OB Chapter 65

A pregnant woman asks the nurse about the purpose of estrogen. The nurse's response would be based on her knowledge of which of the following purpose of estrogen?

It stimulates uterine development to provide an environment for the fetus and stimulates the breasts to prepare for lactation.

The nurse is determining a pregnant client's estimated date of delivery (EDD) using Nagele Rule. The date of the first day of the woman's last normal menstrual period (LNMP) was April 20. What would be he EDD?

January 27

A nurse is caring for a client who is pregnant and states that her last menstrual period was April 1. Which of the following is the client's estimated date of delivery?

January 8

The zygote divides rapidly to form a ball of about 16 identical cells, which is called a/an:

Morula

Which schedule accurately states is the recommended timetable for prenatal care visits?

Once every 4 weeks for the first 28 weeks, then every 2 weeks until 36 weeks, and then weekly until the birth

A nurse is reviewing a prescription for iron supplements with a client who is at 8 weeks of gestation and has iron deficiency anemia. Which of the following beverages should the nurse instruct the client to take the iron supplements with?

Orange juice

Gestation

Period of time from the moment the sperm fertilizes the ovum until the birth of the newborn

A woman who is 26 weeks' pregnant is brought to the ER reporting vaginal bleeding with severe abdominal pain. What complication of pregnancy is associated with this assessment data?

Placental abruption

Quickening

Slight fluttering movements of fetus felt by a woman

A primigravida client has come to the clinic for a prenatal checkup. What teaching topics would help to promote a healthy pregnancy for this client?

Swimming in a pool is a recommended exercise during pregnancy

Which statement describes a process associated with a congenital heart defect?

The foramen ovale remains opens

A woman who is 28 weeks' pregnant presents to the clinic for her scheduled prenatal visit. the nurse- midwife measures her fundal height at 32 cm. What action does the nurse expect the midwife to take regarding this finding?

The midwife will order a sonogram to confirm dates.

A nurse working in a prenatal clinic reviews a client's chart and notes that the physician documents that the client has a gynecoid pelvis. Based on this documentation, the nurse determines that this type of pelvis is:

The most favorable for labor and birth

In what period of development would the nurse explain to pregnant couple that most congenital defects occur?

The period of the embryo

The nurse is describing the process of fetal circulation to a client during a prenatal visit. The nurse should tell the client that fetal circulation consists of which components?

Two umbilical arteries and one umbilical vein

A nurse is reinforcing teaching with a group of clients about measures to relieve backache during pregnancy. Which of the following measures should the nurse include? (Select all that apply.)

Use proper body mechanics Perform the pelvic rock exercises every day

The nurse is checking a client for the probable signs of pregnancy and was able to recognize which of the following. Select all that apply.

Uterine enlargement Chadwick's sign Braxton Hicks contractions Ballottement

A name is educating a 22-year old primigravid client about the danger signs of pregnancy. Which is a danger sign of pregnancy?

Vaginal bleeding

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

Visual changes

Chadwick's sign

deepened violet-bluish color of cervix and vaginal mucosa

trimester

distinct 3 month periods that pregnancy is divided into

Heagar's sign

softening and compresibility of the lower uterus

Goodell's sign

softening of cervical tip

Straie gravidarum

stretch marks

Gravida

total number of pregnancies a woman has had including the current pregnancy

Fertlilization

union of two cells, the ovum and the sperm which occurs in the outer third of the fallopian tube

What response should the nurse make when asked the purpose of amniotic fluid?

"Amniotic fluid cushions your baby to prevent injury."

The school nurse is presenting a lecture to adolescents explaining how conception occurs. Which statement by the nurse would accurately describe this process?

"Conception usually occurs when the ovum is in the outer third of the fallopian tube."

A pregnant woman at her first prenatal visit asks the nurse if it is safe to have sec during her pregnancy. Which client statement alerts the nurse to the need for further teaching?

"I should substitute intercourse with nonsexual touch to avoid harming the fetus."

The nursing instructor asks a nursing student to describe the process of quickening. Which of the following statements, if made by the student, indicates an understanding of this term?

"It is the fetal movement that is felt by the mother."

A client who is at 3 weeks of gestation tells the nurse that she isn't sure she is happy about being pregnant. Which of the following responses should the nurse make?

"It's normal to have these feelings during the first few months of pregnancy."

