Nursing Management During Pregnancy

The nurse is reinforcing health care provider education on the technique for an amniocentesis. Which piece of equipment will the nurse have ready? sterile field with scalpel Foley catheter sterile urine cup ultrasound equipment

ultrasound equipment

The nurse is educating the client at 12 weeks' gestation regarding the best types of exercise throughout pregnancy. Which activities should the nurse encourage? High-impact movements enabling less time in the activity Stretching and breathing exercises such as yoga Relaxing activities such as hot baths and jacuzzis All activities that the client does in a prepregnant state

Stretching and breathing exercises such as yoga

he nurse is preparing a teaching plan for a pregnant woman about the signs and symptoms to be reported immediately to her health care provider. Which signs and symptoms would the nurse include? Select all that apply. sudden leakage of fluid during the second trimester headache with visual changes in the third trimester urinary frequency in the third trimester backache during the second trimester lower abdominal pain with shoulder pain in the first trimester nausea with vomiting during the first trimester

headache with visual changes in the third trimester sudden leakage of fluid during the second trimester lower abdominal pain with shoulder pain in the first trimester

The nurse is assessing a primipara's fundal height at 36 weeks' gestation and notes the fundus is now located at the xiphoid process of the sternum. The client asks if this is normal. Which response to the client would be best? "To be honest, the fundus should be lower since you have gained minimal weight." "At 36 weeks' gestation, the fundus is in the normal expected location." "By this time, the fundus should drop down lower because the baby is moving towards the pelvic inlet." "Just get prepared, the fundus might actually get a little higher until a few days before you go into labor."

"At 36 weeks' gestation, the fundus is in the normal expected location."

An older female pregnant with her first child develops some pain in her legs associated with warmth to touch. Suspecting a blood clot, an ultrasound is prescribed and a peripheral venous thrombosis is diagnosed. Which intervention was likely prescribed for this woman? "Take your blood thinner the same time each day." "Take a baby aspirin every morning and evening to prevent further clot formation." "Buy and wear medical support hose every day." "If you sit at a desk, set a timer and get up and walk every 2 to 3 hours."

"Buy and wear medical support hose every day."

A nurse is conducting a class geared toward changes in early pregnancy and self-care items like perineal hygiene. A woman shares that she douches at least once a day since she has "so much discharge" from her vagina. Which response by the nurse is most appropriate at this time? "Let's discuss this with your health care provider before you continue douching." "Douching will definitely keep your vagina clean." "During pregnancy, you should not douche because it can cause fluid to enter the cervix resulting in an infection." "If you prepare your own douching solution, be sure to boil the water to kill bacteria."

"During pregnancy, you should not douche because it can cause fluid to enter the cervix resulting in an infection."

A nurse is teaching a client who is 30 weeks' pregnant about ways to deal with pyrosis (heartburn). The nurse determines a need for additional teaching based on which client statement? "I should lie down for 1/2 hour after eating." "I need to cut out caffeine." "I need to raise the head of my bed about 15 to 30 degrees." "I should chew my food slowly."

"I should lie down for 1/2 hour after eating."

A pregnant woman has developed varicosities. Which statement would suggest she needs additional health teaching? "I maintain a high fluid intake." "I dorsiflex my feet and ankles frequently." "I wear knee-highs rather than pantyhose." "I'll try not to stand for long periods."

"I wear knee-highs rather than pantyhose."

A client at 32 weeks' gestation tells the nurse that she has been experiencing shortness of breath when walking up the steps at home. She is concerned that something is wrong. What is the nurse's best response? "Don't worry about this because it is a normal change that occurs with pregnancy." "The enlarging uterus pushes against your diaphragm and this makes breathing shallow." "Oxygen requirements are increasing in your body because the fetus is growing." "You only have a few more weeks until the birth and then you will breathe fine again."

"The enlarging uterus pushes against your diaphragm and this makes breathing shallow."

A primigravida at her 12-week prenatal visit expresses concern that she hasn't felt her baby move yet. What is the best response from the nurse? "You usually cannot feel them until approximately 16 to 20 weeks." "Fetal movements can be felt at 13 weeks." "You won't be able to feel movements until you lie down and concentrate on them." "You should start to feel fetal movements within the next few weeks."

