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?

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?

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?

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?

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?

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?

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?

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.)

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?

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,"There is something wrong with me.I can't sit through a class without having to urinate." A physical examination reveals no urinary or renal problems.What is the nurse's priority of care?

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?

Accepted Answer

Skiing is a high-impact activity that increases the risk of falls and injuries, which can harm the developing fetus. Running, swimming, and cycling are all low-impact exercises that are safer for pregnant women to continue, as long as they have been approved by their healthcare provider.

Question 12

The nurse includes which teaching as the greatest priority when caring for a pregnant woman over age 35?

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?

Accepted Answer

Preferences for specific drugs for induction are typically decisions made by healthcare professionals based on medical necessity and the individual situation, rather than patient requests found in a birth plan. Birth plans usually include preferences for pain management, the birthing environment, and interventions to avoid, rather than requests for specific medications.

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?

Accepted Answer

Cereal, especially if it is fortified, is a good source of folic acid, which is essential for preventing neural tube defects in the fetus. Peanut butter provides additional nutrients, but the key is the fortified cereal with milk.

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?

Accepted Answer

Taking a decongestant is generally not recommended during pregnancy, as it can cause vasoconstriction and reduce blood flow to the placenta. The other options (increased fluid intake, use of nasal saline drops, use of a humidifier) are all safe and recommended measures for nasal stuffiness during pregnancy.

Question 16

A pregnant adolescent asks the nurse,"Did I hurt the baby because I went to a party last night and had a few beers?" Which is the nurse's best response?

Accepted Answer

The nurse's response should prioritize the importance of avoiding drugs during pregnancy, no matter the frequency of usage. Therefore, the best response is B. Option A does not promote the prevention of further harm and does not outline preventive measures, and option C may suggest that drinking alcohol is acceptable as long as it does not happen repeatedly. Option D is inappropriate as it threatens the patient and is not supportive or informative.

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.)

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?

Accepted Answer

In a L/S (lecithin/sphingomyelin) ratio of 4:1, the presence of mature fetal lung surfactant is indicated. This finding suggests that the fetus is likely to be born with mature lungs and a lower risk of respiratory distress syndrome.

Question 19

The nurse is teaching a pregnant adolescent about maintaining a healthy diet.Which statement by the patient indicates further teaching is needed?

Accepted Answer

Drinking diet soda during pregnancy is not recommended as it contains artificial sweeteners and chemicals that may be harmful to the developing baby. Instead, the patient should opt for water, milk, or 100% fruit juice.

Question 20

Which question from the nurse is most effective in assessing a pregnant patient for potential pica?

Accepted Answer

D is the most effective because it directly addresses the condition of pica, explains what it is, and invites the patient to share their experiences without judgment or leading questions.

Quiz 6: Nursing Care During Pregnancy