OB ch. 12
D
A client comes to the prenatal clinic for her first visit. When determining the client's estimated due date, the nurse understands what which method is the most accurate? a. Nagele's rule b. gestational wheel c. birth calculator d. ultrasound
C
A client at 28 weeks' gestation is asking for a laxative for constipation. What action would the nurse recommend? a. Take a fiber-based laxative. b. Use a water-based enema. c. Eat fiber rich foods. d. Insert a glycerin suppository.
A
A woman is in her early second trimester of pregnancy. The nurse would instruct the woman to return for a follow-up visit every: a. 4 weeks. b. 3 weeks. c. 2 weeks. d. 1 week.
A
During pregnancy the cardinal rule regarding on taking medications and herbal remedies is that all drugs cross the placenta and have a potential impact on the fetus. What is one disease where treatment must continue during pregnancy? a. asthma b. gout c. cholelithiasis d. gastritis
C
During the first prenatal visit an extensive history is collected from the client. What is one part of this extensive history? a. family history to great-grandparents b. parenting history c. social history d. parents' reproductive history
B
During the physical exam at the first prenatal visit a speculum exam is performed. What sign of pregnancy does the practitioner look for during the speculum exam? a. Hagar's sign b. Chadwick's sign c. Nagel's sign d. Goodell's sign
B
The nurse discovers a new prescription for RhoGAM for a client who is about to undergo a diagnostic procedure. The nurse will administer the RhoGAM after which procedure? a. Contraction stress test b. Amniocentesis c. Nonstress test d. Biophysical profile
D
Which possible complication associated with back pain can lead to premature contractions? a. increased intracranial pressure b. leak of spinal fluid into the epidural space c. herniated disc d. bladder or kidney infection
D
Which two tests are generally performed on urine at a prenatal visit? a. protein and sodium b. pH and glucose c. occult blood and protein d. protein and glucose
A
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? a. at 28 weeks b. at 32 weeks c. at 36 weeks d. only at birth
B
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? a. G3, T1, P0, A2, L1 b. G3, T0, P1, A1, L1 c. G2, T1, P2, A1, L2 d. G2, T0, P1, A1, L1
A
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? a. Continue to gain approximately 1 lb (.45 kg) per week during this pregnancy. b. Watch the diet so no additional weight is gained during this pregnancy. c. Limit weight gain to less than 5 lb (2 kg) for the remainder of this pregnancy. d. Increase weight gain to 1.5 lb (0.68 kg) per week during this pregnancy.
A
At the first prenatal visit, the client reports her LMP was November 16, 2017. The nurse determines the estimated due date to be: a. August 23, 2018. b. August 13, 2018. c. August 3, 2018. d. September 1, 2018.
B
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? a. Intrauterine growth retardation b. Multiple fetal pregnancy c. Deficient amniotic fluid d. Urinary retention
B
The nurse is assisting a pregnant client who has just underwent a nonstress test that was ruled reactive. Which factor will the nurse point out when questioned by the client about the results? a. There is no evidence of congenital anomalies or deformities. b. The fetal heart rate increases with activity and indicates fetal well-being. c. The fetus is developing at a fast rate but doing fine. d. The results indicate a stress test is needed for further evaluation.
A, B, C
A client reports prolonged nausea, vomiting every morning for the past week, and no appetite. The pregnancy test comes back positive. What recommendation should the nurse give this client? Select all that apply. a. Take small amounts of liquids between, not with meals. b. Eat a saltine cracker before getting out of bed in the morning. c. Delay eating breakfast until the nausea and vomiting has passed. d. Eat a low-fat diet and eliminate all caffeine. e. Eat a high-protein, low-carb snack during the night.
A, D
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. a. Fundal height of approximately 18 cm b. Insomnia c. Braxton Hicks contractions d. Quickening e. Leg cramps
A, C, E
The nurse is reviewing all of the documentation on determining estimated date of delivery. Which objective data is included? Select all that apply. a. sonogram b. CT Scan c. fundal height d. last day of menstrual period e. calculating Naegele rule f. Pelvic exam findings
B
The nurse is planning a class for nurses learning to teach early prenatal classes. Which statement indicates that teaching has been effective? a. Early prenatal care is needed for a healthy newborn. b. The goal of early prenatal care is to optimize the health of the woman and the fetus. c. The first prenatal visit should be as soon as the woman misses her period. d. Early prenatal care is meant to obtain laboratory work and teach the woman regarding danger signs early in the pregnancy.
B
The nurse is providing care for a pregnant client who has been given the necessary requisitions for laboratory work by the primary care provider. The client notices that the lab tests include testing for HIV and other sexually transmitted infections, and expresses alarm, stating, "I don't understand why the doctor would suspect that I've got these diseases." What is the nurse's most therapeutic statement? a. "Unfortunately, these infections have the potential to harm the fetus. It's important that the doctor identifies them early in your pregnancy." b. "Every pregnant client is tested for these diseases; it doesn't necessarily suggest that the doctor suspects that you have them." c. "Pregnancy is a major change, so every member of the care team makes sure that your health is assessed carefully." d. "Sexually transmitted infections are much more common than most people believe."
