Question 1 See full question
A nurse is developing a teaching plan for a primigravid client who's 2 months pregnant. The nurse should tell the client
... [Show More] that she can expect to feel the fetus move at which time?
Question 2 See full question
A client is 2 months pregnant. Which factor should the nurse anticipate as most likely to affect her psychosocial transition during pregnancy?
Question 3 See full question
A client in the first trimester of pregnancy comes to the facility for a routine prenatal visit. She tells the nurse she doesn't know whether she's ready to have a baby, even though this was a planned pregnancy. Which response should the nurse offer?
Question 4 See full question
A client, 30 weeks pregnant, is scheduled for a biophysical profile (BPP) to evaluate the health of her fetus. Her BPP score is 8. What does this score indicate?
Question 5 See full question
During a nonstress test (NST), a nurse notes three fetal heart rate (FHR) increases of 20 beats/minute, each lasting 20 seconds. These increases occur only with fetal movement. What does this finding suggest?
Question 6 See full question
A client is admitted to the facility with a suspected ectopic pregnancy. When reviewing the client's health history for risk factors for this abnormal condition, the nurse expects to find:
Question 7 See full question
A nurse uses Nitrazine paper to determine whether a pregnant client's membranes have ruptured. If the membranes have ruptured, the paper will turn which color?
Question 8 See full question
At 32 weeks' gestation, a client is admitted to the facility with a diagnosis of gestational hypertension. Based on this diagnosis, the nurse expects the assessment to reveal:
Question 9 See full question
A nurse is reviewing a client's prenatal history. Which finding indicates a genetic risk factor?
Question 10 See full question
A client who's 2 months pregnant complains of urinary frequency and says she gets up several times at night to go to the bathroom. She denies other urinary symptoms. How should the nurse intervene?
Question 11 See full question
A client, 38 weeks pregnant, arrives in the emergency department complaining of contractions. To help confirm that she's in true labor, the nurse should assess for:
Question 12 See full question
During a routine prenatal visit, a pregnant client reports constipation, and the nurse teaches her how to relieve it. Which statement indicates the client's understanding of the nurse's instructions?
Question 13 See full question
A pregnant client arrives in the emergency department and states, "My baby is coming." The nurse sees a portion of the umbilical cord protruding from the vagina. Why should the nurse apply manual pressure to the baby's head?
Question 14 See full question
A nurse is assessing a pregnant woman in the clinic. In the course of the assessment, the nurse learns that this woman smokes one pack of cigarettes per day. The first step the nurse should take to help the woman stop smoking is to:
Question 15 See full question
A nurse is caring for a 16-year-old pregnant adolescent. The client is taking an iron supplement. What should this client drink to increase the absorption of iron?
Question 16 See full question
A client and her spouse, both 25 years old, are having trouble conceiving. Infertility in this couple is defined as:
Question 17 See full question
An obstetric ultrasound reveals that the client's fetus has spina bifida. The mother is concerned about raising a child with a congenital abnormality and she starts to cry. Which response by the nurse is best?
Question 18 See full question
A client who is 18 weeks pregnant is losing weight. She tells a nurse that she's out of work and, after paying bills, has no money to buy healthy food. The nurse should offer the client information about:
Question 19 See full question
Which instruction should a nurse include in an injury-prevention plan for a pregnant client?
Question 20 See full question
During routine prenatal screening, a nurse tells a client that her blood sample will be used for alpha fetoprotein (AFP) testing. Which statement best describes what AFP testing indicates?
Question 21 See full question
For the client who is receiving intravenous magnesium sulfate for severe preeclampsia, which assessment findings would alert the nurse to suspect hypermagnesemia?
Question 22 See full question
When assessing a 34-year-old multigravid client at 34 weeks' gestation experiencing moderate vaginal bleeding, which symptom would most likely alert the nurse that placenta previa is present?
