Developmental Concepts - OB Module 2
Which statement would indicate a pregnant nurse needs additional health teaching about avoiding teratogens during pregnancy while at work? A) "I care for about five clients a day." B) "Latex gloves irritate my hands, so I don't use them." C) "I never accompany clients to the X-ray department." D) "I find giving emotional support taxing."
B) "Latex gloves irritate my hands, so I don't use them."
Which statement would indicate a pregnant nurse needs additional health teaching about avoiding teratogens during pregnancy while at work? A) "I care for about five clients a day." B) "Latex gloves irritate my hands, so I don't use them." C) "I never accompany clients to the X-ray department." D) "I find giving emotional support taxing."
B) "Latex gloves irritate my hands, so I don't use them."
A client at 16 weeks' gestation comes to the office for a routine exam. At what location within the abdomen would the nurse anticipate the uterus to be found? A) At the level of the umbilicus B) At the xiphoid process C) Halfway between the symphysis pubis and the umbilicus D) Below the symphysis pubis
C) Halfway between the symphysis pubis and the umbilicus
A woman comes to the prenatal clinic and undergoes a pelvic exam. The doctor notes a softening of the uterine isthmus. The nurse recognized that this finding is known as what sign? A) Hegar sign B) Chadwick sign C) Quickening D) Goodell sign
A) Hegar sign
A pregnant woman has been admitted to the hospital due to severe preeclampsia. Which measure will be important for the nurse to include in the care plan? A) Institute and maintain seizure precautions. B) Institute NPO status. C) Admit the client to the middle of ICU where she can be constantly monitored. D) Plan for immediate induction of labor.
A) Institute and maintain seizure precautions.
A woman in labor suddenly reports sharp fundal pain accompanied by slight dark red vaginal bleeding. The nurse should prepare to assist with which situation? A) Premature separation of the placenta B) Preterm labor that was undiagnosed C) Placenta previa obstructing the cervix D) Possible fetal death or injury
A) Premature separation of the placenta
The nurse is concerned that a client is not obtaining enough folic acid. Which test would the nurse anticipate being used to evaluate the fetus for potential neural tube defects? A) alpha-fetoprotein analysis B) triple-marker screen C) Doppler flow study D) Amniocentesis
A) alpha-fetoprotein analysis
A woman with diabetes is in labor. To reduce the likelihood of neonatal hypoglycemia, the nurse monitors the client's blood glucose level closely with the goal to maintain which level? A) below 110 mg/dL B) below 105 mg/dL C) below 115 mg/dL D) below 120 mg/dL
A) below 110 mg/dL
A nurse is reading a journal article about the use of real-time ultrasonography, which allows the health care provider to obtain information about the fetus. The nurse would expect the article to describe which type of information? A) biophysical profile B) chromosomal abnormalities C) the effectiveness of neural tube defect treatment D) the size and shape of placenta
A) biophysical profile
A 29-year-old client has gestational diabetes. The nurse is teaching her about managing her glucose levels. Which therapy would be most appropriate for this client? A) diet B) long-acting insulin C) oral hypoglycemic drugs D) glucagon
A) diet
The nurse is preparing a teaching plan for a pregnant woman about the signs and symptoms to be reported immediately to her health care provider. Which signs and symptoms would the nurse include? Select all that apply. A) headache with visual changes in the third trimester B) urinary frequency in the third trimester C) sudden leakage of fluid during the second trimester D) nausea with vomiting during the first trimester E) lower abdominal pain with shoulder pain in the first trimester F) backache during the second trimester
A) headache with visual changes in the third trimester C) sudden leakage of fluid during the second trimester E) lower abdominal pain with shoulder pain in the first trimester
A nurse urges a pregnant client at the first prenatal office visit to begin taking iron supplements immediately. What is the rationale for this intervention? A) to avoid anemia B) to prevent megalohemoglobinemia C) to maintain proper blood glucose levels D) to reduce the risk for hypertension
A) to avoid anemia
A pregnant client is concerned because she has noticed that she is developing brown blotches on her forehead and nose. The nurse realizes that the client understood the teaching about this problem when the client makes which statement? A) "Pregnant women often develop skin problems but this should go away in the third trimester." B) "These spots are from hyperpigmentation caused by the pregnancy and may be permanent." C) "I will get them with every pregnancy and they will get worse every time." D) "This condition is called linea nigra and the spots may fade or go away between pregnancies."
