During a preconception counseling session for women trying to get pregnant in 3 to 6 months,
what information should the nurse provide?
-discontinue all forms of contraception
-make sure to include adequate folic acid in the diet
-lose weight so more is gained during pregnancy
-continue to take any meds that are taken regularly - ✔✔B. Make sure to include adequate
folic acid in the diet
Which statement by a client who is pregnant indicates to the nurse an understanding of the
role of protein during pregnancy?
-protein helps the fetus grow while I'm pregnant
-gestational diabetes is prevented by eating protein
-anemia is averted by consuming enough protein
-my baby will develop strong teeth after he is born - ✔✔A. "Protein helps the fetus grow
while I am pregnant."
A client in her second trimester of pregnancy asks if it is safe for her to have a drink with dinner.
How should the nurse respond to the client?
-during second trimester beer can be consumed without harm to the fetus
-wine can be consumed several times a week after the first trimeter
-only one drink with the evening meal is not harmful to the fetus
-abstinence is strongly recommended throughout the pregnancy - ✔✔D. Abstinence is
strongly recommended throughout the pregnancy
,A female client who wants to deliver at home asks the nurse to explain the role of a nurse-
midwife in providing obstetric care. What information should the nurse provide?
-birth in the home setting is the preference for a using a midwife for delivery
-the pregnancy should progress normally and be considered low risk
-natural child birth without analgesia is used to manage pain during labor
-an obstetrician should also follow the client during pregnancy - ✔✔B. The pregnancy should
progress normally and be considered low risk
When discussing birth in a home setting with a group of pregnant women, which situation
should the nurse include about the safety of a home birth?
-only the woman and her midwife should be present during the delivery
-the woman should live no more than 15 min from the hospital
-the woman's extended family should be allowed to attend the home birth
-medical backup should be available quickly in case of complications - ✔✔D. Medical backup
should be available quickly in case of complications
The nurse is discussing the stages of labor with a group of women in the last month of
pregnancy and provides examples of different positional techniques used during the second
stage of labor. Which position should the nurse address the best advantage of gravity during
delivery?
-walking
-squatting
-kneeling
-lithotomy - ✔✔B. Squatting
A client in the first stage of labor is using a shallow pattern of rapid breaths that is twice the
normal adult breathing rate. The client complains of feeling light headed, dizzy, and states that
her fingers are tingling. What action should the nurse implement?
-notify the HCP
-help her breathe into a paper bag
, -administer oxygen via nasal cannula
-tell the client to show her breathing - ✔✔B. Help her breathe into a paper bag
A client in active labor at 39-weeks gestation tells the nurse she feels a wet sensation on the
perineum. The nurse notices pale, straw-colored fluid with small white particles. After
reviewing the fetal monitor strip for fetal disturbance, what action should the nurse take?
-escort the client to the bathroom
-offer the client a bed pan
-perform a nitrazine test
-clean the perineal area - ✔✔C. Perform a nitrazine test
A client in early labor is having uterine contractions every 3 to 4 minutes, lasting an average of
55 to 60 seconds. An internal uterine pressure catheter (IUPC) is inserted. The intrauterine
pressure is 65 to 70 mmHg at the peak. Based on this information, what action should the nurse
implement?
-notify HCP
-bring delivery table to room
-prepare to administer oxytocin
-document findings - ✔✔D. Document the findings in the client record
A multiparous client has been in labor for 8 hours when her membranes rupture. What action
should the nurse implement first?
-prepare client for imminent birth
-asses FHR and pattern
-document characteristics of fluid
-notify HCP - ✔✔B. Assess the fetal heart rate and pattern
Which action should the nurse implement caring for a newborn immediately after birth?
-keep newborn airway clear
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