A nurse is caring for a client who is pregnant and states that her last menstrual period was April 1, 2013.
Which of the following is the client's estimat... [Show More] ed date of delivery?
A. Jan. 8, 2014
B. Jan. 15, 2014
C. Feb. 8, 2014
D. Feb. 15, 2014 - A. CORRECT: April 1, 2013, minus 3 months plus 7 days and 1 year equals an estimated
date of
delivery of Jan. 8, 2014.
B. INCORRECT: This is incorrect using Nägele's rule.
C. INCORRECT: This is incorrect using Nägele's rule.
D. INCORRECT: This is incorrect using Nägele's rule.
NCLEX® Connection: Health Promotion and Maintenance, Ante/Intra/Postpartum and Newborn Care
A nurse in a prenatal clinic is caring for a client who is in the first trimester of pregnancy. The client's
health record includes this data: G3 T1 P0 A1 L1. How should the nurse interpret this information?
(Select
all that apply.)
A. Client has delivered one newborn at term.
B. Client has experienced no preterm labor.
C. Client has been through active labor.
D. Client has had two prior pregnancies.
E. Client has one living child. - A. CORRECT: T1 indicates the client has delivered one newborn at term.
B. INCORRECT: P0 indicates the client has had no preterm deliveries.
C. INCORRECT: A1 indicates the client has had one miscarriage.
D. CORRECT: G3 indicates the children has had two prior pregnancies and the client is
currently pregnant
E. CORRECT: L1 indicates the client has one living child.
NCLEX® Connection: Health Promotion and Maintenance, Ante/Intra/Postpartum and Newborn Care
A nurse is reviewing the health record of a client who is pregnant. The provider indicated the client
exhibits probable signs of pregnancy. Which of the following would be included? (Select all that apply.)
A. Montgomery's glands
B. Goodell's sign
C. Ballottement
D. Chadwick's sign
E. Quickening - A. INCORRECT: Montgomery's glands are a presumptive sign of pregnancy.
B. CORRECT: Goodell's sign is a probable sign of pregnancy.
C. CORRECT: Ballottement is a probable sign of pregnancy.
D. CORRECT: Chadwick's sign is a probable sign of pregnancy.
E. INCORRECT: Quickening is a presumptive sign of pregnancy.
NCLEX® Connection: Health Promotion and Maintenance, Developmental Stages and Transitions
A nurse in a prenatal clinic is caring for a client who is pregnant and experiencing episodes of
maternal hypotension. The client asks the nurse what causes these episodes. Which of the following is
an
appropriate response by the nurse?
A. "This is due to an increase in blood volume."
B. "This is due to pressure from the uterus on the diaphragm."
C. "This is due to the weight of the uterus on the vena cava."
D. "This is due to increased cardiac output." - A. INCORRECT: An increase in blood volume during
pregnancy results in cardiac hypertrophy.
B. INCORRECT: Pressure from the gravid uterus on the diaphragm may cause the client to experience
shortness of breath.
C. CORRECT: Maternal hypotension occurs when the client is lying in the supine position, and the
weight of the gravid uterus places pressure on the vena cava, decreasing venous blood flow to
the heart.
D. INCORRECT: An increase in cardiac output during pregnancy results in cardiac hypertrophy.
NCLEX® Connection: Reduction of Risk Potential, Changes/Abnormalities in Vital Signs
A nurse in a clinic receives a phone call from a client who believes she is pregnant and would like to
be tested in the clinic to confirm her pregnancy. Which of the following information should the nurse
provide to the client?
A. "You should wait until 4 weeks after conception to be tested."
B. "You should be off any medications for 24 hours prior to the test."
C. "You should be NPO for at least 8 hours prior to the test."
D. "You should collect urine from the first morning void." - A. INCORRECT: The production of hCG can be
detected as early as 7 to 10 days after conception.
B. INCORRECT: Clients are not advised to stop taking medications in preparation for pregnancy tests.
Medications should be reviewed to determine whether they can affect the results.
C. INCORRECT: Clients are not advised to remain NPO prior to pregnancy testing. Serum or blood
tests are not affected by food or fluid intake.
D. CORRECT: Urine pregnancy tests should be done on a first-voided morning specimen to provide
the most accurate results.
NCLEX® Connection: Reduction of Risk Potential, Laboratory Values
A nurse is teaching a group of women who are pregnant about measures to relieve backache during
pregnancy. The nurse should teach the women which of the following? (Select all that apply.)
A. Avoid any lifting.
B. Perform Kegel exercises twice a day.
C. Perform the pelvic rock exercise every day.
D. Use proper body mechanics.
E. Avoid constrictive clothing. - A. INCORRECT: Lifting may be done by using the legs, rather than the
back.
B. INCORRECT: Kegel exercises are done to strengthen the perineal muscles and do not relieve backache.
C. CORRECT: The pelvic rock or tilt exercise stretches the muscles of the lower back and helps relieve
lower-back pain.
D. CORRECT: The use of proper body mechanics prevents back injury due to the incorrect use of
muscles when lifting.
E. INCORRECT: Avoiding constrictive clothing helps prevent urinary tract infections, vaginal
infections, varicosities, and edema of the lower extremities.
NCLEX® Connection: Health Promotion and Maintenance, Ante/Intra/Postpartum and Newborn Care
A client who is at 8 weeks of gestation tells the nurse that she isn't sure she is happy about being
pregnant. Which of the following is an appropriate response by the nurse to the client's statement?
A. "I will inform the provider that you are having these feelings."
B. "It is normal to have these feelings during the first few months of pregnancy."
C. "You should be happy that you are going to bring new life into the world."
D. "I am going to make an appointment with the counselor for you to discuss these thoughts." - A.
INCORRECT: This is a nontherapeutic response by the nurse and does not acknowledge the
client's concerns.
B. CORRECT: Feelings of ambivalence about pregnancy are normal during the first trimester.
C. INCORRECT: This is a nontherapeutic response by the nurse and indicates disapproval.
D. INCORRECT: This is a nontherapeutic response by the nurse and does not acknowledge the
client's feelings.
NCLEX® Connection: Health Promotion and Maintenance, Health Promotion/Disease Prevention
A nurse is caring for a client who is pregnant and reviewing signs of complications that should be
promptly reported to the provider. Which of the following should be included?
A. Vaginal bleeding
B. Swelling of the ankles
C. Heartburn after eating
D. Lightheadedness when lying on back - A. CORRECT: Vaginal bleeding indicates a potential
complication of the placenta such as placenta
previa and should be reported to the provider immediately.
B. INCORRECT: Swelling of the ankles is a common occurrence during pregnancy and can be relieved
by sitting with the legs elevated.
C. INCORRECT: Heartburn occurs during pregnancy due to pressure on the stomach by the enlarging
uterus. It can be relieved by eating small meals.
D. INCORRECT: Supine hypotension can be experienced by the client who feels lightheaded or faint
when lying on her back. The client should be instructed about the side-lying position to remove
pressure of the uterus on the vena cava. [Show Less]