"You usually cannot feel them until approximately 16 to 20 weeks."

A client who is in her first trimester is anxious to have an ultrasound at each visit. The nurse explains that it is not necessary and schedules a second ultrasound to be performed when she is about: 24 to 26 weeks' pregnant. 15 to 17 weeks' pregnant. 21 to 23 weeks' pregnant. 18 to 20 weeks' pregnant.

18 to 20 weeks' pregnant.

The nurse assesses a 20-week gestational client at a routine prenatal visit. What will the nurse predict the fundal height to be on this client experiencing an uneventful pregnancy? 24 cm 12 cm 16 cm 20 cm

20 cm

A woman is in her early second trimester of pregnancy. The nurse would instruct the woman to return for a follow-up visit every: 2 weeks. 1 week. 3 weeks. 4 weeks.

4 weeks.

A client in her third month of pregnancy arrives at the health care facility for a regular follow-up visit. The client reports discomfort due to increased urinary frequency. Which instruction should the nurse offer the client to reduce the client's discomfort? Munch on dry crackers and toast in the early morning. Drink fluids with meals rather than between meals. Avoid consumption of caffeinated drinks. Avoid an empty stomach at all times.

Avoid consumption of caffeinated drinks.

What instruction should a nurse offer to a pregnant client or a client who wishes to become pregnant to help her avoid exposure to teratogenic substances? Avoid medications. Eat a well-balanced diet. Avoid intake of coffee. Maintain personal hygiene.

Avoid medications.

During the physical examination at the first prenatal visit a speculum examination is performed and a bluish-colored cervix is noted. How will the nurse interpret this finding? Naegele sign Hegar sign Chadwick sign Goodell sign

Chadwick sign

At 32 weeks' gestation a client with a BMI of 23 has gained 24 lb (11 kg). What is the nurse's recommendation for weight gain for the remainder of this pregnancy? Watch the diet so no additional weight is gained during this pregnancy. Limit weight gain to less than 5 lb (2 kg) for the remainder of this pregnancy. Continue to gain approximately 1 lb (.45 kg) per week during this pregnancy. Increase weight gain to 1.5 lb (0.68 kg) per week during this pregnancy.

Continue to gain approximately 1 lb (.45 kg) per week during this pregnancy.

The nurse is preparing a care plan for a primigravida client and her partner who are excited about her pregnancy and ask lots of questions on various subjects. Which nursing diagnosis should the nurse prioritize for this client and her partner in this care plan? Deficient knowledge Risk of injury Fear related to lack of knowledge Health-seeking behaviors

Deficient knowledge

A woman in early pregnancy is concerned because she is nauseated every morning. Which measure would be best to help relieve this? Take two aspirin on arising. Delay toothbrushing until noon. Delay breakfast until mid-morning. Take a teaspoon of baking soda before breakfast.

Delay breakfast until mid-morning.

pregnant client at 34 weeks' gestation reports a burning sensation in the lower esophagus. What action would the nurse recommend to increase her comfort? Select all that apply. Do not eat fried, fatty foods. Eat five to six small meals per day. Do not drink liquids with meals. Eat a large amount of carbohydrates. Do not lie down immediately after eating.

Eat five to six small meals per day. Do not eat fried, fatty foods. Do not lie down immediately after eating.

A woman in her first trimester shares with the nurse that she has been experiencing terrible nausea when she gets up in the morning. Which action should the nurse suggest? Select all that apply. Eat two regular meals later in the day. Use a scopolamine patch. Delay breakfast until 10 or 11 AM. Eat some saltine crackers before rising in the morning. Suck on sour candies. Try eating a snack before bedtime

Eat some saltine crackers before rising in the morning. Eat some saltine crackers before rising in the morning. Try eating a snack before bedtime

