Quiz 1 1.)A woman presents to a prenatal clinic appointment at 10 weeks' gestation, in the first trimester of pregnancy. Which of the following symptoms would be considered a normal finding at this point in pregnancy?Urinary frequency 2.)A nurse is providing preconception counseling for a client who is planning a pregnancy. Which of the following supplements should the nurse recommend to help prevent neural tube defects in the fetus?Folic acid 3.)A nurse provides teaching for a patient scheduled for genetic testing. What should the nurse do to help the patient understand what is being taught? S/A Avoid the use of jargon Speak slowly and clearly Ask the patient to verbalize what was learned Use simple vocabulary 4.)A woman presents to the prenatal clinic at 30 weeks gestation reporting dysuria, frequency, and
urgency with urination. Appropriate nursing actions include:
Obtain a clean-catch urine to assess for a possible urinary tract infection 5.)A client has been prescribed Clomiphene Citrate (Clomid) and calls the clinic complaining of hot flashes, headaches, and breast tenderness ever since taking this medication. What is the best response by the nurse?These are normal side effects of this medication 6.)The physicians order states to begin Pitocin at 3mu/min. Pharmacy sends you Pitocin 20 units premixed in 1000 ml of Normal Saline. The nurse should set the IV pump to run at: 1000ml/20u * 1u/1000 mu* 3mu/1min* 60 min/1hr=180000/20000= 9ml/hr 7.)A patient at 20 weeks gestation is being seen in the prenatal clinic. Where would the nurse expect the fundal height to be palpated?Umbilicus 1 / 3
8.)A nurse is caring for a client who is in her first trimester of pregnancy and asks the nurse if she can continue to exercise during pregnancy. Which of the following responses by the nurse is appropriate?Daily jogging for up to 30 minutes is fine throughout the pregnancy 9.)A nurse is teaching about fetal development to a group of clients in the antenatal clinic. Which of the following statements should the nurse include in the teaching?The baby's heartbeat is audible by a doppler's stethoscope at 12 weeks of pregnancy.
10.) Which of the following statements by a pregnant woman indicates she needs additional teaching on ways to reduce risks to her unborn child from the potential effects of exposure to toxoplasmosis?"I will wear a mask when cleaning my cat's litter box.” 11.) After receiving information on the signs and symptoms of potential complications during pregnancy, the prenatal client knows to immediately report the following to her health care provider? S/A Burning on urination Abdominal cramping and vaginal bleeding Pelvic pain 12.) A woman at 30 weeks gestation assumes a supine position for a fundal measurement. She begins to complain about feeling dizzy and nauseated. Her skin feels damp and cool. The nurse’s
first action would be to:
Turn the woman on her side 13.) The nurse notes each of the following findings in a woman at 10 weeks gestation. Which of the findings would enable the nurse to tell the woman that she is probably pregnant (probable sign)?Positive pregnancy test 14.) A client has experienced amenorrhea for 2 months, nausea during the day with vomiting every
other morning, and breast tenderness. These symptoms best described are:
Presumptive signs of pregnancy 15.) A client at 10 weeks gestation is being by the nurse. The client reports that she has nausea and vomiting each morning. Which is the nurse’s best response? 2 / 3
Crackers 16.) A nurse in labor and delivery is caring for a client. Following delivery of the placenta, the nurse examines the umbilical cord. Which of the following vessels should the nurse expect to observe in the umbilical cord?Two arteries and one vein 17.) Which statement by the nurse would be most appropriate when responding to a primigravid client who asks, “Should I be concerned about this new brownish pigmentation across my cheeks and forehead?” This is normal and usually disappears after childbirth 18.) The nurse finds 30 units of Pitocin in 500 ml hanging in the client’s room. The pump is running at 10 ml/hr. How much Pitocin is she receiving?10 mu/min 19.) The nurse is teaching a client how to perform a fetal kick count using the 2-hour method. Which statement by the client indicates teaching was understood?If my baby does not move at least 10 times in 2 hours, I will call my doctor.
20.) The nurse is working in a prenatal clinic caring for a patient at 14 weeks gestation, G2 P1. Which of the following findings should the nurse highlight for the nurse midwife?Hematocrit of 29% 21.) A woman in her third trimester complains of heartburn. Which of the following recommendations should the nurse make to the patient to help prevent this condition?Avoid fatty or fried foods 22.) A couple who has been attempting to become pregnant for 6 years is seeking assistance from an infertility clinic. The nurse assesses the clients’ emotional responses to their infertility. Which of the following responses would the nurse expect to find? S/A Anger at others who have babies Feeling of failure because they can’t make a baby Sadness because of the perceived loss of being a parent Guilt on the part of one partner because he or she is not able to give the other a baby
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