HESI OB Practice Exam

42. The father of a newborn tells the nurse, "My son just died." How should the nurse respond? A. "I am sorry for your loss." B. "I understand how you feel." C. "There is an angel in heaven." D. "You can have other children."

A. "I am sorry for your loss."

60. A client at 39-weeks gestation is admitted to the labor and delivery unit. Her obstetrical history includes 3 live births at 39-weeks, 34-weeks, and 35-weeks gestation. Using the GTPAL system, which designation is the most accurate summary of the clients obstetrical history? A. 4-1-2-0-3. B. 3-1-1-1-3. C. 4-3-1-0-2. D. 3-0-3-0-3.

A. 4-1-2-0-3.

40. The nurse on the postpartum unit receives a report for 4 clients during change of shift. Which client should the nurse assessed for risk of postpartum hemorrhage (PPH)? A. A multiparous client receiving magnesium sulfate during induction for severe preeclampsia. B. A primiparous client who had an emergency cesarean birth due to fetal distress. C. A multigravida who delivered an 8 pound 2 ounce infant after an 8-hour labor. D. A primigravida who had a spontaneous birth of preterm twins.

A. A multiparous client receiving magnesium sulfate during induction for severe preeclampsia.

72. A primigravida at 12-weeks gestation tells the nurse that she does not like dairy products. Which food should the nurse recommend to increase the clients calcium intake? A. Canned sardines. B. Spaghetti with meat sauce. C. Canned clams. D. Fresh apricots.

A. Canned sardines.

36. A client at 28-weeks gestation experiences blunt abdominal trauma. Which parameter should the nurse assess first for signs of internal hemorrhage? A. Changes in fetal heart rate patterns. B. Alteration and maternal blood pressure. C. Complains of abdominal pain. D. Vaginal bleeding.

A. Changes in fetal heart rate patterns.

68. A client who is breastfeeding engorged breasts on the third postpartum day. Which action should the nurse recommend to relieve breast engorgement? A. Continue breastfeeding every 2 hours. B. Skip a feeding to rest the breasts. C. Avoid pumping her breasts. D. Decreased fluid intake for at least 24 hours.

A. Continue breastfeeding every 2 hours.

5. When assessing a newborn infant's heart rate, which technique is most important for the nurse to use? A. Count the heart rate for at least one full minute. B. Quiet the infant before counting the heart rate. C. Palpate the umbilical cord. D. Listen at the apex of the heart.

A. Count the heart rate for at least one full minute.

33. A nurse is planning for the care of a 30-year-old primigravida with pre-gestational diabetes. What is the most important factor affecting the clients pregnancy outcome? A. Degree of glycemic control during pregnancy. B. Mother's age. C. Amount of insulin required prenatally. D. Number of years since diabetes was diagnosed.

A. Degree of glycemic control during pregnancy.

57. The apnea monitor alarm sounds for the third time during one shift for a neonate who was delivered at 37-weeks gestation. What nursing action should be implemented first? A. Evaluate the newborn's color and respirations. B. Assess the functionality of the monitoring device. C. Provide tactile stimulation. D. Administer flow by 100% oxygen.

A. Evaluate the newborn's color and respirations.

70. The nurse is assessing a 12-hour-old infant with a maternal history of frequent alcohol consumption during pregnancy. Which findings should the nurse report that is most suggestive of fetal alcohol syndrome (FAS)? A. Flat nasal bridge. B. An extra digit on the left hand. C. Asymmetrical bulging fontanels. D. Corneal clouding.

A. Flat nasal bridge.

28. The nurse is assessing a full-term newborn's breathing pattern. Which findings should the nurse assess further? *(Select all that apply.)* A. Grunting heard with a stethoscope. B. Diaphragmatic with chest retraction. C. Abdominal with synchronous chest movements. D. Shallow with an irregular rhythm. E. Chest breathing with nasal flaring. F. Rate of 58 breaths per minute.

A. Grunting heard with a stethoscope. B. Diaphragmatic with chest retraction. E. Chest breathing with nasal flaring.

20. When discussing birth in a home setting with a group of pregnant women, which situation should the nurse include about the safety of a home birth? A. Medical back up should be available quickly in case of complications. B. The women's extended family should be allowed to attend the home birth. C. Only the woman and her midwife should be present during the delivery. D. The woman should live no more than 15 minutes from the hospital.

