OB quiz
A 40-year-old client at 8 weeks' gestation has a 3-year-old child with Down syndrome. The nurse is discussing amniocentesis and chorionic villus sampling as genetic screening methods for the expected baby. The nurse is confident that the teaching has been understood when the client makes which statement?
"Chorionic villus sampling can be performed earlier in pregnancy.
After instruction of a primigravid client at 8 weeks' gestation diagnosed with class I heart disease about self-care during pregnancy, which client statement would indicate the need for additional teaching?
"I should reduce my intake of protein in my diet."
A primigravid client who was successfully treated for preterm labor at 30 weeks' gestation had a history of mild hyperthyroidism before becoming pregnant. What instructions should the nurse include in the plan of care?
Continue taking low-dose oral propylthiouracil as ordered.
A primigravid client with class II heart disease who is visiting the clinic at 8 weeks' gestation tells the nurse that she has been maintaining a low-sodium, 1,800-calorie diet. Which instruction should the nurse give the client?
Increase caloric intake to 2,200 calories daily to promote fetal growth.
When developing the plan of care for a multigravid client with class III heart disease, the nurse should expect to assess the client frequently for which problem?
tachycardia
When explaining the risk for having a child with cystic fibrosis to a husband and wife, the nurse should tell them:
the risk is greatest when both clients have the recessive gene.
When developing a teaching plan for a primigravid client with insulin-dependent diabetes about monitoring blood glucose control and insulin dosages at home, the nurse would expect to include which desired target range for blood glucose levels?
60 to 100 mg/dl (3.3 to 5.6 mmol/L) before meals and bedtime snacks
A nurse is caring for a client at 30 weeks' gestation who has tested positive for the human immunodeficiency virus (HIV). What should the nurse tell the client when the client says that she wants to breast-feed her neonate?
Discourage breast-feeding because HIV can be transmitted through breast milk.
A nurse is reviewing a client's prenatal history. Which finding indicates a genetic risk factor?
The client has a child with cystic fibrosis.
A client who is 24 weeks pregnant has sickle cell anemia. When preparing the care plan, the nurse should identify which factor as a potential trigger for a sickle cell crisis during pregnancy?
dehydration
While caring for a primigravid client with class II heart disease at 28 weeks' gestation, the nurse would instruct the client to contact her primary health care provider (HCP) immediately if the client experiences which symptom?
dyspnea at rest
Which medication is considered safe during pregnancy?
insulin
A pregnant client with diabetes mellitus is at risk for having a large-for-gestational-age neonate because:
insulin acts as a growth hormone on the fetus.
The nurse explains the complications of pregnancy that occur with diabetes to a primigravid client at 10 weeks' gestation who has a 5-year history of insulin-dependent diabetes. Which complication, if stated by the client, indicates the need for additional teaching?
twin-to-twin transfer
A client at 36 weeks' gestation with type 1 diabetes is scheduled for a contraction stress test. After explaining the purpose of the test, the nurse determines that the client understands the instruction when she states that the test is done to detect which problem?
uteroplacental sufficiency
