Deck 27: Pregnant Females

Question 1

The nurse is preparing a teaching plan for a group of pregnant clients. Which should the nurse include in this teaching session?

A) Do not use soap on my nipples.
B) Sleep 8-10 hours each night.
C) Eat four servings of dairy products daily.
D) Do not take iron supplements due to constipation.
E) Avoid resting in a back lying position.

Answer 1

Do not use soap on my nipples.
Sleep 8-10 hours each night.
Eat four servings of dairy products daily.
Avoid resting in a back lying position.

Question 2

While reviewing a pregnant client's medical record, the nurse notes that the cervix was soft in texture and nontender during the pelvic examination. Based on this data, which would the nurse identify as a normal finding?

A) Piskacek sign.
B) Goodell sign.
C) Chadwick sign.
D) Hegar sign.

Answer 2

Goodell sign.

Question 3

The nurse is discussing dietary recommendations with a client who has been experiencing a larger than recommended weight gain during her pregnancy. The client reports reducing the amount of empty calories and of red meat consumed while significantly increasing intake of fish, poultry, fresh fruits, and vegetables. Based on this data, which response by the nurse is the most appropriate?

A) "It looks like you have things under control. Do you have any other questions?"
B) "Have you considered seeing a dietitian for nutritional counseling?"
C) "Tell me more about the meat and fish you are eating each day."
D) "I think we should discuss the risky dietary choices you are making with the healthcare provider."

Answer 3

"Tell me more about the meat and fish you are eating each day."

Question 4

The nurse is interviewing a female client who reports no menstrual periods for 2 months and breast soreness. The nurse would document this data as which classification of signs of pregnancy?

A) Objective.
B) Probable.
C) Presumptive.
D) Positive.

Question 5

The nurse is interviewing a client who is 36 weeks pregnant. Which client statement would require immediate intervention by the nurse?

A) "I have to get up during the night to void."
B) "I have not felt the baby move today."
C) "I am leaking a yellowish fluid from my breasts."
D) "I have been taking Tylenol (acetaminophen) for my backaches."

Question 6

A client who is 38 weeks pregnant reports increased urinary frequency. Based on this data, which response by the nurse is indicated?

A) "Your reports are consistent with a urinary tract infection."
B) "I will need to check your blood sugar as excessive urination is associated with gestational diabetes."
C) "Reducing your fluid intake will be helpful to manage this problem."
D) "This is normal occurrence in the later stages of pregnancy."

Question 7

A client at 33 weeks' gestation has a complete blood cell count (CBC) drawn. When the client hears that her hemoglobin level was higher before her pregnancy, she asks if this will increase the risk to her unborn baby. What information should be provided to the client?

A) If the client increases the number of prenatal vitamins taken, the risk to the fetus will be eliminated.
B) The fetus is at an increased risk of prematurity.
C) Dietary management will eliminate the risk to the fetus.
D) The fetus will likely suffer from anemia as well.

Question 8

The nurse is monitoring a pregnant client in labor and palpates the abdomen until the end of the contraction. During end of shift report, the nurse states, "Uterus rigidity is comparable to a nose. This client may require an oxytocin drop." Based on this comment, which feature of the contract is the nurse describing?

A) Intensity.
B) Duration.
C) Frequency.
D) Length.

Question 9

The nurse is assisting the healthcare provider during a vaginal examination. The healthcare provider notes the cervix has a bluish-purple change in coloration. Based on this data, which will the nurse document in the medical record?

A) Goodell sign.
B) Leukorrhea.
C) Chadwick sign.
D) Mucous plug.

Question 10

The healthcare provider is performing an assessment on a pregnant client. The examiner notes a softening in the area being assessed. Which probable sign of pregnancy is being assessed?

A) Goodell sign.
B) Hegar sign.
C) Chadwick sign.
D) Ladin sign.

Question 11

The nurse is assessing a postpartum client and notes the peri-pad has whitish-yellow discharge. Which term will the nurse use when documenting this finding in the medical record?

A) Postpartal bleeding.
B) Lochia rubra.
C) Lochia serosa.
D) Lochia alba.

Question 12

The healthcare provider is using Leopold maneuvers to assess fetal positioning. Which maneuver is being used in the image?

A) First.
B) Second.
C) Third.
D) Fourth.

Question 13

The nurse is assessing the abdomen of a client who is 20 weeks gestation. Which is the anticipated height of the fundus based on this data?

A) A.
B) B.
C) C.
D) D.

Question 14

A client at 33 weeks' gestation calls the healthcare provider's office and reports she was attempting to nap when she became dizzy and felt faint. Which assessment data is the priority in this situation?

A) The position the client was in during the nap period.
B) Dietary intake prior to the episode.
C) History of hyperemesis.
D) No additional data as this appears to be an isolated incident.

Question 15

The nurse is interviewing a primigravida client who is 17 weeks pregnant. During the data collection the client reports she has not felt the baby move yet. Which response by the nurse is the most appropriate?

