Antepartum

Which of the following developmental features would the nurse expect to be absent in a 41-week gestation fetus?

Lanugo.

A multigravid client is 22 weeks pregnant. Which of the following symptoms would the nurse expect the client to exhibit?

Leg cramping.

A woman, 26 weeks' gestation, calls the triage nurse stating, "I'm really scared. I tried not to but I had an orgasm when we were making love. I just know that I will go into preterm labor now." Which of the following responses by the nurse is appropriate?

"Although oxytocin was responsible for your orgasm, it is very unlikely that it will stimulate preterm labor."

A 20-year-old client states that the at-home pregnancy test that she took this morning was positive. Which of the following comments by the nurse is appropriate at this time?

"How do you feel about the results?"

A client is having an ultrasound assessment done at her prenatal appointment at 8 weeks' gestation. She asks the nurse, "Can you tell what sex my baby is yet?" Which of the following responses would be appropriate for the nurse to make at this time?

"I am sorry. It will not be possible to see which sex the baby is for another month or so."

A gravid client is counseled by her primary healthcare provider to have a vaccination during her third trimester of pregnancy. The client questions the healthcare provider's recommendation. Which of the following statements would be appropriate for the nurse to give the client?

"If you receive the tetanus, diphtheria, and acellular pertussis vaccine, your baby will be protected against whooping cough."

A client asks the nurse what was meant when the physician told her she had a positive Chadwick sign. Which of the following information about the finding would be appropriate for the nurse to convey at this time?

"It is a purplish stretch mark on your abdomen." "It is a bluish coloration of your cervix and vagina."

A 12-week gestation client tells the nurse that she and her husband eat sushi at least once per week. She states, "I know that fish is good for me, so I make sure we eat it regularly." Which of the following responses by the nurse is appropriate?

"It is recommended that fish be cooked to destroy harmful bacteria."

When assessing the fruit intake of a pregnant client, the nurse notes that the client usually eats one piece of fruit per day and drinks a 12 oz glass of fruit juice per day. Which of the following is the most important communication for the nurse to make?

"It would be even better if you were to consume more whole fruits and less fruit juice."

A 34-week gestation woman calls the obstetric office stating, "Since last night I have had three nosebleeds." Which of the following responses by the nurse is appropriate?

"One of the hormones of pregnancy makes the nasal passages prone to bleeds."

A client asks the nurse, "Could you explain how the baby's blood and my blood separate at delivery?" Which of the following responses is appropriate for the nurse to make?

"The blood actually never mixes. Your blood supply and the baby's blood supply are completely separate."

A client in her third trimester is concerned that she will not know the difference between labor contractions and normal aches and pains of pregnancy. How should the nurse respond?

"The contractions may feel just like a backache, but they will come and go."

The nurse is teaching a couple about fetal development. Which statement by the nurse is correct about the morula stage of development?

"The fertilized egg has yet to implant into the uterus."

A client is 15 weeks pregnant. She calls the obstetric office to request a medication for a headache. The nurse answers the telephone. Which of the following is the nurse's best response?

"The physician will prescribe a medication for you that has been shown not to cause any fetal injuries."

A woman whose prenatal weight was 105 lb weighs 109 lb at her 12-week visit. Which of the following comments by the nurse is appropriate at this time?

"We expect you to gain about 1 lb per week, so your weight is a little low at this time." "Your weight gain is exactly what we would expect it to be at this time."

When analyzing the need for health teaching of a prenatal multigravida, the nurse should ask which of the following questions?

"What are the ages of your children?" "Do you ever drink alcohol?"

A 16-year-old, G1 P0000, is being seen at her 10-week gestation visit. She tells the nurse that she felt the baby move that morning. Which of the following responses by the nurse is appropriate?

"Would you please describe what you felt for me?"

A client enters the prenatal clinic. She states that she missed her period yesterday and used a home pregnancy test this morning. She states that the results were negative, but "I still think I am pregnant." Which of the following statements would be appropriate for the nurse to make at this time?

"Your period is probably just irregular." "We could do a blood test to check."

The midwife has just palpated the fundal height at the location noted on the picture below. It is likely that the client is how many weeks pregnant?

12.

A client who was seen in the prenatal clinic at 20 weeks' gestation weighed 128 lb at that time. Approximately how many pounds would the nurse expect the client to weigh at her next visit at 24 weeks' gestation?

131 to 132 lb

A woman delivers a fetal demise that has lanugo covering the entire body, nails that are present on the fingers and toes, but eyes that are still fused. Prior to the death, the mother stated that she had felt quickening. Based on this information, the nurse knows that the baby is about how many weeks' gestation?