A. Medical back up should be available quickly in case of complications.

62. The nurse administers meperidine (Demerol) 25 mg IV push to a laboring client, who delivers the infant 90 minutes later. What medication should the nurse anticipate administering to the infant? A. Naloxone (Narcan). B. Nalbuphine (Nubain). C. Promethazine (Phenergan). D. Fentanyl (Sublimaze).

A. Naloxone (Narcan).

50. The nurse observes a new mother avoiding eye contact with her newborn. Which action should the nurse take? A. Observe the mother for other attachment behaviors. B. Ask the mother why she won't look at the infant. C. Examine the newborn's eyes for the ability to focus. D. Recognize this as a common reaction in new mothers.

A. Observe the mother for other attachment behaviors.

34. A client with asthma who is 8-hours post-delivery is experiencing postpartum hemorrhage. Which prescription should the nurse administer? A. Oxytocin (Pitocin). B. Ibuprofen (Motrin). C. Fentanyl (Sublimaze). D. Hemabate (Carboprost).

A. Oxytocin (Pitocin).

61. A client delivers her first infant and asks the nurse if her skin changes from pregnancy are permanent. Which change should the nurse tell the client that will remain after pregnancy? A. Striae gravidarum. B. Chloasma. C. Vascular spiders. D. Pruritus.

A. Striae gravidarum.

46. A primigravida at 12-weeks gestation who just move to United States indicates she has not received any immunizations. Which immunization(s) should the nurse administer at this time? *(Select all that apply.)* A. Tetanus. B. Rubella. C. Hepatitis B. D. Chickenpox. E. Diphtheria.

A. Tetanus. C. Hepatitis B. E. Diphtheria.

39. The nurse is caring for a client whose labor is being augmented with oxytocin (Pitocin). Which finding indicates that the nurse should discontinue the oxytocin infusion? A. The fetal heart rate is 180 bpm without variability. B. Amniotic membranes rupture. C. The client needs to void. D. Uterine contractions occur every 8 to 10 minutes.

A. The fetal heart rate is 180 bpm without variability.

1. At 10 weeks gestation, a high-risk multiparous client with a family history of Down syndrome is admitted for observation following a chorionic villavilla sampling (CVS) procedure. What assessment finding requires immediate intervention? A. Uterine cramping. B. Intermittent nausea. C. Systolic blood pressure < 100 mmHg. D. Abdominal tenderness.

A. Uterine cramping.

17. Which statement by a client who is pregnant indicates to the nurse an understanding of the role of protein during pregnancy? A. "Gestational diabetes is prevented by eating protein." B. "Protein helps the fetus grow while I am pregnant." C. "My baby will develop strong teeth after he is born." D. "Anemia is averted by consuming enough protein."

B. "Protein helps the fetus grow while I am pregnant."

66. A woman who is bottle-feeding her newborn infant calls the clinic 72 hours after delivery and tells the nurse that both of her breasts are swollen, warm, and tender. What instructions should the nurse give? A. Wear a loose-fitting bra. B. Apply ice to the breasts. C. Run warm water on the breasts during a shower. D. Express small amounts of milk from the breasts.

B. Apply ice to the breasts.

4. An infant in respiratory distress is placed on pulse oximetry. The oxygen saturation indicates 85%. What is the priority nursing intervention? A. Evaluate the blood pH. B. Begin humidified oxygen via hood. C. Place the infant under a radiant warmer. D. Stimulate infant crying.

B. Begin humidified oxygen via hood.

73. A multiparous client is experiencing bleeding 2 hours after a vaginal delivery. What action should the nurse implement next? A. Inform the healthcare provider of the bleeding. B. Determine the firmness of the fundus. C. Give oxytocin (Pitocin) intravenously. D. Assess the vital signs for indicators of shock.

B. Determine the firmness of the fundus.

6. The nurse prepares to administer an injection of vitamin K to a newborn infant. The mother tells the nurse, "Wait! I don't want my baby to have a shot." Which response would be best for the nurse to make? A. Inform the mother that the injection was prescribed by the healthcare provider. B. Explore the mother's concern about the infant receiving an injection of vitamin K. C. Remind the mother that all babies receive the shot and it is relatively painless. D. Explain that vitamin K is required by state law and compliance is mandatory.

B. Explore the mother's concern about the infant receiving an injection of vitamin K.

47. A gravid client develops maternal hypotension following regional anesthesia. What intervention(s) should the nurse implement? *(Select all that apply.)* A. Perform a vaginal examination. B. Increase IV fluids. C. Administer oxygen. D. Monitor fetal status. E. Place the client in a lateral position. F. Assist client to a sitting position.

