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A client is visiting the prenatal clinic for the first time. While giving the nursing history the client states that her last menstrual period started on June 10. What is her expected date of birth (EDB), according to Nägele's rule?
March 17
A 37-year-old client with endometriosis visits the women's health clinic because she has dysmenorrhea and dyspareunia. Which statement is the most accurate description of dysmenorrhea?
Pain with menses
After an uneventful 8-hour labor a client gives birth. Once the airway has been ensured and the neonate has been dried and wrapped in a blanket, the nurse places the newborn in the mother's arms. The mother asks, "Is my baby normal?" What is the best response by the nurse?
"Let's unwrap your baby so you can see for yourself." rMothers need to explore their infants visually and tactilely to assure themselves that their infants are healthy. Telling the client that most babies are normal closes off communication with the mother at an opportune moment. A strong cry is not indicative of a healthy newborn. The "normalcy" of the mother's pregnancy is not necessarily correlated with the good health of the newborn.
A woman is being prepared for a contraction stress test (CST). Which information should the nurse provide the client before the test?
"The fetal heart rate will be monitored for about 20 minutes before the test begins. rThe fetal heart rate (FHR) is measured for about 20 minutes before the CST to determine baseline variability and to detect any FHR alterations without induced stress. The test involves monitoring the fetal heart rate during three to five uterine contractions over a 10-minute period. A urine sample is unnecessary. The semi-Fowler position with a left-sided tilt is the position of choice.
A couple at the prenatal clinic for a first visit tells the nurse that their 2-year-old child has just been found to have cystic fibrosis. They state there is no family history of this disorder. They ask the nurse about the chances of their having another child with cystic fibrosis. Knowing that this disorder has an autosomal-recessive mode of inheritance, how should the nurse respond?
"There is a 25% chance the baby will be affected and a 50% chance that the baby will be a carrier.
During a pelvic examination of a 24-year-old woman, the nurse suspects a vaginal infection because of the presence of a white curdlike vaginal discharge. What other finding supports a fungal vaginal infection?
An itchy perineum
When a client who has had a mastectomy returns from surgery, a dressing and a portable wound drainage system to the axillary area are in place. The nurse notes an excessive amount of serosanguineous drainage on the mastectomy dressing. What is the nurse's next action?
Checking the function of the drainage system
A 26-year-old woman whose sister recently had a lumpectomy for breast cancer calls the local women's health center for an appointment for a mammogram. What guidance should the nurse provide the client in preparation for the test?
During the procedure, each breast will be compressed firmly between two plates
What is the priority nursing intervention before a client undergoes amniocentesis?
Ensuring that informed consent has been obtained from the client
The nurse is providing nutrition teaching to a 22-year-old primipara who is 6 weeks pregnant. To decrease the occurrence of neural tube defects in newborns, the nurse would encourage the adequate intake of what nutrient?
Folic acid
The nurse is planning care for a middle-aged woman who has been admitted for a vaginal hysterectomy and anterior and posterior repair of the vaginal wall. What should the nurse tell the client to expect in the immediate postoperative period?
Presence of a urinary catheter
A client who has had recurrent infections before and during pregnancy should be instructed to eat a nutrient-rich diet as a means of supporting the body's natural defense mechanisms. What should the nurse encourage the client to include in her diet?
Vitamins C and E
