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59 Cards in this Set
- Front
- Back
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An antenatal client is informing the nurse of her prenatal signs and symptoms. Which of the following findings would the nurse determine are presumptive signs of pregnancy?
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Ammenorrhea
Breast tenderness Quickening Frequent urination (totally subjective) |
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The nurse is assessing the lab report of a 40-week gestation client. Which of the following values would the nurse expect to find elevated above prepregnancy levels?
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Fibrinogen levels will be elevated slightly in a 40-week pregnant omen because coagulation factors like fibrinogen increase to help prevent excessive blood loss during delivery.
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When analyzing the need for health teaching of a prenatal multigravida, the nurse should ask which of the following questions?
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"Do you drink alcohol?"
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Because nausea and vomiting are such common complaints of pregnant women, the nurse provides anticipatory guidance to a 6-week gestation client by telling her to...?
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Avoid greasy foods
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A gravida, G1 P0000, is having her first prenatal physical exam. Which of the following assessments should the nurse inform the client that she will have that day?
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A pap smear
This provides baseline data and is done to inform the HCP of any medical problems that could impact the pregnancy |
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A client asks the nurse what was meant when the physician told her she had a positive Chadwick's sign. Which of the following information about the finding would be appropriate for the nurse to convey at this time?
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"It is a bluish coloration of your cervix and vagina"
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A client enters the prenatal clinic and states she believes she is pregnant. Which of the following hormone elevations will indicate a high probability that the client is pregnant?
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Chorionic gonadotropin
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A client is in the 10th week of pregnancy. Which of the following symptoms would the nurse expect the client to exhibit?
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Fatigue
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When assessing the psychological adjusting of an 8 week gravida, which of the following would the nurse expect to see signs of?
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Ambivalence is common during the first trimester
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The nurse notes each of the following findings in a 12-week gestation client. Which of the findings would enable the nurse to tell the client that she is positively pregnant?
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Fetal heart rate via Doppler
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The nurse takes the history of a client, G2 P1001, at her first prenatal visit. which of the following statements would indicate that the client should be referred to a genetic counselor?
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"My first child has Cystic fibrosis"
This is an autosomal recessive genetic disease |
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Which of the following findings in an 8 week gestation client, G2 P1001, should the nurse highlight for the nurse midwife?
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BMI of 17.
This is a concern because she is underweight while entering her pregnancy |
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A woman who is 6-weeks pregnant is having a vaginal exam. Which of the following would the practitioner expect to find?
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An enlarged ovary
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The nurse assesses four primigravid clients. Which of the client findings would the nurse highlight for the physician?
1. 17 weeks' gestation; denies feeling fetal movement 2. 24 weeks' gestation; fundal height at the umbilicus 3. 27 weeks' gestatinon; complains of excess salivation 4. 34 weeks' gestation; complains of hemorrhoidal pain |
2. 24 weeks' gestation; fundal height at the umbilicus.
The fundal height at 24 weeks should be 4 cm above the umbilicus. The fundal height at the level of the umbilicus is expected at 20 weeks. |
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The nurse midwife tells a client that the baby is growing and that ballottement was evident during the vaginal examination. how should the nurse explain what the nurse midwife means by ballottement?
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The nurse midwife felt the baby rebound after being pushed
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26. A multigravid is 22 weeks pregnant. Which of the following symptoms would the nurse expect the client to exhibit?
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Leg cramping
Often a complaint in clients in the second trimester. |
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A client is 15 weeks pregnant. She calls the obstetric office to request a medication for a headache. Which of the following is the nurses best response?
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"You can take acetaminophen because it is a category "B" medicine."
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A client who was seen in the prenatal clinic at 20 weeks' gestation weighed 128 lb at the time. How many pounds would the nurse expect the client to weight at her next visit at 24 weeks' gestation?
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132 lb
The woman is expected to gain about 1 lb a week. |
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A woman states that she frequently awakens with "painful leg cramps" during the night. which of the following assessments should the nurse make?
