Question 1

During the prenatal visit of a woman who is 38 weeks pregnant,the pelvic examination reveals active genital herpes.Which anticipatory guidance should the nurse provide?&#10;A) Potential for the newborn to require neonatal intensive care&#10;B) Increased risk of congenital anomaly in the neonate&#10;C) Preparation for Cesarean section&#10;D) Need to notify the public health department&#10;

Accepted Answer

Active genital herpes at the time of delivery can be transmitted to the newborn during vaginal delivery, which can cause severe complications such as neonatal herpes. To prevent transmission of the virus to the newborn, a cesarean section is recommended.

Question 2

Which statement made by a pregnant woman who is complaining of increased vaginal discharge should the nurse correct?&#10;A) &#34;I try to wear loose clothes and avoid anything that too tight fitting.&#34;&#10;B) &#34;I changed from my usual nylon underwear to cotton underwear.&#34;&#10;C) &#34;The discharge has gotten so bad that I have to wear panty liners all the time.&#34;&#10;D) &#34;I've started douching at least once a day and sometimes twice a day.&#34;&#10;

Accepted Answer

The nurse should correct the statement about douching. Douching is not recommended during pregnancy as it can disrupt the natural balance of bacteria in the vagina and increase the risk of infection. The other statements are appropriate measures to manage increased vaginal discharge during pregnancy.

Question 3

The nurse is caring for a woman in the first trimester of pregnancy whose body mass index (BMI)is 16.5.Which nutritional counseling should the nurse provide?&#10;A) Follow a healthy diet low in calories and fat.&#10;B) Follow a healthy diet low in sodium and calories.&#10;C) Follow a healthy diet high in protein and fat.&#10;D) Follow a healthy diet with increased calories and calcium.&#10;

Accepted Answer

The woman's BMI indicates that she is underweight which increases the risk of adverse pregnancy outcomes. Therefore, the nurse should counsel the woman to follow a healthy diet with increased calories and calcium to support fetal growth and development. A diet low in calories and fat or low in sodium and calories would not provide adequate nutrition for the woman and her developing fetus. A high protein and fat diet may be appropriate for some pregnant women, but not for someone who is underweight.

Question 4

The triage nurse receives a call from a woman who is 32 weeks pregnant and reports feeling no fetal movements in the last hour.What should the nurse advise?&#10;A) See the doctor immediately for an ultrasound examination.&#10;B) Eat and rest,then do another kick count for 1 hour.&#10;C) Go to the emergency department immediately.&#10;D) Get some sleep and try again tomorrow.&#10;

Accepted Answer

At 32 weeks of pregnancy, it's common to monitor fetal movements, and a short period without perceived movement can sometimes be addressed by ensuring the mother has eaten (to potentially increase fetal activity) and then rests while focusing on counting kicks or movements. If there's still concern after this, further medical advice should be sought. Immediate emergency action or waiting until the next day without further attempts to assess fetal well-being might not be the most appropriate first steps.

Question 5

Which statement by a laboring patient informs the nurse that the couple is using the Bradley method?&#10;A) &#34;No matter how severe the pain becomes,I do not want to take anything to control it.&#34;&#10;B) &#34;I have learned all of the breathing exercises to help me control pain.&#34;&#10;C) &#34;I have been practicing my relaxation techniques to help me manage the pain.&#34;&#10;D) &#34;If the pain becomes more than I can handle,I will let you know and will request medication.&#34;&#10;

Accepted Answer

The Bradley method emphasizes natural childbirth without the use of pain medications, focusing on relaxation and partner support.

Question 6

During a woman's routine prenatal visit,the nurse notices scratches on her arms and learns she has adopted a kitten.Which teaching should the nurse include during this visit?&#10;A) Cytomegalovirus prevention&#10;B) Toxoplasmosis prevention&#10;C) Rubella prevention&#10;D) Parvovirus prevention&#10;

Accepted Answer

Scratches from a kitten can potentially transmit toxoplasmosis, a parasitic infection that can harm the developing fetus. Therefore, the nurse should include teaching on how to prevent contracting toxoplasmosis, including avoiding cleaning litter boxes, wearing gloves while handling the kitten or its feces, and keeping the litter box as far away from living areas as possible. Cytomegalovirus and rubella are typically transmitted through close contact with an infected person and can be prevented with vaccination. Parvovirus is a viral infection that can affect the fetus, but it is usually transmitted through contact with infected dogs, not cats.

Question 7

While reviewing a new patient's medical record prior to her arrival at the clinic,the nurse sees the patient is classified as an AMA and interprets this to mean what?&#10;A) Advanced medical age&#10;B) Against medical advice&#10;C) Always making assumptions&#10;D) Acute myeloid leukemia&#10;

Accepted Answer

The answer of While reviewing a new patient's medical record...

Question 8

The nurse is caring for a woman who had a pre-pregnancy BMI of 22.3 and has gained 53 lb.Which assessments are most important for this patient? (Select all that apply.)&#10;A) Serum glucose&#10;B) Blood pressure&#10;C) Urine glucose&#10;D) Premature rupture of membranes&#10;E) Fetal anomalies&#10;

Accepted Answer

The patient's significant weight gain puts her at increased risk for gestational diabetes and hypertension. Therefore, serum glucose and urine glucose should be monitored to assess for gestational diabetes and blood pressure should be monitored to assess for hypertension. Premature rupture of membranes and fetal anomalies are not directly related to the patient's BMI or weight gain.