A nurse is collecting data during an admission assessment of a client who is pregnant with twins. The client has a 4-year-old child who was delivered at 38 weeks' gestation and tells the nurse that she does have a history of spontaneous abortion (miscarriage) within the first trimester. The nurse is correct to document the history as: G = 3, T = 1, P = 0, A = 1, L = 1 G = 4, T = 2, P = 0, A = 0, L = 1 G = 1, T = 1, P = 1, A = 0, L = 1 G = 2, T = 0, P = 0, A = 0, L = 1

G = 3, T = 1, P = 0, A = 1, L = 1

A pregnant woman comes to the clinic for a prenatal visit for her third pregnancy. She reveals she had a previous miscarriage at 12 weeks and her 3-year-old son was born at 32 weeks. How should the nurse document this woman's obstetric history? G3, T1, P0, A2, L1 G2, T0, P1, A1, L1 G2, T1, P2, A1, L2 G3, T0, P1, A1, L1

G3, T0, P1, A1, L1

A woman reports that her last menstrual period (LMP) occurred February 1, 2017. Using the Naegele rule, what would be her estimated date of delivery (EDD)? October 1, 2017 November 8, 2017 October 1, 2018 November 8, 2018

November 8, 2017

The nurse is reviewing an employer's guidelines to support pregnant employees. When reviewing the information, which guideline requires further follow-up and education by the nurse? Modify duties in later pregnancy for employees engaged in physical work. Share information about health benefit coverage for support hose. Promote overtime shifts to save money for parental leave. Provide a rest area for pregnant employees during breaks.

Promote overtime shifts to save money for parental leave.

A pregnant client is planning a vacation to a different state and questions the nurse concerning precautions. Which suggestion should the nurse prioritize for this client who will be traveling by automobile? Travel no more than 120 miles daily. Sit in the back seat with feet elevated. Stop and walk every 2 hours. Limit trips away from home, greater than 200 miles.

Stop and walk every 2 hours.

A client at 29 weeks' gestation tells the nurse she is experiencing aches in her hips and joints. What would the nurse do next? Document these findings in the client's chart. Tell the client these are normal findings during pregnancy. Ask the client if there is a family history of arthritis. Have the primary health care provider see the client.

Tell the client these are normal findings during pregnancy.

A pregnant client is undergoing a fetal biophysical profile. Which parameter of the profile helps measure long-term adequacy of the placental function? amniotic fluid volume fetal reactivity fetal heart rate fetal breathing record

amniotic fluid volume

A pregnant client is undergoing a fetal biophysical profile. Which parameter of the profile helps measure long-term adequacy of the placental function? fetal breathing record fetal heart rate fetal reactivity amniotic fluid volume

amniotic fluid volume

As part of the physical examination of a pregnant client, the nurse examines the woman's breasts. Which breast changes would the nurse associate with pregnancy? Select all that apply. hard, painless lumps form Montgomery glands (Montgomery tubercles) become prominent overall breast size increases breasts become softer in consistency blue streaking of veins becomes prominent areolae darken

areolae darken overall breast size increases blue streaking of veins becomes prominent Montgomery glands (Montgomery tubercles) become prominent

Encouraging routine prenatal visits is an important function for nurses to ensure the clients avoid complications or difficulties throughout the pregnancy and birth. The nurse would prepare to screen clients for gestational diabetes at which time during the pregnancy? between 24 and 28 weeks' gestation between 20 and 24 weeks' gestation between 15 and 19 weeks' gestation between 29 and 32 weeks' gestation

between 24 and 28 weeks' gestation

A nurse is reading a journal article about the use of real-time ultrasonography, which allows the health care provider to obtain information about the fetus. The nurse would expect the article to describe which type of information? biophysical profile the size and shape of placenta the effectiveness of neural tube defect treatment chromosomal abnormalities

biophysical profile

A pregnant woman experiences frequent leg cramps. Which measure would the nurse include in her teaching plan to provide her with relief? elevating her leg on two pillows plantarflexing her foot and wiggling her toes extending her knee and dorsiflexing her foot bending her knee and dorsiflexing her foot

extending her knee and dorsiflexing her foot

The nurse is caring for a client having chorionic villus sampling using the transcervical approach. When preparing the client for the procedure, in which position is the client placed? recumbent position Sims position lithotomy position supine position

