Unit 5 - Maternity PreU from Ricci: Essentials of Maternity, Newborn, and Women's Health Nursing, Fifth Edition
the nurse is reviewing client data following a regular monthly appointment at 6 months' gestation. Which fundal height requires no further interventions? 18 cm 24 cm 30 cm 32 cm
24 cm chapter 12 pg 378
A pregnant client asks the nurse if the fetus can be tested for Down Syndrome. Which statement by the nurse is most appropriate? "Yes, a chromosomal analysis can be done to assess for Down syndrome." "Of course. The primary health care provider can prescribe a DNA analysis for this." "You need to be sure you want to know this information before you think about being tested." "When you have ultrasounds done, they look for signs of Down syndrome."
"Yes, a chromosomal analysis can by done for Down Syndrome." chapter 10 pg 313
A woman's prepregnant weight is within the normal range. During her second trimester, the nurse would determine that the woman is gaining the appropriate amount of weight when her weight increases by which amount per week? 2/3 lb (0.30 kg) 1 lb (0.45 kg) 1.5 lb (0.68 kg) 2 lb (0.90 kg)
1 lb (0.45 kg) chapter 11 pg 351
The nurse is preparing a presentation for a health fair which will illustrate the development of a baby. The nurse should point out the fertilized egg is implanted in the endometrium by which day? 8 6 4 10
10 day chapter 10 pg 304
A pregnant client is scheduled to undergo chorionic villus sampling (CVS) to rule out any birth defects. Ideally, when should this testing be completed? 10 to 12 weeks' gestation 7 to 9 weeks' gestation 5 to 6 weeks' gestation 4 to 5 weeks' gestation
10 to 12 weeks' gestation chapter 10 pg 326
There are many steps in the process of genetic counseling and testing. Put these steps in the correct chronological order from first to last. All options must be used. Click an option, hold and drag it to the desired position, or click an option to highlight it and move it up or down in the order using the arrows to the left. 6support couple in adjusting to diagnosis 3nuchal translucency screening 2physical examination of parents 1assessment of family history 5explain results of genetic testing 4amniocentesis
1assessment of family history 2physical examination of parents 3nuchal translucency screening 4amniocentesis 5explain results of genetic testing 6support couple in adjusting to diagnosis chapter 10 pg 323-324
A client comes to the clinic for her usual prenatal check up. The nurse measures the fundal height at 24 cm. What is the estimated length of her gestation? 28 weeks 32 weeks 20 weeks 24 weeks
24 weeks Measuring fundal height helps healthcare providers assess if the fetus is developing correctly. It also can help determine gestational age (term to describe how far along the pregnancy is) and the fetus's position in your uterus. It's measured in centimeters with measuring tape. After about 20 weeks of pregnancy, your fundal height in centimeters should be close to the fetus's gestational age. fundal height is the measurement between the pelvic bone and the top of the uterus chapter 12 pg 378
a mother comes in with her 17 yo daughter to find out why she has not had a menstrual cycle for few months. Examination confirms the daughter is pregnant with a fundal height of approximately how many weeks pregnant? 24 22 20 18
24 chapter 11 pg 335
Two parents carry the recessive gene for six toes. What is the chance that they will have a child with six toes? 25% 50% 75% 100%
25% chapter 10 pg 318
the nurse is caring for four pregnant clients. Which client will the nurse highlight for the health care provider as being at highest risk for caring a child with a genetic abnormality? 38-year-old client whose partner is 43 years of age and who have a child diagnosed with hypoplastic left heart syndrome 36-year-old client with thalassemia whose partner is 55 years of age and who have a son with Duchenne muscular dystrophy 28-year-old client diagnosed with hemophilia whose partner is 38 years of age and has hypertension 17-year-old client diagnosed with schizophrenia whose partner is 15 years of age and has type 2 diabetes
36 yo client with thalassemia whose partner is 55 yo and who have a son with Duchenne muscular dystrophy chapter 10 pg 323
The nurse teaches a sedentary pregnant client with a BMI of 35 about the importance of healthy lifestyle during pregnancy. Which goal would be appropriate for this client? Walk for 30 minutes 5 days a week. Adhere to a weight reduction diet. Participate in a daily aerobic dance program. Begin lifting weights for 30 minutes per day.
