OB Chapter 12

A pregnant clients LMP was on August 10. Using Nagele's rule, the nurse calculates that her EDD will be which of the following? A. June 23 B. July 10 C. July 30 D. May 17

D. May 17

Practicing good oral hygiene is important for all women throughout their pregnancy. As a nurse providing anticipatory guidance for pregnant women, what condition can result from periodontal disease if good dental care isn't practiced? A. Postcards pregnancy B. Large for gestational age infant C. Advanced reproductive cancer D. Preterm or low birth weight infant

D. Preterm or low birth weight infant

A client is in her 2nd trimester, and the health care provider has recommended she undergo an amniocentesis. The nurse explains that the procedure is used to diagnose which conditions? SATA A. Inborn errors of metabolism B. Chromosomal abnormalities C. Neural tube defects D. Rh incompatibility E. HIV

A, B, C

Which of the following would be considered risk factors for psychological well-being in pregnancy? SATA A. Limited support system and network of friends and family B. Introverted personality at any point in the pregnancy C. Ambivalence any time during the pregnancy D. High levels of stress due to family discord E. History of previous high-risk pregnancy with complications F. Depression prior to pregnancy and on medication

A, D, E, F

Which of the following is not true about breast-feeding? A. Breast-fed infants experience more obesity and allergies B. Breast milk is perfectly suited to the infants nutritional needs C. Breast milk contains maternal antibodies to stimulate the baby's immune system D. Breast feeding enhances maternal bonding and attachment

A. Breast-fed infants experience more obesity and allergies

The nurse is preparing her teaching plan for a woman who has just had her pregnancy confirmed. Which of the following should be included in it? SATA A. Prevent constipation by taking laxatives B. Balance your dietary intake by increasing your calories by 300 daily C. Continue your daily walking routine just as you did before this pregnancy D. Tetanus, measles, mumps, and rubella vaccines will be given to you know E. Avoid tub baths now that you are pregnant to prevent vaginal infections F. Sexual activity is permitted as long as your membranes are intact G. Increase your consumption of milk to meet your iron needs

B, C, E, F

The nurse is preparing a teaching plan for a pregnant woman about the sights and symptoms to be reported immediately to her healthcare provider. Which signs and symptoms would the nurse include? SATA A. Nausea with vomiting during the 1st trimester B. Lower abd pain with shoulder pain in the 1st trimester C. Urinary frequency in the 3rd trimester D. Headache with visual changes in the 3rd trimester E. Backache during the 2nd trimester F. Sudden leakage of fluid during the 2nd trimester

B, D, F

Anticipatory guidance reguarding sexual activity during pregnancy includes: SATA A. Sexual activity is CI throughout pregnancy B. Women's sexual desire may change throughout the pregnancy C. Sexual activity may continue up until the end of the second trimester D. Sexual intercourse in prohibited if a history of preterm labor exists E. Women's sexual desire may change throughout the pregnancy F. Couples can try a variety of positions of comfort during pregnancy

B, F

A nurse is teaching a pregnant woman how to perform fetal kick counts. The nurse determines that the teaching was successful when the client states that she will call her healthcare provider if it takes longer than what time frame to reach 10 kicks? A. 1 hr B. 2 hrs C. 3 hrs D. 4 hrs

B. 2 hrs

At her prenatal visit a client reports that she cannot find any shoes that are comfortable. Assessment of her legs reveal dependent edema. The nurse suggests that the client attempt which actions to help reduce the edema? SATA A. Wear knee-high support stockings B. When lying down, lie on the right side C. Elevate feet and legs when sitting or lying D. Avoid foods high in sodium, sugar, and fats E. Drink 6-8 glasses of water each day

C, D, E

The diagonal conjugate of a pregnant woman's pelvis is measured. Which measurement would the nurse interpret as presenting a potential problem? A. 13.5cm B. 12.5cm C. 12.0cm D. 13.0cm

C. 12.0cm

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. Rebound maternal hypothermia B. Membrane rupture C. Fetal tachycardia D. Urinary incontinence

C. Fetal tachycardia

The nurse teaches the pregnant client how to perform Kegel exercises as a way to accomplish which of the following? A. Prevent perineal lacerations B. Stimulate labor contractions C. Increase pelvic muscle tone D. Lose pregnancy weight quickly

C. Increase pelvic muscle tone

Which of the following biophysical profile finding indicate poor oxygenation to the fetus? A. Two pockets of amniotic fluid B. Well-flexed arms and legs C. Non reactive FHR D. Fetal breathing movements noted

C. Nonreactive FHR

During a clinic visit, a pregnant client at 30 weeks destation tells the nurse, "I've had some mild cramps that are pretty irregular. What does this mean?" The cramps are probably: A. The beginning of labor in the very early stages B. An ominous finding indicating that the client is about to have a miscarriage C. Related to over hydration of the woman D. Braxton Hicks contractions, which occur throughout pregancy

D. Braxton Hicks contractions, which occur throughout pregancy

After teaching a pregnant woman how to count fetal movements, the nurse determines that the teaching was successful when the client makes which statement? A. I wont expect more than three movements to happen in an hour B. I'll do the count once a week on a morning that I'm not rushed for work C. I'll do the counts while I'm sitting and watching my son's basketball game D. I'll sit comparably in a recliner or lie on my side when I do the counts

D. I'll sit comparably in a recliner or lie on my side when I do the counts

A laywoman with a specialized education and experience in assisting woman during labor is a _______.

Doula