B. Increase IV fluids. C. Administer oxygen. D. Monitor fetal status. E. Place the client in a lateral position.

16. During a preconception counseling session for women trying to get pregnant in 3 to 6 months, what information should the nurse provide? A. Discontinue all forms of contraception. B. Make sure to include adequate folic acid in the diet. C. Continue to take any medications that are taken regularly. D. Lose weight so more weight is gained during pregnancy.

B. Make sure to include adequate folic acid in the diet.

52. An infant with hyperbilirubinaemia is receiving phototherapy. What intervention should the nurse implement? A. Maintain NPO status. B. Monitor temperature. C. Apply skin lotion as prescribed. D. Change T-shirt every 3 hours.

B. Monitor temperature.

45. Which finding for a client in labor at 41-weeks gestation requires additional assessment by the nurse? A. Score of eight on the biophysical profile. B. One fetal movement noted in an hour. C. Cervix dilated 2 cm and 50% effaced. D. Fetal heart rate of 116 bpm.

B. One fetal movement noted in an hour.

27. During an assessment of a multiparous client who delivered an 8-lb 7-oz infant 4 hours ago, the nurse notes the client's perineal pad is completely saturated within 15 minutes. What action should the nurse implement next? A. Encourage the client to avoid. B. Perform fundal massage. C. Notify the healthcare provider. D. Assess blood pressure.

B. Perform fundal massage.

58. What action should the nurse implement with the family when an infant is born with anencephaly? A. Ensure that measures to facilitate the attachment process are offered. B. Prepare the family to explore ways to cope with the imminent death of the infant. C. Provide emotional support to facilitate the consideration of fetal organ donation. D. Inform the family about multiple corrective surgical procedures that will be needed.

B. Prepare the family to explore ways to cope with the imminent death of the infant.

21. The nurse is discussing the stages of labor with a group of women in the last month of pregnancy and provide examples of different positional techniques used during the second stage of labor. Which position should the nurse address that provides the best advantage of gravity during delivery? A. Walking. B. Squatting. C. Kneeling. D. Lithotomy.

B. Squatting.

11. A client at 25-weeks gestation tells the nurse that she dropped a cooking utensil last week and her baby jumped in response to the noise. What information should the nurse provide? A. Report the fetus's behavior to the healthcare provider. B. The fetus can respond to sound by 24-weeks gestation. C. This is a demonstration of the fetus's acoustical reflex. D. It is a coincidence the fetus responded at the same time.

B. The fetus can respond to sound by 24-weeks gestation.

9. A client at 8-weeks gestation ask the nurse about the risk for congenital heart defect (CHD) in her baby. Which response best explains when a CHD may occur? A. They usually occur in the first trimester pregnancy. B. The heart develops in the third to fifth weeks after conception. C. It depends on what the causative factors are for a CHD. D. We don't really know what or when CHDs occur.

B. The heart develops in the third to fifth weeks after conception.

14. A 31-year-old woman uses an over-the-counter (OTC) pregnancy test that is positive one week after a missed period. At the clinic, the client tells the nurse she takes phenytoin (Dilantin) for epilepsy, has a history of irregular periods, is under stress at work, and has not been sleeping well. The clients physical examination and ultrasound do not indicate that she is pregnant. How should the nurse explain the most likely cause for obtaining false-positive pregnancy test results? A. Being under too much stress at work. B. Using an anticonvulsant for epilepsy. C. Having an irregular menstrual cycle. D. Taking the pregnancy test too early.

B. Using an anticonvulsant for epilepsy.

49. The mother of a neonate asks the nurse why it is so important to keep the infant warm. What information should the nurse provide? A. The thick layer of subcutaneous fat is inadequate for insulation. B. Warmth promotes sleep so that the infant will grow quickly. C. A large body surface area favors heat loss to the environment. D. The kidneys and renal function are not fully developed.

C. A large body surface area favors heat loss to the environment.

32. A client at 28-weeks gestation arrives at the labor and delivery unit with a complaint of bright red, painless vaginal bleeding. For which diagnostic procedure should the nurse prepare the client? A. Contraction stress test. B. Lecithin-sphingomyelin ratio. C. Abdominal ultrasound. D. Internal fetal monitoring.

C. Abdominal ultrasound.

65. A nulliparous client telephones the labor and delivery unit to report that she is in labor. What action should the nurse implement? A. Suggest the client to come to the hospital for labor evaluation. B. Tell the woman to stay home until her membranes rupture. C. Ask the client to describe why she thinks she is in labor. D. Emphasize that food and fluid intake should stop.

