Exam (elaborations)
Antepartum Practice Questions Correct Answers Latest Update
- Course
- Antepartum
- Institution
- University Of California - San Francisco
Antepartum Practice Questions Correct Answers Latest Update
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Antepartum Practice Questions Correct AnswersLatest Update
A antenatal client is informing the nurse of her prenatal signs and symptoms.
Which of the following findings would the nurse determine are presumptive signs
of pregnancy? (select all)
1. Amenorrhea
2. Breast tenderness
3. Quickening
4. Frequent urination
5. Uterine growth -ANS>1, 2, 3, & 4.
The correct answers are signs of presumptive pregnancy. Uterine growth is a
probable sign of pregnancy. Probable = Signs that are objective but not absolute
and include alterations in uterine shape and size and softening of the cervix.
The nurse is assessing the laboratory report of a 40-week gestation client. Which
of the following values would the nurse expect to find elevated about
prepregnancy levels? (select all)
1. Glucose
2. Fibrinogen
3. Hematocrit
4. Bilirubin
5. White blood cells -ANS>2 & 5.
,Fibrinogen levels will be elevated slightly in a 40-week pregnant woman because
coagulation factors like fibrinogen increase to help prevent excessive blood loss
during delivery.
A 40-week pregnant woman's white blood cell count will be elevated above
normal as a means of protecting her body from infection.
When analyzing the need for health teaching of prenatal multigravida, the nurse
should ask which of the following questions?
1. "What are the ages of your children?"
2. "What is your marital status?"
3. "Do you ever drink alcohol?"
4. "Do you have any allergies?" -ANS>3.
This question is important to ask to determine a prenatal client's health teaching
needs
A woman whose prenatal weight was 105 lb weights 109 lb at her 12 week visit.
Which of the following comments by the nurse is appropriate at this time?
1. "We expect you to gain about 1 lb per week, so your weight is a little low at this
time."
2. "Most women gain no weight during the first trimester, so I would suggest you
eat fewer desserts for the next few weeks."
3. "You entered the pregnancy well underweight, so we should check your diet to
make sure you are getting the nutrients you need."
4. "Your weight gain is exactly what we would expect it to be at this time." -ANS>4.
,A weight gain of 3-5 lb is expected during the entire first trimester.
Because nausea and vomiting are such common complaints of pregnant women,
the nurse provides anticipatory guidance to a 6-week gestation client by telling her
to do which of the following?
1. Avoid eating greasy foods
2. Drink some orange juice before rising
3. Consume 1 teaspoon of nutmeg each morning
4. Eat 3 large meals plus a bedtime snack -ANS>1.
Greasy foods should be avoided. Saltine crackers should be eaten before rising.
Drinking orange juice has not been recommended. Ginger can help alleviate
nausea and vomiting. It is also recommended that mothers eat small, frequent
meals throughout the day.
A client enters the prenatal clinic. She states that she missed her period yesterday
and used a home pregnancy test this morning. She states that the results were
negative but "I still think I am pregnant." Which of the following statements would
be appropriate for the nurse to ask at this time?
1. "Your period is probably just irregular."
2. "We could do a blood test to check."
3. "Home pregnancy test results are very accurate."
4. "My recommendation would be to repeat the test in one week." -ANS>2.
Serum pregnancy tests are more sensitive than urine tests.
, A gravida GI P0000, is having her first prenatal physical examination. Which of the
following assessments should the nurse inform the client that she will have that
day?
1. Pap Smear
2. Mammogram
3. Glucose Challenge Test
4. Biophysical Profile
5. Complete Blood Count -ANS>1 & 5.
A glucose test and biophysical profile won't be done until later in the pregnancy.
The nurse plans to provide anticipatory guidance to a 10 week gravid client who is
being seen in the prenatal clinic. Which of the following information should be a
priority for the nurse to provide?
1. Pain management during labor
2. Methods to relieve backaches
3. Breastfeeding positions
4. Characteristics of a newborn -ANS>2.
It is too early in the pregnancy to educate the patient on the other options.
A client asks the nurse what was mean why the physician told her she had a
positive Chadwick's sign. Which of the following information about the finding
would be appropriate for the nurse to convey at this time?
1. "It is a purplish stretch mark on your abdomen."
2. "It means that you are having heart problems."
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