Chapter 12- PrepU - Pregnancy

The nurse is aware that labor pain and contractions can lead to all of the following EXCEPT 1- Hyperventilation 2- Decreased blood flow to the uterus 3- Respiratory acidosis 4- Fatigue and sleep deprivation

3

Which change related to the vital signs is expected in pregnant women? 1- Pulse decreases. 2- Lung space increases. 3- Blood pressure decreases. 4- Temperature decreases.

3

In a client's seventh month of pregnancy, she reports feeling "dizzy, like I'm going to pass out, when I lie down flat on my back." The nurse explains that this is due to: 1- pressure of the gravid uterus on the vena cava. 2- a 50% increase in blood volume. 3- physiologic anemia due to hemoglobin decrease. 4- pressure of the presenting fetal part on the diaphragm.

1

A client experiencing contractions presents at a health care facility. Assessment conducted by the nurse reveals that the client has been experiencing Braxton Hicks contractions. The nurse has to educate the client on the usefulness of Braxton Hicks contractions. Which role do Braxton Hicks contractions play in aiding labor? 1- These contractions help in softening and ripening the cervix. 2- These contractions increase the release of prostaglandins. 3- These contractions increase oxytocin sensitivity. 4- These contractions make maternal breathing easier.

1

A client at 16 weeks' gestation is scheduled for prenatal testing. Which of the following would the nurse anticipate as the most likely screening test for congenital anomalies based on the current age of this pregnancy? 1- Cardocentesis. 2- Amniocentesis. 3- Nuchal translucency testing. 4- Chorionic villi sampling.

2

A nurse is giving a prenatal class on teratogens that have an affinity for specific body tissues. Which teratogen is accurately paired with the specific body tissue affected? 1- Lead attacks the joints. 2- Mercury attacks the nervous tissue. 3- Tetracycline attacks the muscles. 4- Thalidomide attacks the lungs.

2

The nurse is providing education regarding fetal kicks/movement to a 22 weeks primigravid in the family planning clinic. Which client statement indicates an understanding of the teaching? 1- "I will need to feel and record that my baby moves every hour." 2- "I will monitor fetal movement at least for 20 minutes every week." 3- "I will document fetal kicks/movement daily and they should be 10 every 2 hours." 4- "I will not be able to feel the fetus kick until 30 weeks gestation."

3

The nursing instructor is illustrating the circulatory flow between the mother and fetus. The instructor determines the session is successful when the class correctly chooses which structure with which route? 1- The one umbilical artery carries oxygen-rich blood to the fetus from the placenta. 2- The two umbilical arteries carry waste products from the placenta to the fetus. 3- The one umbilical vein carries oxygen-rich blood to the fetus from the placenta. 4- The two umbilical veins carry waste products from the fetus to the placenta.

3

How does fetal circulation differ from circulation after birth? 1- Fetal blood flow bypasses the right atrium and goes directly to the right ventricle. 2- In utero, blood through the pulmonary artery is only 50% of the post-delivery blood flow. 3- The ductus arteriosus carries the majority of the blood circulating from the left atrium to the left ventricle directly to the aorta. 4- The umbilical vein carries oxygenated blood, while deoxygenated blood is carried by the umbilical arteries.

4

In early pregnancy, a woman is scheduled for a sonogram for detection of the gestational sac. As part of your instructions prior to this study, you would tell her 1- not to drink any fluid 1 hour prior to the study. 2- to be prepared for a catheter to be inserted prior to the study. 3- to empty her bladder just prior to the study. 4- to drink a large amount of fluid prior to the study.

4

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? 1- dyspnea 2- lower abdominal pressure 3- swelling of extremities 4- excessive vomiting

4

The nurse is explaining the latest laboratory results to a pregnant client who is in her third trimester. After letting the client know she is anemic, which heme iron-rich foods should the nurse encourage her to add to her diet? 1- Legumes 2- Dairy 3- Grains 4- Meats

4

Which genetic condition is caused by a small gene mutation that affects protein structure, producing hemoglobin S? 1- Marfan syndrome 2- hemophilia 3- Tay-Sachs disease 4- sickle cell anemia

4

Which of these cardiac variations, if found in the client who is pregnant, should the nurse recognize as a normal finding in pregnancy? 1- Split S1S2 2- Premature ventricular contractions 3- S4 (atrial gallop) 4- Soft systolic murmur

