Dates/Changes
Using Nagele's rule, determine the EDC for a client that states her LMP was April 1st.
A. January 8th
B. January 15th
C. February 8th
D. February 15th
A. January 8th
April 1st minus 3 months, plus 7 days and 1 year.
A primipara is being evaluated in the clinic during her second trimester of pregnancy. Which occurrence indicates an abnormal physical finding that necessitates further testing?
A. Quickening
B. Braxton Hicks contractions
C. Consistent increase in fundal height
D. Fetal heart rate of 180 BPM
D. Fetal heart rate of 180 BPM
Normal FHR in second trimester is 120-160.
A nurse is assisting with the care of a client who has severe preeclampsia who is receiving magnesium sulfate IV. Which of the following findings should the nurse identify and report as magnesium sulfate toxicity? (select all that apply)
A. RR less than 12/min
B. Urinary output less than 25ml/hr
C. Hyper-reflexic deep-tendon reflexes
D. Decreased level of consciousness
E. Flushing and sweating
A. RR less than 12/min
B. Urinary output less than 25ml/hr
D. Decreased level of consciousness
A nurse in a prenatal clinic is caring for a client who is in the first trimester of pregnancy. The client's health record includes this data: G3 T1 P0 A1 L1. How should the nurse interpret this information? (select all that apply)
A. Client has delivered one newborn at term.
B. Client has experienced no preterm labor.
C. Client has been through active labor.
D. Client has had two prior pregnancies
E. Client has one living child.
A. Client has delivered one newborn at term. (T1)
B. Client has experienced no preterm labor. (P0)
D. Client has had two prior pregnancies (G3)
E. Client has one living child. (L1)
While assisting with the measurement of fundal height, the client at 36 weeks gestation states that she is feeling lightheaded. On the basis of the nurse's knowledge of pregnancy, the nurse determines that this is MOST LIKELY a result of which reason?
A. A full bladder
B. Emotional stress
C. Compression of the vena cava
D. Insufficient iron intake
C. Compression of the vena cava
A nurse is assisting with the care of a client who is receiving IV magnesium sulfate. Which of the following medications should the nurse anticipate administering if magnesium sulfate toxicity is suspected?
A. Nifedipine
B. Pyridoxine
C. Ferrous sulfate
D. Calcium gluconate
D. Calcium gluconate
The client arrives at the prenatal clinic for her first prenatal assessment. The client tells the nurse that the first day of her last menstrual period (LMP) was October 21, 2019. Using Nagele's rule, the nurse determines the estimated date of confinement (EDC/EDD) is which date?
A. July 13, 2020
B. July 28, 2020
C. August 13, 2020
D. August 28, 2020
B. July 28, 2020
The nurse is monitoring a pregnant client with mild gestational hypertension (GH). Which data indicate that GH is a concern?
A. Urinary output has increased.
B. There is no evidence of proteinuria
C. The client complains of a headache and blurred vision.
D. The blood pressure reading has returned to the prenatal baseline.
C. The client complains of a headache and blurred vision.
Interventions for severe pre-eclampsia include all of the following except: (select all that apply)
A. Assist to administer anti-hypertensives as prescribed.
B. Have seizure precautions in place such as padded rails and suction.
C. Monitor urine for ketones
D. Monitor the results of blood cultures
E. Prepare to administer magnesium sulfate to prevent seizures.
C. Monitor urine for ketones
D. Monitor the results of blood cultures
The nurse is collecting data from a client who is pregnant with twins. The client has a healthy 5-year old child who was delivered at 38 weeks, and she tells the nurse that she does not have a history of ay type of abortion or fetal demise. The nurse should document which as the GTPAL for this client?
A. G3, T2, P0, A0, L1
B. G2, T1, P0, A0, L1
C. G1, T1, P1, A0, L1
D. G2, T0, P0, A0, L1
B. G2, T1, P0, A0, L1
The nurse is monitoring a pregnant client with gestational hypertension (GH) who is at risk for pre-eclampsia. The nurse should check the client for which signs of preeclampsia? Select all that apply
A. Proteinuria
B. Hypertension
C. Low-grade fever
D. Increased pulse rate
E. Increased respiratory rate
A. Proteinuria
B. Hypertension
A nurse is teaching a client about blood pressure during pregnancy. The nurse knows that the patient understands the teaching when she states:
A. "My blood pressure usually decreases in the first trimester and increase after that."
B. "My blood pressure will remain the same throughout my pregnancy."
C. "My blood pressure usually decreases during my first trimester, but is normal during the remainder of my pregnancy."
D. "My blood pressure should increase as my pregnancy progresses."
C. "My blood pressure usually decreases during my first trimester, but is normal during the remainder of my pregnancy."
The nursing instructor asks a nursing student to describe the process of quickening. Which statement indicates an understanding of this term?
A. "It is the fetal movement that is felt by the mother."
B. "It is the compression of the lower uterine segment."
C. ""It is the irregular, painless contractions that occur throughout pregnancy."
D. "It is the soft blowing sound that can be heard when the uterus is auscultated."
A. "It is the fetal movement that is felt by the mother."
When teaching a patient about a complete hydatidiform mole the nurse should include all of the following except:
A. You may have bright red to dark brown bleeding that may be slight, profuse, or intermittent.
B. An embryo never developed in your uterus
C. You will have to have abdominal surgery to remove the hydatidiform mole.
D. You need to make sure you wait at least 1 year before getting pregnant again.
C. You will have to have abdominal surgery to remove the hydatidiform mole.
The nurse caring for a client with abruptio placentae is monitoring the client for signs of disseminated intravascular coagulopathy (DIC). The nurse should suspect DIC if which is observed?
A. Rapid clotting times
B. Pain and swelling of the calf of one leg
C. Laboratory values that indicate increased platelets.
D. Petechiae, oozing from injection sites and hematuria.
D. Petechiae, oozing from injection sites and hematuria.