Walk for 30 minutes 5 days a week. chapter 12 pg 392-393
Utilize the GTPAL system to classify a woman who is currently 18 weeks pregnant. This is her 4th pregnancy. She gave birth to one baby vaginally at 26 weeks who died, experienced a miscarriage, and has one living child who was delivered at 38 weeks gestation. 3, 2, 1, 2, 1 4, 2, 2, 1, 1 3, 2, 1, 1, 1 4, 1, 1, 1, 1
4, 1, 1, 1, 1 chapter 12 pg 374
A nurse is counseling a couple who have a 5-year-old daughter with Down syndrome. The nurse recognizes that their daughter's genome is represented by which chromosome combination? 46XX 46XX5p- 47XX21+ 47XY21+
47XX21+ chapter 10 pg 320
Before becoming pregnant, a woman's heart rate averaged 72 beats per minute. The woman is now 15 weeks' pregnant. The nurse would expect this woman's heart rate to be approximately: 85 beats per minute. 90 beats per minute. 95 beats per minute. 100 beats per minute.
85 beats per minute. chapter 11 pg 339
At the first prenatal visit, the reports her last menstrual period (LMP) was November 16. The nurse determines the estimated due date to be: August 23 August 13 August 3 September 1
August 23 chapter 12 pg 372
A client in her third month of pregnancy arrives at the health care facility for a regular follow-up visit. The client reports discomfort due to increased urinary frequency. Which instruction should the nurse offer the client to reduce the client's discomfort? Avoid consumption of caffeinated drinks. Drink fluids with meals rather than between meals. Avoid an empty stomach at all times. Munch on dry crackers and toast in the early morning.
Avoid consumption of caffeinated drinks chapter 12 pg 394
In preparing for a prenatal class to discuss the hormonal changes during pregnancy, which information would that nurse most likely include? Over-the-counter antacids can be used to treat acid reflux with the health care provider's knowledge. Most of the hormonal changes are permanent after the pregnancy is completed. Taking hormonal replacement therapy can improve the discomfort of the changes. Using herbs will help ease the discomfort.
OTC antacids can be used to treat acid reflux with the health care provider's knowledge. chapter 11 pg 338
The fluid-filled, inner membrane sac surrounding the fetus is which structure? amnion chorion endometrium decidua
ammion chapter 10 pg 305
when providing counseling to a couple who have just found out they will be having a daughter, the nurse will identify this chromosome abbreviation as: phenotype 46xx. genotype 46xx. genome 46xx. alleles 46xx.
genome 46xx chapter 10 pg 316
a pregnant adolescent asks the nurse which sport would be safe for her to learn during pregnancy. Which activity would the nurse suggest as safe? bicycling high-impact aerobics skiing swimming
swimming chapter 12 pg 397
Nurses are expected to know how to use the first genetic test. What is it? the developmental assessment the family history the physical assessment the psychosocial assessment
the family history chapter 10 pg 325
A fertilized ovum is known as which structure? fetus zygote embryo chorion
zygote chapter 10 pg 302
A client in her 20th week of gestation expresses concern about her 5-year old son, who is behaving strangely by not approaching her anymore. He does not seem to be taking the news of a new family member very well. Which strategy can the nurse discuss with the mother to deal with the situation? Provide constant reinforcement of love and care to the child. Avoid talking to the child about the new arrival. Pay less attention to the child to prepare him for the future. Consult a child psychologist about the situation.