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Dietary evaluation
Leg cramps can be caused by consuming too little calcium or too must phosphorus |
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A woman in her third trimester advises the nurse the she wishes to breastfeed her baby, "but I don't think my nipples are right." Upon exam, the nurse notices that the client has inverted nipples. Which of the following actions should the nurse take at this time?
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Refer client to a lactation consultant
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A 37 week gravid client states she noticed a "white liquid" leaking from her breasts during a recent shower. Which of the following nursing responses is appropriate at this time?
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Resassure the mother that this is normal in the third trimester.
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A 36-week gestation gravid client is complaining of dyspnea when lying flat. Which of the following is the likely cilniical reason for this complaint?
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The fundal height
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The nurse is providing anticipatory guidance to a women in her second trimester regarding S/S that she might experience in the coming weeks. Which of the following comments by the client indicates that further teaching is needed?
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"During the third trimester I may experience persistent headache"
This should not be seen. |
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A client in her 3rd trimester is concerned that she will not know the difference between labor contractions and normal aches and pains of pregnancy. how should the nurse respond?
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"The contractions may feel just like a backache, but they will come and go"
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Which finding would the nurse view as normal when evaluating the lab reports of a 34 week gestation client?
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Anemia
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A 3rd trimester client is being seeing for routine prenantal care. Which of the following assessments will the nurse perform during the visit?
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Blood pressure
Fetal heart rate Urine protein |
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Which of the following findings seen in 3rd trimester women would the nurse consider to be within normal limits?
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Leg cramps
Varicose veins Hemorrhoids Lordosis |
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A 36-week gestation gravid lies flat on her back. Which of the following maternal S/S would the nurse expect to observe?
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Dizziness
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A 34-week gestation woman calls stating, "Since last night I have had three nosebleeds." Which of the following responses by the nurse is appropriate?
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"One of the hormones of pregnancy makes the nasal passages prone to bleeds"
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The blood of a pregnant client was initially assessed at 10 weeks' gestation and reassessed at 38 weeks gestation. Which of the following results would the nurse expect to see?
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Increase white blood cell count
This is a natural physiological change that protects the woman's body from the invasion of pathogens during the birth processes |
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A client is 35 weeks gestation. Which of the following findings would the nurse expect to see?
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Use of three pillows for sleep comfort
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A woman, 26-weeks gestation calls the nurse stating, "I'm really scared. I tried not to but I had an orgasm when we were making love. I just know that I will go into preterm labor now." Which of the following responses by the nurse is appropriate?
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"Although oxytocin was responsible for your orgasm, it is very unlikely that it will stimulate preterm labor."
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During a prenatal visit, a gravid client is complaining of ptyalism. Which of the following nursing interventions is appropriate?
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Encourage the woman to brush her teeth carefully.
These clients have an excess of saliva, therefore should be vigilant in the care for their teeth and gums |
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After nutrition counseling, a woman, G3, P1101, proclaims that she certainly can't eat any strawberries during her pregnancy. Which of the following is the likely reason for this statement?
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The woman believes in old wives' tales
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A woman is planning to become pregnant. Which of the following actions should she be counseled to take before stopping birth control?
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Begin taking daily multivitamin tablets
See a medical doctor for a complete check up Stop smoking |
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A nurse discusses sexual intimacy with a pregnant couple. Which of the following should be included in the teaching plan?
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The couple may find it necessary to experiment with alternate positions due to the increase in the uterine body
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Which of the following skin changes should the nurse highlight for a pregnant woman's HCP?
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Petechiae
These are seen in hemorrhagic conditions |
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A pregnant woman informs the nurse the her last normal menstrual period was on September 20, 2006. Using Nagele's rule, the nurse calculates the client's estimated date of delivery as:
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June 27, 2007
Date of LMP - 3 months + 7 days |
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A nurse is advising a pregnant women about the danger signs of pregnancy. The nurse should teach the mother that she should notify the physician immediately if she experiences which of the following S/S?