22 weeks.

The nurse working in an outpatient obstetric office assesses four primigravid clients. Which of the client findings should the nurse highlight for the physician? Select all that apply.

24 weeks' gestation; fundal height at the umbilicus. 34 weeks' gestation; experiences uterine cramping.

A nurse is working in the prenatal clinic. Which of the following findings seen in third-trimester pregnant women would the nurse consider to be within normal limits? Select all that apply.

Leg cramps. Varicose veins. Hemorrhoids. Lordosis.

Which finding would the nurse view as normal when evaluating the laboratory reports of a 34-week gestation client?

Mild anemia.

An antenatal client is informing the nurse of her prenatal signs and symptoms. Which of the following findings would the nurse determine are presumptive signs of pregnancy? Select all that apply.

Amenorrhea. Breast tenderness. Quickening. Frequent urination.

A woman, 6 weeks pregnant, is having a vaginal examination. Which of the following would the practitioner expect to find?

An enlarged ovary.

Because nausea and vomiting are such common complaints of pregnant women, the nurse provides anticipatory guidance to a 6-week gestation client by telling her to do which of the following?

Avoid eating greasy foods.

An 18-week gestation client telephones the obstetrician's office stating, "I'm really scared. I think I have breast cancer. My breasts are filled with tumors." The nurse should base the response on which of the following?

Nodular breast tissue is normal during pregnancy.

A 37-week gravid client states that she noticed a "white liquid" leaking from her breasts during a recent shower. Which of the following nursing responses is appropriate at this time?

Reassure the mother that this is normal in the third trimester.

Below are four important landmarks of fetal development. Please place them in chronological order:

Blastocyst development is complete. Four-chambered heart is formed. Vernix caseosa is present. Testes have descended into the scrotal sac.

A third-trimester client is being seen for routine prenatal care. Which of the following assessments will the nurse perform during the visit? Select all that apply.

Blood pressure. Fetal heart rate. Urine protein.

Which of the following findings in an 8-week gestation client, G2 P1001, should the nurse highlight for the nurse midwife? Select all that apply.

Body mass index of 17 kg/m2. Rubella titer of 1:8. Hematocrit of 30%.

A nurse is discussing diet with a pregnant woman. Which of the following foods should the nurse advise the client to avoid consuming during her pregnancy?

Bologna.

A woman in her third trimester advises the nurse that she wishes to breastfeed her baby, "but I don't think my nipples are right." Upon examination, the nurse notes that the client has inverted nipples. Which of the following actions should the nurse take at this time?

Refer the client to a lactation consultant for advice.

A client informs the nurse that she is "very constipated." Which of the following foods would be best for the nurse to recommend to the client?

Celery.

A client enters the prenatal clinic. She states that she believes she is pregnant. Which of the following hormone elevations will indicate a high probability that the client is pregnant?

Chorionic gonadotropin.

A nurse is advising a pregnant woman about the danger signs of pregnancy. The nurse should teach the mother that she should notify the physician immediately if she experiences which of the following signs/symptoms? Select all that apply.

Convulsions. Double vision. Epigastric pain. Persistent vomiting.

A woman confides in the nurse that she practices pica. Which of the following alternatives could the nurse suggest to the woman?

Replace ice with frozen fruit juice.

A 36-week gestation gravid lies flat on her back. Which of the following maternal signs/symptoms would the nurse expect to observe?

Dizziness.

The blood of a pregnant client was initially assessed at 10 weeks' gestation and reassessed at 38 weeks' gestation. Which of the following results would the nurse expect to see?

Rise in white blood cells from 5,000 cells/mm3 to 15,000 cells/mm3.

The nurse asks a 31-week gestation client to lie on the examining table during a prenatal examination. In which of the following positions should the client be placed?

Semi-Fowler.

A nurse has identified the following nursing diagnosis for a prenatal client: Altered nutrition: less than body requirements related to poor folic acid intake. Which of the following foods should the nurse suggest the client consume?

Oranges and spinach.

A 75-gram oral glucose tolerance test (OGTT) is ordered at or after 24 weeks' gestation for a pregnant client to assess her physiological response to which of the following pregnancy hormones?

Human placental lactogen.

A gravida, G1 P0000, is having her first prenatal physical examination. Which of the following assessments should the nurse inform the client that she will have that day? Select all that apply.

Pap smear. Complete blood count.

The nurse is reading an article that states that the maternal mortality rate in the United States in the year 2014 was 14. Which of the following statements would be an accurate interpretation of the statement?