B) "These spots are from hyperpigmentation caused by the pregnancy and may be permanent."
A client is 33 weeks pregnant and has had diabetes since age 21. When checking her fasting blood glucose level, which value would indicate the client's disease is controlled? A) 45 mg/dL B) 85 mg/dL C) 120 mg/dL D) 136 mg/dL
B) 85 mg/dL
Hormone levels of a woman indicate that the corpus luteum stopped functioning and releasing progesterone after 5 weeks. The nurse would recognize that which scenario is the expected outcome? A) The pregnancy would continue unaffected. B) A spontaneous abortion (miscarriage) would occur. C) There is a higher than normal chance of a multifetal pregnancy. D) She will need progesterone supplement throughout the pregnancy.
B) A spontaneous abortion (miscarriage) would occur.
A 28-year-old client states she did not have her menses for the past 3 months and suspects she is pregnant. Which should the nurse do next? A) Determine at what age the client's began menses. B) Have the client take a pregnancy test. C) Assess the client for a fetal heart tone. D) Ask the client the date her last menses ended.
B) Have the client take a pregnancy test.
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? A) He states he definitely wants a girl. B) He walks around furniture as if his abdomen is enlarged. C) He states he is concerned about the loss of his free time. D) He has refused to paint the baby's room blue.
B) He walks around furniture as if his abdomen is enlarged.
A pregnant client with type I diabetes asks the nurse about how to best control her blood sugar while she is pregnant. The best reply would be for the woman to: A) limit weight gain to 15 pounds during the pregnancy. B) check her blood sugars frequently and adjust insulin accordingly. C) exercise for 1 to 2 hours each day to keep the blood glucose down. D) begin oral hyperglycemic medications along with the insulin she is currently taking.
B) check her blood sugars frequently and adjust insulin accordingly.
A client at 11 weeks' gestation experiences pregnancy loss. The client asks the nurse if the bleeding and cramping that occurred during the miscarriage were caused by working long hours in a stressful environment. What is the most appropriate response from the nurse? A) "Your spontaneous bleeding is not work-related." B) "It is hard to know why a woman bleeds during early pregnancy." C) "I can understand your need to find an answer to what caused this. Let's talk about this further." D) "Something was wrong with the fetus."
C) "I can understand your need to find an answer to what caused this. Let's talk about this further."
A client in her second trimester of pregnancy visits a health care facility. The client frequently engages in aerobic exercise and asks the nurse about doing so during her pregnancy. Which precaution should the nurse instruct the pregnant client to take when practicing aerobic exercises? A) Begin a new exercise regimen. B) Wear support hose when exercising. C) Maintain tolerable intensity of exercise. D) Reduce the amount of exercise.
C) Maintain tolerable intensity of exercise.
The nurse is assessing a pregnant woman and noticing behavior changes that indicate she is beginning to accomplish the maternal tasks of becoming mother. The client is in her third trimester. Which behavior would the nurse most likely assess? A) accepting the pregnancy but not yet the fetus B) learning how to delay personal desires C) acknowledging fetus as a separate entity D) questioning of ability to become a good mother
C) acknowledging fetus as a separate entity
A pregnant woman is admitted to the hospital with a diagnosis of placenta previa. Which action would be the priority for this woman on admission? A) performing a vaginal examination to assess the extent of bleeding B) helping the woman remain ambulatory to reduce bleeding C) assessing fetal heart tones by use of an external monitor D) assessing uterine contractions by an internal pressure gauge
C) assessing fetal heart tones by use of an external monitor
A urinalysis is done on a client in her third trimester. Which result would be considered abnormal? A) Trace of glucose B) 2+ Protein in urine C) Specific gravity of 1.010 D) Straw-like color
B) 2+ Protein in urine
A 32-year-old woman with epilepsy mentions to the nurse during a routine well-visit that she would like to have children and asks the nurse for advice. Which response is most appropriate from the nurse? A) "You should talk to the doctor about that; the medications you're on can damage the fetus." B) "Do you want to talk to a counselor who can help you weigh the pros and cons of having your own child rather than adopting?" C) "I'll let the doctor know so you can discuss your medications. In the meantime, I'll give you a list of folate-rich foods you can add to your diet." D) "That's great. I've got a 4-year-old and a 2-year-old myself."
