Deck 5: Antepartal Nursing Assessment

Question 1

The nurse is collecting a patient's personal information to contribute to the client history.How should the nurse question the woman regarding physical abuse and safety in her living situation?

A) "Does your significant other ever hit you?"
B) "Are you happily married?"
C) "Tell me about your home life."
D) "Tell me about your husband."

Answer 1

"Tell me about your home life."

Question 2

At which point will the nurse begin scheduling a pregnant woman for weekly obstetric visits?

A) 22 weeks
B) 28 weeks
C) 36 weeks
D) 38 weeks

Answer 2

36 weeks

Question 3

The nurse admits a patient who arrives late for her appointment.The examination demonstrates vaginal spotting,anxiety and depression,reports of alcohol abuse,and bruising on the chest and abdomen.Which question is most appropriate for the nurse to ask?

A) "Do you have reliable transportation?"
B) "Have you considered giving the baby up for adoption?"
C) "Are you experiencing any rhythmic abdominal pain?"
D) "Has your partner ever hit you during a fight?"

Answer 3

"Has your partner ever hit you during a fight?"

Question 4

A pregnant woman looks over the required laboratory tests and asks the nurse why they need a rubella titer and varicella titer when she knows she has already received these immunizations as a child.Which is the nurse's best response?

A) "We have to be sure that you actually received these vaccines."
B) "Some people require booster shots to attain full immunity."
C) "Maybe the doctor didn't notice that you reported having had the vaccines."
D) "Even when people have received the vaccine,they still need to be tested for immunity."

Question 5

Which potential complication is the nurse unlikely to associate with amniocentesis?

A) Spontaneous abortion
B) Leaking of amniotic fluid
C) Infection
D) Maternal liver damage

Question 6

Using Naegele's rule,calculate the estimated date of delivery for a patient whose first day of the last menstrual period was October 8,2016.

A) July 15,2017
B) January 1,2017
C) July 1,2016
D) June 14,2017

Question 7

Which laboratory test does the nurse recognize as not part of the routine order set required for pregnant women?

A) Complete blood cell count (CBC)
B) Blood type and Rh
C) Papanicolaou (PAP)screen
D) Serum calcium level

Question 8

The nurse caring for a woman at 32 weeks' gestation finds elevated protein and nitrate levels in the urine.What will the nurse assess for next?

A) Symptoms of pre-eclampsia
B) Symptoms of a urinary tract infection
C) Symptoms of gestational diabetes
D) Inadequate nutrition

Question 9

The nurse is unable to locate fetal heart tones in a woman who is at 10 weeks' gestation.What is the nurse's priority action?

A) Reassuring the woman that this is a normal finding
B) Notifying the provider immediately
C) Recommending complete bedrest
D) Scheduling the patient for an abdominal ultrasound

Question 10

The clinical instructor observes a student nurse collecting the client history of a new prenatal patient.Which question asked by the student indicates that he or she needs further education?

A) "Do you use drugs?"
B) "Have you ever been pregnant before?"
C) "Are your parents and siblings living?"
D) "What is your current living situation?"

Question 11

The nurse reviews a patient's medical record and sees the measurement of the ischial tuberosity is 8.5 cm.How does the nurse interpret this measurement?

A) The woman may be unable to carry the pregnancy to term.
B) The woman has an adequate blood supply to the fetus.
C) The woman may require a Cesarean section.
D) The woman will experience a prolonged labor.

Question 12

A woman comes for her first prenatal visit and learns the obstetrician will perform a complete physical examination.She asks the nurse,"Why is a complete physical required?" Which is the nurse's best response?

A) "Your general health will influence your pregnancy,so the doctor needs to do a complete examination."
B) "If you have health problems,the doctor needs to know so you can receive the treatment you need to return to health."
C) "This is a requirement for all newly pregnant women because the doctor wants to learn as much about you as possible."
D) "The doctor wants to make sure that the baby is healthy and that your pregnancy will progress without complications."

Question 13

Which information should the nurse include when teaching a pregnant patient who is scheduled to have an abdominal ultrasound?

A) Pain medication will be administered before the procedure.
B) Do not eat or drink anything for 4 hours prior to the procedure.
C) The probe will be inserted through the vagina.
D) Do not empty your bladder prior to the procedure.

Question 14

The nurse cares for a newly diagnosed pregnant woman with a history of three spontaneous abortions in the first trimester and an emergency Cesarean section because of breech presentation with her last pregnancy.Which health-care provider is most appropriate to care for this patient?

A) Family physician
B) Obstetrician-gynecologist
C) Certified nurse midwife
D) Doula

Question 15

The nurse reviews a woman's quadruple screen.Which finding indicates a higher risk for Down syndrome in the fetus?

A) Elevated alpha-fetoprotein level
B) Elevated hCG level
C) Elevated unconjugated estriol level
D) Low level of inhibin A

Question 16

A patient is late for her prenatal visit,and when she arrives she blames symptoms,suggesting a urinary tract infection for her late arrival.Upon examination,the nurse finds mild spotting and notes bruising on the woman's abdomen.What does the nurse suspect?

A) Preterm labor
B) Placental abruption
C) Pre-eclampsia
D) Domestic abuse

Question 17

A woman arrives at the clinic and tells the nurse she thinks she is pregnant.Which symptom,as related by the patient,does the nurse consider the best indicator of pregnancy?

A) Amenorrhea
B) Irritability
C) Positive urine human chorionic gonadotropin (hCG; home test)
D) Enlarged abdomen