Question 9

The nurse is providing teaching to a woman during her first prenatal visit.The woman says she has been told to avoid baths and asks if that is true.Which statement made by the nurse is incorrect?&#10;A) &#34;Baths are safe until the membranes rupture.&#34;&#10;B) &#34;Apply antiskid devices to the bottom of the tub to prevent injury.&#34;&#10;C) &#34;Soaking in a hot tub can be very relaxing and can reduce morning sickness.&#34;&#10;D) &#34;In the third trimester,get help getting out of the bathtub.&#34;&#10;

Accepted Answer

Soaking in a hot tub can increase the body temperature, which is not safe for the developing fetus. It can also lead to dehydration and low blood pressure in the mother, which can harm both the mother and baby. The other statements are correct.

Question 10

A pregnant adolescent tells the nurse,&#34;There is something wrong with me.I can't sit through a class without having to urinate.&#34; A physical examination reveals no urinary or renal problems.What is the nurse's priority of care?&#10;A) Telling the patient to reduce fluid intake during the school day&#10;B) Having the patient attend a pregnant adolescent group class&#10;C) Encouraging the patient's mother to monitor her urine output&#10;D) Telling the patient to have friends take notes in class while she urinates&#10;

Accepted Answer

The priority of care for a pregnant adolescent experiencing frequent urination during class would be to address her educational needs. Attending a pregnant adolescent group class can help the patient learn about strategies to manage her symptoms while still getting an education. The other options do not address the patient's primary concern or provide an effective solution.

Question 11

When the nurse assesses a pregnant woman,which form of exercise previously enjoyed by the woman should be discouraged?&#10;A) Running&#10;B) Skiing&#10;C) Swimming&#10;D) Cycling&#10;

Accepted Answer

The answer of When the nurse assesses a pregnant woman,which...

Question 12

The nurse includes which teaching as the greatest priority when caring for a pregnant woman over age 35?&#10;A) Healthy nutrition&#10;B) Proper self-care&#10;C) Regular prenatal care&#10;D) Chromosomal testing&#10;

Accepted Answer

The answer of The nurse includes which teaching as the...

Question 13

Which request does the nurse not expect to find in a birth plan?&#10;A) Preference to avoid induction&#10;B) Preference for an epidural to manage pain&#10;C) Preference to deliver in a birthing chair&#10;D) Preference for a specific drug for induction&#10;

Accepted Answer

The answer of Which request does the nurse not expect...

Question 14

The nurse teaches a pregnant woman about healthy nutrition to prevent neural tube defects in the fetus.The nurse assesses that the patient understood the teaching when which food choices are made for breakfast?

A) Bacon,eggs,and hash browns
B) Pancakes with syrup and sausage
C) Peanut butter on toast and orange juice
D) Cereal with milk and peanut butter on toast

Accepted Answer

The answer of The nurse teaches a pregnant woman about...

Question 15

The nurse is caring for a pregnant woman who is complaining of nasal stuffiness.Which intervention does the nurse identify as problematic and encourage the patient to stop?&#10;A) Increased fluid intake&#10;B) Use of nasal saline drops&#10;C) Use of a humidifier in the home&#10;D) Taking a decongestant&#10;

Accepted Answer

The answer of The nurse is caring for a pregnant...

Question 16

A pregnant adolescent asks the nurse,&#34;Did I hurt the baby because I went to a party last night and had a few beers?&#34; Which is the nurse's best response?&#10;A) &#34;Drinking alcohol can be very harmful to the fetus,but you won't know if harm was done until the baby is born.&#34;&#10;B) &#34;Alcohol is a drug,and all drugs have the potential to harm the baby,so they should be avoided throughout pregnancy.&#34;&#10;C) &#34;It is unlikely that drinking one time hurt the baby,but repeated intake of alcohol can have serious negative effects.&#34;&#10;D) &#34;Drinking alcohol at your age is illegal,and I am required to report this to the authorities because I'm a nurse.&#34;&#10;

Accepted Answer

The answer of A pregnant adolescent asks the nurse,&#34;Did I...

Question 17

The nurse provides nutritional counseling for a pregnant woman diagnosed with anemia.The woman demonstrates understanding of the dietary changes needed when choosing to increase which foods in her diet? (Select all that apply.)

A) Chicken
B) Spinach
C) Dried apricots
D) Tofu
E) Milk

Accepted Answer

The answer of The nurse provides nutritional counseling for a...

Question 18

The nurse reviews a patient's L/S ratio and sees the results are 4:1.How is this finding interpreted?&#10;A) Mature fetal lungs&#10;B) Immature fetal lungs&#10;C) Inconclusive&#10;D) Fetal demise&#10;

Accepted Answer

The answer of The nurse reviews a patient's L/S ratio...

Question 19

The nurse is teaching a pregnant adolescent about maintaining a healthy diet.Which statement by the patient indicates further teaching is needed?&#10;A) &#34;I'll drink only diet soda until after I have the baby.&#34;&#10;B) &#34;I will increase my calcium intake by eating more yogurt.&#34;&#10;C) &#34;I will order a salad when I go to a fast-food place with my friends.&#34;&#10;D) &#34;I will take a calcium supplement every day until I deliver.&#34;&#10;

Accepted Answer

The answer of The nurse is teaching a pregnant adolescent...

Question 20

Which question from the nurse is most effective in assessing a pregnant patient for potential pica?&#10;A) &#34;You're not eating anything that would be considered a nonfood item,are you?&#34;&#10;B) &#34;Are you eating anything weird that you didn't eat before you got pregnant?&#34;&#10;C) &#34;Some women experience cravings.Are you experiencing anything like that?&#34;&#10;D) &#34;Pica,a craving to eat nonfood items,is common in pregnancy.What have you experienced?&#34;&#10;

Accepted Answer

The answer of Which question from the nurse is most...

Deck 6: Nursing Care During Pregnancy