Question 1

A woman who is 26 weeks' pregnant is brought to the ER reporting vaginal bleeding with severe abdominal pain. What complication of pregnancy is associated with this assessment data?

Accepted Answer

Placental abruption is associated with vaginal bleeding and severe abdominal pain in pregnancy. It occurs when the placenta detaches from the uterine wall before delivery, which can be a life-threatening condition for both the mother and the baby.

Question 2

A pregnant client reports a variety of discomforts associated with her pregnancy. Which should the nurse assure her is a common discomfort of pregnancy?

Accepted Answer

Frequent urination is a common discomfort during pregnancy due to the growing uterus putting pressure on the bladder, leading to the need to urinate more often.

Question 3

The nurse is determining a pregnant client's estimated date of delivery (EDD) using Nägele Rule. The date of the first day of the woman's last normal menstrual period (LNMP) was April 20. What would be her EDD?

Accepted Answer

Nägele's Rule calculates the estimated date of delivery (EDD) by adding one year, subtracting three months, and adding seven days to the first day of the last normal menstrual period (LNMP). For an LNMP of April 20, the calculation would be: April 20 + 1 year = April 20 of the next year; April 20 - 3 months = January 20; January 20 + 7 days = January 27. Therefore, the EDD is January 27.

Question 4

A primigravida client has come to the clinic for a prenatal checkup. What teaching topics would help to promote a healthy pregnancy for this client?

Accepted Answer

The answer of A primigravida client has come to the...

Question 5

The nurse is teaching a pregnant client in her last trimester about interventions to help reduce risks of complications during pregnancy. Which guidelines are recommended?

Accepted Answer

Resting on the left side improves blood flow to the placenta and helps reduce the risk of complications.

Question 6

The nurse is advising an active pregnant woman on nutritional needs to maintain a healthy pregnancy. What would the nurse state is the average total additional energy (calorie) requirement during pregnancy?

Accepted Answer

The answer of The nurse is advising an active pregnant...

Question 7

Which precaution should a pregnant client take regarding her nutritional requirements?

Accepted Answer

Pregnant clients are advised to limit caffeine intake due to potential adverse effects on the fetus, such as low birth weight or miscarriage. Other options are not recommended as folic acid is crucial for preventing neural tube defects, adequate fluid intake is essential, and starchy foods are an important energy source.

Question 8

A pregnant woman at her first prenatal visit asks the nurse if it is safe to have sex during her pregnancy. Which client statement alerts the nurse to the need for further teaching?

Accepted Answer

The statement "I should substitute intercourse with nonsexual touch to avoid harming the fetus" suggests a misunderstanding. It is generally safe to have sex during pregnancy unless there are specific complications or contraindications advised by a healthcare provider.

Question 9

The nurse is teaching a prenatal class about preparing for their expanding families. What statement should the nurse include?

Accepted Answer

Pregnancy and the postpartum period can significantly affect a woman's hormonal balance, leading to mood swings, anxiety, or depression, known as postpartum depression. It's important for expecting parents to be aware of these potential changes to seek help if needed. Choices A, B, and D are not universally true for all families and individuals.

Quiz 65: Normal Labor, Delivery, and Postpartum Care