4

A client who has just given a blood sample for pregnancy testing in the health care provider's office asks the nurse what method of confirming pregnancy is the most accurate. The nurse explains the difference between presumptive symptoms, probable signs, and positive signs. What should the nurse mention as an example of a positive sign, which may be used to diagnose pregnancy? 1- visualization of the fetus by ultrasound 2- laboratory test of a urine specimen for hCG 3- laboratory test of a blood serum specimen for hCG 4- absence of a period

1

A nurse is talking to a group of young couples who wish to conceive. One young woman asks the nurse if any tests predict fetal abnormalities. Which of the following tests should the nurse include in the discussion? (Select all that apply.) 1- MSAFP 2- CVS 3- Amniocentesis 4- CBC 5- Lipid panel

1,2,3

A client who has one child with a genetic disorder tells the nurse, "I told my husband I was ready to have another baby and now he does not want to be intimate with me." What is the mostappropriate nursing diagnosis for this client? 1- Altered sexuality pattern related to fear 2- Ineffective coping related to personal issues 3- Hopelessness related to increased tension 4- Risk for loneliness related to lack of communication

1

A client with a prepregnant BMI of 26 is concerned about gaining weight during pregnancy. Which statement by the client indicates an appropriate goal for this pregnancy? 1- "I need to consume at least 1,500 nutrient-dense calories each day." 2- "I will eliminate carbohydrates from my diet to control my weight." 3- "I will eat two large meals with high protein content each day." 4- "I am eating for two now, so the baby will burn the extra calories."

1

A mutligravida client is concerned that she may deliver early. When asking the nurse what is the earliest her baby can be delivered and survive, which time frame would the nurse point out? 1- The end of the second trimester 2- The end of the first trimester 3- The end of the third trimester 4- The end of the fourth trimester

1

A nurse explains to a pregnant woman the importance of consuming adequate iodine in her diet. Which of the following conditions can a deficiency in iodine lead to? 1- Goiter 2- Anemia 3- Diminished bone density 4- Hypercholesterolemia

1

A nurse is asked to auscultate the fetal heart sounds in a pregnant client. Which of the following equipment is most appropriate when auscultating fetal heart sounds at the 12th week? 1- Doppler 2- Fetoscope 3- Tocodynometer 4- Stethoscope

1

A nurse is assessing a client's nutritional intake during pregnancy. What is the best method for accomplishing this? 1- enacting a 24-hour nutrition recall 2- weighing the client 3- calculating the client's BMI 4- having the client describe her food cravings

1

A nurse is counseling a couple who have a 5-year-old daughter with Down syndrome. The nurse recognizes that their daughter's genome is represented by which chromosone combination? 1- 47XX21+ 2- 47XY21+ 3- 46XX 4- 46XX5p-

1

A nurse is helping a patient prepare for ultrasound examination. Which intervention would be most appropriate for the nurse to implement? 1- Have the patient drink several full glasses of water before the procedure 2- Have the woman void before the procedure 3- Have the father of the child leave the room to avoid x-ray exposure 4- Place a towel under her left buttock

1

A nurse is providing prenatal care to a pregnant woman. Understanding a major component of this care, the nurse would conduct a risk assessment for: 1- genetic conditions and disorders. 2- infant nutritional needs. 3- family dynamics. 4- cultural differences.

1

A pregnant client is scheduled to undergo chorionic villi sampling (CVS) to rule out any birth defects. Ideally, when should this testing be completed? 1- 10 to 12 weeks of gestation 2- 7 to 9 weeks of gestation 3- 5 to 6 weeks of gestation 4- 4 to 5 weeks of gestation

1

A pregnant client is undergoing a fetal biophysical profile. Which parameter of the profile helps measure long-term adequacy of the placental function? 1- amniotic fluid volume 2- fetal heart rate 3- fetal breathing record 4- fetal reactivity

1

A pregnant client reports chewing on ice throughout the day. Which laboratory value would the nurse evaluate? 1- serum iron level 2- serum potassium level 3- serum glucose Level 4- serum sodium level

1

A pregnant woman asks the nurse about using herbal rememdies while she is pregnant. The nurse recommends that the woman talk with her health care provider about their use based on which understanding? 1- They are not rated with regard to safety during pregnancy. 2- They can create nutritional deficiencies in the mother and fetus. 3- They are known to cause teratogenic effects in the fetus. 4- They have been proven to cause early labor.

