OB Antepartum

When developing a teaching plan for an 8week client, what foods would nurse suggest to meet clients need for increased folic acid

Spinach and beans

Nurse assessing a woman at 24weeks gestation is unable to find the fetal heartbeat. The FHR was heard at her last visit 4weeks ago. According to priority the nurse should do the tasks in what order?

1- Ask client if baby is or has been moving 2- obtain different equipment 3-Explain the FHR can't be found 4- contact HCP

Using Nagel's rule for a client whose last normal menstrual period began on May 10th, the nurse determines that the client's EDC is what?

Feb. 17th

After instructing a primigravid patient on desired weight gain during pregnancy the nurse determines the teaching was successful when the client makes what statement?

Although it varies a gain of 25-35 lbs is about average

Antenatal G2, T1, P0,A0,L1 client is discussing postpartum plans for BC with her HCP. In viewing choices which factor has greatest impact on BC options

Bottle or Breast feeding plan

A 20-year-old nulligravid client expresses a desire to learn more about the symptothermal method of family planning. What information would the nurse include in her teaching?

Cervical mucus is carefully monitored for changes

A client with a past medical hx of ventricular septal defect repaired in infancy is seen at a prenatal clinic. She has dyspnea on exertion and is very tired. Her vital signs are O2 sat 98, pulse 80, resp. 20, BP 116/72, +2 pedal edema and clear breath sounds, Nurse determines symptoms indicate which cardiac functional classification?

Class 2

During a prenatal visit, a pregnant client at 32wks has heartburn. The client needs further instruction when she says she must do what?

Consume all liquids only b/w meals, which is great to relieve N/V but not heartburn

Examination of primigravid client having increased vaginal secretions since becoming pregnant reveals clear, highly acidic vaginal secretions. Client denies any perineal itching or burning. Nurse interprets these findings as a response related to which factor?

Control of the growth of pathologic bacteria

Following a positive pregnancy test a client begins discussing changes that will occur in the upcoming months. Nurse should include which information about changes in the first trimester?

Experiencing ambivalence about pregnancy

Before advising a 24-year old client desiring oral contraceptives for family planning, the nurse would assess for which s/s?

Hypertension

A primigravid client has just been informed she is carrying twins, plan of care includes education and client concerns that put her at risk for problems during pregnancy. Client needs further information when making what statement?

I am at risk for group B Strep

Client has obtained levonogestrel as emergency contraceptive. After unprotected sex the client calls clinic to ask questions about taking contraceptives. Nurse realizes she needs further information when she makes what statement

I can wait up to 4 days after intercourse to start taking these to prevent pregnancy

The nurse is teaching a new prenatal client about iron deficiency anemia during pregnancy. What statement indicates the client needs further information.

I may have anemia because my family is of Asian decent

primigravid client at 15wks gestation has had an amniocentesis and received teaching about s/s to report. Which statement indicates the need for further teaching?

If my baby does not move I will call my HCP (primigravid clients won't feel quickening until 18-20wks)

22-year old client tells nurse she and her husband are trying to conceive a baby. When teaching about reducing neural tube defects, nurse would emphasize the need for increasing which foods?

Leafy green veggies, strawberries, sunflower seeds, lentils

Newly dx pregnant client tells nurse "If i'm going to have all of these discomforts, I am not sure I want to be pregnant!" The nurse interprets this as an indication of which perception?

Normal ambivalence

A multigravida client will be using medroxyprogesterone acetate as a family planning method. After the nurse instructs client about this method, what statement would indicate effective teaching?

One possible adverse side effect is absence of menstrual period

What information would be important to include on teaching material for a client requesting more information on ovulation and fertility?

Ovulation occurs on day 14, plus/minus 2 days before onset of next menstrual cycle

30-year-old multigravida client has missed 3 periods and now visits prenatal office. Experiencing enlargement of her abdomen, positive pregnancy test, changes in pigmentation. These assessment findings reflect the client is experiencing which cluster of signs of pregnancy?

Probable

When preparing a 20-year-old client for a serum pregnancy test, what information should nurse tell the client?

The test has a high degree of accuracy within 1 week after ovulation

A Primiparous client at 10weeks questions the nurse about the need for an US. She states "I feel fine, so why should I have this test?" The nurse should incorporate which statement as underlying reason for performing the US?

The test helps us view the gross anatomy of the fetus. We need to determine gestational age

A primigravida at 8weeks tell the nurse she wants an amniocentesis d/t a family hx of Hemophilia A. Nurse informs the client she needs to wait until 15weeks for amniocentesis. What is the most appropriate rationale regarding this statement?

The vol of amniotic fluid needed for testing will be available at 15weeks

A client is at 24weeks gestation and the nurse is reviewing lab results as noted: Blood Type- A positive, glucose-90, VDRL- positive, Rubella titer- immune. What result should nurse report to HCP?

VDRL- positive syphilis can be transmitted to newborn and needs adressed

When measuring fundal height of a primigravid client at 20weeks gestation, the nurse will locate the fundal height at which point?

at the level of the client umbilicus

The nurse instructs a primigravid client to increase her intake of foods high in Mg because of its role in which process?

synthesis of proteins, nucleic acids and fats