PrepU pregnancy

Following a positive pregnancy test, a client begins discussing the changes that will occur in the next several months with the nurse. The nurse should include which information about changes the client can anticipate in the first trimester? a) enjoying the role of nurturer b) experiencing ambivalence about pregnancy c) preparing for the reality of parenthood d) differentiating the self from the fetus

B

A client is 8 weeks pregnant. Which teaching topic is most appropriate at this time? a) Neonatal nutrition b) Breathing techniques during labor c) Common discomforts of pregnancy d) Infant care responsibilities

C

he nurse is providing instruction to a woman who is 18 weeks pregnant. Which findings are expected at this time? Select all that apply. a) Leg cramps b) Insomnia c) Fundal height of approximately 18 cm d) Quickening e) Braxton-Hicks contractions

C, D

In caring for a pregnant client with hyperemesis gravidarum, which is the priority nursing intervention? a) acetaminophen suppositories b) reviewing dietary choices and food intake c) providing adequate sleep for the client d) correction of fluid-electrolyte imbalance

D

In which maternal locations would the nurse place the ultrasound transducer of the external electronic fetal heart rate monitor if a fetus at 34 weeks' gestation is in the left occipitoanterior (LOA) position? a) two inches (5.1 cm) above the umbilicus b) near the symphysis pubis c) at the level of the umbilicus d) below the umbilicus on the left side

D

A woman who has preeclampsia is receiving magnesium sulfate 20 grams per 500 mL of lactated Ringers via infusion pump. The prescribed rate of infusion is 2 grams/hour. How many mL/hour should the nurse set the infusion pump for? Record your answer using a whole number.

50Ml/Hr

A 27-year-old primigravid client with insulin-dependent diabetes at 34 weeks' gestation undergoes a nonstress test, the results of which are documented as reactive. What should the nurse tell the client that the test results indicate? a) There is evidence of fetal well-being. b) Chorionic villus sampling is necessary. c) A contraction stress test is necessary. d) The nonstress test should be repeated.

A

A 32-year-old female client visits the family planning clinic and requests an intrauterine device for contraception. When assessing the client, a history of which problem would be most important to determine? a) pelvic inflammatory disease b) thrombophlebitis c) coronary artery disease d) previous liver disease

A

A pregnant client's last menstrual period began on October 12. Using Nägele's rule the nurse calculates the estimated date of delivery (EDD) as: a) July 19. b) June 5. c) June 19. d) July 5.

A

A 44-year-old client has been experiencing spotting, nausea, vomiting, and fatigue. A positive pregnancy test and an ultrasound confirm a 13 week gestation. The client had three prior miscarriages with no term births. What does the nurse recognize as the greatest risk factor for the client at this time? a) Preterm labor b) Pregnancy loss c) Hypertension d) Premature birth

B

The nurse instructs a primigravid client to increase her intake of foods high in magnesium because of its role with which process? a) prevention of demineralization of the mother's bones b) synthesis of proteins, nucleic acids, and fats c) synthesis of neural pathways in the fetus d) amino acid metabolism

B

A client who is 32 weeks pregnant presents to the emergency department with bright red bleeding and no abdominal pain. A nurse should: a) order a stat hemoglobin and hematocrit. b) assess the client's blood pressure. c) assess the fetal heart rate. d) perform a pelvic examination.

C

A woman who's 10 weeks pregnant tells the nurse that she's worried about her fatigue and frequent urination. The nurse should: a) tell her that she may be excessively worried. b) recognize these as normal early pregnancy signs and symptoms. c) tell her that she'll need blood work and urinalysis. d) question her further about these signs and symptoms.

B

A client and her spouse, both 25 years old, are having trouble conceiving. Infertility in this couple is defined as: a) the inability to sustain a pregnancy. b) a low sperm count and decreased motility. c) the inability to conceive after 1 year of unprotected attempts. d) the inability to conceive after 6 months of unprotected attempts.