Provide constant reinforcement of love and care to the child chapter 11 pg 357
The client at 18 weeks' gestation states, "I feel a fluttering sensation, kind of like gas." The nurse understands that client is describing what occurrence? lightening quickening placenta previa linea nigra
quickening chapter 11 pg 356
In order for conception to take place, it is most common for a woman to get pregnant: immediately after a normal menstrual period. two weeks after her normal menstrual period. one week before her normal menstrual period. during her menstrual period.
two weeks after her normal menstrual period. chapter 10 pg 302
The nurse is reinforcing health care provider education on the technique for an amniocentesis. Which piece of equipment will the nurse have ready? ultrasound equipment sterile field with scalpel Foley catheter sterile urine cup
ultrasound equipment chapter 12 p 383
The nurse is assessing a primigravida woman at a routine prenatal visit. Which assessment finding is reinforcing to the client that she is definitely pregnant? continued amenorrhea positive hCG blood result uterine growth ultrasound picture of her fetus
ultrasound picture of her fetus chapter 11 pg 335
The health care provider has prescribed an over-the-counter antacid for a pregnant client in her first trimester who is having ongoing nausea, vomiting, and heartburn. Which instruction concerning the antacid should the nurse prioritize after noting the client is also prescribed a multivitamin supplement? Take with dairy products. Avoid caffeinated beverages. Take only at bedtime. Take antacid 1 hour after the multivitamin.
Take antacid 1 hour after the multivitamin. chapter 12 pg 388
During a routine prenatal visit, a pregnant woman reports a white, thick, vaginal discharge. She denies any itching or irritation. Which action would the nurse take next? Notify the health care provider of a possible infection. Tell the woman that this is entirely normal. Advise the woman about the need to culture the discharge. Check the discharge for evidence of ruptured membranes.
Tell the woman that this is entirely normal. chapter 11 pg 337
A petite pregnant client is concerned that she will be unable to deliver vaginally due to her small size. Which procedure should the nurse point out will help to confirm the manual measurements of her pelvis and provide information that will help determine the best method of delivery for her? Vaginal examination Papanicolaou test Measurement of her height and weight Ultrasonography
Ultrasonography chapter 12 pg 375
in the newborn nursery, the assesses a newborn and sees the eats are low-set. What action will the nurse take first? assess for additional anomalies document the findings report the finding to the health care provider check the family history for genetic conditions
assess for additional anomalies chapter 10 pg 321
The nurse is providing prenatal care to a pregnant woman. Understanding a major component of this care, the nurse would conduct a risk assessment for: genetic conditions and disorders. infant nutritional needs. family dynamics. cultural differences.
genetic conditions and disorders chapter 10 pg 301
a nurse is taking a history during a client's first prenatal visit. Which assessment finding would alert the nurse to the need for further assessment? history of exercising twice a week history of diabetes for 4 years history of occasional use of OTC pain relievers maternal age of 28 years
history of diabetes for 4 years chapter 12 pg 377
the nurse is conducting an initial history and assessment on a client at 10 weeks' gestation who is pregnant with her first child. Which question is a priority for the nurse to ask the client at the time? "Does anyone in your or the father's family have any genetic disorders?" "Do you plan to breastfeed or bottle feed your new baby?" "Are you planning to develop a birth plan for use during the birthing process?" "Was your mother or grandmother diagnosed with gestational diabetes?"
"Does anyone in your or the family have any genetic disorders?" chapter 10 page 324
A pregnant client has been diagnosed with hydramnios and has been referred for further testing. To obtain family history information needed for the testing, which questions(s) should the nurse ask the client? Select all the apply. "Has anyone in your family been born with a problem with the intestines?" "Do you have a family history of children with heart defects?" "Do you have anyone in the family who has been born with a spine problem?" "Do you have anyone in the family born with Down syndrome?" "Has anyone in the family been born with kidney problems?"
"Has anyone in your family been born with the intestine?" "Do you have anyone in the family who has been born with a spine problem?" "Do you have anyone in the family born with Down Syndrome" chapter pg 307
The nurse is teaching the pregnant woman about nutrition for herself and her baby. Which statement by the woman indicates that the teaching was effective? "I can eat any seafood that I like because it contains phosphorus, which is a nutrient that pregnant women need." "I will need to take iron supplementation throughout my pregnancy even if I am not anemic." "Milk production requires higher levels of calcium; therefore, if I am going to breastfeed, I must take a calcium supplement during pregnancy." "Because I am pregnant, I can eat anything I want and not worry about weight gain.