C. Ask the client to describe why she thinks she is in labor.

3. The nurse assesses a male newborn and determines that he has the following vital signs: axillary temperature 95.1 F, heart rate 136 beats/minute and a respiratory rate of 48 breaths/minute. Based on these findings, which action should the nurse take first? A. Notify the pediatrician of the infant's vital signs. B. Encourage the infant to take the breast or sugar water. C. Assess the infant's blood glucose level. D. Check the infant's arterial blood gases.

C. Assess the infant's blood glucose level.

13. Which cardiovascular findings should the nurse assess further in a client who is at 20-weeks gestation? A. Decrease in blood pressure. B. Increase in red blood cell production. C. Decrease in pulse rate. D. Increase in heart sounds (S1, S2).

C. Decrease in pulse rate.

69. The nurse is giving discharge instructions for a client following a suction curettage for hydatidiform mole. The client asks why oral contraceptives are being recommended for the next 12 months. What information should the nurse provide? A. Molar reoccurrences are higher if conception occurs within 1 year after initial mutation. B. Pregnancy within 1 year decreases the chances of a future successful pregnancy. C. Diagnostic testing for human chorionic gonadotropin (hCG) levels are elevated by pregnancy. D. Oral contraceptives prevent a reoccurrence of a molar pregnancy.

C. Diagnostic testing for human chorionic gonadotropin (hCG) levels are elevated by pregnancy.

24. A client in early labor is having uterine contractions every 3 to 4 minutes, lasting an average of 55 to 60 seconds. An internal uterine pressure catheter (IUPC) is inserted. The intrauterine pressure is 65 to 70 mmHg at the peak of the contraction and the resting tone is 6 to 10 mmHg. Based on this information, what action should the nurse implement? A. Bring the delivery table to the room. B. Prepare to administer an oxytocic. C. Document the findings in the client record. D. Notify the client's healthcare provider.

C. Document the findings in the client record.

71. Which client finding should the nurse document as a positive sign of pregnancy? A. A urine sample with a positive pregnancy test. B. Presence of Braxton Hicks contractions. C. Fetal heart tones (FHT) heard with a doppler. D. Last menstrual cycle occurred 2 months ago.

C. Fetal heart tones (FHT) heard with a doppler.

22. A client in the first stage of active labor is using a shallow pattern of rapid breaths that is twice the normal adult breathing rate. The client complains of feeling light-headed, dizzy, and states that her fingers are tingling. What action should the nurse implement? A. Notify the healthcare provider. B. Administer oxygen via nasal cannula. C. Help her breathe into a paper bag. D. Tell the client to slow her breathing.

C. Help her breathe into a paper bag.

35. The nurse is assisting with the insertion of a pulmonary artery catheter (PAC)for a client at 32-weeks gestation who has severe preeclampsia with edema. As the PAC enters the right ventricle, what is the priority nursing assessment? A. Observe for maternal blood pressure changes. B. Assess fetal response to the procedure. C. Monitor for premature ventricular contractions. D. Note to any complaint of sudden chest pain.

C. Monitor for premature ventricular contractions.

43. A macrosomic infant is in stable condition after a difficult forceps-assisted delivery. After obtaining the infant's weight at 4550 grams (9 lbs., 6 oz.), what is the priority nursing action? A. Assess newborn reflexes for signs of neurological impairment. B. Leave the infant in the room with the mother to foster attachment. C. Obtain serum glucose levels frequently while observing for signs of hypoglycemia. D. Perform a gestational age assessment to determine if the infant is large-for-gestational-age.

C. Obtain serum glucose levels frequently while observing for signs of hypoglycemia.

56. Which nonpharmacological interventions should the nurse implement to provide the most effective response in decreasing procedural pain in a neonate? A. Commercial warm packs. B. Tactile stimulation. C. Oral sucrose and nonnutritive sucking. D. Skin-to-skin contact with parent.

C. Oral sucrose and nonnutritive sucking.

31. The nurse is providing discharge teaching for a gravid client who is being released from the hospital after placement of cerclage. Which instruction is the most important for the client to understand? A. Arrange for home uterine monitoring. B. Plan for a possible cesarean birth. C. Report uterine cramping or low backache. D. Make arrangements for care at home.

C. Report uterine cramping or low backache.

30. Which finding indicates to the nurse that a 4-day-old infant is receiving adequate breast milk? A. Gains 1 to 2 ounces per week. B. Defecates at least once per 24 hours. C. Saturates 6 to 8 diapers per day. D. Rests for 6 hours between feedings.

