Module 2 practice

The nurse notes each of the following findings in a 10-week gestation client. Which of the findings would enable 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 Hearing a fetal heart rate is a positive sign of pregnancy. 2. A positive pregnancy test is a probable sign of pregnancy. 3. A positive Chadwick sign is a probable sign of pregnancy. 4. Montgomery gland enlargement is a presumptive sign of pregnancy.

A client enters the prenatal clinic. She states that she believes she is pregnant. Which of the following hormone elevation will indicate a high probability that the client is pregnancy? A. Chronionic gondotropin B. Oxytocin C. Prolactin D. Luteinizing hormone

A High levels of the hormone chronionic gondotropin in the blood stream in urine the woman is a probable sign of pregnancy. Oxytocin is a hormone of labor. Prolactin is the hormone that stimulates lactogenisis immediately after delivery. Luteinizing hormone is a hormone that stimulates ovulation

The nurse midwife tells a client that the baby is growing and that ballottement was evident during the vaginal examination. How should the nurse explain what the nurse midwife means by ballottement? A. The nurse midwife saw that the mucous plug was intact. B. The nurse midwife felt the baby rebound after being pushed. C. The nurse midwife palpated the fetal parts through the uterine wall. D. The nurse midwife assessed that the baby is head down.

B

A 36-week gestation 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 It is unlikely that the woman is hypertensive. 2. The fundal height is the likely cause of the woman's dyspnea. 3. It is unlikely that the woman has hydramnios. 4. It is unlikely that the woman has congestive heart failure.

A nurse assess a client at a routine prenatal visit at 20 weeks gestation. Where does the nurse expect to locate the client's fundus? A. At the level of the midpoint of the abdomen B. At the level of the symphysis pubis C. At the level of the xiphoid process D. At the level of the umbilicus

D 12 weeks- symphysis pubis 36 weeks- xiphoid process

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 Nausea is commonly seen in the first trimester but should have resolved by the time the second trimester begins. Dyspnea is commonly seen in the third trimester, not the second trimester. Urinary frequency is commonly seen in the first trimester and late in the third trimester, but it is rarely seen in the second trimester. Leg cramping is often a complaint of clients in the second trimester.

The nurse is providing anticipatory guidance to a woman in her second trimester regarding signs/symptoms that are within normal limits 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 third trimester I may experience frequent urination." B. "During the third trimester I may experience heartburn." C. "During the third trimester I may experience nagging backaches." D. "During the third trimester I may experience persistent headache." E. "During the third trimester I may experience blurred vision."

ABC Frequency is seen once lightening, or the descent of the fetus into the pelvis, has occurred. Heartburn is a common complaint of pregnant women. Backaches are common complaints of pregnant women. 4. Persistent headache should not be seen in pregnant women. 5. Pregnant women should not complain of blurred vision.

The nurse working in an outpatient obstetric office assesses four primigravid clients. Which of the client findings should the nurse highlight for the physician? Select all that apply. A. 17 weeks' gestation; denies feeling fetal movement. B. 24 weeks' gestation; fundal height at the umbilicus. C. 27 weeks' gestation; salivates excessively. D. 34 weeks' gestation; experiences uterine cramping. E. 37 weeks' gestation; complains of hemorrhoidal pain.

BD It is common for primigravid women not to feel fetal movement until 19 to 20 weeks' gestation. 2. The fundal height at 24 weeks should be 4 cm above the umbilicus. The fundal height at the level of the umbilicus is expected at 20 weeks' gestation. 3. Excessive salivation, called ptyalism, is an expected finding in pregnancy. 4. The woman may be going into preterm labor. 5. Hemorrhoids are commonly seen in pregnant women.

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.

BD Backaches usually do not develop until the second trimester of pregnancy. The woman will likely complains of urinary frequency. Dyspnea is associated with a third trimester of pregnancy. Most women complain of fatigue during the first trimester. Diarrhea is not a complaint normally heard from prenatal clients

A client asks the nurse what was meant when the physician told her she had a positive ChadWick sign. Which of the following information about the finding would be appropriate for the nurse to convey at this time? A. It is a purpleish stretch mark on your abdomen B. It means that you're having heart palpitations C. It is a bluish coloration of your cervix and vagina D. It means the doctor heard abnormal sounds when you breathe then

C