C) "I'll let the doctor know so you can discuss your medications. In the meantime, I'll give you a list of folate-rich foods you can add to your diet."
A client is having her vital signs and weight taken and recorded at a prenatal visit. She is in her second trimester at 23 weeks' gestation. Her weight gain in the first trimester was 2 pounds and she has currently gained 14 pounds overall. What is the nurse's interpretation of this data? A) Her weight gain was less than expected initially but now she has gained too much weight in the second trimester. B) The client has displayed an ideal weight gain pattern. C) Her weight gain in the first trimester is less that expected but she has caught up and her weight gain is good. D) She needs to gain another 20 to 25 pounds by delivery to have appropriate weight gain for the pregnancy.
C) Her weight gain in the first trimester is less that expected but she has caught up and her weight gain is good.
A 32-year-old gravida 3 para 2 at 36 weeks' gestation comes to the obstetric department reporting abdominal pain. Her blood pressure is 164/90 mm/Hg, her pulse is 100 beats per minute, and her respirations are 24 per minute. She is restless and slightly diaphoretic with a small amount of dark red vaginal bleeding. What assessment should the nurse make next? A) Check deep tendon reflexes. B) Measure fundal height. C) Palpate the fundus, and check fetal heart rate. D) Obtain a voided urine specimen, and determine blood type.
C) Palpate the fundus, and check fetal heart rate.
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? A) Fatigue B) Amenorrhea C) Positive home pregnancy test D) Nausea and vomiting
C) Positive home pregnancy test
A client in her third trimester of pregnancy wishes to formula feed her baby. What instruction should the nurse provide? A) Mix one scoop of powder with an ounce of water. B) Feed the infant every 8 hours. C) Serve the formula at room temperature. D) Refrigerate any leftover formula.
C) Serve the formula at room temperature.
A client who suspects she is pregnant asks the nurse about the accuracy of home pregnancy tests. The nurse would tell the client that: A) Home pregnancy tests often give a false positive result. B) Their reliability is only about 90% C) Some of the home pregnancy tests can detect the presence of hCG within one day of the woman's missed period. D) The test works best on a midday urine sample.
C) Some of the home pregnancy tests can detect the presence of hCG within one day of the woman's missed period.
The nurse is helping a pregnant client adapt psychologically. What outcome best demonstrates that the client has successfully adapted to the second trimester? A) The client states that she is fully prepared for parenthood B) The client accepts the pregnancy C) The client accepts the reality and uniqueness of the baby D) The client finishes making a detailed plan for labor and birth
C) The client accepts the reality and uniqueness of the baby
Place the following events in the sequence the pregnant woman would experience them, from first to last. All options must be used. 1 Braxton Hicks contractions 2 Amennorhea 3 Labor 4 Quickening 5 uterine enlargement
2 Amennorhea 5 Uterine enlargement 4 Quickening 1 Braxton Hicks contractions 3 Labor
The diagonal conjugate of a pregnant woman's pelvis is measured. Which measurement would the nurse interpret as presenting a potential problem? A) 12.0 cm B) 12.5 cm C) 13.0 cm D) 13.5 cm
A) 12.0 cm The diagonal conjugate, usually 12.5 cm or greater, indicates the anteroposterior diameter of the pelvic inlet. The diagonal conjugate is the most useful measurement for estimating pelvic size because a misfit with the fetal head occurs if it is too small.
A nurse is caring for a pregnant client in her second trimester of pregnancy. The nurse educates the client to look for which danger sign of pregnancy needing immediate attention by the primary care provider? A) vaginal bleeding B) painful urination C) severe, persistent vomiting D) lower abdominal and shoulder pain
A) vaginal bleeding
After teaching the pregnant woman about ways to minimize flatulence and bloating during pregnancy, the nurse understands that which client statement indicates the need for additional teaching? A) "I'll try to drink more fluids to help move things along." B) "I'll switch to chewing gum instead of using mints." C) "I'll stay away from foods like cabbage and brussels sprouts." D) "I'll increase my time spent on walking each day."
B) "I'll switch to chewing gum instead of using mints."