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Convulsions
Double vision Epigastric pain Persistent vomiting |
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A woman provides the nurse with the following obstetrical hx: Delivered a son, now 7 years old, at 28 weeks' gestation; delivered a daughter, now 5 years old, at 29 weeks' gestation; had a miscarriage 3 years ago, and had a first-trimester abortion 2 years ago. She is currently pregnant. Which of the following portrays an accurate picture of this woman's gravidity and parity?
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G5 P1122
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The partner of a gravida accompanies her to her prenantal appointment. The nurse notes that the father of the baby has gained weight since she last saw him. Which of the following comments is most appropriate for the nurse to make to the father?
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"I am so glad to see that you are taking so much interest in your partner's pregnancy."
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A client states that she is a strong believer in vitamin supplements to maintain her health. the nurse advises the woman that it is recommended to avoid excess quantities of which of the following vitamins during pregnancy?
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Vitamin D
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A client informs the nurse that she is "very constipated". Which of the following foods would be best for the nurse to recommend?
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Celery
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Which of the following foods equals 1 serving size from the grain group?
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1 slice of bread
1 tortilla 1 cup dry cereal |
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A woman asks the nurse about consuming herbal supplements during pregnancy. Which of the following responses is appropriate?
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The woman should discuss everything she eats with a HCP
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A nurse is discussing diet with a pregnant woman. Which of the following foods should the nurse advise the client to avoid consuming during her pregnancy?
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Bologna
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A 12-week gestation client tells the nurse that she and her husband eat sushi at least once per week. She states, "I know that fish is good for me, so I make sure we eat it regularly." Which of the following responses by the nurse is appropriate?
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"it is recommended that fish be cooked to destroy harmful bacteria"
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85. It is discovered that a pregnant woman practices pica. Which of the following complications is often associated with this behavior?
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Iron deficiency anemia
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A mother is experiencing N/V every afternoon. The ingestion of which of the following spices has been shown to be a safe complementary therapy for this complaint?
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Ginger
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A woman asks the nurse about the function of amniotic fluid. Which of the following statements by the woman indicates that additional teaching is needed?
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"This fluid provides fetal nutrition"
The umbilical cord, not the amniotic fluid, delivers nutrition to the developing fetus |
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Why is it essential that women of childbearing age be counseled to plain their pregnancies?
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Much of the organogenesis occurs before the missed menstrual period
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A women has just completed her first trimester. Which of the following fetal structures can the nurse tell the woman are well formed at this time?
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genitalia
heart fingers kidneys |
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A woman is carrying dizygotic twins. She asks the nurse about the babies. Which of the following explanations is accurate?
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When the woman oculated, she expelled 2 mature ova
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A mother has just experienced quickening. Which of the following developmental changes would the nurse expect to occur at the same time in the woman's pregnancy?
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Lanugo covers the fetal body
(This occurs 20 weeks gestation) |
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A gravida's fundal height is at the xiphoid process. The nurse is aware that which of the following fetal changes is likely to be occurring at the same time in the pregnancy?
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Surfactant is formed in the fetal lungs
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A client is having an ultrasound assessment done at her prenatal appointment at 8 weeks' gestation. She asks the nurse, "Can you tell what sex my baby is yet?" Which of the following responses would be appropriate for the nurse to make at this time?
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"I am sorry. It will not be possible to see which sex the baby is for another month or so."
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Which of the following developmental features would the nurse expect to be absent in a 41-week gestation fetus?
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Lanugo
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A woman delivers a fetal demise that has lanugo covering the entire body, nails that are present on the fingers and toes, but eyes that are still fused. Prior to the death, the mother stated that she had felt quickening. Based on this information, the nurse knows that the baby is about how many week's gestation?
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22 weeks' gestation
*Nails start to develop first trimester and lanugo starts to develop at about 20 weeks, but eyes remain fused until about 29 weeks gestation. |
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A client asks the nurse, "Could you explain how the baby's blood and my blood separate at delivery?" Which of the following responses is appropriate for the nurse to make?
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"The blood actually never mixes. Your blood supply and the baby's blood supply are completely separate."
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