1

A pregnant woman has been diagnosed with pica since she eats lead pain 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? 1- neurological challenges 2- cataracts 3- fetal growth restriction 4- spontaneous abortion

1

A woman in early pregnancy asks you why she has palmar erythema. Your reply would be based on the principle that palmar erythema is most likely caused by which of the following? 1- An increased estrogen level 2- An allergy to fetal protein 3- Reduced serum protein 4- Chorionic gonadotropin hormone secretion

1

A woman in her third trimester complains to the nurse of significant back pain. The nurse questions the client carefully and records a detailed account of her back symptoms. What is the best rationale for the nurse evaluating the client's back symptoms with such care? 1- Back pain could be a sign of bladder or kidney infection 2- Back pain could be a sign of degenerated discs 3- Back pain could be a result of a soft mattress 4- Back pain could be a result of improper lifting

1

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

1

A young couple are very excited to discover they are pregnant and ask the nurse when to expect the baby. Based on a July 20 LMP, which day will the nurse predict for delivery? 1- April 27 2- March 13 3- April 13 4- May 20

1

During a routine antepartal visit, a pregnant woman reports a white, thick vaginal discharge. What would the nurse do next? 1- Ask the woman if she is having any itching or irritation. 2- Tell the woman that this is entirely normal. 3- Advise the woman about the need to culture the discharge. 4- Check the discharge for evidence of ruptured membranes.

1

The nurse is assessing a 27-year-old woman pregnant for the first time during her initial visit to the obstetric clinic. The patient is currently at 8 weeks' gestation. During the assessment, the patient reports that she is experiencing sharp stabbing pains in her lower abdomen, especially when she changes position. How would the nurse document this finding? 1- The patient is having growing pains 2- The patient is having a miscarriage 3- The patient is having preterm labor 4- The patient is having Braxton Hicks contractions

1

The nurse teaches a pregnant patient the manifestations associated with complications while pregnant. Which statement indicates that additional patient teaching is needed? 1- "Pain with urination is expected during pregnancy." 2- "I should call the doctor if I have any vaginal bleeding." 3- "A sudden rush of fluid means that my membranes ruptured. 4- "I should not worry if I vomit once a day for the first 12 weeks."

1

Untreated hyperemesis can lead to preterm birth. What is the cause of the preterm birth? 1- severe dehydration resulting in hypoperfusion of the placenta 2- ketonuria resulting in neurologic changes in the fetus 3- poor nutrient intake resulting in poor fetal growth 4- class B drugs used to control the vomiting resulting in uterine contractions

1

Which event will result in zygote formation? 1- The nucleus of the ovum and sperm make contact and combine chromosomes. 2- The nucleus of the ovum carries forth the genetic information at implantation. 3- The nucleus of the sperm and the fallopian tube make contact and combines chromosomes. 4- The nucleus of the sperm carries forth the genetic information at implantation.

1

A nurse is assigned to educate a pregnant client regarding the changes in the structures of the respiratory system taking place during pregnancy. Which conditions are associated with such changes? Select all that apply. 1- nasal and sinus stuffiness 2- persistent cough 3- nosebleed 4- Kussmaul respirations 5- thoracic rather than abdominal breathing

1,2,3

A nurse is caring for a pregnant client who is in labor. Which maternal physiologic responses should the nurse monitor for in the client as the client progresses through birth? Select all that apply. 1- increase in heart rate 2- increase in blood pressure 3- increase in respiratory rate 4- slight decrease in body temperature 5- increase in gastric emptying and pH

1,2,3

A nurse is reviewing the medical records of several women who come to the prenatal clinic for care. The nurse plans to increase the number of teaching sessions on nutrition for the women at risk for poor nutritional status. Which woman would the nurse most likely identify as needing the additional sessions. Select all that apply. 1- A woman who is 42-years of age 2- A woman whose prepartum weight was less 85% of ideal weight. 3- A woman who shows a weight gain of 2 or more pounds per week. 4- A woman who has elevated hemoglobin and hematocrit levels. 5- A woman who engages in exercise of 30 minutes per day.

