Term 1 of 69
A primigravida at 12 weeks' gestation complains of nausea and vomiting during a visit to the
prenatal clinic. Which pregnancy hormone should the nurse explain is thought to be responsible
for nausea and vomiting during the first trimester?
Fetal physical activity
Human chorionic gonadotropin (hCG
Prolactin
Estrogen
Term 2 of 69
A nonstress test (NST) is scheduled for a client with mild preeclampsia. During the test, the client
asks the nurse what it means when the fetal heart rate goes up every time the fetus moves. What
should the nurse consider before responding?
1
These accelerations are a sign of fetal well-being.
2
These accelerations indicate fetal head compression.
3
Umbilical cord compression is causing these accelerations.
4
Uteroplacental insufficiency is causing these accelerations
Monitoring the duration and intensity of the contractions
These accelerations are a sign of fetal well-being.
It is caused by increased blood flow to the uterus
"The esophageal sphincter relaxes and allows acid to be regurgitated."
,Term 3 of 69
A client at 32 weeks' gestation is admitted in active labor. Her cervix is effaced and dilated 4 cm.
Intramuscular betamethasone (Celestone) 12 mg is prescribed. What should the nurse tell the
client about why the medication is being given?
1
Cervical dilation is increased.
2
Fetal lung maturity is accelerated.
3
The risk of a precipitous birth is reduced.
4
The potential for maternal hypertension is minimized.
Position of the fetus
Fetal lung maturity is accelerated.
Placed a rolled towl under the client's righr hip
Compression by the enlarging uterus
,Term 4 of 69
A pregnant client who has a history of cardiac disease asks how she can relieve her occasional
heartburn. The nurse should instruct the client to avoid antacids containing:
1
Sodium
2
Calcium
3
Aluminum
4
Magnesium
Discontinuing the test because the pattern is within the expected range
Fetal physical activity
Sodium
Black and pinto beans
Enriched bread and pasta
, Term 5 of 69
A client is admitted in active labor. The nurse, performing Leopold maneuvers, determines that the
fetus is in the left occiput anterior (LOA) position. Where should the nurse place the transducer of
the electronic fetal monitor?
1
Right lower midline
2
Left lower quadrant
3
Left upper quadrant
4
Right upper quadran
Placed a rolled towl under the client's righr hip
Left lower quadrant
Lead to placental insufficiency
Promotes neonatal pulmonary maturity
Term 6 of 69
A client at 11 weeks' gestation reports having to urinate more often. The nurse explains that urinary
frequency often occurs because bladder capacity during pregnancy is diminished by:
Atony of the detrusor muscle
Compression by the enlarging uterus
Compromise of the autonomic reflexes
Narrowing of the ureteral entrance at the trigone
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