"I will need to take iron supplementation throughout my pregnancy even if I am not anemic." chapter 11 pg 348
a nurse is conduction a presentation for a group of nurses at the prenatal clinic on basic genetic information. After teaching the group about genetics, the nurse determines that the teaching was effective based on which statement by the group? "My genome is my genetic blueprint." "My parents gave me good phenotypes." "Your outward characteristics show some interesting genotypes." "A secondary goal of determining my genome is to find new treatments."
"My genome is my genetic blueprint." chapter 10 pg 313
The nurse is teaching a prenatal class about preparing for their expanding families. What is helpful advice from the nurse? "Expect your other children to react positively to their new brother/sister." "Your old coping methods will adequately get you through this period of adjustment." "The hormones of pregnancy may cause anxiety or depression postpartum." "Caring for your new infant is instinctual and will come naturally to you."
"The hormone of pregnancy may cause anxiety or depression postpartum" chapter 11 pg 355
A couple has just noticed that their unborn child carries a genetic disorder. The couple expresses concern that the insurance company will not cover the costs associated with the medical bills for the child. What is the most appropriate response by the nurse? "The insurance company may consider it a preexisting condition since you know." "There are laws in place that prohibit that from happening." "The insurance company may ask you to change policies once the baby is born." "They will charge you a higher premium every month."
"There are laws in place that prohibit that from happenings." chapter 10 pg 325
A pregnant client reports an increase in a thick, whitish vaginal discharge. Which response by the nurse would be most appropriate? "Use a local antifungal agent regularly." "This discharge is normal during pregnancy." "You should refrain from any sexual activity." "You need to be assessed for a fungal infection."
"This discharge is normal during pregnancy." chapter 11 pg 337
When providing preconception care to a client, which instruction will the nurse to provide about medications during pregnancy? "You need to avoid all prescription, over-the-counter, and herbal medications when you are pregnant." "It is safe for you to take over-the-counter medications." "You should switch to herbal remedies because they are safer to use than other types medicines." "You need to talk with your health care provider about using all prescription, over-the-counter, and herbal medications."
"You need to talk with your health care provider about using all prescription, over-the-counter, and herbal medications." chapter 12 pg 400-401
During a clinical rotation at a prenatal clinic, a client asks a nurse what causes certain birth defects. The nurse replies that they can be caused by teratogens. What does the severity of the defects depend on? Select all that apply when during development the conceptus is exposed to the teratogen the age of the father the particular teratogen to which the fetus is exposed the age of any siblings the food preferences of the father
- when during development the conceptus is exposed to the teratogen - the particular teratogen to which the fetus is exposed NOT: the age of the father and siblings, or the food preferences chapter 10 pg 309
A urinalysis is done on a client in her third trimester. Which result would be considered abnormal? Trace of glucose 2+ Protein in urine Specific gravity of 1.010 Straw-like color
2+ Protein in urine chapter 11 pg 345
The nurse is assessing a client at her first prenatal visit and notes the fundal height is palpable at the level of the umbilicus. The nurse predicts the client is at which gestational age? 18 weeks 20 weeks 24 weeks 22 weeks
20 weeks chapter 12 pg 378
A client in the third trimester of pregnancy has to travel a long distance by car. The client is anxious about the effect the travel may have on her pregnancy. Which instruction should the nurse provide to promote easy and safe travel for the client? Activate the air bag in the car. Use a lap belt that crosses over the uterus. Apply a padded shoulder strap properly. Always wear a three-point seat belt.
Always wear a three-point seat belt. chapter 12 pg 400
A woman tells the nurse that she is going to use a home pregnancy test to determine whether she is pregnant. Which precautions should the nurse give her? Use a diluted urine specimen. Wait until after two missed menstrual periods. Arrange for prenatal care if the test is positive. Refrain from eating for 4 hours before testing.
Arrange for prenatal care if the test is positive chapter 11 pg 334
Which information provided by a client would be considered a presumptive sign of pregnancy? Breast tenderness Reports of increased hunger Weight gain Ballottement (a technique of feeling for a movable object in the body, esp confirmation of pregnancy by feeling the rebound of the fetus following a quick digital tap on the wall of the uterus.)