C. Saturates 6 to 8 diapers per day.

12. A woman, whose pregnancy is confirm, asks the nurse what the function of the placenta is in early pregnancy. What information supports the explanation that the nurse should provide? A. Produces nutrients for fetal nutrition. B. Forms a protective, impenetrable barrier. C. Secretes both estrogen and progesterone. D. Excretes prolactin and insulin.

C. Secretes both estrogen and progesterone.

53. A neonate who is receiving an exchange transfusion for hemolytic disease develops respiratory distress, tachycardia, and a cutaneous rash. What nursing intervention should be implemented first? A. Inform the healthcare provider. B. Monitor vital signs electronically. C. Stop the infusion. D. Administer calcium gluconate.

C. Stop the infusion.

41. What nursing action should be included in the plan of care for a newborn experiencing symptoms of drug withdrawal? A. Play soft music and talk to soothe the infant. B. Feed every 4 to 6 hours to allow extra rest. C. Swaddle the infant snuggly and hold tightly. D. Administer chloral hydrate for sedation.

C. Swaddle the infant snuggly and hold tightly.

10 A client at 8-months gestation tells the nurse that she knows her baby listens to her, but her husband thinks she is imagining things. What information should the nurse provide? A. The interaction between the mother's voice and the fetus's response ensures bonding. B. The healthcare provider should address her concerns about her baby's hearing function. C. The fetus in utero is capable of hearing and does respond to the mother's voice. D. Many women imagine what their baby is like by interpreting fetal movements.

C. The fetus in utero is capable of hearing and does respond to the mother's voice.

44. An infant who weighs 3.8 kg is delivered vaginally at 39-weeks gestation with a nuchal cord after a 30-minute second stage. The nurse identifies petechiae over the face and upper back of the newborn. What information should the nurse provide to parents about this finding? A. Further assessment is indicated. B. An increased blood volume causes broken blood vessels. C. The pinpoint spots are benign and disappear within 48 hours. D. Petechiae occurs with forceps delivery.

C. The pinpoint spots are benign and disappear within 48 hours.

18. A client in her second trimester of pregnancy asks if it is safe for her to have a drink with dinner. How should the nurse respond to the client? A. Only one drink with the evening meal is not harmful to the fetus. B. Wine can be consumed several times a week after the first trimester. C. During second trimester beer can be consumed without harm to the fetus. D. Abstinence is strongly recommended throughout the pregnancy.

D. Abstinence is strongly recommended throughout the pregnancy.

55. What nursing action should be implemented when intermittently gavage-feeding a preterm infant? A. Insert feeding tube through nares. B. Apply steady pressure to syringe. C. Avoid letting infant suck on tube. D. Allow formula to flow by gravity.

D. Allow formula to flow by gravity.

64. A client is experiencing "back" labor and complains of intense pain in the lower lumbar-sacral area. What action should the nurse implement? A. Assist the client in guided imagery. B. Encourage pant-blow breathing techniques. C. Perform effleurage on the abdomen. D. Apply counter pressure against the sacrum.

D. Apply counter pressure against the sacrum.

25. A multiparous client has been in labor for 8 hours when her membranes ruptured. What action should the nurse implement first? A. Prepare the client for imminent birth. B. Document the characteristics of the fluid. C. Notify the client's primary healthcare provider. D. Assess the fetal heart rate and pattern.

D. Assess the fetal heart rate and pattern.

7. The nurse is teaching a new mother about diet and breastfeeding. Which instruction is most important to include in the teaching plan? A. Double prenatal milk intake to improve vitamin D transfer to the infant. B. Increase caloric intake by approximately 500 calories/day. C. Avoid spicy foods to prevent infant colic. D. Avoid alcohol because it is excreted in breast milk.

D. Avoid alcohol because it is excreted in breast milk.

8. Which nursing intervention best enhances maternal-infant bonding during the fourth stage of labor? A. Brighten the lighting so the mother can view the infant. B. Provide positive reinforcement for maternal care of infant. C. Complete a newborn assessment as quickly as possible. D. Encourage early initiation of breast or formula feeding.

D. Encourage early initiation of breast or formula feeding.

67. Which behavior should the nurse anticipate for a new mother with an uncomplicated vaginal birth on the third postpartum day? A. Request help with ambulation and perineal care. B. Be very excited and talkative about the birth experience. C. Sleep most of the time when the baby is not present. D. Exhibit interest in learning more about infant care.