C

A client diagnosed with gestational hypertension must have weekly blood pressure checks and urine testing at a clinic. She does not have transportation. How can the nurse help this client be compliant with her care? a) Do nothing. It's the client's responsibility to find a way to get to the clinic. b) Ask the client to find a friend to help her. c) Ask the clinic case manager to speak with the client. d) Set up cab service.

C

A nurse is developing a teaching plan for a primigravid client who's 2 months pregnant. The nurse should tell the client that she can expect to feel the fetus move at which time? a) Between 10 and 12 weeks' gestation b) Between 21 and 23 weeks' gestation c) Between 24 and 26 weeks' gestation d) Between 18 and 20 weeks' gestation

D

A 40-year-old primigravid client with AB-positive blood visits the outpatient clinic for an amniocentesis at 16 weeks' gestation. The nurse determines that the most likely reason for the client's amniocentesis is to determine if the fetus has which problem? a) Down syndrome b) ABO incompatibility c) cri-du-chat syndrome d) erythroblastosis fetalis

A

A client at 11 weeks gestation calls the antepartum clinic nurse. She has soaked a perineal pad with fresh blood in less than 30 minutes. The uterine cramping has also become worse. What is the most appropriate response from the nurse? a) "You need to seek immediate attention from your physician." b) "I am sorry. There is nothing to do because you are likely miscarrying." c) "Lie down and call your physician tomorrow if your symptoms are continuing." d) "This is nothing to worry about. Many women have bleeding during their pregnancy."

A

A client is a gravida 2 para 1 and is currently 12 weeks gestation. She states that she drank beer throughout her last pregnancy. The client asks the nurse if it is okay to have a few drinks during this current pregnancy. Which of the following responses by the nurse would be most appropriate? a) "It is not safe to consume alcohol during pregnancy." b) "It is safer to consume wine than beer during pregnancy." c) "It is safe to consume 5 ounces or less of alcohol per week in the first trimester." d) "It is not safe to consume alcohol in the second and third trimesters, but the first is safe if consumed in moderation."

A

A client is in the last trimester of pregnancy. The nurse should instruct her to notify her primary health care provider immediately if she notices: a) blurred vision. b) increased vaginal mucus. c) hemorrhoids. d) dyspnea on exertion.

A

A client who is been treated for infertility is now pregnant. During a routine ultrasound at 8 weeks' gestation, she learns that five fetuses are visualized. Concerned that five infants wouldn't survive and that his wife couldn't handle the stress of the pregnancy, the client's husband asks the nurse about selective reduction. What is the nurse's best response? a) "Selective reduction has been used to decrease the possibility of complications during pregnancy and birth. I'll ask the physician to speak with both of you." b) "You should be glad your wife conceived." c) "Why would you consider such a procedure?" d) "That choice is your wife's because only she is carrying the babies."

A

A client, approximately 11 weeks pregnant, and her husband are seen in the antepartal clinic. The client's husband tells the nurse that he has been experiencing nausea and vomiting and fatigue along with his wife. The nurse interprets these findings as suggesting that the client's husband is experiencing which complication? a) Couvade syndrome b) ptyalism c) pica d) mittelschmerz

A

A nulligravid client with gestational diabetes tells the nurse that she had a reactive nonstress test 3 days ago and asks, "What does that mean?" The nurse explains that a reactive nonstress test indicates which of the following about the fetus? a) Fetal well-being at this point in the pregnancy. b) No accelerations demonstrated within a 20-minute period. c) Evidence of late decelerations occurring during the test. d) Evidence of some compromise that will require birth soon.

