Uncomplicated/Healthy Pregnancy

A client who is 20 weeks pregnant is experiencing numbness and tingling in their fingers. The nurse knows these manifestations can be related to which of the following?

Hormonal changes

Fluid accumulation in the client's body

Nerve hypersensitivity

A nurse is caring for a client who believes they are pregnant. Which of the following manifestations should the nurse anticipate the provider discussing with the client as possible indicators of pregnancy?

Chadwick's sign

Hegar's sign

Amenorrhea

Ballottement

A nurse is providing dietary teaching to a client who is at 11 weeks of gestation. Which of the following foods should the nurse recommend as being safe during pregnancy?

Hot sandwich made with ham and pickles

A client and their partner arrive at the office for a prenatal check-up. The nurse notices that the client's partner is speaking for the client, and the client appears to have bruising on their arms and face. Which of the following is the most appropriate way for the nurse to ask the client if they are experiencing partner violence?

Politely ask the partner to leave the room, then nonjudgmentally ask the client questions about partner violence.

Several clients have arrived at the office for chorionic villus sampling. Which of the following clients would the nurse question the need for chorionic villus sampling?

A client who has gonorrhea and risk for genetic abnormalities.

During an 8-week prenatal visit the nurse is educating Jasmine on the risk for toxoplasmosis. Which of the following statements confirms Jasmine understands the education she received?

"I will ask my partner to clean the litter box while I'm pregnant."

A client who is 12 weeks pregnant is preparing to travel to visit family for Thanksgiving. The nurse has educated the client on safe travel at this stage of pregnancy. Which of the following demonstrates that the client is best prepared for safe traveling?

The client has confirmed with their provider that they have no contraindications for travel.

The client has a copy of their vaccination record.

The client has a copy of their health record.

The client is current on their Tdap vaccine.

Several obstetrics clients are receiving lab results during their office visit. Which of the following clients would require follow-up with their provider?

A client 25 weeks gestation with glucose challenge test result of 180 mg/dL

A client 18 weeks gestation with a hemoglobin of 9 g/dL and hematocrit 30%

Samantha arrived at the first prenatal visit of the second trimester and asked the nurse about what discomforts she might experience. Which of the following discomforts should the nurse include in Samantha's education as being possible in the second trimester?

Back pain

Constipation

Stretch marks

The nurse is educating a client on kick counts. Which of the following statements by the client demonstrates an understanding of kick counts?

"If I feel less than 10 kicks or movements in two to three hours, I should call my provider."

Which of the following clients are experiencing expected manifestations of term labor?

A client 38 weeks gestation having regular contractions that are increasing in strength and frequency

A client 39 weeks gestation leaking clear fluid from the vagina

A nurse is caring for a client who is experiencing Braxton Hicks contractions. Which of the following can the nurse expect to be true of this client?

The client is in their second trimester.

The client is feeling their contractions in the front of the abdomen.

The client's Braxton Hicks contractions change in frequency throughout pregnancy.

A nurse is caring for a client who is 35 weeks pregnant and has come for a regularly scheduled prenatal appointment. The client is discussing with the nurse the current manifestations that they are experiencing in their pregnancy. Which of the following statements would the nurse address first as cause for alarm?

"This morning I woke up and had some spotting when I went to the bathroom."

Madison is 5 ft 9 in tall. With her current weight of 149 lb, her BMI is 22. How much weight should she expect to gain during pregnancy?

25 to 35 lb

Elaina is concerned about the amount of weight Madison has lost between pre-pregnancy and her current weight. Elaina provides Madison with nutrition education counseling. Which of the following would Elaina recommend to help Madison reduce nausea and vomiting?

Eat small, frequent meals throughout the day.

Which of the following may be the cause for Alexis's back pain and edema in lower extremities?

Lumbar lordosis

Standing most of the day for work

Lack of supportive shoes

Which of the following statements are true and can be included in Kara's education?

HIV and hepatitis B testing help ensure precautions are taken to minimize risk of maternal transmission to newborn.

RPR testing assesses maternal syphilis status.

A client who is at 41 weeks of gestation arrives for their weekly prenatal appointment. The nurse and the client are discussing complication risks related to post-term pregnancy. Which of the following topics should the nurse include as educational reinforcement in the conversation? (Select all that apply.)

Placental insufficiency

Oligohydramnios

Birth injury

Infection

A nurse is reinforcing nutritional education with a client who is in the first trimester at their first prenatal appointment. Which of the following foods would be unsafe for the client to consume during pregnancy? (Select all that apply.)