D. Exhibit interest in learning more about infant care.

37. A multigravida client at 40+ weeks gestation is induced by using oxytocin (Pitocin). An intrauterine pressure catheter (IUPC) is in place when the client's membranes rupture after 5 hours of active labor. Which finding should require the nurse to implement further action? A. Oxytocin is infusing at a rate of 30 mU/min. B. Labor has progressed at 1 cm/hr dilation. C. Contractions are lasting 60 to 80 seconds. D. Intensity of contractions is 138 mmHg.

D. Intensity of contractions is 138 mmHg.

26. Which action should the nurse implement when caring for a newborn immediately after birth? A. Administer eye prophylaxis and vitamin K. B. Foster parent-newborn attachment. C. Dry the newborn and wrapping in a blanket. D. Keep the newborn's airway clear.

D. Keep the newborn's airway clear.

51. The nurse notes an irregular bluish hue on the sacral area of a 1-day old Hispanic infant. How should the nurse document this finding? A. Harlequin sign. B. Acrocyanosis. C. Erythema toxicum. D. Mongolian spots.

D. Mongolian spots.

63. A client in labor receives an epidural block. What intervention should the nurse implement first? A. Assess contractions. B. Encourage oral fluids. C. Obtain a radial pulse. D. Monitor blood pressure.

D. Monitor blood pressure.

59. A client who is stable has family members present when the nurse enters the birthing suite to access the mother and newborn. What action should the nurse implement at this time? A. Do a brief assessment for only the infant while the family members are present. B. Reschedule the visit so that the mother and infant can be assessed privately. C. Ask to meet with the client and infant without family members present. D. Observe interactions of family members with the newborn and each other.

D. Observe interactions of family members with the newborn and each other.

23. A client in active labor at 39-weeks gestation tells the nurse she feels a wet sensation on the perineum. The nurse notices pale, straw-colored fluid with small white particles. After reviewing the fetal monitor strip for fetal distress, what action should the nurse implement? A. Clean the perineal area. B. Offer the client a bed pan. C. Escort the client to the bathroom. D. Perform a nitrazine test.

D. Perform a nitrazine test.

15. Which gastrointestinal findings should the nurse be concerned about any client at 28-weeks gestation? A. Decrease peristalsis. B. Ptyalism. C. Pyrosis. D. Pica.

D. Pica.

29. What action should the nurse implement when caring for a newborn receiving phototherapy? A. Reposition every 6 hours. B. Apply an oil-based lotion to the skin. C. Limit the intake of formula. D. Place an eyeshield over the eyes.

D. Place an eyeshield over the eyes.

38. A primigravida at 37-weeks gestation tells the nurse that her "bag-of-water" has broken. While inspecting the client's perineum, the nurse notes that the umbilical cord protruding from the vagina. What action should the nurse implement first? A. Give the healthcare provider a status report. B. Administer 10 L of oxygen via face mask. C. Wrap the cord with gauze soaked in saline. D. Place the client in the knee-chest position.

D. Place the client in the knee-chest position.

54. The nurse assesses a high-risk neonate under a radiant warmer who has an umbilical catheter and identifies that the neonate's feet are blanched. What action should be implemented? A. Elevate feet 15°. B. Place socks on infant. C. Wrap feet loosely in prewarmed blanket. D. Report findings to the healthcare provider.

D. Report findings to the healthcare provider.

2. A client states, "During the three months I've been pregnant, it seems like I have had to go to the bathroom every five minutes." Which explanation should the nurse provide to this client? A. The client may have a bladder or kidney infection. B. Bladder capacity increases during pregnancy. C. During pregnancy a woman is especially sensitive to body functions. D. The growing uterus is putting pressure on the bladder.

D. The growing uterus is putting pressure on the bladder.

19. A female client who wants to delivery at home asks the nurse to explain the role of a nurse-midwife in providing obstetric care. What information should the nurse provide? A. Natural childbirth without analgesia is used to manage pain during labor. B. And obstetrician should also follow the client during pregnancy. C. Birth in the home setting is the preference for using a midwife for delivery. D. The pregnancy should progress normally and be considered low risk.

D. The pregnancy should progress normally and be considered low risk.

48. A client at 29-weeks gestation with possible placental insufficiency is being prepared for prenatal testing. Information about which diagnostic study should the nurse provide information to the client? A. Maternal serum alpha-fetoprotein. B. Amniocentesis. C. Chorionic villus sampling. D. Ultrasonography.

D. Ultrasonography.