Exam (elaborations)
PN 108 PREPU CHAPTER 7 EXAM QUESTIONS AND VERIFIED ANSWERS
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PN 108 PREPU CHAPTER 7 EXAM QUESTIONS AND VERIFIED ANSWERS...
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A pregnant client tells the nurse that she has a 2-year-old child at homewho was born at 38 weeks; she had a miscarriage at 9 weeks; and she
gave birth to a set of twins at 34 weeks. Which documentation would be
appropriate for the nurse? - ANSWER gravida 4, para 2
During the initial prenatal visit, a client indicates that she frequently
experiences stress incontinence. Which of the following should the nurse
recommend to the client to help relieve this condition? - ANSWER
Perform Kegel exercises
During a routine prenatal visit, a client, 36 weeks pregnant, states she
has difficulty breathing and feels like her pulse rate is really fast. The
nurse finds her pulse to be 100 beats per minute (increased from
baseline readings of 70 to 74 beats per minute) and irregular, with
bilateral crackles in the lower lung bases. The nurse would develop a
plan of care identifying interventions to promote which area as the
priority? - ANSWER gas exchange
What are the purposes for prenatal care? Select all that apply. -
ANSWER Establish a baseline of present health.
Determine the gestational age of the fetus.
Monitor for fetal development and maternal well-being.
Identify women at risk for complications.
Which two tests are generally performed on urine at a prenatal visit? -
ANSWER protein and glucose
The nurse is measuring the fundal height of a woman who is at 28
weeks' gestation. Which measurement would the nurse expect? -
ANSWER 28 cm
A client comes to the clinic for her usual prenatal check up. The nurse
measures the fundal height at 24 cm. What is the estimated length of her
gestation? - ANSWER 24 weeks
, What is the most appropriate nursing intervention when writing a care
plan for a pregnant woman and using the nursing diagnosis "Readiness
for enhanced family coping due to new role?" - ANSWER Assess the
structure, resources, and coping abilities of the family
A nurse at the health care facility assesses a client in the 20th week of
gestation. The client is healthy and progressing well, without any sign of
complications. Where should the nurse expect to measure the fundal
height in this client? - ANSWER at the level of the umbilicus
A pregnant woman has come to the clinic for her first prenatal visit. The
nurse informs the woman that the physician will do a pelvic examination
at this time and that she should go empty her bladder. What is the
primary reason the nurse instructs the patient to empty her bladder? -
ANSWER Urinating now will allow easier identification of organs.
At each prenatal visit, a client provides a urine sample to the health care
provider. What is this urine sample tested for at each visit? - ANSWER
protein and glucose
A multigravida client is pregnant for the third time. Her previous two
pregnancies ended in an abortion in the first and third month of
pregnancy. How will the nurse classify her pregnancy history? -
ANSWER G3 P0020
Why is a Papanicolaou smear done at the first prenatal visit? -
ANSWER It identifies abnormal cervical cells.
An adolescent who is 8 weeks' pregnant is at her first perinatal visit.
During the health history interview, the nurse asks the client, "Are you
afraid of anyone?" What is the nurse assessing with this question? -
ANSWER intimate partner abuse
At her 12-week prenatal visit, the primagravida states, "I haven't felt my
baby move yet. What is wrong?" What is the best response to the client?
- ANSWER "The fetus kicks regularly, although the pregnant woman
usually cannot feel the movements until approximately 16 to 20 weeks."
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