Deck 12: Nursing Care to Promote Fetal and Maternal Health

Question 1

The nurse is planning a seminar that focuses on the 2020 National Health Goals during pregnancy for patients who are in the first trimester of pregnancy. Which information should the nurse include in this seminar? (Select all that apply.)

A) Refusing alcohol
B) Importance to stop smoking
C) Maintaining health appointments
D) Seeking alternative care approaches
E) Abstaining from drugs and substances

Answer 1

Refusing alcohol
Importance to stop smoking
Maintaining health appointments
Abstaining from drugs and substances

Question 2

A pregnant patient is experiencing a vaginal discharge and wants to douche. What should the nurse instruct the patient about this health practice?

A) Avoid routine douching.
B) Use an alkaline solution.
C) Use only a commercial solution.
D) Use a solution that has been chilled.

Answer 2

Avoid routine douching.

Question 3

The nurse is emphasizing the importance of adequate rest and sleep with a pregnant patient. Which position should the nurse suggest the patient use?

A) On the back with a pillow under the head
B) On the stomach with a pillow under her breasts
C) On the back with a pillow under the knees and hips
D) On the side with the weight of the uterus on the bed

Answer 3

On the side with the weight of the uterus on the bed

Question 4

A pregnant patient is experiencing leg cramps. What should the nurse include in the patient's teaching plan as a relief measure? (Select all that apply.)

A) Avoid full leg extension.
B) Elevate lower extremities.
C) Elevate the legs on two pillows.
D) Stand on each leg and perform a squat.
E) Bend the knee and perform dorsiflexion.

Question 5

A pregnant patient is concerned that orgasm will be harmful to the developing fetus. What should the nurse include when responding to this patient's concern?

A) Orgasm during pregnancy is potentially harmful.
B) Venous congestion in the pelvis makes orgasm painful.
C) Most women do not experience orgasm during pregnancy.
D) Some women experience orgasm intensely during pregnancy.

Question 6

A pregnant patient who works as a secretary at a large corporation wants to take a leave of absence from work but is afraid of losing seniority. What should the nurse advise the patient?

A) The patient should not ask for special favors.
B) The leave of absence should occur after the baby is born.
C) The employer cannot penalize the patient for being pregnant.
D) It is not wise for any woman to work past the seventh month of pregnancy.

Question 7

A pregnant patient is concerned that she is allergic to something because her hands have been red and itchy since becoming pregnant. What should the nurse explain as the cause of the patient's symptoms?

A) Allergy to fetal protein
B) Reduced serum protein
C) Increased estrogen level
D) Chorionic gonadotropin hormone secretion

Question 8

The nurse is reviewing the signs of labor with a patient entering the last phase of the third trimester of pregnancy. What should the nurse include as an indication that the labor is beginning?

A) Excessive fatigue and headache
B) Sharp, right-sided abdominal pain
C) Sudden gush of clear fluid from the vagina
D) An increased pulse rate and upper abdominal pain

Question 9

A pregnant patient enjoys exercising at a local health spa once a week. Which patient comment indicates to the nurse that additional health teaching is needed?

A) "I'm learning to play table tennis."
B) "I limit exercising to low-impact aerobics."
C) "The gym gets hot and stuffy by midmorning."
D) "Nothing feels nicer than a hot tub soak after exercise."

Question 10

An adolescent asks which sport would be safe for her to learn during pregnancy. Which activity should the nurse suggest to the patient?

A) Skiing
B) Jogging
C) Bicycling
D) Swimming

Question 11

What advice should the nurse provide to a patient who is 4 months pregnant and owns a cat?

A) Give it away until after delivery.
B) Refrain from cleaning the cat's dish.
C) Be careful that it doesn't scratch the skin.
D) Ask someone else to change the cat litter.

Question 12

A woman who is 4 months pregnant asks what can be done to alleviate frequent heart palpitations and leg cramps. Which nursing diagnosis would be applicable to the patient at this time?

A) Pain related to severe complications of pregnancy
B) Health-seeking behaviors related to ways to relieve discomforts of pregnancy
C) Risk for ineffective breathing pattern related to pressure of the growing uterus
D) Impaired urinary elimination related to inability to excrete creatine from the muscles

Question 13

During the previous prenatal visit, the nurse instructed a pregnant patient on ways to reduce the impact of varicosities. Which patient statement indicates that additional teaching is needed?

A) "I drink fluid throughout the day."
B) "I'll try not to stand for long periods."
C) "I point my toes up and down frequently."
D) "I wear knee-highs rather than pantyhose."

Question 14

A nurse is 5 weeks pregnant and works on a care area where chemotherapy is administered to patients. Which statement indicates that this nurse needs additional health teaching about avoiding teratogens during pregnancy?

A) "I care for about five patients a day."
B) "I find giving emotional support taxing."
C) "Latex gloves irritate my hands, so I don't use them."
D) "I never accompany patients to the X-ray department."

Question 15

What advice should the nurse provide to a pregnant patient who admits to continuing to drink alcohol one to two times a week?

A) Avoid all alcohol while pregnant.
B) Avoid alcohol in the first trimester.
C) The effects of alcohol on the fetus are not fully understood.
D) An occasional drink is permitted only after the first trimester.

Question 16

A patient enjoys exercising and wants to know if it can continue to be done while pregnant. What should the nurse instruct the patient about exercising at this time? (Select all that apply.)

A) Drink plenty of liquids to prevent dehydration.
B) Limit strenuous exercise to no longer than 20 minutes.
C) Eat a low-protein, simple carbohydrate snack before exercising.
D) Warm up for 5 minutes by walking or cycling on low resistance.
E) Avoid exercises that require jumping or rapid changes in direction.

Question 17

A pregnant patient is planning travel to a foreign country as part of a work assignment and needs immunizations. What should the nurse instruct the patient about immunizations while pregnant?

A) Immunizations should be restricted to live viruses only.
B) There are no restrictions on immunizations while pregnant.
C) The only immunization that should be avoided is for the flu.
D) Live virus immunizations are contraindicated while pregnant.

Question 18

A pregnant patient reports feeling pain similar to menstrual cramps. What should the nurse explain about this patient's symptoms?

A) Exercise helps reduce the frequency of them.
B) If rhythmical, they could indicate preterm labor.
C) Lying down for a few hours will help them stop.
D) They are false labor and do not need to be reported.

Question 19

A pregnant patient has a history of genital herpes lesions and has experienced outbreaks periodically throughout the pregnancy. What should the nurse instruct the patient regarding this virus if lesions are present at the time of delivery?

A) A cesarean section will be advised at the time of birth.
B) There are no precautions needed at the time of birth.
C) The patient will need medication immediately after birth.
D) The baby will be given a vaccination against the virus at birth.