A) "We will listen for the heartbeat today."
B) "You need an ultrasound."
C) "Fetal movement may not be felt until the 18th week."
D) "Do you have reason to believe your baby is not ok?"

Question 16

A pregnant client reports concern about the development of reddish marks on her abdomen and breasts. The client asks about having a cream prescribed to help them disappear. Which information will the nurse include when providing education to the client regarding this inquiry?

A) The stretch marks will fade but not disappear.
B) Cream will help the skin stay supple.
C) Cocoa butter lotions and creams will clear the marks completely.
D) The marks will lighten to a silvery tone after pregnancy.
E) Wearing supportive undergarments will help to support the skin and reduce the appearance of the marks.

Question 17

The nurse is assessing a client in the third trimester of pregnancy and notes a yellowish discharge from both breasts. Which action by the nurse is the most appropriate?

A) Ask the client if she is preparing for breastfeeding.
B) Notify the healthcare provider.
C) Document the findings as normal.
D) Obtain a culture of the discharge immediately.

Question 18

During a prenatal counseling session a client indicates concern about her potential HIV positive status. The client states she does not want to "jinx" the pregnancy by getting tested because if she is positive, so is the baby. Which statement by the nurse is indicated?

A) "You are right to avoid the stress of finding out you are HIV positive during the pregnancy."
B) "If you are HIV positive, your baby will also have HIV."
C) "Even if you do test HIV positive, preventive treatments have a good chance of providing protection for your baby."
D) "As long as you do not breastfeed and have a cesarean section, your baby will be protected."

Question 19

The nurse is planning a prenatal education class for a group of women who are in their second trimester of pregnancy. Regarding the gestation of the pregnancy, which topics are considered most appropriate?

A) Preparation of breasts for breastfeeding.
B) Fetal development.
C) Warning signs to report.
D) Psychologic concerns associated with becoming pregnant.
E) Preterm labor signs.

Question 20

The nurse is performing a pelvic examination on a client who is 20 weeks pregnant and notes a white, odorless discharge from the vagina. Based on this data, which action by the nurse is the most appropriate?

A) Ask the client about vaginal discomfort.
B) Inquire about recent sexual intercourse.
C) Obtain a culture of the discharge.
D) Document the findings as normal.

Question 21

The nurse is examining a client in the third trimester of pregnancy. Which finding would require immediate intervention by the nurse?

A) Pulse of 98 beats per minute.
B) Weight gain of 1.5 pounds in a month.
C) Blood pressure of 148/94 mmHg.
D) Respiratory rate of 26 per minute.

Question 22

A client is diagnosed with Group B Streptococcus at 33 weeks' gestation. The client becomes tearful when the diagnosis is discussed. She asks what will be done next. Which information should the nurse provide to the client?

A) The client will receive oral antibiotics to be taken over the next 7 weeks.
B) The infection will be managed with IV antibiotics when the client is in active labor.
C) Due to the limited risk of transmission, the client will begin treatment during the postpartum period.
D) The client will require IM antibiotic treatment to facilitate a rapid cure.

Question 23

The client who is at 5 weeks' gestation presents in the emergency department (ED) with complaints of severe abdominal and pelvic pain. A vaginal examination reveals tenderness and a palpable mass near the uterus. Based upon your knowledge, which can the nurse anticipate will take place first?

A) The client will be sent home on bed rest.
B) The client will be admitted to the acute care facility for observation.
C) The client will be evaluated in the labor and delivery department with a nonstress test.
D) An ultrasound will be ordered.

Question 24

A client at 15 weeks' gestation has just been advised she has tested positive for syphilis. The client is tearful and inquires about the risk to her infant. Which of the elements will be included in the management of the condition?

A) The client will be treated with IV antibiotic therapy during the prenatal period.
B) The sexual partners of the client will require notification and testing.
C) The client will begin antibiotic therapy at this time.
D) The client will begin antibiotic therapy after birth of the baby.
E) The fetus will require intrauterine management for the condition.

Question 25

While performing data collection for a client who has recently had her pregnancy confirmed, the client reports taking daily herbal supplements. What action by the nurse is of the highest priority?

A) Instruct the client to increase the supplements to promote nutritional well-being.
B) Advise the client to reduce the amount of supplements taken to allow for the prescribed prenatal vitamins being taken.
C) Encourage the client to speak with the healthcare provider about the herbal supplements.
D) Record the client's reports on the permanent medical record.

Question 26

The nurse is reviewing the tests planned for a pregnant client. Traditionally, assessment for gestational diabetes will be performed between 24 and 28 weeks' gestation. Which findings in the client's history will prompt the test to be performed earlier in the pregnancy?

A) The client is a multigravida.
B) The client has a history of a previous stillbirth.
C) The client has a strong family history of diabetes.
D) The client experienced infertility prior to becoming pregnant.
E) The client's last baby was large for gestational age.