Antepartum
A client is expecting her second child in 6 months. During the psychosocial assessment, she says to the nurse, "I've been through this before. Why are you asking me these questions?" What is the nurse's best response?
"The facility requires these answers of all pregnant clients."
The primary healthcare provider (HCP) orders 1,000 mL of Ringer's Lactate intravenously over an 8-hour period for a 29-year-old primigravid client at 16 weeks' gestation with hyperemesis. The drip factor is 12 gtts/mL. The nurse should administer the IV infusion at how many drops per minute? Record your answer as a whole number.
25
A couple seeks information about natural family planning. Which of the following should the nurse inform the couple about natural family planning? Select all that apply.
Requires some period of abstinence. Uses calculations of menstrual cycles. Determines ovulation from basal body temperature.
A client is 2 months pregnant. Which factor should the nurse anticipate as most likely to affect her psychosocial transition during pregnancy?
Support from her partner
A client is undergoing fertility testing, and it has been determined that she is oligo-ovulatory. Which drug would be used to stimulate ovulation in this type of menstrual cycle?
clomiphene
A 20-year-old client visiting the clinic requests the use of oral contraceptives. When reviewing the client's history, which finding would alert the nurse to a possible contraindication to using these agents?
thrombophlebitis
Cardinal Stages of Labor
Descent. Flexion. Internal rotation. Extension. External rotation. Expulsion.
When teaching a primigravid client with diabetes about common causes of hyperglycemia during pregnancy, which information would the nurse include?
Maternal Infection
The community nurse works with the family to answer their questions on baby care. The nurse would like to maintain therapeutic boundaries within the therapeutic relationship. Which of the following is the best way to maintain boundaries?
The nurse does not disclose her home address or accept the invitation to stay for lunch.
49s An obese 36-year-old multigravid client at 12 weeks' gestation has a history of chronic hypertension. She was treated with methyldopa before becoming pregnant. When counseling the client about diet during pregnancy, the nurse realizes that the client needs additional instruction when she makes which statement?
need to reduce my caloric intake to 1,200 calories a day."
The health care provider (HCP) prescribes a maternal blood test for alpha fetoprotein for a nulligravid client at 16 weeks' gestation. When developing the teaching plan, the nurse bases the explanations on the understanding that this test is used to detect which condition?
neural tube defects
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?
now during the first trimester of pregnancy
A primigravid client visits the clinic at 12 weeks' gestation and tells the nurse that she has a cold and her nose is stuffy. The nurse should instruct the client to treat the nasal stuffiness by using:
saline nose drops.
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?
The client should wear disposable gloves and wash hand with soap and warm water after cat litter exposure.
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?
herpes genitalis
A client is in the 38th week of her first pregnancy. She calls the prenatal facility to report occasional tightening sensations in the lower abdomen and pressure on the bladder from the fetus, which she says seems lower than usual. The nurse should take which action?
Review premonitory signs of labor with the client.