A

A nurse is planning care for a 16-year-old adolescent in the prenatal clinic. Adolescents are prone to which complication during pregnancy? a) Iron-deficiency anemia b) Varicosities c) Gestational diabetes d) Nausea and vomiting

A

A nurse who works in a community-based clinic is implementing primary prevention with the clients who use the clinic. What should the nurse include in primary prevention activities? a) Obtaining a rubella titer on a woman who is planning to start a family b) Administering digoxin to a client who has heart failure c) Referring a client who reports joint pain to a healthcare provider specialist d) Teaching a client who has asthma how to use a rescue inhaler

A

A primigravid client at 38 weeks' gestation diagnosed with mild preeclampsia calls the clinic nurse to say she has had a continuous headache for the past 2 days accompanied by nausea. The client does not want to take aspirin. The nurse should tell the client: a) "I think the health care provider should see you today. Can you come to the clinic this morning?" b) "You need to lie down and rest. Have you tried placing a cool compress over your head?" c) "I'll ask the health care provider to call in a prescription for nausea medications. What is your pharmacy's number?" d) "Take two acetaminophen tablets. They are not as likely to upset your stomach."

A

A primigravid client at 8 weeks' gestation tells the nurse that since having had sexual relations with a new partner 2 weeks ago, she has noticed flu-like symptoms, enlarged lymph nodes, and clusters of vesicles on her vagina. The nurse refers the client to a primary health care provider because the nurse suspects which sexually transmitted infection? a) herpes genitalis b) gonorrhea c) syphilis d) Chlamydia trachomatis infection

A

A student nurse asks the registered nurse about pulse and blood pressure changes during the prenatal period. Which of the following responses about changes in the cardiovascular system in the first and second trimester of pregnancy is appropriate? a) "Women will likely experience an increase in their pulse and a decrease in their blood pressure." b) "Women will likely experience increases in both their pulse and blood pressure." c) "Women will likely experience a decrease in their pulse and an increase in their blood pressure." d) "Women will likely experience no change in their pulse or blood pressure."

A

After discussing preconception needs with a nulliparous client who eats a primarily Asian diet, which client statement indicates the need for further instruction? a) "If I become pregnant, I can continue to eat sushi twice a week." b) "Eating soy products can increase my protein levels once I am pregnant." c) "I should continue to steam my vegetables rather than cooking them for a long time." d) "I should take folic acid supplements before I get pregnant."

A

During a prenatal visit, a health care provider decides to admit a client to the hospital. Based on the nurse's progress note, which complication of pregnancy would the health care provider suspect? a) Hyperemesis gravidarum. b) Placenta previa. c) Iron-deficiency anemia. d) Pregnancy-induced hypertension.

A

During a visit to the clinic, a pregnant 25-year-old woman who began prenatal care at 10 weeks' gestation and is now in her third trimester reports frequent constipation. Which suggestion by the nurse would be most helpful? a) Eat at least four pieces of fruit daily. b) Use glycerin suppositories as needed. c) Use magnesium hydroxide, as needed. d) Avoid highly seasoned foods.

A

Which outcome would the nurse identify as the priority to achieve when developing the plan of care for a primigravid client at 38 weeks' gestation who is hospitalized with severe preeclampsia and receiving intravenous magnesium sulfate? a) absence of any seizure activity during the first 48 hours b) sedation and decreased reflex excitability within 48 hours c) decreased generalized edema within 8 hours d) decreased urinary output during the first 24 hours

A

The nurse is discussing dietary concerns with pregnant teens. Which food choices are convenient for teens yet nutritious for both the mother and fetus? Select all that apply. a) peanut butter with crackers and a juice drink b) chicken nuggets with tater tots c) cheese pizza with spinach and mushroom topping d) buttery light popcorn with diet cola e) milkshake or yogurt with fresh fruit or granola bar f) cheeseburger with tomato, lettuce, pickle, ketchup, and baked potato

A, C, E

A client who is 24 weeks pregnant has sickle cell anemia. When preparing the care plan, the nurse should identify which factor as a potential trigger for a sickle cell crisis during pregnancy? a) Sedative use b) Dehydration c) Tachycardia d) Hypertension

B

A new nurse is asked to start an I.V. on an antepartum client. The new nurse has performed the procedure only once and isn't familiar with the I.V. pumps used in this facility. The new nurse should: a) attempt the procedure without assistance. b) review the unit's procedure manual. c) tell the client that she isn't experienced enough to start the I.V. d) ask another new nurse to assist her.