Breast tenderness Presumptive signs are possible signs of pregnancy that appear in the first trimester, often only noted subjectively by the mother (breast changes, amenorrhea, morning sickness). Probable signs are signs that appear in the first and early second trimesters, seen via objective criteria, but can also be indicators of other conditions (hydatidiform mole). Positive signs affirm that proof exists that there is a developing fetus in any trimester and are objective criteria seen by a trained observer or diagnostic study, ultrasound. most presumptive sign of pregnancy is a missed menstrual periods, or amenorrhea. Other presumptive signs include nausea, fatigue, swollen, tender breast, and frequent urination chapter 11 pg 333
The client states that the first day of her last menstrual period is March 23. The nurse is most correct to calculate using Naegele rule that the estimated date of delivery is: January 30 December 30 December 16 November 23
December 30 chapter 12 pg 372
Nondisjunction of a chromosome results in which diagnosis? Huntington disease Marfan syndrome Duchenne muscular dystrophy Down syndrome
Down syndrome chapter 10 pg 320
A client at 10 weeks' gestation is reporting nausea and vomiting throughout the day. What interventions would the nurse recommend to this client? Select all that apply. Eat small frequent meals. Avoid fried foods. Take an over the counter antiemetic. Eat saltine crackers before getting out of bed. Eat a large, protein-rich meal in the evening.
Eat small frequent meals. Avoid fried foods. Eat saltine crackers before getting out of bed. chapter 12 pg 387
A pregnant woman's husband does not voice concerns at prenatal visits. Which observation would lead the nurse to suspect that the husband is emotionally involved in the pregnancy? He states he definitely wants a girl. He walks around furniture as if his abdomen is enlarged. He states he is concerned about the loss of his free time. He has refused to paint the baby's room blue.
He walks around furniture as if his abdomen is enlarged. chapter 11 pg 356
A nurse is caring for a client who is 8 months pregnant. Which instruction is the nurse most likely to give her? Perform nipple exercises and stimulation on a regular basis. Take a hot water bath or shower daily to maintain hygiene. Apply lanolin ointment to the nipple and areola to prevent cracking. Rest on the left side for at least 1 hour in the morning and afternoon.
Rest on the left side for at least 1 hour in the morning and afternoon. chapter 12 pg 380
A client in her third trimester of pregnancy wishes to formula feed her baby. What instruction should the nurse provide? Mix one scoop of powder with an ounce of water. Feed the infant every 8 hours. Serve the formula at room temperature. Refrigerate any leftover formula.
Serve the formula at room temperature. chapter 12 pg 409
A pregnant client at 24 weeks' gestation calls the clinic crying after a prenatal visit, where she had a pelvic exam. She states that she noticed blood on the tissue when she wiped after voiding. What initial statement by the nurse would explain this finding? The cervix is very vascular during pregnancy, so spotting after a pelvic exam is not unusual. She may have a bleeding disorder so she needs to come back to the clinic for blood work. It is possible she is losing her mucus plug, which can cause bloody show. Some bleeding during pregnancy is not uncommon and this finding is expected.
The cervix is very vascular during pregnancy, so spotting after a pelvic exam is not unusual. chapter 11 pg 337
A pregnant client at 24 weeks' gestation calls the clinic crying after a prenatal visit, where she had pelvic exam. She states that she noticed blood on the tissue when she wiped after voiding. What initial statement by the nurse would explain this finding? The cervix is very vascular during pregnancy, so spotting after a pelvic exam is not unusual. She may have a bleeding disorder so she needs to come back to the clinic for blood work. It is possible she is losing her mucus plug, which can cause bloody show. Some bleeding during pregnancy is not uncommon and this finding is expected.
The cervix is very vascular during, so spotting after a pelvic exam is not unusual chapter 11 pg 337
A baby is born with what the primary care provider believes is a diagnosis of trisomy 21. This means that the infant has three number 21 chromosomes. What factor describes this genetic change? The mother also has genetic mutation of chromosome 21. The client has a nondisjunction occurring during meiosis. During meiosis, a reduction of chromosomes resulted in 23. The client will have a single X chromosome and infertility.
