A nurse is caring for a client who is pregnant and states that her last menstrual period was April 1st. Which of the following is the client's estimated
... [Show More] date of delivery?
A. Jan 8
B. Jan 15
C. Feb 8
D. Feb 15
A. April 1st minus 3 months plus 7 days and 1 year
A nurse in a prenatal clinic is caring for a client who is in the first trimester of pregnancy . The client's health records includes G3 T1 P0 A1 L1. How should the nurse interpret this? SATA
A client has delivered one newborn at term
B client has experienced no preterm labor
C client has had 2 pregnancies
D client has one living child
E client has been through active labor
a: delivered one newborn at term
c: had 2 pregnancies
d: has one living child
a nurse is reviweing the health record of a client who is pregnant. The provider indicated the client exhibits probable signs of pregnancy. Which of the following findings should the nurse expect? SATA
a Montgomery glands
b Goodell's Signs
c ballottement
d Chadwick's sign
e quickening
b: Goodell's sign
c: ballottement
d: chadwick's sign
a nurse in a prenatal clinic 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 responses should the nurse make?
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 increase cardiac output
c: due to the weight of the uterus on the vena cava
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"
d "You should collect urine from the first morning void"
a nurse is teaching a group of women who are pregnant about measures to relieve backache during pregnancy. Which of the following measures should the nurse include in the teaching? SATA
a avoid lifting
b perform kegel exercises twice a day
c perform the pelvic rock exercises every day
d use proper body mechanics
e avoid constrictive clothing
c: perform the pelvic rock exercises every day
d: use proper body mechanics
a nurse is caring for a client who is pregnant and reviewing signs of complications the client should report to the provider. Which of the following complications should the nurse include in the teaching?
a vaginal bleeding
b swelling of the ankles
c heartburn after eating
d lightheartedness when lying on back
a. vaginal bleeding
a client who is at 7 weeks of gstation is experiencing n/v in the morning. Which of the following info should the nurse include in the teaching?
a eat crackers or plain toast before getting out of bed
b awaken during the night to eat a snack
c skip breakfast and eat lunch after nausea has subsided
d eat a large evening meal
a: eat crackers or plain toast before getting out of bed
a nurse is teaching a client who is at 6 weeks of gestation about common discomforts of pregnancy. Which of the following findings should the nurse include in the teaching? SATA
a breast tenderness
b urinary frequency
c expistaxis
d dysuria
e epigastric pain
a breast tenderness
b urinary frequency
c expistaxis
A client who is at 8 weeks of gestation tells the RN that she isn't sure she is happy about being pregnant. which of the following responses should the nurse make?
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
b: it is normal to have these feelings during the first few months of pregnancy
a nurse in a prenatal clinic is providing education to a client who is in the 8th of gestation. The client states that she does not like milk. which of the following foods should the nurse recommend as a good source of Ca?
a dark green leafy veggies
b deep red or orange veggies
c white breads and rice
d meat, poultry and fish
a dark green leafy veggies
a nurse in a prenatal clinic is caring for four clients. which of the following client's weight gain should the nurse report to the provider?
a 1.8 kg (4lb) weight gain and is in her first trimester
b 3.6 kg (8lbs) weight gain and is in her first trimester
c 6.8 kg (15 lbs) weight gain and is in her second trimester
d 11.3 kg (25 lbs) weight gain and is in her third trimester
b 3.6 kg (8lbs) weight gain and is in her first trimester
a nurse in a clinic is teaching a client of childbearing age about recommended folic acid supplements. which of the following defects can occur in the fetus or neonate as a result of folic acid deficiency?
a iron deficiency anemia
b poor bone formation
c macrosomic fetus
d neural tube defects
d neural tube defects
A nurse is reviewing a new prescription for iron supplement with a client who is in the 8th week of gestation and has iron deficiency anemia. which of the following beverages should the nurse instruct the client to take the iron supplement with?
