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A client in her third trimester reports sleeping poorly: sleeping on her back results in lightheadedness and dizziness and lying on her side results in no sleep. Which suggestion for sleeping should the nurse prioritize for this client? A. without a pillow B. with a pillow under her shoulders C. with a pillow under her right hip D. with a pillow under both hips

C. with a pillow under her right hip

The nursing instructor is teaching a class on the various hormones necessary for a successful pregnancy and birthing process. The instructor determines the session is successful when the students correctly choose which hormone as being necessary after birth to ensure growth of the newborn? A. Oxytocin B. Estrogen C. Progesterone D. Prolactin

D. Prolactin

The community nurse is preparing a presentation for a health fair illustrating successful pregnancies. Which component should the nurse prioritize as the most critical to ensure a positive psychological experience with the pregnancy by the mother? A. Early prenatal care B. Age at the time of pregnancy C. Having a planned pregnancy D. Social support

D. Social support

The nurse is assessing a 37-year-old woman, pregnant with twins in her second trimester, and notes the following over the past 3 visits: blood pressure 128/88, 134/90, and 130/86. Which nutritional supplement should the nurse suggest the client take? A. vitamin A B. iron C. calcium D. lactase

C. calcium

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? A. Legumes B. Dairy C. Grains D. Meats

D. Meats

. A client in her first trimester reports frequent urination and asks the nurse for suggestions. The nurse should teach the client that the urination is most likely related to which cause? A. Pressure on the bladder from the uterus B. Increased concentration of urine C. Addition of fetal urine to maternal urine D. Decreased glomerular selectivity

A. Pressure on the bladder from the uterus

The nurse is teaching a pregnant teenager the importance of proper nutrition and adequate weight gain throughout the pregnancy. What is the best response when the client refuses to eat due to fear of possible weight gain? A. The infant will be small and could have problems. B. There may be little impact on the infant, but the mother can suffer complications. C. It will just make the baby smaller, but there are no other problems associated. D. The infant will be smaller but should quickly gain weight.

A. The infant will be small and could have problems.

A 17-year-old client arrives for an annual examination and reports no changes since the last exam; however, the nurse assesses a positive Chadwick sign, slightly enlarged uterus, and subsequent positive urine pregnancy test. Which task should the nurse prioritize to assist this client who is denying any possibility that she is pregnant? A. Accepting the pregnancy B. Accepting the baby C. Preparing for parenthood D. Telling her partner and family

A. Accepting the pregnan

The nurse is spending time with a client who has just learned, unexpectedly, that she is pregnant. Which initial task should the nurse assist the client to focus on? A. Accepting the pregnancy B. Accepting a coming child C. Making plans for the baby D. Sharing time with a significant other

A. Accepting the pregnancy

A pregnant client in her second trimester reports feeling tired all the time. The nurse notes pale skin and low normal hemoglobin on assessment. Which recommendation should the nurse prioritize for this client? A. An iron supplement B. A calcium supplement C. More meat in her diet D. More seafood and organ meats in her diet

A. An iron supplement

A client at 40 weeks' gestation informs the nurse that she is tired of being pregnant. What is the best response from the nurse? A. "Do you need to speak with someone about your feelings?" B. "That is a very normal feeling, especially at this point in pregnancy." C. "Most woman would have asked to be induced by this point. Is that what you want?" D. "Are you getting enough rest? If you don't take time for rest, that is why you might be tired."

B. "That is a very normal feeling, especially at this point in pregnancy."

A client in her first trimester is concerned about how weight gain will affect her appearance and questions the nurse concerning dietary restrictions. How much weight gain should the nurse point out will be safe for this client with a low BMI? A. 25 to 35 pounds (11 to 16 kilograms) B. 28 to 40 pounds (13 to 18 kilograms) C. 15 to 25 pounds (7 to 11 kilograms) D. 16 to 30 pounds (7.25 to 14 kilograms)

B. 28 to 40 pounds (13 to 18 kilograms)

A client arrives to the clinic very excited and reporting a positive home pregnancy test. The nurse cautions that the home pregnancy test is considered a probable sign and will assess the client for which sign to confirm pregnancy? A. Positive office pregnancy test B. Fetal movement felt by examiner C. Hegar sign D. Chadwick sign

B. Fetal movement felt by examiner

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? A. There is not enough fiber in your diet. B. The intestines are displaced by the growing fetus. C. This shouldn't be happening. D. hCG is delaying peristalsis.