The client has a nondisjunction occurring during meiosis. chapter 10 pg 320
When describing the role of a doula to a group of pregnant women, the nurse would include which information? The doula is a professionally trained nurse hired to provide physical and emotional support. The doula can perform any necessary clinical procedures. The doula primarily focuses on providing continuous labor support. The doula is capable of handling high-risk births and emergencies.
The doula primarily focuses on providing continuous labor support chapter 12 pg 406
A client at 32 weeks' gestation is admitted to labor and delivery with vaginal bleeding and contractions. The physician orders a course of two steroid injections. The client asks why she needs steroids. What is the best explanation by the nurse? The steroids will help to slow the development of infection. The steroids will create a layer of fat to help with temperature regulation. The steroids will increase the baby's muscle mass. The steroids speed up the development of the lungs.
The steroids speed up the development of the lungs. chapter 12 pg 409 - 410
A mother has come to the clinic with her 13-year-old daughter to find out why she has not started her menses. After a thorough examination and history, genetic testing is prescribed to rule out which abnormality? Turner syndrome Klinefelter's syndrome fragile X syndrome cri du chat syndrome
Turner syndrome chapter 10 pg 323
a woman in her third trimester has just leaned that her fetus has been diagnosed with cri-du-chat syndrome. the nurse recognizes that this child will likely have which characteristic? an abnormal, cat-like cry rounded soles of the feet (rocker-bottom) cleft lip and palate small and nonfunctional ovaries
a abnormal, cat-like cry chapter 10 pg 322
The nurse cares for multiple clients planning to have children. Which client will the nurse identify as priority for needing a referral for prenatal genetic testing? A female client who is 38 years of age A male client who is 45 years of age A female client diagnosed with diabetes mellitus A male client with family history of sickle cell disease
a male client with family history of sickle cell disease chapter 10 pg 323
A woman is 20 weeks pregnant. The nurse would expect to palpate the fundus at which location? symphysis pubis between the symphysis and umbilicus at the umbilicus just below the ensiform cartilage
at the umbilicus chapter 12 pg 378
Cystic fibrosis is an example of which type of inheritance? autosomal dominant autosomal recessive X-linked recessive multifactorial
autosomal recessive chapter 10 pg 318
a nurse is educating a primigravida client about the expected changes during pregnancy. Which measure will provide anticipatory guidance about pregnancy? Avoid wearing high heels, especially during late pregnancy. Sit in a hot tub for 5 minutes to help ease back pain and leg cramps. Avoid consuming too much fiber in the diet. Eat sweets at bedtime to avoid waking up feeling hungry.
avoid wearing high heels, especially late pregnancy chapter 12 pg 387
a pregnant client in her third trimester, lying supine on the examination table, suddenly grows very short of breath and dizzy. Concerned, she askes the nurse what is happening. Which response should the nurse prioritize? Cerebral arteries are growing congested with blood. The uterus requires more blood in a supine position. Blood is trapped in the vena cava in a supine position. Sympathetic nerve responses cause dyspnea when a woman lies supine.
blood is trapped in the vena cava in a supine position chapter 11 pg 336
The nurse is examining a woman who came to the clinic because she thinks she is pregnant. Which data collected by the nurse are presumptive signs of her pregnancy? Select all that apply. breast changes ultrasound pictures fetal heartbeat amenorrhea hydatidiform mole morning sickness
breast changes amenorrhea morning sickness chapter 11 pg 333
During a prenatal visit, the nurse inspects the skin of the client's abdomen. Which would the nurse identify as an abnormal finding? bruising linea nigra striae darkening of the umbilicus
bruising chapter 11 pg 341
the nurse is caring for a child with Down syndrome (trisomy 21). This is an example of which type of inheritance? Mendelian recessive Mendelian dominant chromosome nondisjunction phase 2 atrophy
chromosome nondisjunction chapter 10 pg 320
The nursing instructor is preparing a class presentation covering the various hormones and their functions during pregnancy. The instructor determines the class is successful when the class correctly matches which function with hCG? provides rich blood supply to decidua maintains nutrient-rich decidua continues progesterone production by corpus luteum sustains life of placenta
continues progesterone production by corpus luteum chapter 10 pg 309
A woman calls the prenatal clinic and says that she thinks she might be in labor. She shares her symptoms over the phone with the nurse and asks what to do. The nurse determines that she is likely in true labor and that she should head to the hospital. Which symptom is an indicator of true labor? contractions beginning in the back and sweeping forward across the abdomen lightening (descent of the fetus into the pelvis) intermittent backache stronger than usual increase in fetal kick count
contractions beginning in the back and sweeping forward across the abdomen chapter 12 pg 379
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? dyspnea lower abdominal pressure swelling of extremities excessive vomiting
excessive vomiting chapter 12 pg 379
When preparing a class for a group of pregnant women about nicotine use during pregnancy, the nurse describes the major risks associated with nicotine use, includes: increased risk of spontaneous abortion (miscarriage). decreased birth weight in neonates. increased risk of stillbirth. increased risk of placental abruption (abruptio placentae).
