OB Study Guide Ch. 20

14. A nurse caring for a pregnant client utilizes the RAFFT screening instrument to assess possibility of substance abuse. What question does the "R" in RAFFT refer to?

Ans: "Do you drink or take drugs to relax?"

12. A nurse is caring for a 45-year old pregnant client with a cardiac disorder, who has been instructed by her physician to follow Class I functional activity recommendations. The nurse correctly instructs the client to follow which limitations?

Ans: "You do not need to limit your physical activity unless you experience any problems such as fatigue, chest pain, or shortness of breath."

5. A nurse is caring for a pregnant client with heart disease in a labor unit. Which of the following is the most important intervention for this client in the first 48 hours postpartum?

Ans: Assessing for cardiac decompensation

6. A nurse is caring for a pregnant client with asthma. Which of the following interventions should the nurse include during physical examination of this client?

Ans: Assessing for signs of fatigue

18. A nurse is caring for a pregnant client with sickle cell anemia. What should the nursing care for the client include? Select all that apply

Ans: Teach the client meticulous hand-washing Ans: Assess hydration status of the client at each visit Ans: Urge the client to drink 8-10 glasses of fluid daily

13. A nurse is caring for a pregnant client who is HIV-positive. What is a priority issue that the nurse should discuss with the client?

Ans: The need for the client to avoid breastfeeding

9. A nurse is caring for a client with CVD who has just delivered. What nursing intervention should the nurse perform when caring for this client? Select all that apply

Ans: Assess for shortness of breath Ans: Assess for a moist cough Ans: Assess for edema and note any pitting Ans: Auscultate heart sounds for abnormalities

10. A nurse is caring for a pregnant client who works at a daycare center and is in regular contact with children. What instructions should the nurse five this client in order to minimize risk of transmission of cytomegalovirus to the fetus?

Ans: Ensure thorough hand-washing

7. What important instruction should the nurse give a pregnant client with tuberculosis?

Ans: Maintain adequate hydration

20. A nurse is documenting a dietary plan for a pregnant client with pregestational diabetes. What instructions should the nurse include in the dietary plan for this client?

Ans: Include complex carbohydrates in the diet

15. A nurse is caring for a pregnant client. The initial interview reveals that the client is accustomed to drinking coffee at regular intervals. What possible effect of maternal coffee consumption during pregnancy should the nurse make the client aware of?

Ans: Increased risk of anemia

11. A nurse is caring for a pregnant adolescent client, who is in her first trimester, during a visit to the maternal child clinic. Which of the following is an important area that the nurse should addresss during assessment of the client?

Ans: Knowledge of the child development

17. A pregnant client has been diagnosed with gestational diabetes. Which of the following are risk factors for developing gestational diabetes? Select all that apply

Ans: Obesity Ans: Hypertension Ans: Previous large for gestational age (LGA) infant

1. A nurse is caring for a pregnant client. The nurse learns from the report that the client is diabetic. Which of the following should the nurse identify as the effect of insulin resistance in the client?

Ans: Postprandial hyperglycemia

8. Which of the following should the nurse identify as a risk associated with anemia during pregnancy?

Ans: Preterm birth

2. During the assessment of a pregnant client, the nurse learns that the client has CVD. Which of the following should the nurse identify as a major risk that can be faced by the newborn of the client?

Ans: Respiratory distress syndrome

19. A nurse id caring for a newborn with fetal alcohol spectrum disorder. What characteristic of the fetal alcohol spectrum disorder should the nurse assess for in the newborn

Ans: Small head circumference

16. The nurse is caring for a pregnant client who indicates that she is fond of meat, works with children, and has a pet cat. Which of the following instructions should the nurse give this client to prevent toxoplasmosis? Select all that apply

Ans: Eat meat cooked to 160F Ans: Avoid cleaning the cat's litter box Ans: Avoid outdoor activities such as gardening

3. What is the role of the nurse during the preconception counseling of a pregnant client with chronic hypertention?

Ans: Stressing the positive benefits of a healthy lifestyle

4. The nurse is caring for a pregnant client who is in her 30th week gestation and has congenital heart disease. Which of the following should the nurse recognize as a symptom of cardiac decompensation with this client?

Ans: Swelling of the face