OB EAQ

The nurse is teaching participants in a prenatal class regarding breastfeeding versus formula feeding. A client asks, "What is the primary advantage of breastfeeding?" Which response is most appropriate?

"Breastfed infants have fewer infections."

The nurse is teaching a childbirth class to a group of pregnant women. One of the women asks the nurse at what point during the pregnancy the embryo becomes a fetus. How should the nurse respond?

"During the eighth week of the pregnancy"

The husband of a client who is in the transition phase of the first stage of labor becomes very tense and anxious and asks a nurse, "Would it be best for me to leave, since I don't seem to be doing my wife much good?" What is the appropriate response by the nurse?

"I know that this is hard for you. Let me try to help you coach her during this difficult phase."

What statement by a breast-feeding mother indicates that the nurse's teaching regarding stimulating the let-down reflex has been successful?

"I will apply warm packs and massage my breasts before each feeding."

The nurse instructs a pregnant client regarding fetal growth and development. Which statement indicates that the client requires further teaching?

"The fetus gets nutrients from the amniotic fluid."

A client whose weight was average for her height before becoming pregnant is concerned because she has gained 15 lb (6.8 kg) after only 23 weeks of pregnancy. What is the nurse's most appropriate response?

"Your weight is expected for someone at 23 weeks' gestation. Continue your current diet."

A client who is at 20-weeks' gestation visits the prenatal clinic for the first time. Assessment reveals temperature of 98.8° F (37.1° C), pulse of 80 beats per minute, blood pressure of 128/80 mm Hg, weight of 142 lb (64.4 kg) (pre-pregnancy weight was 132 lb (59.9 kg), fetal heart rate (FHR) of 140 beats per minute, urine that is negative for protein, and fasting blood glucose level of 92 mg/dL (5.2 mmol/L). What should the nurse do after making these assessments?

Document the results because they are expected at 20-weeks' gestation.

The postpartum nurse is delegating tasks to an unlicensed health care worker. Which task should the nurse delegate?

Vital signs on a client 4 hours after delivery

What type of lochia should the visiting nurse expect to observe on a client's pad on the fourth day after a vaginal delivery?

Moderate serosa

A client tells the nurse that the first day of her last menstrual period was July 22. What is the estimated date of birth (EDB)?

April 29

While caring for a client who gave birth 1 day ago, the nurse determines that the client's uterine fundus is firm at one fingerbreadth below the umbilicus, blood pressure is 110/70 mm Hg, pulse is 72 beats per minute, and respirations are 16 breaths per minute. The client's perineal pad is saturated with lochia rubra. What is the priority nursing action?

Asking the client when she last changed the perineal pad

How does the nurse determine when true labor and not false labor is present?

Cervical dilation is evident.

A client is bleeding excessively after the birth of her newborn. The healthcare provider prescribes fundal massage and an IV infusion containing 10 units of oxytocin at a rate of 100 mL/hr. The nurse's evaluation of the client's responses to these interventions reveals a blood pressure of 135/90 mm Hg, a boggy uterus 3 cm above the umbilicus and displaced to the right, and a perineal pad saturated with bright-red lochia. What is the nurse's next action?

Checking for a distended bladder

A client is scheduled for a nonstress test in the 37th week of gestation. The nurse explains the procedure. Which statement demonstrates that the client understands the teaching?

Correct4 "If the heart reacts well, my baby should do OK when I give birth."

A primigravid client who is at 38 weeks' gestation is undergoing a nonstress test. The nurse determines that the baseline fetal heart rate is 130 to 140 beats per minute. It rises to 160 on two occasions and 157 once during a 20-minute period. Each of the episodes in which the heart rate is increased lasts 20 seconds. Which action should the nurse take?

Discontinuing the test because the pattern is within the normal range

A client in her 37th week of gestation calls the nurse at the clinic and reports, "My ankles are so swollen." Which intervention should the nurse recommend?

Elevating her legs more frequently during the day

The nurse is caring for a pregnant client who is undergoing an ultrasound examination during the first trimester. The nurse explains that an ultrasound during the first trimester is utilized in order to do what?

Estimate fetal age

During the assessment of a client in labor, the cervix is determined to be dilated 4 cm. What stage of labor does the nurse record?

First

During her first prenatal visit the client reports that her last menstrual period began on April 15. According to Nägele rule, what is the expected date of delivery (EDD)?

January 22

A 36-year-old multigravida who is at 14 weeks' gestation is scheduled for an alpha-fetoprotein test. She asks the nurse, "What does this test do?" The nurse responds that this test can reveal what?

Neural tube defects

Late decelerations are present on the monitor strip of a client who received epidural anesthesia 20 minutes ago. What should the nurse do immediately?

Reposition the client from supine to left lateral.

The nurse observes a laboring client's amniotic fluid and decides that it is the expected color and consistency. Which finding supports this conclusion?

Straw-colored, clear, and containing little white specks

When palpating a client's fundus on the second postpartum day, the nurse determines that it is above the umbilicus and displaced to the right. What does the nurse conclude?

The bladder has become overdistended.

A woman at 40 weeks' gestation is having contractions. Wondering whether she is in true labor, she asks, "How will you know if I'm really in labor?" Which information should the nurse provide to the client at this time?

The cervix dilates and becomes effaced in true labor.

As the nurse inspects the perineum of a client who is in active labor, the client suddenly turns pale and states that she feels as if she is going to faint even though she is lying flat on her back. What is the nurse's priority intervention?

Turn her onto her left side