosomal abnormality. Occasionally parents do try to identify the baby's sex during an ultrasound but that is not a medical indication for the test. Additionally, an abnormal serum quadruple screen is not the result of a lab error; it requires further investigation.

A patient is scheduled for a contraction stress test (CST) at 36 weeks gestation. The nurse is aware that successful testing is dependent on which factor? If the fetus is awake and actively moving Whether uterine contractions can be stimulated Whether Braxton hicks contractions are occurring If the mother is not overly tired or anxious

Whether uterine contractions can be stimulated

A woman telephones the clinic to say that it has been six weeks since her last menstrual period, but that her home pregnancy test was negative. She asks do you think i could be pregnant Probably not. These test rarely give a fake negative result You probably are. There are a lot of false negative results with these tests You might be. If you haven't started your period in one week, you should repeat the test and call the clinic again You may have an ectopic pregnancy you should be seen in the next few days

You might be. If you haven't started your period in one week, you should repeat the test and call the clinic again

Which of the following patients would be described as multiparous? A patient at 15 weeks gestation who has never been pregnant before this A patient at 14 weeks gestation who has a three year old daughter and a five year old son at home A patient currently at 20 weeks who had a prior spontaneous loss at 12 weeks A patient currently at 32 weeks who has a two year old at home

A patient at 14 weeks gestation who has a three year old daughter and a five year old son at home