1,2,3

After teaching a class of newly pregnant women about the many changes the female body undergoes during pregnancy, the nurse determines that the teaching was successful when the class identifies which hormones as being secreted by the placenta? Select all that apply. 1- hCG 2- relaxin 3- estrogen 4- testosterone 5- cortisol

1,2,3

During a previous prenatal visit, the nurse focused on the importance of adequate nutritional intake with a pregnant patient. Which assessment findings indicate that this teaching has been effective? (Select all that apply.) 1- Shiny hair 2- Smooth tongue 3- Conjunctiva pale 4- Chipped finger nails 5- Normal muscle reflexes

1,2,5

In evaluating expected outcomes of a client, what might a nurse consider priority when working with genetic counseling? (Select all that apply.) 1- The couple receives test results timely. 2- The couple states understanding of inheritance. 3- The couple need no further information. 4- The couple is happily married. 5- The couple demonstrates positive coping skills.

1,2,5

During a clinical rotation at a prenatal clinic, a client asks a nurse what causes certain birth defects. The nurse replies that they can be caused by teratogens. What does the severity of the defects depend on? Select all that apply. When during development the conceptus is exposed to the teratogen 1- The age of the father 2- The particular teratogen to which the fetus is exposed 3- The age of any siblings 4- The food prefernces of the father

1,3

The nurse is instructing on maternal hormones which may impact the onset of labor. Which hormones are included in the discussion? Select all that apply. Testosterone 1- Oxytocin 2- Thyroxin 3- Progesterone 4- Prostaglandins 5- Insulin

1,3,4

A nurse is discussing fetal development with a pregnant woman. The woman is 12 weeks pregnant and asks, "What's happening with my baby?" Which information would the nurse integrate into the response? Select all that apply. 1- continued sexual differentiation 2- eyebrows forming 3- startle reflex present 4- digestive system becoming active 5- lanugo present on the head

1,4

A client who is 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? 1- "You only have a few more weeks until the birth and then you will breathe fine again" 2- "The enlarging uterus pushes against your diaphragm and this makes breathing shallow" 3- "Oxygen requirements are increasing in your body because the fetus is growing" 4- "Don't worry about this because it is a normal change that occurs with pregnancy"

2

A nursing instructor is teaching students about genetic disorders and briefly discusses how women can arrange to have a newborn's cord blood frozen and banked. What does the instructor tell students that this blood may be used for in the future? 1- blood transfusions 2- bone marrow transplantation 3- diagnostic tests 4- future problems with bleeding

2

A pregnant client's last menstrual period was March 10. Using Naegele's rule, the nurse estimates the date of birth to be: 1- January 7. 2- December 17. 3- February 21. 4- January 30.

2

A pregnant woman tells you that she wants to avoid saturated fat by using vegetable oil. What is another advantage of vegetable oil? 1- Aids fluid balance 2- Contains linoleic acid 3- Stimulates kidney function 4- Has a high potassium level

2

A urinalysis is done on a client in her third trimester. Which result would be considered abnormal? 1- Trace of glucose 2- 2+ Protein in urine 3- Specific gravity of 1.010 4- Straw-like color

2

A woman you care for in a prenatal clinic tells you that her pregnancy was unplanned and unwanted. At what point in pregnancy does the average woman change her mind about an unwanted pregnancy? 1- Around the third month 2- When quickening occurs 3- After lightening happens 4- After the seventh month

2

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? 1- membrane rupture 2- fetal tachycardia 3- rebound maternal hypothermia 4- urinary incontinence

2

Pica is a craving for nonfood items such as laundry starch, clay, or ice. What problem is associated with pica? 1- Excessive weight gain 2- Iron deficiency 3- Lead contamination 4- Diarrhea

2

The nurse is assessing a client at her first prenatal visit and notes that she is exposed to various chemicals at her place of employment. Which statement by the client would indicate she needs additional health education to protect her and her fetus? 1- "I only work four hours a day so I don't get exposed too much." 2- "The gloves they provide irritate my hands, so I don't use them." 3- "There hasn't been a chemical spill in three years." 4- "I have an assistant helping me now to handle the chemicals."

2

The nurse is assessing a pregnant client in her third trimester who is reporting a first-time occurrence of constipation. When asked why this is happening, what is the best response from the nurse? 1- There is not enough fiber in your diet. 2- The intestines are displaced by the growing fetus. 3- This shouldn't be happening. 4- hCG is delaying peristalsis.

2

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? 1- "By this time, the fundus should drop down lower because the baby is moving towards the pelvic inlet." 2- "At 36 weeks' gestation, the fundus is in the normal expected location." 3- "To be honest, the fundus should be lower since you have gained minimal weight." 4- "Just get prepared, the fundus might actually get a little higher until a few days before you go into labor."