lithotomy position

The nurse is concerned that a client is not obtaining enough folic acid. Which test would the nurse anticipate being used to evaluate the fetus for potential neural tube defects? Doppler flow study triple-marker screen maternal serum alpha-fetoprotein analysis amniocentesis

maternal serum alpha-fetoprotein analysis

The nurse advises a pregnant client to keep a small high-carbohydrate, low-fat snack at the bedside. The nurse should point out this will assist with which condition? heartburn faintness slowed GI transit time nausea and vomiting

nausea and vomiting

A pregnant woman has been diagnosed with pica since she eats lead paint chips for their sweetness. The nurse educating this woman should strongly encourage her to abandon this practice because it may have which consequence to the fetus? spontaneous abortion fetal growth restriction cataracts neurological challenges

neurological challenges

The nurse is advising a pregnant woman during her first prenatal visit regarding the frequency of future visits. Which schedule is recommended for prenatal care? once every 4 weeks for the first 36 weeks, then weekly until the birth once every 3 weeks for the first 28 weeks, then every 2 weeks until 36 weeks, and then weekly until the birth once every 4 weeks for the first 28 weeks, then every 2 weeks until 36 weeks, and then weekly until the birth once every 4 weeks for the first 28 weeks, then every 3 weeks until 36 weeks, and then every 2 weeks until the birth

once every 4 weeks for the first 28 weeks, then every 2 weeks until 36 weeks, and then weekly until the birth

A woman who is pregnant for the first time has arrived to the labor department thinking she was in labor only to be diagnosed with Braxton Hicks contractions and sent home. Prior to leaving the unit, the woman asks, "How will I know when it is 'true' labor?" Which signs/symptoms should the woman associate with true labor? Select all that apply. urine leakage after coughing or sneezing leakage of white to yellow discharge from the nipples sudden gush of clear fluid coming from the vagina pink-tinged blood and mucus mixture on underwear pain in back that wraps across the abdomen and increases in frequency and intensity

pain in back that wraps across the abdomen and increases in frequency and intensity pink-tinged blood and mucus mixture on underwear sudden gush of clear fluid coming from the vagina

During the initial prenatal visit, the nurse performs what assessment to guide teaching about nutrition during pregnancy? height and bone structure hemoglobin level current weight prepregnancy BMI

prepregnancy BMI

The nurse educates the vegetarian client about which nutritional need during pregnancy? avoiding high intake of dark green vegetables. limiting the intake of fiber taking a B12 supplement supplementing the diet with vitamins A and C

taking a B12 supplement

The nurse is assisting a primigravida on calculating the due date of her baby using Naegele rule. The most important information provided by the mother is: the last day of her menstrual period. the ovulation date between her periods. the first day of the last menstrual period. the date that intercourse occurred.

the first day of the last menstrual period.

In preparing for a preconception class, the nurse plans to include a discussion of potential risk factors. Which risk factor would be most important to include? the use of OTC drugs with teratogens the importance of healthy lifestyle importance of taking adequate vitamin and mineral supplements family history of pregnancy complications

the use of OTC drugs with teratogens

nurse is educating a pregnant client about obtaining a blood sample for an alpha-fetoprotein (AFP) level. Which response by the client indicates that the health teaching was successful? "If my AFP level is high, it could mean there is a problem with my baby's spinal cord." "If my AFP level is low, then I won't need to follow up." "If there is a need to get my AFP level tested, a blood sample will be obtained around 11 weeks." "If my AFP level is negative, it means the baby has no birth defects."

"If my AFP level is high, it could mean there is a problem with my baby's spinal cord."

The diagonal conjugate of a pregnant woman's pelvis is measured. Which measurement would the nurse interpret as presenting a potential problem? 12.5 cm 13.0 cm 12.0 cm 13.5 cm

12.0 cm

At the first prenatal visit of all clients who come to the clinic appropriate blood screenings are obtained. The nurse realizes that a hemoglobin A1C above which level is concerning for diabetes and warrants further testing? 5.5% 6.5% 6.0% 5.0%

6.5%

A woman relates to the nurse that she understands that dietary fat is bad for her and that she should avoid it during pregnancy. How should the nurse respond? Fats are not essential during pregnancy and thus are optional. Fats are essential during pregnancy, and vegetable oils are a good source. Fats should be avoided during pregnancy. Fats are essential during pregnancy, and fish such as marlin and orange roughy are good sources.