decrease birth weight in neonates chapter 12 pg 369
a student nurse is preparing for a presentation that will illustrate the various physiologic changes in the woman's body during pregnancy. Which cardiovascular changes up through the 26th week should the student point out? Decreased pulse rate and increased blood pressure Increased pulse rate and decreased blood pressure Increased pulse rate and blood pressure No change in pulse rate or blood pressure
increased pulse rate and decreased blood pressure chapter 11 pg 339
A 28-year client in her first trimester of pregnancy reports conflicting feelings. She expresses feeling proud and excited about her pregnancy while at the same time feeling fearful and anxious of its implications, Which action should the nurse do next? Schedule the client a consult with a psychiatric health care provider. Determine if the client's significant other is experiencing similar feelings about the pregnancy. Provide the client with information about pregnancy support groups. Inform the client this is a normal response to pregnancy that many women experience.
inform the client this is a normal response to pregnancy that many women experience chapter 11 pg 355
a 28 yo client who has just conceived arrives at a health care faucility for her first prenatal visit to undergo a physical examination. Which intervention should the nurse perform to prepare the client for the physical examination? Ensure that the client is lying down. Ensure that the client's family is present. Instruct the client to empty her bladder. Instruct the client to keep taking deep breaths.
instruct the client to empty her bladder chapter 12 pg 372
a nurse who has been caring for a pregnant client understands that the client has pica and has been regularly consuming soil. For which condition should the nurse monitor the client? iron-deficiency anemia constipation tooth fracture inefficient protein metabolism
iron-deficiency anemia chapter 11 pf 354
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? Use a diluted urine specimen. Wait until after two missed menstrual periods. Keep the appointment. Refrain from eating for 4 hours before testing.
keep the appointment chapter 11 pg 335
Nausea and vomiting are common reports during pregnancy. What nutritional action can be used to lessen nausea and vomiting? drinking liquids with meals limiting intake of heavy, greasy foods increasing fluid intake limiting carbohydrate intake
limiting intake of heavy, greasy food pg 387
When assessing newborns for chromosomal disorders, which assessment would be most suggestive of a problem? low-set ears short neck slanting of the palpebral fissure bowed legs
low-set ears chapter 10 pg 321
A pregnant client reports difficulty sleeping well. Which suggestion for sleeping should the nurse prioritize to assist this client? on her stomach with a pillow under her breasts on her side with the weight of the uterus on the bed on her back with a pillow under her knees and hips on her back with a pillow under her head
on her side with the weight of the uterus on the bed chapter 12 pg 393
a nurse is explaining how hormones affect the pregnancy. Which hormone would the nurse describe as being responsible for stimulating uterine contractions during labor? oxytocin progesterone estrogen prolactin
oxytocin chapter 11 pg 344
The nurse is preparing to teach a community class to a group of first-time parents. Which information should the nurse include concerning what the pregnant woman's partner may experience as a normal response? desire to be the woman and give birth no changes, only the mother has changes during pregnancy physical symptoms similar to the mother feeling distanced from the mother
physical symptoms similar to the mother chapter 11 pg 356-357
A nurse is discussing the importance of good nutrition to a young pregnant client. The nurse would point out that the growing fetus is getting nutrition from the mother via which structure? decidua placenta amniotic fluid umbilical arteries
placenta chapter 10 pg 309 The maternal uterine arteries deliver the nutrients to the placenta, which in turn provides nutrients to the developing fetus; the mother's uterine veins carry fetal waste products away.
