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The nurse's response is dependent upon which state he or she is practicing in.

A 16-year-old woman, who had unprotected intercourse 24 hours ago, has entered the emergency department seeking assistance. Which of the following responses by the nurse is appropriate?

Pregnant women are more susceptible to yeast infections.

A nurse is teaching a woman who is in her first trimester of pregnancy about physical changes she can expect. Which information should the nurse provide?

When the woman ovulated she expelled two mature ova.

A woman is carrying dizygotic twins. She asks the nurse about the babies. Which of the following explanations is accurate?

Obtain a urine dipstick for proteinuria and assess for headache.

A woman who is 26 weeks pregnant has a blood pressure of 158/100 mm Hg. Which action by the nurse is most appropriate ?

It becomes thin and elastic.

During a counseling session on natural family planning techniques, how should the nurse explain the consistency of cervical mucus at the time of ovulation?

Low, dull backache or pelvic pressure; Maternal fever over 100.5; Reduction in fetal movements.

During the first prenatal visit, a nurse teaches a pregnant woman about emergencies for which she needs to be seen immediately. Which situations does the nurse include in this education?

The fertilized egg has yet to implant into the uterus.

The nurse is teaching a couple about fetal development. Which statement by the nurse is correct about the morula stage of development?

First maneuver

The nurse places his or her hands on the maternal abdomen to gently palpate the fundal region of the uterus. This action is described as which Leopold Maneuver.

Leaves it in place for 6 hours following intercourse.

The nurse teaches a couple that the diaphragm is an excellent method of contraception providing that the woman does which of the following?

Ability to develop into any type of human cell

The nursing faculty member explains to a class that embryonic stem cells have a special feature. Which feature is the instructor describing?

By 2050, the minority population in America is estimated to be 50%; One in five people in this country will be over the age of 65 by the year 2030.

The public health nurse explains to students that diversity is an increasing phenomenon in this country. What facts about this phenomenon does the nurse share with the students?

Decreasing risk for exposure to toxoplasmosis; Decreasing fetal risks related to the work environment; Ensuring folic acid supplementation.

Which of the following activities should the perinatal nurse encourage women who come for preconceptional counseling to consider? (Select all that apply)

Fever or chills; Lack of fetal movement; Abdominal pain; Vaginal bleeding

A 39-year-old, 16 week gravid woman has had an amniocentesis. Before discharge, the nurse teaches the woman to call her doctor if she experiences any of the following side effects.

The man will ejaculate by masturbation into a specially designed condom; The woman may become pregnant with donor sperm; Fertilization is occurring in the artificial environment of the laboratory; More embryos will be created than will be used to inseminate the woman.

A Roman Catholic Couple is infertile. Their health care practitioner advises them that their best chance of getting pregnant is via in vitro fertilization with a mixture of the man's sperm and donor sperm. Which of the following issues, related to this procedure, should the nurse realize may be in conflict with the couple's religious beliefs? Select all that apply.

Sperm may be malformed when exposed to the heat of the sauna.

A couple is seeking infertility counseling. During the history, it is noted that the man is a cancer survivor, drinks one beer every night with dinner, and takes a sauna every day after work. Which of the following is an appropriate response by the nurse?

The client is 36 years old

A couple is seeking infertility counseling. The practitioner has identified the factors listed below in the woman's health history. Which of these findings may be contributed to the couples infertility?

Diet control with exercise

A gravid client, 27 weeks gestation, has been diagnosed with gestational diabetes. Which of the following therapies will most likely be ordered for this client?

Hypoxia

A gravid woman has sickle cell anmeia. Which of the following situations could precipitate a vaso-occlusive crisis in this woman?

Two fetal heart accelerations of 15 bpm lasting at least 15 seconds.

A gravid woman, who is 42 weeks gestation, has just had a 20-minute nonstress test (NST). Which of the following results would the nurse interpret as a reactive test?

Pap Smear

A gravida, G1 P0000, is having her first prenatal physical examination. Which of the following assessments should the nurse inform the client that she will have that day?

