New Fam Exam 2 prep U

When describing perinatal education to a pregnant woman and her partner, the nurse emphasizes which goal as the primary one?

Provide knowledge and skills to actively participate in birth and parenting.

The nurse understands that the maternal uterus should be at what location at 20 weeks' gestation?

at the level of the umbilicus

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 28 weeks, then every 2 weeks until 36 weeks. and then weekly until birth

The nurse teaches a pregnant patient the manifestations associated with complications while pregnant. Which statement indicates that additional patient teaching is needed?

pain with urination as expected during pregnancy

Utilize the GTPAL system to classify a woman who is currently 18 weeks pregnant. This is her 4th pregnancy. She gave birth to one baby vaginally at 26 weeks who died, experienced a miscarriage, and has one living child who was delivered at 38 weeks gestation.

4,1,1,1,1

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?

Arrange for Rho(d) immune globulin at 28 weeks gestation

Which disease process would the nurse screen for under potential genetic disorders?

Cystic Fibrosis

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 knoledge

A nurse is classifying the pregnancy history of a woman who has had five pregnancies: three full-term, one preterm, and one abortion, with four children still living. How would the nurse document this information on the client's chart using the GTPAL system?

G5 P3.1.1.4

The nurse is educating a woman about the importance of folic acid before conception and during pregnancy, to prevent neural tube defects in the fetus. The client plans to take prenatal vitamins and minerals. What food source would the nurse recommend to add to the woman's diet?

Green leafy vegetables

Which medical pair is the highest concern if reported during a pregnant client's medical history?

Heart disease and diabetes

The nurse is assessing a client's risk for sexually transmitted infections. Which statement by the client would be cause for concern?

I am unsure who the father of the baby is. I will be raising it alone.

client's last menstrual period was April 11. Using the Naegele rule, her estimated date of delivery (EDD) would be:

January 18th

A woman reports that her LMP occurred on January 10, 2017. Using Naegele rule, what is her due date?

October 17, 2017

The nurse is assessing a woman who is pregnant for the first time. Which of the following terms applies to this client?

Primigravida

Which two tests are generally performed on urine at a prenatal visit?

Protein and glucose

A nurse at the health care facility assesses a client at 20 weeks' 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?

at the level of the umbilicus.

Which information is most important in order to decrease the risk of complications if the client decides to work until her due date?

frequent rest periods

A pregnant client at 18 weeks' gestation has arrived for her routine prenatal visit. Which assessment findings should the nurse prepare to document at this time? Select all that apply.

fundal height of approximately 18 cm

A nurse is providing care to a pregnant woman. To promote optimal outcomes, the nurse would engage in which activity? Select all that apply.

individualized assessment counseling teaching

The nurse is caring for a client having a contraction stress test. Once placing the client on the fetal monitor, it is noted that she is not currently having any Braxton Hicks contractions. If the client does not want medication to initiate contractions, which is then best to suggest?

inducing through nipple stimulation

An adolescent at 8 weeks' gestation is at her first prenatal visit. During the health history interview, the nurse asks the client, "Are you afraid of anyone?" What is the nurse assessing with this question?

intimate partner violence

The nurse is educating the client at 12 weeks' gestation regarding the best types of exercise throughout pregnancy. Which activities should the nurse encourage?

stretching and breathing exercises such as yoga.

The client is 32 weeks pregnant and has been referred for 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 an ultrasound that measures breathing body movement, tone, and amniotic fluid volume

While triaging messages from the answering machine from clients with the following symptoms, which client would obtain the first visit of the day?

the client that is 11 weeks and having abdominal cramps.

The nurse is assisting a primigravid on calculating the due date of her baby using Naegele's rule. The most important information provided by the mother is:

the first day of the last menstrual period

A gravida woman in her second trimester has shared that she still enjoys a glass of wine about once a week with dinner. What response by the nurse is most appropriate?

there is no amount of alcohol consumption in pregnancy that is considered safe of the fetus.

The nurse receives a call from a concerned client, who is 39 weeks' gestation, indicating the woman has "blood-tinged mucus seeping from the vagina." What does the nurse understand about this?

this is known as :bloody show" and is normal finding at this time.

A nurse is reviewing the obstetric history of a pregnant woman who has come to the clinic for a visit. The history reveals that the woman is "gravida 3, para 2." Which interpretation by the nurse would be appropriate?

tow previous pregnancies. two live births, and currently pregnant.

A nurse is assessing a pregnant client. Which of the following would the nurse document as an abnormal finding in a pregnancy?

visual changes