NURS 126 Healthy pregnancy Unit 3

Document Content and Description Below

Healthy pregnancy Unit 3 Which statement about a fetal biophysical profile would be incorporated into the teaching plan for a primigravid client with insulin-dependent diabetes? A 30-year-old ... multigravid client has missed three periods and now visits the prenatal clinic because she assumes she is pregnant. She is experiencing enlargement of her abdomen, a positive pregnancy test, and changes in the pigmentation on her face and abdomen. These assessment findings reflect this woman is experiencing a cluster of which signs of pregnancy? A multigravid client at 32 weeks' gestation has experienced hemolytic disease of the newborn in a previous pregnancy. The nurse should prepare the client for frequent antibody titer evaluations obtained from which source? Which recommendation would be most helpful to suggest to a primigravid client at 37 weeks' gestation who has leg cramps? A nurse is performing a physical examination of a primigravid client who's 8 weeks pregnant. At this time, the nurse expects to assess: A nurse is reviewing a pregnant client's nutritional status. To determine whether she has an adequate intake of vitamin A, the nurse should assess her diet for consumption of: A nurse is using Doppler ultrasound to assess a pregnant woman. When should the nurse expect to hear fetal heart tones? A pregnant client asks how she can best prepare her 3-year-old son for the upcoming birth of a sibling. The nurse should make which suggestion? A 15-year-old primigravid client at approximately 16 weeks’ gestation tells the nurse that she has been experiencing an occasional sharp pain from the fundus to her pubic bone on the left side. The nurse determines that the client is most likely experiencing which complication? When evaluating a pregnant client's fundal height, the nurse should measure in which way? 6. 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? When performing Leopold's maneuvers, which action would the nurse ask the client to perform to ensure optimal comfort and accuracy? 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? When the nurse instructs a pregnant client with a history of varicose veins about strategies to promote comfort, which client statement indicates that the teaching has been successful? As a client progresses through pregnancy, she develops constipation. What is the primary cause of this problem during pregnancy? A client is expecting her second child in 6 months. During the psychosocial assessment, she says, "I've been through this before. Why are you asking me these questions?" What is the nurse's best response? The nurse is providing care for a pregnant woman. The woman asks the nurse how she can best deal with her fatigue. The nurse should instruct her to: A client is at her ideal weight when she conceives. During a prenatal visit 2 months later, she asks the nurse how much weight she should gain during pregnancy. What is the nurse's best response? A newly pregnant woman tells the nurse that she hasn't been taking her prenatal vitamins because they make her nauseated. In addition to telling the client how important taking the vitamins are, the nurse should advise her to: A primigravid client visits the clinic for a routine examination at 35 weeks’ gestation. The client’s blood pressure is near the baseline of 120/74 mm Hg with no proteinuria or evidence of facial edema. The client asks the nurse, “What should I take if I get an occasional headache after looking at my computer at work all day?” The nurse instructs the client that she can occasionally take which over-the-counter medication? A woman who's 10 weeks pregnant tells the nurse that she's worried about her fatigue and frequent urination. The nurse should: A pregnant woman states that she frequently ingests laundry starch. The nurse should assess the client for: The nurse is caring for a client in her 34th week of pregnancy who wears an external monitor. Which statement by the client would indicate an understanding of the nurse's teaching? During each prenatal checkup, the nurse obtains the client's weight and blood pressure and measures fundal height. What is another essential part of each prenatal checkup? A client who's 4 months pregnant asks the nurse how much and what type of exercise she should get during pregnancy. How should the nurse counsel her? A pregnant client asks the nurse whether she can take castor oil for her constipation. How should the nurse respond? After instruction of a primigravid client at 8 weeks' gestation about measures to overcome early morning nausea and vomiting, which client statement indicates the need for additional teaching? A client at 36 weeks' gestation tells the nurse, "I have been having a lot of backaches lately." After giving instructions about how to decrease the backaches, the nurse determines that the client needs further instruction when she makes which statement? A primigravid client at 32 weeks' gestation is enrolled in a breast-feeding class. Which statements indicate that the client understands the breast-feeding education? Select all that apply. The nurse is assessing a client who's 29 weeks pregnant. What is the least invasive and demanding method for assessing fetal well-being? Where is the best place for the nurse to detect fetal heart sounds for a client in the first trimester of pregnancy? A client, now 37 weeks pregnant, calls the clinic because she's concerned about being short of breath and is unable to sleep unless she places three pillows under her head. After listening to her concerns, the nurse should take which action? A client with diabetes mellitus that is well controlled reports that she participated in strenuous aerobic exercise before becoming pregnant. She asks the nurse if she can continue exercising. What should be the nurse’s best response? The nurse is teaching a pregnant client how to distinguish prelabor contractions from true labor contractions. Which statement about prelabor contractions is accurate? A pregnant client in her second trimester visits the health care practitioner for a regular prenatal checkup. During the assessment, the nurse weighs the client, then compares her current and previous weights. During the second trimester, how much weight should the client gain per week? The nurse is developing a teaching plan for a client entering the third trimester of her pregnancy. The nurse should include which information in the plan? Select all that apply. A client is admitted for an amniocentesis. Initial assessment findings include the following: 16 weeks pregnant, vital signs within normal limits, hemoglobin 12.2 gm, hematocrit 35%, and type O-negative blood. Which of the following actions would be most important to include in the client's plan of care after the 20-minute amniocentesis has been completed? A nurse is caring for a post-term client at 41 weeks of gestation who is about to undergo a biophysical profile (BPP) to evaluate her fetus’s well-being. The client asks, “What will be able to be determined from this test?” The nurse is correct to answer which? Select all that apply. What key psychosocial tasks must a woman accomplish during the third trimester? The nurse is discussing dietary concerns with pregnant teens. Which food choices are convenient for teens yet nutritious for both the mother and fetus? Select all that apply. When providing health teaching to a primigravid client, the nurse tells the client that she's likely to first experience Braxton Hicks contractions. When do these contractions typically begin? When performing Leopold's maneuvers on a primigravid client at 22 weeks' gestation, the nurse performs the first maneuver to accomplish which action? A primiparous client at 10 weeks' gestation questions the nurse about the need for an ultrasound. She states, “I feel fine, so why should I have the test?” The nurse should incorporate which statements as the underlying reason for performing the ultrasound now? Select all that apply. An 18-year-old pregnant woman tells the nurse that she's concerned that she may not be able to take care of herself during her pregnancy. She states that prenatal care is expensive and her job doesn't provide insurance. The nurse should recognize that she: A pregnant client at about 29 weeks' gestation asks the nurse "What can I do about this dark brown line running down my stomach?" When teaching the client about this brown line, the nurse should tell the client: [Show More]

Last updated: 1 year ago

Preview 1 out of 9 pages