Antepartum (Exam 2)
A pregnant woman informs the nurse that her last normal menstrual period was on September 20, 2015. Using Nagele rule, the nurse calculates the client's estimated date of delivery as: A. May 30, 2016 B. June 20, 2016 C. June 27, 2016 D. July 3, 2016
C
A client enters the prenatal clinic. She states that she is pregnant. Which of the following hormone elevations will indicate a high probability that the client is pregnant? A. Chorionic gonadotropin B. Oxytocin C. Prolactin D. Luteinizing hormone
A
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? A. Surfactant is formed in the fetal lungs B. Eyes begin to open and close C. Respiratory movements begin D. Spinal column is completely formed
A
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? A. Avoid eating greasy foods. B. Drink orange juice before rising. C. Consume 1 teaspoon of nutmeg each morning. D. Eat 3 large meals plus a bedtime snack.
A
During a preconception counseling session, the nurse encourages a couple to prepare a birth plan. Which of the following is the most important goal for this action? A. Promote communication between the couple and health care professionals. B. Enable the couple to learn about the types of pain medicine used in labor. C. Provide the couple with a list of items that they should take to the hospital for the labor and delivery. D. Give the high-risk couple a sense of control over the likelihood of having a surgical delivery.
A
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? Select all that apply. A. "Your period is probably just irregular" B. "We could do a blood test to check" C. "Home pregnancy tests results are very accurate" D. "You should repeat the test in one week"
A, B
The nurse is providing anticipatory guidance to a woman in her 2nd trimester regarding signs/symptoms that are WDL during the latter half of the pregnancy. Which of the following comments by the client indicates that teaching was successful? Select all that apply. A. "During the 3rd trimester I may experience frequent urination" B. "During the 3rd trimester I may experience heartburn" C. "During the 3rd trimester I may experience nagging backaches" D. "During the 3rd trimester I may experience persistent headache" E. "During the 3rd trimester I may experience blurred vision"
A, B, C
An antenatal client is informing the nurse of her prenatal signs and symptoms. Which oft he following findings would the nurse determine are presumptive signs of pregnancy? Select all that apply. A. Amenorrhea. B. Breast tenderness. C. Quickening. D. Frequent urination. E. Uterine growth.
A, B, C, D
A nurse is working in a prenatal clinic. Which of the following findings seen in 3rd trimester pregnant women that the nurse would consider WDL? Select all that apply. A. Leg cramps B. Varicose veins C. Hemorrhoids D. Fainting spells E. Lordosis
A, B, C, E
A woman has just completed her 1st trimester. Which of the following fetal structures can the nurse tell the woman are well formed at this time? Select all that apply. A. Genitals B. Heart C. Fingers D. Alveoli E. Kidneys
A, B, C, E
When analyzing the need for health teaching of a prenatal multigravida, the nurse should ask which of the following questions? Select all that apply. A. "What are the ages of your children?" B. "What is your marital status?" C. "Do you ever drink alcohol?" D. "Do you have any allergies?"
A, C
A woman provides the nurse with the following OB history. Delivered a son, now 7 y/o, at 28 weeks gestation; delivered a daughter, now 5 y/o, at 39 weeks gestation; had a miscarriage 3 years ago; had a 1st trimester abortion 2 years ago. She is currently pregnant. Which of the following portrays an accurate picture of this woman's gravidity and parity? A. G4 P2121 B. G4 P1212 C. G5 P1122 D. G5 P2211
C
A 16 y/o, G1 P0000, is being seen at her 10 week visit. She tells the nurse that she felt the baby move that morning. Which of the following responses by the nurse is appropriate? A. "That is very exciting. The baby must be very healthy" B. "Would you please describe what you felt for me?" C. "That is impossible. The baby is not big enough yet" D. "Would you please let me see if I can feel the baby?"
B
A 36 week gravid client is complaining of dyspnea when lying flat. Which of the following is the likely clinical reason for this complaint? A. Maternal hypertension B. Fundal height C. Hydramnios D. Congestive heart failure
B
A client who was seen in the prenatal clinic at 20 weeks weighed 128lbs at that time. Approximately how many pounds would the nurse expect the client to weigh at her next visit at 24 weeks? A. 129-130lbs B. 131-132 lbs C. 133-134 lbs D. 135-136 lbs
B
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. A. The women should avoid consuming well done meat B. The women should avoid traveling to locations where the zika virus is endemic C. The women should engage in a daily exercise program D. The women should consume one serving of seafood each day E. The women should drink beer and wine instead of spirits like whiskey and vodka
B, C
A woman asks the nurse about the function of the amniotic fluid. Which of the following statements by the woman indicates that the teaching was successful? Select all that apply. A. The fluid provides fetal nutrition B. The fluid cushions the fetus from injury C. The fluid enables the fetus to grow D. The fluid provides the fetus with a stable thermal environment E. The fluid enables the fetus to practice swallowing
B, C, D, E
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. A. Backache B. Urinary frequency C. Dyspnea on exertion D. Fatigue E. Diarrhea
B, D
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? A. "You should see the doctor to make sure you are not becoming severely anemic." B. "Do you have a temperature?" C. "One of the hormones of pregnancy makes the nasal passages prone to bleeds." D. "Do you use any inhaled drugs?"