Fundal height is too small

A nurse is assessing a woman who is at 29 weeks of gestation. The nurse measures the woman's fundal height, which is 58.41 cm (23 inches). What does the nurse conclude about this information?

Lesbian women are at higher risk for bacterial vaginosis than are straight women.

A nurse is caring for a client who states that she is a lesbian. Which of the following should the nurse consider when caring for this client?

Consult physical therapy for in-bed exercises.

A nurse is caring for a pregnant woman on the high-risk OB unit who is anticipating a long stay on bedrest. Which action by the nurse would be most helpful to help diminish the physical complications associated with imposed bedrest?

Teach teenagers about the dangers of texting and driving.

A nurse is interested in primary prevention programs. Which of the following activities would this nurse choose to do?

Provide STD/STI testing at the local youth center.

A nurse wants to work in the community providing secondary prevention activities. Which action would this nurse choose to do?

Results are high; the patient has gestational diabetes

A patient has had a screening test for gestational diabetes and the 1-hour result is 250 mg/dL. What does the nurse conclude about this patient?

"If they last more than 60 seconds or become regular, come in."

A patient who is 28 weeks pregnant calls the obstetrical clinic and complains of irregular, painless contractions that last for 10 to 15 seconds. What response by the nurse is best?

Assess deep tendon reflexes

A patient, 32 weeks pregnant with severe headache, is admitted to the hospital with preeclampsia. In addition to obtaining baseline vital signs and placing the client on bedrest, the physician ordered the following four items. Which of the orders should the nurse perform first?

Inefficient emptying leads to stasis of bile and inflammation or cholecystitis.

A student asks the nurse why so many pregnant women get cholecystitis. Which response by the nurse is best?

Objective signs seen by an examiner; can be from other conditions.

A student asks what the phrase "probable signs of pregnancy" means. The instructor provides which answer?

The fluid provided fetal nutrition

A woman asks the nurse about the function of amniotic fluid. Which of the following statement by the woman indicates that additional teaching is needed?

Genitals, Heart, Fingers, Kidneys

A woman has just completed her first trimester. Which of the following fetal structures can the nurse tell the woman are well formed at this time?

Advise the woman to elevate her hands at night.

A woman in her third trimester of pregnancy complains of a painful burning sensation in her hands and lower arms. Which action by the nurse is best?

Maternal Blood type

A woman is recovering at the gynecologist's office following a late first- trimester spontaneous abortion. At this time, it is essential for the nurse to check with which of the following?

Methotrexate

A woman presents to the perinatal clinic with abdominal pain. She has missed one period and, following transvaginal ultrasound, pregnancy is confirmed. However implantation has occurred in the right fallopian tube. The ectopic mass is 3 cm and has not ruptured. The nurse prepare the patient for which therapy?

Administer oxygen at 10 L/min per rebreather mask

A woman with a history of heart failure is in labor and has the following vital signs: BP, 100/58; Pulse, 120 bpm; RR, 36; O2, 88%. Which action should the nurse perform first?

"Let's talk about your options"

A young woman is seen in the emergency department. She states, "I took a pregnancy test today. I am pregnant. My parents will be furious with me!! I have to do something!" Which of the following response by the nurse is most appropriate?

Have her call her primary care provider immediately.

An obstetrical nurse is taking a medication history from a pregnant woman. One of the woman's medications is classified as category D. What action by the nurse is best?

The right atrium contains both oxygen rich and oxygen poor blood

An ultrasound of a fetus' heart shows that normal fetal circulation is occurring. Which of the following statements should the nurse interpret as correct in relation to the fetal circulation?

Client will be cancer free 1 year from diagnosis.

Which of the following long-term goals is appropriate for a client, 10 weeks' gestation, who is diagnosed with gestational trophoblastic disease?

The IUD can remain in place for a year or more.

Which statement by the client indicates that she understands the teaching provided about the intrauterine device (IUD)?