Question 23 See full question
When developing the collaborative plan of care with the health care provider (HCP) for a multigravid client at 10 weeks' gestation with a history of cardiac disease who was being treated with digitalis therapy before this pregnancy, the nurse should instruct the client about which modifications regarding the client's drug therapy regimen?
Question 24 See full question
A multigravid client is admitted at 16 weeks' gestation with a diagnosis of hyperemesis gravidarum. The nurse should explain to the client that hyperemesis gravidarum is thought to be related to high levels of which hormone?
Question 25 See full question
Using Nägele's rule for a client whose last normal menstrual period began on May 10, the nurse determines that the client's estimated date of childbirth is what date?
Question 26 See full question
A 20-year-old married client with a positive pregnancy test states, “Is it really true? I can not believe I am going to have a baby!” Which response by the nurse would be most appropriate at this time?
Question 27 See full question
A primigravid client asks the nurse if she can continue to have a glass of wine with dinner during her pregnancy. Which statement would be the nurse's best response?
Question 28 See full question
A 34-year-old multiparous client at 16 weeks' gestation who received regular prenatal care for all of her previous pregnancies tells the nurse that she has already felt the baby move. How does the nurse interpret this finding?
Question 29 See full question
When performing Leopold's maneuvers, which action would the nurse ask the client to perform to ensure optimal comfort and accuracy?
Question 30 See full question
A 36-year-old primigravid client at 22 weeks' gestation without any complications to date is being seen in the clinic for a routine visit. The nurse should assess the client's fundal height to:
Question 31 See full question
A nulligravid client with gestational diabetes tells the nurse that she had a reactive nonstress test 3 days ago and asks, "What does that mean?" The nurse explains that a reactive nonstress test indicates which of the following about the fetus?
Question 32 See full question
A 32-year-old female client visits the family planning clinic and requests an intrauterine device for contraception. When assessing the client, a history of which problem would be most important to determine?
Question 33 See full question
A 25-year-old client tells the nurse that she would like to become pregnant, but she has been diagnosed with blocked fallopian tubes due to pelvic inflammatory disease. When helping the client explore infertility treatment options, what is most appropriate for this client?
Question 34 See full question
The nurse is caring for a primigravida at about 9 weeks' gestation. After explaining self-care measures for common discomforts of pregnancy, the nurse determines that the client understands the
instructions when she says:
Question 35 See full question
The primary health care provider (HCP) prescribes intravenous magnesium sulfate for a primigravid client at 38 weeks' gestation diagnosed with severe preeclampsia. Which medication would be most important for the nurse to have readily available?
Question 36 See full question
A multigravid client thought to be at 14 weeks' gestation reports that she is experiencing such severe morning sickness that she "has not been able to keep anything down for a week." The nurse should assess for signs and symptoms of which condition?
Question 37 See full question
The nurse is admitting a primigravid client at 37 weeks' gestation who has been diagnosed with preeclampsia to the labor and birth area. Which client care rooms is most appropriate for this client?
Question 38 See full question
A primigravid client at 37 weeks' gestation has been hospitalized for several days with severe preeclampsia. While caring for the client, the nurse observes that the client is beginning to have a seizure. Which action should the nurse do first?
Question 39 See full question
The health care provider prescribes clomiphene citrate for a woman who has been having difficulty getting pregnant. When teaching the client about this drug, the nurse should discuss what potential adverse effects?
Question 40 See full question
A pregnant client tells the nurse that she has been having discomfort from her hemorrhoids. After giving instruction about strategies to decrease the discomfort, which client statement would alert the nurse to the need for additional instruction?
Question 41 See full question
A 16-year-old unmarried client visiting the prenatal clinic at 32 weeks’ gestation and currently weighing 140 lb (63.5 kg) is being closely monitored for early signs of preeclampsia. The client is 5 feet, 2 inch (158 cm) tall and weighed 120 lb (54.4 kg) before the pregnancy. Which factor would be most important to assess?