Fats are essential during pregnancy, and vegetable oils are a good source.

Which information is most important in order to decrease the risk of complications if the client decides to work until her due date? Flat shoes Frequent rest periods Adequate sleep Eat light meals

Frequent rest periods

The nurse is conducting the first prenatal assessment on a newly pregnant client. She shares with the nurse that she has 3 children, 2 born at full-term and one at 34 weeks' gestation. Her last pregnancy ended in a miscarriage. How should the nurse document this client's obstetrical history? G4 T3 P0 A1 L3 G4 T2 P1 A1 L3 G5 T2 P1 A1 L3 G3 T2 P1 A1 L3

G5 T2 P1 A1 L3

A potential complication for the mother and fetus is Rh incompatibility; therefore, assessment should include blood typing. If the mother is Rh negative, her antibody titer should be evaluated. If treatment with Rho(D) immune globulin is indicated, the nurse would expect to administer it at which time? at 36 weeks at 28 weeks at 32 weeks only at birth

at 28 weeks

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? at the umbilicus midway between the symphysis and umbilicus below the ensiform cartilage at the symphysis pubis

at the symphysis pubis

During a follow-up visit to the prenatal clinic, a pregnant client asks the nurse about using a hot tub to help with her backache. The nurse recommends against the use based on the understanding that what can occur? membrane rupture rebound maternal hypothermia fetal tachycardia urinary incontinence

fetal tachycardia

The nurse is preparing to administer a prescribed medication to the pregnant client. Which order should the nurse question? penicillin folic acid rubella acetaminophen

rubella

A 27-year-old client is in the first trimester of an unplanned pregnancy. She acknowledges that it would be best if she were to quit smoking now that she is pregnant, but states that it would be too difficult given her 13 pack-year history and circle of friends who also smoke. She asks the nurse, "Why exactly is it so important for me to quit? I know lots of smokers who have happy, healthy babies." What can the nurse tell the client about the potential effects of smoking in pregnancy? "Babies of women who smoke tend to weigh significantly less than other infants." "Smoking is unhealthy for anyone's heart, but your baby faces an especially high risk of heart trouble if you smoke while you're pregnant." "Smoking during pregnancy means that your child will be born with a dependence on nicotine and will have to endure a period of withdrawal in his or her first days of life." "Smoking during pregnancy places your baby at an increased risk of intellectual disability."

"Babies of women who smoke tend to weigh significantly less than other infants."

The nurse is conducting a teaching session for breastfeeding mothers. Which statement by a mother requires further clarification by the nurse? "I will continue to take a prenatal multivitamin as long as I am breastfeeding." "I will drink a large glass of water each time I nurse my baby." "I will continue to add about 300 calories per day to my diet." "I am glad I can have my two cups of coffee in the morning again."

"I am glad I can have my two cups of coffee in the morning again."

The nurse is reviewing client data following a regular monthly appointment at 6 months' gestation. Which fundal height requires no further intervention? 24 cm 18 cm 30 cm 32 cm

24 cm

A client comes to the clinic for her usual prenatal check up. The nurse measures the fundal height at 24 cm. What is the estimated length of her gestation? 28 weeks 20 weeks 32 weeks 24 weeks

24 weeks

The blood tests for a primigravida client indicate that the client is Rh-negative and her partner is Rh-positive. What is an appropriate nursing intervention for this client? Make necessary arrangements for blood transfusion. Arrange for Rho(D) immune globulin at 28 weeks' gestation. Inform the client about the possibility of a cesarean section. Prepare the client for the possibility of a spontaneous abortion (miscarriage).

Arrange for Rho(D) immune globulin at 28 weeks' gestation.