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? Fatigue Amenorrhea Positive home pregnancy test Nausea and vomiting
positive home pregnancy test chapter 11 pg 334
a young woman with scoliosis has just learned that she is pregnant. Several years ago, she had stainless-steel rods surgically implanted on both sides of her vertebrae to strengthen and straighten her spine. However, her pelvis is unaffected by the condition. What does the nurse anticipate in this woman's pregnancy? potential for greater than usual back pain cesarean birth increased risk of miscarriage increased risk of fetal trauma
potential for greater than usual pain chapter 12 pg 391
A pregnant client who is beginning her third trimester asks the nurse why she feels like she is sometimes having labor contractions. The nurse would explain that: she is having "practice" contractions called Braxton Hicks contractions and they are normal. she may be beginning labor, so monitor for her water to break. if these contractions occur late in the day, she should be concerned. she needs to call her health care provider immediately to report the contractions.
she is having "practice" contractions called Braxton Hicks contractions and they are normal. chapter 11 pg 335-336
A nurse is conducting a presentation at a community health center about congenital malformations. The nurse describes that some common congenital malformations can occur and are recognized to be caused by multiple genetic and environmental factors. Which example would the nurse most likely cite? spina bifida cystic fibrosis color blindness hemophilia
spina bifida chpater 10 pg 319 Many of the common congenital malformations, such as cleft lip, cleft palate, spina bifida, pyloric stenosis, clubfoot, developmental hip dysplasia, and cardiac defects, are attributed to multifactorial inheritance
During late pregnancy, the nurse teaches a pregnant woman to lay on her lest side to avoid what condition? Supine hypotension syndrome Preeclampsia Frequent urination Heartburn
supine hypertension syndrome chapter 11 pg 336
A multigravida client is concerned that she may deliver early. When asking the nurse what is the earliest her baby can be delivered and survive, which time frame would the nurse point out? The end of the second trimester The end of the first trimester The end of the third trimester The end of the fourth trimester
the end of the second trimester chapter 10 pg 307
the nurse is planning a class for nurses learning to reach early prenatal classes. Which statement indicates that teaching has been effective? Early prenatal care is needed for a healthy newborn. The goal of early prenatal care is to optimize the health of the woman and the fetus. The first prenatal visit should be as soon as the woman misses her period. Early prenatal care is meant to obtain laboratory work and teach the woman regarding danger signs early in the pregnancy.
the goal of early prenatal care is to optimize the health of the woman and the fetus Chapter 12 pg 363-364
The nurse is assessing a pregnant client in her third trimester wo is reporting a first-time occurrence of constipation. When asked why this is happening, what is the best response from the nurse? There is not enough fiber in your diet. The intestines are displaced by the growing fetus. This shouldn't be happening. hCG is delaying peristalsis.
the intestine are displaced by the growing fetus chapter 11 pg 338
the health care provider has prescribed a karyotype for a newborn. the mother questions the type of information that will be provided by the test. What information should be included in the nurse's response? The karyotype will provide information about the severity of your baby's condition. A karyotype is useful in determining the potential complications the baby may face as a result of its condition. The karyotype will assess the baby's chromosomal makeup. The karyotype will determine the treatment needed for the infant
the karyotype will assess the baby's chromosomal makeup chapter 10 pg 316
a client who has just given a blood sample for pregnancy testing in the health care provider's office asks the nurse what method is confirming pregnancy is the most accurate. the nurse explains the difference between presumptive symptoms, probable signs, and positive signs. What should the nurse mention as an example of a positive sign, which may be used to diagnose pregnancy? visualization of the fetus by ultrasound laboratory test of a urine specimen for hCG laboratory test of a blood serum specimen for hCG absence of a period
visualization of the fetus by ultrasound chapter 11 pg 333