Question 42 See full question
A 36-year-old multipara client is 20 weeks gestation and comes to the prenatal clinic in distress. She has been experiencing edema of her lower extremities and headaches two to three times a week. She is worried about her pregnancy and her own health. What is an appropriate response from the nurse?
Question 43 See full question
The nurse is facilitating a childbirth education class with a group of parents. On the first day of class, the nurse finds that none of the clients is a first-time parent. Which of the following would be a teaching strategy to best assist the clients?
Question 44 See full question
After a prenatal class one week, a group of concerned mothers approach the nurse to tell her that one of the nurse facilitators has been sharing their personal stories with other parents outside the group. Which value within the American Nurses Association (Canadian Nurses' Association) Code of Ethics is the nurse violating?
Question 45 See full question
A 22-year-old primigravida approaches the nurse during the prenatal clinic and states that her boyfriend is saying hurtful comments about her weight gain. What is the most appropriate response from the nurse?
Question 46 See full question
A client is 10 weeks pregnant and asks the nurse if feeling like she has to “go to the bathroom every 5 minutes” is normal. Which of the following is the best response?
Question 47 See full question
A client at 37 weeks gestation is at a prenatal visit and states that she sometimes feels dizzy when lying directly on her back. Which of the following is the nurse’s best response?
Question 1 See full question
A client who's 12 weeks pregnant attends a class on fetal development as part of a childbirth education program. The nurse anticipates that at 16 weeks' gestation, the client's fetus will:
Question 2 See full question
A client is admitted to the facility with a suspected ectopic pregnancy. When reviewing the client's health history for risk factors for this abnormal condition, the nurse expects to find:
Question 3 See full question
Which findings are considered positive signs of pregnancy?
Question 4 See full question
A nurse is assisting in developing a teaching plan for a client who is about to enter the third trimester of pregnancy. The teaching plan should include identification of which danger sign that must be reported immediately?
Question 5 See full question
During a routine prenatal visit, a pregnant client reports constipation, and the nurse teaches her how to relieve it. Which statement indicates the client's understanding of the nurse's instructions?
Question 6 See full question
A pregnant client asks the nurse whether she can take castor oil for her constipation. How should the nurse respond?
Question 7 See full question
A client in the 13th week of pregnancy develops hyperemesis gravidarum. Which laboratory finding indicates the need for intervention?
Question 8 See full question
A woman in her first trimester of pregnancy comes to the prenatal clinic and states, "I feel nauseous and I'm vomiting all the time. I can't even keep down water." This client should be evaluated for what condition?
Question 9 See full question
A 27-year-old primigravid client with insulin-dependent diabetes at 34 weeks' gestation undergoes a nonstress test, the results of which are documented as reactive. What should the nurse tell the client that the test results indicate?
Question 10 See full question
A client has obtained levonorgestrel as emergency contraception. After unprotected intercourse, the client calls the clinic to ask questions about taking the contraceptives. The nurse realizes the client needs further explanation when she makes which statement?
Question 11 See full question
During a visit to the prenatal clinic, a pregnant client at 32 weeks' gestation reports heartburn. The client needs further instruction when she says she must do what?
Question 12 See full question
A primigravid client at 16 weeks’ gestation visits the clinic for a routine examination. The client tells the nurse that she knows someone whose baby was born with congenital toxoplasmosis. What should the nurse instruct the client to do to prevent transmission of the toxoplasmosis protozoan?
Question 13 See full question
A multigravid client visits the clinic because she suspects that she is pregnant but is unable to tell the nurse when her last menstrual period began. The client has a history of preterm birth. The nurse instructs the client that the gestational age of the fetus can be estimated by which procedure?
Question 14 See full question
A client is seeking infertility treatment after attempting pregnancy for 2 years. Of the following data from the client’s history, which has the greatest impact on infertility?
Question 15 See full question
Which recommendation would be most helpful to suggest to a primigravid client at 37 weeks' gestation who has leg cramps?
