OB test 1

The nurse explains that implantation is the embedding of the fertilized ovum in the uterine mucosa. This implantation usually occurs in the

fundus of the uterus.

Which is a positive sign of pregnancy?

Positive Chadwick's sign.

A nurse is collecting data from a client who is at 18 weeks of gestation and tells the nurse that she felt light fluttering in her stomach the previous day. The nurse should use which of the following terms to document this finding?

Quickening.

A nurse is assisting in performing an assessment on a client who suspects that she is pregnant and is checking the client for probable signs of pregnancy. (Select all that apply)

Braxton Hicks contractions, Ballotment, Chadwick's sign, Uterine Enlargement.

A primigravida who is eager to feel the baby move asks the nurse when she can expect to feel movement. The nurse replies that first faint movements may be felt during gestational week

16 weeks.

A nurse is caring for a client in the prenatal clinic who has a possible ectopic pregnancy at 8 weeks of gestation. Which of the following findings should the nurse expect?

Pelvic pain.

When the patient is diagnosed with a tubal pregnancy, the nurse is aware that in this pregnancy, the patient will probably

Require surgery to remove the zygote.

The nurse uses a diagram to show the development of the embryonic stage of pregnancy, which usually lasts about

8 weeks.

The nurse is concerned about the patient who is in her first trimester of pregnancy and has been exposed to German measles, because this disease is capable of

causing birth defects.

The nurse explains that the placenta functions as an endocrine gland, secreting estrogen, progesterone, and

human chorionic gonadotropin (HCG).

A nurse in a clinic receives a phone call from a client who would like information about pregnancy testing. Which of the following information should the nurse provide to the client?

"You should use your first morning urination specimen for a home pregnancy test."

When lecturing to a class of prenatal women, the nurse explains that the fetus is protected from most bacterial invasions by the

Placenta barrier.

Which is a positive sign of pregnancy?

Ultrasonic tracing of the fetus.

A woman who has just discovered she is pregnant states that the first day of her last menstrual period was July 10. The nurse tells her that her expected date of birth (EDB) will be

April 17.

When the patient complains of frequency of urination, the nurse explains that frequency of urination early in the pregnancy occurs due to

increased circulating volume.

The pregnant woman asks about sexual activity during her pregnancy. The nurse states that sexual activity should be

ceased in the case of vaginal bleeding.

Early in the first trimester, a woman may complain of morning sickness. The nurse suggests that this may be relieved by

Dry crackers.

Before teaching the client about the nutritional needs during pregnancy, which nursing intervention is most appropriate?

Assess the client's current eating pattern and preferences.

What is the recommended weight gain for a pregnant woman?

25–35 pounds.

A woman entering the 22nd week of pregnancy complains to the nurse that she feels she has become unsightly because of chloasma. The nurse recommends that to reduce the chloasma, the patient should

avoid exposure to the sun.

If a pregnant teenager presents with all the complaints below, the nurse recognizes that the one that could signal danger is

Visual disturbance.

During the last trimester of pregnancy, the nurse recommends that the woman wear low heeled shoes. What is the nurse trying to prevent with this recommendation?

Lower back pain

A newly confirmed pregnant patient asks the nurse what the dangers of smoking are to her baby. The nurse tells her that smoking can cause the fetus to have

Low birth weight.

The physician decides to send the mother for a test to determine the fetal lung maturity. This fetal well being test is called a(n)

Amniocentesis

When the young primigravida asks about how to adjust her diet for her pregnancy, the nurse teaches that the diet should be modified to include more

leafy green vegetables and fruit.

The nurse stresses that a sign of a complication of pregnancy that must be reported to the physician at the first occurrence is

vaginal bleeding

The nurse uses a diagram to show how the arteries in the umbilical cord carry

deoxygenated blood back to the placenta.

To assess an accurate fundal height, the nurse should instruct the patient to

Empty her bladder.

The newly diagnosed primigravida who is 6 weeks pregnant states, "I don't feel like I have a real baby inside me." The nurse reassures her that at 6 weeks the embryo has a functioning

Heart.

The nurse is reinforcing teaching about immunizations with a woman in her first trimester of pregnancy, whose diagnostic testing indicates she does not have an immunity to rubella. The nurse should recommend that the client receive a measles, mumps, rubella (MMR) vaccine at which of the following times?

After giving birth, but prior to discharge.