A pregnant client at full-term gestation calls the nurse to report contractions every 6 to 7 minutes that are getting stronger. The membranes are intact. The client lives 45 minutes away from the hospital and had a 4-hour labor with the previous birth. What will the nurse advise? Come to the hospital once the contractions are 5 minutes apart. Come to the hospital if you are experiencing bloody show. Come to the hospital once your membranes rupture. Come to the hospital now for assessment.

Come to the hospital now for assessment.

A woman has come to the clinic for her first prenatal visit. Which method would be the most effective way for the nurse to initiate data gathering for a health history? Wait until she is in the examining room and prepared for her physical examination. Ask her to complete a written questionnaire concerning her past and present status. Ask her some basic questions in the waiting room before taking her to the examining room. Conduct an interview in a private room to obtain her health history.

Conduct an interview in a private room to obtain her health history.

A client in the first trimester reports having nausea and vomiting, especially in the morning. Which instruction would be most appropriate to help prevent or reduce the client's compliant? Eat dry crackers or toast before rising. Drink plenty of fluids at bedtime. Avoid foods such as cheese. Avoid eating spicy food.

Eat dry crackers or toast before rising.

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 intervention should the nurse perform to prepare the client for the physical examination? Instruct the client to empty her bladder. Instruct the client to keep taking deep breaths. Ensure that the client's family is present. Ensure that the client is lying down.

Instruct the client to empty her bladder.

The nurse is assessing a client at 14 weeks' gestation at a routine prenatal visit and notes the fundal height is at the umbilicus. The nurse will most likely interpret this finding to indicate which situation? Intrauterine growth retardation Deficient amniotic fluid Urinary retention Multiple fetal pregnancy

Multiple fetal pregnancy

A client in a prenatal clinic states tells the nurse she has a vaginal discharge and asks about douching. Which rule is safe regarding douching during pregnancy? A room-temperature solution should not be used. The solution used never should be acid. Only commercial solutions should be used. Routine douching is not advised.

Routine douching is not advised.

The client is 32 weeks' pregnant and has been referred for a biophysical profile (BPP) after a nonreassuring nonstress test (NST). Which statement made by the client indicates that the nurse's explanation of the procedure was effective? The BPP is a blood test to detect placental problems. The BPP is an ultrasound that measures breathing, body movement, tone, and amniotic fluid volume. The BPP is a screening for neural tube defects. The BPP is a diagnostic procedure whereby a needle is inserted into the amniotic sac to obtain fluid.

The BPP is an ultrasound that measures breathing, body movement, tone, and amniotic fluid volume.

A client in her third trimester reports to the nurse shortness of breath when sleeping. The nurse informs the client that this is normal and occurs because the growing fetus puts pressure on the diaphragm. Which measure should the nurse suggest to help alleviate this problem? Avoid spicy food. Avoid overeating. Lie on a firmer mattress. Use extra pillows.

Use extra pillows.

The nurse is assessing a 24-year-old pregnant client who reports excessive vaginal discharge that is messy and unpleasant but without a strong odor, itching, or irritation present. Which response should the nurse prioritize? Douche frequently with mild soap and water. Use sanitary pads. See her primary care provider. Decrease her fluid intake.

Use sanitary pads.

A woman in her first trimester of pregnancy has noted an increase in a thick, whitish vaginal discharge even though she showers daily. The woman shares this information with the clinic nurse, who provides some client education on the topic of leukorrhea. Which interventions should be addressed in this discussion? Select all that apply. Many woman find douching to provide a feeling of cleanliness. Tampons are the most reliable product to control the flow during the day. Wear cotton underwear during the day. A perineal pad to absorb the discharge may help. It is normal for the discharge to change in color or odor.

Wear cotton underwear during the day. A perineal pad to absorb the discharge may help.