Question 16 See full question
A 29-year-old multigravida at 37 weeks' gestation is being treated for severe preeclampsia and has magnesium sulfate infusing at 3 g/h. To maintain safety for this client, the priority intervention is to:
Question 17 See full question
A primigravida, currently about 8 weeks pregnant, and her husband ask when they should begin the preparation for childbirth classes that discuss maternal nutrition during pregnancy. Which time would be most appropriate for the nurse to suggest that they begin the classes?
Question 18 See full question
A 16-year-old unmarried client visiting the prenatal clinic at 32 weeks’ gestation and currently weighing 140 lb (63.5 kg) is being closely monitored for early signs of preeclampsia. The client is 5 feet, 2 inch (158 cm) tall and weighed 120 lb (54.4 kg) before the pregnancy. Which factor would be most important to assess?
Question 19 See full question
The nurse is providing prenatal education regarding microorganisms to be avoided during pregnancy. Which of the following statements during the counseling session would indicate to the nurse that the client understands the teaching?
Question 20 See full question
A client at 37 weeks gestation is at a prenatal visit and states that she sometimes feels dizzy when lying directly on her back. Which of the following is the nurse’s best response?
Question 48 See full question
The nurse is administering magnesium sulfate by intravenous (IV) drip for a client with eclampsia at 32 weeks gestation. Which finding indicates the medication is having a therapeutic effect? Select all that apply.
Question 49 See full question
A charge nurse is completing client assignments for the nursing staff on the pediatric unit. Which client would the nurse refrain from assigning to a pregnant staff member?
Question 50 See full question
The nurse is working in the labor and child birth unit when a mother with active herpes simplex virus-Type 2 (HSV-2) appears in active labor. Which adjustment in the plan of care is anticipated?
Question 1 See full question
During a physical examination, a client who is 32 weeks pregnant becomes pale, dizzy, and light-headed while supine. Which action should the nurse immediately take?
Question 2 See full question
A nurse is caring for a client whose membranes ruptured prematurely 12 hours ago. When assessing this client, the nurse's highest priority is to evaluate:
Question 3 See full question
During her fourth clinic visit, a client who's 5 months pregnant tells the nurse she was exposed to rubella during the past week and asks whether she can be immunized now. How should the nurse respond?
Question 4 See full question
A client asks how long she and her husband can safely continue sexual activity during pregnancy. How should the nurse respond?
Question 5 See full question
When assessing a pregnant client with diabetes mellitus, the nurse stays alert for signs and symptoms of a vaginal or urinary tract infection (UTI). Which laboratory value makes this client more susceptible to such infections?
Question 6 See full question
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?
Question 7 See full question
When evaluating a pregnant client's fundal height, the nurse should measure in which way?
Question 8 See full question
A client who's 7 months pregnant reports severe leg cramps at night. Which nursing action would be most effective in helping the client cope with these cramps?
Question 9 See full question
Which findings are considered positive signs of pregnancy?
Question 10 See full question
Which medication is considered safe during pregnancy?
Question 11 See full question
A nurse has a client at 30 weeks' gestation who has tested positive for the human immunodeficiency virus (HIV). What should the nurse tell the client when she says that she wants to breast-feed her
Question 12 See full question
A client who is 34 weeks pregnant is experiencing bleeding caused by placenta previa. The fetal heart sounds are normal and the client is not in labor. Which nursing intervention should the nurse perform?
Question 13 See full question
Which instruction should a nurse give to a client who's 26 weeks pregnant and complains of constipation?
Question 14 See full question
A client at 28 weeks' gestation is complaining of contractions. Following admission and hydration, the physician writes an order for the nurse to give 12 mg of betamethasone I.M. This medication is given to:
Question 15 See full question
A client who is 14 weeks pregnant states, "Ever since I've been pregnant, I've had a hard time moving my bowels." Increased levels of what hormone are responsible for this common discomfort of pregnancy?