Bean sprouts on a fresh salad

Pasta salad containing olives, cooked chicken, and feta cheese

Fresh, unpasteurized cider from an orchard

Raw sushi

A nurse is reinforcing education about braxton hicks contractions with a client who is pregnant. Which of the following is correct pertaining to braxton hicks?

Braxton Hicks contractions are initiated in the front of the abdomen.

A nurse is gathering information from a client who is at 33 weeks of gestation. The client discusses pain, weakness, numbness, and tingling of the fingers on the left hand. Which of the following is an accurate statement by the nurse regarding the client's current manifestations of carpal tunnel?

"The manifestations you are experiencing will likely resolve following the birth of your newborn."

When discussing activities during pregnancy, which of the following is important for the nurse to reinforce in education as unsafe to perform in pregnany?

Cleaning a cat's litterbox

A nurse is talking to a client about manifestations that warrant notification of the provider. Which of the following manifestations are important to include in a discussion related to preeclampsia?

Blurred vision

right sided abdominal pain

Facial edema

Headaches

Shortness of breath

A client who is at 36 weeks of gestation is planning ravel with their partner. the client asks the nurse, "Is it ok if we go on a vacation 6 hours from home?" Which of the following should the nurse reinforce with the client as the best option for travel at this stage of pregnancy?

For car travel, take frequent stops to promote movement

A client who is at 12 weeks of gestation arrives for their first prenatal appointment. When discussing concerns with the nurse, the client states, "I have lupus, which is an immune system disorder, and i'm concerned about what that means for my pregnancy." Which of the following describes cardiovascular and hematologic responses the client may experience?

Decreased exacerbations of lupus in pregnancy

A nurse is reviewing labs on Rh-negative client in the third trimester. The nurse notices that repeat antibody screening was not performed in the second trimester. Which of the following prescriptions should the nurse anticipate for this client?

Repeat antibody screen

A nurse is caring for client who is gravida 3 para 2 at 9 weeks of gestation and is at the first prenatal appointment of this pregnancy. The client asks the nurse, "since i have had babies before, do i really need all those tests again right now?" Which of the following prenatal lab tests should the nurse anticipate obtaining at the appointment?

Rebella screening

Blood type and Rh Screening

Complete blood count

Rapid plasma regain (RPR)

HIV

A nurse is discussing second trimester physiologic changes with a client who is at 27 weeks of gestation. The client reports back pain throughout the day. Which of the following should the nurse plan to include as education reinforcement regarding methods to relieve back pain.

Wearing supportive shoes

Using sleep positions aids

Participating in mild to moderate exercise

Applying ice or heat as pain relief

Using ergonomic chairs

A nurse is checkin 4 clients who are all in their last trimester of pregnancy to their office appointments. After gathering data from each client, which client should the nurse encourage the provider to see first?

The client who reports edema in their lower extremities and face as well as a headache.

A nurse is speaking with a client who is pregnant and wants to discuss weight gain. When reinforcing teaching, which of the following information should the nurse include as a contributing factor for weight gain during pregnancy?

Fat storage maintains energy needs

Fetal growth contributes to maternal weight gain

Fat storage maintains nutrient needs

A nurse is preparing a client for an abdominal ultrasound to assess the uterus and fetal anatomic structures. Which of the following should the nurse use to reinforce teaching with the client regarding the structures that will be assessed during the ultrasound?

Cervical length

Fetal head circumference

Placental location

Amniotic fluid volume

Fetal femur length

A nurse is escorting a client who is at 35 weeks of gestation to the examination room. The client reports, "I have noticed a bulge on my abdomen and it's making me nervous. Do you know what this might be?" Which of the following statements should the nurse include in their discussion with the client regarding diastasis recti?

Diastasis recti can cause urinary incontinence

A nurse is caring for a client who is at 12 weeks of gestation at the first prenatal appointment. Which of the following statements by the client would require immediate intervention by the nurse?

My partner just moved back in with me. They were in jail because they hit me.

A nurse is reinforcing expected body changes in pregnancy with a client who is at 36 weeks of gestation. Which of the following variations are expected throughout pregnancy?

Varicose veins on the legs

Striae gravidarum on the abdomen

Linea nigra on the abdomen

Melasma on the face

A client who is at 37 weeks of gestation calls the clinic to discuss bleeding with a nurse. The client reports bleeding around the rectal area with bowel movements due to hemorrhoids. Which of the following instructions should the nurse include in the discussion with the client about hemorrhoid management.

Use witch hazel pads

A nurse is caring for a client who is at 22 weeks of gestation. Which of the following manifestations would the nurse place at highest priority to notify the provider?

Fetal heart rate (FHR) of 98/min