Exam (elaborations)
Antepartum Exam
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Antepartum Antepartum Antepartum
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AntepartumA client progressing through pregnancy develops constipation. What is the primary cause of this
problem during pregnancy? - reduced intestinal motility
A nurse is providing dietary teaching to a pregnant client. To help meet iron needs, the nurse should
advise the client to eat: - spinach and beef.
A client, 30 weeks pregnant, is scheduled for a biophysical profile (BPP) to evaluate the health of the
fetus. The client's BPP score is 8. What does this score indicate? - The fetus isn't in distress at this
time.
A client who is 24 weeks pregnant has sickle cell anemia. When preparing the care plan, the nurse
should identify which factor as a potential trigger for a sickle cell crisis during pregnancy? -
dehydration
A client undergoes an amniotomy. Shortly afterward, the nurse detects large variable decelerations
in the fetal heart rate (FHR) on the external electronic fetal monitor (EFM). These findings signify: -
umbilical cord prolapse.
Before surgery to remove an ectopic pregnancy and the fallopian tube, which sign or symptom
would alert the nurse to the possibility of tubal rupture? - falling hematocrit and hemoglobin levels
A multigravid client is admitted at 16 weeks' gestation with a diagnosis of hyperemesis gravidarum.
The nurse should explain to the client that hyperemesis gravidarum is thought to be related to high
levels of which hormone? - estrogen
A 20-year-old client visiting the clinic requests the use of oral contraceptives. When reviewing the
client's history, which finding would alert the nurse to a possible contraindication to using these
agents? - thrombophlebitis
A client is a long-distance runner and is 8 weeks pregnant with her first baby. The client tells the
nurse that she would like to continue running throughout the pregnancy and asks the nurse if there
are any safety risks. Which response by the nurse correctly identifies musculoskeletal changes in
pregnancy that may be a safety risk to the client? - "The joints of the pelvis relax."
, A client is at 24 weeks' gestation. The nurse is reviewing the report of laboratory tests. The nurse
should report which of these results to the health care provider? - VDRL
A client in the first trimester of pregnancy comes to the facility for a routine prenatal visit. The client
reports mixed feelings about readiness to have a baby, even though this was a planned pregnancy.
Which response should the nurse offer? - "You're feeling ambivalent, which is normal during the first
trimester."
A nurse is caring for a 16-year-old pregnant adolescent. The client is taking an iron supplement.
What should this client drink to increase the absorption of iron? - a glass of orange juice
A pregnant client with diabetes mellitus is at risk for having a large-for-gestational-age neonate
because: - insulin acts as a growth hormone on the fetus.
A pregnant client is experiencing a thin, odorless, vaginal discharge. What should the nurse instruct
the client to do to prevent vaginal infections? - "Try wearing a panty liner and discarding it after
every urination."
A 27-year-old primigravid client with insulin-dependent diabetes at 34 weeks' gestation undergoes a
nonstress test, the results of which are documented as reactive. What should the nurse tell the
client that the test results indicate? - There is evidence of fetal well-being.
A 20-year-old primigravid client tells the nurse that her mother had a friend who died from
hemorrhage about 10 years ago during a vaginal birth. Which response would be most helpful? -
"What is it that concerns you about pregnancy, labor, or childbirth?"
A 40-year-old client at 8 weeks' gestation has a 3-year-old child with Down syndrome. The nurse is
discussing amniocentesis and chorionic villus sampling as genetic screening methods for the
expected baby. The nurse is confident that the teaching has been understood when the client makes
which statement? - "Chorionic villus sampling can be performed earlier in pregnancy."
A primigravid client at 38 weeks' gestation diagnosed with mild preeclampsia calls the clinic nurse to
say she has had a continuous headache for the past 2 days accompanied by nausea. The client does
not want to take aspirin. What should the nurse should tell the client? - "I think the health care
provider should see you today. Can you come to the clinic this morning?"
A client at 11 weeks gestation calls the antepartum clinic nurse. She has soaked a perineal pad with
fresh blood in less than 30 minutes. The uterine cramping has also become worse. What is the most
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