Deck 23: Prenatal Care and Anticipating Birth

Question 1

When is the typical onset for the nausea and vomiting of pregnancy?

A) 1 to 4 weeks
B) 5 to 9 weeks
C) 10 to 14 weeks
D) 15 to 19 weeks

Answer 1

B

Question 2

Nadine, a 31-year-old client, arrives at her prenatal care appointment complaining of nausea and vomiting, which she has experienced every morning for the past couple of weeks. What complication associated with this condition should the nurse assess for?

A) Hemorrhage
B) Hypertension
C) Infection
D) Dehydration

Answer 2

D

Question 3

Wanda, a client near the end of her first trimester of pregnancy, complains to her nurse of a burning sensation in her chest, constant belching, and an acid taste in her mouth. What interventions should the nurse suggest to Wanda to address these symptoms? (Select all that apply.)

A) Avoid coffee
B) Take antacids
C) Eat just before going to bed
D) Elevate the head of the bed
E) Avoid spicy foods

Answer 3

A, B, D, E

Question 4

Juanita, a client in her third trimester, is complaining of back pain. What interventions should the nurse recommend to Juanita? (Select all that apply.)

A) Taking a yoga class
B) Wearing flip-flops
C) Switching to a softer mattress
D) Receiving a massage
E) Applying a heating pad to the back

Question 5

Sleep disturbance is experienced by what percentage of women during pregnancy?

A) 67%
B) 77%
C) 87%
D) 97%

Question 6

Ruth, a client in her second trimester of pregnancy, complains of difficulty falling asleep at night, waking in the middle of the night and not being able to return to sleep, and a low energy level during the day. When the nurse asks whether Ruth knows what could be contributing to the insomnia, she is not sure. Which intervention should the nurse take next?

A) Recommend that she get a continuous positive airway pressure (CPAP) mask
B) Write her a prescription for codeine
C) Ask her to begin keeping a sleep diary
D) Suggest that she elevate the head of her bed

Question 7

A client, Melinda, near the end of her third trimester says that in the past few weeks she has become short of breath when going up and down stairs. Melinda is 24-years-old and in good health. Which of the following would be the most appropriate response by the nurse?

A) Perform an electrocardiogram to rule out heart disease
B) Prescribe an inhaler with a corticosteroid medication
C) Advise her to take short breaks when she is out of breath
D) Draw up an exercise plan for her to help improve her cardiovascular fitness

Question 8

What interventions should the nurse take at every prenatal visit? (Select all that apply.)

A) Take vital signs
B) Perform a pelvic exam
C) Listen to fetal heart tones
D) Take a complete health history
E) Assess for signs of depression and domestic violence

Question 9

Eliza gave birth 5 weeks ago and is now undergoing her postpartum visit. What screening is most important for Eliza to undergo at this visit?

A) Depression
B) Fetal aneuploidy
C) HIV
D) Rh antibody

Question 10

The nurse is screening a client at her first prenatal visit for risk factors related to diabetes mellitus. Which of the following should the nurse look for? (Select all that apply.)

A) Vegetarian diet
B) Native American ethnicity
C) Lower socioeconomic status
D) Sedentary lifestyle
E) Obesity

Question 11

At her 12-week prenatal care visit, Sabrina complains of headache and visual disturbances. The nurse takes her blood pressure and finds it to be 155/97 mmHg. On questioning Sabrina and reviewing her health record, the nurse notes that Sabrina has never had problems with her blood pressure before being pregnant. Results from a urine test taken previously indicate high levels of protein in the urine. Which condition should the nurse most suspect in Sabrina?

A) Chronic hypertension
B) Gestational hypertension
C) Preeclampsia
D) Eclampsia

Question 12

Greta, a client in her sixth week of pregnancy, arrives at the clinic complaining of pelvic pain and vaginal bleeding. While conducting a transvaginal ultrasound, the nurse notes that the embryo appears to have implanted in the fallopian tube. What condition does the woman have?

A) Eclampsia
B) Ectopic pregnancy
C) Preeclampsia
D) Placenta abruption

Question 13

During a pelvic exam, the nurse discovers genital warts in the client. The nurse recognizes this as a sign of which sexually transmitted infection?

A) Chlamydia
B) Herpes simplex virus
C) Human papillomavirus
D) Human immunodeficiency virus

Question 14

A client in her second trimester of pregnancy has tested positive for chlamydia. What medication should the nurse order for treating this condition?

A) Azithromycin
B) Acyclovir
C) Valacyclovir
D) Trichloracetic acid

Question 15

Which of the following are changes in prenatal care that are being explored for the future to reduce costs or improve quality?

A) Reducing the number of prenatal visits a client has
B) Reducing time devoted to client education
C) Noninvasive fetal testing
D) Group prenatal visits
E) Extending the client's postpartum stay in the hospital by a day