Question 16 See full question
A 15-year-old female who is 26 weeks pregnant has been admitted to the labor and delivery unit with a complaint of abdominal pain. Her parents want to speak with a nurse about to her condition. How should the nurse respond?
Question 17 See full question
A client who is 32 weeks pregnant presents to the emergency department with bright red bleeding and no abdominal pain. A nurse should:
Question 18 See full question
Which instruction should a nurse include in a home-safety teaching plan for a pregnant client?
Question 19 See full question
A pregnant client complains of nausea every morning and again before meals. As a result of the nausea, she's been unable to eat enough and has lost weight. Which nonpharmacologic intervention should the nurse recommend?
Question 20 See full question
A client asks about complementary therapies for relief of discomfort related to pregnancy. Which comfort measure mentioned by the client indicates a need for further teaching?
Question 21 See full question
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?
Question 22 See full question
Which outcome would the nurse identify as the priority to achieve when developing the plan of care for a primigravid client at 38 weeks’ gestation who is hospitalized with severe preeclampsia and receiving intravenous magnesium sulfate?
Question 23 See full question
A 36-year-old multigravid client is admitted to the hospital with possible ruptured ectopic pregnancy. When obtaining the client's history, which finding would be most important to identify as a predisposing factor?
Question 24 See full question
A client has obtained levonorgestrel as emergency contraception. After unprotected intercourse, the client calls the clinic to ask questions about taking the contraceptives. The nurse realizes the client needs further explanation when she makes which statement?
Question 25 See full question
A 20-year-old primigravid client tells the nurse that her mother had a friend who died from hemorrhage about 10 years ago during a vaginal birth. Which response would be most helpful?
Question 26 See full question
Following a positive pregnancy test, a client begins discussing the changes that will occur in the next several months with the nurse. The nurse should include which information about changes the client can anticipate in the first trimester?
Question 27 See full question
After instructing a female client about the radioimmunoassay pregnancy test, the nurse determines that the client understands the instructions when the client states that which hormone is evaluated by this test?
Question 28 See full question
After instructing a primigravid client about the functions of the placenta, the nurse determines that the client needs additional teaching when she says that which hormone is produced by the placenta?
Question 29 See full question
After instructing a primigravid client about desired weight gain during pregnancy, the nurse determines that the teaching has been successful when the client states which statement?
Question 30 See full question
Which statement by the nurse would be most appropriate when responding to a primigravid client who asks, "What should I do about this brown discoloration across my nose and cheeks?"
Question 31 See full question
A primigravid client at 28 weeks' gestation tells the nurse that she and her husband wish to drive to visit relatives who live several hours away. Which of the following recommendations by the nurse would be best?
Question 32 See full question
When planning a class for primigravid clients about the common physiologic changes of pregnancy, which information should the nurse include in the teaching plan?
Question 33 See full question
When teaching a primigravid client at 24 weeks' gestation about the diagnostic tests to determine fetal well-being, which information should the nurse include?
Question 34 See full question
The nurse on the antenatal unit is planning care for four clients. The nurse should assess which client first:
Question 35 See full question
When explaining to a pregnant client about the need to take supplemental vitamins with iron during her pregnancy, the nurse should instruct the client to take the iron with which liquid to promote maximum absorption?
Question 36 See full question
After the nurse instructs a pregnant client about swimming and bathing during pregnancy, which client statement indicates the need for additional teaching?
Question 37 See full question
After teaching a pregnant client about potential complications of amniocentesis that must be reported immediately, the nurse determines that the client understands the instruction when she says that she will report:
Question 38 See full question
The nurse should assess a 26-year-old multigravida at 30 weeks' gestation with premature rupture of the membranes for:
Question 39 See full question
A multigravid client visits the clinic because she suspects that she is pregnant but is unable to tell the nurse when her last menstrual period began. The client has a history of preterm birth. The nurse instructs the client that the gestational age of the fetus can be estimated by which procedure? [Show Less]