The nurse is teaching a prenatal class about preparing for their expanding families. What statement should the nurse include?

"The hormones of pregnancy may cause anxiety or depression postpartum."

A G1 at 20 weeks' gestation is at the clinic for a pre- natal visit. She tells the nurse that she has been reading about "group B strep disease" on the internet. She asks when she can expect to be checked for the bacteria. How does the nurse best reply?

"The obstetrician normally cultures for group B strep after 35 weeks and before delivery."

A nurse in a clinic receives a phone call from a client whose period is 1 week late and requests a pregnancy test. Which of the following information should the nurse provide to the client?

"You should collect the urine from your first morning void."

A nurse in a prenatal clinic is caring for four clients. Which of the following client's weight gain should the nurse report to the provider?

11.3 kg (25 lb) weight gain in the third trimester

During a prenatal visit, the nurse checks the fetal heart rate (FHR) of a client in the third trimester of pregnancy. The nurse determines that the FHR is normal if which heart rate is noted?

150 beats per minute

A pregnant client asks the nurse in the clinic when she will e able to start feeling the fetus move. The nurse responds by telling the mother that fetal movements will be noted between which weeks of gestation?

16 to 20 weeks of gestation

The nurse is advising an active pregnant woman on nutritional needs to maintain a healthy pregnancy. What would the nurse state is the average total additional energy (calorie) requirement during pregnancy?

2,500 to 3,500 calories per day

The nurse is collecting data from a pregnant client who is at 20 weeks' gestation. The nurse measures the fundal height in centimeters and expects the finding to be which of the following?

22 cm

The nurse is reviewing the record of a client who has just been told that her pregnancy test is positive. The nurse notes that the health care provider has documented the presence of Goodell's sign. The nurse determines that this sign is indicative of which change that occurs with pregnancy?

A softening of the cervix

What information should the nurse provide a newly pregnant woman?

Avoid wearing high heels, especially during late pregnancy

Implantation

Burrowing in the attachment of blastocyst to the endometrium

A nursing student is assigned to a client in labor. The nursing instructor asks the student to describe fetal circulation, specifically the ductus venosus. The student understands the structure of the ductus venosus as:

Connects the umbilical vein to the inferior vena cava

A nurse is prenatal clinic is reinforcing education with a client who at 8 weeks of gestation. The client states that she does not like milk. Which of the following foods should the nurse recommend as a good source of calcium?

Dark green leafy vegetables

The nurse is teaching a pregnant client in her last trimester about interventions to help reduce risks of complications during pregnancy. Which guidelines are recommended?

During the last month, rest on the left side for at least an hour, morning and afternoon.

A client who is at 7 weeks of experiencing nausea and vomiting in the morning. Which of the following information should the nurse include?

Eat crackers or plain toast before getting out of bed

A client diagnosed with type 1 diabetes is planning to have her first baby comes to the healthcare facility for a preconceptual visit. Which instruction should the nurse give the client as part of preconceptional care?

Eat sour, salty foods (potato chips, lemonade) to prevent nausea

Many women do not keep an accurate record of their menstrual periods or may not have regular periods for many different reasons. How is the estimated date of delivery determined?

Estimating fetal age by ultrasound examination

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?

Excessive vomiting

The nurse is explaining to a primigravida how the zygote becomes implanted into the uterus. How would the nurse describe the structure formed in this process known as the blastocyst?

First one, then two layers of cells surround a fluid-filled space

A pregnant client reports a variety of discomforts associated with her pregnancy. Which should the nurse assure her is a common discomfort of pregnancy?

Frequent urination

A nurse is classifying the pregnancy history of a woman who has had five pregnancies: three full-term, one preterm, and one abortion. How would the nurse document this information on the client chart?

G5 P3114

The nurse is collecting data during the admission assessment of a client who is pregnant with twins. The client has a healthy 5 year old who was delivered at 38 weeks, and she tells the nurse that she does not have a history of any type of abortion or fetal demise. The nurse would document the GTPAL for the client as:

G=2, T=1, P=0, A=0, L=1

A 30-year old client has missed her menstrual period and is eager to know if she is pregnant. Which signs ensures that the client is pregnant?

Hearing a fetal heartbeat

Which statements accurately describe a function of the placenta? (Select all that apply.)

It carries waste away for excretion by the mother