A 44-year-old client has lost several pregnancies over the last 10 years. For the past 3 months, she has had fatigue, nausea, and vomiting. She visits the clinic and takes a pregnancy test; the results are positive. Physical examination confirms a uterus enlarged to 13 weeks' gestation; fetal heart tones are heard. Ultrasound reveals that the client is experiencing some bleeding. Considering the client's prenatal history and age, what does the nurse recognize as the greatest risk for the client at this time? A) premature birth B) hypertension C) pregnancy loss D) preterm labor
C) pregnancy loss
A pregnant woman determined to be at high risk for gestational diabetes is undergoing a 1-hour glucose challenge test. The nurse schedules the client for a 3-hour glucose tolerance test based on which result? A) 118 mg/dL B) 126 mg/dL C) 134 mg/dL D) 146 mg/dL
D) 146 mg/dL
A 28-year-old 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? A) Schedule the client a consult with a psychiatric health care provider. B) Determine if the client's significant other is experiencing similar feelings about the pregnancy. C) Provide the client with information about pregnancy support groups. D) Inform the client this is a normal response to pregnancy that many women experience.
D) Inform the client this is a normal response to pregnancy that many women experience.
Why is a Papanicolau test done at the first prenatal visit? A) It predicts whether cervical cancer will occur. B) It helps to date the pregnancy. C) It detects if uterine cancer is present. D) It identifies abnormal cervical cells.
D) It identifies abnormal cervical cells.
A nurse is educating a pregnant client about obtaining a blood sample for an alpha-fetoprotein (AFP) level. Which response by the client indicates that the health teaching was successful? A) "If my AFP level is high, it could mean there is a problem with my baby's spinal cord." B) "If my AFP level is negative, it means the baby has no birth defects." C) "If my AFP level is low, then I won't need to follow up." D) "If there is a need to get my AFP level tested, a blood sample will be obtained around 11 weeks."
A) "If my AFP level is high, it could mean there is a problem with my baby's spinal cord."
A woman comes to the clinic for her first prenatal checkup. The woman has a body mass index (BMI) of 22. The nurse would anticipate that this client should gain approximately how much weight during her pregnancy? A) 25 to 35 lbs (11 to 16 kg) B) 28 to 40 lbs (13 to 18 kg) C) 15 to 25 lbs (7 to 11 kg) D) 11 to 20 lbs (5 to 9 kg)
A) 25 to 35 lbs (11 to 16 kg)
A 23-year-old female has come to the clinic for her first prenatal visit. After the examination reveals no concerns and potential low-risk pregnancy, the nurse discusses nutritional needs for her and her growing baby. As per the Institute of Medicine, the nurse suggests the client take which amount of ferrous iron daily? A) 27 mg B) 20 mg C) 10 mg D) 40 mg
A) 27 mg The dietary reference intakes as per the Institute of Medicine are for 27 mg of ferrous iron and 400 to 800 mcg of folic acid per day. Women with a previous history of fetus with a neural tube defect are often prescribed a higher dose.
What instruction should a nurse offer to a pregnant client or a client who wishes to become pregnant to help her avoid exposure to teratogenic substances? A) Avoid medications. B) Eat a well-balanced diet. C) Maintain personal hygiene. D) Avoid intake of coffee.
A) Avoid medications.
A pregnant client is concerned she may develop preeclampsia, so she has stopped adding any salt to her food and is now questioning the nurse about avoiding prepared foods. The nurse should point out some salt is very beneficial and can help prevent which negative outcome for her baby? A) Congenital hypothyroidism B) Low birth weight C) Neural tube defects D) Night blindness
A) Congenital hypothyroidism Iodized sodium is needed by the body for normal thyroid function. Women with severe iodine deficiencies deliver infants with congenital hypothyroidism.
