Which statement indicates that a pregnant client requires further teaching about fetal growth and development?
o "The fetus keeps growing throughout pregnancy."
o "The fetus gets nutrients from the amniotic fluid."
o "The fetus may be underweight if it’s exposed to smoke."
o "The fetus gets oxygen from blood coming through the placenta."
o "The fetus gets nutrients from the amniotic fluid."
· The amniotic fluid provides protection, not nutrition; the fetus depends on the placenta, along with the umbilical blood
vessels, for nutrients and oxygen. The statements that the fetus keeps growing throughout pregnancy, that it may be
underweight if exposed to smoke, and that it gets oxygen from blood in the placenta all indicate that the client
understands the teaching.
Which cervical changes are observed during pregnancy? Select all that apply.
o The cervical tip becomes soft.
o The fragility of cervical tissues decreases.
o The volume of cervical muscle increases.
o The external cervical os appears as a jagged slit.
o The elasticity of cervical collagen-rich connective tissue increases.
o The cervical tip becomes soft.
o The volume of cervical muscle increases.
o The elasticity of cervical collagen-rich connective tissue increases.
· By the beginning of the sixth week of pregnancy, the cervical tip softens. During pregnancy, the cervical muscle and its
collagen-rich connective tissues increase in volume and become loose and highly elastic. Cervical tissue fragility also
increases. The external cervical os appears as a jagged slit postpartum; however, it does not during pregnancy.
A client who is at 20 weeks’ gestation visits the prenatal clinic for the first time. Assessment reveals temperature of
98.8°F (37.1°C), pulse of 80 beats per minute, blood pressure of 128/80 mm Hg, weight of 142 lb (64.4 kg) (prepregnancy
weight was 132 lb [59.9 kg]), fetal heart rate (FHR) of 140 beats per minute, urine that is negative for protein, and fasting
blood glucose level of 92 mg/dL (5.2 mmol/L). Which would the nurse do after making these assessments?
, o Report the findings because the client needs immediate intervention.
o Document the results because they are expected at 20 weeks’ gestation.
o Record the findings in the medical record because they are not within the norm but are not critical.
o Prepare the client for an emergency admission because these findings may represent jeopardy to the client and fetus.
o Document the results because they are expected at 20 weeks’ gestation.
· All data presented are expected for a client at 20 weeks’ gestation and should be documented. There is no need for
immediate intervention or an emergency admission because all findings are expected.
When the fetal monitor is applied to a client’s abdomen, it records late decelerations. Which action would the nurse
take?
o Notify the health care provider.
o Elevate the head of the bed.
o Reposition the client on her left side.
o Administer oxygen by way of facemask.
o Reposition the client on her left side.
· Late decelerations may indicate impaired placental perfusion. Turning the client on her left side relieves pressure on the
vena cava and aorta, improving circulation to the placenta. Calling the health care provider is premature. The nurse
should notify the practitioner if late decelerations continue after nursing interventions are implemented. Elevating the
head of the bed will increase pressure on the vena cava and aorta, further reducing placental perfusion. Oxygen may be
administered if placing the client on her left side does not resolve the late decelerations.
Which action provides support for the fetal head as it is being delivered?
o Applying suprapubic pressure
o Placing a hand firmly against the perineum
o Distributing the fingers evenly around the head
o Maintaining pressure against the anterior fontanel
o Distributing the fingers evenly around the head
· Distribution of the fingers around the head will prevent a rapid change in intracranial pressure while the head is being
born and keeps the head from "popping out," which could result in maternal perineal trauma. Applying suprapubic
pressure will not aid in the birth of the head. Placing a hand firmly against the perineum may interfere with the birth and
harm the neonate. Maintaining pressure against the anterior fontanel could injure the neonate.
A 42-year-old client at 39 weeks' gestation has a reactive nonstress test (NST). Which interpretation pertains to this
result?
o Immediate birth is indicated.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Schoolflix. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.99. You're not tied to anything after your purchase.