In the year 2014, there were 14 maternal deaths in the United States per 100,000 live births.

A gravid woman who recently emigrated from mainland China is being seen at her first prenatal visit. She was never vaccinated in her home country. An injection to prevent which of the following communicable diseases should be administered to the woman during her pregnancy?

Influenza.

Which of the following exercises should be taught to a pregnant woman who complains of backaches?

Pelvic tilting.

Which of the following skin changes should the nurse highlight for a pregnant woman's healthcare practitioner?

Petechiae.

It is discovered that a pregnant woman practices pica. Which of the following complications is most often associated with this behavior?

Iron-deficiency anemia.

A pregnant client's primary healthcare provider has ordered a 75-gram oral glucose tolerance test (OGTT) to screen the client for gestational diabetes. The nurse is providing preprocedure counseling to the client. Which of the following must the client do? Select all that apply.

Fast for 8 to 16 hours prior to the test. Smoke no cigarettes the day of the test.

The nurse notes each of the following findings in a 10-week gestation client. Which of the findings would enable the nurse to tell the client that she is positively pregnant?

Fetal heart rate via Doppler.

The nurse is assessing the laboratory report of a 40-week gestation client. Which of the following values would the nurse expect to find elevated above prepregnancy levels? Select all that apply.

Fibrinogen. White blood cells.

A 36-week gestation gravid client is complaining of dyspnea when lying flat. Which of the following is the likely clinical reason for this complaint?

Fundal height.

A woman provides the nurse with the following obstetrical history: Delivered a son, now 7 years old, at 28 weeks' gestation; delivered a daughter, now 5 years old, at 39 weeks' gestation; had a miscarriage 3 years ago; and had a first-trimester abortion 2 years ago. She is currently pregnant. Which of the following portrays an accurate picture of this woman's gravidity and parity?

G5 P1122.

A woman has just completed her first trimester. Which of the following fetal structures can the nurse tell the woman are well formed at this time? Select all that apply.

Genitals. Heart. Fingers. Kidneys.

A nurse is providing diet counseling to a new prenatal client. Which of the following dairy products should the client be advised to avoid eating during the pregnancy?

Gorgonzola cheese.

A mother has just experienced quickening. Which of the following developmental changes would the nurse expect to occur at the same time in the woman's pregnancy?

Lanugo covers the fetal body.

A gravida's fundal height is noted to be at the xiphoid process. The nurse is aware that which of the following fetal changes is likely to be occurring at the same time in the pregnancy?

Surfactant is formed in the fetal lungs.q

The nurse midwife tells a client that the baby is growing and that ballottement was evident during the vaginal examination. How should the nurse explain what the nurse midwife means by ballottement?

The nurse midwife felt the baby rebound after being pushed.

An ultrasound of a fetus's heart shows that normal fetal circulation is occurring. Which of the following statements should the nurse interpret as correct in relation to the fetal circulation?

The right atrium contains both oxygen-rich and oxygen-poor blood.

After nutrition counseling, a woman, G3 P1101, proclaims that she certainly can't eat any strawberries during her pregnancy. Which of the following is the likely reason for this statement?

The woman believes in old wives' tales.

The nurse has taken a health history on four primigravid clients at their first prenatal visits. It is high priority that which of the clients receives nutrition counseling?

The woman diagnosed with phenylketonuria.

A nurse is providing health education to a group of women who are planning to become pregnant. Which of the following actions should the nurse advise the women to take throughout their pregnancies? Select all that apply.

The women should avoid traveling to locations where the zika virus is endemic. The women should engage in a daily exercise program.

The nurse is caring for a pregnant client who is a vegan. Which of the following foods should the nurse suggest the client consume as substitutes for restricted foods?

Tofu, legumes, broccoli.

A pregnant client is lactose intolerant. Which of the following foods could this woman consume to meet her calcium needs?

Turnip greens.

A client is in the 10th week of her pregnancy. Which of the following symptoms would the nurse expect the client to exhibit? Select all that apply.

Urinary frequency. Fatigue.

A client is 35 weeks' gestation. Which of the following findings would the nurse expect to see?

Use of three pillows for sleep comfort.

A woman is 36 weeks' gestation. Which of the following tests will be done during her prenatal visit?

Vaginal and rectal cultures.

A woman is carrying dizygotic twins. She asks the nurse about the babies. Which of the following explanations is accurate?

When the woman ovulated, she expelled two mature ova.

A woman states that she frequently awakens with "painful leg cramps" during the night. Which of the following assessments should the nurse make?

Woman's exercise schedule.