B

A nurse determines that a client is in false labor. After obtaining discharge orders, the nurse provides discharge teaching to the client. Which instruction is most appropriate at this time? a) "Maintain a supine position to promote rest." b) "Return to the facility if fever occurs." c) "Drink coffee or tea to maintain hydration." d) "Apply cold compresses to relieve discomfort."

B

A nurse is caring for a client whose membranes ruptured prematurely 12 hours ago. When assessing this client, the nurse's highest priority is to evaluate: a) frequency and duration of contractions. b) maternal vital signs and fetal heart rate (FHR). c) cervical effacement and dilation. d) white blood cell (WBC) count.

B

A nurse is teaching a pregnant client about the role of the placenta. The nurse realizes further teaching is needed when the client states that the placenta: a) detoxifies some drugs and chemicals. b) produces maternal antibodies. c) exchanges site for food, gases, and waste. d) produces estrogen and progesterone.

B

A client asks how long she and her husband can safely continue sexual activity during pregnancy. How should the nurse respond? a) "Until the end of the second trimester." b) "As long as you wish, if the pregnancy is normal." c) "Until the end of the first trimester." d) "Until the end of the third trimester."

B

A client asks the nurse why vitamin C intake is so important during pregnancy. What should be the nurse's response? a) "Supplemental vitamin C in large doses can prevent neural tube defects." b) "Vitamin C is required to promote blood clot and collagen formation." c) "Studies have shown that vitamin C helps the growth of fetal bones." d) "Eating moderate amounts of foods high in vitamin C helps metabolize fats and carbohydrates."

B

A client in the first trimester of pregnancy comes to the facility for a routine prenatal visit. She tells the nurse she doesn't know whether she's ready to have a baby, even though this was a planned pregnancy. Which response should the nurse offer? a) "You may want to discuss these concerns with a social worker." b) "You're feeling ambivalent, which is normal during the first trimester." c) "You need to share these feelings with your partner." d) "You may want to consider having an abortion."

B

A client is a long-distance runner and is 8 weeks pregnant with her first baby. The client tells the nurse that she would like to continue running throughout the pregnancy and asks the nurse if there are any safety risks. Which response by the nurse correctly identifies musculoskeletal changes in pregnancy that may be a safety risk to the client? a) "The spinal column flattens." b) "The joints of the pelvis relax." c) "The long bones increase in density." d) "All muscles are weakened."

B

A client who is 18 weeks pregnant is losing weight. She tells a nurse that she's out of work and, after paying bills, has no money to buy healthy food. The nurse should offer the client information about: a) Medicaid. b) Women, Infants, and Children (WIC). c) Women in Distress. d) Healthy Mothers, Healthy Babies.

B

After instruction of a primigravid client at 8 weeks' gestation about measures to overcome early morning nausea and vomiting, which client statement indicates the need for additional teaching? a) "I will eat dry crackers or toast before arising in the morning." b) "I will eat two large meals daily with frequent protein snacks." c) "I will snack on a small amount of carbohydrates throughout the day." d) "I will drink adequate fluids separate from my meals or snacks."

B

At 32 weeks' gestation, a client is admitted to the facility with a diagnosis of gestational hypertension. Based on this diagnosis, the nurse expects the assessment to reveal: a) urine glucose of +2. b) 3+ edema in the lower extremities. c) temperature of 101.4° F (38.6° C). d) inability to keep food down.