2

The nurse is concerned that a pregnant patient is not adjusting emotionally to being pregnant. Which statement indicates that the patient may need additional counseling? 1- "I cannot wait to lose all of this excess weight." 2- "I need to get right back to work after delivery." 3- "My mother has been so helpful during this time." 4- "My dad has already purchased toys for the baby!"

2

The nurse is preparing a client for a chorionic villi sampling procedure. Which factor should the nurse point out in the teaching session to the client? 1- "The results should be available in about 2 weeks." 2- "You'll have an ultrasound first and then the test." 3- 'Afterward, you can resume your exercise program." 4- "This test is very helpful for identifying spinal defects."

2

What advice should the nurse provide to a pregnant client who admits to continuing to drink alcohol 1 to 2 times a week? 1- She should avoid alcohol in the first trimester. 2- Alcohol should not be consumed during pregnancy. 3- The affects of alcohol on the fetus are not fully understood. 4- She may have an occasional drink after the first trimester.

2

What medication should the nurse advise a woman to discontinue prior to becoming pregnant because it will damage the developing dental and osseous tissue in the fetus? 1- chemotherapy agents 2- tetracycline 3- acetaminophen 4- ibuprofen

2

Which statement would indicate a pregnant nurse needs additional health teaching about avoiding teratogens during pregnancy while at work? 1- "I care for about five clients a day." 2- "Latex gloves irritate my hands, so I don't use them." 3- "I never accompany clients to the X-ray department." 4- "I find giving emotional support taxing."

2

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? 1- "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." 2- "Smoking during pregnancy places your baby at an increased risk of intellectual disability." 3- "Babies of women who smoke tend to weigh significantly less than other infants." 4- "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."

3

A 29-week-gestation client is admitted with moderate vaginal discharge. The nurse performs a nitrazine test to determine if the membranes have ruptured. The nitrazine tape remains yellow to olive green, with pH between 5 and 6. What should the nurse do next? 1- Prepare the client for birth. 2- Assess the client's cervical status. 3- Notify the health care provider. 4- Perform Leopold's maneuver.

3

A client at 16 weeks' gestation comes to the office for a routine exam. At what location within the abdomen would the nurse anticipate the uterus to be found? 1- At the level of the umbilicus 2- At the xiphoid process 3- Halfway between the symphysis pubis and the umbilicus 4- Below the symphysis pubis

3

A client in her third trimester of pregnancy wishes to formula feed her baby. What instruction should the nurse provide? 1- Mix one scoop of powder with an ounce of water. 2- Feed the infant every 8 hours. 3- Serve the formula at room temperature. 4- Refrigerate any leftover formula.

3

A nurse at the health care facility assesses a client in the 20th week of gestation. The client is healthy and progressing well, without any sign of complications. Where should the nurse expect to measure the fundal height in this client? 1- at the top of the symphysis pubis 2- halfway between the symphysis pubis and the umbilicus 3- at the level of the umbilicus 4- at the xiphoid process

3

A pregnant client reports an increase in a thick, whitish vaginal discharge. Which response by the nurse would be most appropriate? 1- "You should refrain from any sexual activity." 2- "You need to be assessed for a fungal infection." 3- "This discharge is normal during pregnancy." 4- "Use a local antifungal agents regularly."

3

A pregnant woman is asked to observe fetal movements as a fetal-assessment technique. You would instruct her to 1- report if she feels no movement for any half-hour period. 2- count only movements that are strong enough to hurt. 3- count fetal movements for 1 hour at the same time each day. 4- choose a different time frame each day to count movements.

3

A woman who has just found out that she is pregnant tells the nurse that she takes docusate sodium (colace). The nurse identifies this drug as a category C medication. Which information best reflects the nurse's understanding of this category? 1- Adequate studies in pregnant women have failed to show risk to the fetus 2- Animal studies have not shown an adverse effect on the fetus, but no adequate clinical studies have been done in pregnant women. 3- Animal studies have shown an adverse effect on the fetus, but no adequate studies have been done in humans. Pregnancy risk is unknown. 4- Evidence of risk to the human fetus has been noted, but potential benefits of use for pregnant women may make its use acceptable despite potential risks. 5- Studies in animals and in humans show fetal abnormalities, or adverse reaction reports indicate evidence of fetal risk. Risks involved clearly outweigh potential benefits.