Which would be a normal finding by the nurse during a physical exam of a woman in her third trimester? A) Dyspnea B) Kyphosis C) Ptyalism D) Increased hematocrit
A) Dyspnea
A client arrives to the clinic very excited and reporting a postive home pregnancy test. The nurse cautions that the home pregnancy test is considered a probable sign and will assess the client for which sign to confirm pregnancy? A) Positive office pregnancy test B) Fetal movement felt by examiner C) Hegar sign D) Chadwick sign
A) Fetal movement felt by examiner
A woman with severe preeclampsia is receiving magnesium sulfate. The woman's serum magnesium level is 9.0 mEq/L. Which finding would the nurse most likely note? A) diminished reflexes B) elevated liver enzymes C) seizures D) serum magnesium level of 6.5 mEq/L
A) diminished reflexes
A client has come to the office for a prenatal visit during her 22nd week of gestation. On examination, it is noted that her blood pressure has increased to 138/90 mm Hg. Her urine is negative for proteinuria. The nurse recognizes which factor as the potential cause? A) gestational hypertension B) chronic hypertension C) HELLP D) preeclampsia
A) gestational hypertension
After teaching a class of newly pregnant women about the many changes the female body undergoes during pregnancy, the nurse determines that the teaching was successful when the class identifies which hormones as being secreted by the placenta? Select all that apply. A) hCG B) relaxin C) estrogen D) testosterone E) cortisol
A) hCG B) relaxin C) estrogen
A nurse is caring for a client in her second trimester of pregnancy. During a regular follow-up visit, the client reports varicosities of the legs. Which instruction should the nurse provide to help the client alleviate varicosities of the legs? A) Avoid sitting in one position for long. B) Refrain from crossing legs when sitting for long periods. C) Apply heating pads on the extremities. D) Refrain from wearing any kind of stockings.
B) Refrain from crossing legs when sitting for long periods.
The nurse is assessing a primipara's fundal height at 36 weeks' gestation and notes the fundus is now located at the xiphoid process of the sternum. The client asks if this is normal. Which response to the client would be best? A) "By this time, the fundus should drop down lower because the baby is moving towards the pelvic inlet." B) "At 36 weeks' gestation, the fundus is in the normal expected location." C) "To be honest, the fundus should be lower since you have gained minimal weight." D) "Just get prepared, the fundus might actually get a little higher until a few days before you go into labor."
B) "At 36 weeks' gestation, the fundus is in the normal expected location."
The nurse is reviewing client data following a regular monthly appointment at 6 months' gestation. Which fundal height requires no further intervention? A) 18 cm B) 24 cm C) 30 cm D) 32 cm
B) 24 cm
During the initial assessment of a 22-year-old pregnant client, the nurse learns that the client usually smokes 2 packs of cigarettes per day. The nurse is planning an education session about lifestyle changes during pregnancy. Which goal would be the most realistic and individualized for this client during this initial clinic visit? A) The client stops smoking immediately for the health of the fetus. B) The client reduces her smoking by 50 percent by the next clinic visit. C) The client throws the cigarettes in the trash immediately. D) The client does some research on the harmful effects of cigarette smoking on the baby.
B) The client reduces her smoking by 50 percent by the next clinic visit.
Positive signs of pregnancy are diagnostic, meaning nothing else can elicit that sign except pregnancy. What is the earliest positive sign of pregnancy? A) Finding of hCG in the blood B) Visualization of the gestational sac or fetus C) Finding hCG in the urine D) Positive home pregnancy test
B) Visualization of the gestational sac or fetus
During a follow-up visit to the prenatal clinic, a pregnant client asks the nurse about using a hot tub to help with her backache. The nurse recommends against the use based on the understanding that what can occur? A) membrane rupture B) fetal tachycardia C) rebound maternal hypothermia D) urinary incontinence
B) fetal tachycardia
What would be the physiologic basis for a placenta previa? A) a loose placental implantation B) low placental implantation C) a placenta with multiple lobes D) a uterus with a midseptum
B) low placental implantation
A woman in a prenatal clinic tells the nurse that her pregnancy was unplanned and unwanted. At what point in pregnancy does the average woman change her mind about an unwanted pregnancy? A) around the third month B) when quickening occurs C) after lightening happens D) after the seventh month
B) when quickening occurs
A pregnant woman with type 2 diabetes is scheduled for a laboratory test of glycosylated hemoglobin (HbA1C). What does the nurse tell the client is a normal level for this test? A) 8 percent B) 14 percent C) 6 percent D) 12 percent
C) 6 percent
A client in her third trimester reports sleeping poorly: sleeping on her back results in lightheadedness and dizziness and lying on her side results in no sleep. Which suggestion for sleeping should the nurse prioritize for this client? A) Without a pillow B) With a pillow under her shoulders C) With a pillow under her right hip D) With a pillow under both hips
C) With a pillow under her right hip Pregnancy places strain on the cardiovascular system with increased fluid in the lungs and heart. The use of one pillow under the right hip will help displace the uterus and fetus off the major blood vessels allowing the circulation to flow appropriately and provide relief to the client.