B. The intestines are displaced by the growing fetus.

The nurse is conducting an annual examination on a young female who reports her last menses was 2 months ago. The client insists she is not pregnant due to a negative home pregnancy test. Which assessment should the nurse use to assess confirm the pregnancy? A. Chadwick sign B. fetal heartbeat C. positive urine human chorionic gonadotropin (hCG) D. uterine size and shape changes

B. fetal heartbeat

The nurse is assessing a pregnant client at 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? A. Normal bumps of pregnancy; they do nothing B. Might be sign of cancer; need to speak with health care provider C. Montgomery glands (Montgomery tubercles); secrete lubricant for the nipples D. Striae, stretching of the breast tissue

C. Montgomery glands (Montgomery tubercles); secrete lubricant for the nipples

The nursing instructor is teaching a class on the nutritional needs of the pregnant client. The instructor determines the session is successful when the students correctly choose which supplement as being known to prevent up to 70% of CNS birth defects? A. iodine B. zinc C. folic acid D. vitamin A

C. folic acid

pregnant vegan reports eating lots of dark green leafy vegetables, legumes, citrus fruits, and berries. To ensure that her infant's nervous system will develop properly, what foods should the nurse recommend that she add to her diet? A. Milk and cheese B. Carrots, sweet potatoes, and mangoes C. Nuts, seeds, and chocolate D. Fortified cerealsl

C. Nuts, seeds, and chocolate

The nurse is assessing a client who believes she is pregnant. The nurse points out a more definitive assessment is necessary due to which sign being considered a probable sign of pregnancy? A. Fatigue B. Amenorrhea C. Positive home pregnancy test D. Nausea and vomiting

C. Positive home pregnancy test

A client at 39 weeks' gestation calls the OB triage and questions the nurse concerning a bloody mucus discharge noted in the toilet after an OB office visit several hours earlier. What is the best response from the triage nurse? A. "It might be nothing. If it happens again call your provider who is on-call." B. "If the provider did an exam, it might be just normal vaginal secretions, so don't worry about it." C. "A one time discharge of bloody mucus in the toilet might have been your mucus plug." D. "Bloody mucus is a sign you are in labor. Please come to the hospital."

C. "A one time discharge of bloody mucus in the toilet might have been your mucus plug."

A pregnant client in her third trimester, lying supine on the examination table, suddenly grows very short of breath and dizzy. Concerned, she asks the nurse what is happening. Which response should the nurse prioritize? A. Cerebral arteries are growing congested with blood. B. The uterus requires more blood in a supine position. C. Blood is trapped in the vena cava in a supine position. D. Sympathetic nerve responses cause dyspnea when a woman lies supine.

C. Blood is trapped in the vena cava in a supine position.

7. A client calls to cancel an appointment for the first prenatal visit after reporting a home pregnancy test is negative. Which instruction should the nurse prioritize? A. Use a diluted urine specimen. B. Wait until after two missed menstrual periods. C. Keep the appointment. D. Refrain from eating for 4 hours before testing

C. Keep the appointment.

The nurse is assessing a pregnant client at 20 weeks' gestation and obtains a hemoglobin level. Which result would be a cause for concern? A. 12.8 g/dL B. 11.9 g/dL C. 11.2 g/dL D. 10.6 g/dL

D. 10.6 g/dL

The nurse is assessing a pregnant client at her 20-week visit. Which breast assessment should the nurse anticipate documenting? A. Slack, soft breast tissue B. Deeply fissured nipples C. Enlarged lymph nodes D. Darkened breast areolae

D. Darkened breast areolae

The nurse cares for a pregnant client at the first prenatal visit and reviews expected changes that will occur during pregnancy. Which information will the nurse include in the education? A. During pregnancy blood volume can increase by at least 40%. B. Pregnancy typically causes a decrease in respiratory rate. C. Hemoglobin levels rise significantly during pregnancy. D. Blood pressure decreases in the third trimester.

During pregnancy blood volume can increase by at least 40%.