B

During a routine clinic visit, a 25-year-old multigravid client who initiated prenatal care at 10 weeks' gestation and is now in her third trimester states, "I've been having strange dreams about the baby. Last week I dreamed he was covered with hair." The nurse should tell the mother: a) "Dreams like the ones that you describe are very unusual. Please tell me more about them." b) "It is not uncommon to have dreams about the baby, particularly in the third trimester." c) "Dreams about the baby late in pregnancy usually mean that labor is about to begin soon." d) "Commonly when a mother has these dreams, she is trying to cope with becoming a parent."

B

The health care provider prescribes clomiphene citrate for a woman who has been having difficulty getting pregnant. When teaching the client about this drug, the nurse should discuss what potential adverse effects? a) increase in fibrocystic breast disease b) chance of multiple gestation. c) increase in congenital anomalies d) increase in spontaneous abortions

B

The primary care provider prescribes 5% dextrose in Ringer's solution and magnesium sulfate intravenously for an adolescent client with preeclampsia. Before administering the magnesium sulfate, what is the most important assessment the nurse should make? a) fetal heart rate variability b) maternal respiratory rate c) maternal urinary output d) fetal position

B

When teaching a group of pregnant adolescents about reproduction and conception, the nurse is correct when stating that fertilization occurs: a) in the uterus. b) in the first third of the fallopian tube. c) near the fimbriated end. d) when the ovum is released.

B

Which client statement indicates a need for additional teaching about self-care during pregnancy? a) "I should avoid using soap on my nipples to prevent drying." b) "I should sit in a hot tub for 20 minutes to relax after working." c) "I should use nonskid pads when I take a shower or bath." d) "I should avoid douching even if my vaginal secretions increase."

B

Which instruction should a nurse include in an injury-prevention plan for a pregnant client? a) "Position the steering wheel toward your abdomen." b) "Take rest periods during the day." c) "Wear your seat belt across your tummy." d) "It's OK to start learning a new sport during your pregnancy."

B

While assessing a multigravid client at 10 weeks' gestation, the nurse notes a purplish color to the vagina and cervix. The nurse documents this as what finding? a) melasma b) Chadwick's sign c) Goodell's sign d) Hegar's sign

B

A 15-year-old female who is 26 weeks pregnant has been admitted to the labor and delivery unit with a complaint of abdominal pain. Her parents want to speak with a nurse about to her condition. How should the nurse respond? a) "She will be OK. It's just a stomachache." b) "The physician can give you more information without consent." c) "I'll need a signed consent from your daughter to give you medical information." d) "She is experiencing Braxton Hicks contractions and is too young to understand the difference between these contractions and labor pains."

C

A 30-year-old multiparous client has been prescribed oral contraceptives as a method of birth control. The nurse instructs the client that decreased effectiveness may occur if the client is prescribed which drug? a) omeprazole b) indomethacin c) ampicillin d) amitriptyline

C

A 36-year-old multigravid client is admitted to the hospital with possible ruptured ectopic pregnancy. When obtaining the client's history, which finding would be most important to identify as a predisposing factor? a) marijuana use during pregnancy b) urinary tract infection c) episodes of pelvic inflammatory disease d) use of estrogen-progestin contraceptives

C

A cerclage procedure is performed on a client at 20 weeks' gestation who is diagnosed with cervical incompetence. When preparing the discharge teaching plan, the nurse should expect to instruct the client to monitor herself for which problem? a) nausea and vomiting b) transient hypotension c) symptoms of infection d) Braxton Hicks contractions

C

A client has just expelled a hydatidiform mole. She's visibly upset over the loss and wants to know when she can try to become pregnant again. How should the nurse respond? a) "Pregnancy should be avoided until all of your testing is normal." b) "Let me check with your physician and get you something that will help you relax." c) "I can see that you're upset; however, you must wait at least 1 year before becoming pregnant again." d) "I can see you're upset. Why don't we discuss this with you at a later time when you're feeling better."