a ice water
b low fat or whole milk
c tea or coffee
d orange juice
d orange juice
a nurse is reviewing postpartum nutrition needs with a group of new mothers who are breastfeeding their newborns. which of the following statements by a member of the group indicates an understanding of the teaching?
a "i am glad i can have my morning coffee"
b " i should take folic acid to increase my milk supply"
c " i will continue adding 330 cal per day to my diet"
d " i will continue my Ca supplements because i dont like milk"
d " i will continue my Ca supplements because i dont like milk"
a nurse is reviewing findings of a client's biophysical profile. the nurse should expect which of the following variables to be included in the test? SATA
a fetal weight
b fetal breathing movement
c fetal tone
d fetal position
e amniotic fluid volume
b fetal breathing movement
c fetal tone
e amniotic fluid volume
a nurse is caring for a client who is in preterm labor and is scheduled to undergo an amniocentesis. the nurse should evaluate which of the following tests to assess fetal lung maturity?
a alpha-fetoprotein
b L/S ratio
c Kleihauer-Bertke test
d Indirect-Coombs' test
b L/S ratio
A nursing is caring for a client who is pregnant and undergoing a nonstress test. The client asks why the nurse is using an acoustic vibration device. which of the following responses should the nurse make?
a "it is used to stimulate uterine contractions"
b "it will decrease the incidence of uterine contractions"
c "it lulls the fetus to sleep"
d "it awakens a sleeping fetus"
d "it awakens a sleeping fetus"
a nurse is teaching a client who is pregnant about amniocentesis procedure. which of the following statements should the nurse include in the teaching?
a "you will lay on your right side during the procedure"
b "you should not eat anything for 24 hours prior to the procedure"
c "you should empty your bladder prior to the procedure"
d "the test is done to determine gestational age"
c "you should empty your bladder prior to the procedure"
A nursing is caring for a client who is pregnant and is to undergo a CST. which of the following findings are indication for this procedure? SATA
a decreased fetal movement
b IUGR
c postmaturity
d placenta previa
e amniotic fluid emboli
a decreased fetal movement
b IUGR
c postmaturity
a nurse in the ER is caring for a client who reports abrupt, sharp, right-sided lower quadrant abdominal pain and bright red vaginal bleeding. the client states she missed one menstrual cycle and cannot be pregnant b/c she has an intrauterine device. the nurse should suspect which of the following?
a missed abortion
b ectopic pregnancy
c severe preeclampsia
d hydatidiform mole
...
a nurse is providing care for a client who is diagnosed with a marginal abruptio placentae. the nurse is aware that which of the following findings are risk factors for developing the condition? SATA
a fetal position
b blunt abdominal trauma
c cocaine use
d maternal age
e smoking
b blunt abdominal trauma
c cocaine use
e smoking
a nurse is providing care for a client who is at 32 weeks of gestation and who has a placenta previa. the nurse notes that the client is actively bleeding. which of the following types of medications should the nurse anticipate the provider will prescribe?
c betamethasone
b indomethacin
c nifedipine
d methylergonovine
c betamethasone
A nurse at an antepartum clinic is caring for a client who is at 4 months of gestation. The client reports continued nausea and vomiting and scant, prune-colored discharge. She has experienced no weight loss and has a fundal height larger than expected. Which of the following complications should the nurse suspect?
A. Hyperemesis gravidarum
B. Threatened abortion
C. Hydatidiform mole
D. Preterm labor
C. Hydatidiform mole
a nurse is caring for a client who has a diagnosis of ruptured ectopic pregnancy. which of the following findings is seen with this condition?
a no alteration in menses
b trans vaginal ultrasound indicating a fetus in the uterus
c serum progesterone greater than the expected reference range
d report of severe shoulder pain
d report of severe shoulder pain
A nurse is admitting a client who is in labor and has HIV. which of the following interventions should the nurse identify as contraindicated for this client? SATA
a episotomy
b oxytocin infusion
c forceps
d c-section
e internal fetal monitoring
a episotomy
c forceps
e internal fetal monitoring
a nurse in an antepartum clinic is assessing a client who has a TORCH infection. which of the following findings should the nurse expect? SATA
a joint pain
b malaise
c rash
d urinary frequency
e tender lymph nodes
a joint pain
b malaise
c rash
e tender lymph nodes
a nurse is caring for a client who has gonorrhea. which of the following meds should the nurse anticipate the provider will give?