Which possible complication associated with back pain can lead to premature contractions? bladder or kidney infection increased intracranial pressure leak of spinal fluid into the epidural space herniated disc

bladder or kidney infection

The nurse is teaching about an iron supplement that the client is going to take every day. The nurse teaches the client to take the iron supplement with which type of fluid? citrus juice hot tea low-fat milk ice water

citrus juice

Before beginning the initial prenatal examination, a nurse should instruct a client to complete what procedure before undressing? clean-catch urine ultrasound for fetal measurements initial blood tests measurement of fundal height

clean-catch urine

Which finding is most worrisome in a client in her 26th week of pregnancy? facial edema a hyperpigmented rash over the maxillary region bilaterally nosebleeds generalized hair loss

facial edema

The nurse is caring for several clients at the prenatal clinic. Which client would the nurse prepare for a routine fetal ultrasound? A woman at 20 weeks' gestation reporting increased nasal stuffiness A woman at 10 weeks' gestation who reports increased urination and fatigue A woman being seen to confirm pregnancy since her last menstrual period was 6 weeks prior A woman at 38 weeks' gestation having increased insomnia due to breathing discomfort SUBMIT ANSWER

A woman at 20 weeks' gestation reporting increased nasal stuffiness

A nurse is conducting a program about the importance of prenatal care for a group of women in a community health clinic. Which information would the nurse include when describing the purpose of prenatal care? Select all that apply. Determine the gestational age of the fetus. Increase the business of the clinic. Identify women at risk for complications. Monitor for fetal development and maternal well-being. Maximize the risk of possible complications. Establish a baseline of present health.

Establish a baseline of present health. Determine the gestational age of the fetus. Monitor for fetal development and maternal well-being. Identify women at risk for complications.

The nurse is caring for a client who is at 37 weeks' gestation and has a biophysical profile of 10. Which nursing action is best? Prepare all records as the client will be admitted for a cesarean birth. Notify the health care provider immediately. Tell the client to report to the hospital for a nonstress test. Schedule a health care provider appointment for one week.

Schedule a health care provider appointment for one week.

A client in her third trimester of pregnancy wishes to formula feed her baby. What instruction should the nurse provide? Feed the infant every 8 hours. Mix one scoop of powder with an ounce of water. Refrigerate any leftover formula. Serve the formula at room temperature.

Serve the formula at room temperature.

A woman has heard that hypotension can be a problem during pregnancy, but she is not sure what it is or what causes it. The nurse explains that it is simply a temporary bout of low blood pressure due to impaired blood return to the heart. It is commonly caused by sleeping in a position that causes compression of the vena cava blood vessel. To avoid this condition, which suggestion should the nurse make? Sleep face down. Sleep flat on your back. Sleep with your feet elevated. Sleep on your side.

Sleep on your side.

A woman is concerned that orgasm will be harmful during pregnancy. Which statement is factual? Orgasm during pregnancy is potentially harmful. Some women experience orgasm intensely during pregnancy. Most women do not experience orgasm during pregnancy. Venous congestion in the pelvis makes orgasm painful.

Some women experience orgasm intensely during pregnancy.

While assessing a client's breast during the third trimester, which finding would the nurse expect? pink-colored nipples breasts becoming soft pain in the nipple area colostrum from the nipples

colostrum from the nipples

The nurse is describing pregnancy danger signs to a pregnant woman who is in her first trimester. Which danger sign might occur at this point in her pregnancy? dyspnea swelling of extremities excessive vomiting lower abdominal pressure

excessive vomiting

A nurse is taking a history during a client's first prenatal visit. Which assessment finding would alert the nurse to the need for further assessment? history of diabetes for 4 years history of exercising twice a week history of occasional use of OTC pain relievers maternal age of 28 years

history of diabetes for 4 years

The police have brought a young female to the emergency department after they raided a "crack" house and found this female passed out and bleeding from her "bottom." This female is pregnant and is likely bleeding related to which complication of cocaine use during pregnancy? Select all that apply. rupture of uterus rupture of cervical lesions spontaneous miscarriage premature dislodgement of the placenta dislodgement of fibroid cysts

premature dislodgement of the placenta spontaneous miscarriage

A nurse is instructing a pregnant woman about monitoring fetal movements and informs her that normally the fetus will move the same amount every day. The nurse also adds that the client may notice an unusual increase or decrease in movement, explaining that this is due to which situation? fetal shifting of activity-sleep balance fetal heartburn cramping in the uterus and trying to get comfortable response to a need for oxygen

response to a need for oxygen