Exam 31: The Pregnant Woman

When assessing a woman who is in her third trimester of pregnancy, the nurse looks for the classic symptoms associated with preeclampsia. What symptoms is the nurse looking for that would indicate preeclampsia?

The nurse is palpating the abdomen of a woman who is 35 weeks' pregnant and notices that the fetal head is facing downward toward the pelvis. What does this describe?

A patient who is 20 weeks' pregnant tells the nurse that she feels more shortness of breath as her pregnancy progresses. The nurse recognizes which statement to be true?

During auscultation of fetal heart tones (FHTs), the nurse determines that the heart rate is 136 beats per minute. How should the nurse proceed?

A woman in her second trimester of pregnancy complains of heartburn and indigestion. When discussing this with the woman, the nurse considers which explanation for these problems?

During a group prenatal teaching session, the nurse teaches Kegel exercises. Which statements would be appropriate for this teaching session? (Select all that apply.)

When the nurse is assessing the deep tendon reflexes (DTRs) on a woman who is 32 weeks' pregnant, which of these would be considered a normal finding?

Which best describes the average length of pregnancy?

During the examination of a woman in her second trimester of pregnancy, the nurse notices the presence of a small amount of yellow drainage from the nipples. How does the nurse interpret this finding?

A 25-year-old woman is in the clinic for her first prenatal visit. The nurse will prepare to obtain which laboratory screening test at this time?

The nurse auscultates a functional systolic murmur, grade ii/iv, on a woman in week 30 of her pregnancy. The remainder of her physical assessment is within normal limits. How should the nurse proceed?

When auscultating the anterior thorax of a pregnant woman, the nurse notices the presence of a murmur over the second, third, and fourth intercostal spaces. The murmur is continuous but can be obliterated by pressure with the stethoscope or finger on the thorax just lateral to the murmur. How does the nurse interpret these findings?

The nurse should know that what is the best time to assess a woman's blood pressure during an initial prenatal examination?

Which of these statements best describes the action of the hormone progesterone during pregnancy?

During a woman's 34th week of pregnancy, she is told that she has preeclampsia. The nurse knows which statement concerning preeclampsia is true?

During a health history interview, a 38-year-old woman shares that she is thinking about having another baby. The nurse knows which statement to be true regarding pregnancy after 35 years of age?

A patient is being seen at the clinic for her 10-week prenatal visit. She asks when she will be able to hear the baby's heartbeat. How should the nurse reply?

A patient's pregnancy test is positive, and she wants to know when the baby is due. The first day of her last menstrual period was June 14, and that period ended June 20. Using the Nägele rule, what is her expected date of delivery?

Which finding is considered normal and expected when the nurse is performing a physical examination on a pregnant woman?

A woman who is 28 weeks' pregnant has bilateral edema in her lower legs after working 8 hours a day as a cashier at a local grocery store. She is worried about her legs. What is the nurse's best response?