During a routine antepartal visit, a pregnant woman says, "I've noticed my gums bleeding a bit since I've become pregnant. Is this normal?" The nurse bases the response on the understanding of which effect of pregnancy? A) elevated progesterone levels B) increased venous pressure C) influence of estrogen and blood vessel proliferation D) effects of regurgitation from relaxation of the cardiac sphincter
C) influence of estrogen and blood vessel proliferation During pregnancy, the gums become hyperemic, swollen, and friable and tend to bleed easily. This change is influenced by estrogen and increased proliferation of blood vessels and circulation to the mouth.
A client makes an appointment with an obstetrician and assessment reveals positive Hegar and Chadwick signs. What should the nurse teach the client about these results? A) The client more likely has a gynecologic disorder rather than pregnancy B) The client is definitively pregnant C) Pregnancy cannot be confirmed D) She is probably pregnant, but this must be confirmed by other means
D) She is probably pregnant, but this must be confirmed by other means
The community nurse is preparing a presentation for a health fair illustrating successful pregnancies. Which component should the nurse prioritize as the most critical to ensure a postive psychological experience with the pregnancy by the mother? A) Early prenatal care B) Age at the time of pregnancy C) Having a planned pregnancy D) Social support
D) Social support
A nurse is assessing pregnant clients for the risk of placenta previa. Which client faces the greatest risk for this condition? A) a 23-year-old multigravida client B) a client with a history of alcohol use disorder C) a client with a structurally defective cervix D) a client who had a myomectomy to remove fibroids
D) a client who had a myomectomy to remove fibroids
The nurse is required to assess a pregnant client who is reporting vaginal bleeding. Which nursing action is the priority? A) monitoring uterine contractility B) assessing signs of shock C) determining the amount of funneling D) assessing the amount and color of the bleeding
D) assessing the amount and color of the bleeding
Which possible complication associated with back pain can lead to premature contractions? A) increased intracranial pressure B) leak of spinal fluid into the epidural space C) herniated disc D) bladder or kidney infection
D) bladder ir kidney infection
If a woman is 3 months pregnant, which finding related to breast changes would the nurse expect to assess? A) slack, soft breast tissue B) deeply fissured nipples C) enlarged lymph nodes D) darkened breast areolae
D) darkened breast areolae
A novice nurse asks to be assigned to the least complex antepartum client. Which condition would necessitate the least complex care requirements? A) preecalmpsia B) abruptio placenta C) placenta previa D) gestational hypertension
D) gestational hypertension
During the initial history and physical of a 30-year-old primapara client, the nurse has identified some teratogens the fetus is being exposed to at this phase of the pregnancy. Which lifestyle data could result in teratogenic exposure to the fetus? Select all that apply. A) smoking 2 packs of cigarettes a day B) working as a receptionist in a busy office where she copies documents C) drinking alcoholic beverages 3 times a week D) snorting cocaine once or twice a month E) painting pictures as a hobby
A) smoking 2 packs of cigarettes a day C) drinking alcoholic beverages 3 times a week D) snorting cocaine once or twice a month
At her 16-week checkup, a client's blood pressure is slightly decreased from her prepregnancy level. The nurse evaluates this change based on which statements concerning blood pressure during pregnancy? A) Normally, blood pressure increases steadily throughout pregnancy. B) Blood pressure remains stable until decreasing the day of the birth. C) A decrease in the second trimester may occur because of placental growth. D) Blood pressure progressively decreases throughout the entire pregnancy.
C) A decrease in the second trimester may occur because of placental growth.
A pregnant vegan reports eating lots of dark green leafy vegetables, legumes, citrus fruits, and berries. To ensure that her infant's nervous system will develop properly, what foods should the nurse recommend that she add to her diet? A) Milk and cheese B) Carrots, sweet potatoes, and mangoes C) Nuts, seeds, and chocolate D) Fortified cereals
D) Fortified cereals
The nurse discovers a soft systolic murmur when auscultating the heart of a client at 32 weeks' gestation. Which action would be most appropriate? A) Refer her for cardiac catheterization. B) Ask another nurse to assess the heart. C) Inquire if the client has chest pain. D) Document this and continue to monitor the murmur at future visits.
D) Document this and continue to monitor the murmur at future visits.