C
A client asks the nurse what was meant when the physician told her she had a positive Chadwick sing. Which of the following information about the finding would be appropriate for the nurse to convey at this time? A. "It is a purplish stretch mark on your abdomen" B. "It means that you are having heart palpitations" C. "It is a bluish coloration of your cervix and vagina" D. "It means the doctor heard abnormal sounds when you breathed in"
C
An ultrasound of a fetus' 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? A. The foramen ovale is a hole between the ventricles B. The umbilical vein contains oxygen-poor blood C. The right atrium contains both oxygen-rich and oxygen-poor blood D. The ductus venosus lies between the aorta and pulmonary artery
C
Which fo the following developmental features would the nurse expect to be absent in a 41 week gestation fetus? A. Fingernails B. Eyelashes C. Lanugo D. Milia
C
Which of the following skin changes should the nurse highlight for a pregnant women's HCP? A. Linea nigra B. Melasma C. Petechiae D. Spider nevi
C
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? A. Advise the woman that she may have a galactocele B. Encourage the woman to pump her breasts to stimulate an adequate milk supply C. Assess the liquid because a breast discharge is diagnostic of a mammary infection D. Reassure the mother that this is normal in the 3rd trimester
D
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? A. When the placenta is born, the circulatory systems separate" B. "When the doctor clamps the cord, the blood stops mixing" C. "The separation happens after the baby takes the first breath. The baby's oxygen will no longer have to come from you" D. "The blood supply actually never mixes. Your blood supply and the baby's blood supply are completely separate"
D
A client is 35 weeks' gestation. Which of the following findings would the nurse expect to see? A. Nausea and vomiting. B. Maternal ambivalence. C. Fundal height 10 cm above the umbilicus. D. Use of three pillows for sleep comfort.
D
A multigravid client is 22 weeks pregnant. Which of the following symptoms would the nurse expect the client to exhibit? A. Nausea. B. Dyspnea. C. Urinary frequency. D. Leg cramping.
D
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. A. Pap smear. B. Mammogram. C. Glucose challenge test. D. Biophysical profile. E. Complete blood count.
A, E
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? A. Fetal heart begins to beat B. Lanugo covers the fetal body C. Kidneys secrete urine D. Fingernails begin to form
B
A woman, 6 weeks pregnant, is having a vaginal examination. Which of the following would the practitioner expect to find? A. Thin cervical muscle. B. An enlarged ovary. C. Thick cervical mucus. D. Pale pink vaginal wall.
B
A woman is 36 weeks gestation. Which of the following tests will be done during her prenatal visit? A. Oral glucose tolerance test B. Amniotic fluid volume assessment C. Vaginal and rectal cultures D. Karyotype analysis
C
The nurse notes each of the following findings in a 10 week gestation client. Which of the findings would enable to the nurse to tell the client that she is positively pregnant? A. Fetal heart rate via doppler B. Positive pregnancy test C. Positive Chadwick sign D. Montgomery gland enlargements
A
Why is it essential that women of childbearing age be counseled to plan their pregnancies? A. Much of the organogenesis occurs before the missed menstrual period B. Insurance companies must preapprove many prenatal care expenditures C. It is recommended that women be pregnant no more than 3 times during their lifetime D. The CV system is stressed when pregnancies are less than 2 years apart
A
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 a quickening. Based on this information, the nurse knows that the baby is about how many weeks gestation? A. 15 weeks B. 22 weeks C. 29 weeks D. 36 weeks
B
A woman in her 3rd 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? A. Advise the client that it is unlikely that she will be able to breastfeed B. Refer the client to a lactation consultant for advice C. Call the labor room and notify them that a client with inverted nipples will be admitted D. Teach the woman exercises to evert her nipples
B
A client is having an ultrasound assessment done at her prenatal appointment at 8 weeks gestation. She asks the nurse, "can you tell what the sex of my baby is yet?" Which of the following responses would be appropriate for the nurse to make at this time? A. "The technician did tell me the sex, but I will have to let the doctor tell you what it is" B. "The organs are completely formed and present, but the baby is too small for them to be seen" C. "The technician says the baby has a penis. It looks like you are having a boy" D. "I am sorry. It will not be possible to see which sex the baby is for another month or so"
D