C

A client is admitted to the facility with a suspected ectopic pregnancy. When reviewing the client's health history for risk factors for this abnormal condition, the nurse expects to find: a) use of a hormonal contraceptive for 5 years. b) grand multiparity (five or more births). c) a history of pelvic inflammatory disease. d) use of an intrauterine device for 1 year.

C

A client is at her ideal weight when she conceives. During a prenatal visit 2 months later, she asks the nurse how much weight she should gain during pregnancy. What is the nurse's best response? a) "You should gain 16 to 24 lb." b) "You should gain less than 10 lb." c) "You should gain 25 to 35 lb." d) "You should gain 10 to 15 lb."

C

A client undergoes an amniotomy. Shortly afterward, the nurse detects large variable decelerations in the fetal heart rate (FHR) on the external electronic fetal monitor (EFM). These findings signify: a) the need for labor induction. b) the start of the second stage of labor. c) umbilical cord prolapse. d) an infection.

C

A client who is 7 weeks pregnant comes to the clinic for her first prenatal visit. She reports smoking 20 to 25 cigarettes per day. When planning the client's care, the nurse anticipates informing her that if she doesn't stop smoking, her fetus may be at risk for: a) spina bifida. b) tetralogy of Fallot. c) low birth weight. d) hydronephrosis.

C

A client, age 39, attends a regular prenatal check-up. She's 32 weeks pregnant. When assessing the client, the nurse should stay especially alert for signs and symptoms of: a) cephalopelvic disproportion. b) sexually transmitted diseases (STDs). c) gestational hypertension. d) iron deficiency anemia.

C

A nurse is providing care for a pregnant 16-year-old. The client says that she is concerned she may gain too much weight and wants to start dieting. The nurse should respond by saying: a) "Let's explore your feelings further." b) "Now isn't a good time to begin dieting because you are eating for two." c) "Nutrition is important because depriving your baby of nutrients can cause developmental and growth problems." d) "The prenatal vitamins should ensure the baby gets all the necessary nutrients.

C

A pregnant client asks how she can best prepare her 3-year-old son for the upcoming birth of a sibling. The nurse should make which suggestion? a) "Tell your son about the childbirth about 1 month before your due date." b) "Reassure your son that nothing is going to change." c) "Involve your son in planning and preparing for a sibling." d) "Reprimand your son if he displays immature behavior."

C

A pregnant client comes to the facility for her first prenatal visit. When providing teaching, the nurse should be sure to cover which topic? a) Signs and symptoms of pregnancy b) Labor techniques c) Danger signs during pregnancy d) Tests to evaluate for high-risk pregnancy

C

A primigravid client at 8 weeks' gestation tells the nurse that since having had sexual relations with a new partner 2 weeks ago, she has noticed flu-like symptoms, enlarged lymph nodes, and clusters of vesicles on her vagina. The nurse refers the client to a primary health care provider because the nurse suspects which sexually transmitted infection? a) gonorrhea b) Chlamydia trachomatis infection c) herpes genitalis d) syphilis

C

During a prenatal visit, a pregnant client with cardiac disease and slight functional limitations reports increased fatigue. The nurse knows that the client understands the management of the disorder when the client says which of the following? a) "I will eat my evening meal an hour before bedtime so that digestion can occur while I am resting." b) "I will eat three meals each day, but will avoid all simple carbohydrates in my diet." c) "I will eat five or six small meals each day and have some protein with each meal." d) "I will eat five or six small, nutritious meals each day but with mostly carbohydrates for more energy."

C

The public health nurse is teaching a prenatal class about tobacco smoke during pregnancy. Which of the following comments made by one of the class members demonstrates that the teaching was effective? a) "The newborn is more at risk for heart problems if I smoke during pregnancy." b) "My newborn will be more relaxed if I smoke during pregnancy." c) "If I continue to smoke during pregnancy, my baby could be born small." d) "Smoking during pregnancy increases the risk of having a cesarean section."

