Maternity Test 1 Chapter 12
A client in her second trimester arrives at a health care facility for a follow-up visit. During the exam, the client complains of constipation. Which of the following instructions should the nurse offer to help alleviate constipation? A) ensure adequate hydration and bulk in the diet B) avoid spicy or greasy foods in meals C) practice kegel exercises D) avoid lying down for 2 hours after meals
Answer: A
A client in her third month of pregnancy arrives at the health care facility for a regular follow-up visit. The client complains of discomfort due to increased urinary frequency. Which of the following instructions should the nurse offer the client to reduce the clients discomfort? A) avoid consumption of caffeinated drinks B) drink fluids with meals rather than between meals C) avoid an empty stomach at all times D) munch on dry crackers and toast in the early mornings
Answer: A
A nurse is caring for a pregnant client in her second trimester of pregnancy. The nurse educates the client to look for which of the following danger signs of pregnancy needing immediate attention by the physician. A) vaginal bleeding B) painful urination C) severe. persistent vomiting D) lower abdominal and shoulder pain
Answer: A
A nurse who has been caring for a pregnant client understands that the client has pica and has been regularly consuming soil. Which of the following conditions should the nurse monitor in the client as a manifestation of consuming soil? A) iron-deficiency anemia B) constipation C) tooth fracture D) inefficient protein metabolism
Answer: A
A pregnant client wishes to know if sexual intercourse would be safe during her pregnancy. Which of the following should the nurse confirm before educating the client regarding sexual behavior during pregnancy? A) client does not have an incompetent cervix B) client does not have anxieties and worries C) client does not have anemia D) client does not experience facial and hand edema
Answer: A
A pregnant client has come to a health care facility for a physical examination. Which of the following assessments should a nurse perform when doing a physical examination of the head and neck? Select all that apply. A) assess for previous injuries and sequelae B) check the eye movements C) check for levels of estrogen D) evaluate for limitations in range of motion E) palpate the thyroid gland for enlargement
Answer: A, D, & E
A pregnant client has come to the health care provider for her first prenatal visit. The nurse need to document useful information about the past health history. What are goals of the nurse in the history-taking process? Select all that apply. A) to prepare a plan of care that suits the clients lifestyle B) to develop a plan of care for the pregnancy C) to assess the clients partners sexual health D) to urge the client to achieve an optimal body weight
Answer: A,B, & C
A nurse is caring for a client in her second trimester of pregnancy. During a regular follow-up visit, the client complains of varicosities of the legs. Which of the following instructions should the nurse provide to help the client alleviate varicosities of the legs? A) avoid sitting in on position for long B) refrain from crossing legs when sitting for long periods C) apply heating pads on the extremities D) refrain from wearing any kind of stockings
Answer: B
A pregnant clients last menstrual period was march 10. Using Naegele's rule, the nurse knows that which of the following dates should be the childs estimated date of birth? A) January 7 B) December 17 C) February 21 D) January 30th
Answer: B
Which of the following nursing interventions should the nurse perform when assessing fetal well-being through abdominal ultrasonography in a client? A) inform the client that she may feel hot initially B) instruct the patient to refrain from emptying her bladder C) instruct the client to report the occurrence of fever D) obtain and record vital signs of the client
Answer: B
A client who is in her 6th week of gestation is being seen for a routine prenatal care visit. The client asks the nurse about changes in her eating habits that she should make during pregnancy. The client informs the nurse that she is a vegetarian. The nurse knows that she has to monitor the client for which of the following risks arising from her vegetarian diet? Select all that apply. A) risk of epistaxis B) Iron deficiency anemia C) decreased mineral absorption D) increased risk of constipation E) low gestational weight gain
Answer: B,C,& E
A nurse is assigned to care for a pregnant client as she undergoes a nonstress test. Given below are the steps involved in conducting the nonstress test. Arrange the steps in the correct order. A) client is handed an event marker B) client consumes meal C) external electronic fetal-monitoring device applied D) fetal monitor strip marked for fetal movement E) client placed in left lateral recumbent position
Answer: B,E,C,A, D
A 28 year old client who has just conceived arrives at a health care facility for her first prenatal visit to undergo a physical examination. Which of the following interventions should the nurse perform to prepare the client for the physical examination? A) ensure that the client is lying down B) ensure that the clients family is present C) instruct the client to empty her bladder D) instruct the client to keep taking deep breaths
Answer: C
A client in her third trimester of pregnancy wishes to use the method of feeding formula to her infant. Which of the following instructions should the nurse provide to assist the client in feeding her baby? A) mix one scoop of powder with an ounce of water B) feed the infant every 8 hours C) serve the formula at room temperature D) refrigerate any leftover formula
Answer: C
A pregnant client has come to the clinic for a pelvis examination. What assessments should a nurse perform when examining external genitalia? A) ensure that the cervix is smooth, long, thick, and closed B) assess for bluish coloration of cervix and vaginal mucosa C) assess for any infection due to hematomas, varicosities, and inflammation D) assess for hemorrhoids, masses, prolapse, and lesions
Answer: C
A pregnant client in her 12th week of gestation has come to a health care center for a physical examination of her abdomen, Where should the nurse palpate for the fundus in this client? A) at the umbilibus B) below the ensiform carliage C) midway between the symphysis and umbilicus D) at the symphysis pubis
Answer: C
A client in the third trimester of pregnancy has to travel a long distance by car. The client is anxious about the effect the travel may have on her pregnancy. Which of the following instructions should the nurse provide to promote easy and safe travel for the client? A) activate the air bag in the car B) use a lap belt that crosses over the uterus C) apply a padded shoulder strap properly D) always wear a three point seat belt
Answer: D
A nurse caring for a client in labor has asked her to perform Lamaze breathing techniques to avoid pain. Which of the following should the nurse keep in mind to promote effective Lamaze-method breathing? A) ensure deep abdominopelvic breathing B) ensure abdominal breathing during contractions C) ensure client's concentration on pleasurable sensations D) remain quiet during client's period of imagry
Answer: D