Maternity Study Mode

The client is undergoing an amniocentesis at 16 weeks' gestation to detect the presence of biochemical or chromosomal abnormalities. Which instructions should the nurse reinforce to the client? 1. The bladder must be full during the examination. 2. The bladder must be empty during the examination. 3. She should not eat or drink anything 4 to 6 hours before the examination. 4. She will be given Rho(D) immune globulin because she is Rh positive.

1. The bladder must be full during the examination.

During a prenatal visit, the nurse checks the fetal heart rate (FHR) of a client in the third trimester of pregnancy. The nurse determines that the FHR is normal if which heart rate is noted? 1. 80 beats per minute 2. 100 beats per minute 3. 150 beats per minute 4. 180 beats per minute

3. 150 beats per minute

A nursing student is assigned to a client in labor. The nursing instructor asks the student to describe fetal circulation, specifically the ductus venosus. The instructor determines that the student understands the structure of the ductus venosus if the student states which about the ductus venosus? 1. Connects the pulmonary artery to the aorta 2. Is an opening between the right and left atria 3. Connects the umbilical vein to the inferior vena cava 4. Connects the umbilical artery to the inferior vena cava

3.Connects the umbilical vein to the inferior vena cava

The nurse is reinforcing teaching to a pregnant woman about the physiological effects and hormonal changes that occur during pregnancy. The woman asks the nurse about the purpose of estrogen. The nurse bases the response on which purpose of estrogen? 1. It maintains the uterine lining for implantation. 2. It stimulates the metabolism of glucose and converts glucose to fat. 3. It stimulates uterine development to provide an environment for the fetus and stimulates the breasts to prepare for lactation. 4. It prevents the involution of the corpus luteum and maintains the production of progesterone until the placenta is formed.

3. It stimulates uterine development to provide an environment for the fetus and stimulates the breasts to prepare for lactation.

The client at 28 weeks' gestation is Rh negative and Coombs antibody negative. The nurse determines that the client understands what the nurse has taught her about Rh sensitization when the client makes which statement? 1. "I know I can never have another child." 2. "I am glad I won't have to have these shots if I have another child." 3. "I will have to have an injection once a month until the baby is born." 4. "I will tell the nurse at the hospital that I had an Rh shot during pregnancy."

4. "I will tell the nurse at the hospital that I had an Rh shot during pregnancy."

While assisting with the measurement of fundal height, the client at 36 weeks' gestation states that she is feeling lightheaded. On the basis of the nurse's knowledge of pregnancy, the nurse determines that this is most likely a result of which reason? 1. A full bladder 2. Emotional instability 3. Insufficient iron intake 4. Compression of the vena cava

4. Compression of the vena cava

A primipara is being evaluated in the clinic during her second trimester of pregnancy. Which occurrence indicates an abnormal physical finding that necessitates further testing? 1. Quickening 2. Braxton Hicks contractions 3. Consistent increase in fundal height 4. Fetal heart rate of 180 beats per minute

4. Fetal heart rate of 180 beats per minute

The nurse is collecting data from a client who is pregnant with triplets. The client also has a 3-year-old child who was born at 39 weeks' gestation. The nurse should document which gravida and para status on this client? 1. Gravida I, para I 2.Gravida II, para I 3.Gravida II, para II 4.Gravida III, para II

2.Gravida II, para I