Physical & Psychological Changes of Pregnancy
A nurse in a provider's office is caring for a client who is in the first trimester of pregnancy. Which of the following psychological tasks should the nurse expect the client to accomplish during this trimester?
a.) Accepting the pregnancy
b.) Preparing for the end of pregnancy
c.) Preparing for parenthood
d.) Accepting the baby
a.) Accepting the pregnancy
A nurse is caring for a client who is at 32 weeks gestation and has a prescription for nifedipine. Which of the following outcomes should the nurse expect from this medication?
a.) Fetal lung maturity
b.) Maternal blood glucose control
c.) Cessation of uterine contractions
d.) Resolution of maternal nausea
c.) Cessation of uterine contractions
Nifedipine is a calcium channel blocker used to decrease uterine contractions by relaxing the smooth muscle of the uterus.
A nurse is assisting with performing a nonstress test (NST) on a client who is at 41 weeks gestation. The client asks about the purpose of the test. Which of the following responses should the nurse provide?
a.) "This test will determine if you are likely to deliver within the next week."
b.) "This test will help determine if your baby is healthy."
c.) "This test can show how your baby responds when you have contractions."
d.) "This test will determine if your baby's lungs are mature."
b.) "This test will help determine if your baby is healthy."
A nurse is caring for a client who has clinical manifestations of an ectopic pregnancy. Which of the following findings is a risk factor for an ectopic pregnancy?
a.) Anemia
b.) Frequent UTIs
c.) Previous C-section
d.) Pelvic inflammatory disease
d.) Pelvic inflammatory disease
A nurse in a prenatal clinic is collecting data from several clients. Which of the following client reports is an expected physiological adaptation to pregnancy?
a.) Spotting with urination
b.) Breast tenderness
c.) Thick, white vaginal discharge
d.) Facial swelling
b.) Breast tenderness
Breast tenderness id common during the first and third trimesters of pregnancy.
A nurse is reviewing the lab values of a client who is pregnant and has a low progesterone level. Which of the following complications should the nurse expect?
a.) Gestational diabetes
b.) Preterm labor
c.) Inadequate milk supply
d.) Inadequate uterine growth
b.) Preterm labor
Progesterone maintains the lining of the uterus, which maintains the pregnancy.
A nurse is caring for a client during her first prenatal visit and notes that she is lactose intolerant. Which of the following foods should the nurse recommend as a Ca+ source for this client?
a. Collard greens
b. Cottage cheese
c. Orange juice
d. Broccoli
a. Collard greens
A nurse is reinforcing discharge instructions with a client following the removal of a hydatidiform mole. Which of the following statements should the nurse include in the teaching?
a.) "Do not become pregnant for at least 1 year."
b.) "Seeking genetic counseling for yourself and your partner prior to getting pregnant again."
d.) "Have your BP checked weekly for the next month."
a.) "Do not become pregnant for at least 1 year."
Hydatidiform moles are uncontrolled growths in the uterus arising from placental or fetus tissue in early pregnancy. Pregnancy must be avoided for 1 year so that the client can be closely monitored for manifestations of this condition.
A nurse is providing care for a pregnant adolescent at 12 weeks gestation who verbalizes a fear of gaining weight during her pregnancy. Which of the following actions should the nurse perform?
a.) Have the client watch a video on fetal growth and development during pregnancy
b.) Supply pamphlets that discuss the importance of nutrition during pregnancy
c.) Reinforce how poor nutrition can cause her baby not to grow properly
d.) Give examples of how eating well will help her to maintain a healthy weight during pregnancy
d.) Give examples of how eating well will help her to maintain a healthy weight during pregnancy
A nurse enters the hospital room of client who has preeclampsia. The client is out of bed, falls, and begins having tonic-clonic convulsions. Which of the following actions should the nurse take?
a. Go to the nurse's station to summon help
b. Apply O2 via non-rebreather mask
c. Turn the client's head to the side
d. Monitor the FHR
c. Turn the client's head to the side
A nurse is reinforcing teaching about weight gain during pregnancy for a client who is primigravida of normal pre-pregnancy weight. Which of the following statements should the nurse include?
a.) "You should plan to gain 25 to 35 lbs. during your pregnancy."
b.) ""You should plan to gain 11 to 20 lbs. during your pregnancy."
c.) "Because you started pregnancy at a normal BMI and weight, your weight gain is not limited as long as you follow a healthy, balanced diet."
d.) "Because you are of normal weight prior to pregnancy, you are encouraged to gain 28 to 40 lbs. during pregnancy."
a.) "You should plan to gain 25 to 35 lbs. during your pregnancy."
A nurse is discussing the expected changes of pregnancy w/ a client who is at 8 weeks gestation. Which of the following findings should the nurse tell the client to report to the provider during the first trimester?
a.) Breast tenderness
b.) Urinary frequency
c.) Persistent vomiting
d.) No fetal movement
c.) Persistent vomiting
A nurse is reinforcing teaching about dietary changes with a client who is pregnant and has pregestational diabetes. Which of the following statements should the nurse include in the teaching?
a.) "Carbohydrates should make up 55% of your diet."
b.) "Protein should make up 70% of your diet."
c.) "Fats should make up 45% of your diet."
b.) "Fiber should make up 10% of your diet."
a.) "Carbohydrates should make up 55% of your diet."
For clients with pregestational diabetes, intake of simple carbs should be limited.
A charge nurse is providing teaching for a newly hired nurse about the potential side effects of an epidural. Which of the following effects should the charge nurse include in the teaching?
a. Newborn resp. depression at birth
b. Impaired ability of the neonate to maintain body temp
c. Impaired placental perfusion
d. Decreased FHR variability
c. Impaired placental perfusion
Maternal hypotension can occur in 10% to 30% of women who receive an epidural or spinal anesthesia. This can result in decreased blood flow to the placenta and impair the deliver of O2 to the fetus.
A nurse is reinforcing teaching with a client about nutrition during pregnancy. Which of the following instructions should the nurse include in the teaching?
a.) "Plan to double your normal caloric intake during your last trimester of pregnancy"
b.) "Expect to gain 10 to 15 lbs. during pregnancy"
c.) "Restrict your intake of Na+ throughout pregnancy"
d.) "Do not eat swordfish, shark, or king mackerel while you are pregnant"
d.) "Do not eat swordfish, shark, or king mackerel while you are pregnant"