Prenatal Period

A client who is 36 weeks of gestation is at her prenatal visit. The nurse tells the client that she will be screened for group B Streptococcus during today's visit. Which of the following statements would be made by the nurse when providing client education about this screening test?

A. "Screening for group B Streptococcus is necessary as this infection can cause complications with pregnancy and to the unborn infant."

A pregnant woman who is at the end of 20 weeks of gestation is at a prenatal visit. Which of the following changes in weight from pre-pregnancy would require the nurse to take additional action?

A. 6 pound increase

Which of the following best describes an abnormality in structure or function that occurs during fetal development?

A. Congenital defect

Which properties must the sperm possess for conception to occur? (select all that apply)

A. High motility B. Uniform size C. Ability to secrete enzymes that dissolve the membrane surrounding the egg

Which of the following changes is experienced by the urinary system during pregnancy?

A. Increased urinary output secondary to total body water increase

A woman is Rh negative and the father of her baby is Rh negative. The woman states that her friend told her that she would need a "shot" to keep her baby alive. Which of the following statements would be the best response by the nurse?

B. "Because the father of the baby is also Rh negative, your baby will not inherit Rh positive blood cells and you will not need the injection."

A nurse is caring for a client who is 30 weeks pregnant at a prenatal visit. Which of the following statements made by the client would be of concern to the nurse and warrant further explanation and close follow-up?

B. "My husband complains every time I ask him to do something for me."

A nurse is caring for a pregnant woman who has a pre-pregnancy body mass index (BMI) of 27. Which of the following instructions should the nurse provide the woman regarding weight gain during pregnancy?

B. "You should gain 15 to 25 pounds during your pregnancy."

A pregnant woman is having a TORCH screening done at today's prenatal visit. She states she is anxious to get the results back because she recently had unprotected sex with someone she just met and is afraid she might have HIV. Which of the following statements would be the best response by the nurse?

B. "You will require additional testing for HIV as it is not tested for with the TORCH screen."

A woman usually eats an 1800-calorie diet. She is now in the second trimester of her pregnancy. Which of the following best describes the caloric nutritional needs for this woman during the second and third trimester?

B. 2100 calories

Which of the following mothers would be most likely to bond appropriately with their infant?

B. A mother who feels great about herself will show love toward the infant and bond appropriately.

The client who is taking prescribed _____ would require preconception management to minimize the potential for drug-related birth defects.

B. Antiepilpetics

A woman who is 30 weeks pregnant tells the nurse that she and her husband are having sexual difficulties. Which of the following actions should the nurse take?

B. Ask her to elaborate on the difficulties.

A Mexican American woman comes to the office for a visit. She is found to be 30 weeks pregnant. Which of the following conclusions can the nurse draw from this finding?

B. Client education may require a different approach because of dissimilar cultural beliefs.

A nurse is assessing a woman for positive signs of pregnancy. Which of the following assessment findings would the nurse discover? (select all that apply)

B. Detection of fetal heart tones D. Palpation of fetal body parts

Which of the following statements about race and culture in the United States is correct?

B. Ethnic minority populations have higher rates of low-birth-weight infants.

A nurse is caring for a woman who is in labor and the fetus descends to the lower birth canal. The woman is in which of the following stages of labor?

B. Second

During the first prenatal visit, the pregnant woman informs the nurse that she cannot wait to start wearing maternity clothes. This finding is based on an assessment of which functional health pattern?

B. Self-perception-self-concept pattern

A nurse makes a home visit to monitor the blood pressure of a pregnant woman who is single. Which finding would be of most concern to the nurse?

B. She has a pet cat.

A woman who just found out she is pregnant starts crying. She tells the nurse that over the last 3 days she was not feeling herself, so she took some Tylenol. She states if she knew she was pregnant, she never would have taken the medication. Which of the following actions should be taken by the nurse?

B. Tell the client not to worry because research indicates that in recommended doses Tylenol is safe.

A woman who is 23 weeks pregnant is concerned because her baby is moving less than it was a few weeks ago. Which of the following statements would be the most appropriate response by the nurse?

C. "At this point in your pregnancy, the baby moves less frequently because of lack of space in the uterus."

A nurse is discussing the harmful effects that chemical agents can have on an unborn child with a woman who is pregnant. Which of the following statements made by the woman indicates a need for further teaching?

C. "Consumption of one drink per day will not cause any harm to my unborn baby."

During a routine clinic visit, a pregnant woman expresses concern about reflux she is experiencing. Which statement should be made by the nurse when addressing the woman's concern?

C. "Frequent heartburn is a result of gastrointestinal system changes that occur during pregnancy."

At 1 minute of age, an infant has a heart rate of 95, a strong cry, some flexion of extremities, a cry reflex, and is completely pink. Which of the following is a correct assessment of the infant's Apgar score?

C. 8

A nurse is caring for a woman who is in labor. The nurse anticipates that the labor will progress through which of the following sequences?

C. Dilation stage, pushing stage, placental stage, recovery stage

During the second prenatal visit, the pregnant woman informs the nurse that she has stopped smoking. This finding is based on an assessment of which functional health pattern?

C. Health-perception-health-management pattern

A pregnant woman reports to the nurse that the first day of her last menstrual period was January 22. Using Nägele's rule, which of the following dates would be the most accurate estimated date of delivery?

C. October 29

A nurse is assessing the nutritional-metabolic patterns of a pregnant woman. Which of the following findings would be of concern to the nurse?

C. The woman does not like vegetables.

During which week would pregnancy begin to pose health concerns for the fetus?

D. 42 weeks

During a prenatal visit, pregnant parents ask the nurse what they can do to prepare their 4-year-old child for the birth of the new baby. Which of the following actions would be most appropriate for the nurse to suggest?

D. Ask the 4-year-old boy to help decorate the new baby's room.

During a prenatal visit, a nurse discovers that a Black woman has been occasionally craving and eating clay. Which of the following actions should be taken by the nurse?

D. Stress the importance of an appropriate diet and avoiding pica in a culturally sensitive way.

A nurse is caring for a woman during the fourth stage of labor. Which of the following best describes an action the nurse would take during this stage?

D. Teaching the new mother positioning of the infant to assist with breast-feeding

During a prenatal visit, a pregnant woman informs the nurse that she and her husband have chosen godparents for the baby. This finding is based on an assessment of which functional health pattern?

D. Values-beliefs pattern