Chapter 8-OB

The nurse evaluates a patient's cardiac function frequently. What is the reason for assessing the cardiac function frequently? 1 The patient has multiple fetuses. 2 The patient has an early pregnancy. 3 The patient has burning sensation in chest. 4 The patient has undergone bariatric surgery

1

The nurse is assessing a pregnant and anemic patient who is at risk for developing peripartum hemorrhage. Which laboratory test does the nurse expect the primary health care provider to order for this patient? 1. Hematocrit 2. Serology test 3. Hemoglobin test 4. Transvaginal ultrasound

1

The nurse is assessing a pregnant patient. The nurse finds that the patient's estimated date of birth (EDB) is December 2, 2015. What would be the patient's first day of the last menstrual period (LMP)? 1. February 25, 2015 2. March 25, 2015 3. February 2, 2015 4. March 2, 2014

1 Nägele's rule estimates the birth date by adding 7 days to the patient's LMP and counting forward by 9 months, so the patient's LMP is estimated by subtracting 7 days and 9 months from the EDB. Thus the patient's LMP would be February 25, 2015. If the patient's LMP were March 25, 2015, the EDB would be January 2, 2015. If the patient's LMP were February 2, 2015, then the EDB would be November 9, 2015. If the patient's LMP were March 2, 2014, then the EDB would be December 9, 2014.

A pregnant patient with a urinary tract infection is being discharged from the hospital after recovery. What preventive measures does the nurse suggest to the patient? Select all that apply. 1 "Drink cranberry juice." 2 "Drink acidophilus milk." 3 "Use scented toilet paper." 4 "Drink 2 liters of fluids daily." 5 "Regularly take bubble baths."

1, 2, 4

Which signs and symptoms in a pregnant patient would the nurse attribute to elevated levels of estrogen? Select all that apply. 1. Gingivitis 2. Angiomas 3. Constipation 4. Nose bleeding 5. Gastrocnemius spasm

1, 2, 4 Angiomas, gingivitis, and nose bleeding occur in the pregnant patient because of an increase in estrogen levels. Angiomas (spider nevi) appear on the neck, thorax, face, and arms during the second or third trimester of pregnancy. Estrogen increases vascularity and proliferation of the connective tissue. This results in gingivitis. Estrogen causes hyperemia of the mucous membranes. This results in nose bleeding. Constipation during pregnancy results from an increase in progesterone (not estrogen) levels. Gastrocnemius spasm during pregnancy is caused by a reduced level of diffusible serum calcium or an elevation of serum phosphorus.

Which statements about multifetal pregnancy are most appropriate? Select all that apply. 1 Backache and varicose veins are often more pronounced. 2 Spontaneous rupture of membranes before term is uncommon. 3 Twin pregnancies come to term with the same frequency as single pregnancies. 4 The mother should be counseled to increase her nutritional intake and gain more weight. 5 The expectant mother often develops anemia because the fetuses have a greater demand for iron.

1, 4, 5

A pregnant patient works as a supervisor in a manufacturing unit. The nurse advises the patient not to stand for prolonged periods, despite the demands of her occupation. The pregnant patient should not stand for prolonged periods in order to lower the risk for what? Leg cramps Preterm labor Carpal tunnel syndrome Thrombophlebitis in the legs

2 During pregnancy, the patient should neither stand nor sit for prolonged periods because doing so may adversely affect fetal health. Therefore the nurse instructs the patient to not stand for a prolonged period so as to reduce the risk for preterm labor.

During the prenatal checkup, a patient in the third trimester reports difficulty sleeping. What does the nurse suggest to the patient to promote good sleep? Select all that apply. 1 Take an oil bath twice a day." 2 "Drink acidophilus milk regularly." 3 "Drink warm milk before going to bed." 4 "Get a back massage or effleurage regularly." 5 "Place a pillow under the back while sleeping.

3, 4, 5

A pregnant patient complains of sudden abdominal cramps. After assessment, the primary health care provider tells the nurse that the patient has preterm labor. What signs has the nurse observed in the patient? Select all that apply. 1 Frequent urination 2 Difficulty breathing 3 Abdominal tightening 4 Elevated blood pressure 5 Blood spotting from vagina

3, 5 Preterm labor is often difficult to recognize. Thus, the nurse should always consult a health care provider when the patient shows signs of preterm labor. Signs such as abdominal tightening and abnormal vaginal discharge indicate preterm labor. Difficulty breathing is a common sign observed especially during the third trimester of pregnancy. It results from compression of diaphragm due to the abdominal contents. This sign does not indicate preterm labor. Gestational hypertension or elevated blood pressure is not necessarily a sign of preterm labor; it can be observed at any time during pregnancy. Frequent urination is observed in the first trimester of pregnancy and is not a sign of preterm labor.

The nurse is caring for a gravida I patient who asks about the tests and assessments that will be done during the initial prenatal visit. Which is the best response by the nurse? 1 "The provider will assess fetal heart tones." 2 "The provider will determine your fundal height." 3 "The provider will do a fetal assessment to determine the gestational age." 4 "The provider will do a lab test to check for human immunodeficiency virus (HIV)."

4 During the initial prenatal visit, the provider screens the patient for HIV, hemoglobin, hematocrit, white blood cell count, differential hemoglobin electrophoresis, blood type, Rh, and irregular antibodies