3

At a prenatal appointment, a woman who is 3 months pregnant confides to you that she ingests starch because of a craving she has had since adolescence. She is now 26 years old. What would be your most appropriate response? 1- Arrange for a separate appointment to prepare instructions about the hazards of ingesting nonfood substances. 2- Emphasize the protein, vitamin, and iron needs of pregnancy nutrition. 3- Suggest she have a hemoglobin assessment done because of the association between pica and iron-deficiency anemia. 4- Kindly but firmly scold her to discourage the habit.

3

The nurse is assessing a pregnant client at her 12 weeks' gestation and the client reports some new bumps on the dark part of her nipples. What is the best response from the nurse when questioned by the client as to what they are? 1- Normal bumps of pregnancy; they do nothing 2- Might be sign of cancer; need to speak with provider 3- Montgomery tubercles; secrete lubricant for the nipples 4- Striae, stretching of the breast tissue

3

The school nurse is presenting a lecture to adolescents to teach them how conception occurs. Which statement by the nurse would accurately describe this process? 1- "Human life begins with the union of two cells: the zygote and the sperm." 2- "At the time of conception, the ovum determines the sex of the baby." 3- "Conception usually occurs when the ovum is in the outer third of the fallopian tube." 4- "The ovum carries the Y chromosome, and the sperm carries an X or Y chromosome."

3

When describing the role of a doula to a group of pregnant women, the nurse would include which information? 1- The doula is a professionally trained nurse hired to provide physical and emotional support. 2- The doula can perform any necessary clinical procedures. 3- The doula primarily focuses on providing continuous labor support. 4- The doula is capable of handling high-risk births and emergencies.

3

Which change in the musculoskeletal system would the nurse mention when teaching a group of pregnant women about the physiologic changes of pregnancy? 1- ligament tightening 2- decreased swayback 3- increased lordosis 4- joint contraction

3

You are discussing weight gain with a group of pregnant women at the clinic. One woman is very thin and her prepregnancy weight falls below the normal weight range for her height. What is her recommended weight gain during her pregnancy? 1- 40 to 50 pounds 2- 35 to 50 pounds 3- 28 to 40 pounds 4- 20 to 30 pounds

3

A nurse is reviewing a journal article about fetal development and the formation of various body systems. When reading about the development of the digestive system, the nurse finds information related to the developmental abnormality of omphalocele. The nurse demonstrates understanding of this information by identifying which situation as the reason for an omphalocele? 1- Fetus suffered a bowel obstruction at an early point in life. 2- Fetal abdomen formed with a smaller internal cavity than normal. 3- Intestines formed without sufficient nerve innervation for contraction. 4- Intestines failed to return to the abdominal cavity during intrauterine life.

4

A nursing student is explaining to a newly pregnant woman what happens during each stage of fetal development. At which stage does the nurse inform the woman that the lungs are fully shaped? 1- end of 4 weeks 2- end of 8 weeks 3- end of 12 weeks 4- end of 16 weeks

4

A patient is concerned about the mercury levels in fish and asks the nurse which fish are safe to eat. The best response is 1- Mackerel, king fish, tilefish, and shrimp 2- Fresh salmon, shark, and swordfish 3- Tilefish, shark, and tuna 4- Shrimp, canned tuna, pollack, and catfish

4

A pregnant client who is planning to have genetic testing asks the nurse when she should schedule her amniocentesis. What should the nurse tell the client? 1- 10 weeks 2- 24 weeks 3- 30 weeks 4- 16 weeks

4

A woman who is 4 months pregnant notices frequent heart palpitations and leg cramps. She is anxious to learn how to alleviate these. Which nursing diagnosis would best apply to her? 1- Impaired urinary elimination related to inability to excrete creatine from her muscles 2- Risk for ineffective breathing pattern related to pressure of the growing uterus 3- Pain related to severe complications of pregnancy 4- Health-seeking behaviors related to ways to relieve discomforts of pregnancy

4

Which statement by the pregnant woman shows an understanding that she should avoid teratogens in the first trimester? 1- "It's okay for me to continue taking my tetracycline for my acne." 2- "I am going to have an X-ray this week. My neck is bothering me." 3- "One or two glasses of wine at night won't hurt. Wine helps relax me." 4- "I have to call my doctor to switch me from lithium to another drug for my bipolar disorder."

4

Which two tests are generally performed on urine at a prenatal visit? 1- protein and sodium 2- pH and glucose 3- occult blood and protein 4- protein and glucose

4