Question 1

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.What information should be included in the teaching provided to the client regarding this inquiry?

Accepted Answer

A,B,D

Question 2

The healthcare provider is using Leopold's maneuvers to assess fetal positioning.Which of the following maneuvers is being used in the figure below?

Accepted Answer

The healthcare provider is palpating the fetal head in the upper abdomen, indicating the third Leopold's maneuver.

Question 3

The nurse is assessing a postpartum client and notes the peri-pad has whitish-yellow discharge.The nurse would correctly document this vaginal discharge as which of the following?

Accepted Answer

Lochia alba is the correct term for whitish-yellow discharge that occurs typically 10-14 days postpartum, indicating the latter stage of the postpartum healing process.

Question 4

The nurse is caring for a pregnant client who desires to know the estimated date of birth (EDB)for the baby.The client reports the last menstrual period (LMP)was April 10.Using Naegele's Rule,the nurse would correctly calculate the EDB as which of the following?

Accepted Answer

The answer of The nurse is caring for a pregnant...

Question 5

The nurse is examining a client who is 37 weeks pregnant.Which of the following findings would require immediate intervention by the nurse?

Accepted Answer

A patellar reflex of 4+ indicates hyperreflexia, which can be a sign of preeclampsia, a serious condition that requires immediate intervention.

Question 6

A client who is 38 weeks pregnant reports she has been experiencing urinary frequency.Which response by the nurse is indicated?

Accepted Answer

Urinary frequency is a common and normal symptom during the later stages of pregnancy due to the growing uterus putting pressure on the bladder.

Question 7

The nurse is assessing the abdomen of a client who is 20 weeks gestation.Indicate the anticipated height of the fundus.

Accepted Answer

The answer of The nurse is assessing the abdomen of...

Question 8

The nurse is preparing to assess the fetal heart tones for a client whose fetus is in the LOA position.Review the photograph below and draw an "X" to indicate the best location to assess for the heart tones.

Accepted Answer

The answer of The nurse is preparing to assess the...

Question 9

The healthcare provider is performing an assessment on a pregnant client.The examiner notes a softening in the area being assessed.Review the photograph below and identify the probable sign of pregnancy being assessed.

Accepted Answer

The answer of The healthcare provider is performing an assessment...

Question 10

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.The most appropriate response by the nurse would be:

Accepted Answer

Fetal movement does not occur until the 18th week.

Question 11

The nurse is performing a pelvic examination on a client who is 20 weeks pregnant and notes a white,odorless discharge from the vagina.The nurse would correctly choose which of the following actions?

Accepted Answer

The presence of a white, odorless discharge is a normal finding during pregnancy due to increased vaginal secretions. The nurse should document the findings as normal and reassure the client that this is a common occurrence during pregnancy. Options A and B may be appropriate if the client expressed any concerns or symptoms, but this is not indicated in the scenario. Option C is not necessary unless the discharge is abnormal or accompanied by other symptoms.

Question 12

The nurse is reading the history and physical on a pregnant client and reads that the cervix was noted as soft in texture and nontender during the pelvic examination.The nurse would correctly identify this as which of the following?

Accepted Answer

Goodell's sign is the softening of the cervix which occurs in the first trimester of pregnancy. The cervix normally feels like the tip of the nose but during pregnancy, due to increased vascularity, it gets a little softer, the consistency of the lips.

Question 13

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

Accepted Answer

A) Advising not to use soap on nipples is correct because soap can dry out the skin and cause cracking or irritation, which can be problematic when breastfeeding. B) Recommending 8-10 hours of sleep each night is important for pregnant women to support their overall health and well-being. C) Eating four servings of dairy products daily is advised to ensure adequate calcium intake for both the mother and the developing fetus. E) Avoiding resting in a back-lying position, especially in the later stages of pregnancy, is important to prevent the risk of supine hypotensive syndrome, where the weight of the uterus presses on the inferior vena cava, reducing blood flow back to the heart. D) is incorrect because iron supplements are often recommended during pregnancy to prevent anemia, despite the risk of constipation; they should not be avoided but managed with dietary adjustments or stool softeners as needed.

Question 14

The nurse is monitoring a pregnant client in labor and is wants to determine the length of time from the beginning of the contraction until the end of the contraction.The nurse is assessing which of the following in this client?

Accepted Answer

Contraction duration refers to the length of time from the beginning of the contraction until the end of the contraction.

Question 15

The nurse is interviewing a client who is 36 weeks pregnant.Which of the following statements,if made by the client,would require immediate intervention by the nurse?

Accepted Answer

This statement indicates a potential problem with the baby's well-being and requires immediate assessment by the nurse. The client may need a non-stress test or other fetal monitoring to ensure the baby is healthy. The other statements are common and don't require immediate intervention.

Question 16

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,and fresh fruits and vegetables.What response is indicated by the nurse?

Accepted Answer

C)"Tell me more about the meat and fish you are eating each day." is the correct response because it encourages the client to provide more specific information about their diet, which can help the nurse assess for potential issues such as excessive mercury intake from certain types of fish, which is a concern during pregnancy.

Question 17

The nurse is assessing a client in the third trimester of pregnancy and notes a yellowish discharge from both breasts.The nurse would correctly choose which of the following actions?

Accepted Answer

Yellowish discharge from the breasts during the third trimester of pregnancy is normal and is called colostrum. Colostrum is the first milk that is produced and is rich in nutrients that help the baby's immune system. Therefore, the nurse should document the finding as normal.

Question 18

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.What assessment data should be collected by the nurse first?

Accepted Answer

The nurse should first determine the client's position during the nap period as this could indicate changes in blood flow or pressure. It is important to rule out any potential physiological causes before exploring other factors such as diet or medical history.

Question 19

The nurse is assisting the healthcare provider during a vaginal examination.The healthcare provider notes the cervix has a bluish-purple change in coloration.The nurse would recognize this condition is known as:

Accepted Answer

Chadwick's sign refers to the bluish-purple discoloration of the cervix, vagina, and labia minora due to increased blood flow and vascular congestion during pregnancy. Goodell's sign refers to the softening of the cervix, leukorrhea refers to increased vaginal discharge, and mucous plug refers to the thick mucus that seals the cervix during pregnancy.

Question 20

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?

Accepted Answer

Presumptive signs of pregnancy are those reported by the patient and may include missed periods, breast tenderness, nausea, and fatigue. These signs suggest pregnancy but are not definitive on their own.

Quiz 26: The Pregnant Female