2.When evaluating a client’s knowledge of symptoms to report during her pregnancy, which statement wouldindicate to the nurse in charge that the client understands the information given to her?A. “I’ll report increased frequency of urination.”
B. “If I have blurred or double vision, I should call the clinic immediately.”
C. “If I feel tired after resting, I should report it immediately.”D.“Nausea should be reported immediately.”3.A client makes a routine visit to the prenatal clinic. Although she’s 14 weeks pregnant, the size of her uterusapproximates that in an 18- to 20-week pregnancy. Dr. Diaz diagnoses gestational trophoblastic disease andorders ultrasonography. The nurse expects ultrasonography to reveal:A.An empty gestational sac.
B. Grapelike clusters.
C.A severely malformed fetus.D.An extrauterine pregnancy.4.After completing a second vaginal examination of a client in labor, the nurse-midwife determines that thefetus is in the right occiput anterior position and at –1 station. Based on these findings, the nurse-midwifeknows that the fetal presenting part is:A.1 cm below the ischial spines.B.Directly in line with the ischial spines.
C. 1 cm above the ischial spines.
D.In no relationship to the ischial spines.5.Which of the following would be inappropriate to assess in a mother who’s breast-feeding?A.The attachment of the baby to the breast.B.The mother’s comfort level with positioning the baby.C.Audible swallowing.
D. The baby’s lips smacking
6.A client who’s 36 weeks pregnant comes to the clinic for a prenatal checkup. To assess the client’spreparation for parenting, the nurse might ask which question?A.“Are you planning to have epidural anesthesia?”B.“Have you begun prenatal classes?”
C. “What changes have you made at home to get ready for the baby?”
D.“Can you tell me about the meals you typically eat each day?”7.The multigravida mother with a history of rapid labor who us in active labor calls out to the nurse, “The babyis coming!” which of the following would be the nurse’s first action?
A.Inspect the perineum
B.Time the contractionsC.Auscultate the fetal heart rateD.Contact the birth attendant8.A client’s gestational diabetes is poorly controlled throughout her pregnancy. She goes into labor at 38weeks and delivers a baby boy. Which priority intervention should be included in the care plan for theneonate during his first 24 hours?A.Administer insulin subcutaneously.B.Administer a bolus of glucose I.V.
C.Provide frequent early feedings with formula.
D.Avoid oral feeding.9.Early detection of an ectopic pregnancy is paramount in preventing a life-threatening rupture. Whichsymptoms should alert the nurse to the possibility of an ectopic pregnancy?
A.Abdominal pain, vaginal bleeding, and a positive pregnancy test.
B.Hyperemesis and weight loss.C.Amenorrhea and a negative pregnancy test.D.Copious discharge of clear mucus and prolonged epigastric pain.10.A client who tells the nurse that she would like to use the basal body temperature method of family planningreceives instructions about the method. Which of the following client statements indicates to the nurse thatthe teaching has been successful?A.“When my temperature remains elevated for 7 days, ovulation has occurred.B.“Taking my temperature in the evening just after dinner or before I go to bed is best.”C.“Because this method is not very effective, I should use other forms of contraception too.”
D.“It’s important to take my temperature at about the same time every morning beforerising.”
11.A 20-year-old client, having missed one menstrual period, visits the prenatal clinic because she suspects thatshe is pregnant. Besides amenorrhea, the client tells the nurse that she has experienced nausea andvomiting, urinary frequency, and fatigue. The nurse determines that the client has been experiencing signsof pregnancy categorized as which of the following:
B.ProbableC.PositiveD.Predictive12.The nurse is assessing a client who gave birth yesterday. Where should the nurse expect to find the top of the client’s fundus?A.One fingerbreadth above the umbilicus
B.One fingerbreadth below the umbilicus
C.At the level of the umbilicusD.Below the symphysis pubis13.A client asks, “Can my partner and I still engage in sexual intercourse while I’m pregnant?” The nurseresponse is based on which of the following?A.Throughout the pregnancy, coitus interruptus is the preferred of sexual activity.