C

Which instruction should a nurse give to a client who's 26 weeks pregnant and complains of constipation? a) Tell her to ask her caregiver for a mild laxative. b) Suggest the use of an over-the-counter stool softener. c) Encourage her to increase her intake of roughage and to drink at least six glasses of water per day. d) Tell her to go to the evaluation unit because constipation may cause contractions.

C

A 32-year-old multigravida returns to the clinic for a routine prenatal visit at 36 weeks' gestation. The assessments during this visit include: blood pressure 140/90 mm Hg; pulse 80 beats/min; respiratory rate 16 breaths/min. What further information should the nurse obtain to determine if this client is becoming preeclamptic? a) blood glucose level b) peripheral edema c) headaches d) proteinuria

D

A 32-year-old multigravida returns to the clinic for a routine prenatal visit at 36 weeks' gestation. The assessments during this visit include: blood pressure 140/90 mm Hg; pulse 80 beats/min; respiratory rate 16 breaths/min. What further information should the nurse obtain to determine if this client is becoming preeclamptic? a) headaches b) blood glucose level c) peripheral edema d) proteinuria

D

A 36-year-old multipara client is 20 weeks gestation and comes to the prenatal clinic in distress. She has been experiencing edema of her lower extremities and headaches two to three times a week. She is worried about her pregnancy and her own health. What is an appropriate response from the nurse? a) "Your symptoms are normal for your gestation. You have nothing to worry about." b) "I am sending you to your physician this afternoon." c) "Well, you are pregnant, so we can expect some symptoms." d) "I am glad you came in. We need to do more assessments."

D

A client at 28 weeks' gestation is complaining of contractions. Following admission and hydration, the physician writes an order for the nurse to give 12 mg of betamethasone I.M. This medication is given to: a) enhance fetal growth. b) prevent infection. c) slow contractions. d) promote fetal lung maturity.

D

A client has obtained levonorgestrel as emergency contraception. After unprotected intercourse, the client calls the clinic to ask questions about taking the contraceptives. The nurse realizes the client needs further explanation when she makes which statement? a) "The birth control works by preventing ovulation or fertilization of the egg." b) "My boyfriend can buy levonorgestrel from the pharmacy if he is over 18 years old." c) "I may feel nauseated and have breast tenderness or a headache after using the contraceptive." d) "I can wait up to 4 days after intercourse to start taking these to prevent pregnancy."

D

A client is receiving I.V. magnesium sulfate for severe preeclampsia. The nurse should monitor for: a) increased respiratory rate. b) anemia. c) hyperreflexia. d) decreased urine output

D

A client is seeking infertility treatment after attempting pregnancy for 2 years. Of the following data from the client's history, which has the greatest impact on infertility? a) The client has used no birth control for two years. b) The client travels by air frequently. c) The client is an ovo-vegetarian. d) The client is a gymnast weighing 105 lbs (47.6 kg).

D

A client's membranes rupture during the 36th week of pregnancy. Eighteen hours later, the nurse measures the client's temperature at 101.8° F (38.8° C). After initiating ordered antibiotic therapy, the nurse should prepare the client for: a) sonography. b) tocolytic therapy. c) amniocentesis. d) delivery.

D

A client, 11 weeks pregnant, is admitted to the facility with hyperemesis gravidarum. She tells the nurse she has never known anyone who had such severe morning sickness. The nurse understands that hyperemesis gravidarum results from: a) inadequate nutrition. b) hemolysis of fetal red blood cells (RBCs). c) a neurologic disorder. d) an unknown cause.

D

A client, 7 months pregnant, is admitted to the unit with abdominal pain and bright red vaginal bleeding. Which action should the nurse take first? a) Administer I.V. oxytocin, as ordered, to stimulate uterine contractions and prevent further hemorrhage. b) Ease the client's anxiety by assuring her that everything will be all right. c) Massage the client's fundus to help control the hemorrhage. d) Place the client on her left side and start supplemental oxygen, as ordered, to maximize fetal oxygenation.

