Question 1

The nurse in a health care clinic is instructing a client how to perform kick counts. Which of the following statements, if made by the client, indicates a need for further education?

Accepted Answer

Lying on the back can compress the vena cava and decrease blood flow to the fetus.

Question 2

A nonstress test is prescribed for a pregnant client, and the client asks the nurse about the procedure. Which of the following information will the nurse provide to the client?

Accepted Answer

A nonstress test is a noninvasive procedure that uses an ultrasound transducer to monitor fetal heart activity, and it does not involve uterine contractions or require informed consent.

Question 3

A client in the second trimester of pregnancy is seen in the health care clinic. The client tells the nurse that she is a hostess at a local restaurant and is on her feet most of the day. She states that she has frequent low back pains and ankle edema by the end of the day. The nurse provides instructions to the woman about measures to relieve the discomfort. Which of the following statements, made by the client, indicates an understanding of how to relieve these discomforts?

Accepted Answer

The answer of A client in the second trimester of...

Question 4

A pregnant client calls the nurse at the physician's office and reports that she has noti ced a thin, colorless, vaginal drainage. Which of the following information would be most appropriate for the nurse to provide to the client?

Accepted Answer

The thin, colorless vaginal discharge described is likely to be leukorrhea, a common and normal occurrence during pregnancy due to increased estrogen levels and blood flow to the vaginal area. It is not typically a sign of emergency unless accompanied by other concerning symptoms.

Question 5

The nurse has assisted in performing a nonstress test on a pregnant client and is reviewing the documentation related to the results of the test. The nurse notes that the physician has documented the test results as reactive. The nurse interprets that this result indicates:

Accepted Answer

A reactive nonstress test result is considered normal and indicates that the fetus has a healthy heart rate that accelerates during movements, suggesting well-being.

Question 6

The pregnant client calls the clinic and tells the nurse that she is experiencing leg cramps and is awakened by the cramps at night. The nurse would tell the client to the knee when the cramps occur.

Accepted Answer

Dorsiflexing the foot while extending the knee can help alleviate leg cramps by stretching the muscles that are cramping.

Question 7

The nurse is providing instructions about treatment for hemorrhoids to the client who is in the second trimester of pregnancy. Which of the following statements, if made by the client, indicates a need for further instruction?

Accepted Answer

Applying heat packs to hemorrhoids is not recommended as it can increase swelling and discomfort. The correct methods to relieve hemorrhoid discomfort include Kegel exercises, cool sitz baths, and applying ice packs.

Question 8

The clinic nurse is discussing nutrition with a pregnant client who has lactose intolerance. The nurse would instruct the client to supplement the dietary source of calcium by eating which of the following foods?

Accepted Answer

Dried fruits are a good source of calcium and are suitable for someone with lactose intolerance.

Question 9

The nurse is providing instructions to a pregnant client visiting the antenatal clinic about foods that are rich in folic acid. The nurse would encourage the client to increase intake of which of the following foods that are highest in folic acid?

Accepted Answer

Green leafy vegetables are high in folic acid, which is crucial for the prevention of neural tube defects in the developing fetus. Foods like spinach, kale, and broccoli are excellent sources of folic acid.

Question 10

The pregnant client asks the nurse about the type of exercises that are allowable during her pregnancy. The nurse would instruct the client that the safest exercise to engage in is which of the following?

Accepted Answer

Swimming is considered one of the safest exercises for pregnant women because it poses minimal risk of injury, supports the body, and does not require the body to bear extra weight. It also promotes cardiovascular health without putting undue strain on the joints.

Question 11

A pregnant client reports to the health care clinic complaining of loss of appetite, weight loss, and fatigue. Following assessment, tuberculosis is suspected. A sputum culture is obtained, and Mycobacterium tuberculosis is identified in the sputum. The nurse provides instructions to the client regarding therapeutic management of tuberculosis. Which of the following instructions does the nurse provide to the client?

Accepted Answer

Isoniazid (INH) plus rifampin (Rifadin) for a total of 9 months is a standard treatment regimen for tuberculosis, including in pregnant women, to effectively manage the infection while minimizing risk to the fetus.

Question 12

The nurse has provided home care instructions to a client with a history of cardiac disease who has just been told that she is pregnant. Which of the following statements, if made by the client, indicates a need for further education?

Accepted Answer

The statement about needing to avoid contact with other individuals as much as possible to prevent infection does not directly relate to managing cardiac disease during pregnancy. While preventing infection is generally good advice, the emphasis for a client with cardiac disease should be on managing heart health and stress, not on isolation.

Question 13

A nurse is collecting data on a pregnant client in the first trimester of pregnancy whose medical record indicates the presence of iron deficiency anemia. The nurse would monitor the cli ent to detect which of the following signs indicating that this problem has not yet resolved?

Accepted Answer

Iron deficiency anemia can cause symptoms such as headaches and fatigue due to insufficient oxygen delivery to tissues.

Question 14

A nurse has just received the intershift report. After reviewing the client assignment and the appropriate medical records, the nurse determines that which of the following clients is most at risk for developing postdelivery endometritis?

Accepted Answer

An emergency cesarean delivery, especially in adolescents, increases the risk of postdelivery endometritis due to factors like prolonged labor, potential for infection, and surgical intervention.

Question 15

A nurse is conducting a routine screening to detect a client's risk for toxoplasmosis parasite infection during pregnancy. The nurse would ask the client about which of the following items to determine this risk?

Accepted Answer

Toxoplasmosis is often transmitted through contact with cat feces, which can occur when handling a kitty litter box.

Question 16

The nurse is preparing to care for a client who is being admitted to the hospital with a possible diagnosis of ectopic pregnancy. The nurse develops a plan of care for the client and determines that which of the following is the priority nursing action?

Accepted Answer

Monitoring the apical pulse is crucial because an ectopic pregnancy can lead to internal bleeding, which may cause changes in heart rate and indicate shock.

Question 17

The nurse is reviewing the record of a pregnant client seen in the health care clinic for the first prenatal visit. Which of the following data, if noted on the client's record, would alert the nurse that the client is at risk for developing gestational diabetes during this pregnancy?

Accepted Answer

A previous baby weighing 10 lb at birth is a risk factor for gestational diabetes, as it may indicate undiagnosed glucose intolerance in the mother during that pregnancy.

Question 18

The nurse is teaching a diabetic pregnant client about nutrition and insulin needs during pregnancy. The nurse determines that the client understands dietary and insulin needs if the client states that the second half of pregnancy may require:

Accepted Answer

During the second half of pregnancy, insulin resistance typically increases due to placental hormones, which often necessitates an increase in insulin dosage to maintain blood glucose control.

Question 19

The nurse has provided instructions to a pregnant client who is preparing to take iron supplements. The nurse determines that the client understands the instructions if the client states that she will take the supplements with which of the following?

Accepted Answer

Iron supplements are best absorbed when taken with vitamin C-rich foods or drinks, such as orange juice, which enhances iron absorption. Milk, tea, and coffee can inhibit iron absorption.

Question 20

The nurse is caring for a client in labor. The nurse determines that the client is beginning the second stage of labor when which of the following is documented in the client's record?

Accepted Answer

The second stage of labor begins when the cervix is completely dilated to 10 centimeters, allowing the baby to move into the birth canal for delivery.

Quiz 4: Maternity