a Ceftriaxone
b Fluconazole
c Metronidazole
d Zidovudine
a Ceftriaxone
A nursing is caring for a client who is in labor. the nurse should identify that which of the following infections can be treated during labor or immediately following birth? SATA
a gonorrhea
b chlamydia
c HIV
d GBS
e TOCRH
a gonorrhea
b chlamydia
c HIV
d GBS
a nurse manager is reviewing ways to prevent a TORCH infection during pregnancy with a group of new nurses. which of the following statements by a nurse indicates understanding?
a " obtain an immunization against rubella early in pregnancy"
b "seek prophylactic treatment if cytomegalovirus is detected during pregnancy"
c "a woman should avoid crowded places during pregnancy"
d "a woman should avoid consuming undercooked meat while pregnant"
d "a woman should avoid consuming undercooked meat while pregnant"
a nurse is caring for a client who is at 14 weeks and has hyperemesis gravidarum. the nurse should identify which of the following are risk factors for the client? SATA
a obesity
b multiferal pregnancy
c maternal age greater than 40
d migraine HA
e oligo
a obesity
b multiferal pregnancy
d migraine HA
a nurse is caring for a client who has suspected hyperemesis gravidarum and is reviewing the client's lab reports. which of the following findings is a s/s of this condition?
a Hgb 12.2 g/dL
b urine ketones present
c alanine aminotransferase 20 IU/L
d serum glucose of 114 mg/dL
b urine ketones present
a nurse is administering Mag to a client who has severe preeclampsia for seizure prophylaxis. which of the following indicates mag toxicity? SATA
a respiration less than 12/min
b urinary output less than 30 ml/hr
c hyperreflexic deep tendon reflexes
d decreased level of consciousness
e flushing and sweating
a respiration less than 12/min
b urinary output less than 30 ml/hr
d decreased level of consciousness
a nurse is caring for a client who is receiving iv mag. which of the following meds should the nurse anticipate giving if mag toxicity is suspected?
a nifedipine
b pyridoxine
c ferrous sulfate
d Ca gluconate
d Ca gluconate
a nurse is reviewing a new prescription for ferrous sulfate with a client who is at 12 weeks of gestation. which of the following statements by the client indicates understanding of the teaching?
a "i will take this pills with my breakfast"
b "i will take this med with a glass milk"
c "i plan to drink more orange juice while taking this pill"
d "i plan to add more ca-rich foods to my diet while taking this medication"
c "i plan to drink more orange juice while taking this pill"
a nurse is caring for a client who reports indications of preterm labor. which of the following findings are risk factors of this condition? SATA
a UTI
b multifetal pregnancy
c oligo
d DM
e uterine abnormalities
a UTI
b multifetal pregnancy
d DM
e uterine abnormalities
A nurse in L&D is providing care for a client who is in preterm labor at 32 wks of gestation. Which of the following medications should the nurse anticipate the provider will prescribe to hasten fetal lung maturity?
A) calcium gluconate
B) indomethacin (indocin)
C) nifedipine (procardia)
D) betamehtasone (celestrone)
D) betamehtasone (celestrone)
a nurse is caring for a client who is receiving nifedipine for prevention of preterm labor. the nurse should monitor for which of the following s/s?
a blood-tinged sputum
b dizziness
c pallor
d somnolence
b dizziness
a nurse is caring for a client who has a prescription of mag. the nurse should recognize that which of the following are contraindications for this med? SATA
a fetal distress
b preterm labor
c vaginal bleeding
d cervical dilation greater than 6cm
e severe gestational HTN
a fetal distress
c vaginal bleeding
d cervical dilation gre [Show Less]