Question 1

The prenatal clinic nurse is designing a new prenatal intake information form for pregnant patients. Which question is best to include on this form?&#10;A)Where was the father of the baby born?&#10;B)Do genetic diseases run in the family of the baby's father?&#10;C)What is the name of the baby's father?&#10;D)Are you married to the father of the baby?

Accepted Answer

Knowing if genetic diseases run in the family of the baby's father can give healthcare providers important information and allow for appropriate testing or interventions during pregnancy. The other options are not as relevant or necessary to include on a prenatal intake form.

Question 2

The patient has delivered her first child at 39 weeks. The nurse would explain this to the patient as what type of delivery?&#10;A)Preterm&#10;B)Post-term&#10;C)Term&#10;D)Near term

Accepted Answer

A term delivery occurs between 37 and 42 weeks of gestation. This patient delivered at 39 weeks, so it is a term delivery. A preterm delivery occurs before 37 weeks and a post-term delivery occurs after 42 weeks. Near term is not a recognized category of delivery.

Question 3

A 25-year-old primigravida is 20 weeks pregnant. At the clinic, her nurse begins a prenatal assessment and obtains the following vital signs. Which finding would require the nurse to contact the physician?

A)Pulse 88/min
B)Respirations 30/min
C)Temperature 37.4°C (99.3°F)
D)Blood pressure 134/82

Respirations 30/min

Accepted Answer

A respiratory rate of 30/min is higher than normal and may indicate respiratory distress or other issues. The nurse should contact the physician to investigate further. The other findings are within normal ranges for a pregnant woman.

Question 4

The nurse is seeing prenatal patients in the clinic. Which patient is exhibiting expected findings?&#10;A)Primip at 12 weeks with fetal heart tones heard by Doppler fetoscope&#10;B)Multip at 22 weeks who reports no fetal movement felt yet&#10;C)Primip at 26 weeks with fundal height of 30 cm&#10;D)Multip at 12 weeks reports bright red vaginal bleeding.

Accepted Answer

Hearing fetal heart tones at 12 weeks using a Doppler fetoscope is an expected finding in prenatal care.

Question 5

The nurse receives a phone call from a patient who thinks she is pregnant. The patient reports that she has regular menses that occur every 28 days and last 5 days. The first day of her last menses was April 10. What is the patient's estimated date of delivery (EDD)?

A)November 13
B)January 17
C)January 10
D)December 3

Accepted Answer

The estimated date of delivery (EDD) is calculated by adding 280 days (or 40 weeks) to the first day of the last menstrual period (LMP). Starting from April 10, adding 280 days results in an EDD of January 17.

Question 6

A multigravida gave birth to an 18-week fetus last week. She is in the clinic for follow-up and notices that her chart states she has had one abortion. The patient is upset over the use of this word. How can the nurse best explain this terminology to the patient?

A)"Abortion is the medical term for all pregnancies that end before 28 weeks."
B)"Abortion is the word we use when someone has miscarried."
C)"Abortion is how we label pregnancies that end in the second trimester."
D)"Abortion is what we call all babies who are stillborn."

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Accepted Answer

Abortion is a medical term used to describe all pregnancy losses that occur before 28 weeks, regardless of whether it was a spontaneous or induced loss. It is a technical term used in medical documentation and does not necessarily reflect the patient's experience or emotions. By providing this explanation, the nurse can clarify the terminology without minimizing the patient's feelings.

Question 7

Which phone call should the prenatal clinic nurse return first?&#10;A)Primip at 32 weeks, reports headache and blurred vision&#10;B)Multip at 18 weeks, reports no fetal movement this pregnancy&#10;C)Primip at 16 weeks, reports increased urinary frequency&#10;D)Multip at 40 weeks, reports sudden gush of fluid and contractions

Accepted Answer

The primip at 32 weeks reporting headache and blurred vision could indicate the onset of preeclampsia, a potentially life-threatening condition for both the mother and baby. This call should be returned first to assess the situation and provide appropriate care.

Question 8

The nurse explains to a pregnant woman that her antepartum assessment will include assessment of clinical pelvimetry. Which patient response reflects understanding of the reason for this test?&#10;A)&#34;It will help understand how big a baby I can have.&#34;&#10;B)&#34;It will be used to find out whether my baby has a chromosomal abnormality.&#34;&#10;C)&#34;It will help tell whether my pelvis is big enough to deliver my baby vaginally.&#34;&#10;D)&#34;It will be used to screen for gestational diabetes.&#34;

Accepted Answer

Clinical pelvimetry is an assessment of the pelvis to determine if it is adequate for vaginal delivery. It is important to assess the pelvis to ensure that delivery is safe for both the mother and the baby. The size and shape of the mother's pelvis can affect the ability of the baby to pass through the birth canal during labor and delivery.

Question 9

The pregnant patient's prenatal record indicates that she is a gravida 4 para 2022. The nurse understands that this indicates the patient had four pregnancies and:&#10;A)Has four living children.&#10;B)Delivered two infants preterm.&#10;C)Is pro-abortion.&#10;D)Delivered two term infants.

Accepted Answer

Gravida 4 para 2022 means the patient has had four pregnancies and two term deliveries, no preterm deliveries, two abortions/miscarriages, and two living children.

Question 10

Which of the following patients would be considered a multipara?&#10;A)A patient at 34 weeks' gestation who previously had one spontaneous abortion&#10;B)A patient at 13 weeks' gestation who previously delivered two term infants&#10;C)A patient at 28 weeks' gestation with no previous pregnancies&#10;D)A patient at 32 weeks' gestation who previously delivered one term infant

Accepted Answer

A multipara is a woman who has given birth to two or more viable infants. Therefore, the patient at 13 weeks' gestation who previously delivered two term infants would be considered a multipara. The other options have either not had any viable pregnancies or have only had one viable infant, making them nulliparous or primiparous, respectively.

Question 11

The clinic nurse is assisting with an initial prenatal assessment. The following findings are present: spider nevi present on lower legs; dark pink, edematous nasal mucosa; mild enlargement of the thyroid gland; mottled skin and pallor on palms and nail beds; heart rate 88 with murmur present. What is the best action for the nurse to take based on these findings?

A)Document the findings on the prenatal chart.
B)Have the physician see the patient today.
C)Instruct the patient to avoid direct sunlight.
D)Analyze previous thyroid hormone lab results.

Accepted Answer

The answer of The clinic nurse is assisting with an...

Deck 10: Antepartum Nursing Assessment