D

A multigravid client who stands for long periods while working in a factory visits the prenatal clinic at 35 weeks' gestation, stating, "The varicose veins in my legs have really been bothering me lately." Which instruction would be most helpful? a) Take a leave of absence from your job to avoid prolonged standing. b) Perform slow contraction and relaxation of the feet and ankles twice daily. c) Avoid support hose that reach above the leg varicosities. d) Take frequent rest periods with the legs elevated above the hips.

D

A nurse receives the result of a pregnant client's human immunodeficiency virus (HIV) testing. When the nurse attempts to notify the client of the results, she can't locate her. The nurse should: a) leave a message on the answering machine at the client's home. b) give the results to the client's significant other. c) send a letter informing the client of the test results. d) send a registered letter asking the client to contact the clinic.

D

A pregnant client is in her 16th week of gestation and is scheduled by the nurse for prenatal testing. Which of the following would the nurse schedule as the most appropriate first screening test for congenital anomalies? a) Chorionic villa sampling b) Nuchal translucency testing c) Cardocentesis d) Amniocentesis

D

A primigravida, currently about 8 weeks pregnant, and her husband ask when they should begin the preparation for childbirth classes that discuss maternal nutrition during pregnancy. Which time would be most appropriate for the nurse to suggest that they begin the classes? a) as soon as the client experiences lightening b) toward the end of the second trimester c) after scheduling a visit with the dietitian d) now during the first trimester of pregnancy

D

After instructing a pregnant client about third trimester edema, the nurse determines that the client needs further instruction when the client makes which statement? a) "Swelling of my feet and ankles is normal." b) "I will continue to drink six to eight glasses of water a day." c) "I need to avoid standing in one place for too long." d) "Swelling in my hands and face is to be expected."

D

After teaching a pregnant client about potential complications of amniocentesis that must be reported immediately, the nurse determines that the client understands the instruction when she says that she will report: a) nausea. b) urinary frequency. c) irregular, painless uterine tightness. d) vaginal bleeding.

D

The nurse is admitting a primigravid client at 37 weeks' gestation who has been diagnosed with preeclampsia to the labor and birth area. Which client care rooms is most appropriate for this client? a) a private room with many windows that is near the operating room b) a brightly lit private room at the end of the hall from the nurses' station c) a semiprivate room midway down the hall from the nurses' station d) a darkened private room as close to the nurses' station as possible

D

The nurse is performing a health history for a woman in her first trimester of pregnancy who lives alone with two cats. What education should the nurse provide so that the client may protect herself from illness? a) The client should avoid any exposure to cat litter because they may contract rubella. b) The client should apply protective barrier cream to the hands after coming in contact with cat litter c) The client should apply bleach to her hands after cleaning the litter box. d) The client should wear disposable gloves and wash hand with soap and warm water after cat litter exposure.

D

The nurse is providing prenatal education regarding microorganisms to be avoided during pregnancy. Which of the following statements during the counseling session would indicate to the nurse that the client understands the teaching? a) "Women should receive prophylactic antibiotics to prevent infection during their first trimester." b) "Women can be protected from most perinatal infections with vaccinations." c) "Women should avoid contact with cats while they are pregnant." d) "Women should avoid unpasteurized milk and cheese and undercooked meat."

D

The team on an antepartum unit consists of two registered nurses (RN), one licensed vocational nurse (LVN), and one nursing assistant. Which one of the following conditions would be appropriate to assign the LVN? a) A client with threatened abruptio placenta b) A client with preeclampsia c) A client with placenta previa d) A client with gestational hypertension

D

Which findings are considered positive signs of pregnancy? a) Quickening and breast enlargement b) Fatigue and skin changes c) Abdominal enlargement and Braxton Hicks contractions d) Fetal heartbeat and fetal movement on palpation

D